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 Your Results - you searched for the keyword Relational Difficulties 275 Results    

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1. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation. Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma, and provides a dynamic and adaptive tool to navigate through therapy.

Keywords: 6 Gear Mechanics  Complex Trauma  

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. Spierings, J. J. (2005, June). Adapting EMDR to work effectively with clients from other cultures. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Intercultural competence is the ability to expand your EMDR skills to other cultures. It has both an attitude aspect and a technical aspect : a different style of relating and communicating with your client, and different things to ask and explore.
This workshop offers a systematic way to understand this type of differences, it offers also very practical do's and don'ts, and tips and tricks to overcome difficulties.
The participants will learn intercultural competence in the development of resources and the building up of affect tolerance, making use of the healing rituals, objects and symbols of their clients own culture.

Keywords: Culture  

Accuracy Verified: Yes


4. 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


5. Molero-Zafra, M., & Pérez-Marín, M. (2009, June). Adopción: Un protocolo basado en EMDR, terapia familiar narrativa y la tería del apego [Adoption: a protocol base on EMDR, narrativ family therapy and the theory of attachment]. Mosaico, 42, 20-27.

Language: Spanish

Format: Magazine

Abstract:
El objetivo e nuestro articulo es plantear un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia famliar narrativa y el EMDR.

The goal and our article is to propose a protocol of psychological approach to the difficulties affecting families with problems of adjustment in cases of adoption. From the conceptual perspective of attachment theory, these families are trying to promote a secure attachment base, through the use of therapeutic tools of traditional family narrative therapy and EMDR.

Keywords: Adoption  Attachment  Family  Narrative Therapy  

Accuracy Verified: Yes


6. 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


7. 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


8. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.

Language: French

Format: Journal

Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois (T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum, stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients endeuillés peuvent développer une dépression chronique.

The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement. The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death, irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings (m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2), then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially when it is known that 10 to 15% of the patient develops a chronic depression.

Keywords: Affective Disorder  Anxiety  Depression  Traumatic Bereavement  

Accuracy Verified: Yes


9. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.

Keywords: Aachen  Horses  Poster  Sports  World Equestrian Games  

Accuracy Verified: Yes


10. Dunton, R. (1993, March). Applying the EMDR method to children and adolescents with school related behavior and learning issues. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
"I know that girl--it's Pat," said Sophie to the Moon Rabbit. She's always sour-faced , always quarreling. Nobody likes her." "But here (on the moon) you see her as she really is, underneath her shyness and loneliness. You see her as she would be if she were treated like a princess. That's what everyone deserves, you know," said the Moon Rabbit. (Excerpt from The Princess and the hloon, Daisaku Ikeda-1991, Knopf, NY.)

Keywords: Children  Learning Difficulties  

Accuracy Verified: Yes


11. 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


12. 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


13. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
“Where I am? I am somewhere between heaven and earth, but I don't know where exactly." "My therapist waited for my anger, but it just isn't there...nowhere” – “I can't imagine anything helpful when I feel bad, I just don't have the energy... it's all too much for me." – “I just want to give up...” Reaction to traumatic events can vary a lot. This is true even when a PTSD has been diagnosed. Contrary to the 'classical' hyper-arousal response to traumatic memories there is also a different pattern of response that is characterized by a lack of an increase in heart rate, and very different pattern of neural activations, despite having a severe case of acute and subsequent PTSD'[l] and may go along with (peri- and posttraumatic) dissociation, emotional numbness, exhaustion, withdrawal and depression. The above statements belong to people with this pattern of response who have experienced subsequent difficulties already in the stabilization phase of their trauma-therapy. First, I will present an understanding of this symptomatology, the hypothesis being a predominance of the dorsal vagal system (see: Polyvagal Theory [2] and activation of the early withdrawal reflex (or: fear-paralysis reflex). This goes along with particular cognitive and especially emotional and physical features. Second, I will present a way to work with this condition, taking into account that the completion of "interrupted action." In this case does not imply an outward (fight or fight response) but an inward orientation withdrawal). EMDR with an adjusted protocol and tactile bilateral stimulation provides the way to process and pull through this interrupted (or unsatisfied) organismic withdrawal and the fear mostly associated with this process. Returning from this deep and primary withdrawal from life brings back the energy and the patient turns back towards life; vagal predominance subsides and the stuck impulse to withdraw releases. 1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual Differences in a Husband and Wife Who Developed PTSD After a Motor Vehicle Accident: A Functional MRI Case Study. Am J Psychiatry 160:4. April 2003, p. 668. 2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123-146. Learning objectives: 1. Recognize dorsal vagal predominance and primary withdrawal after trauma, 2. Understand the different orientation of interrupted action/ trauma scheme, 3. Know how to help withdrawal-patients to stabilize and process with adjusted EMDR-protocol and tactile or auditory bilateral stimulation. New and unique: Identifying this withdrawal-type of traumatic reaction and scheme, understanding it with the help of Polyvagal Theory and development of EMDR- adjusted protocol and way to process this.

Keywords: Primary Withdrawal  Symposium  

Accuracy Verified: Yes


14. Diehle, J., Beer, R., Boer, F., & Lindauer, R. J. L. (2011, April). Behandeleffecten van traumagerichte cognitieve gedragstherapie en eye movement desensitisation and reprocessing (EMDR) [Treatment effects of trauma-focused cognitive behavior therapy and eye movement desensitisation and reprocessing (EMDR)]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Dagelijks raken veel kinderen betrokken bij ongelukken, brand, (seksueel) geweld, pesten, of andere ingrijpende gebeurtenissen. Het meemaken van dergelijke gebeurtenissen kan leiden tot een posttraumatische stressstoornis (PTSS). ptss gaat gepaard met hoge comorbiditeit, slechtere schoolprestaties en heeft een negatieve invloed op het lichamelijk herstel van kinderen (Winston 2003). In internationale richtlijnen wordt traumagerichte cognitieve gedragstherapie (TG-CGT) voor de behandeling bij kinderen aanbevolen en eye movement desensitisation and reprocessing (EMDR) is beoordeeld als veelbelovend (nice 2005). Onderzoeksresultaten naar de effecten van deze behandelingen bij kinderen zijn nog steeds schaars (Stallard 2006). Doel: Binnen een pilotonderzoek worden de behandeleffecten van TG-CGT en EMDR bij kinderen vastgesteld. Methoden: Op een poliklinische afdeling zijn gegevens verzameld van 20 kinderen tussen de 8 en 18 jaar met posttraumatische stressklachten en van hun ouders. Van deze kinderen hebben 10 een behandeling met TG-CGT ondergaan en 10 een behandeling met emdr. Bij kinderen en ouders zijn zowel voor als na de behandeling behandeling de klachten in kaart gebracht met behulp van een diagnostisch interview en verschillende vragenlijsten. Voor het stellen van de diagnose ptss en comorbide diagnosen is het Anxiety Disorders Interview Schedule for dsm-iv-Child Version (adis-c) afgenomen. Tevens werden de Children’s Revised Impact of Event Scale (CRIES-13), de Revised Child Anxiety and Depression Scale-Child Version (RCADS) en de Strengths and Difficulties Questionnaire (SDQ) afgenomen om angstklachten en gedragsproblemen te meten. Resultaten: Traumaklachten zijn zowel in de EMDR-groep alsook in de TF-CBTgroep afgenomen. Gedetailleerdere resultaten worden tijdens het congres besproken. Conclusie Zowel TG-CGT als emdr blijkt effectief te zijn bij het verhelpen van ptssklachten bij kinderen.

Background: Daily affects many children involved in accidents, fires, (sexual) violence, bullying, or other major events. The experience of such events can lead to a posttraumatic stress disorder (PTSD). PTSD is associated with high comorbidity, poorer school performance and has a negative impact on the physical recovery of children (Winston 2003). International guidelines is trauma-focused Cognitive behavioral therapy (CBT-TG) recommended for the treatment of children and Eye Movement Desensitisation and Reprocessing (EMDR) has been rated as promising (Nice 2005). Research the effects of these treatments children are still scarce (Stallard 2006). Purpose: In a pilot investigation the treatment effects of TG-CBT and EMDR in children established. Methods: In an outpatient department Data were collected from 20 children between 8 and 18 years with post traumatic stress symptoms and their parents. Of these children have a treatment with 10 undergoing TG-CBT 10 and treatment with EMDR. In children and parents before and after treatment treatment complaints mapped using a diagnostic interview and several questionnaires. For the diagnosis of PTSD comorbid diagnoses and the Anxiety Disorders Interview Schedule for DSM-IV-Child Version (ADIS-C) decreased. Also, the Children's Revised Impact of Event Scale (CRIES-13), the Revised Child Anxiety and Depression Scale-Child Version (RCADS) Strengths and Difficulties Questionnaire and (SDQ) were administered to measure anxiety and behavioral problems. Results: Trauma Complaints are both in the EMDR group and the TF-CBT-groep decreased. More detailed results be discussed during the congress. Conclusion: Both TG-CBT and EMDR appear to be resolving the ptssklachten in children.

Keywords: CBT  Cognitive Behavior Therapy  

Accuracy Verified: Yes


15. Maxwell, E. (1994). Beyond deficiency motivation:  EMDR, peak experiences, and transcendence. EMDR Network Newsletter, 4(1), 6.

Language: English

Format: Newsletter

Abstract:
When I initially heard of EMDR, I was totally uninterested. I was happy with my repertoire of skills and simply could not be bothered. However, the reports of colleagues who had the training were so exceptional I thought it was time to have a look. I still was not prepared to waste my precious hours on a training, and my way around this was to experience EMDR myself. I had genuine difficulties isolating a problem since I was at a particularly fulfilling stage of my life; however, I finally settled on a minor irritation that I was having with one of my clients. That session, plus two others, moved me very rapidly to a decision to move into private practice, to implementing that decision, and to currently experiencing a life of ease, gentle pacing, and tranquility that I had no previous vision of being possible. In fact, there has been a total life style transformation. I now work only three days a week, have time to follow the joyous explorations of my toddler for hours, am writing a novel, and am experiencing considerable relaxation of the Puritan work ethic. The starting point had been a life style I had previously perceived as fulfilling and perfectly for me.

Keywords: General  Overview  

Accuracy Verified: Yes


16. Gomez, A. (2008, September). Beyond PTSD: Treating depression in children and adolescents using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Traumatized children frequently exhibit symptoms of disorders other than PTSD. There is evidence of comorbidity between PTSD, depression and other behavioral disorders and a large overlap in symptom criteria between PTSD and depression in children and adolescents. The first part of this presentation explores what current research has identified as the key factors for the development of depression in children and adolescents. The evidence linking trauma, stress and PTSD to some forms of depression and the relationship between disorders of attachment, difficulties with affect regulation and the development of depression in children and adolescents will be explored. The second part of this presentation will introduce preliminary evidence that EMDR can be a potentially effective treatment for depression in children and adolescents through a series of case studies and anecdotal reports. The presentation will conclude with an overview of strategies for working with depressed children and adolescents across the eight phases of the EMDR protocol. Even though this presentation will focus on working with pediatric depression, it will provide a foundation for understanding and treating adult depression as well. Video clips of sessions will be shown to provide a concrete and tangible experience for clinicians.

Keywords: Adolescents  Children  Depression  

Accuracy Verified: Yes


17. Zangwill, W. (1995, June). Beyond the basics:  Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used, the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach, Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework. Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a person has experienced and the way in which they have interpreted, experienced and stored them that is most important in determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's own idiosyncratic set of vulnerabilities, his/her schemas or life themes. One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press, Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives, Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are stored. (Use 'Types of Fruit' metaphor here.) Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and the client to be aware of these issues. Also, it can be very helpfull in your couples work. Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable. How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned once again. Might this interpretation allow both of them to respond in ways helpful to the relationship? With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the usefulness of the conceptualization you did or the problems you ran into when you didn't. Case # 1 Case discussion. Case presentations and discussion by participants.

Keywords: Conceptual Issues  

Accuracy Verified: Yes


18. 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


19. 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


20. 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


21. Laliotis, D. (2010, March). Beyond trauma: Part I and II - EMDR as a broad-based psychotherapy. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
While EMDR is widely used as a highly effective treatment for PTSD based on neutralizing past memories of trauma, few therapists recognize how powerful a tool it can be in helping clients reprocess difficult experiences - traumatic or not - that impede their client's ability to move forward with their lives. In this workshop, you'll be introduced to an eight-phase information-processing model of EMDR for helping clients identify and reprocess significant childhood experiences and chronic patterns or themes that shadow their lives, hinder their emotional growth, and limit their ability to fully express their own identity. You'll learn a practical clinical procedure for identifying the predominant themes in clients' lives that underlie their current difficulties and freeing the, from attitudes that limits a fuller, more flexible experience of self.

Keywords: Practice  Theory  

Accuracy Verified: Yes


22. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.

Language: English

Format: Conference

Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.

Keywords: Practice  Theory  

Accuracy Verified: Yes


23. 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


24. Spector. J. (2003, February). Blocked processing. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
When EMDR goes at it is suppose to, there is no psychotherapeutic procedure as remarkable, effective, and efficient for the treatment of trauma based disturbance and especially PTSD. However, as with all psychotherapy, things do not always go according to plan and as we might expect. Clients bring a whole range of personality and relationship issues into therapy that can make progress problematic as well, of course, as different degrees of disturbance and psychopathology with the most long standing difficulties and deeper disturbance causing the greatest problems.

Keywords: Blocked Processing  

Accuracy Verified: Yes


25. 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


26. Fang, L. (2005, June). Case presentation:  “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
It has proven that EMDR is successful in helping people who have experienced psychological difficulties that originate from some kind of traumatic experience. I used standard EMDR protocol successfully in single session for two persons who experience short negative moments. One client was a young man who had intrusive recalls of the male acquaintance telling him about oral sex intercourse between men that happened 38 hours before he asked for psychological help. The other client was a young nurse, one of my colleagues, who was scolded and threatened by the husband of a patient less than 2 hours ago before I did EMDR for her. They both had moment of trauma was very precise and very short: the moment the words were spoken. The recent events don't have several hot spots (difficult affect laden moments in the experience), but just one clearly shocking moment. So I used standard protocol and it helped stabilizing them very quickly, they both retouched their resources quickly. Two months later, I followed up my colleague. She was still stable and had the same positive cognition about the negative moment.

Keywords: China  Psychotrauma  Symposium  

Accuracy Verified: Yes


27. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.

Language: Spanish

Format: Other

Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico. El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia. Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.

Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Chronic Posttraumatic Stress Disorder  Chronic PTSD  

Accuracy Verified: Yes


28. 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.

Keywords: Practice  Training  

Accuracy Verified: Yes


29. 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


30. Laliotis, D. (2011, March). Changing the narrative: Part 1 & part 2 - The psychotherhapy of EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
While EMDR has become known as a highly effective psychotherapy approach for neutralizing traumatic memories, it's evolded into a comprehensive and powerful therapy that goes well beyond helping clients reprocess negative experiences to transforming the way they feel about themselves and their lives. In this workhop, you'll be introduced to the eight-phase information-processing model of EMDR, which helps clients identify and reprocess experiences that have shaped their sense of self and view of the world, limiting their capacity to live an authentic life. You'll learn how EMDR can be used to work with core themses and experiences underlying people's current life difficulties, freeing them to fully realize their own identity, change the narrative of their lives, and experience a fuller, more flexible and expansive, sense of self.

Keywords: Practice  Theory  

Accuracy Verified: Yes


31. 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


32. Rhoads, J., Pearman, T., & Rick, S. (2007, October). Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Archives of Psychiatric Nursing, 21(5), 249–256. doi:10.1016/j.apnu.2007.05.002.

Language: English

Format: Journal

Abstract:
It has been almost 2 years since Hurricane Katrina struck the Gulf Coast. These 2 years can be characterized by constant struggle and pain as the people try to reattain some semblance of life as they knew it before Katrina struck. Some have chosen to leave their ancestral homes, homes where they were raised and where they, in turn, raised their own families. Those who did leave are able, in some way, to reestablish some semblance of normality, but those who stayed showed manifestations of and dealt with psychological trauma. These manifestations include regression, inattentiveness, aggressiveness, somatic complaints, irritability, social withdrawal, nightmares, and crying. Longer lasting effects may include depression, anxiety, adjustment disorders, and interpersonal or academic difficulties. These postdisaster manifestations can linger or remain hidden until well after the traumatic event and could persist for years. This article presents issues about the effects of Katrina on the mental health of the people of New Orleans. It discusses the profile of posttraumatic stress disorder and presents evidence-based review of interventions the health care provider can implement to care for thosewho continue to suffer the effects of this horrific disaster.

Keywords: Hurricanes  Intervention  Katrina  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


33. 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


34. 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


35. Leeds, A. M., & Korn, D. L. (2012). A commentary on Hornsveld et al. (2011): A valid test of resource development and installation? Absolutely not. Journal of EMDR Practice and Research, 6(4), 170-173. doi:10.1891/1933-3196.6.4.170.

Language: English

Format: Journal

Abstract:
Researchers have published evidence supporting both the “working memory“ and the “REM/Orienting Response“ hypotheses as mechanisms underlying the documented treatment effects of EMDR on patients with posttraumatic stress disorder. Hornsveld et al. (2011) provide additional evidence of the impact of eye movements (EMs) on aspects of positive memory recall, but overstate their findings relevance to resource development and installation (RDI: Korn & Leeds, 2002) and to the interhemispheric interaction hypothesis (Propper & Christman, 2008). Most likely multiple mechanisms underlie the observed effects of EMDR and RDI. The needed RDI test is to randomly assign patients with Disorders of Extreme Stress not Otherwise Specified with measured coping difficulties to alternate conditions: one an RDI procedure without bilateral (or other distracting) sensory stimulation and one with bilateral EMs.

Keywords: RDI  REM/Orienting Response  Resource Development and Installation  Working Memory  

Accuracy Verified: Yes


36. 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


37. Prattos-Spongalides, T. A. (2001, June). Connotation difficulties encountered in the application of the EMDR protocol in one’s native language. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
The goal of this workshop is to determine connotation difficulties encountered in the application of important EMDR components like Safe Place, Negative Cognition, and VoC into one's native lnaguage; identify successful solutions already used in non-English speaking countries; share and demonstrate how cultural differences and value may alter/cloud the content of protocol components; develop a list of flexible alternative phrasings for use with novice EMDR therapists in non-English speaking countries as a resource aid and relief to the strain stemming from the unavoidable adaption of the EMDR protocol into one's native language.

Keywords: Culture  Diversity  

Accuracy Verified: Yes


38. Prattos-Spongalides, T. A. (2002, May). Connotation difficulties encountered in the application of the EMDR protocol in one’s native language. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Abstract:
Chairs: Sack, M. & Spector, J.

Keywords: Cultural Considerations  Native Language  

Accuracy Verified: Yes


39. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .

Language: Dutch

Format: Conference

Abstract:
Bij de behandeling van complexe ptss-patiënten wordt niet altijd de evidence- based behandeling toegepast, zoals die wordt beschreven in de richtlijnen. Doorgaans is de mening, dat stabilisatie het enige mogelijke is vanwege gevaar voor psychische decompensatie. Inmiddels is voldoende evidentie, dat traumagerichte therapieën ook bij complexe ptsspatiënten mogelijk en effectief zijn. Doel: In deze bijblijfsessie zal worden betoogd, dat evidence-based traumagerichte behandeling bij complexe ptss-patiënten mogelijk en wenselijk is. Aandacht zal worden besteed aan moeilijkheden en mogelijkheden bij deze groep patiënten. Methoden: Na een algemene inleiding over de richtlijnen voor psychotherapeutische behandeling van ptss en over complexe ptss (R. Jongedijk), zullen vervolgens presentaties worden gegeven over drie evidence-based behandelvormen voor ptss, te weten het Kort Eclectisch Protocol voor ptss (kep; B. Gersons), narratieve exposure therapy (net; R. Jongedijk) en eye movement desensitisation and reprocessing (emdr; J. ter Heide). Expliciet zal worden ingegaan op de moeilijkheden en mogelijkheden van deze therapievormen bij complexe ptss-patiënten. De aanpassingen in de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen en discussie. Resultaten: Er is een duidelijk overzicht gegeven van drie evidence-based psychotherapievormen voor ptss. Voor de complexe groep ptss-patiënten zijn de eventuele aanpassingen aan de standaardprocedures van de behandeling aan bod gekomen. Aangetoond is dat deze behandelvormen goed toepasbaar zijn bij complexe ptss-patiënten. Conclusie: Evidence-based behandeling van complexe ptss-patiënten door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennis genomen van drie evidence-based behandelvormen voor ptss en kent de moeilijkheden en mogelijkheden om deze toe te passen bij complexe ptss-patiënten.

In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

Accuracy Verified: Yes


40. Torres, R. V. (2012, Novembro). Depressão por parto na adoção: A cura pelo EMDR [Partum depression after adoption: The EMDR cure]. In Casos Clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Esse trabalho tem o objetivo de apresentar um caso clínico, de uma paciente de 46 anos, no período de adaptação da adoção de uma criança de cinco anos. As dificuldades apresentadas inicialmente eram relacionadas: à vinculação afetiva materna, ao exercício dos cuidados físicos e afetivos com a criança, ao exercício e à percepção do papel materno, aliados a fortes sintomas somáticos. Com a existência de grande desejo de ser mãe, há 15 anos fazia tratamento para engravidar. A adoção não representava um tabu para a mesma. No entanto, a infância vinha à tona com frequência e representava grande parte de seu sofrimento: sua mãe estava com 46 anos quando de seu nascimento e, desde então, fora acometida de enfermidades por toda sua vida, impedindo a realização de cuidados físicos e afetivos para com ela. Foram realizadas 20 sessões de EMDR e as experiências traumáticas da relação mãe x filha, bem como os medos de repetir a história passada, foram processados a uma resolução adaptativa, que permitiram a assimilação de suas lembranças passadas e a incorporação de padrões para experiências positivas, possibilitando a oportunidade de ampliar conexões com redes positivas. As memórias armazenadas que serviam de base para percepção, atitudes e comportamentos foram reprocessadas e, com isso, os sintomas físicos foram extintos, de maneira a permitir que a paciente assumisse uma nova postura frente à maternidade. A percepção sobre sua mãe foi alterada e conseguiu trazer à tona bons momentos de sua infância com a mãe. Também foi reprocessada uma situação relacionada ao perdão mútuo. A paciente hoje vive o processo de maternidade forma saudável e feliz, e 04 meses após o encerramento das sessões, adotou um menino de 03 meses de vida, sem que os sintomas reaparecessem.

This paper aims to present a clinical case of a patient of 46 years in the adjustment period from the adoption of a child of five. Difficulties were initially related: the linking maternal affection, exercise and physical care of the child with affection, exercise and perception of the maternal role, coupled with strong somatic symptoms. With the existence of a great desire to be a mother 15 years ago was receiving treatment for getting pregnant. The adoption did not represent a taboo for the same. However, childhood came to the fore and often represented a large part of his suffering: his mother was 46 years old when his birth and has since been stricken with illness throughout his life, preventing the achievement of physical and emotional care to her. Were performed 20 sessions of EMDR and traumatic experiences of the mother x daughter, as well as fears of repeating past history, were processed to an adaptive resolution, which allowed the assimilation of their past memories and incorporation of standards for positive experiences, allowing the opportunity to expand connections with positive networks. The stored memories that served as the basis for perception, attitudes and behaviors were reprocessed and, therefore, the physical symptoms were abolished, so as to allow the patient to assume a new stance facing the motherhood. The perception has changed about his mother and managed to bring out good moments of his childhood with his mother. It was also reprocessed a situation related to mutual forgiveness. The patient now lives the process of motherhood healthy and happy, and 04 months after the close of the session, adopted a boy of 03 months, without symptoms reappeared.

Keywords: Adoption  Motherhood  Postpartum Depression  

Accuracy Verified: Yes


41. 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


42. 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


43. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.

Language: English

Format: Newsletter

Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.

Keywords: Dissociation  

Accuracy Verified: Yes


44. 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


45. Krafona, K. (2010). Does eye movement desensitization and reprocessing (EMDR) have any utility in intellectual disabilities? Two bereavement case reports. The Ghana International Journal of Mental Health, 2(1).

Language: English

Format: Journal

Abstract:
Individuals with intellectual disabilities (ID) are to some extent discriminated against when it comes to the psychotherapies. The long held belief that individuals with ID do not benefit from such interventions has been attributed in part to communication difficulties, lack of insight and lack of language sophistication. Yet, it is well known that these individuals are about four-fold at risk of developing mental health problems. Cognitive behavior therapies (CBT) and other related therapies are becoming more recognized in the field of intellectual disabilities. Loss and bereavement is common among people with ID but their exposure to interventions such as Eye Movement Desensitization and Reprocessing (EMDR) has been limited. EMDR is a psychological intervention that encompasses many aspects of traditional therapies such as CBT and psychodynamic therapies. There is little research in this area for people with ID. This paper reports two cases in individuals with intellectual disabilities who were struggling with bereavement. They appear to have benefited from EMDR sessions and there may be scope for research to establish its efficacy in this field.

Keywords: Intellectual Disabilities  

Accuracy Verified: Yes


46. 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


47. 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


48. 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


49. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The technique is not recommended for couples in which either or both partners do not have adequate affect tolerance, observing ego, or trust of each other's integrety. Other risk factors for using EMDR in couples therapy that have been highlighted in other presentations and literature will be briefly reviewed. Participants will learn to differentiate between clients' statements that represent present experience and those that represent concepts of present experience or reporting of past experiences. Participants will be taught specific interventions which they will practice in guided exercise that will enable them to facilitate both individuals and couples to stay in their present experience during EMDR targeting. Irrational emotional responses to daily interactions and conflicts are often the result of unresolved issues resulting from underlying feeder memories. Participants will learn a simple method for identifying underlying issues of each individual partner related to a given conflict. The final and most substantial portion of this presentation will be focused on using a refined "affect bridge" technique to identify the feeder memories associated with those issues so that they can be targeted with the standard EMDR protocol. Specific methods will be taught to overcome clients' resistance and difficulties with accessing memories; these methods include use of accessing cues (re: Neurolinguistic Programming) and developing eidetics (re: Eidetic Psychotherapy) These methods will be illustrated using a case transcript, guided participant experiential exercise, and live demonstration.

Keywords: Couples  Couples Therapy  Targeting  

Accuracy Verified: Yes


50. Manfield, P. (2005, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Based an a relatively simple protocol for finding targets specific to the partners' issues, this approach is especially effective with couples who tend to want to spend sessions complaining about each other and recounting the conflicts of the past week. Equal time will be devoted to identifying targets and then developing them using the basic principles of Ahsen's Eidetic Psychotherapy and a modified version of Walkins' "affect bridge." Methods will be taught to overcome resistance and difficulties clients have with accessing memories. Through case transcripts and participation exercises, the basics of this protocol will be explained and demonstrated.

Keywords: Couples  Couples Therapy  Targeting  

Accuracy Verified: Yes


51. Rubin, Al., Bischofshausen, S., Conroy-Moore, K., Dennis, B., Hastie, M., Melnick, L., Reeves, D., & Smith, T. (2001, July). The effectiveness of EMDR in a child guidance center. Research on Social Work Practice, 11(4), 435-457. doi:10.1177/104973150101100402 .

Language: English

Format: Journal

Abstract:
Objective: This study evaluated the effectiveness of adding EMDR to the routine treatment regimen of child therapists. Method: 39 child guidance center clients were randomly assigned to an experimental group that received EMDR plus the center's routine treatment package or a control group that received only the center's routine treatment package. Results: Analyses of variance found no significant differences in Child Behavior Checklist scores between groups. Subanalyses conducted for 33 clients with elevated pretest scores found moderate effect sizes that approached, but fell short of, statistical significance. Conclusions: These findings raise doubts about notions that EMDR produces rapid and dramatic improvements with children whose emotional and behavioral problems are not narrowly connected to a specific trauma and who require improvisational deviations from the standard EMDR protocol. Further research is needed in light of the special difficulties connected to implementing the EMDR protocol with clients like those in this study. [Sage]

Keywords: Affective Disorders  Behavior Problems  Effectiveness  Emotional & Behavioral Problems  Empirical Study  Treatment  Treatment Effectiveness Evaluation  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


52. Fleming, J. (2013). Efficacité de l’EMDR dans le traitement d’enfants et d’adolescents traumatisés [Effectiveness of EMDR in the treatment of traumatized children and adolescents]. Journal of EMDR Practice and Research, 6(1), 16–26. doi:10.1891/1933-3196.7.1.E12.

Language: French

Format: Journal

Abstract:
On trouvera ici un résumé de tous les articles qui ont étudié le traitement par l’EMDR d’enfants et d’adolescents traumatisés. L’efficacité du traitement est établie par plus de quinze études. Le présent article examine les effets de l’EMDR sur le stress traumatique d’enfants et d’adolescents après des traumas de type I et II. Si un nombre considérable d’études évaluent le traitement des traumas de type I par l’EMDR, apportant des preuves solides de son efficacité, rares sont celles qui ont investigué spécifiquement le traitement EMDR des traumas de type II. L’auteur examine aussi l’effet de l’EMDR sur divers symptômes et difficultés. Elle donne enfin des recommandations pour l’application clinique de l’EMDR, et pour des recherches futures.

This paper provides a summary of all items that have studied the EMDR treatment of children and adolescents traumatized. The effectiveness of treatment is determined by more than fifteen studies. this article examines the effects of EMDR on traumatic stress in children and adolescents after trauma Type I and II. If a considerable number of studies evaluating the treatment of type I trauma EMDR, providing strong evidence of its effectiveness, few have specifically investigated EMDR trauma treatment of type II. The author also examines the effect of EMDR on various symptoms and difficulties. She finally gives recommendations for the clinical application of EMDR and for future research.

Keywords: Adolescents  Children  Posttraumatic Stress Disorder  PTSD  Trauma  Treatment Review  

Accuracy Verified: Yes


53. Smikun, L. (2009). The efficacy of combined treatment of EMDR and sleep therapy to manage chronic pain and sleep difficulties. Argosy University, Chicago, IL.

Language: English

Format: Dissertation/Thesis

Keywords: Chronic Pain  Sleep Difficulties  Sleep Therapy  

Accuracy Verified: Yes


54. 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


55. Rosental, V. (2008, Diciembre 16). El método de EMDR: Un cambio de paradigma [The method of EMDR: A paradigm shift]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.

Language: Spanish

Format: Other

Abstract:
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability Trabajo desde hace años en esta profesión, la psicología, una especialidad que puede ayudar a muchas personas que sufren, que estoy investigando y encontrando nuevas maneras de dar a los pacientes alternativas que conduzcan a un cambio real. En este viaje tuve la oportunidad de explorar el mundo un poco más emocionante de la mente humana a través de un enfoque integrado que cambió mi paradigma de la psicoterapia. Me refiero a EMDR, basado en el modelo de procesamiento de información, una poderosa herramienta para aliviar el sufrimiento de los pacientes que nos consultan a tiempo para mantener sus logros. reprocesamiento de adaptación se lleva a cabo a nivel neurofisiológico que permite a la salud mental.

Working for years in this profession, psychology, a specialty that can help many people suffering, I am researching and finding new ways to give patients alternatives that lead to real change. In this journey I had the opportunity to explore a bit more exciting world of the human mind through an integrated approach that changed my paradigm of psychotherapy. I refer to EMDR, based on the information processing model, a powerful tool to alleviate the suffering of patients who consult us in time sustaining their achievements. Adaptive reprocessing takes place at a neurophysiological level that enables mental health. The letters called EMDR that mean in English: Eye Movement Desensitization and Reprocessing, which translates as desensitization and reprocessing eye movement. It is a method to work emotional difficulties caused by traumatic events such as war, natural disasters, accidents, assaults, duels unprocessed disturbing childhood experiences as well as phobias, somatic diseases and disorders, anxiety and disruptive behavior.

Keywords: Practice, Theory  

Accuracy Verified: Yes


56. Blore, D., & Holmshaw, D. (2009). EMDR "blind to therapist protocol". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 233-240). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which divulging information might be uncomfortable to the individual prior to the use of EMDR. It has been used to treat train engineers, airplane pilots, ship captains, police officers, prison guards, doctors, nurses, paramedics, and firemen—workers characterized by the need to make life-and-death decisions for which they are personally responsible. In other words, those who have memories associated with not being in control at precisely the time when they are responsible for being in control. Another client group that can often have difficulties with divulging information is child abuse survivors where the client fears overwhelming or disgusting the therapist with the nature of the material to be treated. In such instances the protocol is very successful and can be a useful addition to the therapist's repertoire. It helps build the therapeutic relationship by demonstrating to the client that the therapist has trust in them. Once the client has seen how the therapist copes with material being raised, the Standard EMDR Protocol would be used. The Blind to Therapist Protocol Script is presented. [PsycINFO Database]

Keywords: EMDR Blind to Therapist Protocol Script  Survivors  Therapeutic Relationship  Traumatic Memories  

Accuracy Verified: Yes


57. Heiman, M., Packwood, S., Becker-Fritz, T., Carson, S., Donovan, L., Froning, M., & Peterson, G. (2003, June). EMDR & children: A guide for parents, professionals, and others who care about children. EMDR International Association.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing is a treatment method that is effective for resolving emotional difficulties caused by disturbing, difficult, or frightening life experiences. EMDR has been used to help children overcome traumatic events and other childhood problems and symptoms.

Keywords: Brochure  Children  Guide  

Accuracy Verified: Yes


58. 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


59. Spuijbroek, P. (2010, July). EMDR and ASD? Yes! EMDR in relation with austistic spectrum. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A lot of children with autism spectrum disorders are treated with EMDR in my practice, especially whenever there are traumatic situations, ( i.e. bullying!!, sexual harassment) anxiety, often as a start of further treatment or embedded in an cognitive therapy. I want to share my experiences with other participants by showing videos and be helpful with solutions/ adjustments in treatments. Make participants aware of different approaches. Why is EMDR useful at ASD, indications and contra indication, which difficulties are being to be considered with clients with ASD, which results could be expected? And which solutions or adjustments are helpful. My presentation has videos, which will show the theory.

Keywords: ASD  Autism  Autistic Spectrum Disorder  

Accuracy Verified: Yes


60. 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


61. Richman, A. (2003, March). EMDR and cross-cultural issues. Presentation at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
As trauma therapists, we are increasingly encountering the challenges of using EMDR cross-culturally with highly traumatised clients who are refugees from war torn countires and/or oppressive regimes. This presentation seeks to address some of the difficulties of working across cultures, often with the aid of interpreters.

Keywords: Cross-Cultural Issues  

Accuracy Verified: Yes


62. 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


63. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives: To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis; To analyse the therapeutic process by narrative and graphic material; and To learn specific features to deal with fears of loss and impairment

Keywords: Disease  Medical Illness  Multiple Sclerosis  Oncology  

Accuracy Verified: Yes


64. 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


65. Shapiro, F., & Laliotis, D. (2011, June). EMDR and the adaptive information processing model: Integrative treatment and case conceptualization. Clinical Social Work Journal, 39(2), 191-200. doi:10.1007/s10615-010-0300-7.

Language: English

Format: Journal

Abstract:
EMDR is a comprehensive psychotherapy approach that is compatible with all contemporary theoretical orientations. Internationally recognized as a frontline trauma treatment, it is also applicable to a broad range of clinical issues. As a distinct form of psychotherapy, the treatment emphasis is placed on directly processing the neurophysiologically stored memories of events that set the foundation for pathology and health. The adaptive information processing model that governs EMDR practice invites the therapist to address the overall clinical picture that includes the past experiences that contribute to a client’s current difficulties, the present events that trigger maladaptive responses, and to develop more adaptive neural networks of memory in order to enhance positive responses in the future. The clinical application of EMDR is elaborated through a description of the eight phases of treatment with a case example that illustrates the convergences with psychodynamic, cognitive-behavioral, and systemic practice.

Keywords: Adaptive Information Processing  AIP  Integrative Treatment  Memory Networks  

Accuracy Verified: Yes


66. 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


67. 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


68. Levin, C. (1992, July). EMDR and the treatment of partners of survivors of sexual abuse. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .

Language: English

Format: Conference

Abstract:
Although there are estimated to be millions of survivors of child sexual abuse, little has been said about the partners of these survivors and the extreme difficulties which they encounter. Awe believe that these partners are “vicarious” victims of child sexual abuse themselves. As the survivor begins to deal with the issues of his/her own sexual abuse, it catalyses experiences of guilt, shame, rage, feelings of dissociation, fear, sadness, resentment, etc. The victim’s feelings towards the family or origin and the perpetrator is both emotionally draining and reoccupying to the detriment of the current relationship. The partner may be blamed for lack of understanding and caring and, almost certainly, the quality of the sexual relationship changes for the worse. Often, as the victim bombards the partner with disparaging comments and temper tantrums, the partner may begin a process of emotionally distancing. The survivor experiences this distancing as a further injury and the relationship continues a downward spiral.

Keywords: Partners of Survivors  

Accuracy Verified: Yes


69. 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


70. 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


71. Tarquinio, C. (2010, June). EMDR applied for traumatic bereavement after train collision. In Accident victims. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The aim of these exploratory study is to test the application of therapy EMDR in case of traumatic bereavement. The traumatic bereavement, which corresponds to the brutal loss of "other significant", answers a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death, irritability, lack of reactivity, etc.). The 8 participants all of this study are of the took peace on October 12, 2006 in Zoufftgen. The subjects, old on average 35.2 years ( S D = l I . l ) and including 75% women, followed between 8 to 15 meetings (m=10.75, SD = 2.21) answering protocol EMDR The effectiveness of the therapy was evaluated starting from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five evaluations were carried out: before the therapy (TO), after six meetings (TI), at the end of the therapy (T2), then in three months (T3) and twelve months (T4) after the end of the therapy. The principal results seem to indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between the beginning (TO) and the end of the therapy (TI). Moreover, when this reduction does not continue to three and twelve months, it remains, at least, stable at one year. These observations are very encouraging especially when it is known that 10 to 15% of the patients develop a chronic depression.

Keywords: Accident Victims  Symposium  Train Accident  Traumatic Bereavement  

Accuracy Verified: Yes


72. 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


73. Lievegoed, R., & Giltaij, H. (2005, November). EMDR bij mensen met een verstandelijke en/of meervoudige beperking [EMDR with people with mental and/or multiple restriction]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Na een korte inleiding over de speciale problemen die mensen met een Verstandelijke en/of Meervoudige (visueel-en-verstandelijke) Beperking in hun leven ontmoeten en de vele vormen van psychotrauma, die voor hen ontstaan door situaties die door anderen vaak niet als traumatisch worden ervaren (door het vermogen ervaringen zin en plaats te geven), zal vooral aan de hand van casuïstiek worden toegelicht hoe het EMDR standaardprotocol en de werkwijze aangepast kunnen worden aan de meer beperkte vaardigheden van de mensen in deze doelgroep. Hierbij zal ook gerefereerd worden aan de aanpassingen van het protocol zoals die voor jonge kinderen door diverse therapeuten is ontwikkeld, en die voor de onderhavige doelgroep vaak ook zeer relevant zijn. De behandeling van een vrouw met een sterke visuele beperking plus een verstandelijke handicap zal d.m.v. een video gedemonstreerd worden, nadat kort gewezen is op de problemen die iemand heeft met een dubbele handicap: er staan dan immers minder compensatiemogelijkheden voor de handicap(s) ter beschikking.
Doelstelling: Deelnemers leren zien dat EMDR ook bij de genoemde doelgroep(en) toegepast kan worden en maken kennis met enkele voorbeelden van hoe de behandeling specifiek vorm gegeven kan worden. Maar belangrijkste doelstelling van deze workshop is dat behandelaars enthousiast kunnen worden voor de toepassing van EMDR juist ook voor deze kwetsbare mensen!

After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant. Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a double Disabled: There are after all less than redress for disability (s) available.
Objective: Participants learn that EMDR also said the target group (s) can be applied and become familiar with some examples of how the specific form of treatment can be given. But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people! After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant. Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a doubleDisabled: There are after all less than redress fordisability (s) available.
Objective:Participants learn that EMDR also said the target group(s) can be applied and become familiar with some examples of how the specific form of treatment can be given. But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people!

Keywords: Mental Disabilities  Visual Impairments  

Accuracy Verified: Yes


74. 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


75. 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


76. St. André, É. (2010, Avril/Mai). EMDR dans le traitement d’un trouble obsessif compulsif: Une étude de cas [EMDR in the treatment of obsessive compulsive disorder: A case study]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.

Language: French

Format: Conference

Abstract:
Le trouble obsessif compulsif (TOC) est un trouble anxieux généralement chronique se présentant avec des obsessions récurrentes tel des idées persistantes, des images mentales et des compulsions (suivant les obsessions) tel des actes physiques ou mentaux répétitifs. Dans cet atelier, le médecin fournira des indications cliniques sur son utilisation de l’EMDR dans le traitement d’un patient souffrant de TOC, et donnera quelques exemples tirés de la pratique d’autres cliniciens, en sus d’une révision des notions de base utiles à la compréhension du TOC (théorie neurobiologiques, épidémiologie, etc.). La présentatrice tentera de souligner ce qu’il y a d’unique dans l’utilisation de l’EMDR dans le traitement de l’OCD, les difficultés rencontrées et les solutions utilisées dans ce cas précis. Elle décrira l’utilisation de la méthode de traitement standard en 8 étapes dans un cas spécifique, et dans les modalités de temps (passé, présent, futur), Nous verrons l’identification des cibles de traitement, et la gestion des symptômes de TOC qui entravent le fonctionnement quotidien des patients affectés. Nous verrons aussi les défis proposés par cette population, en clinique. Les participants pourront utiliser certaines stratégies dans un exercice pratique. (Tous les niveaux)

Obsessive Compulsive Disorder (OCD) is an anxiety disorder typically presenting with chronic recurrent obsessions such persistent ideas, images and mental compulsions (as obsessions) as acts of physical or mental patterns. In this workshop, the doctor will provide information on clinical use of EMDR in treating a patient suffering from OCD, and provide some examples from the practice of other clinicians, in addition to a review of concepts useful background for understanding the TOC (theory neurobiology, epidemiology, etc..). The presenter will attempt to highlight what is unique in the use of EMDR in the treatment of OCD, the difficulties encountered and solutions used in this case. She will describe the use of the method of standard treatment in 8 steps in a specific case and in terms of time (past, present, future), we see the identification of treatment targets, and management of symptoms of OCD which hinder the daily operation of affected patients. We will also see the challenges offered by this population in clinical practice. Participants may use certain strategies in a practical exercise.

Keywords: Case Study  Obsessive Compulsive Disorder  OCD  

Accuracy Verified: Yes


77. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .

Language: Spanish

Format: Journal

Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.

The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.

Keywords: Diet  Disorder of Feeding Behavior  Dissociation  Trauma  

Accuracy Verified: Yes


78. 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


79. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
To know the present status of EMDR in Asian countries: Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India, Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand. Questions were on the origin of EMDR, the first training, the number of trainings so far, the number of trained practitioners, credentials, academic organization, acceptance from government, media, and professional world, future possibilities, and difficulties expected. Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could be a good opportunity to start mutual understanding and cooperation in Asia.

Keywords: Asia  Keynote  History  

Accuracy Verified: Yes


80. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder), this being a disorder that is not frequently diagnoses and not classified in DSM-IV, where a technical variation of floatback, i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts of the Self, and integrated the Internal Family System with EMDR and Ego State Therapy. The sixteen year old patient, S, sniffed heron and practised self mutilation. After two years' therapy the family secret was revealed in a dream and led us towards the abuse. I adopted the theoretical reference models on dissociation reported by M. Steinberg, B. A. van der Kolk, 0. van der Hart, and C. McFarlane's operative EMDR model and Ego State Therapy. The aim of the therapy was to rebuild integrity of the Self and to foster individualization- separation processes. The main goal was create a sense of loyalty during therapy that would allow S to be able to control in transitions in her dissociated mental states. Negotiation between the ego states were created so that S could face the states of terror and anxiety and gradually become integrated. Alter had different names and distinctively different preferences and personality traits, at times those alter took complete executive control of the body and of the self. Initially the alter has names outside the Self, then during the course of therapy their names began with '5'. The dissociated alters have become targets far EMDR. The story of S, revolves round two traumas: PN-PTSD and abuse. Perinatal trauma and uterine perception of her mother's depressive emotional states triggered difficulties in the child latching on to the mother's breast, and the lack of mirroring and affective syntonization caused the failure of internalization processes that lead to identity. 5 was aware of the trauma of abandonment, but not of the trauma of abuse that she defined as 'a deep impenetrable hole'. In order to address the life-threatening trauma. S used an invasive ego-dystonic coping mechanism: dissociation of the object and the Self. By placing the abuse in an alter, S could still feel attached to her family members that abused her, actively or passively using silence. While the DES scale did not provide significant dissociation results, the SCID-LIST furnished high values. The self-mutilation practised by S may represent her hate of her body that did not rebel to the abuse it was subjected to, or, as she said it may represent "a way to punish herself for the guilt of existing or to inflict upon herself physical pain to conceal the anxiety of death". EMDR was a challenge; it reached the preverbal states of the arena of the primary process, it bound with emotions and led her to symbolization, t resolved the traumatic matter that was frozen In the neural networks and determined Self- integration. The Ego States Therapy was a useful tool.

Keywords: Perinatal Disorder  

Accuracy Verified: Yes


81. Egli-Bernd, H. (2012, Juni). EMDR in der behandlung von dissoziativen prozessen bei bindungsstörungen. Die bedeutung und schwierigkeiten bei der wahl guter kognitionen in diesen Behandlungen. Das dialog protokoll [EMDR in the treatment of dissociative processes in attachment disorders. The importance and difficulty of choosing good cognition in these treatments. Dialog protocol] . Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: German

Format: Conference

Abstract:
Es geht im Workshop um die Rolle der Kognitionen im EMDR bei der Bearbeitung früher und komplexer Themen aus dem Bereich der Bindungsstörungen. Durch die Aktivierung von Egostates respektive subtiler dissoziativer Prozesse in der Phase 3 der EMDR-Behandlung kommt es häufig zu Schwierigkeiten bei der Herausarbeitung bedeutungsvoller und hilfreicher Kognitionen. Das Dialog-Protokoll stellt eine Möglichkeit dar, diese Schwierigkeiten zu vermeiden. Durch die Wahl hilfreicher Kognitionen in einer dialogischen Formulierung zwischen zwei involvierten Selbstteilen wird der dissoziative Prozess aufgehoben und der Verarbeitungsprozess im Sinne der interaktiven Vernetzung von Vergangenheit und Gegenwart affektiv und kognitiv intensiviert und beschleunigt. Das Dialog Protokoll kann als die direkte und effiziente Verbindung von EMDR und Egostate-Arbeit angesehen werden. Im Workshop werden theoretische Grundlagen der Vorgehensweise vermittelt, eine kurze life Demonstration und/oder ein Video sollen die konkrete Anwendung des Dialogprotokolls anschaulich näherbringen.

[It's in the workshop on the role of cognitions in EMDR in the treatment earlier and complex topics in the field of attachment disorders. By activating Egostates respectively subtle dissociative processes in phase 3 of the EMDR treatment often leads to difficulties in the elaboration of meaningful and helpful cognitions. The dialog protocol provides a way to avoid these difficulties. By choosing more helpful cognitions in a dialogical formulation between two self-involved parts of the dissociative process is canceled and the manufacturing process in terms of the interactive network of past and present affective and cognitive intensified and accelerated. The dialog protocol can be used as direct and efficient connection of EMDR and egostate work are considered. During the workshop, theoretical foundations of the approach gives a brief demonstration of life and / or a video to bring closer the actual application of the Protocol dialog clearly.]

Keywords: Attachment Disorders  Cognitions  Dissociation  

Accuracy Verified: Yes


82. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 .

Language: English

Format: Journal

Abstract: (The above link is to the English version of the German article.)
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition und Reaktionsverhinderung ist die am besten untersuchte und derzeit wirksamste Therapie bei Zwängen. 15–40% der Patienten können jedoch nicht von diesem Verfahren profitieren. Sie berichten Motivationsprobleme, brechen die Behandlung vorzeitig ab oder zeigen anhaltende Probleme in der Emotionsregulation. Der zusätzliche Einsatz der Therapiemethode «Eye Movement Desensitization and Reprocessing» (EMDR) zur Reduktion dieser Schwierigkeiten wird vorgestellt und beschrieben. Methode: Es werden drei Kasuistiken vorgestellt, die mittels deskriptiver Analysen ausgewertet werden. Hierbei wird auf das inhaltliche Vorgehen sowie die Therapiemotivation und Emotionsregulation im Therapieverlauf eingegangen. Ein Patient mit Kontrollzwängen erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen. Eine andere Patientin mit vorwiegend Zwangsgedanken wurde zuerst mit Expositionen und danach mit EMDR behandelt. Im dritten Fall wurden Expositionen und EMDR-Sitzungen abwechselnd durchgeführt. Ergebnisse: Die drei behandelten Patienten berichteten eine Reduktion der Zwänge um etwa 60%. EMDR wurde von allen drei Patienten als motivierend und hilfreich beschrieben. Die Arbeit an den Emotionen konnte durch EMDR angeregt und verstärkt werden. Eine deutliche Reduktion der Zwänge durch die Expositionen zeigte sich bei 2 Patienten, während diese im Zuge der EMDR-Sitzungen nur leicht abnahmen. Diskussion: EMDR könnte eine vielversprechende Augmentationsoption bei der Behandlung von Zwängen darstellen. Für eine bessere Beurteilung sind kontrollierte und randomisierte Studien erforderlich.

Introduction: Various studies have demonstrated that cognitive behavioural therapy with exposure response prevention is the most effective method to treat obsessive- compulsive disorders. However, 15–40% of patients do not respond to it; they cannot be motivated to undergo treatment, drop out, or experience persisting difficulties in regulating their emotions. In this article, EMDR is presented as an additional method for these specific problems. Method: Three case studies are reported and descriptively analysed. Special focus is placed on the patients’ motivation and on how they regulate their emotions. Different ways of applying EMDR in the course of psychological treatment are described as well. EMDR before confrontation therapy was applied in the first patient (checking behaviour); the second patient (compulsive thoughts) was first treated with confrontation therapy and then with EMDR; in the third patient, EMDR and confrontation therapy were applied alternately. Results: All three patients showed a reduction of symptoms by about 60%. They experienced EMDR as a useful and motivating method. Furthermore, they felt encouraged to deal with their emotions in additional psychological treatments. Confrontation therapy markedly reduced OCD symptoms in two of the patients. Discussion: EMDR could be a useful augmentation method in treating patients with OCD, but further controlled and randomised studies are required to validate this conclusion.

Keywords: Obsessive Compulsive Disorder  OCD  Psychotherapeutic Method  Psychotherapy Research  

Accuracy Verified: Yes


83. 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:
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.

Keywords: Intercultural Therapies  

Accuracy Verified: Yes


84. McMahon, E. (2002). EMDR in the treatment of attachment and bonding difficulties. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 31-36). London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
A case of a young mother with an insecure attachment history herself who suffered severe post-natal depression after the birth of her first child and who regretted having this baby. Although recovering well from depression when first seen, having benefited from drug therapy and group therapy, there ware nevertheless little progress regarding her bonding with the child. Assessment indicated the emergence of an insecure/ambivalent attachment on the part of the baby resulting in excessive clinginess, sleeping, feeding and management difficulties. Apart from EMDR a number of other models of therapy were used in this case, including mother-infant psychotherapy, solution-focused and narrative therapy. In my own estimation, and in feedback from Susan, EMDR was the most powerful of all interventions. I think this care then represents a very good example of how EMDR is integrated with other therapeutic approaches. In terms of our understanding of this process, one conceptual model (Shapiro, 1995) is that the positive perspective and more adaptive interpretation that traditional therapy provides – including insight and a coherent narrative – is held in a separate neurological network and therefore cannot influence the network containing the dysfunction ally stored material associated with the traumatic memory. Traditional therapy is often unable to help the client link one to the other, and this is where EMDR is so impressively effective.

Keywords: Attachment  Bonding  Children  Occasional Paper  

Accuracy Verified: Yes


85. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773.

Language: English

Format: Journal

Abstract:
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]

Keywords: Adults  Americans  Borderline Personality Disorder  Case Report  Child Abuse  Clinical Case Study  Empirical Study  Females  Incest  Individual Psychotherapy  Interpersonal Difficulties  Interpersonal Interaction  Psychotherapeutic Processes  Qualitative Study Rape  Suicide  Survivors  Treatment  

Accuracy Verified: Yes


86. Richman, A. (2006, March). EMDR in the treatment of victims of torture. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
As trauma therapists we are increasingly encountering the challenges of using EMDR cross-culturally with highly traumatised clients who are refugees from wartorn countries and/or oppressive regimes. This presentation seeks to address some of the issues to be taken into consideration and the difficulties in working with the victims of systematic infliction of physical and/or psychological torture. Use of EMDR with these highly traumatised individuals will be examined and ways in which the basic EMDR protocol may need to be adapted to treat these highly traumatised individuals will be examined.

Keywords: Victims of Torture  

Accuracy Verified: Yes


87. Laliotis, D. (2007, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach that is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma, but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious, but nonetheless, a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.

Keywords: Masters Series  

Accuracy Verified: Yes


88. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Dissociation is a normal human process. We all dissociate. Some individuals are so severely and chronically traumatized that, in order to survive, they split their awareness into at least two levels or streams of consciousness - one level being the participant in the abuse drama and the other level being an observer watching as if the abuse was happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to the reprocessing of their traumatic memories. This presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the 'Red Flags' of treatment concerns; the differential diagnoses of dissociation - from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this very traumatized population of individuals.

Keywords: Accelerated Information Processing Model  AIP  DID  Dissociation  

Accuracy Verified: Yes


89. 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:
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.

Keywords: Family Therapy  Family Therapy Intervention Combined  Inter- and Intra-Psychic    

Accuracy Verified: Yes


90. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997). EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001). Current practice is that UK personnel who are having significant difficulties in functioning after exposure to trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental, both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate this novel application of EMDR is planned. This presentation will introduce participants to the challenges of providing psychological treatment during military operations and the potential value of EMDR in this setting.

Keywords: Early Interventions  Military  

Accuracy Verified: Yes


91. 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:
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.

Keywords: AEDP  Dyadic Regulation  Informatiional Plateaus  IFS, Interweaves  Sensorimotor Psychotherapy  Structural Model of Dissociation  Trauma-Focused Models  "True" Authentic Self  

Accuracy Verified: Yes


92. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical practice post-training and what, if any, difficulties they experienced. A total of 74 respondents completed a questionnaire and 9 respondents were interviewed using a semi-structured interview, giving a total of 83 respondents. 40% of both samples (which came from around the world) reported experiencing difficulties with integrating EMDR into their clinical practice. The types of difficulties which they reported included differences between EMDR protocol and the therapists’ original training and orientation, patient characteristics, therapists’ own anxieties and confidence as well as organizational and management hostility to EMDR up to and including bullying of the therapist in different ways including “being sent to Coventry”. These organization & management issues are not covered in the current training model for EMDR and whilst supervision is necessary post training, it is not be sufficient to address the organizational issues relating to integration of EMDR into clinical practice. This will be highlighted in the presentation.

Keywords: Practice  Theory  

Accuracy Verified: Yes


93. Mevissen, L., Lievegoed, R., & de Jongh, A. (2010, March). EMDR treatment in people with mild ID and PTSD: 4 cases. Psychiatric Quarterly, 82(1), 43-57. doi:10.1007/s11126-010-9147-x.

Language: English

Format: Magazine

Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to be more susceptible to the development of posttraumatic stress disorder (PTSD) than persons in the general population, until now only eight case reports on the treatment of people with ID suffering from PTSD symptoms have been published. In an effort to enrich the literature on this subject, the aim was to investigate the applicability of an evidence-based treatment for PTSD (i.e., EMDR) in four people with mild ID, suffering from PTSD following various kinds of trauma. In all cases PTSD symptoms decreased and the gains were maintained at 3 months to 2.5 year follow-up. In addition, depressive symptoms and physical complaints subsided, and social and adaptive skills improved. It is concluded that clients' improvements converge to suggest the applicability of EMDR in people with mild ID. Difficulties involved in arriving at an accurate PTSD diagnosis in ID clients are discussed.

Keywords: ID  Intellectual Disabilities  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


94. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students [Author abstract]

Keywords: Adolescents  Children  Imaginal Exposure, In Vivo Desentization, Outpatient Setting  School Refusal  Student Reintegration  Symposium  

Accuracy Verified: Yes


95. Rittenhouse, J. (2000, September). EMDR treatment of PTSD in a biracial client. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) identify ways in which EMDR is uniquely helpful to biracial and minority clients; 2) describe ways in which racially mixed individuals are oppressed in the United States; 3) describe how problems stemming from prejudice and discrimination can be resolved using EMDR; and 4) apply EMDR to the difficulties some clients may have due to life experiences relating to ethnicity and will develop a richer understanding of some of the problems caused by rascism.

Keywords: Biracial Client  Minority Client  Rascism  

Accuracy Verified: Yes


96. Shapiro, F. (2007, September). EMDR update: Theory, research, and practice. Keynote presented at the EMDR International Association annual conference, Dallas, TX.

Language: English

Format: Conference

Abstract:
New research continues to shed light on EMDR as a distinct psychotherapy approach. Dr. Shapiro will review several new studies and their implications for both theory and future clinical development. The Adaptive Information Processing model and research on underlying mechanisms will be used as a springboard to explore potential applications and ways to overcome a variety of clinical difficulties. Specific clinical cases will be used to illustrate the integration of EMDR with other orientations. Questions from conference participants will be taken in advance to address aspects of the model and methodology.

Keywords: Adaptive Processing Model  AIP  Keynote  Research  

Accuracy Verified: Yes


97. Green, M. (2003, May). EMDR with children and adolescents – Getting started: EMDR and psychotherapy in a special school for children with emotional and behavioural difficulties. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Adolescents  Children  

Accuracy Verified: Yes


98. Morris-Smith, J. (2001, May). EMDR with children exposed to chronic abuse and domestic violence. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
This paper aims to discuss some of the issues of working using EMDR, as a part of the integrated treatment process of children, who have been exposed to chronic abuse and domestic violence. These children are all in the care system and are living with foster parents who know very little about their previous lives. Often the professionals caring for them also have little of the child's history and many details of what they have been exposed to are not known. The children are frequently detached, dissociated and shut down from their past experiences, though their traumatised behaviours continue to blight and dominate their entire lives and present major difficulties in their daily management and future planning. Their emotional and social development appears to be arrested by their chronic multiple traumatisation. They are also kept in transitional placements for long periods of time, whilst their long-term needs are assessed. There is a struggle to identify appropriate long-term placements for such damaged children as their severe multiple traumatisation prevents them from being able to trust or begin to form new attachments or even to develop a sense of safety. There is a nee for early intervention to treat their severely traumatised symptoms and memories, to help rid them of their overwhelming terror and fears of the adult world and to free them to begin to form healthier more appropriate behaviours and attachments. How using EMDR to enable these children to develop and progress emotionally and socially towards a more positive future is described.

Keywords: Children  Chronic Abuse, Domestic Violence  

Accuracy Verified: Yes


99. 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:
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.

Keywords: Couples  Family Therapy  

Accuracy Verified: Yes


100. 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:
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.

Keywords: Poster  Systemic Psychotherapy  

Accuracy Verified: Yes


101. 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


102. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers.

Language: English

Format: Book

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

Keywords: Children  

Accuracy Verified: Yes


103. Bianucci, M. A. (2008). EMDR: Dificultades a superar en el abordaje de las adicciones [EMDR: Difficulties to overcome in dealing with addictions]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 351-365). Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Abstract:
No abstract available.

Keywords: Addiction Treatment  

Accuracy Verified: Yes


104. Parnell, L. (2009, December). EMDR: A trauma therapy power-tool. Presentation at the 21st International Psychology of Health, Immunity & Disease Conference, Hilton Head, SC.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.

Keywords: Practice  Theory  

Accuracy Verified: Yes


105. Parnell, L. (2009, October). EMDR: A trauma therapy power-tool. Presentation at the NICABM (National Institute for the Clinical Application of Behavioral Medicine) Conference, Hilton Head, SC.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.

Keywords: Practice  Theory  

Accuracy Verified: Yes


106. Shapiro, E. (1993, Fall/Winter). EMDR:  Warts and all. EMDR Network Newsletter, 3(2), 4-5.

Language: English

Format: Newsletter

Abstract:
After my first training with Francine in 1989, in Israel, I was excited by this promising method and infected with her enthusiasm. I went on to use EMDR whenever I could in my work at the Nazareth Ilite Educational Psychological Service and in my private practice, as well as during my present sabbatical leave in London. I often incorporated EMDR into my work and felt comfortable and confident with a wide range of clients, ages, and difficulties and was ready to explore further with the method. Since my Level II training in November of 1992, I have learned to be more discerning, perhaps even overcautious for the time being, in applying EMDR. Reflecting over my earlier years of bolder and freer uses of EMDR, I did not encounter any negative effects. The worst that happened was that nothing much happened, and this occurred in a minority of cases (perhaps in less than 20%). Even with those cases, I had noticed that there may have been a tendency to underestimate positive effects. One of the subtle difficulties I observed assessing outcomes was that the cognitive changes that occurred were sometimes so spontaneous and "naturally" that the client took them for granted. I first notice this phenomenon clearly in two cases.

Keywords: Outcome  Positive Effects  

Accuracy Verified: Yes


107. Scharf, C., Berliner, K., Meyers, M., Schwartberg, N., & Weinshel, M. (2006, September). Enhancing couples therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract: Couples often have difficulties changing present day maladaptive patterns of interaction when they are triggered by past traumatic events and/or attachment traumas. This workshop will demonstrate ways in which EMDR can be incorporated into couples therapy in order to interrupt "stuck" cycles of interaction, decrease reactivity. and deepen connections. Our work is informed by a family systems perspective and attachment theory. There will be a theoretical discussion on how we use EMDR in couples work, as well as an experiential exercise illustrating these concepts. Clinician examples and videtape excepts from a year-long course of therapy will illustrate thc ongoing choices the therapist makes in incorporating EMDR in her work with a couple. We will also demonstrate how one partner's witnessing and the other's being witnessed during the processing enhances the healing of old wounds and opens up possibilities for new ways of relating.

Keywords: Couples Therapy  

Accuracy Verified: Yes


108. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.

Language: French

Format: Dissertation/Thesis

Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale (TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble. Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.

This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy (CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder. The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.

Keywords: CBT  Cognitive-Behavioral Therapy  Dyadic Intervention  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


109. Samec, J. R. (2007, Maj). Externalisering med EMDR för behandlingen av svår enkopres och traumatiserade barn med aggressivt beteende [Externalisation with EMDR for treatment of severe elimination and traumatized children with aggressive behavior]. Medlemsbladet. EMDR Tidningen: Föreningen EMDR Sverige, 9(1), 7-9.

Language: Swedish

Format: Newsletter

Abstract:
Enligt min erfarenhet, är Michael Whites (1991) externaliserings metod för behandling av enkopres (se bilagan för en beskrivning) effektiv. Men med en mer komplicerad form av enkopres, t.ex. långvarig enkopres hos äldre barn, räcker externalisering inte alltid till. Genom att kombinera externalisering med Eye Movement Desensitization and Reprocessing (EMDR), kan svårigheterna bearbetas snabbt och effektivt med bestående resultat. Metoden förutsätter att barnet har undersökts av en läkare. Terapeuten bör vara uppmärksam på eventuella trauman eller andra stressfaktorer under anamnestagning. Metoden ger också bra resultat med traumatiserade barn med aggressivt beteende.

In my experience, Michael White (1991) externalizing adjustment method for treatment of enkopres (see annex for a description) effective. However, a more complex form of enkopres, e.g. prolonged enkopres elderly children, enough externalization not always. By combining outsourcing with Eye Movement desensitization and Reprocessing (EMDR), the difficulties can be processed quickly and effectively with lasting results. The method assumes that the child has been examined by a doctor. The therapist should be aware of any trauma or other stress factors during history taking. The method also gives good results with traumatized children aggressive behavior.

Accuracy Verified: Yes


110. Balk, J. L. (2001, Nov 1). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder. Alternative Medicine Alert, 4, 121-124.

Language: English

Format: Newsletter

Abstract:
Post-traumatic stress disorder (PTSD) is a fairly common disorder. Roughly 8-10% of the population will suffer from PTSD at some point in their lives. For victims of violent crimes such as rape, the rate of PTSD may be 60-80%. (1) According to the DSM-IV, diagnostic criteria for PTSD include: 1) perceived or actual threat to life or physical integrity, accompanied by an emotional response of horror, helplessness, or intense fear; 2) re-experience of the trauma (e.g. flashbacks and nightmares); 3) avoidance of trauma-related stimuli and numbing of interest and affect; and 4) increased unwanted arousal, such as concentration difficulties, irritability, and insomnia. Specific criteria exist regarding the numbers of symptoms in each category that must be present.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


111. Pollock, P. (2000, April). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder (PTSD) following homicide. Journal of Forensic Psychiatry, 11(1), 176-184. doi:10.1080/095851800362454.

Language: English

Format: Journal

Abstract:
Homicide perpetrators have been observed to report symptoms of PTSD directly related to involvement in the offense itself. A single-case study is presented, which describes the application of eye-movement desensitization and reprocessing for a male perpetrator of homicide. The nature of the difficulties these offenders experience is considered and the need for appropriate psychological intervention in such cases is discussed. [Author Abstract]

Keywords: Case Report  Clinical Case Study  Empirical Study  Homicide  Males  Posttraumatic Stress Disorder  PTSD  Perpetrator  Treatment Effectiveness  

Accuracy Verified: Yes


112. Tufnell, G. (2005, October). Eye movement desensitization and reprocessing in the treatment of pre-adolescent children with post-traumatic symptoms. Clinical Child Psychology and Psychiatry, 10(4), 587-600. doi:10.1177/1359104505056320.

Language: English

Format: Journal

Abstract:
This article describes the treatment of PTSD using eye movement desensitization and reprocessing (EMDR) with four pre-adolescent children. EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment to make it suitable for use with young children. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. This study describes brief work carried out with four pre-adolescent children with PTSD. Three of these children had received no treatment despite suffering from significant and chronic symptoms for some years. One had suffered a recent traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a multimodal treatment package. In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young children with PTSD and additional mental health problems. [Author Abstract]

Keywords: Brief Psychotherapy  Clinical Case Study  Energy Psychotherapy  Posttraumatic Stress DIsorder  Psychotherapeutic Processes  PTSD  Stressors  Survivors  

Accuracy Verified: Yes


113. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..

Language: English

Format: Conference

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam veterans experienced a significant decrease in distressing symptoms--flashbacks, ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional outcomes were the subjects cognitive restructuring of what had happened to them. Subsequent research studies reported therapeutic outcomes with a variety of disorders- phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder (Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first EMDR-trained clinician to apply EMDR in performance enhancement work, beginning with sales professionals. The authors have now used EMDR with nearly sixty Individual athletes ranking from amateur to Olympic hopeful, across several different sports. Their single case findings suggest that EMDR amplifies and accelerates the benefits of standard mental training. Their data indicates EMDR speeds psychological recovery from sport injury and coming back from a loss, adds in working through difficulties with past coaches, reduces fears about competition, and improves overall athletic performance.

Keywords: Athletes  Performance Enhancement  

Accuracy Verified: Yes


114. Severe, N. D. (1998, July). Eye movement desensitization and reprocessing:  Treatment application to post-traumatic stress disorder in a latency-aged multi-traumatized child. California School of Professional Psychology, San Diego, CA. AAT 9820480.

Language: English

Format: Dissertation/Thesis

Abstract:
This document presents an individual case study focusing on the qualitative application of the Eye Movement Desensitization and Reprocessing (EMDR) treatment to PTSD in a latency-aged multi-traumatized child. Theoretical, empirical and clinical descriptions of PTSD and EMDR are presented in order to understand childhood psychological trauma and its treatment. Further, an explanation of childhood psychic trauma is presented to distinguish between single event trauma (Type I Trauma) and multiple exposure to psychologically overwhelming events (Type II Trauma) as defined by Lenore Terr. Child abuse and specifically sexual abuse is described as an example of a Type II trauma that is closely related to the development of post-traumatic symptoms and reactions. EMDR is selected as the main cognitive behavioral treatment to help reduce PTSD symptoms in an 11-year-old male who has witnessed and experienced numerous interpersonal stressor related traumatic events.A clinical review of the child's EMDR focused treatment is summarized in a total of twenty-five sessions that follow Shapiro's EMDR 8-Step Treatment Model. Qualitative changes to the standard adult EMDR protocol made by the treating therapist are presented to illustrate how EMDR can be modified and adapted to work with latency age children. The results of the study suggest that EMDR may be a useful adjunct to an overall treatment plan aimed at ameliorating the traumatic symptoms and developmental difficulties associated with PTSD in children. The author emphasizes the need for the clinician using EMDR with children and adults to constantly target and assess the impact of present stressors and their role in the maintenance of PTSD symptomatology. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0438.

Keywords: Case Report  Empirical Study  Male  Multiple Traumatic Events  Nonclinical Case Study  Posttrauamtic Stress Disorder  Preadolescents  PTSD  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


115. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.

Language: English

Format: Dissertation/Thesis

Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]

Keywords: Comorbidity  Drug Abuse  Prison Inmates  Psychiatric Disorders  Stressors  Survivors  Therapeutic Community  

Accuracy Verified: Yes


116. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.

Language: English

Format: Conference

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam veterans experienced a significant decrease in distressing symptoms--flashbacks, ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional outcomes were the subjects cognitive restructuring of what had happened to them. Subsequent research studies reported therapeutic outcomes with a variety ofdisorders- phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder (Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first EMDR-trained clinician to apply EMDR in performance enhancement work, beginning with sales professionals. The authors have now used EMDR with nearly sixty Individual athletes ranking from amateur to Olympic hopeful, across several different sports. Their single case findings suggest that EMDR amplifies and accelerates the benefits of standard mental training. Their data indicates EMDR speeds psychological recovery from sport injury and coming back from a loss, adds in working through difficulties with past coaches, reduces fears about competition, and improves overall athletic performance.

Keywords: Athletes  Colloquium  Performance Enhancement  

Accuracy Verified: Yes


117. Wizansky, B. ([2003]). Footsteps through the maze - A model for using EMDR with oppositional children. Presentation at the EMDR Israel Association, Nazereth Ilit, Israel.

Language: English

Format: Other

Abstract:
This paper presents a therapeutic model developed to facilitate communication with children who have difficulty cooperating with the therapeutic process. The model utilizes the concept of a Maze metaphorically, in combination with the directed focusing, dual attention, and bilateral stimulation of EMDR in order to meet and process disturbing emotion. Underlying this model is the concept of an internal psychic space, connected to memory and association, wherein reside the child's potential range of emotions. “The Maze”, becomes the metaphor for that space, while a step by step process leads gradually to playful, non threatening communication with the child about his problem. (the entrance). The Footsteps (self drumming on alternate knees) provide the bilateral stimulation and dual attention required by EMDR. These lead the child on his own path to better ways of coping (the exit). Before presenting the model, the paper discusses several points: First, the necessity of touching on this inner space in order to bring about balance and change; second, the difficulties which traumatized, rigidly defended children have in approaching their emotions; and third, the role of cumulative trauma in preserving the child’s defenses and oppositional stance.

Keywords: Children  Footsteps Through the Maze  Opposition Disorder  

Accuracy Verified: Yes


118. 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:
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.

Keywords: Children  Family  Team Work  

Accuracy Verified: Yes


119. 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:
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.

Keywords: Mass Trauma  Symposium  

Accuracy Verified: Yes


120. 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


121. 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:
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.]

Keywords: Anamnesis  Children  Pediatrics  

Accuracy Verified: Yes


122. 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:
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.

Keywords: Gear Box  

Accuracy Verified: Yes


123. Richards, J. B. (2010, June). Group EMDR after individual trauma treatment as assistance back into everyday life. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The learning objectives are as follows; By the end of the workshop, participants will demonstrate: An awareness of the potential value of group EMDR for traumatised clients. An understanding of the place of group EMDR as a final stage in treatment, after individual EMDR trauma therapy. Familiarity with a range of EMDR techniques which are useful in this mode of treatment. This experiential workshop will commence with a short Power- Point presentation, including some client material. There will then follow a brief discussion, followed by an opportunity to try out a group experience of using EMDR techniques The use of group EMDR as a stage of EMDR trauma treatment arose from the expressed need of clients for a sense of shared experience, and peer support as they returned to everyday life as a changed person. Many have physical impairments as a re^ suit of their traumatic experiences, and feel a sense of empathic understanding when sharing their difficulties. A further benefit has been the improved reflective functioning displayed by the group members, which may be related to greater Vagus nerve relaxation, and resulting increased neocortical activity. The workshop leader is an accredited EMDR practitioner, who has been treating traumatised people individually and in groups for more than thirty years, and has been using EMDR in groups increasingly in recent times.

Keywords: Group Therapy  

Accuracy Verified: Yes


124. Allon, M. (2010, June). Group therapy of women raped in the Congo. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2008 i was invited to work and train professionals working with women who had been raped in the wars raging in the Congo. Seeing that there are tens of thousands of women who were raped, I decided to apply a group therapy model using EMDR The Power Point presentation will include videos of the work and the process that was used. In addition the statistical methods and findings of the work will be provided. The workshop will provide further information about the power of EMDR in group settings. The workshop will provide information about how to work with groups and when group work is not an appropriate method of therapy. The workshop will also teach what tools to use prior and post for assessing the results of group therapy. The workshop will also address the difficulties and methods of working with a population that does not know to read or write.

Keywords: Congo  Group Therapy  Rape  Women  

Accuracy Verified: Yes


125. Forgash, C. A. (2005, September). Healing the heart of complex trauma through EMDR, ego state and somatosensory work. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR is increasingly being utilized to treat highly challenging clients with a variety of diagnoses including complex PTSD, DESNOS, and a range of dissociative disorders. The dissociative processes commonly described as part of the PTSD spectrum, are also predicted by early attachment difficulties and losses. These clients may present with elements of several disorders (i.e., Borderline PD). Without considerable stabilization work, they may be unable to process information safely. This presentation, through lecture, experiential work and case presentation, will provide clinicians with a model that enables them to provide EMDR treatment effectively with this population. Participants will become familiar with specialized treatment planning that begins with detailed and complex history taking and pays particular attention to an extensive individualized preparation phase. They will learn how and when to integrate ego state work, somatosensory work and disociative treatment strategies in this phase and throughout EMDR protocol work. This systemic work will be understood to help patients resolve internal conflicts, deal with stabilization, affect regulation, triggering, overwhelm, dissociation, and resistance.

Keywords: Challenging Clients  Dissociation  Ego State Therapy  Master Series  Somatosensory Therapy  

Accuracy Verified: Yes


126. 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:
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)

Keywords: Attachment  Early Childhood Experiences Psychotherapy  Relational Approach  Self-Disclosure  

Accuracy Verified: Yes


127. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
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]

Keywords: Attachment Behavior  Psychotherapy  Stressors  Survivors  

Accuracy Verified: Yes


128. Yordy, J. [2005]. How trauma affects children & the benefits of EMDR processing. Jan Yordy.

Language: English

Format: Other

Abstract:
There are many different factors which need to be taken into account in order to help children resolve the physical, emotional and mental difficulties caused by unresolved trauma. One of the most important factors is having a therapy technique which first desensitizes the trauma memories and then repatterns how the brain stores the previously traumatic information. Eye Movement Desensitization & Reprocessing (EMDR) provides this type of unique treatment which is highly effective for resolving emotional difficulties and traumatic experiences.

Keywords: Benefits  Children  Trauma Effects  

Accuracy Verified: Yes


129. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .

Language: English

Format: Conference

Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.

Focus of our intervention is the wellbeing of the rescuer. The study and research on this matter came and were carried out thanks to the activity done both during trainings and simulations of the Civil Protection than real emergencies. Our team work received contribution by some psychologists of OPP (Parma’s Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s emergency activities and can affect the rescuer both physically and psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough knowledge, are essential to give the best performance according to the complexity and urgency of the intervention. These skills can really contribute to the rescuer's wellbeing, because they can improve the self-efficiency perception. To effectively manage and train rescuers, it is furthermore important to consider and acknowledge the influence of interpersonal relationships on technical performances. It is, in fact, particularly important to recognize and support the typical relationships that can be created in a team with the same task and specialization, as well as in multidisciplinary teams, or teams belonging to different Institutions but operating in the same scenario.

In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency scenarios. To recreate scenarios of massive emergencies, different Civil Protection Associations, as well as First Aid volunteer associations and the local Institutions have been involved. In these simulations, most cases focus on improving technical performances. Lately psychologists have been asked to join the rescuers team. During these simulations, the role-play of emotional and psychological problems occurs thanks to the cooperation between emergency psychologists and the medical team. The introduction of the role and expertise of psychologists allowed to extend and strengthen the attention to cross support and care aspects for the psychological wellbeing of both victims and rescuers. The psychologist must therefore consider the “wellbeing” in all the emergency scenarios and contexts, as a sum of all the components that we talked about here and the ones we will describe during our intervention. He must first of all be aware of the complexity of each intervention in the field, and adopt a kind of approach aimed at creating and recovering wellbeing strategies, that can be used by himself as well. Strategies on how to build, recover and maintain the wellbeing identify stress as the first danger source the rescuer has to face in his training and emergency activity. When external events or stimuli are perceived as difficult to face compared with resources available at that moment, the individual gets stressed. When the person's efforts are not adaptive to the external requests and/or coherent with his performance expectations, he becomes vulnerable to emotional, behavioural, cognitive and physical reactions, which can be even very difficult to manage both in the short and/or in the medium-long term. This can happen when the sources of stress depend on the rescuer’s performance, and it can also happen in case of post traumatic stress, visible in different stages after the event. From the psychologist's specialist background and from the integration of this with the result of field experiences, the demand for a range of different tools to manage the different kinds of stress emerges, and these tools must be applicable both to the individual and to the group. This range is still improving, and the results of our observational activity from past and present experiences lead us to see the opportunity to carry on our research of tools of efficacy. During this speech we would like to underline that approaches like Stress Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow the technical appraisal and let the rescuers improve their stress management skills, and all that can lead to a decrease in the risk of PTSD. In past simulations of emergencies, we found out that the use of videotapes for the role plays is a tool that should be taken more into account. We think it is important to evaluate its potential for the rescuers' benefit, because it seems to be not only “a record of technical performances”, but also an observation and learning tool about the rescuer's own defence and adaptive strategies. In fact, during these simulations we found out that the rescuers' psychological and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us to focus more on the matter of mutual influence between technical performance and internal experience of stress. We understand that such acute stress episodes may occur during real life critical events but we can see how role playing and video recordings show that such acute stress episodes affected the simulators themselves even during the simulation. The videos show that even apparently “high immunity” simulators, who are considered 'immune' thanks to their comprehensive and strong experience, experienced acute stress, perhaps because of an incorrect selfevaluation of their own stress management skills. The interest in the use of videos as a training and reprocessing tool for rescuers led some of us to specialize in role playing recording, so as to carry out a more accurate and comprehensive study on those same videos and use them as a mirror of reality and better educational tool through a vicar experience or through “seeing oneself from within the experience” and in the interpersonal dynamics that took place in the scenario. Videotapes are a very known and widely used tool in other kinds of trainings, disciplines and therapies (i.e. Family Therapy and CBT). The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence that when someone observes the same action performed by another person, the neurons "mirrors" the behaviour of that person, as though the observer were itself acting. Thanks to these researchers it is now proven that this can happen thanks to the motor neurons in the pre-motor cortex. Therefore, we would like to underline the role of videos as very useful and versatile training tools, since they expose a situation in an unexpected realistic manner “as if” it were true and “as if” we were really experiencing that situation, with the consequent learning movements at the emotional, cognitive and behavioural level, at the stress management level, as well as at the level of team work dynamics. Visual imagination activates the same brain regions that are active during visual perception and motor imagination activates the same brain regions activated the movement is really happening. More importantly, it was possible for us to verify that the videos recorded by other operators were not focused on showing the important psychological aspects we mentioned for the goal of the trainings, thing that happened instead with the videos recorded by psychologists. We think therefore that the use of videotapes recorded by psychologists should be given more consideration in the trainings of rescuers. During this intervention we will devote part of the time to broadcasting two short videos; the first one shows the role playing of an intervention in an emergency context, and the second one shows a part of an EMDR session (Eye Movement Desensitization Reprocessing). We think it is important to recreate and protect rescuers wellbeing in the post-role playing and post emergency stages too. For years EMDR has been proven effective in improving the individual's coping skills and in reprocessing, wherever necessary, the post traumatic aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.

Keywords: Emergency Workers  Mirror Neuron and Stress Inoculation  Rescue-Working Activity  Risk Prevention and Management  

Accuracy Verified: Yes


130. Mosquera, D., & Gonzalez, A. (2011, Settembre). I disturbi de personalita e l’EMDR [Personaity disorders and EMDR]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.

Language: Italian

Format: Conference

Abstract:
I pazienti con disturbi di personalità manifestano difficoltà nel loro funzionamento quotidiano; nella loro storia di vita in molti casi sono presenti eventi traumatici e relazioni primarie di attaccamento insicuro. In questo workshop ci focalizzeremo sui disturbi di personalità del gruppo B, in particolar modo sui borderline. Tenteremo di spiegare l’interrelazione dei criteri del DSM con eventi traumatici precoci. Comprendere questi aspetti è basilare per un’adeguata concettualizzazione del caso nella Fase 1 e pianificazione del trattamento di questi pazienti con EMDR. ... In questo workshop verranno approfondite anche le evidenze empiriche riguardo al trauma e ai disturbi di personalità e le pubblicazioni riguardanti l’EMDR e i Disturbi di Personalità. Un aspetto interessante di questo workshop è l’integrazione dell’esposizione teorica e la presentazione di video di casi clinici, al fine di comprendere meglio gli specifici aspetti della terapia con EMDR nei disturbi di personalità . Verranno esposti e spiegati la struttura generale della terapia dell’EMDR nei disturbi di personalità, gli interventi della fase di preparazione e le considerazioni riguardo al lavoro sul trauma con l’EMDR.

Patients with personality disorders, difficulties in their daily operation; in their life history in many cases there are traumatic events and the primary relationships of insecure attachment. In this workshop we will focus on personality disorders in group B, especially on the borderline. We will attempt to explain the interrelationship of the criteria of the DSM with traumatic events early. Understanding these aspects is fundamental for an adequate conceptualization of the case in Phase 1 and treatment planning of these patients with EMDR. ... This workshop will also discuss the empirical evidence about the trauma and personality disorders, and publications on EMDR and Personality Disorders. An interesting aspect of this workshop is the integration of theoretical exposure and presentation of video case studies, in order to better understand the specific aspects of EMDR therapy in personality disorders. Will be exhibited and explained the general structure of EMDR therapy in personality disorders, the operations of preparation and considerations about the work on trauma with EMDR.

Keywords: Personality Disorders  

Accuracy Verified: Yes


131. 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:
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.

Keywords: Infertility  

Accuracy Verified: Yes


132. Daigger, M. (2007). Imaginative techniken in der psychotraumatherapie unter besonderer berücksichtigung des motivs "Die innerern helfer" [Imaginative techniques in the psychotrauma-therapy in special view of the motif "The inner helpers"]. Zeitschrift für Psychotraumatologie, Psychotherapiewissenschaft, Psychologische Medizin (ZPPM), 5(2), 39-51.

Language: German

Format: Journal

Abstract:
In psychotraumatherapy den therapeutischen Prozess (Stabilisierung, Therapie mit dem inneren Kind, Trauma-Exposition) ist oft durch mehrere Probleme behindert. Dann das Motiv "Die Inneren Helfer" als eine phantasievolle Ressource im Zusammenhang mit der suggestiven Beeinflussung durch den Therapeuten kann gute Dienste leisten. Die Inneren Helfer symbolisieren unbewussten Teile des Selbst, die losgelöst haben und verdrängten durch das Mittel der Projektion im Sinne von Fähigkeiten, die der Patient hat (noch) keinen Zugang. Die Inneren Helfer nehmen eine repräsentative Funktion für den Patienten, bis er in der Lage, diese Teile des Selbst nach Gebrauch mit integrierten ihnen. Die Aktivierung dieser Ressourcen phantasievolle ermöglicht nicht nur ein Erfolg versprechende Stabilisierung und Therapie mit dem inneren Kind, sondern auch eine sanfte und wenig Anstrengung Trauma Exposition für Patient und therapist.In diesem Artikel möchte ich zunächst das Motiv einführen "Die Inneren Helfer" . Ich weiterhin durch den Nachweis wichtige Techniken der Psychotraumatologie, indem sie Beispiele für mögliche Anwendungen der das Motiv des Inneren Helfer in schwierigen Situationen des therapeutischen Prozesses. Alle Techniken ergänzen einander und können miteinander kombiniert werden. [Autor Zusammenfassung]

In psychotraumatherapy the therapeutic process (stabilization, therapy with the Inner Child, trauma exposure) is often hindered by multiple difficulties. Then the motif "The Inner Helpers" as an imaginative resource in connection with suggestive influencing by the therapist can serve well. The Inner Helpers symbolize unconscious parts of the self that have been dissociated and repressed by the means of projection in the sense of abilities to which the patient has (yet) no access. The Inner Helpers take a representative function for the patient until he is able to use these parts of the self after having integrated them. The activation of these imaginative resources not only makes possible a success promising stabilization and therapy with the Inner Child, but also a gentle and little straining trauma exposure for patient and therapist.In this article I first want to introduce the motif "The Inner Helpers". I continue by demonstrating important techniques of psychotraumatology by giving examples of possible applications of the motif of the Inner Helpers in difficult situations of the therapeutic process. All techniques complete each other and can be combined. [Author Summary]

Keywords: Psychotrauma  

Accuracy Verified: Yes


133. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.

Keywords: Affect Tolerance  Poster  Self-Regulation  Social Functioning  

Accuracy Verified: Yes


134. Baldwin, D. (1997). Innovation, controversy, and consensus in traumatology. Traumatology, 3(1), 7-22. doi:10.1177/153476569700300103 .

Language: English

Format: Journal

Abstract:
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]

Keywords: Child Abuse  Commentary  False Memory  Rape  Scientific Research  Survivors    

Accuracy Verified: Yes


135. Hoffman, S., & Laub, B. (2006). Innovative interventions in psychotherapy. Boca Raton, FL: Universal-Publishers.

Language: English

Format: Book

Abstract:
The present volume unquestionably constitutes a significant contribution to clinical literature. The case reports, with their descriptions of many types of therapeutic interventions and combinations of interventions in dealing with a wide variety of difficulties presented by different patients and patient groups, as well as the discussions of important topics in psychotherapy, add to our knowledge of the many facets of psychotherapy, enrich our understanding of the treatment process, and deepen our appreciation of the importance of therapeutic sensitivity and flexibility.

Keywords: Practice  Theory  

Accuracy Verified: Yes


136. Staff. (2012, December 7). Innovative trauma therapy on offer to East Lancashire children. Lancashire Telegraph. Retrieved from http://www.lancashiretelegraph.co.uk/news/10095556.Innovative_trauma_therapy_on_offer_to_East_Lancashire_children/ on 12/8/2012.

Language: English

Format: Newspaper

Abstract:
Clinical psychologists at the Lancashire Care NHS Foundation Trust have been trained offer EMDR - which stands for Eye Movement Desensitization and Reprocessing The technique is used to deliver therapy to help children who are experiencing emotional difficulties such as phobias, anxiety and chronic pain. [Excerpt]

Keywords: Children  General  

Accuracy Verified: Yes


137. 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:
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.

Keywords: Attachment Repair Orientation  Relational Trauma  

Accuracy Verified: Yes


138. 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:
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.

Keywords: Attachment Repair  Relational Trauma  

Accuracy Verified: Yes


139. 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:
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.

Keywords: Adaptive Information Processing  AIP  Attachment Theory  Childhood Trauma  

Accuracy Verified: Yes


140. 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:
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)

Keywords: Adaptive Information Processing Model  AIP  Bowen Theory  Chronic Relationship Dysfunction  Cognitive Processes  Family Systems Theory  Interpersonal Relationships  Models  

Accuracy Verified: Yes


141. 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:
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.

Keywords: Psychoanalytic Psychotherapies  Symposium  

Accuracy Verified: Yes


142. Aloisio, T. M. F. (2012, October). Integrating structural Bowen theory and EMDR: Healing trauma and sexual disorders after a rape suffered. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
The couple was assaulted by four men, one appeared to be a minor. They forced the couple into their own car and raped the wife, forcing the husband to watch the rape under gunpoint.
With both parents assaulted and raped, the family reported a history of sexual trauma and underwent an EMDR therapy in addition to Bowen theory.
They presented the following symptoms: The wife: episodes of panic, depression, insomnia and nightmares, anorgasmia and vaginismus. The husband: anxiety disorder, insomnia, intrusive negative thoughts, premature ejaculation and erectile difficulties. The children: Larissa - difficultues in sleeping and concentrating in her studies. Yago - nocturnal enuresis and difficulty sleeping alone in his bedroom.
The EMDR standard protocol was used to clear the trauma within the relationship as well as with outside relationships. Experiences from before and after the rape were also targeted, as well as differentiation in the couple, including unsatisfactory sex.
There were nine encounters, during nine weeks, with an average of three hours each.
Follow up data from the couple was obtaained after six months.

Keywords: Bowen Theory  Poster  Rape  Sexual Disorders  Victim  

Accuracy Verified: Yes


143. Rouanzoin, C. (2007, September). The integration of EMDR in the treatment of dissociative clients. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will focus on the use of EMDR in the treatment of patients who span the dissociative spectrum. The participants will learn how to understand dissociative process from simple to complex dissociation and how to utilize EMDR in their treatment. This presentation will discuss dissociative process from the Adaptive Information Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the ‘Red Flags’ of treatment concerns; the differential diagnoses of dissociation – from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; and therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this highly traumatized population of individuals.

Keywords: Dissociation  Dissociative Disorders  

Accuracy Verified: Yes


144. Dunne, T. (2010, June). Integration of EMDR into clinical practice: What therapists are saying. In Training issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
40% of Therapists trained in EMDR report difficulties integrating EMDR into their clinical practice. This paper will report on a qualitative study of Therapists who were interviewed as part of my Doctoral research project at the University of Middlesex, London. The paper will explore and report on the types of difficulties which therapists are reporting and the reasons why. It will explore ways forward to resolve these issues including the implications for training, and the need for ongoing clinical supervision post training. Participants will learn of the difficulties in integration of EMDR in clinical practice and the reasons why. Participants will come away with a better understanding of the professional and organizational difficulties involved in integration Participants will also learn how to resolve these issues. This study is unique because it is the first study undertaken with Therapists trained in EMDR outside the USA and because the qualitative nature of the study is counterbalanced with the findings of quantitative data which make the findings more generalizable and cross cultural in nature.

Keywords: Research  Symposium  Training Issues  

Accuracy Verified: Yes


145. Holstein, B. (2008). The integration of focusing with EMDR and kabbala concepts. Presentation at the 10th International Focusing Conference, Spring Valley, New York.

Language: English

Format: Conference

Abstract:
This session will be a presentation of concepts and exercises from the Kabbala as applied to living forward in one's life through focusing and EMDR. Specific struggles, such as addictive eating, repeated relationship difficulties, and identity and esteem issues will be addressed. This workshop will include experiential exercises toward living the life you envision. 1.5 hrs. Bonnie Holstein, PsyD.

Keywords: Kabbala  

Accuracy Verified: Yes


146. Faretta, E., & Parietti, P. (2003, May). Integration of hypnotic therapy with EMDR in the psychodynamic treatment of panic attacks disorder: Trauma and panic. In Anxiety disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
The authors illustrate here a special intervention plan that has demonstrated particular benefit in the treatment of Panic Disorder. They introduce here a specific modality of treatment, based upon the integration of hypnotic techniques with EMDR, and following a carefully planned procedure. This modality of treatment is comprised of several steps that allow the articulation of a structured intervention. This precise scheme of work is based on the eight phases of EMDR and its integration with hypnosis therapy. The authors present an elaborated single case study of one patient with Panic Disorder along with summaries of several others who were treated with this integrated modality. The results of the intervention show a noteworthy decrease in the frequency of panic attacks, a reduction in anticipatory anxiety, the alleviation of the somatic symptoms, depression, and other difficulties associated with this disorder. These clinical case studies suggest the efficacy of this modality of EMDR integrated with hypnosis, and encourage further research in this area. [Author abstract]

Keywords: Anxiety Disorders  Hypnotic Therapy  Hypnotism  Panic Attacks  Psychodynamic Therapy  Symposium  

Accuracy Verified: Yes


147. Tobin, S. (2004, Spring). The integration of relational gestalt therapy and EMDR. International Gestalt Journal, 27(1), 55-82.

Language: English

Format: Journal

Abstract:
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.

Keywords: Brain  Brain Functioning  Emotional Trauma  Gestalt Therapy  Integrative Therapy  Integrative Psychotherapy  Psychotherapy  Trauma  

Accuracy Verified: Yes


148. 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:
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.

Keywords: Adults  Relational Approach  Sexual Abuse  Survivors  

Accuracy Verified: Yes


149. Paterson, M. (2001, May). Interactive cognitive sub-systems as a theoretical basis for EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is a novel approach to treating Post Traumatic Stress Disorder (PTSD). It relies upon having clients access images of their traumas, negative self-schemas, emotions, and somatic memories and reprocessing these to resolution of the traumatic memory. The simultaneous linking of these components is accompanied by alternating stimulations of the brains hemispheres using either auditory tones, tactile sensation, or rapid eye movements across the visual field. Successful completion of the treatment results in trauma images fading, positive cognitive shift, reduction of negative affect, and disappearance of somatic sensations. Shapiro (1995) proposed an 'accelerated processing model' for EMDR that essentially pulls together the different strands of the treatment in a coherent way. It suggests that the brain heals itself, as with tissue damage, and changes in symptomatology are always from negative to positive. What Shapiro's model does not do is operationally define her concepts and explain the way changes in dysfunctional information occur. For example, the EMDR model, as with Beck's (1987) Clinical Cognitive Model, accepts that clients place new meaning on dysfunctionally stored information, but lacks explanation of how this occurs: i.e. the shift from irrational to rational beliefs, and from 'cold' to 'hot' cognitions. This paper rectifies the difficulties the 'accelerated processing model' has in acting as a theoretical basis for EMDR. It describes firstly the received wisdom on the neurophysiological, and psychological correlates of PTSD. It then goes on to examine the treatment components considered necessary for the effective resolution of the disorder. In its final phase, the paper considers how well models of information processing explain the acquisition and maintenance of PTSD. It adopts a modification of the Ingerchanging Cognitive Subsystems (ICS) approach (Teasdale & Barnard, 1993), a theory based in cognitive science, to operationally define EMDR's component parts and its process in the treatment of PTSD. The ICS approach is recommended as a useful way to conceptualise the maintenance of PTSD and a strong theoretical basis for EMDR.

Keywords: Theory  

Accuracy Verified: Yes


150. Affonso, S. D. S. (2012, Novembro). Intervenção do EMDR em uma situação de luto traumático infantil: Vivência de uma criança de seis anos no adoecimento e morte de sua irmã de dois anos vítima de leucemia [EMDR intervention in a situation of childhood traumatic grief: Experiences of a child of six years in the illness and death of her sister two years of leukemia victim]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Em uma família com estrutura complexa: a mãe vive há 14 anos durante o dia com o companheiro que é casado com outra mulher (com quem passa as noites) e teve dois filhos desse relacionamento. Importante ressaltar que a mãe vivia nas ruas e teve uma nova chance ao ser acolhida por uma madrinha. A menina, de dois anos, adoeceu e faleceu vítima de leucemia. O menino, de seis anos, passou a apresentar comportamento agressivo na escola, dificuldade de aprendizagem, dispersão e insônia. A madrinha foi quem procurou o EMDR por telefone. Com seis sessões, intercalando atendimentos à mãe e à criança, com uso de EBs auditivos para a mãe e EBs visuais para o segundo, desenhos para ambos, relato de sonhos, e na última sessão com mãe e filho, com o uso de um ritual de despedida com a linha do tempo. Nesta última, contaram sobre as melhoras do menino em dormir e em seu aproveitamento escolar. Aproveitaram para dizer que os sonhos continuavam encaminhados e estavam finalmente começando a dar certo.

In a family with complex structure: the mother lives 14 years ago during the day with a partner who is married to another woman (who spends his nights) and had two children from that relationship. Importantly, the mother lived on the streets and had another chance to be accepted by a sponsor. The girl, two years old, fell ill and died of leukemia. The boy, six years old, began to show aggressive behavior in school, learning difficulties, insomnia and dispersion. The godmother was the one who tried EMDR by phone. With six sessions, alternating visits to the mother and child, using EBs hearing for the mother and for the second visual EBs, drawings for both reporting of dreams, and last sessions with mother and child, with the use of a ritual farewell to the timeline. In the latter, told the boy about the improvements in sleep and in their school. Took the opportunity to say that dreams were still underway and finally starting to go right.

Keywords: Childhood Trauma  Family  Grief Process  

Accuracy Verified: Yes


151. Farrell, D. (2009, October 16). Interweaves. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.

Language: English

Format: Conference

Abstract:
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.

Keywords: Interweaves  

Accuracy Verified: Yes


152. Dunne, T., & Farrell, D. (2011). An investigation into clinicians' experiences of integrating EMDR into their clinical practice. Journal of EMDR Practice and Research, 5(4), 177-188. doi:10.1891/1933-3196.5.4.177.

Language: English

Format: Journal

Abstract:
This study was conducted in the United Kingdom at two major conferences to examine how therapists (N = 83) integrated eye movement desensitization reprocessing (EMDR) into their clinical practice. Data from a mixed methodology suggests that up to 40% of the sample experienced difficulties post-EMDR training. Results indicated that analytically trained and humanistic therapists experienced significantly more difficulties in integrating EMDR into the current clinical practice than integrative or cognitive behavioral clinicians. This study also ascertained that EMDR clinicians experienced workplace difficulties and challenges. Consideration is given to how the study findings may have implications for both the teaching and learning of EMDR and workplace issues.

Keywords: Dissemination of Empirically Supported Therapies  Integration  Psychtherapeutic Orientations  

Accuracy Verified: Yes


153. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA) and Chi-Square tests to examine the relationships between Questionnaire items for significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice and integration issues. This qualititative data was content analyzed. No differences were found between both groups on Biodata factors, years of experience as a Therapist or years using EMDR which gives further confidence in the results when comparing both cohorts. Results: Respondents endorsed two types of explanation as to why they believed EMDR works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes (77%) and Adaptive Information Processing (73%). This suggests that Therapists are not just following Shapiro’s AIP model slavishly but are rather making up their own minds. There were no significant differences between Analytic, CBT, Integrative and Humanistic Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical practice than Analytic or Humanist Therapists. This finding was supported by the results of the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced difficulties in integrating EMDR into their clinical practice, post training. The types of difficulties identified included: Differences in theoretical beliefs, more active style of EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational issues and hostility from clinical colleagues, bullying, lack of supervision and support post training. Conclusions: The results of this study confirm findings from earlier studies regarding Therapists’ beliefs about EMDR but also extend those finding internationally so that previous findings can now be accepted as universal given that this present study contained respondents from three other continents other than North America. This study also found that up to 40% of Therapists trained in EMDR experienced significant difficulties in integrating EMDR into their clinical practice post-training. Analytic and Humanist Therapists reported the biggest difficulties which included conflict with the Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist confidence and lack of supervision and support, Organizational and Management issues of opposition to EMDR and Therapist Bullying. The implications for EMDR training are discussed and communicated to relevant EMDR Training Organizations.

Keywords: Poster  Research  Therapist's Beliefs  

Accuracy Verified: Yes


154. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp.

Language: English

Format: Book Section

Abstract:
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]

Keywords: Adults  Americans  Anger  Anxiety Disorders  Brief Psychotherapy  Case Report  Child Abuse  Defense Mechanisms  Depressive Disorders  Females  Life Experiences  Psychotherapeutic Processes  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


155. 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:
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).

Keywords: Body-Mind Interaction  PNEI  

Accuracy Verified: Yes


156. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. Nell’ambito del Workshop verranno approfondite le seguenti tematiche: • Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.

The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness. As part of the workshop will examine the following issues: • Differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysiological mechanisms in the onset of the disorder: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • psycho-diagnostic screening tools. • Work on the main strategies for assessment and intervention uro-gynecological and pharmacological • Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.

Keywords: Urogenital Pain  

Accuracy Verified: Yes


157. Dellucci, H. (2010, Novembre). La boîte de vitesses - Naviguer de manière sécurisée dans la thérapie avec des personnes souffrant de traumatismes complexes [The gearbox - Navigate safely in therapy with people suffering complex trauma]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques.

Language: French

Format: Other

Abstract:
Travailler en EMDR avec des personnes souffrant de traumatismes complexes amène souvent à des difficultés concernant le plan de traitement, mais aussi la désensibilisation et le retraitement, avec un risque de déstabilisation majeure et une rupture du traitement. Souvent, de nombreuses cibles, surtout celles de la petite enfance sont de nature préverbale et restent de ce fait implicites. Devons-­‐nous pour autant renoncer à travailler en EMDR ? Est-­‐il possible de travailler en EMDR de manière sécurisée, en l’adaptant à chaque personne, et leurs événements de vie quelque peu chaotiques, sans se perdre ? La boîte à vitesses, proposant pour la thérapie la métaphore d’un voyage en voiture, à travers la thérapie avec des personnes ayant des traumatismes complexes, suggère une structure de traitement hiérarchisée, qui permet au thérapeute de s’adapter, tout en sachant ce qu’il fait et pourquoi. En cherchant à intégrer les connaissances actuelles de a thérapie EMDR avec des personnes ayant des trauma complexes, la boîte à vitesses constitue un outil de navigation adaptatif et dynamique.

EMDR work with people with complex trauma often leads to difficulties with the treatment plan, but also desensitization and reprocessing, with a risk of destabilization and a major termination of treatment. Often, many targets, especially those of small preverbal children are capable and are thus implied. Need - we giving up work in EMDR? --- Is it possible to work EMDR in a secure manner, adapting to each person and their life events somewhat chaotic, without getting lost? The gearbox, offering therapy for the metaphor of a road trip through therapy with people with complex trauma, suggesting a hierarchical processing structure, which allows the therapist to adapt, knowing what he is doing and why. In seeking to integrate current knowledge of a EMDR with people with complex trauma, the gearbox is a navigation tool for adaptive and dynamic.

Keywords: Gearbox  

Accuracy Verified: Yes


158. Navas-Torrejano, D. S. (2011, Enereo-Junio). La desensibilización y reprocesamiento del movimiento (EMDR): El tratamiento para el trastorno de estrés postraumático [Eye movement desensitization and reprocessing (EMDR): Treatment for posttraumatic stress disorder]. Revista Ciencias Biomédicas, 2(1), 158-162.

Language: Spanish

Format: Journal

Abstract:
El trastorno de estrés postraumático está clasificado como uno de los trastornos deansiedad dado como una respuesta patológica a un evento estresante que supone unriesgo físico o psicológico. Corresponde a un problema de salud pública que causagran incapacidad y dificultades en el desarrollo biopsicosocial de la persona afectada.Actualmente se llevan a cabo diferentes métodos terapéuticos para el tratamiento dedicha patología, dentro de las mas estudiadas y con amplios resultados positivos seencuentra la terapia de reprocesamiento llamada Desensibilización y Reprocesamientopor medio de Movimiento Ocular (EMDR por sus siglas en inglés) basado en estimulaciónbilateral ocular, principalmente, que otorga al paciente la oportunidad de asimilar elevento traumático transformando su contenido emocional y brindando adaptación eintegración de la información y equilibrio físico y psicológico con respuestas adaptativasque permite el desarrollo e interacción normal con el entorno. Con la Técnica EMDR paraenfrentar el trastorno de estrés postraumatico, se alcanza que si bien el recuerdo está,ya no hiere.

Posttraumatic stress disorder is classified as an anxiety disorder characterized for apathological response to a stressful event that involves a physical or psychological risk.It is a public health problem that causes great disability and difficulties in biopsychosocialdevelopment of the patient. Currently, there are different therapeutic methods fortreating this disease; the most studied one with positive results is “eye movementdesensitization and reprocessing” (EMDR) based on bilateral visual stimulation, whichgives the patient an opportunity to assimilate the traumatic event, transforming itsemotional content and providing adaptation and integration of information and physicaland psychological balance with adaptive responses allowing normal development andinteraction with the environment. With EMDR to address post-traumatic stress disorderthe memory is there, but it does not hurt.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


159. Seijo, N. (2011, Julio). La distorsion de la imagen corporal en TCA y EMDR [The distortion of body image in eating disorders 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:
Los trastornos de la conducta alimenticia (TCA), entre los cuales está la anorexia y la bulimia nerviosas, constituyen un problema de salud emergente que tiene un fuerte impacto en nuestra sociedad. La problemática de estos trastornos es tan variada y multifactorial que exige una atención y actuación que incluya los aspectos clínicos, familiares, pero también culturales, sociales y especialmente, educativos. Nos encontramos ante un síndrome diagnóstico de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar desde la superficie al fondo de su etiología. Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay todo un significado que en las personas con TCA cobra una relevancia mayor porque se acaba convirtiendo en el centro de sus vidas alrededor de lo que giran, de lo que proyectan sus dolor, su falta de conexión con el mundo y en lo que se acaba convirtiendo en su mundo distorsionado. Los elementos de trabajo que aparecen en el tratamiento de personas con TCA son el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc. (Quílez, 2009). Los profesionales que trabajan con TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz a estos pacientes. El objetivo de esta comunicación es el explicar como se puede trabajar con EMDR para poder tomar conciencia de unos de las partes mas nucleares en el trabajo de los TCA como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.

The feeding behavior disorders (ED), one of which is anorexia and bulimia nervosa, are an emerging health problem that has a strong impact on our society. The problem of these disorders is as varied and multifactorial requiring attention and action, including the clinical, family, but also cultural, social and especially educational. We are facing a syndrome diagnosis of complex origin and multidimensional impairment, its treatment should be able to reach from the surface to the bottom of its etiology. All you have told us that we are and how we have been told that we are linking our image, behind this there is a whole meaning that people with TCA charges a higher relevance because it ends up turning into the center of their lives around so they spin, what project their pain, their lack of connection to the world and when it eventually becomes distorted your world. Work items that appear in the treatment of patients with eating disorders are the desire for thinness, control and shame, TCC, conditioned defensive reactions, body image, attachment difficulties, abuse physical, sexual, neglect, dissociation, poor impulse control, emotional eating disorders as anesthesia, self-mutilation, need for limits, labels, character, male figure of attachment, dysfunctional families, etc.. (Quílez, 2009). Professionals working with eating disorders have the EMDR model psychologically able to respond effectively to these patients. The objective of this communication is to explain how EMDR can work with in order to make awareness of some of the most nuclear parts of the TCA work as awareness of the real body and reach acceptance.

Keywords: Eating Disorders  Symposium  

Accuracy Verified: Yes


160. 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:
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.

Keywords: Dissociative Disorders  

Accuracy Verified: Yes


161. Dunton, R. (1992, April). Learning issues and children. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Children  Learning Difficulties  

Accuracy Verified: Yes


162. 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:
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.

Keywords: Couples  

Accuracy Verified: Yes


163. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .

Language: Italian

Format: Journal

Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.

The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.

Keywords: Uro-Gynecological Syndromes  

Accuracy Verified: Yes


164. Giannantonio, M. (2008, Novembre). L’integrazione possible: accedere alle emozioni con strategie imaginative e corporee [Integration impossible: Access to emotions with imaginative and corporeal strategies]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Il modello paradigmatico di intervento clinico al quale l’EMDR si ispira è di non interferenza all’interno dell’elaborazione adattiva prodotta autonomamente dal paziente, stimolato da una ottimale relazione terapeutica e dalla stimolazione bilaterale all’interno di un campo di attenzione duale. Nondimeno, è esperienza abituale del clinico come tale modello incappi regolarmente all’interno di stalli rielaborativi che impediscono una adeguata desensibilizzazione e rielaborazione degli eventi stressanti o francamente traumatici. Per tale motivo, l’EMDR può massimizzare la sua efficacia psicoterapeutica attraverso l’impiego di specifiche strategie di “intervento cognitivo integrativo”, finalizzate all’implementazione adattiva ed ecologica delle risorse inattingibili da parte del paziente. In questa comunicazione, che prende in parte ispirazione dalle domande e dalle difficoltà emergenti nei colleghi durante l’attività di supervisione, attraverso numerose esemplificazioni cliniche si intenderà mostrare l’impiego flessibile ed euristico di strategie immaginative e corporee come interventi integrativi di particolare efficacia. In particolare, verrà posta una specifica attenzione nei confronti degli stalli integrativi dovuti principalmente a meccanismi dissociativi che possono causare difficoltà anche notevoli all’attività dello psicoterapeuta. Fenomeni dissociativi massicci, infatti, possono mostrarsi sin dall’inizio (in particolare qualora l’evento abbia suscitato una dissociazione peritraumatica), rendendo apparentemente non affrontabile il ricordo del paziente, in quanto non evocatore di alcuna risonanza emotiva; diversamente, la gestione dissociativa dei ricordi comparirà tra una seduta e l’altra, oppure all’interno del processo elaborativo condotto con l’EMDR. Verrà mostrato come la dissociazione, che può rendere impossibile l’elaborazione, possa essere gradualmente ridotta iperassociando il paziente nei confronti dei propri ricordi, di volta in volta privilegiando attività rivolte nei confronti delle immagini mentali oppure attraverso l’adozione di posture corporee finalizzate alla rottura delle barriere dissociative.

The paradigmatic model of clinical intervention in which EMDR is based is not interference in preparing adaptive generate themselves from the patient, stimulated by optimal therapeutic relationship and the bilateral stimulation within a field of attention dual. Nevertheless, it is habitual experience of the clinician how this model regularly encountering processed within stalls that prevent a adequate desensitization and reworking frankly stressful or traumatic events. Therefore, EMDR can maximize its effectiveness through the use of specific psychotherapeutic strategies, "Integrative cognitive intervention, aimed at the implementation of adaptive and ecological resources unattainable by the patient. In this communication, which takes some inspiration, the questions and difficulties emerging in the colleagues during the supervisory activities through numerous clinical examples to show you will understand the use of flexible, heuristic imaginative strategies and body as supplementary measures, particularly effective. In particular, specific attention will be paid in respect of the stalls due mainly to additional dissociative mechanisms that can cause considerable difficulties although the activity of psychotherapist. Dissociative phenomena massive, in fact, can show the beginning (in particularly if the event has generated a dissociation peritraumatica), making apparently not face the memory of the patient, because not suggestive of any resonance emotional, otherwise the management dissociative memories appear between sessions and one or within the computational process conducted with EMDR. Will be shown as the dissociation which may make it impossible to process, can be gradually reduced iperassociando the patient against their own recollections, each time focusing on activities aimed respect of mental images or through the adoption of body postures designed to rupture of dissociative barriers.

Keywords: Imaginative Strategies  Somatic Interventions  

Accuracy Verified: Yes


165. 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:
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)

Keywords: Alcoholism  Evaluation  Posttraumatic Stress Disorder  PTSD  Psychotherapeutic Processes  Psychotherapy  Secondary Alcoholism  Treatment Effectiveness  

Accuracy Verified: Yes


166. 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:
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.

Keywords: Couples Therapy  Ego State Therapy  

Accuracy Verified: Yes


167. 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:
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.

Keywords: Couples Therapy  Ego State Therapy  

Accuracy Verified: Yes


168. 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:
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.

Keywords: Couples Therapy  Ego State Therapy  

Accuracy Verified: Yes


169. de Jongh, A., & ten Broeke, E. (2006, November). Masterclass EMDR. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
De uitvoering van EMDR kent zo zijn lastige kanten, bijvoorbeeld omdat het proces niet op gang lijkt te komen, of omdat het scherpstellen niet gemakkelijk gaat. In veel gevallen heeft dat te maken met een gebrek aan ervaring met de unieke dynamiek van EMDR als informatie-verwerkingsmethode, maar vaak ook ligt de oorzaak in het niet optimaal toepassen van het protocol. In deze bijeenkomst wordt een overzicht gegeven van - en uitleg gegeven over - veelvoorkomende EMDR ‘fouten’ en moeilijkheden. De deelnemers krijgen tips en instructies om geblokkeerd gewaande processen weer op te starten, ook bij complexe patiëntenpopulaties. Uitgebreid wordt ingegaan op het conceptualiseren van casus voor de toepassing van EMDR, onder andere aan de hand van video-opnamen. Van de deelnemers wordt gevraagd hun eigen vragen en problemen met de EMDR procedure in te brengen om van deze masterclass een levendige bijeenkomst te maken.

The implementation of EMDR knows its tough edges, such process will not start because it seems to be, or because the focus is not easy. In many cases, this has to do with a lack of experience with the unique dynamics of EMDR as an information processing method, but often the reason lies in not fully implement the protocol. In this session gives an overview of - and explanations are given - EMDR common 'mistakes' and difficulties. Participants receive tips and instructions for processes blocked supposed to restart, even in complex patient populations. Extensively discusses the conceptualization of case for the application of EMDR, including using video recordings. Participants are asked their own questions and problems with the EMDR procedure to bring this master of making a lively meeting.

Keywords: Practice  Theory  

Accuracy Verified: Yes


170. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"] . EMDR Deutschland e.V. Rundbrief, 19, 20-34.

Language: German

Format: Newsletter

Abstract:
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung. Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)

Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment. In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).

Keywords: Cognitions  Dialogue Protcol  Dissociation  Personality Disorders  

Accuracy Verified: Yes


171. Sanfiz, J. (2006). Memoria clinica d'un cas en psicoterapia: Tratamiento de un caso de disociacion con hipnosis y EMDR conbinados [Treatment of a case of dissociation combined with hypnosis and EMDR]. Facultat de psicologia, Departament de personalitat, avaluacio y tractament psicologics, Universitat de Barcelona y EMDR Forum Barcelona, Grupo de Trabajo de Disociacion, Casos Clinicos.

Language: Spanish

Format: Conference

Abstract:
La paciente, a la que llamaremos R, es una mujer de 35 años, físicamente explosiva, pide consulta por las dificultades que tiene para “sentir algo” cuando tiene relaciones sexuales con su pareja, con la que convive desde hace año y medio. Se queja de falta de deseo sexual. Cuando tiene relaciones sexuales con su pareja, siente angustia y rechazo.

The patient, whom we shall call R, is a woman of 35 years, physically explosive, consultation requests by the difficulties he has to "feel something" when you have sex with your partner, you live with for a year and a half. Complains of lack of sexual desire. When you have sex with your partner, you feel anxiety and rejection.

Keywords: Dissociation  Hypnosis  

Accuracy Verified: Yes


172. 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:
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.

Keywords: Best Practice  Children  Trauma  

Accuracy Verified: Yes


173. 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:
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.

Keywords: Borderline Personality Disorder  

Accuracy Verified: Yes


174. Manfield, P. (1995, June). Narcissistic disorders:  Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Definition of client population: Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their perfectionism or their quiet devaluing of others. View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style. People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters, however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either superior and powerful or inferior and worthless; supportive and admiring or critical and attacking. Difficulties in using EMDR: Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect, other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and worthlessness and their confusion about who they are and what is truly meaningful and valuable to them. Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts, body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change. In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or painful past experiences. Length of treatment: I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires. Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions: The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions. Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire me. It is often helpful to narrow these cognitions down to make them manageable with EMDR Treatment: In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed Among other things, these facilitate more effective copitive interweaves. The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's own response to situations he has witnessed in news media, TV, movies or theater. A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the client as supportive but nevertheless make hun or her aware of having wandered. Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must, however, retain her healthy perspective if the client is to learn to accept himself. For more clinical information about treating disorders of the self: 1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York, N. Y., 1990 2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992. 3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach, Professional Resource Exchange, Inc., Sarasota, Florida, 1990.

Keywords: Narcissistic Personality Disorder  

Accuracy Verified: Yes


175. Perez-Marin, M., & Molero-Zafra, M. (2008, June). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: Fostering interactions in clinical settings [Intermediate workshop]. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Narrative family therapy is the study of individuals, systems and the research on origins, development and transmission of values, as well as their meaning, and influence on social dynamics. Using tales we could symbolically represent an entity, both individual and collective, and express a personal identification, a family tie, a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is a process to “get out” from the person any element or quality that is transformed in some with entity. In psychotherapy, externalising is the use of language to convert problems that affect person or family on to independent entity. This transformation allows people to fight against them or to view them from a new perspective. Externalisation technique thorough the metaphoric use of tales as external representation of family entity and individual’s worth inside the family system is applied in adoption cases. The objective here is to create a link between the child history and the family history in order to cope with difficulties that children and families find after adoption. We use tales inside the symbolic techniques that permits families work together with meanings, individualism and cohesion within their members, and after adoption. We present some clinical cases with families that have adopted a child. During the treatment we have combined EMDR and narrative family therapy techniques in clinical interventions. Using them, we carried out an analysis of the therapeutic issues and benefices of EMDR and narrative therapy in these family processes.

Keywords: Adoption  Narrative Family Therapy  

Accuracy Verified: Yes


176. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.

Language: English

Format: Conference

Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of adult CTS. Second, there are specific health problems predominant in this population which often are untreated, misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good health care may be minimal for this population. This presentation will focus on the development of an EMDR treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze, hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these problems, (these may include iatrogenic events and specific physical problems seemingly related to current health problems, which actually result from early trauma); and become assertive health consumers. Skills development needed by the CTS to become empowered and competent health consumers, such as rehearsal, identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Ego State Therapy  

Accuracy Verified: Yes


177. 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:
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

Keywords: Neurobiology  

Accuracy Verified: Yes


178. Oxdale, R. (2008, June). Neurophysiological observations on impaired processing: some things we can learn about PSTD & EMDR from sleep disorder conditions such as sleep apnoea and limb movement of sleep disorder. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
EMDR has developed on a theoretical background of information processing. What do we know about the structure and functioning of the processing parts of the brain, or “the processor”? In this talk I will bring together information from the research studies of Harvard neurophysiologist Robert Stickgold, the MRI studies of Ruth Lanius, and my own co-morbidity studies of PTSD, which show a very high co-morbid sleep disorder association. EMDR practitioners in UK and Europe may be unfamiliar with sleep disorder medicine, and this presentation aims to introduce them to this realm of interest. I will explain why sleep disorders render people vulnerable to developing PTSD; and why EMDR will help resolve PTSD; and why sometimes the sleep disorder problem needs to be recognized and addressed in its own right. Instruction on how to screen for significant sleep disorders and how to recognize them and distinguish them from sleep disturbance will be given. I will discuss recent and ongoing studies of limb movement disorder of sleep, which often seems to contribute to vulnerability to adjustment disorder and PTS symptoms. The ecological neatness of EMDR will be apparent, and difficulties in achieving results in chronic PTSD will be understandable and seen as remediable. The direction of possible future research efforts in this area will be discussed.

Keywords: Neurobiology  

Accuracy Verified: Yes


179. Kelley, S. D., & Bozorg, A. (2010, December). Outcomes of trauma-induced psychogenic nonepileptic attacks treated with eye movement desensitization and reprocessing. Poster presented at the 64th Annual Meeting of the American Epilepsy Society, San Antonio, TX.

Language: English

Format: Conference

Abstract:
Rationale: Because of high rates of trauma (44-100%) and abuse (23-77%) among PNEA patients, it has been suggested that PNEA are a clinical expression of a PTSD subtype. Although little is known about psychological treatments that are most effective with PNEA, EMDR has proved to be an effective treatment for trauma and is now showing promise in the treatment of PNEA patients with trauma and abuse histories. This presentation details outcomes of 74 patients with PNEA, the majority of whom have such histories, who have been referred for mental health treatment. Methods: This study integrates EMDR into the mental health treatment of PNEA patients referred after video EEG monitoring confirmed the presence of psychogenic attacks and diagnostic interviews revealed virtually ubiquitous trauma and abuse histories/experiences. Data were analyzed for patients referred over a 6-year period from a hospital-based clinic serving Floridians and persons from the southeastern US. Results: The study protocol was comprised of 2-3 initial sessions for diagnosis and rapport building followed by weekly EMDR ranging from 3 to 15 sessions. Of 74 patients referred, 31 were from distant locales and were matched with mental health practitioners in their home locations. 43 patients were interviewed; 20 were seen for consultation only - they refused treatment, preferring to pursue disability benefits. 21 of 23 remaining had trauma and abuse histories. 14 of those realized complete remission of PNEA with EMDR; 8 discontinued treatment because of relocation, transportation difficulties, and the like. Followup reveals no return to seizure status. Conclusions: EMDR appears to be an efficacious intervention in the psychological treatment of PNEA patients with trauma histories. A two year highly innovative single center randomized controlled tial comparing EMDR with another innovative promising approach, Neurofeedback Therapy (NFT) is planned for the fall of 2010 for 60 patients.

Keywords: Trauma-Induced Psychogenic Nonepileptic Attacks  

Accuracy Verified: Yes


180. ten Broeke, E., Korrelboom, K., & de Jongh, A. (1998, December). Over de noodzaak van herhaalde en langdurige blootstelling aan traumatische herinneringen bij de behandeling van posttraumatische stress stoornis (PTSS)? [Is prolonged exposure to traumatic memories necessary in PTSD?]. Gedragstherapie, 31(4), 273-290.

Language: Dutch

Format: Magazine

Abstract:
Langdurige blootstelling aan traumatische herinneringen wordt door velen beschouwd als een noodzakelijk element in de behandeling van posttramatic stress-stoornis (PTSS). Deze bewering wordt ondersteund door de doeltreffendheid van de directe therapeutische blootstelling (DTE), zoals blijkt uit gecontroleerde studies. Omgekeerd is er aanwijzingen dat andere behandelmethoden die geen gebruik maken van langdurige blootstelling wijzen verschijnt even effectief. Bovendien is de effectiviteit van de DTE bemoeilijkt door zowel psychiatrische complicaties en de beperkte compliance van de patiënt als gevolg van problemen met de blootstelling huiswerkopdrachten. In deze paper wordt geconcludeerd dat de DTE is een levensvatbare behandeling voor PTSS, maar het is twijfelachtig of DTE moet worden beschouwd als de 'voorkeursbehandeling' voor PTSS. Steekwoorden: langdurige blootstelling, PTSS, te herzien.

Prolonged exposure to traumatic memories is considered by many as a necessary element in the treatment of posttramatic stress disorder (PTSD). This claim is supported by the effectiveness of direct therapeutic exposure (DTE), as is evident from controlled outcome studies. Conversely, there is evidence to suggest that other treatment approaches that do not use prolonged exposure appear equally effective. Furthermore, the effectiveness of DTE is complicated by both psychiatric complications and limited patient compliance as a result of difficulties with exposure homework assignments. In this paper, it is concluded that DTE is a viable treatment for PTSD, but it is questionable whether DTE should be considered the 'treatment of choice' for PTSD. Key words: prolonged exposure, PTSD, review.

Keywords: Cognitive Therapy  Episodic Memory  Implosive Therapy  Posttraumatic Stress Disorder  PTSD  Prolonged Exposure  Review  Treatment  

Accuracy Verified: Yes


181. Kravic, N., & Hasanovic, M. (2011, January). P02-377 - Moral conflict and first sexual experience - Case presentation. European Psychiatry, 26(Supplement 1), 973-973. doi:10.1016/S0924-9338(11)72678-5.

Language: English

Format: Journal

Abstract:
Objectives: In our mind as well as in our body and nature nothing is happened accidentally, we can often see that there is mutual connection between them. There is a case presentation of young man age 29 with obsessive thoughts for getting fatal disease if step on junky needles which he had seen in his neighbor. It thoughts influence his all life he is avoiding to go out of his apartment, poorly sleep, he insisted to be admitted to in patient treatment because he „would probably kill himself if he had to stay there jet…” His first difficulties appeared when he was 20, after his first sexual experience which he has had with prostitute, after his friend’s birthday party. Then he obsessively started to think about getting AIDS, getting died… Four years ago he really have got malignant testicular tumor and in his 24he had passed through exhausting surgery and chemotherapy. As a child he was growing up during the war time, experienced snake bite, often tonsil infections.Now he has no job, live with parents and one year older brother, no girlfriend or other relationship. Treated with antidepressant venlafaxin, and atypical narcoleptic risperidon, with additionally used EMDR, he showed good recovery and getting into every day activities.

Keywords: Sexual Experience  

Accuracy Verified: Yes


182. 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:
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.

Keywords: Dissociation  Mechanism  Plenary  Right Brain Affect Regulation  Trauma  

Accuracy Verified: Yes


183. Morini, P. L., & Romanini, M. L. (2001). Pedophilia: An integrated treatment in a prison setting. Tigis.

Language: English

Format: Other

Abstract:
This report describes the results of a long term (3 years) treatment program that used two different treatment modalities: group therapy and EMDR treatment, on pedophile prisoners incarcerated in a prison setting. Our report will include a discussion on the relationship of the Italian legal system to the pedophile offender, the current thinking of the psychiatric community to pedophilia and a detailed report of one case study. In this case study we describe the nature of the crime, the evolution of the offender’s pathology and cognitive reprocessing procedure that was achieved through psychodynamic and cognitive interventions. To overcome any difficulties that a prison setting imposes on the treatment process we have thought to make this treatment option entirely voluntary, with the subject beeing offered not other‚ incentive‚ than a free choice to have the opportunity to ‚looking into himself‘. In this report we will also summarize the findings of similar treatment modalities on four other sexual offender inmates who have been released from prison only two years ago compaired to the four years of follow up in the case study; each of these four subjects appears to be doing well in living a fully integrated life outside of prison. It is ous view that the results of this study suggest that an integrated therapeutic approach, in a prison setting, can make a valuable contribution to the solution of some of the problems connected with sexual deviance.

Keywords: Pedophilia  Prison Setting  

Accuracy Verified: No


184. Romanini, M., & Morini, P. (2004, June). Pedophilia: An integrated treatment in a prison setting. In EMDR, biology and the body (P. Lieberman, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This report describes the results of a long term (three years) treatment program that used two different treatment modalities: group therapy and EMDR treatment, on pedophile prisoners incarcerated in a prison setting.
Our report will include a discussion on the relationship of the Italian legal system to the pedophile offender, the current thinking of the psychiatric community to the pedophilia, and a detailed report of one case study.
In this case study, we describe the nature of the crime, the evolution of the offender’s pathology, and the cognitive reprocessing procedure that was achieved through psychodynamic and cognitive interventions and EMDR treatment.
To overcome any difficulties that a prison setting imposes on the treatment process, we have sought to make this treatment option entirely voluntary nature with the subject being offered no other “’incentive’ than a free choice to have the opportunity to “looking into himself.’
In this report, we will also summarize the findings of similar treatment modalities on four other sexual offender inmates who have been released from prison but have a shorter follow up period. Each of these four subjects has now completed their prison sentence and appears to be doing well in living a fully integrated life outside of prison.
It is our view that the results of this study suggest that an integrated therapeutic approach, in a prison setting, can make a valuable contribution to the solution of some of the problems connected to sexual deviance.

Keywords: Pedophilia  Symposium  

Accuracy Verified: Yes


185. 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:
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.

Keywords: Personality Disorders  

Accuracy Verified: Yes


186. 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:
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.

Keywords: Trauma  Women  

Accuracy Verified: Yes


187. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280.

Language: English

Format: Journal

Abstract:
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]

Keywords: Hypnotherapy  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Review  Treatment  Treatment Effectiveness  

Accuracy Verified: Yes


188. Zimmermann, E. (2010, June). The potential of EMDR in gynaecology and obstetrics: Special application with infertile women. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The author of this presentation works as psychologist and psychotherapist in a clinic in Fribourg/Switzerland in the department of gynecology and obstetrics. Various applications of EMDR are used, both in gynecologic and obstetrical outcomes. A special patient population, namely infertile women in search of becoming pregnant, are an important part of the work. The purpose of this presentation is to show the special approach that E. Zimmermann has developed by working with infertile women. Infertile women - in opposition to sterile women - are women with no apparent medical reason why they do not become pregnant. These infertile women often pass a particularly long and difficult phase to get pregnant. They are always disappointed by the repeated negative outcome of all their efforts to become pregnant. This is a very difficult phase in the life of the couple too, and not few couples separate during this phase. Especially women feel unable being a mother and their self-esteem is very low. This is why the author has developed a special application of EMDR to this population. The aim is to cope with the difficulties related to these different stages. Another purpose is preparing a desired and possible pregnancy. Women mostly have very different anamnesis, some also including trauma. They have in particular a personal pregnancy or non-pregnancy history, e.g. also abortion. In addition the medical assistance utilized for getting pregnant is quite different for every case. Lots of them end up by using fertilization techniques, which have a low chance of success. This makes it rather difficult for EMDR to treat these women i a standardized way. The author of this workshop has developed a flow-chart providing an concept of applying EMDR at different stages with different types of targets in order to compare the outcomes. By working with EMDR and infertile women, it appears that they become pregnant quicker than what the statistics predict. There are also women who become pregnant after working with EMDR before they start the fertility-program. This is why the author prepares a research study to try to figure out if the EMDR-process can have a positive impact on fertility.

Keywords: Female Issues  Gynecology  Infertility  Obstetrics  Symposium  

Accuracy Verified: Yes


189. van der Vleugel, B. (2011, August-September). Practical guidelines for PTSD treatment in psychotic patients. In Treating PTSD in patients with psychotic disorders, Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Objectives: Professionals are very cautious, if not reluctant, to treat trauma-related symptoms in psychotic patients. As is argued by the other speakers there is growing evidence psychotic patients can safely be exposed to PTSD treatment. There are several possible links between trauma and psychosis and an integrative approach to conceptualizing these relationships is needed (Morrisson et al., 2003) Methods: In this presentation practical guidelines are given with respect to gathering information in the assessment phase and presenting this information in an individual case conceptualisation. Choices regarding which experiences to work with and in what way, will be discussed. Treatment processes are illustrated by vignettes and video material. Some difficulties one may encounter when using interventions like EMDR and prolongued exposure with psychotic patients, will be adressed. Results: Attendants will be mindful of an integrative model of trauma and psychosis and will be able to use this to identify the target(s) for intervening. They will be prepared for some diffuclties they may encounter while conducting PTSD treatment. Conclusions: Case formulations aim to explain the development and maintenance of client‘s experienced problems in terms of causal relationships. It is vital that both client and therapist have a shared understanding of the problems that are going to be addressed in therapy and that interventions are guided by this formulation.

Keywords: Posttraumatic Stress Disorder  PTSD  Psychotic Disorders  Symposium  

Accuracy Verified: Yes


190. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x.

Language: English

Format: Journal

Abstract:
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.

Keywords: CBT  Children  Cognitive Behaviorial Therapy  Literature Review  Narrative Exposure Therapy  NET  Posttraumatic Stress Disorder  PTSD  War Refugees  

Accuracy Verified: Yes


191. Rubin, A. (1999, November). Presidential editorial: Controlling for potential biases in research on social work practice effectiveness: Are higher standards needed?. Research on Social Work Practice, 9(6), 635-639. doi:10.1177/104973159900900601.

Language: English

Format: Journal

Abstract:
The article offers views on the processes and standards used by professional journals with respect to the review of manuscripts that report evaluations of practice effectiveness. The article discusses rejecting a study that randomly assigned clients to a treatment group and wait-list control group. The article discusses biases in research on social work practice effectiveness. Although the obvious bias in these studies regarding expectation for improvement or experimental demand was roundly criticized in subsequent reviews, it didn't keep them from being published. Given the difficulties researchers face in finding agencies that will permit rigorous experimental outcome studies, it is easy to recommend publishing a study that is strong in virtually every way but one-even if that one weakness is so severe that it virtually destroys the credibility of the study's findings. The author believes in studies using randomized assignment to experimental and control groups, where readers are so impressed by the randomized experimental design that they cut the author some slack regarding possible measurement bias or the potentially biasing effects of expectation for improvement or experimental demand.[EbscoHost]

Keywords: Editorial  

Accuracy Verified: Yes


192. Russell, M. C. (2012, January 27). Preventing military misconduct stress behaviors. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/ptsd-veterans_b_1228546.html on 2/5/2023..

Language: English

Format: Other

Abstract:
Since 2004, EMDR has been recognized by the DVA and DoD as a top evidence-based treatment for post-traumatic stress disorders according to their own clinical practice guidelines. With high rates of mental health stigma in the military, EMDR has the unique advantage of being noticeably different than standard talk therapy. Service personnel are not required to self-disclose details of events that they have witnessed or participated in, and the effects tend to be more rapid and generalize to other contributing experiences that often underlie difficulties associated with depression, suicide, anger, substance use, aggression, medically unexplained conditions, and so on. [Excerpt]

Keywords: Blog  Military  Stress  Veterans  War  

Accuracy Verified: Yes


193. Castello, A. L. G. (2012, Novembro). Processamento das experiências traumáticas parentais intergeracionais através do EMDR [Processing intergenerational trauma with EMDR]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Este trabalho foi realizado numa Clínica Pediátrica, CLIAP, em São Paulo, Brasil, com 128 pais na idade de 28 a 56 anos, numa amostra de 2.560 atendimentos individuais, sendo 20 atendimentos para cada pai. Estes pais vieram para tratamento psicológico por intermédio do pediatra da clínica com queixas de dificuldades na condução do papel parental. Foram utilizados 2560 protocolos de EMDR individual com os pais. Objetivos: Este trabalho é o início de um trabalho de pesquisa com EMDR com pais, onde a técnica é utilizada como articulação metodológica no trabalho terapêutico para processamento das experiências traumáticas vivenciadas pelos pais em suas famílias de origem nas diversas situações de vida familiar. É um trabalho que vem sendo realizado desde 2007 e será instrumento de Pós-Doutorado da autora a partir do ano de 2013. Os atendimentos são individuais com EMDR e os pais se submetem a 20 sessões de protocolos adaptados de EMDR. Resultados: Durante o trabalho acontece o processamento das experiências traumáticas vivenciadas pelos pais em suas famílias de origem, onde ocorrem a redefinição do papel parental durante as sessões de EMDR. Palavras-chave: pais; experiências traumáticas; EMDR.

This work was performed in a Pediatric Clinic, CLIAP in Sao Paulo, Brazil, with 128 parents at age 28-56 years, a sample of 2,560 individual visits, 20 visits for each parent. These parents came to psychological treatment through the pediatric clinic with complaints of difficulties in conducting the parental role. 2560 were used EMDR protocols with individual parents. Objectives: This study is the beginning of a research work with EMDR with parents, where the technique is used as methodological articulation in therapeutic work for processing of traumatic experiences experienced by parents in their families of origin in the different situations of family life. It is a work that has been performed since 2007 and will instrument Postdoctoral the author from the year 2013. Services are individual EMDR and parents undergo 20 sessions of EMDR protocol adapted. Results: During the processing of the work happens traumatic experiences experienced by parents in their families of origin, where there are redefining the parental role during sessions of EMDR. Keywords: parents; traumatic experiences, EMDR.

Keywords: Parents  Traumatic Experiences  

Accuracy Verified: Yes


194. Oren, U. (2008, December). Promising results with the EMDR method - Alleviating traumatized bodies and minds . Rehabilitation and Research Centre for Torture Victims: An International Evidence-Based Conference, Copenhagen, Denmark .

Language: English

Format: Conference

Abstract:
A patient moving his eyes back and forth following the therapist's fingers as they move across his field of vision for 20-30 seconds. EMDR (Eye movement desensitization and reprocessing) might sound as a scam, but in fact it is becoming a highly recognized and widespread treatment method. It is an innovative clinical treatment. It has successfully helped over one million people who have experienced psychological difficulties which originate from some kind of traumatic experience, such as sexual abuse, childhood neglect, road traffic accidents and violence.

Keywords: Mind-Body  

Accuracy Verified: Yes


195. 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:
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.

Keywords: Mind-Body Awareness  Poster  

Accuracy Verified: Yes


196. 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:
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.

Keywords: Larence Hedge's Psychoanalytic Model  Psychoanalysis  Transference  

Accuracy Verified: Yes


197. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars:  Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.

Language: English

Format: Journal

Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]

Keywords: Burns  Comorbidity  Epidemiology  Literature Review  Posttraumatic Stress Disorder  Predisposition  PTSD  Survivors  Treatment  

Accuracy Verified: Yes


198. Fouya, V. (2010, Novembre). Psychotherapie - EMDR: Le pouvoir des yeux [Psychotherapy - EMDR: The power of eyes]. Le Vif/L'express, (Supplement) Extra, (46), 36.

Language: French

Format: Magazine

Abstract:
Ce sont d’abord les vétérans de la guerre du Vietnam qui en ont bénéficié. Aujourd’hui, l’EMDR s’utilise pour guérir des traumatismes de toutes natures. Rien qu’en bougeant les yeux... Traumatisme. Le mot résonne avec force. Il est associé à la violence, à l’intensité, à la mémoire aussi. Le traumatisme laisse des traces, il empêche souvent de vivre. On le conçoit aisément quand il s’agit de catastrophe naturelle ou de conflit armé, mais les blessés de la vie, nous en croisons tous les jours... La perte d’un enfant, des violences sexuelles, un accident de la route, ... Comment continuer après ? Psychologue spécialisée dans les traumatismes, Evelyne Josse a appris à utiliser l’EMDR lors d’interventions humanitaires ou auprès d’enfants malades. « La psychanalyse ne fonctionne pas pour ce type d’indications. Vous pouvez revisiter votre passé à loisir et identifier les causes de vos difficultés, ce n’est pas pour autant que vous serez soulagé de vos symptômes » D’abord séduite par l’hypnose, la psychothérapeute recourt aujourd’hui également à l’EMDR - désensibilisation et retraitement par le mouvement des yeux - pour traiter les phobies, les troubles alimentaires, les acouphènes, les dépressions et les stress post- traumatiques. « Non seulement c’est efficace mais c’est aussi rapide et une fois traités, les symptômes ne reviennent plus. » Concrètement, le travail démarre par un ou deux entretiens préalables qui vont permettre au thérapeute de cerner les difficultés de son patient. Ou plutôt sa difficulté majeure car il n’est pas question ici de s’interroger ici sur le sens de l’existence.... On identifie un problème spécifique et on s’attache à le traiter. Au cours des séances, le patient doit associer une image et des sensations à son expérience négative ; pendant qu’il la revit, il suit des yeux les mouvements des doigts du thérapeute. Une manière de stimuler latéralement les hémisphères cérébraux qui permettrait de « débloquer » l’information traumatique et de la reprogrammer de manière adéquate dans le cerveau. Anne a assisté à l’assassinant de son voisin. L’image de la terrasse ensanglantée la hantait jour et nuit et elle souffrait de crampes abdominales. « Pendant les séances, dès que les mouvements oculaires commençaient, les sensations revenaient en même temps que mes crampes. Au fur et à mesure, je suis arrivée à effacer ces images insoutenables et à les remplacer par des images plus « gérables ». J’ai retrouvé le sommeil, je peux à nouveau voir du sang et je me sens suffisamment sereine. J’ai fait 6 séances en tout et pour tout.»

First come the veterans of the Vietnam War who have benefited. Today, EMDR is used to heal injuries of all kinds. Just by moving the eyes ... Trauma. The word resonates strongly. It is associated with violence, intensity, memory too. Trauma leaves its mark, it often prevents them from living. It is easy to see when it comes to natural disaster or armed conflict, but the casualties of life, we come across every day ... The loss of a child, sexual violence, a car accident, ... How to continue after that? Psychologist specializing in trauma, Evelyne Josse has learned to use EMDR during humanitarian or with sick children. "Psychoanalysis does not work for such indications. You can revisit your past at your leisure and identify the causes of your problems is not to say that you will be relieved of your symptoms "At first seduced by hypnosis, psychotherapy today also uses EMDR - desensitization and reprocessing eye movement - to treat phobias, eating disorders, tinnitus, depression and post traumatic stress. "It's not only effective but also fast and once treated, the symptoms come back. " Specifically, the work starts with one or two prior interviews that will allow the therapist to identify the difficulties of his patient. Or rather the major problem because it is not about to question here on the meaning of life .... We identify a specific problem and is working to address it. During the sessions, the patient must attach an image and feeling to his negative experience, as he saw her, his eyes follow the movements of the fingers of the therapist. One way of stimulating the cerebral hemispheres laterally that would "unlock" the traumatic information and reprogram adequately in the brain. Anne attended the killing of his neighbor. The image of the terrace bloody haunted her day and night and she suffered from abdominal cramps. "During the meeting, that the eye movements began, the feeling came back together my cramps. As in, I got to clear these unbearable images and replace them with images more "manageable." I found the sleep, I can again see blood and I feel calm enough. I made six sessions in all and for all. "

Keywords: Practice  Theory  

Accuracy Verified: Yes


199. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.

Keywords: Information Processing  Keynote  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


200. Beere, D., Simon, M., & Welch, K. (2000, January-April). Recommendations and illustrations for combining hypnosis and EMDR in the treatment of psychological trauma. American Journal of Clinical Hypnosis, 43(3-4), 217-231. doi:10.1080/00029157.2001.10404278.

Language: English

Format: Journal

Abstract:
Three experienced therapists, trained in hypnosis and EMDR, distilled some tentative hypotheses about the use of hypnosis in EMDR from fifteen cases, two presented here. When a therapist uses hypnosis with EMDR, it seems that the client is having difficulty or the therapist anticipates that the client will have difficulty managing the experiences processed with EMDR. Hypnosis initiated either during the introduction to EMDR or within a therapy session prior to the initiation of EMDR seems to have served two functions. The first function is to activate inner work that prepares the client to use EMDR successfully, and the second function is to facilitate overtly the processing of the traumatic experience. Clients might have two kinds of difficulties in managing affect or distress: (1) they may have a long-standing, irrational and strongly held belief that interferes with managing affect or distress, and (2) they may never have developed the capacity to tolerate intense affect, distress or pain. Should a therapist use hypnosis during the closing down phase of a session without preparing the client with hypnosis during the introduction to EMDR, the therapist should seriously reconsider the pace and focus of EMDR and the client's resources to manage affect and distress. [Author Abstract]

Keywords: Hypnotherapy  Treatment  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Review  Treatment Effectiveness  

Accuracy Verified: Yes


201. Ramos-Ruggiero, L., & Sondergaard, H. P. (2008, April). Recovered traumatic memories through eye movements? A Case presentation from Sweden. Presentation at the 1st B-Annual International European Society for Trauma and Dissociation, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
This is a case presentation regarding the treatment of a severely traumatized woman formerly treated for depression and PTSD following incarceration in prison, “disappearance” of husband, and torture. After psychotherapy for several years, the patient improved and started to work in a qualified job. After some years, however, the patient returns because she has a feeling that the therapy was unfinished, and because of remaining psychosomatic symptoms, difficulties breathing, obesity, overeating, and recurrent urinary tract infections. The therapist then decided to try the resource installation protocol. However, in an impulse, he asked her to concentrate on her bodily sensations. Several video-recorded sequences illustrate how the patient, seemingly for the first time in her life, discovered and re-experienced childhood trauma. It seems that the eye movements during attempts at EMDR treatment made it possible to lift repression and dissociation as well as to make processing possible, thus liberating the patient from a heavy burden of mental and psychosomatic symptoms. At follow-up by the second author, the patient is entirely asymptomatic, with low DES scores and is no longer obese.
Learning objectives: 1. Somatoform symptoms as a bridge to dissociated traumatic childhood experiences 2. How dissociation might lift during treatment 3. Recent research findings regarding the effect of eye movements on episodic memory. 26

Keywords: Eye Movements  Sweden  

Accuracy Verified: Yes


202. Bronner, M. B., Beer, R., Jozine van Zelm van Eldik, M., Grootenhuis, M. A., & Last, B. F. (2009, June). Reducing acute stress in a 16-year old using trauma-focused cognitive behaviour therapy and eye movement desensitization and reprocessing. Developmental Neurorehabilitation, 12(3), 170-174. doi:10.1080/17518420902858975. .

Language: English

Format: Journal

Abstract:
Objective: To assess the effects of trauma-focused cognitive behaviour therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) for the treatment of acute stress in an adolescent. Methods: A combination of TF-CBT and EMDR was provided to a 16-year-old girl with distressing memories, anxiety and flashbacks. For measurement of the efficacy of the treatment package, the Children's Revised Impact of Event Scale (CRIES-13) was used. Results: Acute stress reactions decreased considerably after treatment and remained stable. CRIES-13 scores showed substantial reduction in stress scores. The girl reported no more flashbacks of the injury, sleeping difficulties or recurrent and distressing memories. Conclusion: This case study illustrates the potential efficacy of a combination of TF-CBT and EMDR for patients with acute stress reactions. Future studies should examine the efficacy of this treatment package in a large sample of children.[Ebsco]

Keywords: Acute Stress  Cognitive Behavioural Therapy  

Accuracy Verified: Yes


203. 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:
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.).

Keywords: Installation Protocol  Regulated Eye Contact Activation  

Accuracy Verified: Yes


204. 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:
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.

Keywords: Complex Trauma  Relational Affect Regulation  

Accuracy Verified: Yes


205. 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:
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.

Keywords: Relationship Issues  Trauma  

Accuracy Verified: Yes


206. 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


207. Madrid, A., Skolek, S., & Shapiro, F. (2006, October). Repairing failures in bonding through EMDR. Clinical Case Studies, 5(4), 271-286. doi:10.1177/1534650104267403.

Language: English

Format: Journal

Abstract:
Maternal-infant bonding is an intense emotional tie between mother and infant that often begins during pregnancy and continues after birth. Prolonged physical separation from one's infant or traumatic interference can sometimes impede this process, leading to a lack of bonding. Whereas many medical procedures and illnesses can cause mother and child to become separated immediately after birth and affect bonding, other causes of emotional separation may be somewhat more difficult to identify. Nevertheless, maternal trauma has been identified as one such form of emotional separation that can interfere with bonding. This article illustrates the application of Eye Movement Desensitization and Reprocessing (EMDR) for addressing bonding difficulties related to trauma issues. EMDR is an integrative psychotherapy that uses a standardized eight-phase approach to treatment and is a well-accepted treatment for trauma. Although more research is needed, this case suggests that EMDR may be an appropriate and efficient treatment for bonding difficulties. [Author Abstract]

Keywords: Attachment Behavior  Bonding Failures  Case Report  Clinical Case Study  Females  Integrative Psychotherapy  Maternal Infant Bonding  Maternal  Mother Child Relations  Separation Reactions  Parenting Behavior  Physical Separation  Pregnancy  Stressors  Survivors  Trauma  

Accuracy Verified: Yes


208. Quilez P., R. (2007, Novembro). Resolución de trastorno de conducta alimentaria desde el modelo EMDR [Resolution of eating disorder from the EMDR model]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Spanish

Format: Conference

Abstract: Objetivos de aprendizaje: • Informar del estado actual de la investigación del EMDR y los TCA • Identificar las principales dificultades que pueden aparecer • Aprender a manejar adecuadamente con EMDR los diferentes TCA.

Learning Objectives: • Report the current state of research EMDR and the TCA • Identify the major difficulties can appear • Learning to cope adequately with EMDR different TCA

Keywords: Eating Disorders  

Accuracy Verified: Yes


209. Mize, S. (2002, February). The role of eye-movement desensitization and reprocessing (EMDR) in the interdisciplinary treatment of low sexual desire women. Presentation at the American Psychological Association Public Interest Directorate; Women's Programs.

Language: English

Format: Other

Abstract:
Low sexual desire disorder is the most common sexual dysfunction in women. There is no standard definition for "normal" sexual desire and there are many factors that can influence it, hence, low desire can be one of the more difficult sexual dysfunctions treat. Given its inherent complexity, it frequently requires interdisciplinary assessment and treatment. The present symposium is an attempt to share our model for the treatment of this widespread and yet, poorly understood dysfunction. One component of the complexity of low sexual desire is its correlation with other difficulties, for example, PTSD, depression, anxiety, relationship disturbance, physical illness, and life stress. Another one of these concerns is childhood sexual abuse. EMDR has been used very successfully to resolve the trauma associated with sexual assault as well as sexual dysfunctions. We will illustrate the use of EMDR with a woman presenting with low sexual desire and a history of sexual abuse. EMDR methodology will be described. The use of EMDR for abuse recovery as a method of resolving low desire will be discussed. We will explore a number of important therapeutic issues including: (1) fundamental questions of responsibility, control and safety as they relate to sexual abuse and ultimately sexual desire in the current relationship; (2) individuation from partner and perpetrator, barriers to this process and the impact on sexual desire of successful differentiation; and (3) repression of anger and the concomitant physical manifestations. In addition, we will discuss the collaboration with both sexual medicines and psychiatry around modulation of medications to maximize treatment outcomes with EMDR.

Enhancing Outcomes in Women's Health: Translating Psychosocial Behavioral Research Into Primary Care, Community Interventions, and Health Policy; American Psychological Association [American Psychological Association Public Interest Directorate; Women's Programs].

Keywords: Females  Inhibited Sexual Desire  Low Sexual Desire  Sexual Abuse  

Accuracy Verified: No


210. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York: The Guilford Press .

Language: English

Format: Book

Abstract:
Designed to bring about lasting change in clients with personality disorders and other complex difficulties, schema therapy combines proven cognitive-behavioral techniques with elements of interpersonal, experiential, and psychodynamic therapies.

Keywords: Schema-Focused Therapy  

Accuracy Verified: Yes


211. Ehntholt, K. A., Smith, P. A., & Yule, W. (2005, April). School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma. Clinical Child Psychology and Psychiatry, 10(2), 235-250. doi:10.1177/1359104505051214.

Language: English

Format: Journal

Abstract:
This study evaluated the effectiveness of a school-based group intervention designed for children who have experienced trauma. Twenty-six children (aged 11–15 years) who were refugees or asylum-seekers from war-affected countries participated. The manual-based intervention consisted of cognitive-behavioural therapy (CBT) techniques and was implemented within secondary schools. The treatment group (n = 15) received six sessions of group CBT over a 6-week period, while the control group (n = 11) were placed on a waiting list for 6 weeks and then invited to enter treatment. Children in the CBT group showed statistically significant, but clinically modest improvements following the intervention, with decreases in overall severity of post-traumatic stress symptoms. Significant improvements were also found in overall behavioural difficulties and emotional symptoms. Children in the waiting list control group did not show any improvements over the same period. However, follow-up data, which were only available for a small subset of eight children, suggest that gains in the CBT group were not maintained at 2-month follow-up.

Keywords: Children  Group CBT  Group Cognitive Behaviorial Therapy  Posttraumatic Stress Disorder  PTSD  Refugees  School  

Accuracy Verified: Yes


212. Wizansky, B. & Overkamp, B. (2007, März-August). Schritte durch das labyrinth: Ein modell zum leichteren einsatzgruppen von EMDR bei kindern [Footsteps through the maze - A model for facilitating the use of EMDR with children]. EMDRIA Deutschland e.V. Rundbrief, 12, 14-27.

Language: German

Format: Newsletter

Abstract:
Dieser Artikel stellt ein Modell vor, das den Einstieg in die Therapie mit Kindern erleichtern soll, die mit dem Einsatz von EMDR als Therapiemethode Schwierigkeiten haben und im therapeutischen Prozess nicht mitarbeiten können. Das dem Modell zugrunde liegende Konzept bezieht sich auf einen aus Erinnerungen und Assoziationen bestehenden inneren psychischen Raum, in dem es die gesamte Bandbreite an Emotionen gibt, die dem Kind zur Verfügung stehen, wenn es sich durch seinen Alltag navigiert. Nach meiner Vorstellung muss ein Kind diesen inneren Raum betreten, wenn es Ausgleich und Veränderung erreichen will. Für die Kinder aber, für die dieses Modell entwickelt wurde, ist das In Kontakt kommen mit möglicherweise unangenehmen Gefühlen unerträglich gefährlich. Seine Angst vor dem Erleben unkontrollierbarer Emotionen schließt Kommunikation aus – sowohl mit sich selbst als auch mit dem Therapeuten.

This article presents a model that will facilitate entry into therapy with children, with the use of EMDR as a treatment method with children who have difficulties and can not participate in the therapeutic process. The model underlying concept refers to an existing memories and associations inner mental space in which there is a whole range of emotions that the child finds when it navigates through his everyday life. I imagine a child must enter this inner space, if it is to achieve balance and change. This model was developed for the children who come in contact with potentially dangerous unpleasant insufferable feelings. Their fear of the experience of uncontrollable emotions does connect with both themselves and the therapist.

Keywords: Children  Footsteps Through the Maze  

Accuracy Verified: Yes


213. 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:
“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.

Keywords: Sex Addiction  

Accuracy Verified: Yes


214. Easton, S., & Ost, J. (2006). Should EMDR really be recommended as equivalent to CBT for post trauma difficulties?. BABCP Magazine, 19. Retrieved from http://www.port.ac.uk/departments/academic/psychology/staff/downloads/filetodownload,62618,en.pdf 8/21/2012.

Language: English

Format: Magazine

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been recommended for individuals who have experienced difficulties following a traumatic experience in the National Institute for Clinical Excellence (NICE, 2005) report on treatments for Post Traumatic Stress Disorder (PTSD). Cognitive Behavioural Therapy (CBT) is also singled out for recommendation, apparently indicating some degree of equivalence of these two approaches. The NICE guidelines are intended to give an indication of expert consensus on best practice and, as such, are already affecting perceptions, beliefs and preferences of both the wider public and service providers.

Keywords: CBT  Cognitive Behaviorial Therapy  

Accuracy Verified: Yes


215. Matthess, H., & Yang, Y. (2010, July). Social and cultural adaptation. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
We know from research that since neurobiology is the same for humans, then the reaction to stress is the same for all human beings in the world. That is why EMDR works so well with victims of natural disasters and of adverse childhood experiences, including sexual and physical violence and emotional neglect. Because of cognitive functioning, e.g., creating metaphors and images for self-soothing, establishing social contact and/ or personal interpretation, or assigning meaning to stressful experiences, we have to emphasize the importance of cultural influences. We want to invite people from different cultures to join this open meeting to present, share, and discuss their experiences and perhaps difficulties with cultural adaptation of trauma-therapy techniques, including EMDR. For example, we may need to examine where and how the wording of the EMDR-protocol needs to be adapted to recognize and accommodate cultural differences; perhaps we need to look at the language structure and its accessibility. Let us share our ideas and experiences so that we may get new insights on how to more effectively implement our trauma-therapy techniques and spread our knowledge about neurobiology to various cultural backgrounds.

Keywords: Social and Cultural Adaptation  

Accuracy Verified: Yes


216. 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:
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.

Keywords: Counter-transference  Dissociative Disorders  Transference  

Accuracy Verified: Yes


217. 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:
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 .

Keywords: Countertransference  Transference  

Accuracy Verified: Yes


218. Kinowski, K. (2002, June). A somatosensory anchoring of confidence using EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This workshop will present a treatment protocol that is specifically aimed at finding and strengthening a somatosensory basis for confidence to help clients deal with recurrent difficulties. Short sets of slow eye movements are used. Participants will see video illustrations of different sections of the protocol and review in session outcomes with follow-up report by clients that suggest a generalization towards increased resilience. Participants will also learn the conjectured theoretical underpinnings of the protocol in terms of neurophysiological processes and relationship attachment issues. This treatment protocol does not replace the standard EMDR protocol but may be used as an adjunct or as a stand alone therapy for mild to moderate range GAF problems.

Keywords: Confidence  Somatosenory Anchoring  

Accuracy Verified: Yes


219. Settle, C. (2008, June). Speciality topics on using EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop focuses on specialty topics for children under ten including the advanced application of EMDR with other clinical, behavioural, regulatory, medical, and educational issues with recommendations for procedural considerations and additional treatment modalities used in conjunction with the EMDR protocol. Information will be provided through handouts, case presentations, and videos on how EMDR can be used to assist the child in lessening, managing, or eliminating symptomatology in these following areas: 1. Attention Deficit/Hyperactivity Disorder (ADHD)—information will be presented on targeting social and academic challenges that can reduce anxiety and improve focus and self-control), 2. Sensory Integration Dysfunction (SID)—identifying and reprocessing sensory difficulties will be taught to help the child achieve reduction in hypersensitivity, 3. Tics—targeting the child’s anxiety can result in the reduction of tics, 4. Trichotillomania—a specific procedure will be presented to assist in decreasing or eliminating the incidence of hair-pulling, 5. School refusal behaviour—case conceptualization will be explored to assist in targeting behaviour and improve school attendance, 6. Gifted and talented—techniques for reprocessing emotional and sensory targets will be demonstrated to assist the child in bridging their intellectual, emotional, and social challenges, 7. Regulatory issues—skills for combining EMDR with behavioural and educational techniques will be discussed to help the child reduce or eliminate eating, sleeping, or urinary/bowel difficulties, 8. Traumatic brain injury—targeting the 22 precipitating event and the ongoing medical traumas utilized with a parent narrative protocol can reduce the child’s anxiety and improve functioning.

Keywords: Children  

Accuracy Verified: Yes


220. Kayal, H. (2013, June). Stabilisation techniques in preparation for trauma focused interventions with refugees. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
A phased model of treatment is recommended for the treatment of people who have experienced repeated and multiple traumas and who may still be facing ongoing stress and threat. Establishing a sense of safety and stability is the first stage of treatment before any exposure work can begin. This can be particularly challenging when treating refugees with complex PTSD presentations. This interactive workshop will explore treatment approaches to establishing a sense of safety and stability in preparation for trauma focused therapy. Case examples of torture survivors, victims of trafficking and domestic abuse will be presented to illustrate some of the difficulties in this stage of treatment and interventions. The workshop will promote an understanding of: •Complex PTSD presentations in refugees and asylum seekers •Stabilisation and symptom management in preparation for trauma focused interventions •Managing dissociative flashbacks, dissociative seizures and sensory/physical flashbacks •Cognitive techniques for managing shame, guilt and self blame which may be barriers to exposure work •How best to work with trauma memories and when to use NET, CBT or EMDR •Cultural considerations •Managing vicarious traumatisation and self care

Keywords: Refugees  Stablilization  

Accuracy Verified: Yes


221. 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:
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.

Keywords: Therapeutic Role  

Accuracy Verified: Yes


222. Armstrong, R. (2011, March). The subjective experiences of children following EMDR for PTSD following a single incident trauma. In EMDR research. Symposium (Derek Farrell, Chair) conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This study explored the subjective experiences of children from 10 to 16 years who had completed an episode of Eye Movement Desensitization and Reprocessing (EMDR) therapy for the treatment of Post Traumatic Stress Disorder (PTSD) following a single traumatic incident. Interpretative phenomenological analysis (IPA) was used to elucidate the participants’ understanding of the effect of the EMDR therapy on their recovery from PTSD. Three super-ordinate themes are identified describing how the participants engaged in the therapy, were assisted to keep going and what they made of the EMDR process. Results suggest that difficulties in engaging in the therapy were overcome by a combination of desperation and determination to get better, support of family and friends, the credibility of the therapist and finding that they started to feel better after about two sessions. EMDR was perceived as a surprisingly effective therapy in the light of almost universal initial scepticism, and an approach that generally did not require a conscious effort by the participant to make it work.

Keywords: Children  Interpretative Phenomenological Analysis  IPA  Single Incident Trauma  Subjective Experiences  Symposium  

Accuracy Verified: Yes


223. Pelling, N., Brear, P., & Lau, M. (2006, June). A survey of advertised Australian counsellors. International Journal of Psychology, 41(3), 204-215, doi:10.1080/00207590544000202. .

Language: English

Format: Journal

Abstract:
As counselling is a developing profession without statutory regulation in Australia, anyone can engage in counselling practice and use “counsellor” as a professional title. Not much is known about those who call themselves counsellors in Australia. This survey research in a field setting aimed to describe Australian Yellow Pages Advertised Counsellors, thus providing a snapshot of advertised counsellors in Australia. This research was thus designed to describe those who are engaging in advertised counselling practice in Australia. Data was collected using a multiple mailing survey method and resulted in a 62.2% return rate. The counsellors' (1) demographic characteristics, (2) counselling training and development, (3) provision of counselling services, and (4) professional involvement were assessed. Advertised Australian counsellors tend to be female, mature, Caucasian, married or partnered, heterosexual, have families, and hold Christian beliefs. The majority of counsellors live in urban areas. The field could arguably benefit from increasing the diversity of its members. Nevertheless, advertised Australian counsellors are qualified professionals who tend to hold university qualifications and are likely to have received their training in counselling from a university provider. They are experienced service providers and engage in ongoing supervision as a supervisee. Moreover, these counsellors are involved in a variety of professional organizations. Advertised Australian counsellors, however, often struggle with issues related to burnout. They demonstrate their belief in the power of counselling by engaging in personal counselling. Advertised Australian counsellors actively engage in professional development, read professional journals, and report wanting further training regarding cognitive behaviour therapy, family therapy, EMDR, hypnosis, and trauma‐related difficulties. The majority of counsellors indicate making $40,000 or less per year. Survey results clearly indicate that the professionalisation of counselling is underway. Tandis que le counseling est une profession en développement sans régulation statutaire en Australie, n'importe qui peut s'engager dans la pratique du counseling et utiliser le titre professionnel de “conseiller.” Très peu est connu sur ceux qui se prétendent conseillers en Australie. Cette enquête visait à décrire les conseillers annonçant dans les pages jaunes en Australie, permettant d'avoir une image de ces derniers. Elle cherchait donc à décrire ceux qui étaient engagés dans la pratique du counseling publicisé en Australie. Les données furent collectées par le biais d'une méthode d'enquête par multiples envois postaux résultant à un taux de réponse de 62,2%. Les facteurs évalués chez les conseillers incluent: (a) les caractéristiques démographiques, (b) la formation et le développement en counseling, (c) les services desservis et (d) l'implication professionnelle. Les conseillers australiens publicisés tendent à montrer les caractéristiques suivantes: femmes, matures, caucasiens, mariés ou en couple, hétérosexuels, ayant une famille et ayant des croyances chrétiennes. La majorité des conseillers vivent dans les zones urbaines. Le domaine peut sans conteste bénéficier d'une plus grande diversité de ses membres. Néanmoins, les conseillers australiens publicisés sont des professionnels qualifiés qui tendent à posséder des qualifications universitaires et qui sont susceptibles d'avoir reçu leur formation en counseling d'une université. Les conseillers australiens publicisés sont des professionnels d'expérience et sont engagés dans de la supervision en tant que supervisés. De plus, ces conseillers sont impliqués dans une variété d'organizations professionnelles. Cependant, ils font souvent face à des problèmes reliés au burn‐out. Ils montrent leur croyance dans le pouvoir du counseling en recevant eux‐mêmes des services de counseling. Les conseillers australiens publicisés s'engagent activement dans le développement professionnel, ils lisent des revues professionnelles et ils rapportent vouloir davantage de formation sur la thérapie cognitivo‐comportementale, la thérapie familiale, la désensibilisation et le retraitement du mouvement de l'oeil, l'hypnose et les difficultés reliées aux traumatismes. La majorité d'entre eux indique faire 40,000$ ou moins par année. Les résultats de cette enquête indiquent clairement que la professionnalisation du counseling est sur la bonne voie. Debido a que en Australia el consejo es una profesión en desarrollo sin reglamentación estatutaria, cualquier persona pued.

Keywords: Counseling  Counselor Characteristics  Counselors  Counselor Education  Empirical Study  Professional Development  Professional Organizations  Quantitative Study  

Accuracy Verified: Yes


224. 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:
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.

Keywords: Couples Therapy  

Accuracy Verified: Yes


225. Mosquera, D., González, A., & Vazquez, I. (2012, Enero ). Terapia EMDR (eye movement desensitization reprocessing) en el trastorno límite de personalidad: Reflexiones en torno a un caso de patología dual [EMDR (Eye Movement Desensitization Reprocessing) in BPD personality: Reflections on a case of dual diagnosis]. Revista Espanola de Drogodependencias, 37(1), 82-95.

Language: Spanish

Format: Magazine

Abstract:
Los pacientes con trastorno límite de la personalidad y adicciones suponen un desafío para los centros de atención específicos. Los pacientes con patología dual suelen presentar dificultades en los programas orientados a la evitación del consumo. No solo por sus frecuentes problemas interpersonales sino debido a que su problemática de adicción no se ajusta al patrón prototípico de abuso o dependencia de sustancias. La terapia Eye Movement Desensitization Reprocessing (EMDR), orientada al tratamiento de las experiencias desde las cuales se han desarrollado ambos trastornos, permite un abordaje integral de ambos problemas. EMDR es una terapia que aborda las situaciones relacionadas con trauma temprano y apego disfuncional, altamente prevalentes tanto en el trastorno límite de personalidad como en las conductas adictivas.A través de un caso clínico se ilustra un posible plan de tratamiento para trabajar la patología dual desde EMDR.

Patients diagnosed with borderline personality and substance abuse disorders represent a challenge for specific treatment centers.These patients tend to experience difficulties in substance or alcohol abuse programs due to their frequent interpersonal problems and their addiction patterns, which do not fit into a standard pattern of substance abuse or dependence. Eye Movement Desensitization Reprocessing (EMDR) therapy, oriented toward the treatment of the experiences that originate both disorders, allows an integrated approach of both problems. EMDR is a psychotherapy that addresses early trauma and dysfunctional attachment experiences, which are highly prevalent both in BPD and substance abuse disorders.We will illustrate a possible treatment plan from the EMDR perspective through a case example.

Keywords: Alcohol Abuse  Borderline Personaity Disorder  BPD  Dual Diagnosis  

Accuracy Verified: Yes


226. Woller, W. (2010, July). Therapeutic relationship in the treatment of traumatized clients with personality disorders. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Therapeutic relationship is often a major challenge in the treatment of traumatized clients with comorbid personality disorders. Maladaptive interpersonal styles and negative transferences resulting from attachment trauma can make a trauma-oriented therapy very difficult. However, an understanding of personality disorders as a consequence of attachment trauma creates new therapeutic possibilities for patients who are considered difficult to treat though urgently in need of therapy. Given this background, the workshop aims at enhancing the participants’ capacity to manage problems of therapeutic relationship in traumatized clients with personality disorder. In the first part of the workshop, an overview on possible neurobiological causes of specific patterns of experiencing and behavior in personality disorders will be given. Deficits in emotion regulation, mentalization function, and personality integration, all of which have been identified as underlying dysfunctional and self-destructive behavioral patterns, can be understood as consequences of attachment trauma. In the second part of the workshop, a phase-oriented treatment conception will be presented which combines elements from resource-oriented trauma therapies with aspects of a psychodynamic understanding of attachment relationships. In the framework of this concept, the notions of transference and countertransference will be introduced to explain difficulties typically arising in the relationship with traumatized clients with severe personality disorders. On the basis of case material, strategies will be presented to deal with recurrent problems of therapeutic relationship.

Keywords: Interpersonal Relationship  Personality Disorders  

Accuracy Verified: Yes


227. Musaeus-Schurmann, B. (2005, June). Therapeutical difficulties in the trauma therapy of a three year old boy bitten by a dog. EMDR and children. Symposium conducted at the annual meeting of the EMDR Europe Assocation, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Type I traumata in children are often quick and rewarding therapies. But sometimes even in uncomplicated cases there is only limited progress in therapy. Exemplary with the case vignette of a three year old boy, bitten by a dog and treated with EMDR, the problems of this case will be discussed and possible solutions are delivered with the focus on systemic therapeutical work and EMDR.

Keywords: Children  Dog Bite  Symposium  

Accuracy Verified: Yes


228. Mosquera, D., & Gonzalez, A. (2009, June). Therapist's difficulties with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands.

Language: English

Format: Conference

Keywords: Therapist Difficulty  

Accuracy Verified: Yes


229. Parnell, L. (2008). A therapist's guide to EMDR tools and techniques for successful treatment. Princeton, NJ: Recording for Blind & Dyslexic.

Language: English

Format: Audio

Abstract:
For over a decade, eye-movement desensitization and reprocessing (EMDR) has been gaining attention and momentum as an effective therapeutic tool for treating a range of trauma and phobic disorders. More and more therapists are seeking proper training to be able to incorporate EMDR into their practices. But often, therapists leave EMDR training enthusiastic, desiring to use these techniques in their practice, only to lose their nerve when encountering difficulties and treatment obstacles. Somehow, the theory learned in training is hard to translate into clinical practice. In A therapist's guide to EMDR, Parnell addresses this common dilemma by offering therapists an all-in-one, practical handbook for skillfully and successfully using EMDR in their practices. Drawing on fifteen years of experience as a pioneering EMDR clinician and trainer, Parnell bridges the gap between EMDR training and actual practice by identifying and exploring the four areas where most EMDR-trained therapists need help: case formulation, ego strengthening, target development, and processing difficulties. After a helpful refresher on basic EMDR procedure and protocol, as well as a discussion of how to modify these steps to fit your client's needs, Parnell delves into the areas essential to successful utilization of EMDR with clients: case conceptualization; preparation for EMDR trauma processing, including resource development and installation; target development; methods for unblocking blocked processing, including the creative use of interweaves; and session closure. A step-by-step description of a typical EMDR session is also presented, including all the major procedural steps, followed by an explanation of the clinical applications of EMDR in working with phobias, traumas, and critical incidents. Case examples, vignettes, and illustrations throughout help to clarify important concepts. Written in an accessible and practical style by someone who has trained thousands of EMDR practitioners, Parnell bases the book on on-the-ground experience of doing EMDR, incorporating the tools, techniques, and tips she has generated and gathered from conferences, workshops, and consultation with colleagues, as well from her own clinical experience. Perhaps most importantly, she acknowledges the unique approaches to EMDR use that are possible, emphasizing therapist-client flexibility, attunement, and intuition, rather than rigidity of practice. For EMDR-trained therapists who would like a little help integrating EMDR into their day-to-day practice, A therapist's guide to EMDR is a useful resource. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Practice  Theory  

Accuracy Verified: Yes


230. Sivan, A. (2008, June). Therapists’ views on the use of EMDR: The case of Hong Kong. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Since the introduction of EMDR training courses in Hong Kong a few years ago, the method has been gaining an enormously growing interest among professionals. One of the indications to the growing interest in EMDR is the high rate of participation in the training courses. While there is a volume of studies on the efficacy of EMDR among different populations, therapists’ viewpoints on its use has not been studied extensively. The purpose of the paper is to examine the views of therapists who have undergone EMDR training in Hong Kong and have used the method in their practice. Data were collected through an open-ended questionnaire and follow-up in depth interviews with a group of therapists. The questionnaire sought information about their initial experience of using EMDR, the types of patients they used it with, the contribution of the method to the therapy and the difficulties they encountered. Follow-up interviews aimed to shed more light on issues raised by the respondents and to provide a platform for their further elaboration. Participants’ responses indicated the positive effects EMDR use on clients and its facilitation of the therapy process. The respondents indicated difficulties in following the exact EDMR protocol especially in relation to the terminology such as: “completely false”, “completely true”, “emotions” and “sensation”. Additional issues raised around the use of the scales and of different bilateral stimulations. On the basis of these finding special consideration should be given to the adaptation of the EMDR protocol to the Chinese language and way of thinking.

Keywords: Hong Kong  

Accuracy Verified: Yes


231. Tinker, R. H., & Wilson, S. A. (1999). Through the eyes of a child: EMDR with children. New York W. W. Norton.

Language: English

Format: Book

Abstract:
Explores the use of eye movement desensitization and reprocessing (EMDR) with children and adolescents. The book demystifies the application of EMDR for children, from the first session with the parents to later sessions with children at all developmental stages. The adult protocol is modified so that it can be applied to children as young as two years old (and possibly younger). A system of classification of childhood trauma allows therapists to predict a child's response to EMDR is presented. Myriad cases illustrate the use of EMDR with various traumas. Many examples of simple traumas are presented, including automobile accidents, lightning strikes, bereavement, and specific phobias such as a fear of animals. In addition, cases illustrate success with complex traumas, where aspects of the trauma are ongoing and EMDR becomes part of several possible therapeutic interventions. EMDR is also discussed as an intervention for children who have problems that are not caused by trauma. Case illustrations show how EMDR can be used with children with attention deficit hyperactivity disorder (ADHD), anxiety, depressive, or reactive attachment disorders as well as learning difficulties and somatoform disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Children  Mental Disorders  Phobias  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Therapeutic Processes  

Accuracy Verified: Yes


232. Robinson, N. S. (2001). Time-line EMDR. EMDRIA Newsletter, 6(3), 4-5.

Language: English

Format: Conference

Abstract:
We often find clients who are not satisfied with their life situation, are underfunctioning, or have negative thoughts/ cognitions about themselves. These issues persist in spite of successful lives or significant amounts of therapy. Trauma concerns are either non-existent or resolved. Existing EMDR techniques such as Resource Development and Installation (Deborah Korn, Andrew Leeds), Performance Enhancement (Lendl & Foster, 1997) or doing a “float back” can be tried with these clients. RDI can strengthen clients and increase their ability to cope. Performance protocol can help them improve functioning with mental rehearsals. The float back technique can put them in touch with affect and accompanying bodily sensations which can help identify blocking beliefs or identify early events still impacting current difficulties. These techniques have not always been sufficient for some of my clients. I have turned to my family systems training in order to expand my clinical resources. Family systems reminds us that negative and positive messages, beliefs, loyalties and ways of being are passed down through generations and have a farreaching impact on each of us. I have developed a time-line technique that allows me to use EMDR to tap into historical and cultural sources to help clients clear through blockages as well as discover new personal resources.

Keywords: Genograms  Time-Line  

Accuracy Verified: Yes


233. 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:
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.

Keywords: Love  Relational Difficulties  

Accuracy Verified: Yes


234. 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:
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.

Keywords: Borderline Personality Disorder  Symposium  

Accuracy Verified: Yes


235. Castello, A. G. L. (2012, Novembro). Tratamento de fobias e traumas em crianças através do EMDR [Treatment of phobias and trauma in children through EMDR]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Este trabalho foi realizado numa Clínica Pediátrica, CLIAP, em São Paulo, Brasil, com 450 crianças na idade de 0 a 12 anos. Estas crianças vieram para tratamento psicológico com queixas de fobias e traumas simples e complexos. Foram utilizados 2850 protocolos de EMDR individual com as crianças e 220 protocolos individuais com os pais. Estes pais vieram para tratamento psicológico por intermédio do pediatra da clínica com queixas de dificuldades na condução do papel parental. Objetivos: Este trabalho é o início de uma pesquisa com EMDR com crianças, onde a técnica é utilizada como articulação metodológica no trabalho terapêutico com crianças e pais nas diversas situações de vida familiar, e tem sido realizado nos últimos cinco anos. Os atendimentos são feitos com EMDR individuais com as crianças e EMDR individuais com os pais quando necessário. Resultados: conseguimos obter um processamento das situações que foram trazidas como queixas pelos pais e pelas crianças, onde aparecem processos terapêuticos evidenciados pela elaboração dos traumas da Matriz de Identidade ligados a essas situações e o reprocessamento e rematrizações obtidas pelo EMDR.

This work was performed in a Pediatric Clinic, CLIAP in Sao Paulo, Brazil, with 450 children age 0-12 years. These children came to treatment complaining of psychological traumas and phobias simple and complex. We used 2850 individual EMDR protocols with children and 220 parents with individual protocols. These parents came to psychological treatment through the pediatric clinic with complaints of difficulties in conducting the parental role. Objectives: This study is the beginning of a survey of EMDR with children, where the technique is used as methodological articulation in therapeutic work with children and parents in diverse situations of family life, and has been held in the past five years. Services are made ​​with individual EMDR with children and individual EMDR with parents when necessary. Results: we can get a processing situations that were brought as complaints by parents and children, where they appear therapeutic processes evidenced by the development of trauma Matrix Identity linked to these situations and reprocessing and rematrizações obtained by EMDR.

Keywords: Children, Phobias  Processing  Traumas  

Accuracy Verified: Yes


236. 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


237. Mevissen-Renckens, L. (2008, August). Trauma and trauma therapy (EMDR) in people with ID. Symposium presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Abstract:
Aim: People with ID might be particularly vulnerable to significant life events and at high risk to develop Post Traumatic Stress Disorder. In the general population EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based trauma treatment method. On small-scale EMDR is used in people with ID and seems to be efficacious and not placing a load on clients. However research on PTSD and EMDR in this population is missing so has to be done. Method: Research on the relationship between life events en mental health problems in people with ID is listed and analysed. The findings are compared with the outcomes of single case studies on clients with ID, treated with EMDR.
Results: Correlational and retrospective analyses of case files consistently show an association between life events on one hand and behaviour problems and depression on the other hand. The only prospective study that is found indicates a causal relationship. EMDR treatment effects also suggest a causal relationship between mental health problems and being exposed to overwhelming events. Conclusions: Further research is necessary to develop evidence based assessment and treatment procedures for people with ID who suffer from complaints due to traumatic experiences.

Keywords: ID  Intellectual Difficulties  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes


238. 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:
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.

Keywords: Adults  Americans  Empirical Study  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


239. Dutton, P. (2007, September). Trauma in children and young people. Counselling Children and Young People, 1-10.

Language: English

Format: Newsletter

Abstract:
Trauma might be described in terms of an event experienced, or the effects or consequences (symptoms) of the event. In the latter case, the American Psychiatric Association’s DSM-IV-TR1 is the most quoted source for defining post-traumatic stress disorder (PTSD). This collection of symptoms is helpful in indicating when trauma is severe enough to need serious treatment. Smaller trauma, on the other hand, is often neglected by therapists, doctors and the general population as something we just have to cope with. But the effects of even small trauma in childhood are seriously accumulative and often underrated. It is also arguable that untreated attachment difficulties in early childhood can increase the likihood of PTSD – but this statement still rests on anecdotal evidence.

Keywords: Bereavement  Children  Grief  Trauma  

Accuracy Verified: Yes


240. Urtz, A. (2010, June). Trauma treatment via EMDR after heart attack. A psychologist´s report from a rehabilitation hospital for heart and cardiovascular diseases. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Incidence of heart disease: 43 % of all death cases are caused by heart disease. In total this means 32,294 persons a year in Austria. Stationary treatment receiving 314,010 patients, with an average term of hospitalization of 8 days (Statistics Austria 2008). For Germany the total figures are around 10 times higher. This is the largest single patient group. 11.25% of the heart disease patients get PTSD, adjustment disorder or other reactions to severe stress (Titscher. 2008). Only for Austria a minimum of 35.000 patients could benefit from a trauma treatment like EMDR. For Germany the figure rises up to 350,000 patients a year who could benefit from EMDR. To physicians the problem is well known, but the only treatment they can offer is medication or further diagnostics like angiography which doesn't cure the problem. Despite the high number of traumatized heart patients, there are only publications about trauma as a risk factor for heart disease. There are a few publications about heart disease causing trauma, but there are nearly no publications about treating trauma caused by heart disease. Typical symptoms for trauma after heart attack: Feeling of tightness or pressure on the chest, tightness in the throat, with difficulties in breathing. Ascending feeling of heat from the stomach, trembling, weeping, fear and panic. Flashbacks of the heart attack, with symptoms looking similar to angina pectoris. Reduced stress tolerance by getting easily angry or depressed. Useful questions for differential diagnostics between organic and mental symptoms: What are the symptoms? How long do they last? Were there any symptoms prior to the heart disease? Which symptoms were present during the heart attack? Is it distressing to remember the heart attack? How distressing on a SUD-scale 0 to 10. What are the medical findings? Two specifics: 1. Mainly I use the butterfly hug or tapping on the chest for processing. This form of tapping is easy applicable and the patients like it. 2. Weaving in Positive Cognitions (PCs) during the processing, makes the processing less stressful, I offer PCs during the processing and look if they help to reduce the stress. Useful PCs: I survived. I am still alive. I am through. It is a long time ago. i have trust in my body and my heart. If that doesn't work: Even when my trust in my heart is shattered, I love and accept myself. I am grateful. I live as long as I may I am confident. Usually I use them in that succession with some adoptions according to the process. What is special about my presentation. 1. Hear about a large group of patients who can benefit from EMDR. 2. Mostly heart disease are to consider as mono-traumatic. With some specific knowledge and experience they are not difficult to treat. 3. Notice the advantage of bipolar tapping on the chest. 4. Understand the advantage of weaving in PCs during the processing. 5. The big question is: How to install EMDR in the rehabilitation system?

Keywords: Heart Attack  Medical Issues  Symposium  

Accuracy Verified: Yes


241. Schubbe, O. (2006). Traumatherapie mit EMDR: Ein handbuch für die ausbildung [Trauma therapy with EMDR: A manual for the training]. Göttingen: Vandenhoeck & Ruprecht.

Language: German

Format: Book

Abstract:
"Traumatherapie mit EMDR" ist ein Trainingsmanual für Psychotherapeuten, die sich für eine Ausbildung in dieser Traumaverarbeitungsmethode interessieren oder sie in ihrer therapeutischen Arbeit bereits anwenden. EMDR steht für Eye Movement Desensitization and Reprocessing, deutsch: Desensibilisierung und Neubearbeitung mit Augenbewegungen. Es ist eine Technik therapeutischer Traumaverarbeitung und gleichzeitig eine innere Haltung und fast ein kleines Wunder. Die Methode folgt einer klaren Zielorientierung, um dysfunktionale Lernerfahrungen in funktionale verwandeln zu helfen. Ausgegangen wird davon, dass Menschen ein natürlicher Antrieb zu Wachstum und Integration von Erfahrung innewohnt. Der angeleitete EMDR-Prozess unterstützt die genaue Beobachtung und das differenzierte Erleben bewusstseinsfähiger innerer Prozesse und ein nachvollziehendes Verstehen und Akzeptieren von Zusammenhängen. Oft berichten die Klienten von spontanen inneren Einsichten, die sich mit den traumatischen Erinnerungen verbinden und anschließend zu neuen Gefühlen, Gedanken und Handlungen befähigen. Nach einer Einführung zur allgemeinen Psychotraumatologie und zum theoretischen Hintergrund werden empirische Erfahrungen m it EMDR berichtet. Der Schwerpunkt des Buches liegt auf der Erläuterung der praktischen Durchführung von EMDR. Dabei werden therapeutische Schwierigkeiten differenziert aufgegriffen, angemessene Umgangsweisen damit dargestellt, professionelles Affektmanagement und ressourcenorientiertes Arbeiten vorgestellt.

"Trauma Therapy with EMDR is a training manual for psychotherapists who are interested in training in this trauma processing method or apply them in their therapeutic work already. EMDR stands for Eye Movement Desensitization and Reprocessing, German: desensitization and revised edition with eye movements. It is a technique of therapeutic trauma processing, while an inner attitude, and almost a small miracle. The method follows a clear goal orientation, to help transform learning experiences into functional dysfunctional. The starting point is the fact that inherent in a natural human impulse to growth and integration of experience. The guided EMDR process supports the close monitoring and the differentiated experience of becoming conscious of inner processes and understand understanding and accepting connections. Often, clients report of spontaneous internal insights that are combined with the traumatic memories and then to new feelings, thoughts and actions qualify. After a general introduction to psychological trauma and the theoretical background, empirical experience w ith EMDR are reported. The focus of the book is on explaining the practical application of EMDR. These therapeutic difficulties are addressed differentiated, appropriate ways of dealing presented thus presented professional resource-management and emotional work.

Keywords: Trauma  

Accuracy Verified: Yes


242. 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:
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.

Keywords: Dissociation  

Accuracy Verified: Yes


243. 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:
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.

Keywords: Trauma  Treatment  

Accuracy Verified: Yes


244. Toon, K. (2009, October). Troubleshooting. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.

Language: English

Format: Conference

Abstract:
This workshop is aimed at all EMDR clinicians who sometimes struggle with the standard protocol. It highlights some of the common difficulties encountered when using EMDR, and offers practical solutions based on the theoretical background. We will consider responses to questions frequently asked in supervision including: Why is processing so slow with this client? Why has it stopped? How do we speed it up again? Why does processing result in my client being overwhelmed? How can we slow it down again? What if the client doesn't have a negative thought?

Keywords: Standard Protocol  Troubleshooting  

Accuracy Verified: Yes


245. 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:
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.

Keywords: Inhibited Sexual Desire  Intimacy  Relational Context  Sex  Trust  

Accuracy Verified: Yes


246. 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:
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.

Keywords: Inhibited Sexual Desire  Intimacy  Relational Context  Sex  Trust  

Accuracy Verified: Yes


247. 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:
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.

Keywords: Dimensions of Relational Context  Inhibted Sexual Desire  Sex  Intimacy  Targets  Trust  

Accuracy Verified: Yes


248. Jacome, S. (2012, Novembro). Uma proposta de abordagem grupal de eventos traumáticos heterogêneos [A proposed approach heterogeneous group of traumatic events]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Este workshop fornece elementos teóricos e práticos para EMDR terapeutas com conhecimento trabalha ou pretende trabalhar com grupos. Fornece uma visão geral da integração do modelo de EMDR com elementos de psicoterapia psicodramática de grupo. Algumas ideias para a aplicação prática dos princípios da psicoterapia de grupo em conjunto com maneiras criativas de usar EMDR. Com a crescente demanda por cuidados de saúde mental, psicoterapia individual tem várias limitações, abordagens individuais são geralmente caros e inacessíveis para grandes segmentos da população. A terapia de grupo tem sido desenvolvido como um baixo custo, otimizando recursos humanos, tempo e economia. EMDR é originalmente uma abordagem individual e de grupo, embora alguns procedimentos EMDR foram desenvolvidos, abordando a necessidade ea urgência de intervir em situações de crise, especialmente envolvendo grupos e populações inteiras, ainda há uma maneira de aproximar-se do grupo e não só no grupo. Esta proposta surge a partir da formação do primeiro autor como um terapeuta com um terapeuta psicodrama foco do grupo e, em seguida, como EMDR, que vem buscando uma maneira de integrar as fases da abordagem EMDR com uma abordagem de grupo de psicodrama, psicoterapia que permite desenvolver maneiras de tratar grupos de pessoas com problemas diferentes, com experiências diferentes, o que na psicoterapia de grupo é chamado de grupos heterogêneos. Também irá abordar várias preocupações, dificuldades e preocupações que surgem quando se explora a possibilidade de combinar a psicoterapia de grupo e EMDR, como abreactions manipulação, processamento, memória e outras dificuldades.

This workshop provides theoretical and practical elements for EMDR therapists with expertise working or want to work with groups. Provides an overview of the integration of model elements with EMDR psychotherapy group psychotherapy. Some ideas for the practical application of the principles of group psychotherapy in conjunction with creative ways to use EMDR. With the growing demand for mental health care, individual psychotherapy has several limitations, individual approaches are often expensive and inaccessible to large segments of the population. Group therapy has been developed as a low cost, optimizing human resources, time and economy. EMDR is an approach originally individual and group, though some EMDR procedures were developed, addressing the urgent need to intervene in crisis situations, especially involving groups and entire populations, there is still a way to approach the group and not just the group. This proposal arises from the formation of the first author as a therapist with a focus group psychodrama therapist and then as EMDR, which has been seeking a way to integrate the phases of the EMDR approach with an approach to group psychodrama psychotherapy that allows developing ways to treat groups of people with different problems, with different experiences, which in group psychotherapy is called heterogeneous groups. It will also address several concerns, difficulties and concerns that arise when exploring the possibility of combining the group psychotherapy and EMDR, as abreactions handling, processing, memory and other difficulties.

Keywords: Trauma  

Accuracy Verified: Yes


249. 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:
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.

Keywords: Narcissistic Personality Disorder  

Accuracy Verified: Yes


250. Mosquera, D., & Gonzalez, A. (2010, June). Understanding dissociative language. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In order to get a complete and comprehensive case conceptualization in Phase 1 of the EMDR protocol, it is important to explore dissociative symptomatology. But the cinicai picture of dissociation may be difficult to identify for inexperienced clinicians; some symptoms can be difficult to observe even for experienced therapist who haven't seen severe cases. in consultation we often find therapist who bring a 'complex case' for supervision and quite frequently this 'complexity' has to do with dissociation. Our goal with this presentation is to show the many different ways dissociation can be manifested during EMDR sessions. Another goal is to give practical examples of interventions with dissociative patients during EMDR processing. Many examples of subtle manifestations (what we call 'dissociative language') will be illustrated with video cases. Severely traumatized people don't communicate in a direct and clear way, they have their 'own language' and in order to understand the patient's inner world, we need to understand the silences, the somatic symptoms the subtle (and not so subtle) intrusions; all of these are frequent symptoms that the patient can't detect, understand or disclose to us (not directly). It is widely known that EMDR clinicians must be careful when dealing with dissociative patients; techniques that can be used during the stabilization phase have been developed for the treatment of dissociative disorders (Knipe, Forgash .......). These techniques are complementary to the basic protocols and are very useful but the problem arises when therapists are not able to identify and/or understand what we call the 'dissociative language'. We must keep in mind that most dissociative patients have grown in an early environment where their needs were not taken into account. Many never had the possibility to express their feelings openly. For this, it is important to focus and under^ stand the indirect, complex and ambivalent communication of these people especially during an EMDR session. The approach to these difficulties is not only a question of protocol modifications. but a complex learning from the therapist of the 'dissociative language'. Several examples from videos of therapy sessions and case descriptions will be presented.

Keywords: Dissociation  

Accuracy Verified: Yes


251. Nickerson, M. (2011, August). Undoing stigma: EMDR applications for the dismantling of culturally-based internalized oppression and prejudice. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop will depict the nature of internalized oppression and social prejudice as they relate to client difficulties and treatment objectives. Research supported information and theory from the fields of social psychology and social work will be integrated within the AIP model to predict the profound potential EMDR offers for addressing culturally based trauma. Research supported strategies to dismantle internalized oppression and social prejudice will be taught including a more culturally aware psycho-social assessment and case formulation, resource development, target selection and special protocols. Practical strategies will be described with case examples including clinical videos to illuminate points.

Keywords: Cultural-Based Trauma  Internalized Oppression  

Accuracy Verified: Yes


252. 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:
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.

Keywords: Addiction  Bilateral Stimulation  BLS  Ego State Therapy  Energy Psychology  Hynotherapy  Trauma  Treatment  URGES Approach  

Accuracy Verified: Yes


253. Pessina, C (2007, June). The use and adaptation of EMDR technique with sexually abused children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Thanks to a European Equal project the sexually abused children who came to our Center for therapy have been treated with EMDR. We will illustrate, through the use of clinical examples, the main therapeutic issues, the difficulties and strategies in order to exceed them. In particular, we will address the following topics: the use of "menus,” the use of positive installations, how to identify targets, how to exceed the use of psychological defenses, mainly dissociative, etc. We will then highlight the advantages of using EMDR with those children.

Keywords: Children  Sexual Abuse  

Accuracy Verified: Yes


254. St. Andre, É. (2010, April/May). Use of EMDR in the treatment of obsessive compulsive disorder: a case study. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
Obsessive compulsive disorder (OCD) is a chronic anxiety disorder with recurrent obsessions, like persistent thoughts, mental images, impulses, and compulsions such as repetitive behaviours or mental acts, that are performed after obsessions. This workshop will provide clinical information on the presenter's use of EMDR with a patient with OCD, as well as some examples provided by other clinicians who have worked with patients with OCD. In addition, general information on OCD (e.g., epidemiology, neurobiology) will be discussed. The presenter will highlight what is unique about the use of EMDR with OCD, difficulties she met in using EMDR with an OCD patient, and adaptations she used to improve treatment. She will describe how to use the standard 8 step approach (past, present, future), how to identify targets, managing OCD symptoms and barriers in his day-to-day life. The presenter will look at how to manage challenges that arise for the clinician with this population. Participants will have an opportunity to apply the strategies with a case example exercise. (All Levels)

Keywords: Obsessive Compulsive Disorder  OCD  

Accuracy Verified: Yes


255. Bohm, K. (2012, June). Use of EMDR in the treatment of obsessive-compulsive disorders: A case series [El uso de EMDR en el tratamiento de trastornos obsesivocompulsivos: Una casuística]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Various studies have demonstrated that 15-40% of patients with obsessive-compulsive disorders (OCD) do not respond to it; they cannot be motivated to undergo treatment, drop out, or experience persisting difficulties in regulating their emotions. In this practical workshop, EMDR is presented as an additional method in the treatment of OCD. OCD-patients experienced EMDR as a useful and motivating method. Furthermore, they felt encouraged to deal with their emotions in additional psychological treatments. Confrontation therapy markedly reduced OCD symptoms. EMDR is shown as a useful augmentation method in treating patients with OCD by using videos, live-demonstrations and speech. Especially, important interweaves for OCD-patients and the timing in therapy will be shown.

Varios estudios han demostrado que entre el 15 y el 40% de los pacientes con trastornos obsesivo-compulsivo (TOC) no responden; no se les puede motivar para someterse a tratamiento, lo abandonan o sufren dificultades persistentes en la regulación de sus emociones. En este taller de naturaleza práctica, se presenta EMDR como otro método adicional [a utilizar] en el tratamiento de TOC. Los pacientes con TOC vivieron su experiencia con EMDR como un método útil y motivador. Es más, se sintieron animados a afrontar sus emociones en el entorno de otros tratamientos psicológicos. La terapia de afrontamiento redujo marcadamente sus síntomas de TOC. Se ha demostrado que EMDR representa un método útil de aumento en el tratamiento de personas con TOC mediante el empleo de vídeos, demostraciones en directo y charlas. De particular interés son los entretejidos importantes que se presentarán para la terapia en individuos con TOC y el momento idóneo para introducirlos.

Keywords: Obsessive Compulsion Disorder  OCD  

Accuracy Verified: Yes


256. Laliotis, D. (2008, June). Using EMDR as a contemporary psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.

Keywords: Contemporary Psychology  

Accuracy Verified: Yes


257. Bravman, N. (2005, September). Using EMDR in the treatment of eating disorders. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Eating disorders, which are frequently associated with Core Attachment Difficulties, present particular challenges to the EMDR clinician, since clients with eating disorders want to disconnect from precisely the affects that EMDR is designed to access. This workshop presents an EMDR model for safe and effective use of EMDR with eating disordered clients. Participants will learn: (1) Techniques to enhance affect tolerance and stabilization; (2) Strategies for target selection and protocol variations; (3) Strategies for enhancing optimal EMDR reprocessing.

Keywords: Core Attachment Difficulties  Eating Disorders  

Accuracy Verified: Yes


258. Zilbergeld, B. (1995, June). Using EMDR in the treatment of sexual problems. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This presentation is based entirely on my own clinical work and discussions with a few other sex therapists who use it in their work. I am well aware of the lack of solid research to back up my claims and to provide evidence of their generalizability to other clients, therapists, and situations. 1. Why EMDR is used so little in treating common sexual dysfunctions and dissatisfactions. 2. Why EMDR is relevant and appropriate in treating these problems. Everything depends on how we define trauma. If we use a broad definition - one that includes humiliations, embarrassments, anxiety, as well as hurts and wounds -the relevance of EMDR becomes obvious. 3. The kinds of causative and maintaining issues in sex cases that EMDR can be helpful for. These include anticipatory anxiety, unresolved early learnings about intimacy and sexuality, and current and past relationship fears and hurts. 4. Case examples of EMDR in the treatment of dysfunctions and dissatisfactions: orgasm and erection difficulties, rapid ejaculation, and desire/frequency complaints. 5. EMDR and meditation. I have found that for some clients meditation is a valuable adjunct to EMDR. It serves as a safe place for them and has also been helpful in bringing up issues that need work as well as a place to process and integrate material that comes up in EMDR. No special instructions are required; the very act of meditation does the bringing up of issues and processing on its own. 6. Litations of EMDR in dealing with cases of sexual problems. As far as I know, EMDR by itself has not resulted in complete resolution of a presenting sexual problem While extremely helphful in many cases, EMDR has to be viewed as one tool in a comprehensive treatment package. This means that those who use it need to have knowledge of and experience with the tools of sex therapy and marital therapy. EMDR is also limited, as are all therapy methods, by the dynamics of the relationship in which the sexual difficulty exists. While it can help resolve past wounds inflicted by the partner, it will not be effective in the long run if the relationship continues to feel unsafe. 7. There is a critical need for good research to back up claims of EMDR's benefits with sexual cases and to determine exactly how and when to use the method to maximum effect.

Keywords: Sexual Issues  

Accuracy Verified: Yes


259. Tartakovsky, M. (2012, March). Using EMDR therapy to heal your past: Interview with creator Francine Shapiro. PsychCentral. [6 pages] Retrieved from http://psychcentral.com/lib/2012/using-emdr-therapy-to-heal-your-past-interview-with-creator-francine-shapiro/2/ on 3/26/2012.

Language: English

Format: Other

Abstract:
Is there something from EMDR that could be generalized to helping people live more mentally healthy, even if they don’t have a PTSD concern? Recent research has shown that certain types of life experiences can cause more PTSD symptoms than major trauma. It has also been documented that negative childhood experiences can cause later problems. EMDR therapy addresses the life experiences that set the foundation for a wide range of clinical complaints involving negative emotions, physical sensations, thoughts, beliefs, behaviors and relationship difficulties. It also incorporates procedures to address future concerns and challenges.

[Excerpt]

Keywords: Francine Shapiro  Interview  

Accuracy Verified: Yes


260. Tinker, R. H. (1995, June). Using EMDR to treat children. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Last year over 3 million children were exposed to physical and sexual abuse, and/or community and domestic violence (based on conservative estimates. Of these, approximately 1 million will require mental health, medical and educational services related to PTSD symptoms. The present workshop will make extensive use of videotaped sessions to illustrate the effectiveness of EMDR with traumatized children and children who exhibit symptomatology related to the major psychiatric syndromes exhibited in childhood. General considerations in using EMDR with children will be covered. Issues related to client safety during EMDR will be illustrated with a tape of a 10-year-old boy who was traumatized by physical abuse and his inability to protect his younger brothers. Standard protocols for use with children will be demonstrated by videotape, ranging from protocols appropriate for eight-year-olds and older; to those appropriate for most five- to eight-year-olds; and finally to those appropriate for children less than five. For example, nightmares are often a target of choice for young children, and this will be illustrated with a video of a four-year-old boy resolving a nightmare image. Diagnostic issues in using EMDR with children will also be covered. A majority of children referred for psychotherapy are referred for abuse (physical and sexual) and Attention Deficit/Hyperactivity Disorder (ADHD). An overview of ADHD will be provided, with a discussion of how these-symptoms often overlap with PTSD symptomatology, causing diagnostic difficulties. Videotapes and overheads will be used in case presentations. The effects of divorce on children will be adumbrated, along with developmental considerations. Again, videos will be used to amplify the discussion. The effects of physical and sexual abuse on children, and how EMDR can be helpful with these children will be another major topic for consideration. Videos illustrating this process will be presented. PTSD in children will be examined, along with developmental considerations, and illustrated by videotape. If possible, footage from children traumatized by the bombing in Oklahoma City, will be included. Other videos could include using EMDR with a four-year-old child who was in an automobile accident, whose behavior continued to be impaired six months later, and a youth who accidentally shot and killed his younger cousin. Childhood disorders following bereavement will also be discussed and illustrated via videotape. References will be provided.

Keywords: Children  

Accuracy Verified: Yes


261. Tufnell. G. (2004, February). Using EMDR to treat PTSD in preadolescent children. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract: This paper will describe the treatment of Post Traumatic Stress Disorder in preadolescent children using Eye Movement Desensitisation and Reprocessing (EMDR). EMDR has shown to bring rapid relief in adults with PTSD, Studies are begining to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment. In addition, in situation where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. Method: This study describes brief work carried out with 4 preadolescent children with PTSD. Three of these children had receive no treatment in spite of suffering from significant and chronic symptoms ofr years. One had suffered a traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a comprehensive treatment package. Results: In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6 month follow-up. Comment: EMDR can be adapted for use with preadolescent children. It can povide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young childen with PTSD and additional mental health problems.

Keywords: Children  Posttraumatic Stress Disorder  Preadolescents  PTSD  

Accuracy Verified: Yes


262. Tufnell, G. (2004, June). Using EMDR to treat PTSD in preadolescent children. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This paper will describe the treatment of Post Traumatic Stress Disorder in preadolescent children using Eye Movemetn Desensitization and Reprocessing (EMDR). EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package.
Method: This study describes brief work carried out with 4 preadolescent children with PTSD. Three of these children had received no treatment, in sprit of suffering from significant and chronic symptoms for some years. One had suffered traumatic bereavement. All had additional problems with required intervention. EMDR was use as part of a comprehensive treatment package.
Results: In all cases, the children’s PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children’s symptomatic improvement was maintained at 6 month follow-up.
Comment: EMDR can be adapted for use with preadolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treamtne package for young children with PTSD and additional mental helath problems.
Reference: Tinker, R., & Wilson, S. (1999). Through the eyes of a child: EMDR with children. New York: Norton.

Keywords: Children  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes


263. Tinker, R. (1996, June). Using EMDR with children. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Last year over 3 million children were exposed to physical and sexual abuse, andor community and domestic violence (based on conservative estimates. Of these, approximately 1 million will require mental health, medical and educational services related to PTSD symptoms. The present workshop will make extensive use of videotaped sessions to illustrate the effectiveness of EMDR with traumatized children and children who exhibit symptomatology related to the major psychiatric syndromes exhibited in childhood. General considerations in using EMDR with children will be covered. Issues related to client safety during EMDR will be illustrated with a tape of a 10-year-old boy who was traumatized by physical abuse and his inability to protect his younger brothers. Standard protocols for use with children will be demonstrated by videotape, ranging from protocols appropriate for eight-year-olds and older; to those appropriate for most five- to eight-year-olds; and finally to those appropriate for children less than five. For example, nightmares are often a target of choice for young children, and this will be illustrated with a video of a four-year-old boy resolving a nightmare image. Diagnostic issues in using EMDR with children will also be covered. A majority of children referred for psychotherapy are referred for abuse (physical and sexual) and Attention Deficit/Hyperactivity Disorder (ADHD). An overview of ADHD will be provided, with a discussion of how these-symptoms often overlap with PTSD symptomatology, causing diagnostic difficulties. Videotapes and overheads will be used in case presentations. The effects of divorce on children will be adumbrated, along with developmental considerations. Again, videos will be used to amplify the discussion. The effects of physical and sexual abuse on children, and how EMDR can be helpful with these children will be another major topic for consideration. Videos illustrating this process will be presented. PTSD in children will be examined, along with developmental considerations, and illustrated by videotape. If possible, footage from children traumatized by the bombing in Oklahoma City, will be included. Other videos could include using EMDR with a four-year-old child who was in an automobile accident, whose behavior continued to be impaired six months later, and a youth who accidentally shot and killed his younger cousin. Childhood disorders following bereavement will also be discussed and illustrated via videotape. References will be provided.

Keywords: Children  

Accuracy Verified: Yes


264. 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:
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

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Therapeutic Relationship  

Accuracy Verified: Yes


265. Laliotis, D. (2008, Mai). Utiliser l’EMDR comme psychothérapie contemporaine [Using EMDR as a contemporary psychotherapy]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
Il y a 20 ans l’EMDR débutait en tant que technique pour aider les clients à retraiter des expériences traumatiques. Depuis, l’EMDR s’est développé et constitue une approche thérapeutique complexe utilisée pour traiter des enjeux d’estime personnelle, de difficultés relationnelles ou de performances qui ne sont pas toujours reliées à des traumatismes majeurs, mais plutôt à des réseaux d’expériences non-intégrées. Le but de cet atelier est d’aider les cliniciens à développer une vision quant à la façon d’appliquer l’EMDR à ces situations où les « traumas » ne sont pas aussi évidents, mais où les expériences du passé ont encore des impacts importants sur les difficultés actuelles du client. Des présentations cliniques sur bande vidéo, permettront d’illustrer l’évolution du traitement EMDR et la manière adéquate de traiter la nature insidieuse de ces expériences de l’enfance. Les participants apprendront à conceptualiser le traitement, à appliquer les tissages cognitifs de façon à faciliter le processus de retraitement, et comment développer des projections futures qui supporteront la croissance personnelle et des changements durables.

Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.

Keywords: Practice  Theory  

Accuracy Verified: Yes


266. 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:
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.

Keywords: Vicarious Trauma  

Accuracy Verified: Yes


267. Forgash, C. A. (1997, July). Utilizing EMDR consultation in a concurrent treatment model. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
Psychotherapy treatment with sexual abuse survivors is often lengthy and complex. For therapists and patients alike, intrusive and dissociative aspects of Post Traumatic Stress symptoms in combination with self injurious behavior, mood disorders and current problems produce a variety of treatment difficulties. These range from dealing with destabilization, dissociative episodes and crisis intervention to more typical treatment impasses and resistances. These difficulties and resistances to theraputic work may involve a range of fears of exposure, violating early taboos against "telling", sequelae to revelations, and overwhelming shame and concern about rejection by the therapist. Other patient concerns are of being flooded by feelings and memories; or of dissociating in such a way as to remain "lost" to themselves. Stuck, immobilized and frozen in this state. the patient may have a sense of "pseudosafety" in the familiarity of these feelings. At the same time, as the symptoms persist with small or no reduction in levels of distress, patients may experience high levels of frustration. increased feelings of defeat, depression and anxiety. Loss of motivation and belief in the efficacy of therapy often follows. At such times, the therapist may wish to consider EMDR as an adjunctive course of treatment to resolve problems such as the above.

Keywords: Concurrent Treatment Model  Consultation  

Accuracy Verified: Yes


268. Keenan, P., & Royle, L. (2007, Fall). Vicarious trauma and first responders: A case study utilizing eye movement desensitization and reprocessing (EMDR) as the primary treatment modality. International Journal of Emergency Mental Health, 9(4), 291-298 .

Language: English

Format: Journal

Abstract:
Traumatic events can occur and adversely affect people during their lifetime. Natural disasters such as the earthquake in Pakistan in 2005 or the Tsunami in Asia in 2004, terrorist atrocities around the world, or personal events such as physical or sexual assault, can result in psychological difficulties for those people directly affected by these events. The diagnostic term PTSD is generally used to explain the often-severe psychological sequelae that people may exhibit when directly affected by trauma. However, what of those people not directly involved in the trauma, but those who have borne witness to it, either by listening to the stories of survivors, or in the case of the helping professionals (such as police officers, nurses, doctors, psychotherapists, fire-fighters), actively working with survivors in psychological distress? This paper examines the potential psychological consequences for those in helping professions who are working with traumatized clients. This paper then focuses on a specific treatment intervention, EMDR, utilizing a case study by way of explanation. [Author Abstract]

Keywords: Case Report  Clinical Case Study  Cognitive Schemas  Depressive Disorders  Helping Professionals  Males  Police Officers  Police Personnel  Psychotherapeutic Processes  Stressors  Stigma  Treatment Effectiveness  Vicarious Trauma  

Accuracy Verified: Yes


269. Schmuldt, L. M., Gentile, T. I., Bluemlein, J. S., Fitch III, J. C., & Sterner, W. R. (2013). The war within: One soldier's experience, several clinician's perspectives. Journal of Military and Government Counseling, 1(1), 2-18.

Language: English

Format: Journal

Abstract:
Soldiers returning from deployment are presenting with a plethora of serious mental health challenges, including depression, anxiety, post-traumatic stress disorder, sleep disturbances, and substance abuse issues. This paper will describe the journey of one soldier following his deployment to Iraq and the difficulties he faced during reintegration. Clinicians representing five approaches – dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), group systems theory, and motivational interviewing (MI) will provide perspectives on the development of traumatic response symptomology, as well as suggestions for understanding and treating the soldier profiled in the case study.

Keywords: DBT  Dialectical Behavior Therapy  Group Development  Mental Health  Military  Motivational Interviewing  Soldier  

Accuracy Verified: Yes


270. 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:
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.

Keywords: Children  Occasional Paper  Trauma  Websites  

Accuracy Verified: Yes


271. Armstrong, R. (2008, June). What do the children say? Traumatised children’s experience of EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This study explored experiences of children treated with Eye Movement Desensitisation and Reprocessing (EMDR) for Post Traumatic Stress Disorder (PTSD). The research aimed to understand more about salient aspects of the therapy such as needing therapy, parent support, the relationship with the therapist and the impact of the EMDR. Semi-structured interviews were carried out with nine children across England and Scotland, aged 10 to 16 years who had completed EMDR therapy within the past two years. Interpretative phenomenological analysis (IPA) was used to elucidate the participants’ understanding of the effect of the EMDR therapy on their recovery from PTSD. Three super-ordinate themes are identified which describe how the participants engaged in the therapy, were assisted to keep going and what they made of EMDR. Results suggest that difficulties in engaging in the therapy were overcome by determination to get better, support of family and friends, the credibility of the therapist and starting to feel better after about two sessions. EMDR was perceived as an effective therapy despite initial scepticism, and an approach that generally did not require a conscious effort by the participant to make it work. Findings are related to neurobiological hypotheses concerning underlying neurological mechanisms for the resolution of traumatic memories. Practical implications fro improving clinical practice with children and families will be presented.

Keywords: Children  

Accuracy Verified: Yes


272. 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:
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.

Keywords: Case conceptualization  Protocol  

Accuracy Verified: Yes


273. Grinbaum, A., & Levy, M. (2007, June). Working with child care in public service. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Work in child care in a pubic service, brings us to accept all people who come to us whatever their origin (Mediterranean, Black Africa, Asia), their social class (from the most impoverished to the upper class), or any kind of difficulty (from school and socio-educational problems to autism or serious psychosis). We are psychologists, psychoanalysts ad family therapist with more than 25 years of experience. Through our work, we learned listening, patience, neutrality, and interpretation. While sometimes our experience brought us to invent means to come in contact with them, the EMDR method gave us another mode of relation with the child which is at the same time more flexible and closer to them. Since our training in 2004, we noticed a change in our practice ad in the attitude of our colleagues and fellow workers toward us. We would like to describe in this talk the feeling of freedom we felt to work with such a rigid protocol; to work differently with problems like drugs or sexual abuse as well as difficulties in early childhood to work in turn with the parent and the children, to work with the whole family while treating one of their members in from of them. We want to present some clinical examples and share with you the enthusiasm that this new therapy arouses in us after so many years of practice.

Keywords: Children  Child Care  Poster  

Accuracy Verified: Yes


274. Spierings, J. (2004, June). Working with EMDR in the treatments of clients with other (sub)cultures and religions: multi-culti EMDR. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract: Working with traumatized clients from other cultures can be very demanding, and even frustrating: many times it just does not work out, despite your compassion and efforts. “Just staying out of the way” many times is not enough to do this job.
Intercultural competence is the ability to expand and translate your therapeutic skills to other cultures. It has both an attitude aspect and a technical aspect: a different style of relating and communications with your client, and different things to ask and explore.
Also in other cultures traumatic events happening to people have a different meaning asking for an approach from another angle in doing EMDR: interpreting traumas a stupid bad luck, Allah’s will, the evil eye, karma, or punishment by the ancestors, will have different (therapeutic) consequences.
This workshop offers not only a systemic way to understand these type of differences, it offers also very practical dos and don’ts, and of course tips and tricks to overcome difficulties.
The presentation puts strong emphasis on the development of resources and the building up of affect tolerance, making use of the healing rituals, objects and symbols of your clients own culture. These resources are utilized both before and during EMDR.
Part of the presentation is a collection of magical; healing objects from other cultures, including your own (maybe forgotten) culture, with ideas how to use them in the EMDR process. This is to inspire participants to develop their own collection.
The presentation follows the 8 phases of the EMDR protocol, describing specific considerations for each of the phases.

Keywords: Africa  Asia  Diversity  Intercultural Competence  Intercultural Interweaves  Mediterranean  Multi-Cultural  Refugee  Trust-Building Techniques  

Accuracy Verified: Yes


275. Richman, A. (2004, June). Workshop refugees and EMDR - EMDR with refugees and victims of torture. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
As trauma therapists we are increasingly encountering the challenge of using EMDR cross-culturally with highly traumatized clients who are refugees from war torn countries and/or oppressive regimes. This presentation seeks to address some of the difficulties of working across cultures, often with the aid of interpreters, who themselves may have been traumatized. EMDR has been found to be a highly effective treatment for refugees, especially where there is a high degree of somatization.

Keywords: Refugees  Torture  

Accuracy Verified: Yes