Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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1. Furlani, F. (2006, Maggio). Dentro la relazione: L’Alleanza terapeutica dalla ricerca alla pratica clinica [In the report: The therapeutic alliance research into clinical practice]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.

Language: Italian

Format: Conference

Abstract:
Nella presentazione verrà esposta l’evoluzione di un protocollo di ricerca in psicoterapia che considera l’andamento dell’alleanza terapeutica e del clima emotivo tra paziente e terapeuta, confrontati con la situazione clinica del paziente. Verranno inoltre presentati i primi dati di una ricerca condotta con gli stessi criteri e che prevede l’osservazione di psicoterapie con approccio terapeutico EMDR e di psicoterapie con approccio cognitivo-costruttivista. Le indicazioni ottenute saranno discusse attraverso riflessioni e stimoli per la ricaduta pratica.

In the presentation will be outlined the evolution of a research protocol that considers the trend in psychotherapy and emotional climate of the therapeutic alliance between patient and therapist, compared with the clinical situation of the patient. Will also be presented the first data of a survey conducted by the same criteria and requiring compliance with therapeutic approach to psychotherapy and EMDR psychotherapy with cognitive-constructivist approach. The indications obtained will be discussed through reflections and stimuli for relapse practice.

Keywords: Cognitive-Constructivist Approach Research Protocol Therapeutic Alliance

Accuracy Verified: Yes

2. Tsuchimochi, S. (2010, July). The possibility of EMDR use with juvenile delinquents. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: The purpose of this study was to examine the effects of EMDR use with juvenile delinquents, such as improvements of physical and mental mal-adjustment, emotion control, self-recognition and attitudes toward others. It also examined under which conditions in the judicial proceedings, it is possible to apply the EMDR therapy to juveniles. Methods: Three delinquents whose cases were in the Family Court process, were selected as participants in view of effectiveness, safety and validity. The measurement scales are as follows: (a)IES-R, (b)the Life Gram ( a wavy line drawn by the participant to describe one’s own life from the birth to present in the range of +10 and -10.), (c)SUDs, VOC, (d)self-reported impression by the participant, and (e)observation by the writer. Self-tapping on knees under the instruction by the writer was used as the bilateral stimulation. Each participant was interviewed four or five times during 4 weeks. Baseline measurements were done on 1st or 2nd interview, while post measurements were done on 4th or 5th interview after the EMDR session was held on 3rd or 4th time. Results: Results showed clear improvements by one EMDR intervention in two cases out of three. Insufficient care could be the reason for the absence of improvement with one participant. Conclusion: The results of this study suggest that the EMDR is effective for the improvements of the various symptoms and problems of the juvenile delinquents, if being properly applied on the certain guidelines set for them.

Keywords: Juvenile Delinquents Poster

Accuracy Verified: Yes

3. Maxfield, L. (2003, September). A working memory explanation for the effects of EMs in EMDR. In N. Smyth (Chair), Recent research evaluating the role of eye movements in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver.

Language: English

Format: Conference

Abstract:
Research has consistently demonstrated that performance is degraded when participants engage in two simultaneous tasks that require the same working memory resources. This study tested predictions from working memory theory to investigate the effects of eye movement (EM) on the components of autobiographical memory. In two experiments, 24 and 36 participants, respectively, focused on negative memories while engaging in three dual-attention EM tasks of increasing complexity. Compared to No- EM, Slow-EM and Fast-EM produced significantly decreased ratings of image vividness, thought clarity, and emotional intensity, and the more difficult Fast-EM resulted in larger decreases than did Slow-EM. The effects on emotional intensity were not consistent, with some preliminary evidence that a focus on memory-related thought might maintain emotional intensity during simple dual-attention tasks (Slow-EM, No-EM). The findings of our experiments support a working memory explanation for the effects of EM dual-attention tasks on autobiographical memory. Implications for understanding the mechanisms of action in EMDR are discussed.

Keywords: EMs Eye Movements Working Memory

Accuracy Verified: Yes

4. Ouellette, D. W. (2007, September-October). "Getting the war out:" New paradigms for healing post-traumatic stress. Natural Life News & Directory.

Language: English

Format: Newsletter

Abstract:
EMDR is a psychotherapeutic approach developed by Francine Shapiro that uses dual attention stimulation, such as eye movements, bilateral sound, or bilateral tactile stimulation, to resolve symptoms resulting from exposure to a traumatic or distressing event. Clinical trials have demonstrated EMDR's efficacy in the treatment of PTSD. It has shown to be more effective than some alternative treatments and equivalent to cognitive behavioral and exposure therapies.Although some clinicians may use EMDR for various problems, its research support is primarily for disorders stemming from distressing life experiences.

Keywords: Combat Veterans War

Accuracy Verified: Yes

5. Whisman, M., Bruzzesi, D., Ogren, D., Korn, D., Moore, P., Murphy, J., Hoffman, S., & Rouanzoin, C. (2001, June). "Once upon a trauma in Austin". Skit presented at the annual meeting of the EMDR International Association, Austin, Texas.

Language: English

Format: Other

Abstract:
Cerebella, a gifted facilitators, is teaching a level I training in Austin when fire alarms in the hotel lobby suddenly create fear and panic in our heroine.
Unable to overcome her trauma on her own, she seeks the help of a renknown EMDR therapist, Dr. Bilatera, a senior associate in the Clinical and Research Mental Health Institute of Dewey, Treat Em and Howe.
Narrator - Marcia Whisman, Amy Glia - Donna Bruzzesi, Hipo Campia - David Ogren, Video Cortexa - Debbie Korn, Anterior Cingulata - Peggy Moore, Broca Aria - Jerry Murphy, Prefrona Lobia - Sue Hoffman, Dr. Bilatera - Curt Rouanzoin, and Imprimatur - His excellency, the most cerebral Mens Sana

Keywords: Skit

Accuracy Verified: Yes

6. Foster, S. (1992, December). "Sam" Foster to create EMDR research database. EMDR Network Newsletter, 2(2), 11-12.

Language: English

Format: Newsletter

Abstract:
As Coordinator of the California Network, I have thoroughly enjoyed the opportunity to meet many of you who have attended our quarterly meetings in Sunnyvale. It has been a pleasure to interact with such talented people as the Special Interest Group (SIG) members who share their findings and new applications during the afternoon presentations.

Keywords: Database Research

Accuracy Verified: Yes

7. Knipe, J. (2009). "Shame is my safe place": Adaptive information processing methods of resolving chronic shame-based depression. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more, (1st Ed.) (pp. 49-89). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Depression Shame

Accuracy Verified: Yes

8. フランシーンシャピロ, マーゴット・シルクフォレスト, 市井雅哉 (翻訳) [Shapiro, F., and Forrest, M. S. (Ichii Masaya translator)] (2006年2月). トラウマからの解放:EMDR [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. 大阪：Nikeisha.

Language: Japanese

Format: Book

Abstract:
EMDR、または眼球運動脱感作と再処理、目の動きやハンドタップなどのリズミカルな刺激を利用して外傷の犠牲者を治療するための新しい非伝統的な、非常に短期的な治療法です。シャピロ氏は、臨床心理学者と仲間のアプローチを開発したカリフォルニア州パロアルトで、精神研究所で、これのようにわずか3として90分EMDRセッションは、患者の無効化の不安を軽減した例が報告されます。彼女は1987年に技術を開発する方法説明して、シャピロ氏は、治療について説明しますように機能するかについて、なぜ研究を支援し引き合いに出して推理。彼女はリズミカルな刺激は、プロセスのジャンプに固有の起動することを示唆していると、それらはとても自然治癒を始めることが立ち往生している外傷体験の処理を開始して犠牲者を有効にするには脳の情報処理システムを加速させます。ライターForrestは手法の有効性を実証する数多くのEMDRトレーニングを積んだセラピストによるケーススタディを掴んで提示？とりわけ、心的外傷後ストレスとベトナムのベテランは、夜の恐怖、レイプ被害者の母親と子供もほぼ悲しみに麻痺息子の死の翌年。他の研究は、終末期の患者の成功を支援麻薬中毒者を報告する。

EMDR, or eye movement desensitization and reprocessing, is a new, nontraditional, very short-term therapy for treating trauma victims that utilizes rhythmical stimulation such as eye movements or hand taps. Shapiro, a clinical psychologist and fellow at the Mental Research Institute in Palo Alto, Calif., who developed the approach, reports cases in which as few as three 90-minute EMDR sessions have relieved patients' disabling anxiety. Explaining how she developed the technique in 1987, Shapiro describes the treatment, theorizes about why it works and cites supporting research. She suggests that the rhythmical stimulation inherent in the process jump starts and accelerates the brain's information processing system to enable the victims to begin to process the traumatic experiences in which they have been stuck so that natural healing can begin. Writer Forrest presents gripping case studies from numerous EMDR-trained therapists to demonstrate the effectiveness of the technique?among others, a Vietnam veteran with post-traumatic stress, a child with night terrors, a rape victim and a mother still nearly paralyzed with grief a year after her son's death. Other studies report success helping drug addicts and the terminally ill.

Keywords: Practice Theory

Accuracy Verified: Yes

9. Dibajnia, P., Reza Zahirodin, A., & Gheidar, Z. (2012). اثر حساسيت زدایي چشمي حرکتي بر اختلال استرس پس از سانحه [Eye-movement desensitization influence on post-traumatic stress disorder]. Pejouhandeh Journal, 16(7), 322-326.

Language: Persian

Format: Journal

Abstract:
چکيده سابقه و هدف: ا ختلال پس از سانحه ) Post traumatic stress disorder ( با شيوع 5 تاا 15 درصادي در واول زنادگي 3( ماي تواناد اثرات سوء و زيانباري بر فرد و جامعه وارد كند. پژوهش حاضر با هدف بررسي اثرحساسيت زداياي شایي حركتاي Eye movement desensitization reprocessing ( در كاهش نشانه هاي PTSD در اين دسته از بيیاران انجام شده است. مواد و روشها: تعداد 13 بيیار مبتلا به PTSD به وور تصادفي انتخاب و بوسيله روش EMDR تحت درماان رارار گرفتناد. اولاعاات جیعيت شناختي و نوع يادآوري حادثه به وسيله دو پرسشنامه محقق ساخته جیع آوري گرديد. هیچنين ميازان ضاربان رلاف، فشاار خون و تعداد تنفس اين بيیاران ربل و بعد از EMDR اندازه گيري گرديد. داده هاا باه وسايله نارم افازار SPSS.16 و روشاهاي آمااري توصيفي و مجذوركا مورد تجزيه و تحليل ررار گرفتند. یافته ها: 50 % گروه مورد مطالعه در رده سني 19 تا 19 سال ررار دارند و 10 % را زنان تشكيل ميدهند. EMDR به وور باارزي ناوع و گونگي يادآوري سانحه را تغيير داد. ميزان فشار خون، ضربان رلف و تعداد تنفس به وور معناداري هیراه با يادآوري ساانحه افازايش

Background: The 5% to 25% prevalence of post-traumatic stress disorder (PTSD) during life-time can cause irrefutable harms an individuals and society. This research carried out to examine; or not eye movement desensitization and reprocessing (EMDR) treatment can improve PTSD symptoms. Materials and methods: 71 patients (56 females and 15 males) have been selected randomly. Demographic and kind of trauma-reminding information were collected by two questionnaires. Blood pressure, Heart beating and Breathing numbers before and after EMDR were measured. Data were analyzed by descriptive statistic and Q2 using SPSS software version 16. Results: 59% of patients were under 20-30 years old. 79% were females. According to the results, EMDR resulted to significant reduction of trauma reminding. Blood pressure, heart beating and breathing increased by trauma reminding significantly. ‍Conclusion: EMDR techniques promote improvement of negative symptoms of PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

10. محمد نريمانی * و سوران رجبی [Narimani, M., Ahari, S. S., & Rajabi, S.] (2010, Winter). مقايسه تاثير روش حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) با درمان شناختی ـ رفتاری (CBT) در درمان اختلال استرس [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder]. مجله علوم پزشکی دانشگاه آزاد اسلامی ، واحد پزشکی تهران، 19 (4), 236-245 [Medical Sciences Journal of Islamic Azad University, Tehran Medical Branch, 19(4(58)), 236-245].

Language: Persian

Format: Journal

Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويی، از روش های درمانی حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) و شناختی- رفتاری (CBT) در درمان اختلال استرس پس از ضربه (PTSD) استفاده می شود. هدف اين مطالعه بررسی تفاوت تاثير دو روش درمانی EMDR و CBT در اختلال استرس است. روش بررسی: در اين مطالعه مورد شاهدی 51 رزمنده مبتلا به PTSD بستری در بيمارستان ايثار اردبيل يا ساکن در شهر اردبيل به روش نمونه گيری تصادفی ساده انتخاب شدند و به صورت تصادفی به سه گروه تقسيم شدند.روش مطالعه، آزمايشی گسترش يافته و طرح تحقيق از نوع پيش آزمون ـ پس آزمون چندگروهی بود. ابزارهای مورد استفاده شامل آزمون خاطره های آزاردهنده، مقياس براشفتگی ذهنی، مقياس شناخت واره های مثبت و مقياس اضطراب و افسردگی بيمارستانی بود. يافته ها: روش های درمانی EMDR و CBT باعث کاهش معنی داری در متغيرهای خاطره های آزاردهنده، اضطراب و افسردگی و برآشفتگی ذهنی شد و ميزان اعتماد به شناخت واره مثبت به طور معنی داری افزايش يافت. روش درمانی EMDR در مقايسه با CBT در کاهش علايم PTSD رزمندگان ايرانی موثرتر بود، با اين وجود هر دو روش در کاهش علايم اين اختلال موثر بودند. نتيجه گيری: با توجه به اثر درمانی EMDR و CBT در درمان PTSD، پيشنهاد می شود به منظور پيشگيری و کاهش علايم اختلال استرس پس از سانحه جنگ در رزمندگان ايرانی از روش های درمانی فوق در مراکز درمانی استفاده شود.

Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. Materials and Methods : In this case-control study of 51 combat PTSD patients admitted to hospital or residing in the sacrifice of Ardabil Ardabil simple random sampling were selected randomly divided into three groups. Methods, expanded testing and research design type were tested before Chndgrvhy test. Test tools used included disturbing memories, anger scale, mental, cognitive scale Varh positive and the hospital anxiety and depression scale. Results : EMDR and CBT treatments significantly reduced the variables disturbing memories, anxiety and depression and mental frustration and level of confidence in recognizing the positive Varh significantly increased. EMDR therapy compared with CBT in reducing PTSD symptoms was more effective Iranian combatants, however, both methods were effective in reducing symptoms of this disorder. Conclusion : According to the therapeutic effect of EMDR and CBT in treating PTSD, is recommended to prevent and reduce symptoms of post traumatic stress disorder in war veterans of the Persian mentioned therapies used in treatment centers.

Keywords: Anxiety Anxiety Disorders CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Depressive Disorders Iranians Middle Aged Posttraumatic Stress Disorder PSTD Treatment Effectiveness Veterans War

Accuracy Verified: Yes

11. محمد نريماني ، سوران رجبي [Narimani, M., & Rajabi, S.] (2009). مقايسه ي تأثير روش حساسيت زدايي توأم با حركات چشم و پردازش مجدد در درمان اختلال استرس (CBT) با درمان شناختي رفتاري (EMDR) [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy methods in the treatment of stress disorder]. Medical Science Journal of Islamic Azad University - Tehran Medical Branch, 19(4), 236-245.

Language: Persian

Format: Journal

Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويي، از روش هاي درماني حساسيت زدايي توأم با حركات چشم و استفاده مي شود. هدف اين (PTSD) در درمان اختلال استرس پس از ضربه (CBT) و شناختي- رفتاري (EMDR) پردازش مجدد در اختلال استرس است. CBT و EMDR مطالعه بررسي تفاوت تأثير دو روش درماني بستري در بيمارستان ايثار اردبيل يا ساكن در شهر اردبيل به PTSD روش بررسي:در اين مطالعه مورد شاهدي 51 رزمنده مبتلا به روش نمونه گيري تصادفي ساده انتخاب شدند و به صورت تصادفي به سه گروه تقسيم شدند.روش مطالعه، آزمايشي گسترش يافته و طرح تحقيق از نوع پيش آزمون پس آزمون چندگروهي بود. ابزارهاي مورد استفاده شامل آزمون خاطره هاي آزاردهنده، مقياس برآشفتگي ذهني، مقياس شناخت واره هاي مثبت و مقياس اضطراب و افسردگي بيمارستاني بود. باعث كاهش معني داري در متغيرهاي خاطره هاي آزاردهنده، اضطراب و افسردگي و CBT و EMDR يافتهها: روش هاي درماني CBT در مقايسه با EMDR برآشفتگي ذهني شد و ميزان اعتماد به شناخت واره ي مثبت به طور معني داري افزايش يافت. روش درماني رزمندگان ايراني مؤثرتر بود، با اين وجود هر دو روش در كاهش علايم اين اختلال مؤثر بودند. PTSD در كاهش علايم پيشنهاد مي شود به منظور پيشگيري و كاهش علائم اختلال ،PTSD در درمان CBT و EMDR نتيجهگيري: با توجه به اثر درماني استرس پس از سانحه جنگ در رزمندگان ايراني از روش هاي درماني فوق در مراكز درماني استفاده شود.

Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. Materials and methods: In this case-control study, 51 combatants with PTSD hospitalized in Isar Hospital of Ardabil province or were inhabited in Ardabil were randomly divided to three groups. The method was extended test method and study design was multi-group test-retest. Used tools included boring memories test, subjective units of distress or anxiety (SUD) scale, validity of cognitions (VOC) scale and hospital anxiety and depression scale. Results: EMDR and CBT significantly decreased boring memories, mental distress, anxiety and depression, and also increased positive cognition. Although both EMDR and CBT caused significant reduction of anxiety and depression, EMDR was superior to CBT in reduction of PTSD symptoms of Iranian combatants. Conclusion: Regarding efficacy of EMDR and CBT in the treatment of PTSD , it is suggested to prevent and decrease symptoms of post traumatic stress disorder (PTSD).

Keywords: Anxiety Depression CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PSTD Subjective Units of Distress SUD Validity of Cognition VOC

Accuracy Verified: Yes

12. محمد جواد احمدى زاده *، حسين اسکندری ، محمدرضا فلسفى نژاد و احمد برجعلی [Ahmadizadeh, M. J., Eskandari, H., Falsafinejad, M. R., & Borjali, A.] (2010, Fall). مقایسه اثر بخشی جنبش چشم "شناختی رفتاری" و " حساسیت زدایی بازفرآوری "مدل های درمان در بیماران مبتلا به جنگ پس از سانحه اختلال استرس [Comparison the effectiveness of “cognitive-behavioral” and “eye movement desensitization reprocessing” treatment models on patients with war posttraumatic stress disorder]. Iranian Journal of Military Medicine, 12(3), 173-178.

Language: Persian

Format: Journal

Abstract:
Aims: Post Traumatic Stress Disorder (PTSD) is an anxiety disorder which can develop after exposure to any event which results in psychological trauma. Cognitive-Behavioral Therapy (CBT) is the most commonly used treatment for the disease and Eye Movement Desensitization and Reprocessing (EMDR) is a more rapid, relatively recent method. This study was designed with the aim of comparing the efficacy of Cognitive- Behavioral Therapy and Eye Movement Desensitization and Reprocessing method on reduction of specific symptoms and recovery in patients suffering from PTSD due to war. Methods: This experimental study was performed in year 2008. 45 veterans suffering from PTSD were divided randomly into three CBT, EMDR and control groups. Each of the mentioned groups contained 15 members. Two questionnaires including PTSD checklist-military version and symptom checklist 90 revised were applied in order to collect data. Data was analyzed using inferential statistical tests by SPSS 16. Results: Scores of CBT group and EMDR group had a significant difference from control group scores. Conclusion: Both models are effective on reduction of symptoms in PTSD.

Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

13. 杜鹃 [Du Juan] ( 发表时间). 创伤后应激反应的相关因素分析及眼动疗法干预研究 [The analysis of related factors of post-traumatic stress and the research on EMDR intervention]. 山东大学.

Language: Chinese

Format: Book

Abstract:
5EMDR未来的方向对EMDR治疗持不乐观的文献亦较多，如有人指出目前关于EMDR的对照研究没有严格遵照科学的原则，故其有效性有待进一步考证〔34j。另外，关于EMDR在处理创伤的生理学症状所起的作用和机制的探讨，还不是很清楚，缺乏更多的实证研究。...

[2.1.5. The future of EMDR. There are also many articles which hold negative attitudes on EMDR treatment. Some people pointed that the current control study of EMDR does not follow strictly the scientific rules. Thus, proofs of its effectiveness are needed. Moreover, the exploration of the function and mechanism of EMDR in the treatment of traumatic physiology symptoms is still unclear and yet to be proved…]

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

14. 平岡篤武 [Hiraoka Atsutake]. (2006). 子供のための福祉施設で子供とEMDRセッションは、性的逸脱行動を示したこと [EMDR sessions with a child in the welfare facility for children having shown sexual deviant behaviour]. Kodomo no Gyakutai to Negurekuto, 8(1), 29-38.

Language: Japanese

Format: Journal

Abstract:
ここでは子供のための福祉施設のケアの逸脱性行動を示す子とEMDRセッションについて報告されている。 1）半構造化面接をするため、自己観察は、被害者への思いやりの実現に向けて子供の可能性に関しての状況を明らかにするために、さらに犠牲者を間違って、積極的な海峡および/または支配の最終的な存在行うことで配置された。また、常軌を逸した性的行動の背後にある可能性経験に基づいて、以前の子供が性的虐待の被害者自身をしていたかどうかを確認する必要があった。 2）それが唯一の光/非重大な逸脱、人は性的虐待された逸脱子供の可能性に反映して、その存在に基づいて、必要と考えられるでしょう一般的にも。 3）は、事件の記録として性的虐待からフラッシュバックを説明し、EMDRは、性的逸脱行動が消失することが効果を適用した。過去のトラウマ記憶EMDR使用することで子供は開発中の通常のイニシアチブ-豊かな生活に戻ったことで、'安全なメモリに変更されました。 4）被害者にされて消えてしまった被害者を有するとの間のリンクとして、保護と介入手段を検討して児童相談センターや福祉施設からの協調努力のために、将来の必要性がある。 [著者抄録]

Here is reported about EMDR sessions with a child showing deviant sexual behaviour, in the care of the Welfare Facility for Children. 1) Semi-structured interviews were arranged in order to clarify the situation with regards to the child's potential for self-observation, compassion for the victim, realization of having done the victim wrong, further the eventual existence of dominating and/or aggressive straits. Further, based upon the possible sexual experience behind the deviant sexual behavior, there was a need to find out whether the child earlier had himself been a victim for sexual abuse. 2) Generally even if it only would be considered a light/non-serious deviance, one should, based upon its presence, reflect upon the possibility of the deviant child having been sexually abused. 3) As the case records describe flashbacks from sexual abuse, the EMDR was applied with the effect that the sexual deviant behaviour disappeared. By using EMDR the past traumatic memory was changed into a 'safe' memory, with the child having returned to normal initiative-rich life under development. 4) As the link between being victim and having victimized has disappeared, there is a future need for a coordinated effort from the Child Guidance Center and the Welfare Facility to consider the protection and intervention methods. [Author Abstract]

Keywords: Child Children Sexual Abuse

Accuracy Verified: Yes

15. [Chang Sue-Hwang, & Lin C.-P.]. （2004年9月）. 從快速眼動到EM在EMDR的：跳視眼球運動和變化的語義關係的強度 [From REM to EM in EMDR: Saccadic eye movements and change of strength of semantic associations]. 在提交的文件第43次年度會議在台灣心理學會，研討會焦慮症：心理素質，調解員和治療問題。政大大學，台北，台灣，9月26日。（國科會92 -2815- C型002 -072- H）的 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan, September 26. (NSC 92-2815-C-002-072-H)].

Language: Chinese

Format: Conference

Abstract:
研讨会焦虑症：糖尿病，调解员和治疗的影响;（国科会92 - 2825 -架C - 002 - 072 - H）的研究背景及目的：本研究从快速眼动睡眠的眼动脱敏和再加工（EMDR）治疗的可能机制依赖内存后处理模型（夏皮罗，1995年; Stickgold，2002年）的建议，通过睡眠诱导活化的弱协会在REM国家和新兴市场在联想记忆改变运作为REM睡眠融入一般语义记忆创伤的情节记忆。该协会的新兴市场对语义变化的影响后，跳视眼球运动是双边审查了本研究。方法：22名大学生被招募参加者。通过语义启动的任务，一个2（眼球运动情况：水平跳视眼球运动主场迎战没有眼球运动）× 2（语义关联的强度：强主场迎战弱）因子之间的题目设计进行审查的EM在变化的影响强度为否定词的语义联想。为负的刺激弱协会primeability改变反对强者来，根据不同的电磁环境进行了比较。结果：2 × 2方差分析结果表明了显着的主要电磁效应和电磁×语义联想实力显着交互作用，显示弱吸大大超过了强大的电磁吸后，而恰恰相反后非统。结论：研究结果呼应快速眼动睡眠相关记忆加工模式，认为在EMDR电磁可能反映了联想记忆系统通过激活不同的语义相关的词负语义节点协会不同强度的转变。对心理治疗的可能性和未来研究的结果所造成的影响进行了讨论。

Symposium on Anxiety Disorders: Diabetes, Mediators and Therapeutic Implications; (NSC 92-2825-C-002-072-H) Research background & aims: This study examined possible therapeutic mechanisms of Eye Movement Desensitization and Reprocessing (EMDR) from REM-sleep dependent memory reprocessing model (Shapiro, 1995; Stickgold, 2002) that proposed that sleep induced change in associative memory via activation of weak association during REM state and EMs functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. The effect of EM on change of semantic associations after saccadic bilateral eye movements was examined in the present study. Methods: Twenty two college students were recruited as participants. Via semantic priming task, a 2 (eye movement condition: horizontal saccadic eye movements vs. no eye movements) × 2 (strength of semantic association: strong vs. weak) between subject factorial design was performed to examine the effect of EM on change of strength of semantic association for negative words. Change of primeability of weak associations for negative stimuli as opposed to that of strong ones under different EM conditions was compared. Results: The 2 × 2 ANOVA showed a significant main effect for EM and a significant interaction effect of EM × strength of semantic association, indicating that weak priming significantly exceeded strong priming after EM, while the opposite was true after non-EM. Conclusions: The results echoed REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. The implications of the results for psychotherapy and future research possibilities are discussed.

Keywords: Anxiety Disorders Postttraumatic Stress Disorder PTSD REM REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Semantic Association Symposium

Accuracy Verified: Yes

16. 陈维樑, 吴薇莉 [Chen Wei-Liang & Li Wu-Wei]. 2010年第05期. 我所认识的EMDR陈维樑 [I know EMDR]. 西華大學學報(哲學社會科學版) 29卷5期 [West China University (Social Science Edition, 29(5))]. doi:cnki:sun:cdsf.0.2010-05-002 .

Language: Chinese

Format: Journal

Abstract:
EMDR是一种对治疗PTSD和其他创伤经历的心理治疗方法,这种方法的有效性得到了大量实证研究的支持。本文讨论了一些人们常问及的关于EMDR的基本问题,同时引用了一些案例和相关研究来帮助人们更好地理解和学习EMDR。

EMDR is the treatment of PTSD and other psychological treatment of traumatic experiences, the effectiveness of this approach are a lot of empirical research support. This article discusses some of the people often asked basic questions about EMDR, but cited a number of cases and related research to help people better understand and learn EMDR.

Keywords: Adaptive Information Processing Efficacy Studies Information Processing of Adaptability Study of Curative Effect

Accuracy Verified: Yes

17. 張素凰、李元華 [Chang Sue-Hwang, & Li Yuan-Hua]. (2003年，10月). 眼動和情緒：眼球運動的作用在治療機制 EMDR的。 [Eye movement and emotionality: The role of eye movement in the therapeutic mechanism of EMDR]. 論文發表在第42屆大會的中國心理學會，輔仁大學，台灣 [Presentation at the 42nd annual conference of the Chinese Psychological Association, Fu-Jen Catholic University, Taiwan] NSC 91-2815-C-002-125-H.

Language: Chinese

Format: Conference

Abstract:
Shapiro 認為演動訊息在處理法（EMDR）治療程序中規律的多次快速動眼作業有助於創傷記憶的處理 (Shapiro, 1989a)，但其可能涉及的療效機制之研究尚少。本研究擬從工作記憶模式的角度來探討動眼作業在 EMDR 的療效機制。根據工作記憶模式(working memory model)，動眼作業可視為一種爭奪工作記憶中視覺和空間訊息處理能力(VSSP)系統資源的干擾作業。因此，當回憶創傷事件時，施以動眼作業可降低創傷受害者對於創傷事件記憶的清晰程度，並降低患者對於創傷事件的情緒反應，以達到某種程度的治療目的。實驗一（N = 120）採動眼作業（有、無）× 圖片的性質（正向、負向）× 時間（前測、後測）的三因子混合設計，依變項為圖片影像的清晰度與情緒感受度。實驗二（N = 120）採動眼作業（有、無）× 刺激材料的性質（圖片、影片）× 時間（前測、後測）的三因子混合設計，依變項同實驗一。實驗一與實驗二的結果皆顯示，如同工作記憶模式的預期，動眼作業造成VSSP 所同時處理的影像訊息的清晰度降低，此結果與工作記憶模式的預期一致。另外，本研究亦顯示動眼作業亦造成情緒感受度降低。上述結果顯示動眼作業可能具有臨床治療上的功效，且可藉由工作記憶模式瞭解其療效機制。本研究亦對結果所顯示的意義與未來研究方向提出討論

Eye‐movement desensitization‐reprocessing therapy (EMDR) has recently been the new effective technique to treat post‐traumatic stress disorder and other disorders. Contrasted with other psychotherapies, eye‐movements are the novel component. According to the working memory model, eye‐movements could reduce the vividness of distressing images and the intensity of the emotion associated with the images. In this study, we designed two experiments to test the effects of eye‐ movements on vividness and emotionality of imagery. In Experiment 1, with positive and negative photos as stimuli, the results showed that eye movements significantly reduced the vividness and emotionality of traumatic images. In Experiment 2, with negative photos and negative films as stimuli, we also found eye‐movements significantly reduced the vividness and emotionality of traumatic images. The implications and future research possibilities are discussed.

Keywords: Emotionality Eye Movements Posttraumatic Stress Disorder PTSD Vividness Working Memory

Accuracy Verified: Yes

18. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
陳致豪眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法（Eye Movement Desensitization and Reprocessing; EMDR）是Shapiro（1989a, 1989b）所發展的一套治療方法，最早被用來治療創傷後壓力疾患（post traumatic stress disorder; PTSD，後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾，不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除（dismantling）的方式，運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2（有眼動、無眼動）× 2（正向認知、減敏延長）受試者間設計，探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著，四組的療效相當。在治療階段中，受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降；對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標（心跳速率）在前測時顯著較基線時高，而在後測時回復至接近基線水準，但就微觀歷程分析，治療階段中各組之心跳速率變化為，在第一階段內逐漸上升，階段間休息時心跳速率略為降低，在第二階段開始又逐漸上升。本研究結果亦顯示，就微觀的治療歷程（micro process）而言，在正向認知的治療情境中，僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上，雖曝露法（exposure）本身便具有療效；但眼動能夠進一步促進受試者第二階段中正向認知的相信程度（可能藉由促進訊息處理）。就巨觀的療效指標而言，雖然單一治療次在各組皆有顯著的療效，但是正向認知對療效的影響無組別差異，該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論

Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy

Accuracy Verified: Yes

19. 陳致豪張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上，研討會焦慮症：心理素質，調解員和治療問題。政治大學，台北，台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].

Language: Chinese

Format: Conference

Abstract:
眼動減敏訊息再處理法（Eye Movement Desensitization and Reprocessing; EMDR）是Shapiro（1989a, 1989b）所發展的一套治療方法，最早被用來治療創傷後壓力疾患（post traumatic stress disorder; PTSD，後來也被認為對其他心理疾患具有療效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾，不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除（dismantling）的方式，運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2（有眼動、無眼動）× 2（正向認知、減敏延長）受試者間設計，探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著，四組的療效相當。在治療階段中，受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降；對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標（心跳速率）在前測時顯著較基線時高，而在後測時回復至接近基線水準，但就微觀歷程分析，治療階段中各組之心跳速率變化為，在第一階段內逐漸上升，階段間休息時心跳速率略為降低，在第二階段開始又逐漸上升。本研究結果亦顯示，就微觀的治療歷程（micro process）而言，在正向認知的治療情境中，僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上，雖曝露法（exposure）本身便具有療效；但眼動能夠進一步促進受試者第二階段中正向認知的相信程度（可能藉由促進訊息處理）。就巨觀的療效指標而言，雖然單一治療次在各組皆有顯著的療效，但是正向認知對療效的影響無組別差異，該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論。

[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.]

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium

Accuracy Verified: Yes

20. 張素凰、 [Chang Sue-Hwang]. (2008年3月). 眼球運動中的作用機制 EMDR的治療：證據為基礎的研究 [Role of eye movements in the therapeutic mechanisms of EMDR: Evidence-based research]. 論文發表於2008年TACP（台灣臨床心理學協會）年度會議（第三次大會），專題討論會以證據為基礎研究在台灣第1節心理障礙，3月8-9日，政治大學，台北，台灣。（國科會91 -2413 - H型009 -鹽度-;國科會92 -2413 - H型002 -024-;國科會93 -2413 - H型002 -002-） [Presentation at the 2008 TACP (Taiwan Association of Clinical Psychology) Annual Conference (Third General Meeting), Symposium on Evidence-Based Research in Taiwan; Section of Mental Disorders, March 8-9, Chengchi University, Taipei, Taiwan. (NSC 91-2413-H-009-SSS-; NSC 92-2413-H-002-024-; NSC 93-2413-H-002-002-)].

Language: Chinese

Format: Conference

Abstract:
研討會以證據為基礎的研究，在台灣，部分精神疾病。（國科會 91 - 2413 - H的009 -量表中文），國家安全委員會 92 - 2413 - H的- 002 - 024 -）;國家安全委員會 93 - 2413 - H的- 002 - 002 -）眼動脫敏和再加工（EMDR;夏皮羅，1989 ，1995，2001）最近聲稱要有效地紓緩創傷後應激障礙的症狀，恐怖疾病。眼運動（電磁）是一種治療的關鍵因素，其治療機制有待澄清。在這個談話的目的是要研究系列報告，從我們的實驗室就EM的作用，治療機制 EMDR。具體來說，在EMDR程序被簡單地描述，EM的功效及工藝相比，暴露了問題。此外，對影響電磁情緒變化和生動的圖像或自傳記憶，改變數量和強度的語義協會的報告。此外，關於如何EMDR問題可能的工作，無論是電磁沒有添加任何超出了純粹接觸機制和電磁相互作用，價的刺激，他們的陳述順序進行了討論。最後，在EM的作用方面提出的刺激價為了從理論的角度來看，其臨床意義，提出和未來研究的可能性進行了討論。

Symposium on Evidence-Based Research, in Taiwan; Section of Mental Disorders. (NSC 91-2413-H-009-SSS-); NSC 92-2413-H-002-024-); NSC 93-2413-H-002-002-) Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) has recently been claimed to be effective in ameliorating the symptoms of PTSD and phobic disorders. Eye movement (EM) was one of the crucial treatment elements, of which the therapeutic mechanisms await elucidation. The aims of this talk were to report series of studies from our lab regarding the role of EM in the therapeutic mechanism of EMDR. Specifically, after EMDR procedure being briefly described, the efficacy of EM and its process compared to exposure were addressed. Further, the effects of EM on changes of emotionality and vividness of images or autobiographic memories, and changes of amount and strength of semantic associations were reported. Also, the issues regarding how EMDR might work, whether EM did add anything beyond the mechanisms of pure exposure, and the interplay of EM, valence of stimuli, and their presentation order were discussed. Finally, the role of EM in terms of stimulus valence presentation order from theoretical point of view and its clinical implications are proposed, and future research possibilities are discussed.

Keywords: Eye Movement Exposure Symposium Therapeutic Mechanism

Accuracy Verified: Yes

21. スペイツ C.リチャードコッチエレン I. [Spates, C. R., and Koch, E. I.] (2003). 眼球運動脱感作と再処理(Reprocessing)から表出(Exposure)セラピーまで : 共通するメカニズムへの証拠に対する再考と概観 [From eye movement desensitization and reprocessing to exposure therapy: A review of the evidence for shared mechanisms]. 行动分析学研究18（2）、62から76 [Japanese Journal of Behavior Analysis, 18(2), 62-76].

Language: Japanese

Format: Journal

Abstract:
心的外傷後ストレス障害は、（心的外傷後ストレス障害）のすべての文化と生涯を通じて人々に影響を与える条件である。診断実践心的外傷後ストレス障害の導入以来、多くの研究は、疫学、病態生理、心理的、生理的メカニズムだけでなく、その治療に対処しています。障害の行動製剤は、分野の研究をリードの間に浸透して、効果的な治療につながるなど、暴露療法するヒューリスティックを証明されています。眼球運動脱感作は、サービス（EMD/ R）の再処理は、この定式化から出発すると主張している最近開発された介入は、その有効性の実証的な支持を受けています。本記事では、眼球運動脱感作と再処理の行動策定を支持する証拠をレビューし、それが暴露療法と行動の一般的なメカニズムを共有していることを示唆している。以上の研究関心は心的外傷後ストレス障害より寛容と、クライアントと実務に受け入れられるのレンダリング露出ベースの治療法の検討方法に与えられるべきである。

Posttraumatic stress disorder (PTSD) is a condition that affects people in all cultures and throughout the lifespan. Since the introduction of posttraumatic stress disorder into diagnostic practice, a great deal of research has addressed its epidemiology, pathophysiology, and psychological and physiological mechanisms, as well as its treatment. A behavioral formulation of the disorder has prevailed among leading researchers in the field, and has proved heuristic in leading to efficacious treatments, e.g., exposure therapy. Eye movement desensitization and reprocessing (EMD/R), a recently developed intervention that claims to be a departure from this formulation, has received empirical support for its efficacy. The present article reviews the evidence supporting a behavioral formulation of eye movement desensitization and reprocessing, and suggests that it shares common mechanisms of action with exposure therapy. Greater research attention should be given to examining ways of rendering exposure-based therapies for posttraumatic stress disorder more tolerant and acceptable to clients and practitioners. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

22. 宋磊王振英 [Song Lei & Wang Zhen-Ying]. (2007, November). 舍曲林联合EMDR治疗抑郁症对照研究 [Sertraline treatment of depression combined EMDR research: A control study of sertraline combined with the EMDR in the treatment of depression]. 临床心身疾病，13（4） [Journal of Clinical Psychosomatic Disease, 13(4)].

Language: Chinese

Format: Journal

Abstract:
目的探讨舍曲林联合眼动脱敏和再加工治疗对抑郁症的临床疗效及安全性.方法将64例抑郁症患者随机分为两组各32例,均给予舍曲林治疗,研究组联合眼动脱敏和再加工治疗,疗程均为6w.于治疗前及治疗第1 w、2 w、6 w末采用汉密顿抑郁量表、临床总体印象量表评定临床疗效,副反应量表评定不良反应.结果治疗6 w末研究组有效率87.5%,对照组为84.4%,两组差异无显著性(χ2=0.129,P＞0.05).汉密顿抑郁量表、临床总体印象量表评分,研究组治疗1 w末均较对照组下降显著(P均＜0.05),2 w末均较对照组下降极显著(P均＜0.01),6 w末差异均无显著性(P均＞0.05).两组不良反应均轻微(P＞0.05).结论舍曲林联合眼动脱敏和再加工治疗治疗抑郁症疗效显著,起效更快,安全性高,依从性好.

Objective: To study the combined sertraline and reprocessing eye movement desensitization treatment for depression efficacy and safety. Methods 64 patients with depression were randomly divided into two groups, 32 cases were treated with sertraline treatment, the joint study group eyes Activity desensitization and reprocessing therapy, a course of 6w. in the first before treatment and 1 w, 2 w, 6 w end with Hamilton Depression Rating Scale, Clinical Global Impression Scale for assessment of clinical efficacy, adverse side effects rating scale reaction. Results 6 w end of study group and 87.5%, 84.4% of the control group, no significant difference between the two groups (χ2 = 0.129, P> 0.05). Hamilton Depression Rating Scale, Clinical Global Impression Scale scores 1 w at the end of treatment group was significantly decreased compared with the control group (P all <0.05), 2 w at the end than the control group decreased significantly (P all <0.01), 6 w at the end there was no significant difference (P all> 0.05) . two adverse reactions were mild (P> 0.05). Conclusion Joint eye sertraline desensitization and reprocessing therapy treatment of depression a significant effect, faster onset, high safety, good compliance.

Keywords: Control Study Depression Sertraline

Accuracy Verified: Yes

23. Wilson, S., Becker, L., & Tinker, R. H. (1995, June). 15-Month follow up of EMDR treatment for traumatic memory. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
We previously reported on the outcomes of a controlled study of eye movement desensitization and reprocessing (EMDR) effectiveness in the treatment of traumatic memory (Wilson, Tinker, & Becker, 1994; Wilson, Becker, & tinker, in press). In that study we found that three, 90-minute sessions of EMDR (Shapiro, 1995) "normalized the psychological functioning of the previously traumatized participants (g = 80) on all dependent measures. The present study is a 15-month follow up of those participants. I Method: The research design is shown in Table 1. Participants were randomly assigned to EMDR or to Delayed EMDR conditions. Pretreatment measurement occurred at measurement time TI. Participants in the EMDR condition received EMDR between T1 and T2; those in the Delayed EMDR condition received EMDR between T2 and T3. All participants were tested immediately following treatment and at 3 months following treatment (at T4). The 15 month, long-term follow up occurred at measurement time T5. An independent assessor collected all of the following dependent measures: Subjective Units of Disturbance Scale (SUDS; Wolpe, 1990), Impact of Events Scale (IES; Hmowitz, Wilner, & Alvarez, 1979), State/Trait Anxiety Inventory (STAI; Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983), and the Symptom Checklist (SCL-90-R, Derogatis, 1992). [Table 1. The Research Design, Treatment Condition, Measurement Time: T1 T2 T3 T4 T5; EMDR Treatment: 01 x 02 03 04; Delayed EMDR Treatment 01 02 x 03 04 05; Note: T = Time of measurement; 0 = Observation; X = Treatment administered.] II. Results: Two analyses were performed to assess the impact of EMDR treatment at the 15-month follow up. First, in order to assess the overall, long-term impact of EMDR, the 15-month follow-up scores were compared with the pretreatment scores. There was significant improvement on all nine measures at the 15-month follow up: The multivariate effect was significant (Wilk's Lambda =.11, p<.0005) as were all nine of the univariate effects (all p <.0005). Second, in order to assess whether the improvement shown immediately following EMDR treatment had been maintained over the following year the immediate posttreatment scores were compared with, the 15-month follow-up scores. The multivariate test was nonsignificant (Wilk's lambda=.74, p=.079), indicating the improvement shown immediately following EMDR was maintained 15 months later. The univariate analyses indicated additional improvement for the PTSD symptoms of intrusions (IES Intrusion: F(1,56)=7.71, p=307) and avoidance (IES avoidance: F_(1,56) -4.44, p=.040). None of the nine measures showed deterioration at the 15-month follow up. Prior to EMDR treatment 45% (g= 9) of the responders had been diagnosed as PTSD, at the 15-month follow up only 7% (g = 4) were diagnosed as PTSD (chi-squareo, N=61)= .72, p < .05). III. Responders Versus Nonresponders at the 15-Month Follow up.: At the time of writing this abstract, 75% of the participants (g=61) have responded to the 15-month follow up. In general, measures taken prior to treatment did not differentiate responders fiom nonresponders. Responding at the 15-month follow up was unrelated to age, gender, marital status or years of education, although the annual income of the responders (Mdn=21,500) was higher than that of the nonresponders (Mdn = 14,750, Mann-Whitney U=372.5, p=.017). Responding or not at 15 months was unrelated to the type of trauma experienced, whether or not the participants had been in therapy prior to EMDR treatment, or how long ago the trauma had occurred. It was also unrelated to the severity of the trauma as measured by the pretreatment scores on the nine dependent variables and to whether or not the participant met the PTSD diagnosis criteria prior to treatment. A multiple regression analysis used the immediate posttreatment and 90-day posttreatment scores to predict whether or not the participant responded at the 15-month follow up. Nonrespondents were more likely to be depressed at 90-days following treatment than were respondents (R square=.O8, B=-.16, Beta = -.28, F_L1,71)=5.99, p=.017). No other variables entered into the regression model. IV Discussiona and Conclusion, Tretement effects found immediately following EMDR treatment wer maintained or improved 15 months later and thee was a significant decrease in the number of participants diagnosed as PTSD at the 15 month follow up. The comparison of responders to nonresponders at the 15 month follow up showed that the nonresponders were more depressed than the responders, raising the possiblity that the present results may be favorably biased to some extent. The discussion will include the additional, subjective impressions of participants who did not respond to the follow up. Limitations of EMDR with this population will be discussed, including the influence of comorbidity, multiple traumas, retraumatization after treatment, and spontaneous recurrence of symptoms. V. References: 1) Derogatis, L. R. (1992). SCL-90: Administration Scoring and Procedures Manual II. Baltimore: Clinical Psychometric Research. 2) Horowitz, M. J., Wilmer, N. & Alverez, W. (1979). Impact of Event Scale: A Measure of Subjective Distress. Psychosomatic Medicine, 41, 209-218. 3) Shapiro, F. (1995), Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. 4) Speilberger, C. D., Gorsuch, R. L., Lushene, R. D., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory, Palo Alto: Consulting Psychologists Press. 5) Wilson, S. A., Tinker, R. A., & Becker, L. A. (1994, November). Efficacy of Eye Movement Desensitization and Reprocessing (EMDR)Treatment for Trauma Victims. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, Chicago, IL. 6) Wilson, S. A., Becker, L. A., & Tinker, R. A. (In press), EMDR, treatment for psychologically traumatized individuals, Journal of Consulting and Clinical Psychology.

Keywords: Follow-up Traumatic Memory

Accuracy Verified: Yes

24. Grenough, M. (2007, September). 4 brief strategies to calm, relax, and re-wire the brain. Presentation at the annual meeting of EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Looking for calm in the chaos – for you and your clients? Examine findings of recent research regarding the brain’s neuroplasticity and our ability to re-wire our own brains. Learn four 60-second strategies that can calm, relax, heighten sense of personal control, diminish power of old patterns, and strengthen healthy neural pathways. Understand, and be able to explain to clients, how research testifies to the efficacy of these simple strategies and how their implementation can be useful in EMDR treatment. In this highly experiential workshop, you will learn four strategies and explore how/when to use each with your clients – and with yourself.

Keywords: Relaxation

Accuracy Verified: Yes

25. 志和資朗, 松田俊, 佐々木高伸, 小川栄一, 佐々木高 [Shiro Shiwa, Shun Matsuda, Minori Sasaki, Eiichi Ogawa, and Takashi Sasaki] (2004年10月). 6. DVによるPTSD患者に対するBF法とEMDR(第31回日本バイオフィードバック学会総会抄録集) [6.BF (biofeedback)method and EMDR for PTSD patients by domestic violence.( Abstracts: the 31st general meeting of Japanese Society of Biofeedback Research)]. バイオフィードバック研究 30, 49 [Japanese Society of Biofeedback Research, 30, 49].

Language: Japanese

Format: Journal

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

26. O'Shea, M. K. (2003, September). Accessing and repairing preverbal trauma/neglect. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Numerous methods have attempted to repair distress remaining from very early trauma (especially adoption) or neglect, but most have been difficult, cumbersome, even traumatic. The presenter will describe and demonstrate a direct, simple, safe and incredibly effective EMDR extension, which is based on our current scientific knowledge of early brain development. Participants will (1) learn how to be able to adapt the Basic EMDR protocol when treating preverbal experiences with infants, children, adolescents and adults; (2) what language to use when accessing and repairing preverbal experiences: (3) be able to use "imaginative interweaves" to stimulate release of trapped energy and fully learn from the experience; (4) learn to use the 3 R's (Review, Release, Repair) to ensure that reprocessing of preverbal material is complete.

Keywords: Adoption Neglect Preverbal Trauma

Accuracy Verified: Yes

27. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.

Keywords: Model Poster Preverbal Trauma Theory

Accuracy Verified: Yes

28. Talwar, S. (2007, February). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.

Language: English

Format: Journal

Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee’s bilateral art and Michelle Cassou’s method of painting. A one-session example serves to illustrate its use.

Keywords: Arts Bilateral Art Body-Based Psychotherapy Expressive Arts

Accuracy Verified: Yes

29. Savneet, T. (2007). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.

Language: English

Format: Journal

Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee's bilateral art and Michelle Cassou's method of painting. A one-session example serves to illustrate its use.

Keywords: Art Therapy Art Therapy Trauma Protocol ATTP Creative Arts Therapy Creativity Emotions Memory Neurobiology Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

30. Benenti, N. (2008). Acercamiento clínico a las investigaciones de Antonio Damasio: la Dicotomía Cuerpo- Mente [Clinical approach to the research of Antonio Damasio: The dichotomy of body-mind]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 4, EMDR: Avances en teoria y tecnica [EMDR: Advances in theory and technique] (1st ed) (pp. 185-195). Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Keywords: Antonio Damasio

Accuracy Verified: Yes

31. Carbonell, J. L. (2008). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Traumatic incident reduction: Research and results (2nd ed.) (pp. 65-73). Ann Arbor, Michigan: Loving Healing Press.

Language: English

Format: Book Section

Abstract:
In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This methodology guides the examination but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated, and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Text, p. 65] [Pilot]

Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

32. Carbonell, J. (2005). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Beyond trauma: Conservations in trauma incident reduction (2nd ed.) (pp. 116-124). Ann Arbor, Michigan: Loving Healing Press .

Language: English

Format: Book Section

Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

33. Bergmann, U. (2011, August). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
What exactly happens on a neuroendocrine level in acute, chronic and complex PTSD? Is there a relationship between this unusual neuroendocrine profile and a number of medical disorders of unknown origin which, often, do not respond to traditional symptomatic medical treatment? This seminar will review and examine the results of extensive neuroendocrine research relative to these trauma-induced disorders. The data from these research bases will be integrated with neuroendocrine research findings regarding autoimmune compromises associated with chronic trauma. Anomalous conditions, such as Fibromyalgia, Chronic Fatigue Syndrome, Reflex Sympathetic Dystrophy (RSD), Systemic Lupus Erythematosis, Hashimoto’s Thyroiditis, Sjogren’s Syndrome, and Rheumatoid Arthritis will be examined. This presentation will illustrate the neuroendocrine and causal relationship between the various forms of PTSD and these medical disorders. Accordingly, the implications for treatment will be examined.

Keywords: Acute PTSD Chronic PTSD Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Medically-Unexplained Sysmptoms Neuroendocrinology

Accuracy Verified: Yes

34. Bergmann, U. (2012, October). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Keywords: Acute PTSD Chronic PTSD Complex PTSD Medically Unexplained Symptoms Neuroendocrinology

Accuracy Verified: Yes

35. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.

Language: Spanish

Format: Conference

Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas. El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos. Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo. En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento. Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas. Objetivos específicos: 1. Ser capaz de describir e identificar las manifestaciones del trauma. 2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma 3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio 4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos 5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve. Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos. La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender. Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es. Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan. En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa. Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima. Procedimientos: - El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios. - Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado. - Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.

The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances. Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors. Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it. Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought. The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative. Specific objectives: 1. Be able to describe and identify the manifestations of trauma. 2. Learn and describe two brief therapeutic techniques in the treatment of trauma 3. Define a short therapeutic technique that can be used to promote change 4. Outline the role of the therapist or during treatment of injuries 5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques. Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy. The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood. Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not. Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek. In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house. Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem. Procedures: - The workshop will be taught in Spanish and students will receive extensive additional brochures. - Will be held in a single day, in morning session and afternoon theory to practice, working each model separately. - Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.

Keywords: Brief Therapy

Accuracy Verified: Yes

36. Wesselmann, D. (2009, August). Adapting EMDR for children with reactive attachment disorder behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviors associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child’s ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, help the child stay regulated, and assist reprocessing, leading to improved behaviors, coping, and relationships.

Keywords: Children RAD Reactive Attachment Disorder

Accuracy Verified: Yes

37. Wesselmann, D. (2010, June). Adapting EMDR for children with reactive attachment disorder behaviours. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviours associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child's ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, provide a secure holding environment, and assist reprocessing, leading to improved behaviours, coping, and relationships.

Keywords: Children RAD Reactive Attachment Disorder

Accuracy Verified: Yes

38. Miller, R., & Tay, K. H. (2009, August). Adapting the standard EMDR protocol for clients with mild mental retardation: Some guidelines and implications. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
EMDR as a psychotherapeutic approach has been shown to be effective. However, there is a paucity of studies examining the efficacy of EMDR for clients diagnosed with mild mental retardation. The DSM-IV defines mild mental retardation as below average intelligence (IQ between 70 and 55) along with some deficiencies in adaptive functioning skills demonstrated before age 18. The purpose of our clinical project was to explore the applicability of EMDR for our adult clients (n = 12; mean age 22.5) diagnosed with mild mental retardation by adapting the standard protocol. Studies showed that individuals with mental retardation learn and retain information more effectively when materials are presented to them in a visual, concrete, and interactive manner while utilizing the principles of positive reinforcements.
The prevalence of mental health problems and the wide range of clinical symptoms among these individuals have been reported in several studies. Additionally, these adults are misunderstood as being overly limited in their ability to reap any therapeutic benefit from counseling interventions. Prout and Strohmer (1998), for instance, argued that adults with mental retardation do benefit from counseling interventions. However, they stressed the need for more sophisticated or modified use of psychotherapeutic interventions. Psychotherapeutic techniques and models should be modified, if feasible, in regards to language and cognitive levels commensurate with the clients’ background.
Based on our clinical observations, the following are some examples of proposed guidelines to assist the EMDR clinicians in thinking more creatively when adapting the standard protocol.
1) Considerable amount of preparation at the onset of EMDR is necessary, as it plays a pivotal role in ensuring a successful outcome.
2) Visual depiction of the SUDs and VOCs on a scale of 0 through 5, or 0 through 10, depending on the client’s cognitive abilities is beneficial. Use of “faces” to depict concretely various levels of distress should be made.
3) The concepts of PC and NC may be too abstract for some in this population. We assist clients by operationally defining those concepts with the list of commonly used PCs and NCs in simpler language.
4) Coping resources are sometimes limited for these adults. Clients will benefit from having multiple reinforcements of self-soothing skills thorough the installation of the “safe place” and “resources”.
5) Positive reinforcements (e.g., frequent verbal reminders) should be used regularly in sessions throughout treatment. However, be mindful of clients’ desire to please the clinician.
6) Role-playing should be used when feasible throughout treatment, e.g., during the installation of future templates, as it heightens more sensory, affective, and behavioral modes of learning rather than verbal modality alone.
Based on the treatment outcomes reported by our clients, EMDR is an effective treatment option, as evidenced by sustained reduction in their level of distress to traumatic memories. Findings from this clinical project have practice and research implications. First, the standard protocol should be adapted for use with adults with mild mental retardation to achieve optimal gain. Second, empirical research is needed to provide further evidence for the efficacy of EMDR for adults with mild mental retardation.

Keywords: Mental Retardation

Accuracy Verified: Yes

39. Cotraccia, A. J. (2012). Adaptive information processing and a systemic biopsychosocial model. Journal of EMDR Practice and Research, 6(1), 27-36. doi:10.1891/1933-3196.6.1.27.

Language: English

Format: Journal

Abstract:
Shapiro's (2001) adaptive information processing (AIP) model portrays an innate healing system hypothesized to be composed of neurophysiological mechanisms of action causally related to the resolution of disturbing life experiences. The author expands the model to include psychosocial mechanisms and suggests that a model of a biopsychosocial system can best depict causal properties related to positive outcomes of eye movement desensitization and reprocessing (EMDR). Teleofunctionalist and evolutionary perspectives are applied: the first, to explain the inclusion of the psychological and social features highlighted in the updated model; the second, to support the hypothesis that AIP is a goal of the human attachment system. It is posited that bonding, following a disturbing life experience, facilitates the access of information related to previous states, thus allowing an update of self/world models. These interactions are analogous to psychotherapeutic encounters, with multiple levels of information processing at subpersonal, personal, and interpersonal levels. Analysis of the causal properties of personal and interpersonal levels supports a broader understanding of AIP's scope in conceptualizing psychopathology and informing treatment applications and research.

Keywords: Adaptive Information Processing AIP Biopsychosocial Internal Working Models Teleofunctionalism

Accuracy Verified: Yes

40. Shapiro, F. (2004, September). Adaptive information processing: EMDR clinical applications and case conceptualizations. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
EMDR is guided by the Adaptive Information Procesing paradigm, which differentiates it from other forms of psychotherapy. The implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions from participants will be used to explore potential clinical applications, and to hone case conceptualization skills.

Keywords: Adaptive Information Processing Model Adolescents AIP Females Memories Cognitive Processes Family Systems Therapy Integrative Psychotherapy Psychotherapeutic Processes Self Concept

Accuracy Verified: Yes

41. Rougemont-Buecking, A. (2007, May). Addiction memory – Current concepts and perspectives for treatment and research. Presentation at the Swiss Addiction Research Day II, Lausanne, Suisse.

Language: English

Format: Conference

Abstract:
No abstract available.

Keywords: Addictions Powerpoint

Accuracy Verified: Yes

42. Popky, A. J. (1995). Addiction research project. EMDR Network Newsletter, 5(3), 12.

Language: English

Format: Newsletter

Abstract:
Silke Voglemann-Sine, Ph.D., and Larry Sine, Ph.D., are developing a research design for addictions to be presented at the 1996 EMDR International Conference in Denver this June. This research project will cover a broad range pf substnace addictions as nicotine, marijuana, cocaine, crack, herion, alcohol, methamphetamine, and prescription drugs. Dysfunctional addictive ehaviors such as overearting, bulimia, and anorexia, sex, shoplifting, and work will also be included. The research project ill be built around and based on, "The Integrative EMDR Addiction Treatment Model."

Keywords: Addictions Integrative EMDR Addiction Treatment Model

Accuracy Verified: Yes

43. Popky, A. J., Vogelmann-Sine, S., Carlson, J. G., & Sine, L. F. (1996, June). Addictions: An integrative approach and research design. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: Addictions Integrative Approach Research Design

Accuracy Verified: Yes

44. Schubert, S., & Lee, C. W. (2009). Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 3(3), 117-132. doi:10.1891/1933-3196.3.3.117.

Language: English

Format: Journal

Abstract:
This article provides an overview of selective issues relating to adult posttraumatic stress disorder (PTSD) and its treatment with eye movement desensitization and reprocessing (EMDR). The article begins by providing a historical overview of PTSD, and debates about the etiology and definition of PTSD are discussed. The most predominant theories of PTSD are summarized by highlighting how they have evolved from traditional behavioral accounts based on the assumption that PTSD is an anxiety disorder to theories that now incorporate information-processing models. This article then examines the development of EMDR and the corresponding body of research that clearly demonstrates its efficacy for the treatment for adult PTSD. The underlying mechanisms of EMDR are discussed, with a focus on the importance of the eye movement component and how the therapeutic processes in EMDR differ from those of traditional exposure therapy. Finally, the adaptive information-processing (AIP) model that underlies EMDR is outlined, and evidence for the model is summarized. The article concludes by suggesting future research based on questions raised about PTSD and its treatment with EMDR when the AIP model is compared to other information-based theories of PTSD.

Keywords: Adult Mechanism of Action Review Posttraumatic Stress Disorder PTSD Theory

Accuracy Verified: Yes

45. Broad, R. D. & Wheeler, K. (2006, May). An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: A case study. Perspectives in Psychiatric Care, 42(2), 95-105. doi:10.1111/j.1744-6163.2006.00058.x.

Language: English

Format: Journal

Abstract:
Problem: Adverse childhood experiences have been found to be a strong predictor of emotional and physical problems in adulthood. However, the long-term sequelae for children who have suffered critical illness and exposure to invasive medical procedures are less well documented. Methods: This is a case study of an adult client who sought treatment for depression and attention deficit disorder. The psychotherapy treatment is discussed and the use of eye movement desensitization and reprocessing (EMDR) is described targeting a memory of a medical trauma resulting from a tonsillectomy when the client was 8 years old. Conclusions: Significant healing outcomes were attained as a result of the therapy, i.e., decreased depression, less hypervigilance, and increased ability to concentrate, which resulted in the discontinuation of medication for depression and ADHD as well as significant improvement in overall functioning.

Keywords: Childhood Medical Trauma Psychoanalytic Psychotherapy Adverse Childhood Experiences Depression Attention Deficit Disorder Early Experience Major Depression PTSD Psychoanalysis Childhood Development Clinical Case Study Empirical Study

Accuracy Verified: Yes

46. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors needs to be carefully evaluated. A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented which take into consideration clients' readiness, as well as the need to accelerate the recovery process. EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as to how such core issues can be targeted to accelerate the recovery process. A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive behaviors. The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing negative cognitions associated with grief and trauma. Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse") because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate "ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use disorder (i.e., functional, autonomous, or both). Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR protocol were employed are presented in detail.

Keywords: Addictions Substance Abuse Symposium

Accuracy Verified: Yes

47. 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

48. Acierno, R. E., & Cahill, S. P. (1999). Advances in conceptualization and research on the efficacy and mechanism of EMDR. Journal of Anxiety Disorders, 13(1-2), 1-236.

Language: English

Format: Journal

Keywords: Efficacy Mechanisms

Accuracy Verified: Yes

49. Giannantonio, M., Guzzi, R., Fernandez, I., & Ziveri, D. (2003, May). Advances in EMDR research – Qualitative analysis of EMDR – Efficacy for PTSD. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
Research on the efficacy of EMDR as a treatment for PTSD has concentrated its focus mostly on the measurement of quantitative variables. This approach facilitates the application of effective procedures of statistical analysis and the comparison of EMDR efficacy with other treatments. Conversely, important information is not reported like the different levels of efficacy in relation to individual characteristics. During this presentation, through the thorough discussion of 3 experimental cases treated with EMDR, we will review how different analysis tools (clinical interviews, biofeedback measures, tests, self-report, etc.) show evidence of different features of EMDR efficacy. The positive results achieved with EMDR treatment with these three subjects will be compared through biofeedback measures and self-administered tests.

Keywords: Efficacy Qualitative Analysis

Accuracy Verified: Yes

50. Taylor, S. (2004, July). Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives.. New York, NY: Springer Publishing Company.

Language: English

Format: Book

Abstract:
Are behavioral and cognitive-behavioral therapies sufficiently broad in their effects on trauma-related psychopathology and related factors? This volume considers many of the complexities in treating PTSD, and emphasizes evidence-based approaches to treatment. A useful resource for clinicians, trainees, as well as investigators doing research into the treatment of PTSD.

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

51. Seidler, G. H. (2002). Aktuelle therapieansätze in der psychotraumatologie [Psychotraumatology: Recent therapy approaches]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 48(1), 6-27.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Heutige Therapieansätze in der Psychotraumatologie Zentrum rund um das Problem der effektiven Zugang zu spezifischen Trauma-Symptome: Einbrüche; affektive Abstumpfung und Vermeidungsverhalten, Übererregung. Unter seinem Lager aus dem deutschen und amerikanischen Leitlinien PTSD-Therapie, skizziert der Artikel die wichtigsten Therapiemethoden und bewertet sie im Hinblick auf die relevanten Qualitätskriterien. EMDR, kognitiv-behavioralen Ansätzen, modifizierte psychodynamische Methoden und Trauma-adaptierten stationären Psychotherapie können so lange empfohlen werden, da sie in Verbindung mit stabilisierenden Elemente-Therapie eingesetzt werden. Normalerweise sind weitere therapeutische Interventionen auch notwendig, Zeichnung auf traditionelle Methoden für die Integration des Traumas in den Patienten-Biographie. [Abstract Autor]

Present-day therapy approaches in psychotraumatology center around the problem of effective access to specific trauma symptoms: intrusions; affective blunting and avoidance behaviors; hyperarousal. Taking its bearings from the German and American PTSD therapy guidelines, the article outlines the most important therapy methods and assesses them in terms of relevant quality criteria. EMDR, cognitive/behavioral approaches, modified psychodynamic methods, and trauma-adapted inpatient psychotherapy can be recommended as long as they are used in conjunction with stabilizing therapy elements. Normally, further therapeutic interventions are also necessary, drawing on traditional methods for integrating the trauma into the patient's biography. [Author Abstract]

Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Review Stressors Survivors

Accuracy Verified: Yes

52. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).

Language: English

Format: Publication

Abstract:
Findings by SBU Alert, Version: 1,
METHOD AND TARGET GROUP: EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS: Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS: There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE: There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months. Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions. *This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject. This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES: 1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33. 2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press. 3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000. 4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57. 5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999. 6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27. 7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996. 8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239. 9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44. 10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995. 11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623. 12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press. 13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999. 14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33. 15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113. 16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144. 17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056. 18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils. The complete report is available in Swedish only.

Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD

Accuracy Verified: Yes

53. Phillips, M. (2002, June). All for one and one for all: Integrating EMDR, ego-state therapy and energy psychology. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
One of the most challenging barriers to healing from past trauma is the inner conflict triggered by dissociative fragmentation. This workshop presents several ways of synthesizing ego-state therapy, EMDR and energy psychology methods to resolve competing inner needs and reactions and promote more integrated functioning within a comprehensive four stage model. Specific protocols incorporating ego-state work, EMDR and meridian (energy) techniques will be demonstrated and practiced. Special emphasls will be given to the resolution of mind/body symptoms that interface with trauma.

Keywords: Ego State Therapy Energy Psychology Meridian Therapy Mind/Body

Accuracy Verified: Yes

54. Sack, M. (2005, November). Alterations in autonomic tone during trauma therapy with EMDR. In S. Woodword, J. Hopper, M. Sack, R. Pitman, & D. Kaloupek (Chairs), Respiratory Sinus Arrhythmia: Insights into Autonomic Function in PTSD. Symposium conducted at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Respiratory Sinus Arrhythmia: Insights into Autonomic Function in PTSD: Studies of cardiac responses to trauma-related cues have defined the mainstream of laboratory research in posttraumatic stress disorder. Examinations of respiratory sinus arrhythmia now challenge the view that exaggerated sympathetic tone and reactivity provide a sufficient account of the autonomic abnormalities seen in this diagnosis.
Alterations in autonomic tone during trauma therapy with EMDR: It has been hypothesized that EDMR, by pairing stimuli that evoke divided attention with exposure to trauma memories, elicits repetitive orienting responses followed by enhanced parasympathetic tone, resulting in significant within-session psychophysiological de-arousal. We monitored 10 standard EMDR treatments for PTSD (55 sessions) with impedance cardiography. Heart rate (HR), parasympathetic tone (RMSSD), sympathetic tone (PEP), and respiration rate (RESP) were assessed. Markers were set at the onset of every stimulation/exposure period (N = 811). Effects within and across stimulation sets were examined. An orienting response, with associated sharp increase of parasympathetic tone and significant decrease of HR, was found at stimulation onsets. During ongoing stimulation, sympathetic arousal increased while parasympathetic tone decreased, responses consistent with stressrelated arousal during trauma exposure. However, across entire sessions there was a significant pattern of psychophysiological de-arousal, evidenced by progressively decreasing HR and increasing RMSSD. These findings suggest EMDR is associated with distinct patterns

Keywords: Autonomic Tone Symposium

Accuracy Verified: Yes

55. Shapiro, F. (1994, March). Alternative stimuli in the use of EMD(R). Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 89. doi:10.1016/0005-7916(94)90071-X.

Language: English

Format: Journal

Abstract:
The writer comments on the use of eye movement desensitization treatment and treatment evaluation.

Keywords: Letter Research Needs

Accuracy Verified: Yes

56. Oglesby, C. (1995). Alternative strategies for dealing with trauma and trauma in sport. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology (AAASP), New Orleans, LA.

Language: English

Format: Conference

Abstract:
Building upon the theory and research of Wolpe's Systematic Desensitization, a new approach has been developed for reintegrating trawmrtic events and holds promise for work with athletes at a variety of skill levels. Eye Movement Desensitization Reprocessing (EMDR) is a brief intervention which enhances the individual's own in order to become perceived as insunnountable obstacles to the athlete's progress. This presentation will provide a brief overview of Shapiro's EMDR approach and describe the technique in genera1 terms. Qualification necessary to use the approach will be described as well as ways to network with EMDR-trained professionals. Two case studies of the use of this technique with athletes will be presented.

Keywords: Sports Trauma

Accuracy Verified: Yes

57. Engelhard, I. M. (2011, April). Altrecht en de Universiteit Utrecht [Altrecht and Utrecht University]. Casusbesprekingen op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Beschrijving casus: Het Utrechtse samenwerkingsverband dat wordt besproken, betreft een samenwerking tussen Altrecht en de Universiteit Utrecht. Altrecht is een gespecialiseerde ggz-instelling in de regio Utrecht en heeft een lange historie op het gebied van wetenschappelijk onderzoek. Door naast het doen van patiëntenzorg, wetenschappelijk onderzoek te verrichten in samenwerking met universiteiten en andere onderzoeksinstituten ontstaat wisselwerking tussen de klinische en de onderzoekspraktijk die de patiëntenzorg ten goede komt. In diverse onderzoekslijnen (onder meer bipolaire stoornissen, agressie/gedragstoornissen, eetstoornissen, somatoforme stoornissen, ouderen) zijn onderzoekers actief wat zich onder meer uit in internationale publicaties. Om academisering te faciliteren, is Altrecht in 2006 een formele relatie aangegaan met de Universiteit Utrecht. Methoden: De wijze van samenwerken zal worden besproken en geïllustreerd aan de hand van een specifiek onderzoeksproject, te weten een gerandomiseerde en gecontroleerde studie naar de effectiviteit van eye movement desensitisation and reprocessing (EMDR) bij posttraumatische stressstoornis (PTSS). Regionale.

Case Description: The Utrecht partnership that is discussed, a joint venture between Altrecht and Utrecht University. Altrecht is a specialized mental health institution in the region of Utrecht and a long history in scientific research. By also doing patient care, scientific research in collaboration with universities and Other research results interact between clinical and research practice the patient benefit. In several lines of research (including bipolar disorder, aggression / conduct disorder, eating disorders, somatoform disorders, the elderly) are researchers what is itself actively in international inter alia, publications. In order to facilitate academic, Altrecht was in 2006 entered into a formal relationship with the University of Utrecht. Methods: The mode of cooperation will be discussed and illustrated using a specific research project, to out a randomized controlled study of the efficacy of Eye Movement Desensitisation and Reprocessing (EMDR) for post-traumatic stress disorder (PTSD). Regional

Keywords: Case Discussions

Accuracy Verified: Yes

58. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. DOI:10.1016/j.brat.2007.05.006 .

Language: English

Format: Journal

Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]

Keywords: Adults Americans Cognitive Processes Cognitive Therapy College Students Evidence Based Treatment Exposure Empirically Supported Treatment Patient Preference Posttraumatic Stress Disorder Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Selective Serotonin Reuptake Inhibitors Stressors Survivors TFT Thought Field Therapy

Accuracy Verified: Yes

59. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .

Language: English

Format: Journal

Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks

Keywords: Acupuncture Anxiety Bi-Digital O-Ring Test Dental Phobic Patients Pharmacological sedation Preferred Patterns Visual Pathway

Accuracy Verified: Yes

60. Mestanza, R. (2007). Aplicación de terapia cognitivo conductual individual, grupal y EMDR, en adolescentes de 11 a 13 anos con altos nivelesde ansiedad del 8º ano de educación básica de la red educativia Helena Cortes Bedoya, en la ciudad de Quito, ano lectivo 2006-2007 [Application of individual and group cognitive behavioral EMDR therapy to 11 to 13 year old adolescents with high levels of anxiety in the 8th year of the Helena Cortes Bedoya educational network, City of Quito School Year 2006-2007]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El presente trabajo de investigación tuvo como objetivo general, verificar si la Terapia Cognitivo-Conductual individual, grupal y EMDR disminuyen la ansiedad en adolescentes de 11 a 13 años del 8º año de Educación Básica de la Red Educativa Helena Cortes Bedoya, Sector Carapungo de la ciudad de Quito, en el año lectivo 2006-2007. Se tomó como referencia que la Terapia Cognitivo-Conductual , es el conjunto de técnicas terapéuticas que han resultado del empleo sistemático del método experimental en la Psicología y demás disciplinas afines, empleados con el propósito de modificar pensamientos y conductas desadaptativas . En tanto que EMDR consiste en la Desensibilización y Reprocesamiento por medio del Movimiento Ocular u otras estimulaciones bi-hemisféricas especialmente para trabajar sobre recuerdos traumáticos. La investigación a realizarse fue de tipo explicativo con diseño cuasi- experimental con un grupo de sujetos estimado del 30 al 50 % del total de la población de adolescentes evaluados con el test ISRA-J. Con ISRAJ (Inventario de Situaciones y Respuestas de Ansiedad – Jóvenes ) se evaluó a 70 estudiantes de 8º Año de Educación Básica obteniendo 14 con alto nivel de ansiedad, a los cuales se les invitó a participar en el taller “ Jóvenes en Aprendizaje” durante 12 sesiones. Al grupo se realizó la evaluación pre y post tratamiento, para verificar si la Terapia Cognitivo Conductual individual y en grupo + EMDR, son efectivos para bajar niveles de ansiedad y considerando el género saber que grupo fue beneficiado en mayor medida. Verificada su efectividad, el programa anteriormente señalado, se aplicará para bajar niveles de ansiedad a todos los adolescentes que luego de ser evaluados con el test ISRAJ obtenga un puntaje directo de 51 a 75, con indicación de tratamiento necesario y de 76 a 100 con necesidad de terapia urgente.

The present research aimed generally verify whether cognitive behavioral therapy individual, group and EMDR decrease anxiety in adolescents 11 to 13 years of Grade 8 Basic Education Educational Network Helena Cortes Bedoya, Sector Carapungo of Quito, in the academic year 2006-2007. The reference used was that cognitive behavioral therapy, is the set of therapeutic techniques that have resulted from the systematic use of the experimental method in psychology and other disciplines, employees with the aim of changing maladaptive thoughts and behaviors. While EMDR is Desensitization and Reprocessing Eye Movement or other bi-hemispheric stimulation specifically to work on traumatic memories. The research was carried out explanatory type quasi-experimental design with a group of subjects estimated 30 to 50% of the total population of adolescents assessed with the ISRA-J test. With ISRAJ (Inventory of Situations and Responses of Anxiety - Young) was assessed 70 students from Year 8 Basic Education getting 14 with high anxiety, to which were invited to participate in the workshop "Young People in Learning" for 12 sessions. The group evaluation was performed before and after treatment, to verify if the individual and Cognitive Behavioral Therapy + EMDR group, are effective in lowering anxiety levels and considering the genre know that group was benefited most. Verified its effectiveness, the program noted above will apply to lower levels of anxiety to all adolescents be evaluated after the test will score ISRAJ live 51 to 75, indicating the necessary treatment and from 76 to 100 with need Urgent therapy.

Keywords: Adolescents Helena Cortes Bedoya Educational Network Group Behavioral Therapy Quito

Accuracy Verified: Yes

61. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique à propos d'un cas d'agression sexuelle [EMDR applied to sexual traumatology: Evolution of psychopathological comorbidity in the case of sexual aggression]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 523-528. doi:10.1016/j.amp.2007.06.002.

Language: French

Format: Journal

Abstract:
L'accès thérapeutique des patients victimes d'agression sexuelle est souvent à travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légère ou modérée cas de SSPT, il ya des formes complexes où la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. À l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particulièrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brève et active, donnent de bons résultats dans le traitement de la symptomatologie traumatique. Peu d'études ont été menées sur l'évolution psychopathologique de patients ayant souffert d'agressions sexuelles et qui sont pris en charge par l'EMDR. Dans le cadre d'une étude de cas, les auteurs discutent des éléments indiquant une évolution rapide de la symptomatologie traumatique, l'évitement sexuel et de la régression de l'expression des signes de co-morbidité. [Auteur] Résumé

The therapeutic access of patients victims of sexual aggression is often through a double perspective: That of treating Post Traumatic Stress Disorder (PTSD) and of sexual avoidance. In light or moderate PTSD cases, there are complex forms in which co-morbidity is more evident and the rate of therapeutic failure is more important. At present active treatment methods based on exposure, more particularly EMDR (Eye Movement Desensitization and Reprocessing) considered as a brief and active therapy, give good results in the treatment of traumatic symptomatology. Few studies have been undertaken on the psychopathological evolution of patients having suffered from sexual attacks and who are being taken care of by EMDR. Within the framework of a case study, the authors discuss elements indicating a rapid evolution of traumatic symptomatology, of sexual avoidance and of regression of the expression of the co-morbidity signs. [Author Abstract]

Keywords: Brief Therapy Clinical Case Study Sexotherapy Sexual Trauma

Accuracy Verified: Yes

62. Hase, M. (2004, June). Application of eye movement desensitization and reprocessing (EMDR) on severe posttraumatic stress disorder following a single traumatic event in elderly psychiatric patients. In single trauma and grief (L. Cornil, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Single traumatic events can lead to severe posttraumatic stress disorder (PTSD) with serious effects on some and psyche as well as on social functioning. Often our focus in diagnostics is limited on obvious traumatic experiences according to the ICD-10 or DSM-IV criteria of what a traumatic event should be. But trauma can be variant or masked by somatic illness or comorbid psychiatric disorder. Beside the straightforward PTSD cases, the clinician should pay attention to comorbidity and the effect of dysfunctionally stored, incompletely processed information in a variety of patients. PTSD seems to be underdiagnosed in elderly patients. This paper, as part of the symposium on the treatment of single traumatic events using EMDR, has it foundation in clinical practice and gives evidence on the importance if diagnosing for PTSD and applying appropriate treatment especially EMDR, in the subgroup of elderly patients. Two case examples of PTSD following a single traumatic event in the course of depressive illness and the course somatic illness illustrate important principles and give evidence of the successful application of EMDR in the treatment of PTSD following a single traumatic event with elderly patients. The guidelines for good clinical practice in the treatment of PSTD following a single traumatic event regarding EMDR standard protocol and procedural rules will be outlines. In some respects EMDR treatment has to be adapted to the special demands of the elderly. Some ideas will be formulated and discussed. The aim of the presentation is to encourage the clinician in engaging in active treatment of the sequelae of single traumatic events in general and specially to apply EMDR with elderly patients, hereby stimulating research on the application of EMDR with the elderly, a hitherto often neglected subgroup of patients.

Keywords: Elderly Grief Posttraumatic Stress Disorder PTSD Single Trauma Symposium

Accuracy Verified: Yes

63. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.

Keywords: Impulse Control Mindfulness Poster Self Harm

Accuracy Verified: Yes

64. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .

Language: English

Format: Dissertation/Thesis

Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.

Keywords: Narrative Therapy South Africa Transtheoretical Model

Accuracy Verified: Yes

65. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva. A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc. Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP. Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”. Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.

The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.

Keywords: Postpartum Depression RDI Resource Development and Installation

Accuracy Verified: Yes

66. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.

The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.

Keywords: Chronic Pain Perceptual Deficits

Accuracy Verified: Yes

67. Callipo, N. (2007-2008). Applicazioni del pensiero controfattuale negli esiti post-traumatici [Applications of counterfactual thinking in post-traumatic events]. Università degli Studi di Trieste, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract:
Applicazione del pensiero controfattuale negli esiti post-traumatici 1. Introduzione. Il pensiero controfattuale è un processo che esprime la capacità di riflettere e modificare gli scenari di situazioni da cui sarebbero potuti conseguire esiti differenti dalla realtà. Nella quotidianità è comune che un sentimento di rammarico – il regret - venga provato a seguito di una discrepanza tra i risultati attesi e la realtà. La ricerca e l’esperienza condivisa dicono che, rilevare le differenze tra ciò che avremmo voluto e ciò che abbiamo ottenuto, ci aiuta a pianificare azioni più efficaci nel futuro. Tuttavia, in condizioni di elevato stress, come quello provato dopo un evento indesiderato e traumatico, possono fare irruzione nella coscienza pensieri nella forma “Se solo non fossi stato così…”, oppure “Se solo non avessi fatto” o “Se avessi fatto qualcosa per evitare tutto ciò”; nel tentativo di annullare (undoing) idealmente le conseguenze dell’accaduto. Questi pensieri controfattuali possono sortire l’effetto di amplificare emozioni e sentimenti come il biasimo, la rabbia, la vergogna e il senso di colpa. L’attitudine alla generazione automatica, indiscriminata e non finalizzata all’azione, di domande e affermazioni ricorsive, può condensarsi in un particolare stile di pensiero – la ruminazione – che sottende sensazioni di disagio diffuse e invalidanti, come gli stati depressivi, ansiosi ed ossessivi. La prima parte di questo lavoro è occupato da una rassegna sulle ricerche che, inizialmente, pongono il pensiero controfattuale nel quadro delle più generali abilità di problem-solving; successivamente, la prospettiva funzionale, riesce a farne risaltare il versante adattivo, rilevante ai fini della regolazione degli stati affettivi e, più in generale, del mantenimento della salute mentale. Nella seconda parte viene discusso il ruolo del pensiero controfattuale, in relazione al suo versante disfunzionale , con particolare riguardo agli esiti post-traumatici. Nella terza parte vengono analizzati i modelli di elaborazione delle informazioni che riconoscono un ruolo al pensiero controfattuale nella regolazione dell’umore, citando alcuni paradigmi psicoterapeutici, tra cui l’Eye Movement Desensitization and Reprocessing (EMDR), ideato da Francine Shapiro. Per verificare l’applicazione del pensiero controfattuale nel trattamento degli esiti post-traumatici sono stati riportati due esempi: uno tratto dalla letteratura sull’EMDR e un caso di disturbo ansioso-depressivo, in trattamento con psicoterapia a orientamento cognitivo.

Application of counterfactual thinking in a post-traumatic results. Introduction. The counterfactual thinking is a process that expresses the ability to reflect and change scenarios of situations that could have been large gains different from reality. In everyday life it is common that a feeling of regret - the regret - should be tried as a result of a discrepancy between expected results and reality. The research says that shared experience, point out the differences between what we wanted and what we have achieved, helps us to plan more effective actions in the future. However, under conditions of high stress, such as that experienced after a traumatic event and unwanted, they can break into the conscious thoughts in the form "If only I had not been so ..." or "If only I had not done" or "If I had done something to avoid anything "in an attempt to cancel (undoing) the ideal of what the consequences. These counterfactual thoughts may have the effect of amplifying emotions and feelings such as blame, anger, shame and guilt. The ability to generate automatic, indiscriminate and not action-oriented questions and statements recursive, it can condense into a particular style of thinking - rumination - that underlies feelings of discomfort common and disabling, such as depression, anxiety and obsessive . The first part of this work is occupied by a review of the research that initially pose the counterfactual thinking in the context of more general skills of problem-solving, since then the functional perspective, can bring out the side adaptive, relevant to the regulation of affective states and, more generally, of maintaining mental health. The second part discussed the role of counterfactual thinking, in relation to its dysfunctional side, especially with regard to post-traumatic results. In the third part analyzes the patterns of information processing that recognize a role in regulating mood counterfactual thinking, citing some psychotherapeutic paradigms, including eye movement desensitization and reprocessing (EMDR), developed by Francine Shapiro. To test the application of counterfactual thinking in the treatment of post-traumatic results were two examples: one taken from the literature on EMDR and a case of anxiety-depressive disorder, treatment with cognitive-oriented psychotherapy.

Keywords: Counterfactual Thinking Informational Processing

Accuracy Verified: Yes

68. Oren, U., & Konuk, E. (2010, July). Applied EMDR research: EMDR in the treatment of headache. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The need for research in the EMDR field has been clear since its beginning. EMDR therapists, like most other therapists, have been reluctant to combine clinical work and research despite offers of support from the EMDR community. One of the reasons for such an approach has to do with the sense that EMDR research has little to do with the “real” work of clinicians. A team of Turkish therapists have decided to develop a protocol for treating chronic migraine headaches. Their work is based on the original work of Grant (1999) and Marcus (2008). The presentation will describe the study they have conducted, the protocol they have developed, and the future possible applications of their work. The ways in which this project can be used as a prototype for further applied research in the EMDR field will be described. A call for more applied research and ways to support it will be made.

Keywords: Headache Research

Accuracy Verified: Yes

69. Ahmad, A., & Sundelin-Wahlsten, V. (2007, September). Applying EMDR on children with PTSD. European Child & Adolescent Psychiatry, 17(3), 127-132. doi:10.1007/s00787-007-0646-8.

Language: English

Format: Journal

Abstract:
Objective: To find out child-adjusted protocol for eye movement desensitization and reprocessing (EMDR). Methods: Child-adjusted modification were made in the original adult-based protocol, and within-session measurements, when EMDR was used in a randomized controlled trial (RCT) on thirty-three 6–16-year-old children with post-traumatic stress disorder (PTSD). Results: EMDR was applicable after certain modifications adjusted to the age and developmental level of the child. The average treatment effect size was largest on re-experiencing, and smallest on hyperarousal scale. The age of the child yielded no significant effects on the dependent variables in the study. Conclusions: A child-adjusted protocol for EMDR is suggested after being applied in a RCT for PTSD among traumatized and psychosocially exposed children (Springer).

Keywords: Case Studies Children Child Psychiatry Empirical Study Posttraumatic Stress Disorder Psychotherapy PTSD Quantitative Study Randomize Control Trial RCT Trauma Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

70. Britt, V. J., Diepold, J., & Bender, S. (2008, September). Applying energy psychology methods in the preparation phase of the EMDR eight step protocol. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This workshop will explore and provide an additional means of stabilization and resource for the EMDR preparation phase, as well as expand therapeutic strategies to resolve treatment blocks and stuck processing. Using concepts such as correct polarity and methods like muscle-testing, which come from the emerging field of energy psychology, compromised psycho-energetic activity at the mind-body interface will be demonstrated. These methods can be incorporated into the EMDR preparation phase without compromising the 8 phase protocol.

Keywords: Energy Psychology Preparation Phase

Accuracy Verified: Yes

71. Britt, V., Diepold, J., & Bender, S. (2005, June). Applying energy psychology to treatment blocks in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Although EMDR protocol offers a wide range of strategies to re-start blocked processing, sometimes these methods do not resolve the impasse and another perspective may be necessary. This workshop will expand the concept of blocks-(i.e. blocking beliefs. looping and stuck processing) in terms of the emerging field of energy psychology. We will demonstrate what occurs when psycho-energetic activity in the mind-body interface is compromised and how that can inhibit processing. It will introduce the concepts and treatment of energetic blocks, muscle testing and polarity compromise and explore how treatment corrections can be used to neutralize blocks without disrupting the EMDR protocol. Format: Lecture, demonstration and experiential exercise.

Keywords: Energy Psychology

Accuracy Verified: Yes

72. Devilly, G. J. (2004, December). An approach to psychotherapy toleration: The Distress/Endorsement Toleration Scale (DEVS) clinical outcome studies. Journal of Behavior Therapy and Experimental Psychiatry, 35(4), 319-336. doi:10.1016/j.jbtep.2004.08.001.

Language: English

Format: Journal

Abstract:
The issue of treatment tolerance within the field of psychotherapy is, at best, a nebulous construct and has been commonly evaluated via rates of subject attrition and homework compliance. This research presents the psychometric properties of a ten-item scale which endeavours to measure treatment distress and participant endorsement of therapy protocols used in clinical research. Two factors emerged and the subscales of Distress and Endorsement were derived. These subscales displayed good reliability with acceptable inter-item correlations within each subscale. The subscales were also able to differentiate the perspectives of male Vietnam veterans from their spouses on a lifestyle management course at the termination of intervention. However, this scale also displayed a cognitive behavioural trauma treatment protocol and eye movement desensitisation and reprocessing to be equivalent in treatment distress and participant endorsement in the treatment of PTSD. Preliminary findings suggest that the relationship between these two subscales and outcome may, to some extent, be population specific. First evidence suggests that intervention distress ratings may be influenced by severity of presentation, whilst endorsement ratings are more influenced by symptomatic improvement over time. Suggestions for future research are presented and the full questionnaire is attached as an appendix. [Author Abstract]

Keywords: Adults Australians Cognitive Therapy Distress Family Therapy Endorsement Females Males Outcome Psychotherapeutic Processes Questionnaire Self Report Instruments Spouses Tolerance Treatment Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

73. de Jongh, A., ten Broeke, E., & Meijer, S. (2011). Approche des deux méthodes: Un modèle de conceptualisation de cas dans le contexte de l’EMDR. Journal of EMDR Practice and Research, 4(1), 12–21. doi:10.1891/1933-3196.5.1.E12.

Language: French

Format: Journal

Abstract:
Cet article décrit un modèle complet qui permet d’identifier des souvenirs cibles essentiels pour le traitement EMDR. L’“Approche des deux méthodes” peut s’appliquer à la conceptualisation et à la réalisation du traitement pour une large gamme de symptômes et de problèmes autres que ceux qui sont directement en lien avec l’ESPT. Le modèle se compose de deux types de conceptualisation de cas. La Première méthode s’applique aux symptômes permettant de préciser de manière significative les événements étiologiques ou aggravants sur une ligne du temps. Elle est principalement destinée à la conceptualisation et au traitement de troubles de l’Axe I du DSM-IV-TR. La Seconde méthode est utilisée pour identifier les souvenirs qui sous-tendent les croyances fondamentales dysfonctionnelles. Cette méthode est principalement destinée à traiter les formes plus graves de psychopathologie, comme la phobie sociale sévère, l’ESPT complexe ou les troubles de la personnalité. Les deux méthodes de conceptualisation de cas sont expliquées point par point, en détail, et sont illustrées par des exemples de cas.

This article describes a comprehensive model that identifies key target of memories for the treatment EMDR. The "approach of the two methods " can be applied to the conceptualization and implementation treatment for a wide range of symptoms and problems other than those directly related PTSD. The model consists of two types of case conceptualization. First method applies to specific symptoms for significantly Events causative or aggravating on a timeline. It is mainly intended for the conceptualization and treatment of disorders of Axis I DSM-IV-TR. The second method is used to identify memories that underlie dysfunctional core beliefs. This method is primarily intended to address the more serious forms of psychopathology such as social phobia severe complex PTSD or personality disorders. Both methods of conceptualizing cases are explained point by point in detail and are illustrated by case examples.

Keywords: Case Conceptualization Model

Accuracy Verified: Yes

74. Viechtbauer, W. (2007, March). Approximate confidence intervals for standardized effect sizes in the two-independent and two-dependent samples design. Journal of Educational and Behavioral Statistics, 32(1), 39-60. doi:10.3102/1076998606298034.

Language: English

Format: Journal

Abstract:
Standardized effect sizes and confidence intervals thereof are extremely useful devices for comparing results across different studies using scales with incommensurable units. However, exact confidence intervals for standardized effect sizes can usually be obtained only via iterative estimation procedures. The present article summarizes several closed-form approximations to the exact confidence interval bounds in the two-independent and two-dependent samples design. Monte Carlo simulations were conducted to determine the accuracy of the various approximations under a wide variety of conditions. All methods except one provided accurate results for moderately large sample sizes and converged to the exact confidence interval bounds as sample size increased.

Keywords: Confidence Intervals Effect Size Standardized Mean Difference Two-Independent Samples Design

Accuracy Verified: Yes

75. Leutner, S. (2012). Arbeit mit inneren anteilen im EMDR-prozess: stärkung der bindungsfähigkeit [Working with inner components in the EMDR process: Strengthening the binding ability]. Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: Swedish

Format: Conference

Abstract:
Working with EMDR and the AIP-Model have very similar goals in that they aim to strengthen the inner process of the client and overcome the effects of trauma. It is shown that the combination of both methods provides the therapist with a powerful tool. It is discussed which inner parts can play a part in processing trauma. Here we do not only look at the patient's side, but also at the side of the therapist and his or her ego-states, suggesting not only the patient takes care of traumatized ego-states and gets into touch with inner helpers, but the therapist, too takes into consideration which of his/her ego-states may be helpful or need protection whilst applying the emdr protocol.

Keywords: Adaptive Information Processing AIP Attachment Ego State Therapy Ego States

Accuracy Verified: Yes

76. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.

Language: English

Format: Other

Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages. Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light. This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level. The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks. The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.

Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors

Accuracy Verified: Yes

77. Zabukovec, J., & Tetreault, L. (2007, September). The art of EMDR consultation. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
The functions of EMDRIA Approved Consultants include the provision of consultation and supervision. While consultation is not the same as supervision, there is some overlap and legal implications, with the ultimate goal being to ensure competent treatment of clients. This workshop will address methods to examine and assess the applicants’ developmental abilities regarding quality consultation, case conceptualization skills, as well as knowledge and ability to implement the EMDR treatment model. This workshop also seeks to build upon the skills that current consultants already possess, refining and upgrading their competencies in effectively assessing applicants in the above areas.

Keywords: Consultation

Accuracy Verified: Yes

78. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163. doi:10.1037/0735-7028.28.2.153 .

Language: English

Format: Journal

Abstract:
The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]

Keywords: Literature Review Methodology Professional Criticism Posttraumatic Stress Disorder PTSD Research Needs Treatment Effectiveness

Accuracy Verified: Yes

79. Scurfield, R. M., & Wilson, J. P. (2003, April). Ask not for whom the bell tolls: Controversy in post–traumatic stress disorder treatment outcome findings for war veterans. Trauma, Violence, and Abuse, 4(2), 112-126. doi:10.1177/1524838002250763 .

Language: English

Format: Journal

Abstract:
This article reviews and analyzes two national studies of the efficacy of treatment for war veterans suffering from post–traumatic stress disorder (PTSD). Acareful analysis of the studies conducted by the Department of Veterans Affairs (DVA) Northeast Program Evaluation Center (NEPEC) reveals conceptual, methodological, and design flaws in the research, which reports minimal treatment efficacy for PTSD. Based on this limited, if not biased, data, the results were used for policy purposes to dismantle inpatient PTSD hospital units and trauma-focus treatments. Acritique is offered as a review to suggest how future studies might be conducted, designed, and evaluated, including the need for independent, “outside” peer reviews inasmuch as the issue of treatment outcomes generalizes to many nonmilitary populations.[Sagepub]

Keywords: DVA Outcome Policy PTSD Research Therapy Treatment Vietnam Veterans

Accuracy Verified: Yes

80. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This paper presents the assessment and four year psychotherapy of a Hispanic man with Complex PTSD and Dissociative Disorder NOS. The patient’s history of childhood sexual abuse caused significant disruptions in normative developmental processes causing what van der Kolk (2005) posits as a Developmental Trauma Disorder. Based on Shapiro’s (2001) adaptive information processing paradigm, the patient’s memories of extensive childhood sexual victimization became blocked from resolution from adaptive memory networks, becoming embedded in the emotional brain and activated by the 9/11 tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled his experiences of 9/11 and memories of severe childhood sexual abuse, establishing a narrative of victimization, helplessness, and confusion about his sexual orientation (Gardner, 1999). Furthermore, there were episodes of dissociation revealing the possibility of alters. Attempts to access adaptive networks using EMDR protocols were thwarted by intractable defenses. The patient’s desire to return to work was offset by his entitlement to Social Security Disability that was initially denied. Working through my concordant countertransference (Racker, 1968), I ultimately accepted his wish for SSD, which he obtained on appeal based upon my symptom-specific evaluation. The patient transferred to a clinic that accepted SSD.
Participants will be able to : ♦♦ identify the developmental derailing effects of childhood sexual abuse on normative developmental processes. ♦♦ assess how childhood trauma(s) that are repressed or dissociated are invoked by trauma(s) in adulthood through associative memory networks causing Complex PTSD. ♦♦ apply methods of working with patients dissociative defenses in psychotherapy.

Keywords: Case Study Developmental Trauma Disorder

Accuracy Verified: Yes

81. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
While most research on PTSD has studied subjects exposed to single trauma, in clinical practice the vast majority of treatment seeking patients have histories of multiple traumas, usually interpersonal, abuse. This gives rise to complex clinical pictures, of which PTSD is just one dimension. The Trauma Center in Boston is a large, multidisciplinary, developmentally focused Clinic which specializes in the treatment of traumatized children and adults. Our clinic uses a developmentally based assessment tool which helps in the staging of appropriate treatment interventions. Special emphasis is placed on providing patients with skills to deal with complex trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource installation, SIT, and body-oriented methods, in which patients are taught skills to increase their internal locus of control. We will review the rationale for various psychopharmacological interventions and the role of groups to enhance the capacity for mutual relationships. All treatment occurs on the foundation of continuity of care with one individual therapist who follows the patient’s progress,explores life issues, helps deal with re-enactment behaviors, and does trauma-specific treatment, such as EMDR or CBT for alleviation of trauma-specific symptoms. This conference will explore these issues in depth and discuss in detail the staging and applications of various treatment techniques in clinical practice.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD

Accuracy Verified: Yes

82. Gros, D. F., & Antony, M. (2006, August). The assessment and treatment of specific phobias: A review. Current Psychiatry Reports, 8(4), 298-303.

Language: English

Format: Journal

Abstract:
Specific phobia is one of the most common and easily treated mental disorders. In this review, empirically supported assessment and treatment procedures for specific phobia are discussed. Exposure-based treatments in particular are highlighted given their demonstrated effectiveness for this condition. The format and characteristics of exposure-based treatment and predictors of treatment response are outlined to provide recommendations for maximizing outcome. In addition, several other treatments for specific phobia are reviewed and critiqued, including cognitive therapy, virtual reality, eye movement desensitization and reprocessing, applied tension, and pharmacologic treatments. The review concludes with a discussion of future directions for research.

Keywords: Phobias

Accuracy Verified: Yes

83. Oglesby, C. (1999). Assessment of the appropriateness of EMDR use in sport interventions. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
Initial research indicated extraordinary efficacy ofEMDR interventions with various forms of trauma. As more and more research was undertaken, often by researchers removed from clinical EMDR experience, contradictions emerged and EMDR samples sometimes fared no better than others. Recent research with an athletic population indicated that possible "individual differences" characteristics of potential subjects mayaccount for some of the previous contradictory results. Possible screening devices will be discussed in the context of a successful case study report.

Keywords: Athletes Interventions Sports Psychology Symposium

Accuracy Verified: Yes

84. Holm, O. (2008, November). Attachment and mental representations: Research, theory, and treatment - Sequential use of adult attachment inventory and EMDR to resolve negative cognitions in DDNOS: Six Spanish cases reports. Presentation at the 25th Annual meeting of the International Society for the Study of Trauma and Dissociation, Chicago, IL .

Language: English

Format: Conference

Keywords: Attachment Adult Attachment Inventory DDNOS Negative Cognitions Research Spanish

Accuracy Verified: Yes

85. El Khoury-Malhame, M., Lanteaume, L., Beetz, E. M., Roques, J., Reynaud, E., Samuelian, J. C., Blin, O., Garcia, R., & Khalfa, S. (2011, September). Attentional bias in post-traumatic stress disorder diminishes after symptom amelioration. Behavior Research and Therapy, 9(11), 796-801. doi:10.1016/j.brat.2011.08.006.

Language: English

Format: Journal

Abstract:
Background: Avoidance and hypervigilance to reminders of a traumatic event are among the main characteristics of post-traumatic stress disorder (PTSD). Attentional bias toward aversive cues in PTSD has been hypothesized as being part of the dysfunction causing etiology and maintenance of PTSD. The aim of the present study was to investigate the cognitive strategy underlying attentional bias in PTSD and whether normal cognitive processing is restored after a treatment suppressing core PTSD symptoms. Methods: Nineteen healthy controls were matched for age, sex and education to 19 PTSD patients. We used the emotional stroop and detection of target tasks, before and after an average of 4.1 sessions of eye movement desensitization and reprocessing (EMDR) therapy. Results: We found that on both tasks, patients were slower than controls in responding in the presence of emotionally negative words compared to neutral ones. After symptoms removal, patients no longer had attentional bias, and responded similarly to controls. Conclusion: These results support the existence of an attentional bias in PTSD patients due to a disengagement difficulty. There was also preliminary evidence that the disengagement was linked to PTSD symptomatology. It should be further explored whether attentional bias and PTSD involve common brain mechanisms.

Keywords: Attentional Bias Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

86. Del Rosario, J. R. (2005). Attitudes toward EMDR: Differences between psychologists and psychiatrists. Midwestern University, Downer's Grove, IL.

Language: English

Format: Dissertation/Thesis

Keywords: Posttraumatic Stress Disorders Psychotherapy Methods PTSD Stress Disorders

Accuracy Verified: Yes

87. Krause, R., & Kirsch, A. (2006, Oktober). Auf das verhältnis zwischen traumatisierung, amnesie und symptom stress - Eine empirische pilotstudie [On the relationship between traumatization, amnesia and symptom stress - An empirical pilot study]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 52 (4), 392-405.

Language: German

Format: Journal

Abstract:
Ziele: In der vorliegenden Studie untersuchten wir mimisches Verhalten bei akut traumatisierten Patienten, EMDR-Therapie. Darüber hinaus untersuchten wir, ob eine Abnahme der emotionalen Betäubung wurde aufgrund einer Verringerung der Symptome. Amnestische Tendenzen waren als Moderator-Variable benutzt. Methode: Das mimisch affektive Verhalten wurde kodiert mit dem Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Die Gesichts-affektive Verhalten der Patienten das erste und letzte EMDR-Sitzung wurde verglichen. Ergebnisse: Ein signifikanter Anstieg in Mitten affektive Verhalten sowie eine Zunahme der psychischen Beschwerden gefunden. Darüber hinaus hat die Reduzierung der amnestischen Tendenzen nicht zu einer Verringerung der Symptome führen. Schlussfolgerungen: Unter dem Einfluss der Behandlung ist es möglich, den Zugang zu episodische affektive Gedächtnis zu verbessern. Dennoch kann einen positiven Einfluss nicht am Ende der Behandlung bezeichnet werden.

Objectives: In the present study we examined facial affective behavior in acutely traumatized patients undergoing EMDR therapy. Furthermore, we analyzed Whether a decrease in emotional numbing was due to a reduction of symptoms. Amnestic tendencies were used as a moderator variable. Methods: The facial affective behavior was coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. The facial affective behavior of the patient's first and last EMDR session was compared. Results: A significant increase in facial affective behavior as well as an increase in mental complaints were found. Furthermore, the reduction in amnestic tendencies did not result in a reduction of symptoms. Conclusions: Under the influence of the treatment it is possible to improve access to episodic affective memory. Nevertheless, a positive influence can not be denoted at the end of the treatment.

Keywords: Amnesia Empirical Study Facial Affective Behavior Facial Expressions Memory Quantitative Study Trauma Traumatization Treatment

Accuracy Verified: Yes

88. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648. doi:10.1080/00048670701449161.

Language: English

Format: Journal

Abstract:
Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]

Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment

Accuracy Verified: Yes

89. Australian Centre for Posttraumatic Mental Health (2007, February). Australian Guidelines for the treatment of Adults with Acute Stress disorder and posttraumatic stress disorder. Melbourne, Victoria: ACPMH.

Language: English

Format: Other

Abstract:
The Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]

Keywords: Treatment Guidelines

Accuracy Verified: Yes

90. Gentry, R. H. (1996, February 24). Back and forth on EMDR. Science News, 149(8), 115.

Language: English

Format: Magazine

Abstract:
The first thing to come to mind when reading the article on eye movement desensitization and reprogramming ("EMDR: Promise and Dissent," SN: 10/21/95, p. 270) is the similarity between it and REM sleep, when the mind writes its own scenario in a random dream. If EMDR shows any promise, it may be greatest in sleep research.

Keywords: REM Sleep

Accuracy Verified: Yes

91. Gunther-Sohst, J., & Hase, M. (2002, May). Back into the future – Research on the Client experience in the EMDR process. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Keywords: Research

Accuracy Verified: Yes

92. Lendl, J. (2006, September). Back to basics: The positive template & affect bridge. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
One of the reasons EMDR is such a powerful treatment method is the eight phase, three prong protocol. The robustness of the method is not achieved if any part of the protocol is dismissed. Dr. Shapiro's recent trainings have emphasized the need for the future template. The future template is a combination of the use of imagery, and used successfully in sport performance and health recovery, and bi-lateral stimulation. Back fo Basics: The Positive Template is a workshop to remind participants of the importance of positive templates in complete and incomplete EMDR protocol sessions. The future template, which addresses avoidance, adaptation, and actualization, is a part of phase eight/reevaluation and the third prong (future) of the EMDR protocol. Preliminary research will be presented that suggests positive templates are useful before phase eight. Participants will learn to integrate the positive template to help maintain skills between sessions, encourage new skills and practice ways to handle resistance. There will be supervised practica for using the future template and ESP (End Session Positive) template. Additionally, this workshop has been expanded to go over the Affect Bridge and practice will be included.

Keywords: Affect Bridge Future Template Positive Template

Accuracy Verified: Yes

93. Chillot, R., & Smith, S. (1994, December). Banish nightmarish memories with the wave of a hand. Prevention, 46(12), 73-75.

Language: English

Format: Magazine

Abstract:
Discusses the alternative psychological therapy, Eye Movement Desensitization and Reprocessing (EMDR). Its use for people suffering from post-traumatic stress-disorder; Francine Shapiro, Ph.D., developer of EMDR; Why patients watch a waving hand while focusing on the troubling memory; Research in EMDR's favor that was presented at the American Psychological Association convention in August 1994.

Keywords: General Overview

Accuracy Verified: Yes

94. EMDRIA Standards and Training Committee. (2002, June). Becoming an independent EMDRIA approved instructor. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for Approved Instructors in EMDR or those who plan to pursue this designation. Becoming an Approved Instructor in EMDR requires an even greater commitment to mastery of EMDR's processes, procedures, theories, and research. It also entails the skills necessary to impart this information, to untrained clinicians, in such a way, that allows them to responsibly practice. This workshop will cover the steps necessary to become an EMDRIA Approved Instructor. It will offer ideas for getting started, for meeting the new EMDRIA criteria, for developing instructional tools and for managing the course structure to maximizing success. A question and answer session will be available to help with specific questions.

Keywords: Approved Instructor Training

Accuracy Verified: Yes

95. 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

96. Paulsen, S. L., & Watkins, J. G. (2005, November). Best techniques from the armamentarium of hypnoanalytic, EMDR, somatic psychotherapy and cognitive behavioral methods. Presentation at the annual meeting of the International Society for the Study of Dissociation. Fall Conference, Toronto, Canada.

Language: English

Format: Conference

Keywords: Best Techniques

Accuracy Verified: Yes

97. Gaudiano, B. A. (2004, January 4). Beware of weird, wacky psychotherapy treatments. Salt Lake City, UT: The Deseret News, All, Viewpoint, AA08.

Language: English

Format: Newspaper

Abstract:
There's also a treatment for post-traumatic stress called Eye Movement Desensitization and Reprocessing. Similar to techniques used in other effective treatments for this condition, EMDR therapists ask clients to review the traumatic events repeatedly in their minds until their anxiety dissipates. What makes EMDR unique is that the therapist also moves index and middle fingers rapidly from left to right in front of the client, who is asked to visually track the movement while imagining the scene. But research shows that the eye movements appear to be completely superfluous, as people who are asked to keep their eyes still while recounting the events improve just as much as those who do the eye-wiggling.

Keywords: General Overview Salt Lake City

Accuracy Verified: Yes

98. 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

99. Armstrong, R. (2012, October). Beyond the basics: Developing your EMDR practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .

Language: English

Format: Conference

Abstract:
Drawing on my professional practice and research, with children, young people and adults, this presentation aims to provide information about a range of approaches to the implementation of EMDR therapy, combining theory and practice. There will be time for discussion among participants to share their own discoveries of EMDR refinements that work with different client groups.

Keywords: Implementation Practice Research Training

Accuracy Verified: Yes

100. 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

101. Korn, D., Weir, J., & Rozelle, D. (2005, June). Beyond the data: Clinical lesions learned from a four-year treatment outcome study comparing EMDR to prozac. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
"Bridging the gap between research and clinical practice" is a challenging and elusive goal. Outcome data, while critical for the legitimacy and advancement of clinical work, often fail to translate into practical skill sets. It is only when clinicians look beyond the data that they learn some of the most valuable lessons of research.
In this session, we will present the results of a four-year, randomized controlled study comparing EMDR to Prozac in the treatment of PTSD. We will also explore the clinical and practical lessons learned throughout the study. We will address assessment and history taking, treatment planning, readiness for processing, target selection. transference and countertransference, and adult versus childhood onset trauma. We hope to give EMDR practitioners an in-depth analysis of the real-life processes, dilemmas, and learning that took place during our protocol based treatment outcome study. Video segments will be used to illustrate clinical concepts and key points. And perhaps, most importantly, these same segments will be used to demonstrate how we struggled to recognize and learn from our own mistakes.

Keywords: Plenary Prozac

Accuracy Verified: Yes

102. Rothschild, B. (2003, May). Beyond the model: Creating techniques from theory. Psychotherapy in Australia, 9(3), 36-40.

Language: English

Format: Journal

Abstract:
The following two cases are excerpted from Babette Rothschild’s newly published book 'The Body Remembers Casebook: Unifying Methods and Models in the Treatment of Trauma and PTSD' (W.W. Norton 2003). The first case advocates creative adaptation of learned methods, in this case EMDR. The second demonstrates the importance of regulating hyperarousal and halting flashbacks to facilitate increased client self-control and clear thinking. Both cases illuminate Rothschild’s principle of applying creative common sense to theory. The result is safer trauma therapy and interventions specially tailored to suit the specific needs of individual client situations.

Keywords: Theory

Accuracy Verified: Yes

103. EMDR India. (2010). The BHUJ experience report. EMDR India, Bandra West, Maharashtra.

Language: English

Format: Other

Abstract:
The EMDR trained mental health professionals were looking for the opportunity to provide their services to the recovery of the people who suffered the earthquake. This report describes the recovery work, the research, and the resulting publications which relate to this earthquake and the application of EMDR to treat the earthquake survivors. This report also identifies the reserch publications which resulted from the BHUJ experience.

Keywords: Earthquake

Accuracy Verified: Yes

104. Oh, D. H., & Park, Y. C. (2010, July). Bilateral eye movement: Changes brain default network functions in EMDR treatment. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Introduction: The aim of this study was to clarify the effect of bilateral eye movement as one of the important therapeutic components through EEG analysis. We examined differences between pre-bilateral eye movement and post-bilateral eye movement of normal healthy volunteers in scalp recorded EEGs in two different ways. First, we used qEEG to examine differences in specific band frequencies after bilateral eye movement. Secondly, we utilized low-resolution electromagnetic tomography (LORETA) source imaging (Pascual-Marqui et al., 1994) to explore the underlying neural generators of changed EEG activity. Methods:32 college students participated in the study. EEG was recorded continuously during the experiment. All participants experienced 3 blocks: 1) pre-experiment, eye-closed EEG in resting state, 2) stimuli condition (either eye movement or fixation) and 3) post-experiment, eye-closed EEG in resting state. 32-channel, eyes-closed EEG (30 artifactfree s/subject) was analyzed (source localization using FFT approximation and LORETA). Results: We demonstrated different functional connectivity patterns of the precuneus/posterior cingulate cortex (Brodmann area 23, 31) between bilateral eye movement and eye fixation phase. Conclusion: These results provided evidence to support that the bilateral eye movements in EMDR procedure gives rise to the changes of ‘brain default network’, accompanied by the alteration of regional brain electrical activity.

Keywords: Eye Movements Poster

Accuracy Verified: Yes

105. Keller, B., Stevens, L. C., Boyce, K., Lui, C., & Murray, J. (2011). Bilateral eye movements and EEG coherence during positive memories: Implications for PTSD and EMDR. Presentation at the American Psychological Association Conference, Washington, DC.

Language: English

Format: Conference

Abstract:
The purpose of this study was to investigate the role of bilateral eye movements in the processing of long-term emotional memories, especially as it pertains to the treatment method for PTSD known as EMDR. EMDR utilizes methods similar to cognitive therapy and exposure but also employs saccadic eye movements to facilitate the treatment. The saccadic eye movements are theorized by Shapiro and others to decrease emotional valence and vividness of episodic memories allowing for easier reprocessing. There remains some disagreement as to the actual role and importance of the saccadic eye movements as well as to the neurological effects of EMDR. This study used EEG power-spectral analysis and measures of interhemispheric coherence on 30 individuals who underwent one of three conditions while recalling positive episodic memories. The 3 conditions were (1) a solid black dot with no eye movement (control), (2) a low frequency color changing dot with no eye movement, and (3) a bilateral eye movement condition simulating EMDR. After a 5’ eyes-open baseline, participants experienced one of the three conditions while recalling a positive memory for five 1’ episodes. After each episode, each participant had 19-channel EEGs recorded while they stared ahead eyes opened. EEG data were noise artifacted, power spectral analyzed, and statistically analyzed for interhemispheric coherence differences between conditions for clusters of frontal pole (Fp), frontal (F), central (C), parietal (P), and occipital (O) electrodes. ANCOVA analysis of post-treatment coherence values, with baseline values as the covariate, across conditions showed significantly increased Low Beta (12-20Hz) activity in the Frontal region of the brain during the saccadic eye movements condition compared to the low frequency dot condition (p=.012). Also found were significantly increased Low Theta (4-6Hz) coherence values in the Parietal region of the brain in the low frequency dot condition compared to both the eye fixation (p=.017) and saccadic eye movement (p=.022) conditions. Self reports of memory clarity and vividness indicated significantly increased measures across all conditions. LORETA cortical localization analyses revealed Low Beta (12-20Hz) activation during the saccadic eye movements condition occurring primarily in Brodmanns Area 11 (BA11) and Brodmann Area 25 (BA25) and Low Theta (4-6Hz) activation during the low frequency dot condition focused in BA35 and BA36. LORETA neuroimages are presented. Cortical localizations of increased Low Beta interhemispheric coherence in BA11 (VentroMedial Frontal Cortex) and BA25 (Subgenual Anterior Cingulate Cortex) following bilateral eye movements during the recall of positive memories suggest a synchronization of information processing activities in parts of the frontal cortex involved in planning, reasoning, and decision making (11) and in verbal episodic memory retrieval (25). These functions are consistent with the assigned tasks of review of positive episodic memories in this study. Coincident with this pattern of cortical activation was an obtained increase in memory clarity and vividness during episodic memory retrieval. It is possible that the obtained effects on beta activity were an artifact of eye movements; however, the lack of significantly increased signal coherence at the Fp region and the removal of eye movement artifacts prior to data analysis reduce this possibility. These results provide support for an Interhemispheric Coherence Model as an explanation for the positive effects of Eye Movement Desensitization and Reprocessing of retrieved memories. Additionally, these outcomes suggest that it is the saccadic eye movements, not a repetition of a rhythmic stimulus, that elicits the changes in interhemispheric coherence, and possibly in emotional valence and vividness, highlighting the importance of saccadic eye movements in EMDR.

Keywords: Bilateral Stimulation EEG Coherence Eye Movements: Positive Memories Posttraumatic Stress Disorder PTSD

Accuracy Verified: No

106. Christman, S., & Garvey, K. (2001, June). Bilateral eye movements reduce cortical activation asymmetries. Presentation at the 2001 EMDR International Association Conference, Austin, TX.

Language: English

Format: Conference

Abstract:
Alternating left-right eye movements (EMs) have been shown to enhance episodic memory recall (Christman & Garvey, 2000). In turn, enhanced recall of episodic, or autobiographical, memories has been linked to increased interhemispheric interaction (Christman & Propper, 2001; Propper & Christman, 1997). Since leftward versus rightward EMs induce right versus hemisphere activation, respectively (Bakan & Svorad, 1969), bilateral EMs may facilitate interhemispheric interaction by balancing hemispheric activation levels. In other words, asymmetries in cortical activation may impair interhemispheric communication. Christman and Garvey (2000), however, demonstrated only that bilateral EMs enhance episodic memory performance; they did not directly measure hemispheric activation. To test this hypothesis directly, participants were administered two behavioral tests that are sensitive to variations in hemispheric activation. The Chimeric Faces Test (Levy, Heller, Banich, & Burton, 1983) involves mirror-image pairs of faces, with one smiling hemiface and one neutral hemiface, presented under conditions of free viewing. Participants are asked to judge which member of a pair looks happier. Right versus left hemiface biases are associated with relative increases in left versus right hemispheric activation. Line bisection tasks also tap into hemispheric activation, with leftward versus rightward bisection errors reflecting increased right versus left hemisphere activation. Bisection tasks, however, are also influenced by premotor asymmetries (e.g., Luh, 1995), and thus represent a less pure measure of hemispheric activation.
METHODS Participants performed blocks of chimeric face and line bisection trials. They then engaged in 30 seconds of alternating left-right saccades (2 eye movements per second). Participants then performed a second block of trials for both tasks.
RESULTS Results showed that behavioral asymmetries in the chimeric face task were significantly reduced after the EMs (p<.029). This supports the hypothesis that bilateral EMs reduce hemispheric activation asymmetries. Performance on line bisection task, however, was unaffected by EMs (F<1), perhaps reflecting the fact that this task is a less direct measure of hemispheric activation.
DISCUSSION These results provide further insight into mechanisms underlying EMDR therapy used for PTSD patients. Reduction in hemispheric activation asymmetry arising from bilateral EMs employed in the current study (and in EMDR) may enhance interhemispheric communication. This interpretation is consistent with Ramachandran (1995), who showed that vestibular stimulation (inducing optokinetic nystagmus and resulting in involuntary left-right EMs) reduces the denial of deficit found in anosagnosia patients. Ramachandran (1995) suggested that the procedure benefits the hypoaroused right hemisphere, bringing its activation level up to par with the left hemisphere. Similarly, EMs used in EMDR may balance hemispheric activation levels, in turn enhancing interhemispheric communication and retrieval of episodic memories.

Keywords: Bilateral Stimulation Eye Movements

Accuracy Verified: Yes

107. Nieuwenhuis, S., Elzinga, B. M., Ras, P., Berends, F., Duijs, P., Samara, Z., & Slagter, H. (2013, February). Bilateral saccadic eye movements and tactile stimulation, but not auditory stimulation, enhance memory retrieval. Brain & Cognition, 81(1), 52-56. doi:10.1016/j.bandc.2012.10.003.

Language: English

Format: Journal

Abstract:
Recent research has shown superior memory retrieval when participants make a series of horizontal saccadic eye movements between the memory encoding phase and the retrieval phase compared to participants who do not move their eyes or move their eyes vertically. It has been hypothesized that the rapidly alternating activation of the two hemispheres that is associated with the series of left–right eye movements is critical in causing the enhanced retrieval. This hypothesis predicts a beneficial effect on retrieval of alternating left–right stimulation not only of the visuomotor system, but also of the somatosensory system, both of which have a strict contralateral organization. In contrast, this hypothesis does not predict an effect, or a weaker effect, on retrieval of alternating left–right stimulation of the auditory system, which has a much less lateralized organization. Consistent with these predictions, we replicated the horizontal saccade-induced retrieval enhancement (Experiment 1) and showed that a similar retrieval enhancement occurs after alternating left–right tactile stimulation (Experiment 2). Furthermore, retrieval was not enhanced after alternating left–right auditory stimulation compared to simultaneous bilateral auditory stimulation (Experiment 3). We discuss the possibility that alternating bilateral activation of the left and right hemispheres exerts its effects on memory by increasing the functional connectivity between the two hemispheres. We also discuss the findings in the context of clinical practice, in which bilateral eye movements (EMDR) and auditory stimulation are used in the treatment of post-traumatic stress disorder. [Copyright &y& Elsevier].

Keywords: Bilateral Stimulation Memory Retrieval Saccadic Eye Movements Saccades Tactile Stimulation

Accuracy Verified: Yes

108. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Biological changes in arousal and cortisol following PTSD treatment. Symposium conducted (M. Olff, Chair) at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
Effects of treatment of PTSD on psychobiological measures: It is well known that PTSD is associated with changes in several biological systems. However little research has been done on whether it is possible to “reset” these biological systems with effective psychotherapy of pharmacological therapy. This symposium will present data on neuroendocrine and neuroimaging outcome measures.
Biological changes in arousal and cortisol following PTSD treatment: This presentation will discuss the results of a controlled treatment outcome study comparing EMDR, fluoxetine and pill placebo and demonstrate how effective treatment resulted in changes in memory processes, utilizing the Traumatic Memory Inventrory. In the EMDR condition, but not fluoxetine, the change in traumatic memory towards an integrated narrative was linearly correlated with physiological arousal in response to script driven imagery. This presentation will also present the relationship between clinical improvement in the three conditions and change in the cortisol response to a dexamethasone challenge.

Keywords: Fluoxetine Pill Placebo Posttraumatic Stress Disorder PSTD Symposium

Accuracy Verified: Yes

109. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.

Language: English

Format: Journal

Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]

Keywords: Adolescents Attachment Brain Development Child Abuse Criminal Behavior Child Neglect Children Criminal Responsibility Forensic Evaluation Homicide Juvenile Offenders Literature Review Mitigating Factors Murder Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Sociopathy Survivors Trauma Violence

Accuracy Verified: Yes

110. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal: An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Events at birth are traumatic and create feelings of powerlessness when they are actually or appear life-threatening to self or loved ones, are sudden, change quickly from "normal" to dangerous without explanation, and when the situation appears overwhelming. There is no time to prepare, no way to plan an escape or to prevent something from happening. A number of events during labor or birth such as unplanned interventions, serious problems in the mother, physical damage, a sick infant, and separation from the baby can be classified as traumatic. Major trauma for a woman occurs in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how a woman is treated and how she perceives the experience, often causing humiliation and stigma. Trauma during the prenatal period can affect the parents' perception of the baby, their own self-concept, their relationship, and can impair bonding and attachment. Early trauma can have both immediate and long-range effects on the parents and the infant and may create later in the adult psychological and somatic conditions and a negative self-concept. Equally important is the history the parents bring to this event as well as the quality of their relationship. Birth is a magnet for unresolved issues to emerge. Clinicians will learn about the causes and effects of these early traumas as well as methods, including EMDR to uncover, resolve, and heal them.

Keywords: Birth Defects

Accuracy Verified: Yes

111. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clinicians will gain an understanding of the types of events that create psychological and physiological distress and trauma both at birth and afterward. Many conditions have their origin during this early period where generational messages as well as traumatic events surrounding birth and the early period of life can have negative effects. Participants will learn methods to work within the infant mind/body memory to retrieve early trauma and the subsequent events that reinforced it as well as facilitate healing through the life path of the individual. Clinicians can benefit by recognizing the elements that influence these situations, and with EMDR and other adjunctive techniques learn to resolve these very early experiences to help clients reach a higher level of adaptation for health. Objectives: 1.Identify the characteristics of traumatic or negative birth experiences. 2.Recognize the risk factors that affect the birth and can be projected onto the infant. 3.Identify the effects of early trauma on parent-infant relationships, bonding, the marital relationship, and on the infant. 4.Learn about long-term psychological and somatic sequelae of perinatal trauma on the adult individual. 5.Describe, demonstrate, and practice psychotherapeutic methods with EMDR to help resolve and heal these experiences.

Keywords: Birth Trauma

Accuracy Verified: Yes

112. Fisher, J. (2007, September 29). The body as a shared whole: Somatic interventions for working with trauma and dissociation. Presentation at the Quarterly Meeting Program of The New England Society for the Treatment of Trauma and Dissociation.

Language: English

Format: Conference

Abstract:
To stabilize overwhelming symptoms, integrate memories, and overcome the terror of intimacy, traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized by internal critics and terrified by the threats of hypervigilant internal protectors. Because the body is the container for all past and present experience and for all parts of the self, somatically oriented approaches can address the intense and often baffling reactions of these patients in a way that is both simple and effective. This workshop will demonstrate bodyoriented interventions for working with traumatized and dissociative patients drawn from Sensorimotor Psychotherapy and easily integrated into EMDR, IFS, and traditional talking therapies. Through the use of lecture, videotape, and demonstration, participants will have the opportunity to observe somatically informed solutions to a number of common clinical challenges encountered in trauma treatment. Capitalizing on recent advances in the research on attachment and trauma, the workshop will also provide a context for understanding how to use the therapeutic relationship to provide a safe “container” for both patient and therapist in the challenging work of trauma treatment.

Keywords: Dissociation Somatic Interventions Trauma

Accuracy Verified: Yes

113. Stewart, K., & Bramson, T. (2001, June). Body journaling as an adjunct to EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract: I
n this workshop, participants will learn the model of Body Journaling, how it guides the process of mind and body connection, and methods of using Body Journaling with EMDR. This workshop will include an experiential component.

Keywords: Body Journaling

Accuracy Verified: Yes

114. van der Kolk, B. A. (1994, January). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265. doi:10.3109/10673229409017088.

Language: English

Format: Journal

Abstract:
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Intense emotions at the time of the trauma initiate the long-term conditional responses to reminders of the event, which are associated both with chronic alterations in the physiological stress response and with the amnesias and hypermnesias characteristic of posttraumatic stress disorder (PTSD). Continued physiological hyperarousal and altered stress hormone secretion affect the ongoing evaluation of sensory stimuli as well. Although memory is ordinarily an active and constructive process, in PTSD failure of declarative memory may lead to organization of the trauma on a somatosensory level (as visual images or physical sensations) that is relatively impervious to change. The inability of people with PTSD to integrate traumatic experiences and their tendency, instead, to continuously relieve the past are mirrored physiologically and hormonally in the misinterpretation of innocuous stimuli as potential threats. Animal research suggests that intense emotional memories are processed outside of the hippocampally mediated memory system and are difficult to extinguish. Cortical activity can inhibit the expression of these subcortically based emotional memories. The effectiveness of this inhibition depends, in part, on physiological arousal and neurohormonal activity. These formulations have implications for both the psychotherapy and the pharmacotherapy of PTSD.[MLM MEDLINE]

Keywords: Neurobiology Posttraumatic Stress Disorder Practice PTSD Theory

Accuracy Verified: Yes

115. Rothschild, B. (2003). The body remembers casebook: Unifying methods and models in the treatment of trauma and PTSD (1st ed). New York: W.W. Norton.

Language: English

Format: Book

Abstract:
This is the first book of its kind to advocate utilizing and combining an assortment of trauma treatment models. Based on ideas put forward in the bestselling The Body Remembers, Babette Rothschild emphasizes the importance of tailoring every trauma therapy to the particular needs of each individual client. A breath of fresh air in the competitive "mine is best" atmosphere currently so divisive in the field of trauma therapy, each varied and complex case (presented in a variety of writing styles: case reports, session-by-session narratives, single session transcripts) is approached with a combination of methods ranging from traditional psychodynamic approaches and applications of attachment theory to innovative trauma methods including EMDR and Levine's SIBAM model. Read on its own on or in conjunction with The Body Remembers, clinicians from all disciplines will discover new strategies and gain insight into how to combine various treatment models for increased success with traumatized clients.

Keywords: Body Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

116. Adler-Tapia, R. (2012, October). The bond between theory, research and practice: Teaching therapists “researchease”. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Therapists need to understand how evidence based practice drives choice points in treatment planning and intervention. Researchease is not a misspelling, but the concept of helping therapists learn how to read, understand, and discuss research with greater ease. With EMDR, or any treatment modality, therapists need to understand how research drives evidence based programs and practices. Research determines what treatment modalities are supported and funded. With humorous examples and simplistic descriptions, the goal of this session is to help therapists learn gain greater comfort in applying research to clinical practice.

Keywords: Practice Research Theory

Accuracy Verified: Yes

117. Klaff, F. (2012, October). Bonding the pieces: Treating children unglued by family disruptions - An integrated EMDR-family systems approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Major family structural changes, as in divorce and adoption, impact children’s adjustment. Integrating neuroscience research, the AIP-EMDR model and family systems theory, a comprehensive therapeutic approach facilitates treatment of the child’s whole experience. Videotaped case material demonstrates effectiveness of the EMDR treatment component, addressing interpersonal and intrapersonal experiences for adopted brothers Antwon, 4 and Tony,7, exposed to past poverty, drugs,abuse and murder; and Gina, 8, impacted by divorce, current family instability, alcoholism,and other unrevealed ghosts. These children are representative of the complex cases therapists must deconstruct, with sometimes disturbing or complicating revelations emerging as treatment progresses.

Keywords: Children Family Systems Approach

Accuracy Verified: Yes

118. Lendl, J. (2002, June). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
New brain imaging technologies are giving a clearer picture of how memories are stored and how effective treatment may alter brain function. Neuroimaging researchers Bessel van der Kolk and Daniel Amen are investigating EMDR treatment effects. Van der Kolk is studying how traumatic memories differ from memories of ordinary events, while Amen concentrates on evaluating difficult psychiatric cases, ADD, head trauma, memory problems, dementia, aggression, and exposure to toxic substances. This workhop will focus on Amen's research regarding frequently found patterns of brain performance, including specific area functions and problems from a clinician's view. Significant attention will be devoted to integrating EMDR with the Amen multi-discipline intervention approach for problem brian areas.

Keywords: Amen Brain Performance van de Kolk

Accuracy Verified: Yes

119. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients. Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging. Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40). Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44). In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.

Keywords: Alpha Rhythm Brain Imaging MEG Technique Posttraumatic Stress Disorder PTSD Research Symposium

Accuracy Verified: Yes

120. Haour, F. (2010, June). Brain source imaging using magnetoencephalography (MEG): Modifications in various rhythms during memory recall, in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Keywords: Magnetoencephalography MEG Memory Recall Posttraumatic Stress Disorder PTSD Research Rhythms Symposium

Accuracy Verified: Yes

121. Amen, D. G. (2003, September). Brain SPECT imaging in PTSD and EMDR. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Brain SPECT provides a window into brain activity and helps us understand the underlying physiology of many neurological and psychiatric illnesses. Specific psychological and medical treatments enhance or change our brain function. In this lecture, Dr. Amen will describe his extensive clinical experience and research into postraumatic stress disorder and EMDR. He has been involved in performing before and after brain SPECT scans for PTSD patients for several years and recently completed a formal research project with Karen Lansing on PTSD and EMDR. The results of this study will also be discussed.

Keywords: SPECT Brain

Accuracy Verified: Yes

122. Gannon, J. P. (2011, April). A brain-based peak performance model using meditation, EMDR and cardio imagery and rehearsal. Peak Performance Systems, San Francisco.

Language: English

Format: Other

Abstract:
This pilot study investigated the effectiveness of a new model of peak performance training based on applications of brain research to stimulate mental skill acquisition leading to enhanced performance capabilities. Brain-based techniques such as Mindfulness Meditation (MM), Eye Movement Desensitization and Reprocessing (EMDR) and Cardio Imagery and Rehearsal (CIR) appear to stimulate various neurological processes including alpha and theta brain waves, higher interhemispheric coherence and reduced sympathetic nervous system arousal. Clinical application of these techniques in a preliminary pilot study with a variety of performers was shown in follow-up self-assessments to have enhanced performance outcomes on seven measures including reduced performance anxiety and self-consciousness, enhanced concentration and focus, improved memorization of performance routines and enhanced overall performance goals. The idea that specific performance routines can be installed using these brain-based techniques that enhance peak performance functioning on demand was supported by these findings.. However, the results of this pilot study are preliminary and further studies using a larger subject sample, empirically validated test measurements and independent control groups are necessary before these findings can be corroborated.

Keywords: Brain-Based Peak Performance Brainscripting Cardio Imagery and Rehearsal Flow Interhemispheric Coherence Mindfulness Meditation Neurofeedback Neuroplasticity Performance Anxiety Pilot Study

Accuracy Verified: Yes

123. Isermann M., & Diegelmann, C. (2000, September). Breast cancer: PTSD symptoms, EMDR and quality of life. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn about current research on psychological aspects of breast cancer; 2) learn about relevant dimensions of quality of life in breast cancer patients; 3) learn about the efficacy of EMDR in the treatment of breast cancer patients; and 4) learn about adaptations of the standard protocol to criteria for using EMDR in the treatment of breast cancer patients.

Keywords: Breast Cancer Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

124. Watson, C., Davis, R., & Heimonen, T. (2010, September/October). Bridging the gap between clinical practice and research with EMDR. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a trauma treatment with origins date back to 1987 by its founder Francine Shapiro. EMDR is based on an information-processing model and is being used to treat traumatic symptoms. Clinicians in many types of clinical settings worldwide employ EMDR for a board range of treatment issues including grief, depression, anxiety, physical and sexual abuse. Although there is evidence that EMDR is effective in treatment of Posttraumatic Stress Disorder, more research needs to be done in clinical practice settings to contribute to the much needed research base about effective of EMDR with other issues.
Therapists working with trauma are often dealing with high caseloads and administrative requirements of the agencies that they work with. The clinicians involved in this research have observed that there have been some encouraging developments in their community which have served to build bridges for clinicians to increase their confidence in the world of research. In 2007, an intiative called Research Skills Development Program offering mentoring in research skills development was offered in association with Lakehead University and Northern Ontario School of Medicine, Ontario, Canada.
Completion of this 1-year program proved to be the first step in make the transition from clinician to researcher. From there, partnerships were formed within the agency and community. With the support of our agency, researchers were able to gain access to testing and computer software that made data collection and data anaylsis possible with least disruption to our clinical services.
The clinicians were encouraged by previous results from our first study in 2007 (n=6) to continue systematic data collection with more clients (n=6). Approval for this recent study was received by the Ethics Committee of St. Joseph's Care Group.

Keywords: Poster Practice Research Research Skills Development Program

Accuracy Verified: No

125. Greenwald, R. (2007, June). Bridging the trauma scientist-clinician gap with a new journal format. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Scientists have long complained that practitioners do not read research, and thus remain ignorant of how science can inform practice. Clinicians, on the other hand, complain that most research had limited relevance to clinical practice: or even if relevant on occasion, is not very accessible. This poster introduces a hew journal, focused on child/adolescent trauma, loss, and related issues, that is explicitly designed to bridge this gap and facilitate effective communication of research findings to practitioners. The journal will alternate between general and guest-edited special topic issues. Regular features include brief reports of clinically relevant research, as well as “Clinicians Research Digest” style literature reviews and “Consumer Reports” style reviews of assessment instruments, books, web sites, and other resources for practitioners. The approach exemplified in this journal can server as one model for efforts to disseminate effective treatments and other research findings.

Keywords: Poster Scientist-Clinician Gap

Accuracy Verified: Yes

126. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks to amplify client assets and resources and minimize client liabilities and shortcomings. Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the problem situation for which the client originally sought help. These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem, the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has attempted to resolve the problem thus far. Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation. A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than his/her past. The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors surrounding the problem situation and involves the use of a variety of skills. A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in her/his own ability to function effectively without the therapist. This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction. In the ever-changing world of mental health, this is no small achievement.

Keywords: MRI Brief Therapy

Accuracy Verified: Yes

127. Korn, D., Rozelle D., & Weir, J. (2005, June). Bringing EMDR research into practice. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Determining Readiness for EMDR Trauma Processing: • Neither diagnosis nor trauma history determine readiness for trauma processing or response to treatment • Though studies often exclude subjects with suicidal ideation, dissociation or substance abuse, EMDR may be used with these clients if other readiness criteria (e.g., affect tolerance, coping skills, safe embodiment) are met • Key point - Capacity to tolerate and modulate arousal v. absolute level of arousal [Excerpt]

Keywords: Practice Research

Accuracy Verified: Yes

128. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June 2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and manageable post-trauma work with limited resources and a small budget in a Southeast context.

Keywords: Cambodia Thailand Tsunami Typhoon

Accuracy Verified: Yes

129. Zaghrout-Hodali, M., Alissa, F., & Dodgson, P. (2008). Building resilience and dismantling fear: EMDR group protocol with children in an area of ongoing trauma. Journal of EMDR Practice and Research, 2(2), 106-113. doi:10.1891/1933-3196.2.2.106.

Language: English

Format: Journal

Abstract:
A number of studies indicate that EMDR (eye movement desensitization and reprocessing) may be efficacious in treatment of children and young people with symptoms of posttraumatic stress. However, reports are limited in the use of the EMDR psychotherapy approach in situations of ongoing violence and trauma. This case study describes work with 7 children in an area of ongoing violence who were subject to repeat traumas during the course of an EMDR psychotherapy intervention, using a group protocol. Results indicate that the EMDR approach can be effective in a group setting, and in an acute situation, both in reducing symptoms of posttraumatic and peritraumatic stress and in "inoculation" or building resilience in a setting of ongoing conflict and trauma. Given the need for such applications, further research is recommended regarding EMDR's ability to increase personal resources in such settings. [Author Abstract]

Keywords: Acute Stress Disorder Cognitive Processes Conflict Intifada Group Psychotherapy Multiple Traumatic Events Palestinians Psychotherapeutic Processes Recent Events Resilience Group Therapy Survivors School Age Children Trauma Treatment

Accuracy Verified: Yes

130. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.

Keywords: Children Infants

Accuracy Verified: Yes

131. Gaudiano, B. A. (2004 January 4). Can be depressing. Monterey County, CA: The Monterey County Herald, Commentary, F1.

Language: English

Format: Newspaper

Keywords: General Monterey County Overview

Accuracy Verified: Yes

132. Feske, U., & Goldstein, A. J. (1998). Can EMDR be used to treat panic disorder?. Clinician's Research Digest, 16(5), 3.

Language: English

Format: Newsletter

Abstract: 43 outpatients with DSM-III-R panic disorder were randomly assigned to receive 6 sessions of eye movement desensitization and reprocessing (EMDR), the same treatment but omitting the eye movement, or to a waiting list. Posttest comparisons showed EMDR to be more effective in alleviating panic and panic-related symptoms than the waiting-list procedure. Compared with the same treatment without the eye movement, EMDR led to greater improvement on 2 of 5 primary outcome measures at posttest. However, EMDR's advantages had dissipated 3 months after treatment, thereby failing to firmly support the usefulness of the eye movement component in EMDR treatment for panic disorder. [Author Abstract].
Examined whether eye movement desensitization and reprocessing can be used to treat panic disorder. This research appeared in Journal of Consulting and Clinical Psychology, 65, 1026-1035.

Keywords: Panic Disorder

Accuracy Verified: Yes

133. Rodriguez, T. (2013, January/February). Can eye movements treat trauma?. Scientific American Mind, 23(6), 9-9.

Language: English

Format: Magazine

Abstract:
The article focuses on the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating post-traumatic stress disorder (PTSD). Research supports the concept of using eye movements in reducing the symptoms of PTSD. Researchers note that eye movements strip the patients' troubling memories of vividness and its distress. They discover the outperformed tones of eye movements in mitigating memories' vividness and emotional intensity level.

Keywords: Eye Movements Memory Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

134. Talen, J. (1998, April 21). Can trauma be relieved by the wave of a hand? The controversy over eye movement therapy. Washington, DC: The Washington Post, Health, Z12.

Language: English

Format: Newspaper

Abstract:
"When I started teaching EMDR in 1990, I dubbed it experimental because I didn't want therapists using it without training and then hurting their patients," Shapiro said in a telephone interview. "But there's been eight years of research that shows that it effectively treats post-traumatic stress disorder better than anything out there."

Keywords: General Overview Washington, DC

Accuracy Verified: Yes

135. Shapiro, F. (2012). Can you benefit from EMDR therapy?. Psych Central. Retrieved from http://psychcentral.com/lib/2012/can-you-benefit-from-emdr-therapy/ on 4/18/2012.

Language: English

Format: Other

Abstract:
That’s where EMDR therapy can help. While EMDR cannot remove a problem caused by genetics or organic injury, the research indicates that even in these cases negative life experiences can exacerbate problems. When a person is held back from doing things he or she would like to do by feelings of insecurity, anxiety, fear, or unremitting sadness, or is pushed into doing things that are not useful — such as overreacting to people or situations — the reason can generally be found in the memory networks. Many times the problems are unprocessed memories from the past that are poisoning the present.

Keywords: General Overview

Accuracy Verified: Yes

136. Greenwald, R. (2007, September). Case conceptualization and treatment planning for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Want to do more/better EMDR? Trauma-informed case foundation and treatment planning enable the therapist to systematically pursue treatment activities that help the client: a) understand why trauma resolution is important; b) have the motivation to do it; and c) develop the coping skills and affect tolerance for successful EMDR. Participants will practice structured methods to understand a client from a trauma perspective and to apply the trauma-informed treatment framework to one of their own cases. Data documenting these methods’ effectiveness will be presented, including reduced therapist distress, increased empathy and confidence, and improved behaviors with challenging clients.

Keywords: Case Conceptualization

Accuracy Verified: Yes

137. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.

Language: English

Format: Journal

Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a therapist requests assistance regarding a challenging case and responses are written by three experts. In this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what concerns she should be aware of. The first expert, Carol Forgash, provides some general information about pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of posttraumatic stress should understand that there is a high probability that EMDR will improve maternal quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated EMDR during pregnancy have found positive effects but pertained to women with posttraumatic stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted, women have been informed about possible risks and benefits, and, given their informed consent, they should be able to choose to commence EMDR therapy during pregnancy.

Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Pregnancy PTSD Tornado

Accuracy Verified: Yes

138. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.

Language: English

Format: Journal

Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article, an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case in which a man, “George,” was referred for EMDR for treatment of a depression that began more than 2 years previously. After all his reported traumatic memories were completely processed with EMDR, George remains severely depressed and the therapist asks how to proceed effectively with treatment. Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol. The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if the client indicates that he or she has little to no disturbance and explains how to develop and implement a “restorative life span target sequence.”

Keywords: Consultation Depression Treatment

Accuracy Verified: Yes

139. Seubert, A. (2010, June). The case of mistaken identity: EMDR, attachment and ego states in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Attachment and Ego States in the treatment of eating disorders is a 120 minute program, which introduces participants to 1. the kind of history taking, medical attention and goal establishment unique to clients with eating disorders, 2, the extensive preparation, which includes emotional expertise and somatic awareness, 3. the inevitable presence of dissociation and the use of ego state therapy to access the source of the eating disordered addiction, 4, the need for attachment repair and 5, slight modifications to trauma processing given emotional fragility and the tendency to return to the disorder. even after extensive preparation. The modifications entail A. a return to attachment/reparenting work, even during phases 3-6, a5 a way to 'pendulate' between the traumata and resources, B. the use of dissociation strategies, e.g., having the eating disordered part look through the eyes with the client, and C. titrating the target memories. THE CASE OF MISTAKEN IDENTITY employs an EMDR phase model, which includes an evaluation phase, focusing on medical safety, case formulation and mutual goal creation. In the preparation phase, participants will learn a4-step method of teaching emotional competence, and the use of ego state therapy to free the self from identity with the disordered part&), and strategies for attachment repair. Preparation and Processing phases both require body awareness and acceptance, as well as the ability to titrate released disturbance and re-stabilize (Re-evaluation) after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning. Learning objectives: 1 Participants will describe the trauma-based purpose for dissociation in eating disorders, 2 will describe the practice of awareness and four steps to emotional competence. 3. will name two ego-state strategies methods in identifying and collaborating with ego states, 4. two attachment repair methods, and 5. describe two minor adaptations to the processing phase. WHAT IS NEW: Eating disorder treatment often recognizes, but rarely offers treatment solutions, to the traumatic origins of an eating disorder. This fact, coupled with a lack of awareness of the role of attachment injury and dissociation, renders many of the contemporary approaches to eating disorder treatment incomplete and often ineffective.

Keywords: Attachment, Eating Disorders Ego States

Accuracy Verified: Yes

140. Kim, D., & Kim, K-I. (2004, January). A case series of eye movement desensitization and reprocessing (EMDR) in 30 psychiatric patients: Korean experience. Journal of the Korean Neuropsychiatric Association, 43(1), 113-118.

Language: English

Format: Journal

Abstract:
Objectives: Eye Movement Desensitization and Reprocessing (EMDR) is an emerging psychotherapeutic technique for posttraumatic stress disorder and other conditions associated with psychological trauma. The effectiveness of this technique has been reported among North American and European populations; however, research on it's effectiveness among other ethnocultural groups is sparse. This is the first clinical study of EMDR in Korea with 30 Korean psychiatric patients in two clinical settings. METHODS: Diagnostically heterogeneous group of 30 psychiatric patients underwent a mean of 3.13 (95%CI=2.54-3.73) sessions of EMDR. The Clinical Global Impression-Change scale (CGI-C) was administered one week and six months after the termination of treatment. Results: Participants had a mean CGI-C score of 1.80 (95%CI=1.44-2.16). We designated as 'responders' those who were 'very much improved' or 'much improved' on the CGI-C, 23 (77%) After six months, 19/23 (83%) still characterized as remaimed responders. All the patients with posttraumatic stress disorder, phobia, and grief reaction were responders, and those with personality disorder nonresponders. Results for depressive and other disorders were mixed. Conclusion: Despite methodological limitations, results from this study suggest that the EMDR can be applied to Korean psychiatric patients.

Keywords: Korea Psychiatric Patients

Accuracy Verified: Yes

141. Lipke, H., & Botkin, A. (1992, Winter). Case studies of eye movement desensitization and reprocessing with chronic post-traumatic stress disorder. Psychotherapy: Theory, Research, Practice, Training, 29(4), 591-595. doi:10.1037/0033-3204.29.4.591.

Language: English

Format: Journal

Abstract:
Five hospitalized Vietnam combat veterans with chronic PTSD were treated with Eye Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic procedure. Changes in previously refractory symptoms of intrusiveness and arousal were noted for some subjects. The variability of effects was examined in terms of subject variables and therapist training with the procedure. REM sleep findings and studies of cognitive concomitant of waking eye movement were considered in efforts to understand EMDR effects. The overall results suggest that: (1) EMDR can be a powerful clinical tool in the treatment of PTSD, and (2) further research is strongly recommended. [Author Abstract]

Keywords: Adults African Americans Empirical Study European Americans Males Middle Aged Psychiatric Inpatients PTSD Veterans Vietnam War

Accuracy Verified: Yes

142. Cartwright, L. (2000, September-October). Case Studies: Expanding our tool kit: A new technique that compliments TFT and EMDR. Family Therapy Networker, 24(5), 71-82.

Language: English

Format: Magazine

Abstract:
In recent years, increasing numbers of therapists have discovered the effectiveness of neurologically based therapy techniques, such as Eye Movement Desensitization and Reprocessing (EMDR) and Thought Field Therapy (TFT), not only for trauma, but for a wide range of problems, including anxiety, anger, grief and phobias. Like most therapeutic approaches, however, they provide remarkable results for one client and little or no results for another, no matter how skilled the therapist. Even more mysterious, they can significantly help a client with one problem, but not with a different problem. For instance, Sarah, age 40, had been suffering from depression for five years. The depression was triggered by the death of her father, loss of a good-paying job due to downsizing and her fiance's breaking off their engagement--all within a one-year period. After six months of increasing anxiety and worsening depression (accompanied by low energy, disinterest in life and withdrawal from social situations), Sarah entered therapy. Biweekly sessions for the next three years, which frequently included EMDR, significantly reduced her anxiety, but did not alleviate the depression. Nor did antidepressants. Years before, I had had a similar experience. EMDR had sharply reduced my obsessive-compulsive symptoms, but didn't help my depression. TFT eliminated recurring anger, but also didn't help my depression.

In the course of five years of research into neurologically based approaches, I happened upon a working hypothesis that explains such inconsistent results. The side-to-side eye movements of EMDR that activate the left and right hemispheres of the brain seem to help people resolve problems based on a lack of communication between the left and right hemispheres of the brain. The tapping, or front/back stimulation of acupuncture points, in TFT is effective when there is a lack of communication between the front and back of the nervous system (controlled by the energy center, well known to acupuncturists and martial artists, that lies below the navel). And since we are three-dimensional creatures, I hypothesized that some problems stem from a lack of communication between the top and bottom of the nervous system as well, which I correlate with the brain and the enteric nervous system of the digestive tract (the source of gut feelings). Working from this hypothesis, I have also developed processes to reintegrate the top/bottom dimension.

I have found that although certain emotions tend to be based within a given neurological dimension (indecisiveness is often in left/right, anxiety in front/back and depression in top/bottom, for example), a client may experience any emotion as a block within any dimension or combination of dimensions. As a result, depending upon both the client and the specific problem being addressed, a therapist might need to use techniques that facilitate integration of the left/right, front/back and/or top/bottom dimensions of the nervous system. When a client is blocked within two or three dimensions of the nervous system, working within just one dimension will sometimes activate healing across the entire nervous system. If this does not happen, it is then necessary to work in the remaining dimensions.

From these hypotheses I developed a system called Shifting Consciousness through Dimensions (SCtD), which provides therapists ways to assess the dimension(s) the client is blocked in, processes to identify, if necessary, which dimension to start with and specific integrating techniques for each dimension.

Keywords: TFT Thought Field Therapy

Accuracy Verified: Yes

143. McFarlane, A. (2003, October-November). CBT vs. EMDR in the treatment of PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .

Language: English

Format: Conference

Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment outcome studies using four different treatment modalities (CBT, EMDR, psychopharmacology and Cognitive Processing) and presents data on comparative efficacy, treatment responsiveness and resistance, effects on comorbidity, quality of life, and biological changes that accompany symptom improvement.

CBT vs. EMDR in the treatment of PTSD: 114 subjects were randomized into the study, but only 45 completed up to week 10. The subjects in the study comprise 45 sufferers of Post traumatic stress disorder as defined by the Clinician Administered PTSD Scale (CAPS) (caps score > 50, and who satisfied criteria A,B,C and D for PTSD diagnosis) and the PCL-C (PCL-C>50). All subjects were victims of a traumatic experience and were recruited through newspaper or radio advertisements, referrals from private practitioners (18 subjects) or through the State Government Insurance Commission (SGIC) (27 subjects). Subjects were randomised into one of three treatments. Fourteen subjects received EMDR, 21 received CBT and 10 were control subjects. The mean age of the sample was 41.38 (SD=11.55) with the minimum age of 19 and the maximum age of 61. Sixteen of the subjects were male and 29 were female. During the treatment period 17 of the subjects were taking antidepressants and 6 were taking anxiolytics. Approximately half of the sample was married (22 subjects 48.9%), 12 had never married, 4 were separated, 1 was defacto and 6 were divorced. The mean number of treatment sessions for the entire sample was 8.53 (SD 1.65). Out of the 45 participants in the study, 26 had suffered only one single trauma in their lives, 11 had experienced several single traumas, 3 had suffered one ongoing trauma and 5 individuals had suffered at least one ongoing and one specific trauma. The following results were performed on the treatment groups (total 35 subjects), with the control group being excluded from all analyses. All subjects, were aged between 18 and 65, lived in metropolitan Adelaide and had an adequate command of English (reading and writing).All subjects gave informed consent to the study and expressed their willingness to comply with the protocol. Subjects with a history of adult seizure disorder, organic brain disease or who were assessed to be at significant suicide risk (a score of 3 or more on suicide question in HAM-D), were excluded from the study, as were subjects taking psychotropic drugs (anticonvulsive/ antipsychotic) or sedatives more than 4 times a week. All assessment and treatment sessions were conducted at the University of Adelaide Department of Psychiatry at the Queen Elizabeth Hospital. Assessment sessions were conducted by trained research assistants and all therapy sessions were conducted by a clinical psychologist, trained in both EMDR and CBT. Subjects were assessed for suitability to enter the study via an initial screening instrument (sent out to subjects in the post) and an initial screening interview. Patients were further evaluated at week 0 (baseline/immediately prior to commencement of treatment), 3, 4, 6, 8 10, 20 (10 week followup).

Keywords: CBT Cognitive Behavioral Therapy Symposium

Accuracy Verified: Yes

144. Burns, M. (2009, March). The challenges of using EMDR with refugee and asylum seeking children/adolescents. Symposium conducted the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
This paper discusses the use of EMDR with refugee and asylum seeking children and adolescents using clinical case examples and shares the clinician’s own personal reflections on the lessons learned. The challenges of working with this group are explored drawing on research findings as well as the clinician’s experiences. Language and cultural differences can act as barriers to assessing children’s mental health or their suitability for EMDR even though in some cases it might be thought of as the treatment of choice. Working with Interpreters is often a key feature of this therapeutic work. The challenges are discussed with direct reference to The British Psychology Society’s recently published guidelines. There are ongoing stresses for these children and young people associated with displacement and their current situation in the UK. These stresses contribute to their psychological distress. Fear of being sent home or mistrust may also prevent them from providing full and accurate information hindering the clinician from obtaining an accurate assessment or trauma history. The importance of good therapeutic skills as the basis of an EMDR Approach is highlighted drawing upon a host of interventions (behavioural, physical, cognitive and motivational) to support clients in building up their own resources so that they can manage their distress between sessions. The therapist’s role in managing expressed emotions within the sessions is examined, not forgetting the impact of this on the therapist.

Keywords: Adolescents Asylum Children Refugees Symposium

Accuracy Verified: Yes

145. Wesselman, D. (2009, June). Changes in attachment status in an adult survivor of abuse and neglect after six months of EMDR treatment. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam.

Language: English

Format: Conference

Abstract:
Ms. Wessleman presented a preview of a single case report she has in press in the Journal of EMDR showing significant changes in attachment status in an adult survivor of abuse and neglect after six months of EMDR treatment as measured by the Adult Attachment Interview. She also described research she now has nearly completed on treat of adult survivors who had completed 1 year of DBT group treatment and then were randomly assigned to either individual DBT or to EMDR treatment. She noted the high drop out rate from the group DBT treatment and indicated that the EMDR treatment group was unique in showing changed in PTSD related symptoms.

Keywords: Adult Attachment Interview Attachment DBT Dialectical Behavior Therapy Dropout Rates

Accuracy Verified: No

146. Inoue, N., Nawa, J., Katoh, T., & Shirakawa, M. (2010, July). Changes in personality functioning over the course of eye movement desensitization and reprocessing trauma therapy: Findings on the early changes. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: Although eye movement desensitization and reprocessing (EMDR) is said not only to reduce trauma-related symptoms but also to enhance ability to function in life, its effectiveness in other than reducing trauma-related symptoms has yet to be verified. The objective of this study was to explore the broad range of effectiveness of EMDR, especially changes in the personality functioning during the early phase of treatment. Methods: Using the non-randomized design, we assessed and compared the treatment changes in subjects treated with EMDR and subjects who participated in the psycho-education course of trauma. Eligible subjects were adult women who experienced human-caused trauma such as domestic violence, rape, or childhood abuse. The Rorschach Comprehensive System (CS) was used as the first outcome measure to evaluate personality functioning, and self-report questionnaires and a clinical interview for trauma-related symptoms were used as the secondary outcome measures. Subjects of both groups were assessed at the time of enrollment in the study and 4 months after the enrollment. We completed the evaluation of 5 and 6 subjects in the EMDR and the control group, respectively. Results: The CS index for self-esteem and self-concern was improved in the EMDR sample compared with the controls. Women treated with EMDR showed increased openness to internal and external stimuli (assessed by CS F%), whereas some women in the control group even developed a tendency to avoid internal and external stimuli after 4 months. Conclusion: The differences of early changes in personality functioning between the EMDR group and the controls will be discussed in detail.

Keywords: Changes in Personality Functioning Poster

Accuracy Verified: Yes

147. Greenwald, R. (1999, June). Child and adolescent special interest group. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
This special interest group is devoted to fostering the development and availablity of EMDR for children and adolescents. Possible SIG sponsored activities may include: information clearinghouse; development of practice and training standards; protocols for speical populations; education of professional, school, medical, and lay communities; peer support for research and writing; and advocacy for underserved child/adolescent populations. At this meeting we will discuss and begin to plan the first activities to be sponsored by this group.

Keywords: Adolescents Children SIG

Accuracy Verified: Yes

148. Greenwald, R. (1999, June). Child trauma measures for research and practice. Poster presented at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
This is a practical guide to objectively scored measures of child/adolescent post-traumatic stress symptoms. It is geared to the field-based researcher and the practicing clinician, who must balance scientific value with the limitations inherent in clinical practice settings. This is not a comprehensive review, but rather a selective sampling of those instruments most likely to be usefbl in the above contexts. Additional information on child trauma assessment is available at www.childtrauma.com or by contacting the author.

Keywords: Children Poster Practice Research

Accuracy Verified: Yes

149. Greenwald, R. (2004, September). Child trauma measures for research and practice. Poster presented at the annual meeting of EMDR International Association, Montreal, Quebec CA.

Language: English

Format: Conference

Keywords: Children

Accuracy Verified: Yes

150. Monahan, K., & Forgash, C. (2012, March). Childhood sexual abuse and adult physical and dental health outcomes. In E. A. Kalfoğlu & R. Faikoglu (Eds.), Sexual Abuse - Breaking the Silence (pp. 137-152). Intechopen.

Language: English

Format: Book Section

Abstract:
Along the same lines, evidence-based assessment and interventions must be in line with the finding of how significant the subjective impressions of sexual assault are for incarcerated older adults in treatment. A promising intervention that is being piloted in the criminal justice system with younger age groups is Eye Movement Desensitization and Reprocessing (EMDR). EMDR specifically targets change in subjective units of distress among trauma survivors, particularly sexual abuse survivors, which in turn reduces post traumatic stress symptoms (Kitchiner, 2000). Moreover, previous research with incarcerated juvenile offenders shows that EMDR can work in reducing post traumatic stress reactivity resulting in less violent behavior and conduct problems among samples. Its utility for older adults, especially those with histories of sexual assault victimization and perpetration is perhaps a promising intervention. The use of evidence-based practices suggests that untreated trauma and grief are related to increased adult recidivism rates (Leach et al., 2008). Therefore, treating psychological distress and untreated symptoms effectively, which involves both screening and treatment that captures subjective experiences, may help to break the cycle of recidivism and in some case sexual offending. [Excerpt]

Keywords: Dental Health Physical Health

Accuracy Verified: Yes

151. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing. Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by a babysitter, along with the EMDR treatment of her older brother who bullied her. Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after EMDR treatment. A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and behaviors to be used later as content for installations. A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal, some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately, the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening. Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video. The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough. Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on, to express concerns about missing his mother. Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion, EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.

Keywords: Case Presentations Children

Accuracy Verified: Yes

152. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety) procedure, which is a method of slowing down processing, and carefully containing and controlling the emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video segments of a therapy session.

Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

153. Munker-Kramer, E. (2007, June). CISD and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Both EMDR and CISD have their positions in the treatment of PTSD and Acute Stress Disorders. They are parts of clear concepts of best practice in crisis and disaster and psychology (e.g., as one focused part CISD) in the immediate care and evaluated trauma therapy methods (with EMDR as a crucial example of well researched trauma therapy) for aftercare. It is very important for the best support of concerned persons and survivors to have good and vice versa supporting management of the interfaces on this continuum.
This lecture will emphasize the author’s opinion on the best possibilities to combine both parts and positions. This will be underlined by some actual research findings on the needs of concerned person and their perception on what they get.
The way of combining both specialized methods will be discussed out of a practitioner’s (in both methods) point of view and will be illustrated by some concrete cases. A senseful combination of EMDR and CISD and a precise consideration and screening for genuine and known risk factors and leading symptoms (e.g., hyperarousal) seem to be a good practice for those starting to suffer from stress disorders.

Keywords: CISD Critical Incident Stress Debriefing

Accuracy Verified: Yes

154. The Australian Psychological Society (2010, August). Clarification of evidence base for eye movement desensitisation and reprocessing (EMDR). InPsych Bulletin .

Language: English

Format: Magazine

Abstract:
In the June edition of InPsych, an article summarising a recent APS review of evidence-based psychological interventions for mental health disorders did not sufficiently highlight the high level of evidence for the effectiveness of Eye Movement Desensitisation and Reprocessing (EMDR) in the treatment of posttraumatic stress disorder (PTSD). In particular, a summary table of psychological interventions with the highest level of research evidence (according to National Health and Medical Research Council criteria) should have prominently presented EMDR for the treatment of PTSD in the body of the table. As EMDR had not been systematically included in the review of psychological interventions, a footnote to the table stated the high level of efficacy of EMDR for PTSD. This oversight has been corrected in the online version of the InPsych article (www.psychology.org.au/publications/inpsych/2010/june/murphy/#s3) and a summary of the research evidence for EMDR from 19 randomised controlled trials will be included in a revision of the full evidence-based psychological interventions review document.

Keywords: Evidence Base

Accuracy Verified: No

155. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract] Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]

Keywords: Adults Neglect Sexual Abuse Survivors

Accuracy Verified: Yes

156. Call, E., Lipke, H., & Errebo, N. (1998, March). Clinical applications of eye movement desensitization and reprocessing (EMDR). Presentation at Psychological Trauma: Maturational Processes and Therapeutic Interventions, Conference sponsored by Boston University Medical School, The Trauma Center, and Massachusetts Mental Health Center, Boston.

Language: English

Format: Conference

Abstract:
No abstract available.

Keywords: Clinical Applications Research

Accuracy Verified: Yes

157. Figley, C. R., Carbonnell, J., Boscarino, J., & Chang, J. (1999, Summer). A clinical demonstration model for assessing the effectiveness of therapeutic interventions: An expanded clinical trials methodology. International Journal of Emergency Mental Health, 1(Part 3), 155-164 .

Language: English

Format: Journal

Abstract:
Both the evaluation of current treatment interventions and the innovation of new ones are vital to maintaining a viable clinical profession. In the field of psychology, however, often there are serious challenges facing these worthy endeavors. This article reviews several problems and limitations with evaluation of innovative psychotherapy treatments in clinical practice and suggests a strategy to overcome these. This approach, which we term the "Systematic Clinical Demonstration Methodology" (SCDM), combines the skills of clinicians with the rigors of clinical trials methods and permits concurrent clinical innovation and scientific evaluation. Here we suggest that the SCDM approach allows innovative practitioners to assist in the development and evaluation of promising clinical interventions by working closely with clinical trials researchers. This allows innovative clinicians to demonstrate new treatment approaches, while clinical researchers evaluate the effectiveness and safety of these interventions using clinical trials methods that incorporate qualitative data. We suggest that this approach can result in the development and evaluation of new treatment innovations more quickly and cost effectively than traditionally has been the case. In addition, some limitations commonly associated with clinical trials, such as not treating patients typically found in clinical practice, failing to treat patients with multiple disorders, or treating patients from different cultural or sociodemographic groups, can be more effectively addressed. Our experiences with using this method to evaluate different psychotherapy treatments for PTSD are presented as an example of this new approach. [Author Abstract]

Keywords: Brief Psychotherapy Methodology Neurolinguistic Programming NLP Outcomes Research Posttraumatic Stress Disorder PTSD Random Controlled Trials RCT Systematic Clinical Demonstration Methodology TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

158. Maxfield, L. (2003). Clinical implications and recommendations arising from EMDR research findings. Journal of Trauma Practice, 2(1), 61-81. doi:10.1300/J189v02n01_04.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a treatment approach found to be efficacious for trauma-related disorders. This article provides an overview of the EMDR treatment process and briefly describes treatment components. It reviews the current research investigating EMDR treatment of PTSD and research investigating the role of eye movements. The practical clinical implications arising from the findings are discussed. These include factors related to treatment provision, such as treatment fidelity, length of treatment, homework, and the use of eye movements. Also highlighted are client-related factors such as population, type of trauma, multiple traumas, symptom severity, comorbid disorders, and complex PTSD. Where possible, recommendations are made for clinical practice and comparisons are made with other types of treatments. [Author Abstract]

Keywords: Clinical Implications Compelx Posttraumatic Stress Disorder Complex PTSD C-PTSD Literature Review Posttraumatic Stress Disorder PTSD Research Stressors Survivors Treatment

Accuracy Verified: Yes

159. Grygo, M. (2008). A clinical trial of motivation-adaptive skills-trauma resolution (MASTR) therapy with conduct disordered adolescent boys. University of Manitoba, Winnipeg, Manitoba Canada. AAT NR35998.

Language: English

Format: Dissertation/Thesis

Abstract:
Conduct disorder and other disruptive behaviours represent the most common form of child and adolescent psychopathology referred for treatment by parents and teachers. A number of studies conducted in university research centers have demonstrated meaningful treatment gains especially with preadolescents with conduct disorder. However, studies conducted with older adolescents, especially those with comorbid disorders, as well as studies conducted in community-based clinic settings have been mostly unsuccessful. With a few exceptions, the extant treatments have not made any special effort to address effects of traumatic experiences that research has demonstrated to be very prevalent among conduct disordered children and adolescents. Motivation-Adaptive Skills-Trauma Resolution (MASTR) therapy developed by Ricky Greenwald (2002a) has shown promising results in his open trial study. MASTR is a complex treatment approach which addresses several key areas crucial in treating adolescents with conduct disorder: development/enhancement of motivation for treatment, development/enhancement of anger management and problem solving skills, and treatment of past trauma effects. The present study evaluated the effectiveness of MASTR therapy with 10 adolescent boys with conduct disorder placed in a residential treatment facility. This study combined single subject and qualitative research methodologies to offer a detailed look into the implementation and evaluation of MASTR therapy in a residential treatment centre. Foremost, this study demonstrates the formidable problems of conducting treatment research with this population in this kind of setting. Results suggested that, when it can be sufficiently implemented, MASTR therapy may be an effective treatment method producing some meaningful changes in behaviour for some severely disturbed adolescents with conduct problem. The study also demonstrated that EMDR may be an effective treatment for reducing emotional distress associated with past trauma in adolescents with conduct disorder. Factors associated with the limited success of this treatment study are identified and discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International Section A: Humanities and Social Sciences. 69(1-A), 2008, pp. 109.

Keywords: Adolescent Boys Clinical Trial Conduct Disorder Empirical Study MASTR Motivation-Adaptive Skills-Trauma Resolution Therapy Quantitative Study

Accuracy Verified: Yes

160. Dyregrov, A. (2011, June). Clinical work following acute trauma, crisis intervention and trauma therapy - Implications from recent research. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Keywords: Acute Stress Crisis Intervention Keynote Plenary Treatment

Accuracy Verified: Yes

161. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The clinical adherence to and combination of methods with EMDR to treat PTSD has not been explored. This is of some concern as 27 000 clinicians are trained in EMDR globally. This exploratory study gained information on Australian trained EMDR clinicians' adherence to EMDR, and the methods they combined with EMDR to treat PTSD. Survey responses from 126 clinicians were analysed using predominantly descriptive statistics. The findings of this study showed that the majority of respondents perceived that they closely adhered to the standard EMDR treatment. However, respondents reported adhering more closely to the phases than the steps of EMDR. Statistically significant findings showed that more experienced EMDR level 1 clinicians were more likely to add steps and phases to EMDR, and to change the standard sequence of steps. Clinicians with greater years of experience were also more likely to change the standard sequence of steps. In addition, more experienced EMDR level 2 clinicians, were less likely to educate their clients about PTSD. Almost all respondents combined EMDR with other methods to treat PTSD. Combined methods included CBT, hypnosis / relaxation, system / solution focused methods and exposure. This research has contributed to theory and practice by uncovering that clinicians appear to use EMDR differently to researchers, by changing EMDR to meet client needs, combining EMDR with other methods and Holly Byron 16/9/99 vi therapies, and introducing EMDR in the mid stage of treatment. These findings are vital to reduce the scientist-practitioner divide by accurately testing EMDR's efficacy and enabling future controlled trials to reflect the clinical use of EMDR.

Keywords: Postrraumatic Stress Disorder PTSD

Accuracy Verified: Yes

162. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.

Keywords: Attrition Clinician Experiences Retention Training

Accuracy Verified: Yes

163. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.

Language: English

Format: Journal

Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder (PTSD)? In this paper we review many of the current pharmacological and psychological interventions available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations. There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives), but there is no evidence that these treatments are less effective. Pharmacotherapy is promising (especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to conduct more randomized clinical trials research and effectiveness studies in military and Department of Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and propose several recommendations to help guide clinicians’ treatment selections.

Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD

Accuracy Verified: Yes

164. Staff. (2002, June). Clinician’s research digest. Review of special January issue on EMDR. American Psychological Association.

Language: English

Format: Magazine

Keywords: Practice Theory

Accuracy Verified: No

165. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.

Language: English

Format: Journal

Abstract:
Behavioral and cognitive psychotherapies are the most widely studied psychological interventions for anxiety disorders. In the present article, the results of ten years of meta-analytic studies on psychotherapies for the various anxiety disorders are reviewed and the relative effectiveness of cognitive and behavioral therapeutic methods is examined. Meta-analytic results support the effectiveness of combined cognitive and behavioral approaches for anxiety disorders. Pure behavioral therapies also are effective and appear to work as well as combined treatment for some disorders. Due to the small number of outcome studies involving pure cognitive treatments, reliable conclusions about the effectiveness of this approach cannot be offered. Additional theoretical and practical considerations are discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441, 2004.

Keywords: Anxiety GAD Generalized Anxiety Disorder Meta-Analysis Obsessive-Compulsive Disorder OCD Panic Disorder Social Phobia Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

166. Gardner, J. R. (2004, June). Cognitive behavior technique: Eye movement desensitization and reprocessing, 1st edition. Unknown.

Language: English

Format: Other

Abstract:
Eye movement desensitization and reprocessing is a controversial technique reported to relieve traumatic memories, phobias, and a wide variety of psychological problems. This paper explains the EMDR procedure, and discusses research that supports and refutes its efficacy.

Keywords: Practice Theory

Accuracy Verified: Yes

167. Lakey, J. (2007, February). Cognitive behavioral therapy and eye movement desensitization and reprocessing: A comparative analysis for the treatment of post-traumatic stress disorder. St. Gregory’s University.

Language: English

Format: Other

Abstract:
Post-Traumatic Stress Disorder is the primary mental health issue resulting in tours of duty in combat operations. The soldiers returning home from these operations often require treatment in dealing with many of their physical and emotional changes. The therapist who treats these brave men and women needs to understand the treatment methods available for the successful recovery of their clients. After identifying the terms necessary to understand the principles and the historical and etiological background of the disorder and the treatments available, this paper will illuminate several treatment modalities and their success rates in the treatment of PTSD. Cognitive Behavioral Therapy and Eye Movement Desensitization and Reprocessing will be the primary focus of comparison through out this work.

Keywords: Comparative Analysis Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

168. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .

Language: English

Format: Journal

Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).

Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

169. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99. doi:10.1016/S0887-6185(98)00041-3 .

Language: English

Format: Journal

Abstract:
Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables (ScienceDirect).

Keywords: Adults Americans Empirical Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

170. Brewin, C. R. (2001, April). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 39(4), 373-393. doi:10.1016/S0005-7967(00)00087-5.

Language: English

Format: Journal

Abstract:
Recent research in the areas of animal conditioning, the neural systems underlying emotion and memory, and the effect of fear on these systems is reviewed. This evidence points to an important distinction between hippocampally-dependent and non-hippocampally-dependent forms of memory that are differentially affected by extreme stress. The cognitive science perspective is related to a recent model of posttraumatic stress disorder, dual representation theory, that also posits separate memory systems underlying vivid reexperiencing versus ordinary autobiographical memories of trauma. This view is compared with other accounts in the literature of traumatic memory processes in PTSD, and the contrasting implications for therapy are discussed. 2001 Elsevier Science Ltd. All rights reserved.

Keywords: Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

171. Oglesby, C., Foster, S., Sime, W., North, T. C., & Lendl, J. (1999). Collaborative partnerships in sport psychology applications of EMDR: High performance and trauma recovery. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
Clinicians who have grown to accept and support Eye Movement Desensitization Reprocessing (EMDR) have begun to diversify the types of trauma populations in which EMDR is applied. Psychology of injury researchers have suggested, on the basis of their work, that an exciting new direction in sport psychology is the implementation and testing of new interventions aimed at modifying risk factors for athletes. It has also been suggested that extant models of athletic injury may reasonably be re-interpreted to account for other traumatic stressors, additional to injury, in sport. EMDR may reduce stress and trauma reactions in sport participants. EMDR, however, has been developed as a clinical tool and there are limitations on entrance to training in the approach. There are myriad ways, however, in which valuable partnerships may be formed, among psychologists, sport psychologists, and educational sport psychology consultants to use EMDR on behalf of clients. This symposium, within its five sections, will report on many such collaborations. The following are the objectives of the session: (a) provide a brief overview of the research and theory base for EMDR and its use in performance work; (b) describe case reports of successful partnerships among EMDR-trained sport psychologists and variably trained professionals from sport performance.

Keywords: Performance Enhancement Sports Psychology Symposium

Accuracy Verified: Yes

172. Jayatunge, R. M. (2008). Combating tsunami disaster through EMDR. Journal of EMDR Practice and Research, 2(2), 140-145. doi:10.1891/1933-3196.2.2.140.

Language: English

Format: Journal

Abstract:
After the 2004 tsunami devastation in Sri Lanka, many citizens experienced severe psychological reactions. The effectiveness of EMDR is illustrated in the treatment of 7 of these individuals: 3 children and 2 adults with PTSD symptoms and 2 adults with depressive symptoms. After 3-8 sessions of EMDR the symptoms were eradicated and these clients were free from their depressive feelings, anxieties, intrusions, and nightmares, were able to function normally, and were able to lead productive lives. These outcomes replicate those in the research literature demonstrating that EMDR is an efficacious treatment for PTSD in general, with specific utility for disaster-related PTSD. It is recommended that future controlled studies be conducted to evaluate the effectiveness of EMDR in the immediate aftermath of disasters and to assess its effectiveness with major depressive disorder. [Author Abstract]

Keywords: Adults Children Disaster Recent Events South Asia Sri Lanka Tsunami

Accuracy Verified: Yes

173. Barfoot, K. M., Casey, M. C., & Callaway, A. J. (2012, July). Combined EEG and eye-tracking in sports skills training and performance analysis. Presentation at the World Congress of Performance Analysis of Sport IX, University of Wooster.

Language: English

Format: Conference

Abstract:
The use of mobile EEG brainwave monitoring and eye-tracking recorded synchronously during the training of sports skills offers significant opportunities but creates challenges. Opportunities: ¨ Measuring neurocognitive activity and visual focus in real time which can be used to provide immediate feedback to the coach, in ‘real world’ settings, for optimising training protocols for the individual athlete. ¨ Use of sound output (‘sonification’) in proportion to EEG regions of interest as a neurofeedback mechanism for athlete self-training. ¨ Application of visualisation protocols and ‘EEG-driven’ PC games where game feedback based on state of mind is used to optimise mental state prior to performance. ¨ Examining the relationship between eye movement and neuro activity (e.g. saccades and gamma waves) and in athlete coaching interventions such as sports visual scanning strategies, Eye Movement Desensitisation & Reprocessing (EMDR) therapy, focussed relaxation, etc. Challenges: ¨ The recording of EEG during gross motor behaviour is subject to non-brain artefacts in the raw (time-domain) EEG, due to the much larger (than EEG) electrical voltages arising from muscle and eye movements. Practical approaches and signal processing (frequency domain spectrum) techniques to address these problems will be discussed. ¨ The synchronisation of data recorded on different types of equipment (e.g. EEG, eyetracker, video, sound, EMG, etc.) with different ‘clocks’ and diverse data formats is difficult – both in terms of time-stamping the original recordings across all the systems and playing them back synchronously for subsequent performance analysis. Progress on creating real-time data export methods which allow synchronous data recording and playback will be reported. Examples of studies carried out in archery, golf, motorsport, football and skiing will be discussed, with a focus on archery where: ¨ Measurements were taken from intermediate, county level, near elite and elite archers. ¨ Archery was chosen to demonstrate the real-time and in-situ quantification of neural activity compared with target-based measures of performance that archery provides, over a range of time-spans and skills. ¨ Results demonstrate that there are significant and measurable changes in EEG patterns during a shot with evidence suggesting that the patterns vary as a function of skill level, but not simply as a function of score. Significance of each of these studies for goal-directed learning and performance enhancement are discussed.

Keywords: EEG Eye Tracking Performance Analysis Sports Skills

Accuracy Verified: Yes

174. Young, J., Zangwill, W. M., & Behary, W. E. (2002). Combining EMDR and schema-focused therapy: The whole may be greater than the sum of the parts. In F. Shapiro (Ed.). EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 181-208). Washington: American Psychological Association. vii, 444 pp.

Language: English

Format: Book Section

Abstract: E
motional processing occurs through specific circuitry and structures in the brain. Unfortunately, much of clinical psychology has neither understood nor sufficiently integrated the treatment implications of this area of research. However, some practitioners have recognized the need for more integrative models of psychotherapy. Two of the best models are Young's Schema-Focused Therapy (SFT) and Shapiro's Eye Movement Desensitization and Reprocessing (EMDR). Although these two approaches arose from different clinical experiences and theoretical backgrounds, they are similar in that they recognize the importance of all the ways in which people process information -- affectively, physiologically, through the senses, and cognitively. Each model can be tremendously beneficial to clinicians and their clients. Combining aspects of each often yields better results than using either one alone. Thus, this chapter first includes a description of Young's model and then an illustration of the way EMDR clinicians can enhance SFT by using the powerful information-processing aspects of EMDR. Last is a brief discussion of the ways SFT can also be valuable to EMDR clinicians. [Adapted from Text, pp. 181-182][Pilots]

Keywords: Cognitive Therapy Psychotherapeutic Processes

Accuracy Verified: Yes

175. Schilling, R. (2000, December). Combining EMDR with solution-focused interviewing. EMDRIA Newsletter, 5(Special Edition), 28-30.

Language: English

Format: Newsletter

Abstract:
In twenty-seven years of practice, two of the most powerful, systematic, counseling approaches I have used are solution-focused therapy (SFT) (Berg, 1996, de Shazer, 1991, Walter, 1992) and EMDR (Shapiro, 1995). Thanks to a suggestion on the EMDR discussion list a few years ago, I began to combine the two methods.

Keywords: SFT Solution-Focused Interviewing Solution-Focused Therapy

Accuracy Verified: Yes

176. 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

177. Lipke, H. (2003, December). Comment on Hembree and Foa (2003) and EMDR. Journal of Traumatic Stress, 16(6), 573-574. doi:10.1023/B:JOTS.0000004081.85114.05.

Language: English

Format: Journal

Abstract:
The role of eye movements in EMDR therapy is not yet clear. However, it is clear that Hembree and Foa's uncritical report of evidence nonsupportive of the importance of eye movement, or other sensory/motor activity in EMDR, suggests this is a closed issue, not an open issue as the research actually indicates. This uncritical interpretation by Hembree and Foa poses the danger of unjustly steering scientists and clinicians away from consideration of EMDR as a distinct method of treatment, and of attempting to better understand its mechanism of effect. [Text, p. 573] [Pilots]

Keywords: Comment Letter Professional Criticism Reply Treatment Effectiveness

Accuracy Verified: Yes

178. Lipke, H. (1999). Comments on "thirty years of behavior therapy . . ." and the promise of the application of scientific principles. the Behavior Therapist, 22(1), 11-14.

Language: English

Format: Newsletter

Abstract:
In the summer of 1997 Behavior Therapy published a "Special Issue" titled "Thirty Years of Behavior Therapy: Promises Kept, Promises Unfulfilled". In introducing the articles Forsythe and Hawkins suggested that there are many venues in which the issues raised could be further discussed. I accept this suggestion as an invitation, and offer the following comments on one of behavior therapy's promises, that of commitment to scientific principles in evaluating the effectiveness of methods of psychotherapy.

Keywords: Efficacy

Accuracy Verified: Yes

179. Maxfield, L. (2002). Commonly asked questions about EMDR and suggestions for research parameters. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 393-418). Washington DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Research

Accuracy Verified: Yes

180. Williams, K. (2006, August). A comparative experimental treatment outcome study: Female survivors of sexual assault suffering from posttraumatic stress disorder, depression, and trauma-related guilt – self-report and psychophysiological measures. Trinity Western University, Langley, British Columbia, CAN.

Language: English

Format: Dissertation/Thesis

Abstract:
Diverse psychotherapeutic approaches for treating trauma-related sequelae have emerged over the last several decades in response to the widespread prevalence of sexual assault and resultant posttraumatic stress disorder among women (PTSD). In a recent formal study (Grace, 2003), a newer treatment called one eye integration (OEI) has been shown to be effective for traumatized individuals. The purpose of this study was to build upon those findings by comparing the effectiveness of two treatments for reducing PTSD symptoms with a breathing, relaxation, autogenics, imagery, and grounding (BRAIN) control condition. Twenty-seven female rape or sexual assault survivors who met the criteria for PTSD according to the Diagnostic and Statistical Manual of Mental Disorders-Text-Revision, (DSM-IV-TR; APA, 2000) were randomly assigned to three groups: (a) a neurologically-based therapy called OEI, (b) an information processing model referred to as cognitive processing therapy-revised (CPT-R), or (c) a control condition (BRAIN), PTSD, depression, and trauma-related guilt symptoms were assessed pretreatment, posttreatment and at 3-month follow up, and qualitative electroencephalography (qEEG) brainwave patterns of two regions of the scalp (frontal and parietal) were measured pre and posttreatment. The following dependent measures were used: Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory II (BDI-II), and t he Trauma-Related Guilt Inventory (TRGI). Though there were no significant differences in PTSD symptoms between groups from pretreatment to post treatment assessments, a significant difference occurred between pretreatment and 3-month follow up, with OEI manifesting greater reductions than CPT-R or BRAIN. There were no significant differences between groups in depression, but there was a reduction in BDI-II scores over time. Reduction in guilt-related symptoms occurred on several scales and subscales for all three groups over time from pretreatment of posttreatment assessments, though not significantly by group. A significant difference was found for the Global Guilt subscale at 3-month follow up, with greater improvement for the OEI group. Preliminary results from cortical brain activity assessments indicate typical qEEG asymmetry patterns for PTSD and depression, though there were no significant group differences apart from minor post hoc analyses. Implications of these findings for clinical work and directions for future research were discussed.

Keywords: Depression Female Guilt Posttraumatic Stress Disorder PTSD Sexual Assault Survivors

Accuracy Verified: Yes

181. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed. • Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005) • Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005) • Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems • The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training

Keywords: DBT Dialectical Behavior Therapy Poster

Accuracy Verified: Yes

182. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .

Language: Farsi (Iran)

Format: Journal

Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients. Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests. Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up. Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months. Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD

Accuracy Verified: Yes

183. Seidler, G. H., & Wagner, F. E. (2006, November). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi:10.1017/S0033291706007963.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive-behavioral therapy (CBT) are both widely used in the treatment of PTSD. There has, however, been debate regarding the advantages of one approach over the other. This study sought to determine whether there was any evidence that one treatment was superior to the other. Method: We performed a systematic review of the literature dating from 1989 to 2005 and identified 8 publications describing treatment outcomes of EMDR and CBT in active-active comparisons. 7 of these studies were investigated meta-analytically. Results: The superiority of one treatment over the other could not be demonstrated. Trauma-focused CBT and EMDR tend to be equally efficacious. Differences between the two forms of treatment are probably not of clinical significance. While the data indicate that moderator variables influence treatment efficacy, we argue that because of the small number of original studies, little benefit is to be gained from a closer examination of these variables. Further research is needed within the framework of randomized controlled trials. Conclusions: Our results suggest that in the treatment of PTSD, both therapy methods tend to be equally efficacious. We suggest that future research should not restrict its focus to the efficacy, effectiveness, and efficiency of these therapy methods but should also attempt to establish which trauma patients are more likely to benefit from one method or the other. What remains unclear is the contribution of the eye movement component in EMDR to treatment outcome. [Author Abstract]

Keywords: Adults Cognitive Therapy Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

184. Narimani, M., Ahari, S. S., & Rajabi, S. (2008). Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder. Journal of Applied Sciences, 8(10), 1932-1937. doi:10.3923/jas.2008.1932.1937.

Language: English

Format: Journal

Abstract:
This research aims to determine efficacy of two therapeutic methods and compare them: Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavioral Therapy (CBT) for reduction of anxiety and depression for Iranian combatant afflicted with Post traumatic Stress Disorder (PTSD) after imposed war. Statistical population of current study includes combatants afflicted with PTSD that were hospitalized in Isas Hospital of Ardabil province or were inhabited in Ardabil. These persons were selected through simple random sampling and were randomly located in three groups. The method was extended test method and study design was multi-group test-retest. Used tools include hospital anxiety and depression scale. This survey showed that exercise of EMDR and CBT has caused significant reduction of anxiety and depression. [Author Abstract]

Accuracy Verified: Yes

185. Alexander, R. J. (1998, September). Comparison of eye movement desensitization and reprocessing and hypnosis. Washington State University, Pullman, WA. AAT 9825908.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is being used in the treatment of numerous disorders. This research focused on EMDR and hypnosis to gain insight into whether the EMDR procedure is a hypnotic phenomenon. Ten high (SHSS:C = 10-12) and ten low hypnotizables (SHSS:C = 0-3) from a northwestern university were exposed to EMDR treatment based on Shapiro's procedure (1995). Responses to a post hypnotic suggestion given before the installation phase of EMDR were measured. Mann Whitney U results revealed a significant difference between low and high hypnotizable participants' responses suggesting that there is a hypnotic phenomenon present in EMDR. ANOVA results for Subject Units of Disturbance (SUDS) and Validity of Cognition (VOC) measures revealed significant treatment effects for both highs and lows pre- to posttreatment. Comparison of high and low hypnotizable groups on the posttreatment outcome scores of SUDS revealed that highs experienced significantly lower levels of disturbance than lows. Comparison of high and low hypnotizables on the posttreatment outcome scores of the VOC revealed no significant difference between groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(3-B), Sep 1998, pp. 1357.

Keywords: Hypnosis Empirical Study Psychotherapeutic Techniques

Accuracy Verified: Yes

186. Nazari, H., Momeni, N., Jariani, M., & Tarrahi, M. J. (2011, November). Comparison of eye movement desensitization and reprocessing with citalopram in treatment of obsessive-compulsive disorder. International Journal of Psychiatry in Clinical Practice, 15(4), 270-274. doi:10.3109/13651501.2011.590210.

Language: English

Format: Journal

Abstract:
Objective. Obsessive-compulsive disorder (OCD) is one of the chronic anxiety disorders that interfere with routine individual life, occupational and social functions. There is controversy about the first choice of treatment for OCD between medication and psychotherapy. Aim. the aim was to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) compared with medication by citalopram in treatment of OCD. Methods. This randomized controlled trial was carried out on 90 OCD patients that randomly were assigned into two groups. They either received therapeutic sessions of EMDR or citalopram during 12 weeks. Both groups blindly were evaluated by the Yale-Brown scale before and after the trial period. Results. Pretreatment average Yale-Brown score of citalopram group was about 25.26 as well as 24.83 in EMDR group. The after treatment scores were 19.06 and 13.6, respectively. There was significant difference between the mean Yale-Brown scores of the two groups after treatment and EMDR was more effective than citalopram in improvement of OCD signs. Conclusion. It is concluded that although both therapeutic methods (EMDR and Citalopram) had significant effect in improving obsessive signs but it seems that in short term EMRD has better effect in improvement of final outcome of OCD.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

187. Garsen, B. (2005). A comparison of post traumatic stress disorder treatment modalities for adolescents. California State University, Long Beach, CA. AAT 1426939.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to explore treatment modalities for Post Traumatic Stress Disorder (PTSD) for adolescents. This study examined current research on the treatment of PTSD by analyzing the content of books and articles written within the past 10 years. The study was a descriptive content analysis of currently used treatment modalities for PTSD. Data analysis involved a recursive process in which themes were identified and developed over numerous readings. The findings of this study indicated that PTSD symptomology was significantly reduced when adolescents were treated with cognitive behavioral methods. Controlled studies were located only for cognitive behavioral interventions. Pharmacological interventions were widely used to treat PTSD symptoms. However, there have been neither controlled nor open-label drug studies conducted regarding this population. Eye Movement Desensitization and Reprocessing (EMDR) is a promising new form of treatment that has yet to be examined in a rigorous manner. Critical Incident Stress Debriefing (CISD) sometimes exacerbated PTSD symptoms in this population. The results of the study indicated that more controlled research needs to be generated targeting adolescents with PTSD.

Keywords: Adolescents Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

188. Ironson, G., Freund, B., Strauss, J., & Williams, J. (2002, January). Comparison of two treatments for traumatic stress: A community-based study of EMDR and prolonged exposure. Journal of Clinical Psychology, 58(1), 113-128. doi:10.1002/jclp.1132.

Language: English

Format: Journal

Abstract:
This pilot study compared the efficacy of two treatments for PTSD: Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who completed at least one active session of treatment after three preparatory sessions. Results showed both approaches produced a significant reduction in PTSD and depression symptoms, which were maintained at three-month follow-up. Successful treatment was faster with EMDR as a larger number of people (7 of 10) had a 70% reduction in PTSD symptoms after three active sessions compared to 2 of 12 with PE. EMDR appeared to be better tolerated as the dropout rate was significantly lower in those randomized to EMDR versus PE (0 of 10 vs. 3 of 10). However all patients who remained in treatment with PE had a reduction in PTSD scores. Finally, Subjective Units of Distress (SUDS) ratings decreased significantly during the initial session of EMDR, but changed little during PE. Postsession SUDS were significantly lower for EMDR than for PE. Suggestions for future research are discussed. [Author Abstract]

Keywords: Empirical Study Meta Analysis Methodology Posttraumatic Stress Disorder Prolonged Exposure PTSD Random Clinical Trial RCT Treatment Effectiveness

Accuracy Verified: Yes

189. 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

190. de Keijser, J., Denderen, M., & Verster-Bosman, M. (2013, April). Complicated grief and PTSD after murder, etiology and treatment: Research into treatment with EMDR and CBT in relatives of murder [Complexe rouw en PTSS na moord, etiologie en behandeling: Onderzoek naar behandeling met EMDR en CGT bij nabestaanden van moord]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Directe nabestaanden van slachtoffers van moord krijgen vaak te maken met een PTSS en gecompliceerde rouw. De Rijksuniversiteit Groningen is, met medefinanciering door het Fonds Slachtofferhulp, een onderzoek gestart naar de vraag of professionele hulp effectief is. Het onderzoek kent twee doelstellingen: In hoeverre draagt een behandeling bestaande uit EMDR en CGT voor familieleden en partners van een vermoord persoon bij aan het verminderen van symptomen van gecompliceerde rouw. Daarnaast hoopt het onderzoek inzicht te krijgen in de mate waarin het effect van de behandeling met EMDR en CGT gemedieerd wordt door een afname van intrusies, vermijdingsgedrag, extreme woede en disfunctionele cognities. In de presentatie komen drie sprekers aan het woord: - Jos de Keijser, klinisch psycholoog/psychotherapeut en projectleider van het onderzoek, zal een theoretisch kader schetsen over gecompliceerde rouw en PTSS bij nabestaanden na moord, inclusief implicaties voor de praktijk. - Mariette van Denderen, criminologe en promovendus, zal de resultaten van de behandelingen met EMDR en CGT tot nu (dan) toe presenteren. - Moniek Verster, een van de behandelaren in het onderzoek, zal over de praktijk van het toepassen van EMDR en CGT bij nabestaanden van moord vertellen. Casuïstiek komt aan bod, indien mogelijk met gebruikmaking van videofragmenten.

Immediate relatives of murder victims often have to deal with PTSD and complicated grief. The University of Groningen, with co-financing by the Fund Victim, launched an investigation into whether professional help is effective. The study has two objectives: To what extent does a treatment consisting of EMDR and CBT for family members and partners of a murdered person to reducing symptoms of complicated grief. Additionally this study aims to understand the extent to which the effect of the treatment with EMDR and CBT is mediated by a decrease of intrusions, avoidance behavior, extreme anger and dysfunctional cognitions. During the presentation, three speakers to talk: - Jos de Keijser, clinical psychologist / psychotherapist and leader of the research, a theoretical framework sketches about complicated grief and PTSD in survivors after murder, including implications for practice. - Mariette of Denderen, criminologist and researcher, the results of the treatment with EMDR and CBT until now (then) to present. - Moniek Verster, one of the practitioners in the study, will the practice of using EMDR and CBT in relatives of murder tell. Casuistry is discussed, where possible using video clips.

Keywords: CBT Cognitive Behavior Therapy Complicated Grief Murder Posttraumatic Stress Disorder PTSD Violence

Accuracy Verified: Yes

191. Grey, E. (2010, September/October). Concentrated EMDR: A case study of EMDR with co-morbid depression and anxiety. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
The efficacy of EMDR treatment for PTSD is established. EMDR is globally recognized as a level one evidence-based practice for PTSD. The studies that were used to determine these findings tended to have weekly EMDR sessions; however it may be possible that more frequent sessions could produce more effective outcomes. This pilot study investigated concentrated EMDR treatment using a quantitative single case study design with a participant with co-morbid major depressive disorder, severe without psychotic features and panic disorder with agoraphobia. The purpose of this pilot study was to determine concentrated EMDR treatment warrants further research attention. The researcher used the Beck's Depression Inventory and The Beck's Anxiety Inventory as the outcome measures. A non-predetermined treatment trial of twelve EMDR reprocessing treatment sessions occurred at a frequency of three 90 minutes sessions per week for a period of one month. Thc baseline mean scores were. BAI: M=38, BDI: M=49. At a 3-month follow-up the scores decrease to raw outcome scores of BAI: 7; BDI: 8. The results of this pilot study are significant in indicating that (a) concentrated EMDR may promote favorable treatmenr outcomes and (b) concentrated EMDR may be effective in treating co-morbid major depressive disorder, severe without psychotic features and panic with agoraphobia.

Keywords: Anxiety Case Study Depression Poster

Accuracy Verified: Yes

192. Settle, C. (2009, June). Concrete methods to elicit past, present, and future targets for EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Children Targeting

Accuracy Verified: Yes

193. Leeds, A. (2006, September). The consensus model. In criteria for assuring appropriate clinical use and avoiding misuse of resource development & installation when treating complex posttraumatic stress syndromes (A. Leeds). Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex PTSD Complex Posttraumatic Stress Disorder C-PSTD Consensus Model Resource Development & Installation RDI Treatment Criteria

Accuracy Verified: Yes

194. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.

Language: French

Format: Dissertation/Thesis

Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.

Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.

Keywords: Domestic Violence

Accuracy Verified: Yes

195. Maxfield, L. (2008). Considering mechanisms of action in EMDR. Journal of EMDR Practice and Research, 2(4), 234-238. doi:10.1891/1933-3196.2.4.234.

Language: English

Format: Journal

Abstract:
This special issue of the Journal of EMDR Practice and Research contains a number of articles that address preliminary issues related to these complex questions. There are two research studies: a study investigating the physiological effects of EM (Sack et al.) and a study evaluating the effect of EM on the components of autobiographical memory (Maxfi eld et al.) . There are several articles by researchers who have summarized their fi ndings and provided a theoretical perspective on related issues (Lee; Propper & Christman; Sondergaard & Elofsson; Stickgold). Two theoretical articles propose neurobiological and other mechanisms of action (Bergmann; Solomon & Shapiro ). All these articles make a real contribution to our conceptualizations of EMDR mechanisms. It is our hope and intention that this issue will stimulate thinking, and provide ideas and models for future research, with the expectation that fi ndings will help to guide and direct clinical practice. (Excerpt)

Keywords: Editorial Mechanism of Action

Accuracy Verified: Yes

196. Staff. (2003, June). Consortial member profile: The Human Performance Laboratory at the University of Calgary. Journal of the Canadian Chiropractic Association, 47(2), 84-92.

Language: English

Format: Journal

Abstract:
The CCCRC now has 12 members and is a network of Canadian researchers designed to foster cross-disciplinary research collaboration on a variety of issues that will advance the CCA’s Research Agenda. Each issue of the JCCA will feature a Consortial Member profile and clinicians and researchers are invited to establish links with those areas of interest. The first Consortial member to be featured is Dr. Walter Herzog at the University of Calgary.
We completed our first study in eye movement desensitization reprocessing therapy (EMDR). The study showed that EMDR is an effective method for helping athletes overcome traumatic events. Athletes significantly reduced their anxiety as a result of the therapy. We also found that those receiving therapy have gaze control characteristics outcome that make have an influence on the conduct and of the therapy.

Keywords: Athletes Gaze Control Characteristics

Accuracy Verified: Yes

197. Eidhof, M. B. (2012). The contribution of emotion to the effects of EMDR. Universiteit Utrecht, Utrecht, Netherlands.

Language: English

Format: Dissertation/Thesis

Abstract:
Until now, the effects of Eye Movement Desensitization and Reprocessing (EMDR), has been best explained by Working Memory (WM) theory. Research on the effects of EMDR has always concerned emotional memory, even though the WM account does not consider the emotional element in EMDR. Insights from neuroscience about emotion and its role in the consolidating of stimuli have led to questions that WM theory cannot address. Therefore, the present study introduces the WM/emotion theory on EMDR, which complements WM theory by incorporating knowledge about emotion and its expected role in EMDR treatment. WM/emotion theory expects emotion to play an important role in EMDR treatment, because the re-experiencing of emotion during the recall of an (traumatic) emotional memory seems to enhance (re)consolidation of the ‘blurred’ (as a result of taxing the WM) memory. If this is true, it means EMDR treatment would only affect memories with high emotional charge, and EMDR would be less effective with neutral memories. To test this hypothesis, an experiment was conducted in which negative emotional- and neutral memories of participants were treated with a lab version of EMDR (recall + eye movements (Recall+EM’s)) or a control intervention (Recall-only). It was expected that after Recall + EM’s the reduction of the vividness (and emotionality) would be larger for emotional memories than for neutral memories.It was found that after Recall+EM’s only the vividness (and emotionality) of emotional memories was reduced. The results of the present study suggest that emotion is a crucial element in EMDR treatment and knowledge about the workings of EMDR should be revised according to WM/emotion theory.

Keywords: Autobiographical Memories Consolidation Emotion Negative Memories Neutral Memories Reconsolidation Vividness Working Memory

Accuracy Verified: Yes

198. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.

Language: English

Format: Journal

Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).

Keywords: Americans College Students Empirical Study Experimental Stressors Females Phobia Psychophysiology Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

199. Schnurr, P. P. (1999, Winter). Control groups in psychotherapy research. PTSD Research Quarterly, 10(1), 1, 8.

Language: English

Format: Newsletter

Abstract:
Discusses the inferences that can be drawn from studies of psychotherapy effectiveness, based on the type of therapy control group that is used, with particular attention to eye movement desensitization and reprocessing. [FAL]

Keywords: Methodology Psychotherapy Treatment Effectiveness

Accuracy Verified: Yes

200. Karatzias, T., Power, K., Brown, K., McGoldrick, T., Begum, M., Young, J., Loughran, P., Chouliara, Z., & Adams, S. (2011, June). A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder: Eye movement desensitization and reprocessing vs. emotional freedom techniques. Journal of Nervous Mental Disease, 199(6), 372-378. doi: 10.1097/NMD.0b013e31821cd262.

Language: English

Format: Journal

Abstract:
The present study reports on the first ever controlled comparison between eye movement desensitization and reprocessing (EMDR) and emotional freedom techniques (EFT) for posttraumatic stress disorder. A total of 46 participants were randomized to either EMDR (n = 23) or EFT (n = 23). The participants were assessed at baseline and then reassessed after an 8-week waiting period. Two further blind assessments were conducted at posttreatment and 3-months follow-up. Overall, the results indicated that both interventions produced significant therapeutic gains at posttreatment and follow-up in an equal number of sessions. Similar treatment effect sizes were observed in both treatment groups. Regarding clinical significant changes, a slightly higher proportion of patients in the EMDR group produced substantial clinical changes compared with the EFT group. Given the speculative nature of the theoretical basis of EFT, a dismantling study on the active ingredients of EFT should be subject to future research.

Keywords: EFT Emotional Freedom Technique Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

201. Heijmans, S. (2008, Januari). Controversie rondom EMDR, Een literatuuronderzoek naar de effectiviteit van EMDR [Controversy surrounding EMDR, a literature review on the effectiveness of EMDR]. Universiteit van Tilburg, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Over de effectiviteit van EMDR bestaat veel controversie. Deze thesis bevat een kritisch overzicht van de literatuur met betrekking tot de effectiviteit van EMDR. Er wordt gekeken naar de procedure die EMDR handhaaft en er worden mogelijke verklaringen gegeven voor de werking van EMDR. Vervolgens wordt de effectiviteit van EMDR onderzocht bij verschillende soorten aandoeningen en vergeleken met andere behandelingsvormen. Onderzoek laat zien dat EMDR effectief is bij de behandeling van PTSS. Ook bij fobieën is EMDR gedeeltelijk effectief. Hier wordt echter voornamelijk een afname geconstateerd op cognitief niveau en niet gedragsmatig. In vergelijking met cognitieve gedragstherapie lijkt EMDR evenredig effectief te zijn. Wanneer EMDR echter vergeleken wordt met exposure therapieën is het niet geheel duidelijk welke behandelingsvorm het meest effectief is. Exposure therapie is effectiever in de afname van herbeleving en vermijdingsgedrag, maar EMDR gaat efficiënter te werk. In de discussie worden vervolgens aanbevelingen gegeven voor toekomstig onderzoek.

There is a lot of controversy about the effectiveness of EMDR. This thesis consists of a critical overview of the literature concerning the effectiveness of EMDR. First this thesis will look at the procedure that EMDR maintains and possible explanations for how EMDR works will be given. Next the effectiveness of EMDR will be researched to see if it differs between the different diseases. EMDR will also be compared to other treatments. Research shows that EMDR is an effective treatment when treating PTSD. When treating phobias, EMDR is partly effective. The effectiveness here is mainly a decrease on a cognitive level and not a behavioural one. In comparison to CBT EMDR seems to be equally effective. But when we compare EMDR to exposure treatment it is not fully clear which treatment is the most effective. Exposure therapy is more effective when it comes to a decrease in reliving and avoidance, but EMDR has a greater efficiency. At last there will be given recommendations for future research.

Keywords: Literature Review

Accuracy Verified: Yes

202. Grand, D., Hartung, J., & Bergmann, U. (2007, Novembro). Conversando com… David Grand, John Hartung, Uri Bergmann [Talking with ... David Grand, John Hartung, Uri Bergmann]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Nos últimos dez anos, as pesquisas sugerem que o Transtorno de Estresse Pós-Traumático (TEPT) seja uma desordem de humor, memória e integração somatossensorial. Estudos com neuroimagens e neuroendocrinologia têm demonstrado marcadores muito claros desse transtorno, destacando a compreensão de que o TEPT seja uma desordem neurobiológica e não o reflexo de fraqueza psicológica. Nesta apresentação examinaremos o processo de formação e consolidação da memória, a neurobiologia do TEPT e as neuroimagens correspondentes. A integração dessas três linhas ilustrarão os efeitos do TEPT sobre a regulação do humor, memória e integração somatossensorial.

Over the past decade, research suggests that Post-Traumatic Stressm Disorder (PTSD) is a disorder of mood, memory and somatosensory integration. Studies with neuroimaging and neuroendocrinology have markers demonstrated very clear that disorder, highlighting the understanding that PTSD is a neurobiological disorder and not the reflection of psychological weakness. In this presentation we will examine the process formation and consolidation of memory, neurobiology of PTSD and neuroimaging corresponding. The integration of these three lines illustrate the effects of PTSD on the regulation of mood, memory and somatosensory integration.

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

203. Medema, M. L. (2012). Coping styles in the treatment of traumatized refugees. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Which approach is most beneficial is yet unclear and Basoglu (2006) critiques this lack of progress in the field and pleas for empirically driven interventions on PTSD. To address this issue, Ter Heide is currently conducting a randomized trial to compare the efficacy of EMDR and stabilisation in a sample of of traumatized refugees and asylum seekers (hereafter the term refugees refers to both refugees and asylum seekers). The feasibility and acceptability of such a trial was demonstrated in a pilot study (Ter Heide, Mooren, Kleijn, De Jongh, & Kleber, 2011). To further counseling theory, research and practice, it should however also be examined “when” and “for whom” PTSD treatments are effective and therefore we should engage in research on moderators (Frazier, Tix & Barron; 2004). Hence, the present study examines the role ofcoping styles as possible moderators in EMDR and stabilistation treatment of traumatized refugees. This study attempts to add empirical value to the theoretical framework on the treatment of PTSD in refugees and this may also have clinical implications as to which treatment is more beneficial for which patients.

Keywords: Asylum Seekers Coping Styles Posttraumatic Stress Disorder PTSD Quality of Life Refugees Stabilisation Treatment Outcome

Accuracy Verified: Yes

204. Lister, D. (2003, March). Correcting the cognitive map with EMDR: A possible neurobiological mechanism. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
The experience of life is commonly likened to a journey through a landscape. This cannot be an accident; it must be based on neurobiological activity in the brain. If one is fortunate the journey is made through a pleasant landscape, with occasional mild adventures to vary the monotony. Travelling is an ancient evolutionary feature of all animals, and all animal brains have developed fairly uniform methods of recording the body's motion through the environment, in different degrees of complexity (O'Keefe & Nadel, 1978; Stickgold, 2002). Occasionally, a traumatic disaster upsets an otherwise placid journey.

Keywords: Neurological

Accuracy Verified: Yes

205. Pagani, M., Högberg, G., Fernandez, I., & Siracusano, A. (2013). Correlates of EMDR therapy in functional and structural neuroimaging: A critical summary of recent findings. Journal of EMDR Practice and Research, 7(1), 29-38. doi:10.1891/1933-3196.7.1.29.

Language: English

Format: Journal

Abstract:
Neuroimaging investigations of the effects of psychotherapies treating posttraumatic stress disorder (PTSD), including eye movement desensitization and reprocessing (EMDR), have reported findings consistent with modifications in cerebral blood flow (CBF; single photon emission computed tomography [SPECT]), in neuronal volume and density (magnetic resonance imaging [MRI]), and more recently in brain electric signal (electroencephalography [EEG]). Additionally in the recent past, EMDR- related neurobiological changes were monitored by EEG during therapy itself and showed a shift of the maximal activation from emotional limbic to cortical cognitive brain regions. This was the first time in which neurobiological changes occurring during any psychotherapy session have been reported, making EMDR the first psychotherapy with a proven neurobiological effect. The purpose of this article was to review the results of functional and structural changes taking place at PTSD treatment and presented during the period of 1999–2012 by various research groups. The reported pathophysiological changes are presented by neuropsychological technique and implemented methodology and critically analyzed.

Keywords: EEG Limbic System MRI Neurobiology SPECT

Accuracy Verified: Yes

206. de Jongh, A. (2005, June). Could EMDR be a promising treatment in the immediate aftermath of a traumatic incident?. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Various studies have shown that the counselling routinely offered to people in the immediate aftermath of a traumatic incident seldom protects them from developing post-traumatic stress -and could even delay their recovery. On the other hand, clinical experience suggests that in many cases with the proper utilization of EMDR an almost spontaneous integration of perceptions of sensory input and the cognitive components of the experience takes place. Although controlled data about types of interventions. the optimal time to intervene or predictors of response and recovery are still lacking. within the organization D.O.E.N., providing critical incident stress management services in the Netherlands, there is broad experience in utilizing EMDR with clients who exhibit severe early symptoms following trauma and who need 'first-aid' treatment. EMDR treatment is generally started when there is no evidence of change or recovery within the course of 1 or 2 weeks. Since there is a tremendous unmet need, there is an important challenge to demonstrate in controlled research the advantages of EMDR for those who suffer from symptoms of acute stress, for example in emergency departments and/or the immediate aftermath of mass trauma. This presentation will focus on the rationale for early treatment with the use of EMDR. This approach is illustrated by segments of video taped treatment sessions of clients with symptoms of acute stress.

Keywords: Practice Symposium Theory

Accuracy Verified: Yes

207. Cahill, S. P. (2000, July 1). Counterpoint: Evaluating EMDR in treating PTSD. Psychiatric Times, 17(7), 3-14.

Language: English

Format: Magazine

Abstract:
EMDR: Is Psychiatry Missing the Boat? (point) EMDR in Treating PTSD (counterpoint) This discussion focuses on the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), a highly controversial treatment for patients with posttraumatic stress disorder (PTSD). The point article stresses the extensive body of literature that shows the efficacy and safety of EMDR as a treatment protocol. It also explains the treatment process. The counterpoint article argues that much of the research supporting EMDR may not be methodologically sound and that attempting to make statements of efficacy based on the current literature may not be wise.[Psychiatric Times]

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

208. Johnson, D. R., & Lubin, H. (2006). The counting method: Applying the rule of parsimony to the treatment of posttraumatic stress disorder. Traumatology, 12(1), 83-99. doi:10.1177/153476560601200106.

Language: English

Format: Journal

Abstract:
A study is described comparing Prolonged Exposure, Eye Movement Desensitization and Reprocessing, and the Counting Method with 51 multiply-traumatized women. Measures of PTSD were significantly reduced by all three methods, but differences among the methods were negligible. Because the Counting Method utilizes only imaginal exposure as a therapeutic element, support is given to the more parsimonious conclusion that imaginal exposure may be both the necessary and sufficient factor in therapeutic effect, countering a trend in the field toward more complex, multi-faceted treatment packages. [Author Abstract]

Keywords: Adults Counting Method Exposure Therapy Females Imaginal Exposure Multiple Traumatic Events Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Survivors Treatment Effectiveness Women

Accuracy Verified: Yes

209. Hillman, J. L. (2002). Crisis intervention and trauma, New approaches to evidence-based practice. New York, NY: Kluwer Academic/Plenum Publishers.

Language: English

Format: Book

Abstract: R
ecent findings from an American Psychological Association task force suggest that one in four therapists will experience patient suicide, and that one in eight will feel threatened by patient violence during their career. Experts from this task force have also noted that clinicians receive virtually no formal training or coursework in crisis intervention. Despite the increasing need for professional services among members of the general population, current practitioners have few texts available that provide step-by-step, detailed information about how to engage in crisis intervention, and how to integrate recent, empirical research findings into theory and practice. This volume helps bridge this critical gap by providing a theoretically advanced, yet practical guide to crisis intervention. Particular attention is given to the role of violence within our culture, patient suicide, school and workplace violence, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, domestic violence, and the neurophysiology of trauma, as well as the needs of typically underserved patient populations including minority group members, older adults, gays and lesbians, and children. The text also features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine. [Springer]

Keywords: Crisis Intervention Trauma

Accuracy Verified: Yes

210. Leeds, A. (2006, September). Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Consensus Model RDI Resource Development and Installation Treatment Criteria

Accuracy Verified: Yes

211. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation

Accuracy Verified: Yes

212. Leeds, A. (2010, July). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients (1) and clinical situations (3) the use of RDI is indicated; for which patients and clinical situations (4) RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients (2) RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Posttraumatic Stress Disorder PTSD RDI Resource Development & Installation

Accuracy Verified: Yes

213. Feldner, M. T., Monson, C. M., & Friedman, M. J. (2007, January). A critical analysis of approaches to targeted PTSD prevention: Current status and theoretically derived future directions. Behavior Modification, 31(1), 80-116. doi:10.1177/0145445506295057.

Language: English

Format: Journal

Abstract:
Although efforts to prevent posttraumatic stress disorder (PTSD) have met with relatively limited success, theoretically driven preventive approaches with promising efficacy are emerging. The current article critically reviews investigations of PTSD prevention programs that target persons at risk for being exposed to a traumatic event or who have been exposed to a traumatic event. This review uniquely extends prior reviews in this area by using theories of PTSD to suggest future directions in the area of PTSD prevention. The authors first discuss the primary mechanisms of action believed to account for the failure for PTSD symptoms to remit among a substantial minority of traumatic event–exposed individuals. Second, empirical progress in PTSD prevention efforts is reviewed. Third, the authors consider how existing prevention programs target these mechanisms of action. Finally, the authors consider directions for future research in the area of targeted PTSD prevention.

Keywords: Posttraumatic Stress Disorder Prevention PTSD Risk Trauma

Accuracy Verified: Yes

214. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.

Language: English

Format: Journal

Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]

Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness

Accuracy Verified: Yes

215. Nowill, J. (2010, April). A critical review of the controversy surrounding eye movement desensitisation and reprocessing. Counselling Psychology Review, 25(1), 63-70.

Language: English

Format: Journal

Abstract:
The treatment eye movement, desensitization and reprocessing (EMDR) continues to court controversy despite its adoption by the National Institute for Health and Clinical Excellence (2005) as a preferred treatment for post-traumatic stress disorder. This article critically reviews the two issues at the heart of the controversy. First, is EMDR effective for unique reasons or is it a disguised treatment such as exposure therapy? Second, is evidence-based practice an appropriate framework within which to assess psychological therapies or are its criteria too narrow and inflexible? The article proposes practice-based evidence as a potential way forward in EMDR research and describes an appropriate model within an EMDR treatment framework.

Keywords: Review

Accuracy Verified: Yes

216. Spates, C. R., Waller, S., & Koch, E. I. (2000, Summer). A critique of Lohr et al's (1998) review of EMDR and Lipke's commentary: Of messages and messengers. the Behavior Therapist, 23(7), 148-154.

Language: English

Format: Newsletter

Abstract:
Our goals are as follows: (a) to propose what we believe is a reasonable context within which to evaluate data pertinent to EMDR; (b) to examine how the evidence fits within an evaluation of the more general treatment outcome literature on PTSD; (c) to suggest a constructive direction for future research. [Adapted from Text, p. 148] A comment on: Jeffrey M. Lohr, David F. Tolin, and Scott O. Lilienfeld, "Efficacy of eye movement desensitization and reprocessing: implications for behavior therapy", Behavior Therapy 29(1): 123-156 (Winter 1998) [20817] and Howard J. Lipke, "Comments on 'Thirty years of behavior therapy..." and the promise of the application of scientific principles", Behavior Therapist 22: 11-14 (1999).

Keywords: Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness

Accuracy Verified: Yes

217. Lee, C. (2008). Crucial processes in EMDR - More than imaginal exposure. Journal of EMDR Practice and Research, 2(4), 262-268. doi:10.1891/1933-3196.2.4.262.

Language: English

Format: Journal

Abstract:
The processes that underlie the effectiveness of eye movement desensitization and reprocessing (EMDR) are examined by evaluating the procedural differences between it and exposure therapy. Major factors include the degree of emphasis placed on reliving versus distancing in the therapies and the degree to which clients are encouraged to focus on direct trauma experiences versus experiences associated with the trauma. Research results indicate that, unlike traditional imaginal exposure, reliving responses in EMDR did not correlate with symptom improvement. Instead, consistent with an information processing model, the degree of distancing in EMDR was significantly associated with improvement. A case study is described to highlight these methodological divergences in the respective therapies relating to reliving. Finally, the research regarding the possible sources of the distancing response within EMDR was examined. The results indicate that the distancing process was more likely to be an effect produced by eye movements than by any therapist instructions. Theoretical and research evaluations indicate that the mechanisms underlying EMDR and traditional exposure therapy are different.

Keywords: Exposure Therapy Information Processing Posttraumatic Stress Disorder PTSD Reliving

Accuracy Verified: Yes

218. Tol, W. A., Jordans, M. J. D., Regmi, S., & Sharma, B. (2005, June). Cultural challenges to psychosocial counselling in Nepal. Transcultural Psychiatry, 42(2), 317-333. doi:10.1177/1363461505052670.

Language: English

Format: Journal

Abstract:
This article describes the way in which the practice of psychosocial counselling was adapted culturally to the context of Nepal within the Centre for Victims of Torture, Nepal (CVICT). After a brief description of the Nepali setting and CVICT’s counselling and training approach and the relationship of its psychosocial counselling intervention with existing methods of dealing with psychosocial problems, the cultural challenges of implementing psychosocial counselling and our response to them are sketched along with concepts deemed important in psychosocial counselling. A discussion follows in which the authors’ stance on the export of psychosocial counselling to non-western cultures is outlined.

Keywords: Centre for Victims of Torture Cross-Cultural Nepal Training

Accuracy Verified: Yes

219. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.

Language: English

Format: Journal

Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.

Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan

Accuracy Verified: Yes

220. Shapiro, F., Hurley, E. C., de Roos, C., Horst, F., de Jongh, A., & Hornsveld, H. (2013, April). Current research on eye movement desensitization and reprocessing (EMDR) therapy. Presentation at the Anxiety Disorders and Depression Conference, La Jolla, CA.

Language: English

Format: Conference

Abstract:
EMDR therapy is widely recognized as an empirically supported trauma treatment and was given an “A” rating in the most recent practice guidelines of both the DVA/DOD and the International Society for Traumatic Stress Studies. Meta-analytic findings report similar effect sizes for trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR therapy in the treatment of posttraumatic stress disorder (PTSD). However, there are distinct differences between the two modalities in both theory and practice. Unlike TF-CBT exposure therapies, with EMDR therapy there is only intermittent attention to the index trauma, homework is not required and detailed descriptions of the memory are not needed. Further, the eye movement component has been the subject of more than 20 randomized controlled trials that have reported positive effects supporting both working memory and orienting response/REM hypotheses. These effects include a rapid decrease in physiological arousal and negative emotion, as well as increased episodic memory retrieval and recognition of true information. Videotaped clinical sessions will illustrate these findings, as well as the differences between EMDR therapy and prolonged exposure.

Keywords: Practice Research

Accuracy Verified: Yes

221. Maxfield, L. (2001, October). Current research perspectives: What we know, and don't know about EMDR. Presentation at the bi-annual meeting of the EMDR Association Canada, Vancouver, BC.

Language: English

Format: Conference

Keywords: Research

Accuracy Verified: Yes

222. Maxfield, L. (2002, June). Current research perspectives: What we know and don’t know about EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Besides providing an overview of current EMDR research, this presentation examine related clinical implications. Although EMDR is efficacious in PSTD treatment, different studies have achieved a range of results. Factors that might account for this disparity are examined, and their therapeutic relevance is emphasized. Possible explanations for poor outcomes in phobia/panc disorder studies are discussed, with treatment recommendations highlighted. Although fingings for the contribution of eye-movements are inconclusive, this research suggests aspects of dual attention stimulation that could be clinically monitored. Finally, suggestions are made to assist clinicians in objectively assessing client progress and evaluating edivence from their own practices.

Keywords: Research

Accuracy Verified: Yes

223. Maxfield, L. (2007). Current status and future directions for EMDR research. Journal of EMDR Practice and Research, 1(1), 6-14. doi:10.1891/1933-3196.1.1.6.

Language: English

Format: Journal

Abstract:
This review provides the groundwork for a basic understanding of articles written about eye movement desensitization and reprocessing (EMDR), including a brief overview of theory and practice. It documents EMDR's established efficacy in the treatment of PTSD and specifies specific subsets of this population in need of further investigation. The article also provides a review of recent studies evaluating a range of EMDR's clinical applications and outlines new directions for research investigations and for developments in clinical practice. It concludes with an overview of current research evaluating pre- and post-neurobiological changes, and mechanisms of action. Specific recommendations for future areas of investigations are outlined, and rigorous evaluation is strongly encouraged. [Author Abstract]

Keywords: Efficacy Information Processing Literature Review Mechanism of Action Research Needs Review Treatment Effectiveness

Accuracy Verified: Yes

224. Spector, J., & Read, J. (1999, July). The current status of eye movement desensitization and reprocessing (EMDR). Clinical Psychology and Psychotherapy, 6(3), 165-174. doi:10.1002/(SICI)1099-0879(199907).

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing therapy (EMDR) has increasingly been proposed as an effective therapeutic procedure for post-traumatic stress disorder and other mental health problems. However, views on EMDR in the research literature have been polarized. Reasons for this are explored as is the nature and theoretical basis of EMDR. Fifteen controlled studies thus far published on EMDR and PTSD are reviewed, and it is concluded that (i) EMDR is an effective psychotherapy, (ii) EMDR's relative efficacy in comparison to behavioural exposure therapies has yet to be established, (iii) the role of eye movements and laterality in attentional focus remains controversial and (iv) a direct link between the theoretical basis of the therapy and observable psychological and neurobiological changes has yet to be established. [Wiley]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy

Accuracy Verified: Yes

225. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders. The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR therapist should be prepared to manage. Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves. A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the reduction of distress for events or experiences already known. Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions. The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between 50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and that as research in this population continues, strategies for overcoming problem areas can be developed.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

226. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.

Language: German

Format: Conference

Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3, und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen. Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender, emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung für die erfolgreiche und effiziente Anwendung von EMDR dar. Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen, dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a. durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann. In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August 2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht. Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt. Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐ Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen. Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden. Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven eröffnen helfen.

Experience shows that successful work often with EMDR significantly taken from and emotionally meaningful choice of cognition depends. But experience shows also that these Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3, and not only for beginners but also for experienced EMDR therapists. This especially when the focus of the work of non-traumatic on clearly defined classical Individual events, but on complex, early-life subjects. Working out of profound, emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This Situation often creates uncertainty among clients and therapists and offers a challenge represents for the successful and efficient use of EMDR Meanwhile, it has been worked into the binding and trauma research that very early interference often have a dissociative structure among those affected the result. We must therefore assume that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3 may be manifested by problems with the development of cognition. In recent years I have developed the dialogue EMDR protocol, how to deal with such complex EMDR situations in phase 3 easier. In October 2009, a short version of my Work on this specific EMDR protocol in German newsletter published EMDR and in August 2011 an English translation of the EMDR Journal for Research & Practice is published. The workshop on the one hand the importance of cognition in the successful EMDR should work again and clarify the related theoretical principles from neurobiology, attachment theory and summarize the theories of Structural Dissociation and ego state theory. Then, the Dialog protocol described in detail and illustrated using case studies in practical applications. A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The By means of concrete examples to own participants, phase 3 of the dialogue with application- Exercise protocol in order for the practice to bring a hands-on experience based on personal experience. This involves having to capturing phase 3 to the VOC, not a complete self-awareness EMDR. It is the emotional relevance of coherent and profound cognition can be experienced. If it is the time frame allowed to own cases are presented for discussion. The workshop should enable a collegial discussion of issues in application of EMDR and new perspectives help open up.

Keywords: Cognitions Dialogue Protocol

Accuracy Verified: Yes

227. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia. In particolare si vuole verificare se dopo trattamento con EMDR: - i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori. - si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione). Lo studio consente inoltre di osservare - per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress, - se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR

The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease. In particular, we want to check if after treatment with EMDR: - The values of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values. - There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation). The study also allows you to observe - For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress, - Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.

Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

228. 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

229. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2010). De behandeling van patiënten met PTSS met narrative exposure therapy, het kort eclectisch protocol voor PTSS en eye movement desensitisation [The treatment of patients with PTSD narrative exposure therapy, the short protocol for PTSD and eclectic eye movement desensitisation]. Tijdschrift voor Psychiatrie 52(4), 4.

Language: Dutch

Format: Journal

Abstract:
Achtergrond: Bij de behandeling van patiënten met een posttraumatische stressstoornis (ptss) worden niet altijd de evidence-based behandelvormen toegepast zoals beschreven in de richtlijnen en in de literatuur. Vooral bij de complexere traumapatiënten worden regelmatig alleen stabilisatietechnieken en/of farmacotherapie toegepast. Doel: In deze bijblijfsessie wordt betoogd dat evidence-based traumagerichte behandeling mogelijk en wenselijk is, ook bij veel complexe patiënten die te maken hebben gehad met oorlog, vervolging, geweld en/of beroepsgerelateerd trauma. Methoden: Er zullen drie voordrachten worden gegeven, met daarna discussie, door drie specialisten in de behandeling van ptss. De voordrachten zullen drie evidence-based behandelvormen voor ptss illustreren, te weten narrative exposure therapy (net), het Kort Eclectisch Protocol voor ptss (kep) en eye movement desensitisation and reprocessing (emdr). Resultaten: De drie getoonde behandelvormen zijn goed toepasbaar en effectief bij patiënten met een ptss. Dit zal worden aangetoond met behulp van theoretische uitgangspunten, ervaringen uit de klinische praktijk en onderzoeksgegevens. Conclusie: Behandeling van complexe traumapatiënten met ptss door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennisgenomen van drie evidence-based behandelvormen voor ptss.

Background: In the treatment of patients with post traumatic stress disorder (PTSD) are not always evidence-based treatment as described in the application forms and guidelines in the literature. Especially with complex trauma patients are frequently only stabilization techniques and /or pharmacotherapy used. This goal bijblijfsessie is argued that evidence-based trauma-focused treatment is possible and desirable, even with many complex patients who have experienced war, persecution, violence and / or job-related trauma. Methods: will be given three nominations, followed by discussion, by three specialists in the treatment of PTSD. The presentations will be three evidence-based treatments for PTSD illustrate, namely narrative exposure therapy (NET), the Short PTSD Eclectic Protocol (KEP) and Eye Movement Desensitisation and Reprocessing (EMDR). The results shown three forms of treatment are well applicable and effective in patients with PTSD. This will be demonstrated using theoretical assumptions, experiences from clinical practice and research. Opinion Treatment of complex trauma patients with PTSD using trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD.

Keywords: Narrative Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

230. van der Vleugel, B. (2013, April). De behandeling van PTSS bij mensen met een psychotische stoornis [The treatment of PTSD in people with a psychotic disorder]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Trauma is een risicofactor voor het ontwikkelen van psychose. Het hebben van een ernstige psychiatrische aandoening verhoogt de kans op het ontwikkelen van een co-morbide posttraumatische stress stoornis. Desondanks wordt een co-morbide PTSS zelden gediagnostiseerd en wanneer dit wél gebeurt is behandeling van deze PTSS bepaald niet vanzelfsprekend. Behandelaren vrezen vaak dat het openlijk bespreken van traumatische levenservaringen zal leiden tot decompensatie, heropname, middelenmisbruik, zelfbeschadigend gedrag en / of suïcidaliteit. Ondertussen werken de PTSS klachten als olie op het vuur van de psychose. Omdat mensen met psychotische klachten over het algemeen werden uitgesloten van deelname aan onderzoek naar de effecten van PTSS behandeling was lang niet bekend of psychologische behandeling conform de Richtlijn Angststoornissen ook bij deze populatie veilig en effectief is. Hier begint verandering in te komen. In deze presentatie komen achtereenvolgens aan bod: - De resultaten van een pilot onderzoek naar de effecten van EMDR bij mensen met een psychotische stoornis en een co-morbide PTSS (Van den Berg & Van der Gaag, 2012). - De resultaten van een gecontroleerde multiple baseline study naar de effecten van EMDR en Prolonged Exposure bij mensen met een psychotische stoornis en een comorbide PTSS (De Bont, Van Minnen & De Jongh, submitted). - De opzet en eerste bevindingen van het onderzoeksproject Treating Trauma in Psychosis (T.TIP), een multicenter RCT naar de behandeling van PTSS bij mensen met een psychotische Trauma is a risk factor for the development of psychosis. Having a severe psychiatric condition increases the chance of the development of a co-morbid post-traumatic stress disorder. Nevertheless, a co-morbid PTSD rarely diagnosed and when this happens, treatment of these PTSD determined not obvious. Clinicians often fear that openly discussing traumatic life experiences will lead to decompensation, reuptake, substance abuse, self-injurious behavior and / or suicidality. Meanwhile, the PTSD symptoms as fuel to the fire of the psychosis. Because people with psychotic symptoms were generally excluded from research into the effects of PTSD treatment was long unknown or psychological treatment in accordance with Directive Anxiety disorders also in this population safely and effective. Here begins to be changing. This presentation will subsequently be discussed: - The results of a pilot study on the effects of EMDR in people with a psychotic disorder and comorbid PTSD (Van den Berg and Van der Gaag, 2012) . - The results of a controlled multiple baseline study on the effects of EMDR and Prolonged Exposure to people with a psychotic disorder and comorbid PTSD (De Bont, Van Minnen & De Jongh, submitted). - The design and initial findings of the research Treating Trauma in Psychosis (T.TIP), a multicenter RCT on the treatment of PTSD in people with a psychotic disorder (De Bont et al, submittedstoornis (De Bont et al., submitted).

Keywords: Posttraumatic Stress DIsorder PSTD Psychotic Disorders

Accuracy Verified: Yes

231. Muris, P., & Merckelbach, H. (1996). De behandeling van specifieke fobieën met eye movement desensitization and reprocessing: Een gecontroleerde studie. Directieve Therapie, 16(1), 1-5. doi:10.1007/BF03060128 .

Language: Dutch

Format: Journal

Abstract:
In deze studie werd onderzocht of Eye Movement Desensitization and Reprocessing (EMDR) van nut kan zijn bij het behandelen van een specifieke fobie. De studie bestond uit twee fasen. Tijdens de eerste fase werden spinfobici toegewezen aan drie onderzoeksgroepen: een EMDR groep, een imaginaire exposure groep of een controlegroep die geen behandeling ontving. De behandeling werd geëvalueerd met een gestandaardiseerde gedragstest waarbij de fobici werd verzocht het gevreesde object (i.c. spin) zo dicht mogelijk te benaderen. Geen van de drie groepen – dus ook de EMDR–groep niet – boekte vooruitgang. De exposure in vivo behandeling, die alle fobici tijdens de tweede fase van het onderzoek ontvingen, leidde daarentegen wel tot een significante verbetering op de gedragstest.

This study investigated whether Eye Movement Desensitization and Reprocessing (EMDR) can be useful in treating a specific phobia. The study consisted of two phases. During the first phase spinfobici assigned to three research groups: one group of EMDR, an imaginary exposure group or a control group that received no treatment. Treatment was evaluated with a standardized behavioral test in which the phobic invited the feared object (ie spin) as close as possible to approach. None of the three groups - including the EMDR group did not - made progress. Exposure in vivo treatment, all phobic during the second phase of the study, led however to a significant improvement on the behavioral test.

Keywords: Specific Phobia

Accuracy Verified: Yes

232. Leenarts, L. E. W., Doreleijers, Th. A. H., Lindauer, R. J. L., Lodewijks, H. P. B., & Vermeiren, R. R. J. M. (2011, April). De effectiviteit van een traumabehandeling bij getraumatiseerde meisjes in gesloten jeugdinstellingen [The effectiveness of trauma treatment in traumatized girls in closed juvenile institutions]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Uit onderzoek blijkt dat in jeugdzorginstellingen geplaatste meisjes vaak getraumatiseerd zijn en mede hierdoor ernstige problemen vertonen in het verdere leven. Onderzoek (Hamerlynck 2008) toont aan dat 85% van de meisjes een of meer trauma’s heeft meegemaakt en dat dit gerelateerd is aan zowel openlijke als heimelijke agressie. Hieruit blijkt de noodzaak om meisjes in jeugdzorginstellingen bij opname te onderzoeken op trauma en agressie, ze te behandelen en om traumabehandelingen te onderzoeken op hun effectiviteit en op de gevolgen op lange termijn. Doel: Het doel van het huidige onderzoek is de effecten vast te stellen van een traumabehandeling bij meisjes die in een jeugdzorg-plusinstelling geplaatst zijn. De behandeling die geëvalueerd wordt, is een stabilisatiefase (met als doel het reduceren van traumagerelateerde klachten) aangevuld met eye movement desensitisation and reprocessing (emdr). Methoden: Gebruik wordt gemaakt van een quasi-experimenteel onderzoeksdesign. De experimentele groep bestaat uit meisjes die hebben deelgenomen aan de stabilisatiefase gevolgd door emdr. De controlegroep bestaat uit meisjes die treatment as usual (tau) ontvangen. Verschillende meetmomenten zullen plaatsvinden. De Childhood Trauma Questionnaire ( ctq) wordt gebruikt om traumageschiedenis te onderzoeken en de Trauma Symptom Checklist for Children (tscc) wordt gebruikt om traumaklachten te bevragen. Resultaten: Tijdens het Voorjaarscongres zullen de eerste resultaten bekend zijn en gepresenteerd worden. Conclusie: Op basis van literatuur kan verondersteld worden dat een geprotocolleerde stabilisatiefase gevolgd door emdr effectiever is in de reductie van traumagerelateerde klachten dan tau bij meisjes in gesloten jeugdzorginstellingen.

Background: Research shows that girls are often placed in youth welfare institutions traumatized and because of this serious exhibit problems later in life. Research (Hamerlynck 2008) shows that 85% of the one or more girls experienced trauma and that this is related to both overt and covert aggression. This highlights the need to girls in child welfare institutions in recording research on trauma and aggression, treat them and trauma treatments to investigate their effectiveness and the long-term consequences. Purpose: The aim of the present study to determine the effects of trauma treatment girls in a youth-plus set placed. The treatment evaluated, a stabilization phase (with the aim of reducing trauma-related symptoms) supplemented with Eye Movement Desensitisation and reprocessing (EMDR). Methods: Use is made of a quasi-experimental research design. The experimental group consists of girls who have participated in the stabilization phase followed by EMDR. The control group consists of girls that treatment as usual (TAU) received. Various measurement points will occur. The Childhood Trauma Questionnaire (CTQ) is used to examine trauma history and the Trauma Symptom Checklist for Children (TSCC) is used to search for trauma symptoms. Results: During the Spring Congress the first results are known and presented. Conclusion: Based on literature can believed that food allergies stabilization phase followed by EMDR is more effective in reducing trauma-related symptoms than tau girls in secure youth institutions.

Keywords: Girls Juvenile Insitutions Trauma

Accuracy Verified: Yes

233. Ligeon, S. N. (2011). De invloed van oogbewegingen en klikjes op de naarheid en levendigheid van negatieve herinneringen [The influence of eye movements and clicks into the nature and vibrancy of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract: Eye movement desensitization and reprocessing (EMDR) is a widely applied therapy for posttraumatic stress disorder (PTSD). In this therapy patients make eye movements while recalling traumatic memories. It is suggested that EMDR taxes working memory and this reduces ratings of the vividness and emotionality of traumatic memories. Although this has been studied extensively for the effectiveness of eye movements, research on bilateral beeps is scarce. Whit a sample of 42 students we compared the effectiveness of eye movements and bilateral beeps. Results indicate that eye movements are more effective in reducing vividness and emotionality of negative memories. Indirectly testing a mechanism proposed by the Working Memory Theory, we found that participants with a larger working memory focused their attention more on the memory as compared to students with a smaller working memory. In sum we conclude that bilateral beeps are inferior to eye movements in the reduction of vividness and emotionality of memories

Keywords: Intrusive Memory Posttraumatic Stress Disorder PTSD Startle Reflex Working Memory

Accuracy Verified: Yes

234. Veeninga, A., & Hafkenscheid, A. (2005, December). De plaats van EMDR in debehandeling van posttraumatische stressstoornis [EMDR in the treatment of posttraumatic stress disorder]. Gedragstherapie, 38(4), 275-284.

Language: Dutch

Format: Magazine

Abstract:
In korte tijd heeft bereikt, EMDR enorme populariteit als de behandeling van keuze voor posttraumatische stress-stoornissen, zelfs in afwezigheid van een wetenschappelijk geldige theorie over de werkingsmechanismen. Advocaten vaak vet maken claims met betrekking tot effectiviteit. Ze suggereren dat EMDR is vrij eenvoudig uit te voeren om, en dat EMDR weinig last voor de patiënt heeft. Er is enig bewijs dat EMDR is zo effectief als cognitieve gedragstherapie in de behandeling van PTSS. Echter, de hoge verwachtingen met betrekking tot effectiviteit zijn nog niet bevestigd. Als de 'EMDR beweging' beweert dat de status van een officieel en wetenschappelijk gevalideerde psychotherapeutische methode, is onderzoek nodig dat zich kan identificeren met de specifieke effecten van de procedure ten opzichte van de niet-specifieke effecten van psychotherapie.

In short time EMDR has achieved enormous popularity as the treatment of choice for posttraumatic stress disorders, even in absence of a scientifically valid theory on its working mechanisms. Advocates frequently make bold claims regarding effectiveness. They suggest that EMDR is rather simple to perform, and that EMDR has little burden for the patient. There is some evidence that EMDR is as effective as Cognitive Behaviour Therapy in the treatment of PTSD. However, high levels of expectation with regard to effectiveness are not yet confirmed. If the ‘EMDR movement’ claims the status of an official and scientifically validated psychotherapeutic method, research is needed that can identify the specific effects of the procedure relative to the non-specific effects of psychotherapy.

Keywords: Posttraumatic Stress Disorder Psychotherapy Psychotherapeutic Techniques PTSD

Accuracy Verified: Yes

235. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. "Online First".

Language: Dutch

Format: Journal

Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer. Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental. Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.

The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue. Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership. All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.

Keywords: Mindfulness and Meditation Training, MTT

Accuracy Verified: Yes

236. Littel, M. (2013, April). De rol van emotionaliteit op de effectiviteit van EMDR [The role of emotionality in the effectiveness of EMDR]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Als tijdens het ophalen van een autobiografische herinnering een andere taak wordt uitgevoerd die het werkgeheugen belast, zoals het maken van oogbewegingen, wordt de herinnering waziger terug opgeslagen: de levendigheid en emotionaliteit van de herinnering neemt af. Dit fenomeen kan verklaren waarom EMDR zo goed werkt als behandeling voor PTSD. Al het onderzoek dat tot nu toe gedaan is naar de effecten van oogbewegingen op herinneringen maakte gebruik van emotionele (positieve/negatieve) herinneringen. In de huidige presentatie zal worden ingegaan op de rol van deze emotionaliteit op de effectiviteit van EMDR. Uit onderzoek blijkt dat emotionele gebeurtenissen beter en gedetailleerder in het geheugen worden opgeslagen dan neutrale gebeurtenissen. Dit gebeurt als gevolg van verhoogde emotionele arousal, ofwel verhoogde afgifte van diverse stoffen in het brein, met als belangrijkste noradrenaline. Als noradrenaline wordt geblokkeerd met medicatie worden emotionele gebeurtenissen namelijk even slecht onthouden als neutrale. Ook tijdens het ophalen van emotionele herinneringen ontstaat er emotionele arousal. En het blokkeren van noradrenaline na het ophalen van een emotionele herinnering zorgt ervoor dat deze minder intens wordt terug opgeslagen in het geheugen. Emotionaliteit zorgt dus voor betere geheugen (re)consolidatie. De vraag is nu of het feit dat de in EMDR opgehaalde herinneringen emotioneel geladen zijn belangrijk is voor de effectiviteit van EMDR. En zo ja, zorgt de emotionele arousal die vrijkomt er dan voor dat de wazig-gemaakte herinneringen beter worden opgeslagen in het geheugen? Of werkt het op een andere manier? In de huidige presentatie zullen de resultaten worden besproken van een studie waarin onderzocht is of ook levendige neutrale herinneringen, net als emotionele herinneringen, door oogbewegingen minder levendig kunnen worden. Voorts zullen plannen besproken worden voor een studie naar oogbewegingen waarin emotionele arousal gemanipuleerd wordt. Ook zullen wetenschappelijke en klinische implicaties worden besproken.

If during the retrieval of autobiographical memories another task that taxed working memory, such as making eye movements, the reminder is stored back blurred: the vividness and emotionality of the memory decreases. This phenomenon may explain why EMDR works so well as a treatment for PTSD. All the research done so far has been on the effects of eye movements made use of emotional memories (positive / negative) memories. In the current presentation will discuss the role of emotionality on the effectiveness of EMDR. Studies show that emotional events better and more detailed in the memory than neutral events. This happens due to increased emotional arousal, or increased release of various substances in the brain, the main noradrenaline. If norepinephrine is blocked with medication emotional events are remembered because as bad as neutral. During the retrieval of emotional memories creates emotional arousal. And blocking norepinephrine after getting an emotional memory makes it less intense back stored in memory. Emotionality thus provides better memory (re) consolidation. The question now is whether the fact that the EMDR retrieved emotionally charged memories are important for the effectiveness of EMDR. And if so, will the emotional arousal released sure the blurry-made memories are better stored in memory? Whether it works in a different way? In the current presentation, the results are discussed from a study which investigated is whether vivid memories neutral, like emotional memories, by eye movements may be less vivid. Further plans will be discussed for a study of eye movements in which emotional arousal is manipulated. Also, scientific and clinical implications are discussed.

Keywords: Emotionality

Accuracy Verified: Yes

237. van Arkel, E. P. M., & Baas, A. M. (2008, Juni). De rol van het op afstand beleven en het herbeleven in eye movement desensitisation and reprocessing (EMDR) [The role of the remote experience and relive in eye movement desensitisation and reprocessing (EMDR)]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek was voor ons zowel een eerste kennismaking met Eye Movement Desensitisation and Reprocessing (EMDR) als een eerste kennismaking met het klinische werkveld. Naast het leerzame traject van het onderzoek zelf, waren deze aspecten een speciale aanvulling op onze scriptie. Wij hebben dan ook met veel enthousiasme aan deze scriptie gewerkt en ons op verschillende gebieden breder ontwikkeld. Wij zijn voornamelijk blij dat wij „op de valreep van onze studie‟ nog kennis hebben mogen maken met de behandelmethode EMDR. Het is een behandelmethode die wij in onze verdere loopbaan binnen de psychologie zeker mee zullen nemen. Onze dank gaat uit naar de therapeuten en cliënten die mee wilden werken aan dit onderzoek. Zonder deze medewerking was dit onderzoek immers niet tot stand gekomen! Daarnaast willen wij graag onze begeleidster mw. dr. H.K. Hornsveld bedanken voor het overbrengen van haar enthousiasme voor EMDR en al haar op- en aanmerkingen op ons onderzoek. Mede dankzij haar is dit onderzoek goed afgerond en is ons enthousiasme gegroeid.

This study gave us both a first encounter with Eye Movement Desensitisation and Reprocessing (EMDR) as a first introduction to the clinical field. Besides the educational process of research itself, these issues were a special addition to our thesis. We also have enthusiastically worked on this paper and our wider development in various fields. We are especially pleased that we are "at the very end of our study" may even be familiar with the EMDR treatment method. It is a treatment that in our careers in psychology will certainly take it. Our thanks go to the therapists and clients who wanted participate in this study. Without this cooperation, this research was not realized! In addition, we want our companion mw. Dr. H.K. Hornsveld thanks for transferring her enthusiasm for EMDR and all her observations and comments on our research. Partly thanks to her that this study is well rounded and our enthusiasm grew.

Keywords: Desensitization, Distancing Reliving Vividness

Accuracy Verified: Yes

238. Dautovic, E. (2013, April). De toepassing van EMDR bij volwassenen met een complexe PTSS en een licht verstandelijke beperking: Practice en evidence based [The application of EMDR in adults with complex PTSD and mild intellectual disabilities: Evidence-based and practice]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Mensen met een verstandelijke beperking hebben een verhoogde kans op het meemaken van, voor hen, ingrijpende life-events en in het verlengde hiervan een verhoogd risico op het ontwikkelen van een posttraumatische stressstoornis (PTSS). De prevalentie van PTSS blijkt significant hoger te zijn bij mensen met een verstandelijke beperking (VB) dan bij mensen zonder VB. Daarnaast valt in de praktijk, bij deze populatie, de hoge prevalentie van complexe PTSS op. EMDR is een effectieve behandeling voor PTSS bij mensen zonder VB. Ook wordt EMDR al breed ingezet voor de behandeling van (complexe) PTSS bij mensen met een VB. Er is echter nog maar weinig onderzoek gedaan naar de effectiviteit van EMDR bij deze populatie. Bij Kristal, centrum voor psychiatrie en verstandelijke beperking, wordt EMDR al een aantal jaar toegepast in de behandeling van volwassenen met een complex trauma en een (lichte) verstandelijke beperking. Hierbij wordt het EMDR-behandelprotocol voor jeugdigen, zoals door de VEN uitgegeven, trouw gevolgd. Dit, echter altijd in combinatie met een stabiliserende pre-treatment, welke onze doelgroep weerbaarder moet maken voor de spanning die een traumabehandeling kan opwekken. Naast de praktische toepassing, welke deze benadering practice based maakte, heeft binnen Kristal tussen 2010 en 2013, synchroon aan de behandeling, een pilot-onderzoek naar de effectiviteit van deze behandeling gelopen. Dit met het doel deze benadering ook evidence based te maken.

People with intellectual disabilities have an increased chance of experiencing, for them, major life events and by extension an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD was significantly higher in people with intellectual disabilities (VB) than in those without VB. Furthermore falls in practice, in this population, the high prevalence of complex PTSD. EMDR is an effective treatment for PTSD in people without VB. Even though EMDR is widely used for the treatment of (complex) PTSD in people with VB. However, there is little research on the effectiveness of EMDR in this population. In Crystal, center for psychiatry and mental retardation, is EMDR for a number of years in the treatment of adults with complex trauma and a (mild) mental retardation . Here the EMDR treatment protocol for young people, as issued by the VEN, faithfully followed. This, however, always in combination with a stabilizing pre-treatment, which our audience resilient to make the stress of trauma treatment can generate. Besides the practical application, which this approach practice based made, has within Crystal between 2010 and 2013, synchronously treatment, a pilot study on the effectiveness of this treatment occurred. This with the aim of this approach is to make evidence-based.

Keywords: Adults Intellectual Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

239. Hornsveld, H., & de Jongh, A. (2011, April). De werkgeheugentheorie: Resultaten en klinische implicaties [The working theory: Results and clinical implications]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Er zijn verschillende theorieën om de gunstige effecten van EMDR te verklaren. De laatste jaren wijst onderzoek op dit terrein steeds meer in de richting van de zogenaamde werkgeheugenhypothese. Niet in de laatste plaats vanwege het onderzoek van Marcel van den Hout, Iris Engelhard en Hellen Hornsveld aan de Universiteit Utrecht. Dit onderzoek kreeg in 2010 in de VS de EMDR Award for Outstanding Research. In deze presentatie zullen Hellen Hornsveld en Ad de Jongh samen ingaan op dit onderzoek en met name op de klinische implicaties van deze bevindingen. Ook zullen zij nieuwe data presenteren van een onderzoek naar het verschil tussen de effectiviteit van oogbewegingen en ‘klikjes’ binnen een klinische populatie. Aan dit onderzoek hebben een groot aantal leden van de Vereniging EMDR Nederland meegewerkt. De volgende thema’s zullen in deze presentatie aan bod komen. 1. Het gebruik van klikjes in plaats van oogbewegingen. 2. Het gebruik van ‘flash forwards’ en de nieuwe toepassingen die hierdoor ontstaan binnen het ‘linksom model’ bij de behandeling van angststoornissen. 3. Het gebruik van bilaterale stimulatie bij RDI, de veilige plek, en positief afsluiten. Sommige van deze onderwerpen zullen worden geïllustreerd door middel van videoclips. Vanzelfsprekend zal hierbij ook gelegenheid zijn voor discussie.

There are several theories to explain beneficial effects of EMDR. In recent years research in this area points increasingly towards the so-called working memory hypothesis. Not least because of the investigation of Marcel van den Hout, Iris Engelhard and Hellen Hornsveld at Utrecht University. This study was in 2010 in the U.S. EMDR Award for Outstanding Research. This presentation will Hellen Hornsveld and Ad de Jongh together and discuss this study in particular the clinical implications of these findings. They will also present new data from a study of the difference between the effectiveness of eye movements and "clicks" in a clinical population. In this study have many members of the Association EMDR Netherlands participated. The following topics will be discussed in this presentation. 1. The use of clicks rather than eye movements. 2. The use of 'flash forwards' and the resultant new applications within the 'left' model in the treatment of anxiety disorders. 3. The use of bilateral stimulation of RDI, the safe place and positive conclusion. Some of these issues will be illustrated by video clips. Obviously this will also be opportunity for discussion.

Keywords: Practice Theory

Accuracy Verified: Yes

240. Rijken, T. A. (2012). De werkzaamheid van eye movement desensitization and reprocessing (EMDR): Ondersteuning voor een afleidingstheorie [The efficacy of eye movement desensitization and reprocessing (EMDR): Support for a theoretical derivation]. Universiteit Utrecht, Utrecht, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
De eye movement desensitization and reprocessing (EMDR) interventie wordt veelvoudig gebruikt in de gezondheidszorg en is een van de meest onderzochte interventies voor posttraumatische stress-stoornis. De populariteit van deze interventie kan mede worden toegeschreven aan de aangetoonde werkzaamheid van EMDR voor het verminderen van traumasymptomen. EMDR is een behandeling die bedoeld is om de helderheid en aversiviteit van traumaherinneringen te verminderen. Tijdens de interventie staat het ophalen van traumatische herinneringen en tegelijkertijd het maken van oogbewegingen centraal. De laatste jaren zijn labstudies toegepast om te achterhalen hoe EMDR precies werkt. Uit deze studies blijkt dat de belasting van het werkgeheugen door een duale taak een belangrijk component van EMDR is. Het werkgeheugen heeft namelijk een beperkte capaciteit. Dit zorgt ervoor dat er minder capaciteit beschikbaar is voor de traumatische herinnering wanneer deze tijdens de behandeling wordt belast met een taak (bv. oogbewegingen). De werkgeheugentheorie is bruikbaar, maar er is wellicht een simpelere verklaring voor de werkzaamheid van EMDR: afleiding. Het is praktisch te weten hoe EMDR werkt zodat er meer duidelijkheid ontstaat over hoe EMDR precies moet worden toegepast. Daarnaast is het begrip van de werking van EMDR belangrijk voor het vaststellen van eventuele bruikbaarheid bij meerdere stoornissen. Het doel van huidig experiment is het kritisch onderzoeken of er een verschil is tussen het ophalen van een negatieve herinnering met een visuele afleidingstaak en het ophalen van een negatieve herinnering met het maken van oogbewegingen op de mate van levendigheid en emotionaliteit. Daarnaast dient het onderzoek als replicatie van Kavanagh et al. (2001) die hetzelfde beoogde te onderzoeken, maar geen rekening hield met de cognitieve belasting van de taken. Uit de resultaten van het huidige onderzoek blijkt dat de oogbewegingstaak en de visuele afleidingstaak verschillen in de mate van vertraging op de reactietijdtaak. De oogbewegingen leiden tot een grotere vertraging. Desondanks laten de resultaten van het experiment zien dat tijdens het toepassen van de interventies de visuele ruis tot grotere reductie van zowel levendigheid als emotionaliteit leidt in vergelijking met de oogbewegingen en het niets doen. Oogbewegingen laten intermediaire resultaten zien. Het lijkt er op dat de resultaten in strijd zijn met de gangbare werkgeheugentheorie en de ‘afleidingstheorie’ ondersteunen als verklaring voor de werkzaamheid van EMDR. Het is wellicht afleiding dat voldoende zou kunnen zijn om de werkzaamheid van EMDR te bewerkstelligen. Meer onderzoek is nodig om deze resultaten te ondersteunen.

The Eye Movement Desensitization and Reprocessing (EMDR) intervention is multiple used in health care and is one of the most studied treatments for posttraumatic stress disorder. The popularity of this intervention may also be attributed to the demonstrated efficacy of EMDR for reducing trauma symptoms. EMDR is a treatment designed to reduce the brightness and aversiviteit memories of trauma reduction. During the intervention is retrieving traumatic memories while making eye movements centrally. In recent years labstudies used to determine how EMDR works. These studies show that the load on working memory by a dual task is an important component of EMDR. The memory has a limited capacity ie. This ensures that there is less capacity available for the traumatic memory during treatment when it is subjected to a task (eg eye movements). The working memory theory is useful, but there may be a simpler explanation for the efficacy of EMDR: distraction. It is practical to know how EMDR works so that more clarity about exactly how EMDR should be applied. In addition, the concept of the operation of EMDR important for determining the potential usefulness in multiple disorders. The purpose of the present experiment is to critically examine whether there is a difference between getting a negative memory with a visual distraction task and retrieval of a negative memory making eye movements on the degree of vividness and emotionality. Research must also as a replication of Kavanagh et al (2001) that the same was intended to investigate, but took no account of the cognitive load of the tasks. The results of the present study show that the oogbewegingstaak and visual distraction task differences in the extent of delayed response task. The eye movements lead to a longer delay. Nevertheless, the results of the experiment show that while applying the intervention visual noise to greater reduction in both vividness and emotionality results in comparison with the eye movements and do nothing. Eye movements show intermediate results. It seems that the results are contrary to the usual working memory theory and the "distraction theory 'support as an explanation for the efficacy of EMDR. It might distractions that may be sufficient to establish the efficacy of EMDR to achieve. More research is needed to support these results.

Keywords: Theory Derivation Working Memory Theory

Accuracy Verified: Yes

241. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.

Language: English

Format: Dissertation/Thesis

Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]

Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

242. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.

Language: English

Format: Journal

Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.

Keywords: Aggression Trauma Treatment

Accuracy Verified: Yes

243. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.

Language: English

Format: Book Section

Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]

Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization

Accuracy Verified: Yes

244. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.

Language: Dutch

Format: Conference

Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan. De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma: • Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt. • Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik). De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.

Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them. The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma: • On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops. • On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse). The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.

Keywords: Debriefing

Accuracy Verified: Yes

245. Kuiken, D., Miall, D., Bears, M., & Smith L. (1998). Defamiliarization in dreaming and reading: Eye movements and attentional engagement. Presentation at the VIth Biannual IGEL Conference, Utrecht.

Language: English

Format: Conference

Abstract:
The fictional world imaginatively constituted during literary reading is sometimes compared with the imaginal world created during dreaming. At the core of both reading and dreaming may be the type of attentional adjustment that occurs when departures from expected events emerge in experience. During dreaming, markers of this attentional adjustment – and of the related transformations of dream content – are the eye movements characteristic of REM sleep. Recent research suggests that eye movements induced during wakefulness similarly prompt dreamlike transformations of imaginal activity. Therefore, we hypothesized that, during reading, induced eye movements would facilitate defamiliarization in response to the deviations from literal meanings found in metaphoric expressions. To test this hypothesis, twenty-five undergraduates completed 20 seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (a) a covert visual attention task (Posner & Cohen, 1984), in which a cue indicated the likely position of a subsequent target, and (b) a sentence rating task, in which sentences with either metaphoric or non-metaphoric endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and increased the extent to which metaphoric sentence endings were found striking. These results suggest that induced eye movements facilitate attentional reorientation toward the novel meanings found in metaphoric expressions, providing evidence that dreaming and reading involve a similarly “defamiliarizing” attentional adjustment.

Keywords: Dreaming Reading

Accuracy Verified: Yes

246. Arnezeder, K. (2001). Der beziehungsaspekt in der EMDR-behandlung [The relationship aspect of EMDR treatment]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Als Psychotherapeut bin ich in verschiedenen Methoden ausgebildet und diese therapeutische Sozialisation hat in mir die Identität eines „Beziehungsarbeiters“ geschaffen. Meine erste Begegnung mit EMDR war – wie könnte es anders sein – eine traumatische. Beim Schmökern im Buchladen hat mich die Lektüre eines Transskriptes einer EMDRBehandlung in Erschrecken und Erstaunen über die mangelnde Dialogbereitschaft der behandelnden Therapeutin versetzt. Die Klientin berichtet in diesem Transskript von einer traumatischen Erfahrung und die Therapeutin äußert sich dazu in der Form von: „Ja, sehr gut!“ und: „Bleiben Sie dabei!“ Offensichtlich bin ich in eine – wie ich heute weiß – „Reprozessierungsphase“ eines EMDRStandard- Protokolls geraten, und die weitere Lektüre hat suggeriert, dass es bei dieser Methode nicht auf den therapeutischen Dialog und all das ankomme, worin ich mich bislang habe schulen lassen, sondern auf einen durch Augenbewegungen initiierten inneren Verarbeitungsprozess. Inzwischen habe ich beides verarbeitet: sowohl mein Erschrecken als auch mein Erstaunen. Geblieben ist das Interesse an der Bedeutung der therapeutischen Beziehung im Rahmen der EMDR-Behandlung.

As a psychotherapist I am trained in various methods and this therapeutic socialization has created in me the identity of a "worker relationship. My first encounter with EMDR was - how could it be otherwise - a traumatic. Browsing in a bookstore I was reading a script of a Trans EMDRBehandlung in shock and surprise at the lack of dialogue of the treating therapist added. The client reported in this transcript of a traumatic experience and the therapist expresses this in the form of: "Yes, very good," and "Stay there!" Obviously I'm in a - as I now know - "Reprocessing phase" EMDR Standard a protocol advised and further reading has suggested that this method not to the therapeutic dialogue and all that matters is what I have so far can train, but on one eye movements initiated by internal processing. Meanwhile, I had processed both: both my shock and my astonishment. What remains is the interest in the importance of the therapeutic relationship in the context of the EMDR treatment.

Keywords: Transmission Dimension

Accuracy Verified: Yes

247. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.

Language: Serbian

Format: Conference

Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama. Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.

Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people. When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.

Keywords: Doţ ivjeli Preţ ivjela

Accuracy Verified: Yes

248. Popky, A. J. (2002, June). DeTur a new way to address addictions and dysfunctional behaviors. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This prootcol has been used effectively by EMDR therapists over the years in dealing with a wide range of addictions and behaviors, including substances, eating, gambling, sex, etc. This presentation will consist of didactic, visuals, demonstrations of various phases with case examples from the author and other therapiess and case examples. Also addressed will be some of the many different pitfalls in dealing with this population and methods to deal with the problems.

Keywords: Addictions DeTur

Accuracy Verified: Yes

249. Siegel, D. J. (2002). The developing mind and the resolution of trauma: Some ideas about information processing and an interpersonal neurobiology of psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 85-121). Washington: American Psychological Association.

Language: English

Format: Book Section

Abstract:
This chapter provides an overview of an interdisciplinary approach to understanding the nature of the developing mind and how the unresolved effects of trauma may be resolved within psychotherapy. Following is a brief background of my introduction to eye movement desensitization and reprocessing (EMDR) and Francine Shapiro, the founder and a leading pioneer in the field of EMDR.My work comes from an interdisciplinary approach that combines numerous independent fields, including attachment theory and research, cognitive neuroscience, complexity theory, developmental psychology and psychopathology, genetics, psycholinguistics, and the study of trauma. By weaving the findings from these varied disciplines together with clinical work as a child psychiatrist, I developed a conceptual framework that was published as a book, "The Developing Mind: Toward a Neurobiology of Interpersonal Experience" (1999). This chapter offers a brief overview of this work and highlights ways in which this interpersonal neurobiology approach may help in understanding some possible mechanisms underlying trauma and its resolution. [Text, pp. 85, 86]

Keywords: Adults Cognitive Processes Neurobiology Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

250. Schmidt, S. J. (2004). Developmental needs meeting strategy: A new treatment approach applied to dissociative identity disorder. Journal of Trauma and Dissociation, 5(4), 55-78. doi:10.1300/J229v05n04_04.

Language: English

Format: Journal

Abstract:
This article describes the use of the Developmental Needs Meeting Strategy (DNMS) for the treatment of dissociative identity disorder (DID). The DNMS is an ego state therapy which guides a client’s own internal resources to meet developmental needs that were not met in childhood. After 17 months of DNMS treatment a client with DID reported a near total elimination in frequency and severity of symptoms of depression, anxiety and suicidal thoughts, her Trauma Symptom Inventory scores indicated no trauma symptoms, and her Multidimensional Inventory of Dissociation scores indicated she no longer meets the diagnostic criteria for DID. She was functioning well without any medication. Further research is warranted.

Keywords: Developmental Needs Meeting Strategy

Accuracy Verified: Yes

251. Lovelle, C. (2008, February). Dialectical behavioral therapy and EMDR for adolescents in residential treatment: A practical and theoretical perspective. Residential Treatment For Children and Youth, 23(1&2), 27–43. doi:10.1300/J007v23n01_03.

Language: English

Format: Journal

Abstract:
DBT and EMDR as primary treatment methods provide effective treatment for adolescents in the setting of group residential facilities. Regardless of the intensity of the pathology or the length of stay, these compatible treatment methods provide adolescents with significant decreases in the impact of traumatic memories and increased emotional regulation skills. The methods have been empirically supported as effective in a variety of settings and with a diversity of age groups. They are well suited for use in a residential environment and can constitute a powerful, effective method for dealing with Post Traumatic Stress Disorder, Bipolar Disorder, Major Depression, Anxiety Disorders, Substance Abuse, and other disorders.

Keywords: Adolescent Residential Treatment DBT Dialectical Behavior Therapy Trauma

Accuracy Verified: Yes

252. Various. (2000, November - December). Dibattito sulla EMDR (Eye movement desensitization and reprocessing) [Debate on EMDR (Eye movement desensitization and reprocessing)]. Avvenuto nelle liste "Psicoterapia" di Psychomedia (PM-PT) e Ipsico.

Language: Italian

Format: Other

Abstract:
Estratto: Ho letto con interesse questo scambio annunci sulla tecnica EMDR. L'EMDR ha anche parlato della recente riunione di Moiano, organizzata da Psicologi per i PeopleOn "modelli di intervento in psicologia di emergenza". Come Moiano, vorrei che potesse approfondire un discorso sul tema, proprio perché in psicologia dello stress post-traumatico, l'EMDR è uno dei temi più controversi discussi da una dozzina di anni. A partire dal accuse "scioccanti" di Francine Shapiro, il creatore del metodo con cui la grande maggioranza delle forme di PTSD regrediti rapidamente con alcune sessioni sono associati con i movimenti oculari saccadici evento traumatico 'immagini, ha sviluppato una linea di grandi dimensioni di ricerca si propone di empiricamente testare la reale efficacia del metodo. I risultati di questi studi sono almeno ambigui. Ciò è sottolineato con forza, come in diverse occasioni i ricercatori indipendenti riuscito a replicare i risultati eccezionali che l'insegnamento EMDR IncorporatedThe azienda vende negli Stati metodo di insegnamento Uniti, hanno pubblicato.

Excerpt: I read with interest this exchange listings on the EMDR technique. EMDR has also spoken of the recent meeting of Moiano, organized by Psychologists for the PeopleOn "models of intervention in emergency psychology". As Moiano, I wish it could deepen a discourse on the subject, precisely because in the psychology of post-traumatic stress, EMDR is one of the most controversial topics discussed by a dozen years now. Starting from the allegations "shocking" of Francine Shapiro, the creator of the method by which the vast majority of forms of PTSD regressed rapidly with some sessions are associated with eye movements saccadic 'imagery traumatic event, has developed a large line of research seeks to empirically test the real effectiveness of the method. The results of these trials are at least ambiguous. This is strongly emphasized, as on several occasions independent researchers failed to replicate the outstanding results that teaching EMDR IncorporatedThe company sells in the United States teaching method, have published.

Keywords: Practice Theory

Accuracy Verified: No

253. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998) EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw. Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen. EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999) Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994). EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000) EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).

That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).

Keywords: Chronic Pain Chronic Pain Protocol Protocol

Accuracy Verified: Yes

254. Lamprecht, F., Lempa, W., & Sack, M. (2000). Die behandlung posttraumatischer belastungsstoerungen mit EMDR [Treatment of posttraumatic stress disorder using EMDR]. Psychotherapie im Dialog, 1, 45-51.

Language: German

Format: Journal

Abstract:
Mit der EMDR-Behandlung (Eye Movement Desensitization and Reprocessing) steht ein relativ neues, sehr zeitökonomisches Verfahren zur Behandlung der Posttraumatischen Belastungsstörung zur Verfügung. Es handelt sich um eine manualisierte therapeutische Methode, die in 8 Phasen eingeteilt werden kann. Anhand von 2 Kasuistiken wird die Vorgehensweise der EMDR-Behandlung veranschaulicht. Eigene Arbeitserfahrungen und Forschungsergebnisse ergeben ein sehr positives Bild von der Wirksamkeit der EMDR-Behandlung. Auch auf der Basis der international vorliegenden Forschungsergebnisse kann daher der Schluss gezogen werden, dass EMDR eine effektive und ökonomische Methode der Behandlung Posttraumatischer Belastungsstörungen darstellt.

With EMDR (Eye Movement Desensitization and Reprocessing) is a relatively new, very time-economical method for the treatment of posttraumatic stress disorder are available. It is a manualized therapeutic method that can be divided into 8 phases. Based on 2 case reports the approach of EMDR is illustrated. Own work experiences and research results give a very positive picture of the effectiveness of EMDR treatment. Also on the basis of the internationally available research can therefore be concluded that EMDR is an effective and economical method of treating post-traumatic stress disorder the circuit.

Keywords: Posttraumatic Stress Disorder PTSD Stabilization Trauma

Accuracy Verified: Yes

255. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie Vereinigung von Ego- State-, Hypno-, Energie- und EMDRPsychotherapie [Energizing self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.

Language: English

Format: Conference

Abstract:
Mit großer Freude kann ich dieses „Highlight“ mit der international führenden Spezialistin der Trauma- Therapie, von Dissoziationsstörungen und auch der Schmerz- Therapie ankündigen. Maggie Phillips gilt ja schon seit vielen Jahren als eine der besten und erfahrensten SpezialistInnen der Ego-State- Therapie. Ihr "Handbuch der Hypnotherapie bei posttraumatischen und dissoziativen Störungen" (zusammen mit C. Frederick) gilt als eines der maßgeblichsten Werke in diesem Feld. Als einer der ersten ExpertInnen weltweit wies sie aber auch immer wieder darauf hin, dass gerade für den Bereich multipler posttraumatischer und dissoziativer Störungen der Zugang mit einer Methode häufig nicht ausreicht. In beeindruckender Weise drückt ihr Werk "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mindbody Health (W.W. Norton, 2000)" ihre wunderbare Fähigkeit zum Ausdruck, unterschiedliche Konzepte zu einer sehr effektiven und flexiblen und dabei völlig konsistenten Gesamt- Interventionsmodell für diese schwierigen Aufgaben zu integrieren. Auch ihr neues Buch "Reversing Chronic Pain" verspricht alle Qualitäten für ein Meisterwerk. Wer mit ihr schon einmal gearbeitet hat oder sie in ihrer Arbeit erleben durfte, kann ihre große sehr achtungsvolle Haltung, Einfühlsamkeit und Kongruenz, gepaart mit geradezu virtuoser Fachkompetenz nur bestätigen.

It is with great pleasure that I can highlight to the world's leading specialist in trauma- Therapy, and also announce Dissoziationsstörungen of the pain therapy. Maggie Phillips is yes for many years as one of the best and most experienced specialists of the ego-state therapy. Their "Manual of hypnotherapy for post-traumatic and dissociative disorders" (with C. Frederick) is considered one of the most authoritative works in this field. As one of the first experts worldwide, it also repeatedly pointed out that especially for the Multiple range post-traumatic and dissociative disorders, access to a method frequently is not sufficient. In impressively expresses its work, "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mind Body Health (WW Norton, 2000), "her wonderful Ability to express different concepts in a very effective and flexible and in complete to integrate consistent overall model of intervention for these difficult tasks. Her new book, "Reversing Chronic Pain" promises all the qualities of a masterpiece. Anyone who has worked with her before, or could they experience in their work, may their very large respectful attitude, empathy and congruence, coupled with an almost virtuoso expertise only . Confirm

Keywords: Ego State Therapy Energy Psychology

Accuracy Verified: Yes

256. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie vereinigung von ego- state-, hypno-, energie- und EMDRPsychotherapie [Energizing the self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag auf dem Kongress Europäischer für Energie-Psychologie ® und Psychotherapie, Heidelberg, Deutschland.

Language: German

Format: Conference

Abstract:
Im Seminar wird Maggie Phillips die ganze Vielfalt ihres Wissens vermitteln, insbesondere die spezifischen Anwendungsmöglichkeiten einer Integration von Ego- State- Therapie/ Hypnotherapie, Energie-Psychologie, EMDR und anderen hilfreichen Konzepten. Dieses Seminar stellt sicher ein professionelles Juwel dar für alle KollegInnen, die mit Traumata, Schmerzproblemen, Ängsten, Depressionen, Suchtproblemen und psychosomatischen Problemen arbeiten, darüber hinaus aber auch für alle PsychotherapeutInnen und BeraterInenn. Für alle an Energie- Psychologie Interessierten ist es die optimale Ergänzung und Erweiterung der Konzepte von F. Gallo und Anderen.

Maggie Phillips in the seminar will provide the full range of their knowledge, especially the specific applications of integration of ego-state therapy / Hypnotherapy, Energy Psychology, EMDR and other useful concepts. This seminar certainly constitutes a professional jewel for all colleagues, with the trauma, Pain problems, anxiety, depression, addiction problems and psychosomatic problems work, but also to all psychotherapists and BeraterInenn. For all of Energy Psychology is interested in is the perfect complement and extension of the concepts F. Gallo, and others.

Keywords: Energy Psychology

Accuracy Verified: Yes

257. Plassmann, R. (2007). Die kunst des lassens: Psychotherapie mit EMDR fur erwachsene und kinder [The art of giving. EMDR for adults and children]. Reihe: edition psychosozial, Giessen: Psychosozial-Verlag.

Language: German

Format: Book

Abstract:
Das Buch beschreibt auf sehr lebendige Weise, mit vielen Fallbeispielen, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt haben und uns Möglichkeiten an die Hand gegeben haben, die vorher nicht bestanden. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht.Wie fördert man seelische Heilungs- und Wachstumsprozesse? Vor dieser Herausforderung steht die wissenschaftliche Psychotherapie seit nunmehr 100 Jahren. Entscheidende Fortschritte sind in den letzten Jahren durch die neuen Methoden der modernen Traumatherapie möglich geworden. Gleichzeitig hat uns die moderne Hirnforschung Einblick gegeben, wie das Gehirn emotionale Belastungen verarbeitet. Die EMDR-Technik (Eye Movement Desensitization and Reprocessing) konzentriert sich der Patient auf ein belastendes Erlebnis während seine Augen gleichzeitig den Handbewegungen des Therapeuten folgen, wodurch eine entlastende Wirkung eintritt. Das Buch beschreibt mit vielen Fallbeispielen auf sehr lebendige Weise, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt und uns neue Möglichkeiten an die Hand gegeben haben. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht, bei Essstörungen, Borderlinestörungen, Traumafolgestörungen und bei allen durch emotionale Überlastung entstandenen Erkrankungen.

The book describes in lively fashion, with many case studies provided as EMDR and modern brain research and therapy in a completely new basis have and have given us opportunities to the hand that were not there before. It explains the workings of the expert and the scientific basis and potential patients, as its way through the healing process aussieht.Wie promotes spiritual healing and growth it processes? That is the challenge the scientific psychotherapy is now 100 years since. Decisive progress in recent years made possible by new methods of modern trauma therapy. At the same time our modern brain research has given insight into how the brain processes emotional stress. The EMDR technique (Eye Movement Desensitization and Reprocessing) focuses the patient on a stressful experience at the same time as his eyes follow the hand movements of the therapist, making an exculpatory effect occurs. The book describes many case studies have a very vivid way, as the modern brain research and the EMDR psychotherapy on an entirely new basis, and given us new opportunities to the hand. It explains the workings of the expert and the scientific basis and potential patients, as you look way through the healing process by eating disorders, borderline personality disorders, trauma disorders, and in all subsequent congestion caused by emotional disorders.

Keywords: Adults Children

Accuracy Verified: Yes

258. Schubbe, O. (2000). Die wirksamkeit von EMDR: Zur behandlung posttraumatischer störungen [The effectiveness of EMDR]. Institut für Traumatherapie.

Language: German

Format: Other

Abstract:
Der steile Weg von EMDR zur wissenschaftlichen Anerkennung war von Anfang an von großer Begeisterung und heftigen wissenschaftlichen Kontroversen begleitet. Shapiros erste Berichte (1989a, 1989b) mit Darstellungen der Vorgehensschritte beschrieben bedeutsame Besserungen der Posttraumatischen Belastungsstörung (PTBS) nach einer einzigen Sitzung "Eye Movement Desensitization" (EMD). Auf dem Hintergrund, dass PTBS bis dahin als schwer behandelbar und die Behandlungsmethoden als langwierig, anstrengend und begrenzt wirksam galten (Solomon, Gerrity, & Muff, 1992), stieß EMDR zunächst auf skeptische Zurückhaltung. Zu diesem Zeitpunkt gab es nur noch eine weitere Wirksamkeitsstudie zur Therapie von PTBS, in der Peniston (1986) 45 Sitzungen Entspannung und Systematische Desensibilisierung plus Biofeedback mit einer Kontrollgruppe ohne Therapie verglichen und nur bei einzelnen Symptomen [Albträume, Muskelanspannung, Angst] von PTBS einen signifikanten Rückgang festgestellt hatte. Im Jahr der ersten Untersuchung von Francine Shapiro wurden noch drei weitere Untersuchungen zur Behandlung von PTBS veröffentlicht, von denen keine auch nur annähernd vergleichbare Behandlungserfolge berichten konnte.

The steep path of EMDR to the scientific recognition was accompanied by the beginning of great enthusiasm and fierce scientific controversies. Shapiro's first reports (1989a, 1989b) with descriptions of the action steps described significant improvement of post-traumatic stress disorder (PTSD) after a single session "Eye Movement Desensitization (EMD). On the background of PTSD until then treated as serious and the treatment methods were considered to be lengthy, exhausting, and have limited effect (Solomon, Gerrity, & Muff, 1992), EMDR struck first on skeptical restraint. At this time there was only one additional efficacy study for the treatment of PTSD, in the Peniston (1986) 45 meetings, relaxation and systematic desensitization plus biofeedback with a control group compared with no therapy and only in individual symptoms [nightmares, muscle tension, fear] of PTSD a significant decrease was noted. In the first investigation by Francine Shapiro, three other studies have been published for the treatment of PTSD, which was able to report not even close to comparable treatment results.

Keywords: Effectiveness Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

259. Wagner, F. (2004). Die wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei der posttraumatischen belastungsstorung im vergleich zu kontrollbedingungen und kognitiv-behavioralen therapien: Eine metaanalytische untersuchung [Efficacy of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder compared with control conditions, and cognitive-behavioral therapies]. Zugl: Heidelberg. doi:volltextserver/volltexte/2005/5803 . --.

Language: German

Format: Book

Abstract:
Das Ziel der vorliegenden Metaanalyse war es, die Wirksamkeit von EMDR und kognitiv-behavioralen Therapieverfahren bei der posttraumatischen Belastungsstörung mit dem aktuellen Stand an Publikationen metaanalytisch zu untersuchen. In einer umfassenden Literaturrecherche wurden hierfür sowohl publizierte Originalarbeiten als auch unpublizierte Manuskripte recherchiert. Insgesamt gingen 32 Originalstudien in die Metaanalyse ein. 13 der Studien waren reine EMDR-Studien; 7 untersuchten sowohl eine Gruppe mit EMDR als auch eine Gruppe mit kognitiv-behavioraler Therapie. 12 Studien waren reine kognitiv-behaviorale Therapiestudien. Darüber hinaus sollte die Wirksamkeit unter dem Gesichtspunkt der verschiedenen PTSD- und komorbiden Symptomatiken betrachtet werden. In einem weiteren Schritt wurde EMDR direkt mit kognitiv-verhaltenstherapeutischen Behandlungsmethoden verglichen. Effektstärken wurden sowohl für die PTSD-Symptomkategorien Intrusionen, Vermeidung und erhöhtes Arousal als auch für die komorbiden Symptome Angst und Depression berechnet. Die Berechnung der Effektstärken erfolgte anhand von standardisierten Mittelwertsvergleichen. Neben dem direkten Vergleich von EMDR mit kognitiv-behavioralen Therapieansätzen bzw. von EMDR und kognitiv-behavioraler Therapie mit Kontrollgruppen (Post-/Post-Vergleich) wurden auch die Veränderungen innerhalb der Behandlungsgruppen berechnet (Prä-/Post-Vergleich). In den Post-/Post-Vergleich gingen nur kontrollierte und randomisierte Originalstudien ein. In den Prä-/Post-Vergleich hingegen wurden auch Ein-Gruppen-Studien aufgenommen. Als Effektmaß wurde Hedges´d verwendet. Die Ergebnisse legen nahe, dass sowohl EMDR als auch die kognitiv-behaviorale Therapie wirksam in der Behandlung der posttraumatischen Belastungsstörung sind. Beide Verfahren reduzieren in klinisch bedeutsamem Umfang, sowohl unmittelbar als auch lang anhaltend, die PTSD-Symptomatiken Intrusionen, Vermeidung und erhöhtes Arousal. Darüber hinaus führen beide Behandlungsmethoden auch zu einer Reduktion der komorbiden Symptomatiken Angst und Depression. Die Effektivität beider Verfahren zeigt sich hierbei sowohl im Prä-/Post-Vergleich als auch im direkten Post-/Post-Vergleich mit einer Kontrollbedingung. Darüber hinaus ergibt sich eine ähnlich hohe Wirksamkeit von EMDR und kognitiv-behavioraler Therapie, sowohl im Vergleich der Prä-/Post-Effektstärken als auch im direkten Post-/Post-Vergleich. Dennoch scheint es unterschiedliche Einflussfaktoren zu geben, welche die Therapieeffektivität sowohl bei EMDR als auch bei kognitiv-behavioraler Therapie beeinflussen. Aufgrund der geringen Studienzahl lassen sich diese Faktoren jedoch nicht näher untersuchen. Des Weitern zeichnen sich Unterschiede hinsichtlich der Effizienz der beiden Therapieformen ab: So beträgt die durchschnittliche Behandlungsdauer bei EMDR 5 Sitzungen, bei der kognitiv-behavioralen Therapie hingegen 8 Sitzungen. Darüber hinaus ist die Expositionsdosis bei den kognitiv-behavioralen Therapien höher als bei EMDR.
Die Befunde zur Wirksamkeit der bilateralen Stimulation sind hingegen weniger eindeutig. Allerdings sind Studien, welche den Versuch unternehmen, die Augenbewegungen bei Personen mit PTSD isoliert zu betrachten, oftmals von erheblichen methodischen Mängeln gekennzeichnet. Einzelne Befunde und Modellvorstellungen zur Rolle der bilateralen Stimulation beim EMDR werden im Diskussionsteil erörtert.

The aim of this meta-analysis is to examine the efficacy of EMDR and Cognitive Behavioral Therapy approaches in the treatment of Posttraumatic Stress Disorder (PTSD) on the basis of the publications relating to this issue up to the present. A large-scale search for pertinent literature came up with a total of 32 original studies. The results of these studies suggest that both the EMDR approach and Cognitive Behavioral Therapy methods are effective in the treatment of Posttraumatic Stress Disorder. Both approaches bring about immediate and sustained reduction of the PTSD symptoms intrusions, avoidance, and hyperarousal to a clinically significant degree. In addition, both treatments lead to a reduction of the comorbid symptomatologies anxiety and depression. The comparison of pre/post effect sizes and direct post/post comparison indicate that EMDR and cognitive behavioral therapy are similar in their efficacy. In terms of efficiency the EMDR method appears to have a slight advantage. However, the present meta-analytic study makes no attempt to address the issue of whether this efficiency advantage should be interpreted as having a bearing on clinical practice.

Keywords: Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

260. Hopper, J., Spinazzola, J., Blaustein, M., Yehuda, R., van der Kolk, B. A., & Simpson, W. (2003, October-November). Differential biological outcomes of EMDR and fluoxetine for PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Keywords: Fluoxetine Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

261. Baardseth, T. P. (2012, May). Direct comparisons of cognitive-behavioral treatments and bona fide non-cognitive-behavioral treatments for adult anxiety disorders: A meta-analysis. University of Wisconsin, Madison, WI.

Language: English

Format: Dissertation/Thesis

Abstract:
Despite growing evidence that all treatments intended to be therapeutic (i.e., bona fide treatments) are equally efficacious, the question of relative efficacy persists. In fact, cognitivebehavioral treatments (CBT) have gained a more favorable status over non-CBT treatments for adult anxiety disorders. However, the assertion that CBT treatments are superior is premature due to conceptual and methodological issues affecting the extant CBT research. This metaanalysis addressed these limitations by consensually identifying CBT treatments and determining the true relative efficacy of bona fide CBT and bona fide non-CBT treatments for adult anxiety disorders. The study employed strict inclusion criteria to identify randomized clinical trials that contained at least one direct comparison of a bona fide CBT treatment and a bona fide non-CBT treatment. Additionally, 91 CBT experts from the Association of Behavioral and Cognitive Therapists (ABCT) were surveyed to identify the bona fide treatments as CBT or non-CBT. Thirteen clinical trials met inclusion criteria. CBT treatments and non-CBT treatments were found to be equally efficacious across targeted and non-targeted outcome measures. Additional analyses revealed that researcher allegiance did not account for the significant heterogeneity. The results are consistent with the increasing evidence for uniform efficacy among treatments intended to be therapeutic, and stand in contrast to assertions for the superiority of CBT treatments for adult anxiety. This meta-analysis contributes to the growing body of research revealing that a particular therapeutic approach is not more effective than another treatment when intended to be therapeutic.

Keywords: Adults Anxiety Disorders Meta-Analysis

Accuracy Verified: Yes

262. [Yoshinori Fukui]. (2009, May). Discussion on the use of the dissociative experiences scale (DES): Frequency of dissociative experinces among adolescents. EMDR研究1（1）、12月23日 [Japanese Journal of EMDR Research and Practice, 1(1), 12-23].

Language: Japanese

Format: Journal

Abstract:
This research aims to look at the frequency of dissociative experiences among adolescent population, and collect basic data. Dissociative Experiences Scale (DES) was administered to 816 university students. The results on each item were analyzed and they were very similar to those of previous studies. I-T correlation and G-P analyses results indicate that discriminate power for each item is at best when cut-off of 25 or less is applied. Since the data was not distributed normally, test for median was performed and the same result was obtained. On top of that, to secure the normal distribution of the data, square root transformation was undertaken before the two analyses were performed. The results suggest that on G-P analysis, in order to increase discriminate power, the cut-off needs to be less than 16. However, when false negative and positive were taken into consideration, it was off from practical use. And when compared with other researches, it became apparent that depending on the context of measurers used with DES, there is a possibility of subjecrs being biased. Also it was suggested that items on DES are useful in screening DID but they are not measuring the overall spectrum of dissociative disorder.

Keywords: Adolescence DES Dissociative Experience Dissociative Experiences Scale

Accuracy Verified: Yes

263. van der Hart, O. (2007). Dissociation: The key to understanding and treating traumitization. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
A precise understanding of trauma-related dissociation is essential for clinical practice, including the use of EMDR with traumatized patients. The existence of many conflicting and vague definitions of dissociation that include a mixture of constructs has obscured understanding of the nature of dissociation. Thus, it is viewed alternately as a process, a structure, a defense mechanism, a deficit, and as various symptoms. Most contemporary clinicians and researchers working with traumatized people have lost a connection with the unifying and comprehensive theory of trauma-related dissociation already outlined over the course of the history of psychiatry. Thus, a return to the original major studies on trauma-related dissociation is essential in clarifying the concept of dissociation, in reconciling it with contemporary science, and in realizing its importance in treatment. The works of two Masters will be used to highlight this basic concept: Pierre Janet (1859-1947) and Charles Myers (1873-1947). The theory of structural dissociation of the personality integrates their original views on dissociation with modern findings from clinical practice and research and developments in the neurosciences. It emphasizes that the personality system of the trauma survivor becomes structurally divided into two or more self-conscious psychobiological subsystems. Some of these subsystems, which we have called “dissociative parts of the personality”, are engaged in daily living and avoidance of traumatic memories, other parts are fixated in traumatic experiences and essentially engaged in animal defensive actions toward perceived danger. More severe chronic traumatization leads to more complex structural dissociation, and thus to more complex trauma-related disorders. Although short-term, intensive treatments such as prolonged exposure and EMDR are appropriate for simple trauma-related disorders, a phase-oriented treatment is the standard of care formore complex disorders. Regardless of treatment modalities employed, be it EMDR or other approaches, therapists need to be skilled in the recognition of symptoms of dissociation and in special treatment approaches that support personality integration among dissociative parts, particularly in working with traumatic memories.

Keywords: Dissociation Keynote

Accuracy Verified: Yes

264. Fenstermaker, D. (1992, April). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
This paper details a protocol of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of Dissociative Disorders. EMDR replaces amytal abreactions, the numerous methods of restraint abreactions, and hypnotic abreactions.[Author absract]

Keywords: Dissociative Disorders

Accuracy Verified: Yes

265. Fenstermaker, D. (1993, March). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Dissociative Disorders

Accuracy Verified: Yes

266. Beere, D. B. (2003, September). The dissociative disorders: Update, current research, and applications of EMDR. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This workshop will focus on current advances in the dissociative disorders, emphasizing scientific information supporting the diagnosis, recent advances in assessment, and the most current advances in treatment. The application and appropriateness of EMDR will be emphasized throughout the workshop and the most current applications of EMDR with dissociative disorders presented. Data will be presented that support EMDR-interventions with dissociative disorders.

Keywords: Dissociation Dissociative Disorders

Accuracy Verified: Yes

267. Lanius, U. F. (2004, September). Dissociative processes and EMDR – Staying connected. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
A model is proposed, based on recent research in neuroscience and the neurobiology of dissociation and attachment, that guides therapeutic interventions in general and EMDR treatment in particular. Participants will become familiar with specific interventions intended to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected, once dissociative processes have occurred. That is, a comprehensive therapeutic approach is described to aid clients with dissociative symptoms to stay connected, and in some cases reconnect with their healing process, thereby enhancing the likelihood of efficient information processing during EMDR treatment.

Keywords: Dissociation

Accuracy Verified: Yes

268. Zucker, M., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2006). Dissociative symptomatology in posttraumatic stress disorder and disorders of extreme stress. Journal of Trauma and Dissociation, 7(1), 19-32. doi:10.1300/J229v07n01_03.

Language: English

Format: Journal

Abstract:
The present study was designed to assess differences in dissociative symptoms in adults with Posttraumatic Stress Disorder (PTSD) vs. PTSD plus Disorders of Extreme Stress Not Otherwise Specified (DESNOS). This study was done for two reasons: (1) to better understand the clinical profile of DESNOS clients in order to inform more effective treatment, and (2) to further empirical research on the validity of the DESNOS construct. To assess severity of dissociative symptoms, the authors administered the Dissociative Experiences Scale (DES) to 155 participants with PTSD. Using the Structured Interview for Disorders of Extreme Stress (SIDES), participants were divided into two groups: those who also met criteria for DESNOS and those who did not. DES means are provided for the two groups. Participants with PTSD plus DESNOS scored higher than participants with only PTSD on the measure of dissociative symptomatology, particularly on the DES scales that tap absorption/fantasy and depersonalization/derealization. The two groups did not differ on the amnesia subscale of the DES. Findings support the construct validity of the DESNOS concept and further delineate the clinical profiles of community-based PTSD with and without DESNOS, thus contributing to the knowledge base on the assessment of complex adaptations to trauma. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: Website: © 2006 by The Haworth Press, Inc. All rights reserved.]

Keywords: DES DESNOS Dissociation Dissociative Experiences Scale Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

269. Mills, S., & Hulbert-Williams, L. (2012, September). Distinguishing between treatment efficacy and effectiveness in post-traumatic stress disorder (PTSD): Implications for contentious therapies. Counselling Psychology Quarterly, 25(3), 319-330. doi:10.1080/09515070.2012.682563.

Language: English

Format: Journal

Abstract:
Research psychologists often complain that practitioners disregard research evidence whilst practitioners sometimes accuse researchers of failing to produce evidence with sufficient ecological validity. We discuss the tension that thus arises using the specific illustrative examples of two treatment methods for post-traumatic stress disorder: eye movement desensitisation and reprocessing and exposure-based interventions. We discuss the contextual reasons for the success or failure of particular treatment models that are often only tangentially related to the theoretical underpinnings of the models. We discuss what might be learnt from these debates and develop recommendations for future research.

Keywords: Clinical Medicine Patient-Centered Care Posttraumatic Stress Disorder Practice Psychotherapists' Attitudes PTSD Research

Accuracy Verified: Yes

270. Spoormaker, V. I., & Montgomery, P. (2008, June). Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature?. Sleep Medicine Reviews, 12(3), 169-184. doi:10.1016/j.smrv.2007.08.008 .

Language: English

Format: Journal

Abstract:
Sleep disturbances are often viewed as a secondary symptom of post-traumatic stress disorder (PTSD), thought to resolve once PTSD has been treated. Specific screening, diagnosis and treatment of sleep disturbances is therefore not commonly conducted in trauma centres. However, recent evidence shows that this view and consequent practices are as much unhelpful as incorrect. Several sleep disorders—nightmares, insomnia, sleep apnoea and periodic limb movements—are highly prevalent in PTSD, and several studies found disturbed sleep to be a risk factor for the subsequent development of PTSD. Moreover, sleep disturbances are a frequent residual complaint after successful PTSD treatment: a finding that applies both to psychological and pharmacological treatment. In contrast, treatment focusing on sleep does alleviate both sleep disturbances and PTSD symptom severity. A growing body of evidence shows that disturbed sleep is more than a secondary symptom of PTSD—it seems to be a core feature. Sleep-focused treatment can be incorporated into any standard PTSD treatment, and PTSD research needs to start including validated sleep measurements in longitudinal epidemiologic and treatment outcome studies. Further clinical and research implications are discussed, and possible mechanisms for the role of disturbed (REM) sleep in PTSD are described.

Keywords: Etiology Insomnia Nightmares Posttruamatic Stress Disorder PTSD REM Sleep Risk Factor Sleep Sleep Apnea Sleep Disorders Treatment

Accuracy Verified: Yes

271. Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P. P., Turner, S., & Yule, W. (2010, March). Do all psychological treatments really work the same in posttraumatic stress disorder?. Clinical Psychology Review 30(2), 269–276. doi:10.1016/j.cpr.2009.12.001.

Language: English

Format: Journal

Abstract:
A recent meta-analysis by Benish, Imel, and Wampold (2008, Clinical Psychology Review, 28, 746-758) concluded that all bona fide treatments are equally effective in posttraumatic stress disorder (PTSD). In contrast, seven other meta-analyses or systematic reviews concluded that there is good evidence that trauma-focused psychological treatments (trauma-focused cognitive behavior therapy and eye movement desensitization and reprocessing) are effective in PTSD; but that treatments that do not focus on the patients' trauma memories or their meanings are either less effective or not yet sufficiently studied. International treatment guidelines therefore recommend trauma-focused psychological treatments as first-line treatments for PTSD. We examine possible reasons for the discrepant conclusions and argue that (1) the selection procedure of the available evidence used in Benish et al.'s (2008)meta-analysis introduces bias, and (2) the analysis and conclusions fail to take into account the need to demonstrate that treatments for PTSD are more effective than natural recovery. Furthermore, significant increases in effect sizes of trauma-focused cognitive behavior therapies over the past two decades contradict the conclusion that content of treatment does not matter. To advance understanding of the optimal treatment for PTSD, we recommend further research into the active mechanisms of therapeutic change, including treatment elements commonly considered to be non-specific. We also recommend transparency in reporting exclusions in meta-analyses and suggest that bona fide treatments should be defined on empirical and theoretical grounds rather than by judgments of the investigators' intent. Copyright © 2009 Elsevier Ltd. All rights reserved.

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

272. Samara, Z., Elzingal, B. M., Slagter, H. A., & Nieuwenhuis, S. (2011, March). Do horizontal saccadic eye movements increase interhemispheric coherence? Investigation of a hypothesized neural mechanism underlying EMDR. Frontiers in Psychiatry, 2(4), 1-9. doi:10.3389/fpsyt.2011.00004.

Language: English

Format: Journal

Abstract:
Series of horizontal saccadic eye movements (EMs) are known to improve episodic memory retrieval in healthy adults and to facilitate the processing of traumatic memories in eye-movement desensitization and reprocessing (EMDR) therapy. Several authors have proposed that EMs achieve these effects by increasing the functional connectivity of the two brain hemispheres, but direct evidence for this proposal is lacking. The aim of this study was to investigate whether memory enhancement following bilateral EMs is associated with increased interhemispheric coherence in the electroencephalogram (EEG). Fourteen healthy young adults were asked to freely recall lists of studied neutral and emotional words after a series of bilateral EMs and a control procedure. Baseline EEG activity was recorded before and after the EM and control procedures. Phase and amplitude coherence between bilaterally homologous brain areas were calculated for six frequency bands and electrode pairs across the entire scalp. Behavioral analyses showed that participants recalled more emotional (but not neutral) words following the EM procedure than following the control procedure. However, the EEG analyses indicated no evidence that the EMs altered participants’ interhemispheric coherence or that improvements in recall were correlated with such changes in coherence. These findings cast doubt on the interhemispheric interaction hypothesis, and therefore may have important implications for future research on the neurobiological mechanism underlying EMDR.

Keywords: Eye Movements EMs

Accuracy Verified: Yes

273. Hembree, E., Foa, E., Dorfan, N., Street, G., Kowalski, J., & Tu, X. (2003, December). Do patients drop out prematurely from exposure therapy for PTSD?. Journal of Traumatic Stress, 16(6), 555-562. doi:10.1023/B:JOTS.0000004078.93012.7d.

Language: English

Format: Journal

Abstract:
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic PTSD. Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitivebehavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Dropouts

Accuracy Verified: Yes

274. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2011, December). Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?. Journal Intellectual and Developmental Disability, 36(4), 274-279.

Language: English

Format: Journal

Abstract:
Background. There is not one case report of successful trauma treatment with the use of an evidence-based treatment method in people with substantially limited verbal capacities. This paper assessed the applicability of eye movement desensitisation and reprocessing (EMDR) in two clients with moderate ID, serious behavioural problems, and histories of negative life events. Method. The 8-phase protocol of EMDR, a first-line treatment for psychological trauma, was applied. Results. In both cases, posttraumatic stress disorder (PTSD)-like symptoms decreased in a total of only 6 and 5 sessions, respectively. Gains were maintained at 32 and 10 months' follow-up. Conclusions. EMDR seems to be an applicable psychological trauma treatment for persons with limited verbal capacities. Considering the importance of these findings, further and more rigorous research is required.

Keywords: Developmental Disabiities Intellectual Disabilities

Accuracy Verified: Yes

275. Friedberg, F. (2001). Do-it-yourself eye movement technique for emotional healing. Oakland, CA: New Harbinger Publications, Inc.

Language: English

Format: Book

Abstract:
Eye-movement techniques are a set of revolutionary new methods that psychologists have been using to reduce clients' emotional conflicts and redirect their thought into more positive directions. This book teaches readers how to self-administer these techniques and change their health and happiness.

Keywords: Eye Movements

Accuracy Verified: No

276. Cahill, S. P., Carrigan, M. H., & Frueh, B. C. (1999, January-April). Does EMDR work? And if so, why?: A critical review of controlled outcome and dismantling research. Journal of Anxiety Disorders, 13(1-2), 5-33. doi:10.1016/S0887-6185(98)00039-5.

Language: English

Format: Journal

Abstract:
Research on Eye Movement Desensitization and Reprocessing therapy (EMDR) was reviewed to answer the questions “Does EMDR work?” and “If so, Why?” This first question was further subdivided on the basis of the control group: (a) no-treatment (or wait list control), (b) nonvalidated treatments, and (c) other validated treatments. The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety. Second, EMDR appears at least as effective or more effective than several nonvalidated treatments (e.g., relaxation, active listening) for posttraumatic stress reactions. Third, despite statements implying the contrary, no previously published study has directly compared EMDR with an independently validated treatment for posttraumatic stress disorder (e.g., therapist-directed flooding). In the treatment of simple phobia, participant modeling has been found to be more effective than EMDR. Fourth, our review of dismantling studies reveals there is no convincing evidence that eye movements significantly contribute to treatment outcome. Recommendations regarding further research directions are provided(ScienceDirect).

Keywords: Anxiety Disorders Literature Review PTSD Relaxation Therapy Treatment Effectiveness

Accuracy Verified: Yes

277. Shiwa, S., Matsuda, T., & Sasaki, M. (2004, September). Does eye movement desensitization and reprocessing (EMDR) desensitize painful memories? Research using brain-event-related potentials (ERP). Kodo Ryoho Kenkyu [Japanese Journal of Behavior Therapy], 30(Part 2), 75-86.

Language: English

Format: Journal

Abstract:
No abstract available.

Keywords: Brain-Event-Related Potentials ERPs Research

Accuracy Verified: Yes

278. 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

279. Shapiro, F. (1995, September/October). Doing our homework. Family Therapy Networker, 19(5), 49-53.

Language: English

Format: Journal

Abstract:
Michael Lerner's call to arms at last spring's Family Therapy Network Symposium (see page 44) challenged therapists to become a greater moral force in the world and to take more responsibility for the collective good. Lerner stirred an audience of 2,500 therapists with his impassioned appeal for the mental health community to mobilize politically, yet 1 was struck by an important omission in his address there was little mention of our own individual and collective responsibility for the current crises feeing our profession. I don't think therapists can take the moral high ground with anyone when we haven't cleaned up our own house. I remember hearing about a conversation in which a therapist who said he did family therapy was asked where he was trained. "What's the big deal?' he replied. "I'm a therapist and 1 was born into a family. What more do I need?" I asked the person who told the story, "How did you respond to that?" She shrugged and said, "Nothing. You know how people are. It goes on all the time."

In a field that prides itself on its mavericks and creative innovators, from Freud to Milton Erickson, doing therapy without training is often viewed as an indicator of a willingness to reject stultifying orthodoxies and break with outmoded clinical traditions. But the argument that individual clinicians need the autonomy to work intuitively can often become an excuse for not bothering to become thoroughly prepared and knowledgeable about what has already been developed.

As the originator of a new therapeutic approach called Eye Movement De-sensitization and Reprocessing (EMDR), I have had the opportunity to get a close-up view of how therapists incorporate new clinical methods into their practices. After publishing a controlled study on EMDR in 1989, I decided to teach it to licensed mental health professionals as an experimental procedure. This way, as we awaited further research, clinicians could use EMDR judiciously, careful to employ other procedures if the method did not work. However, I soon began getting reports about clients who appeared to be harmed by EMDR and discovered that they had been treated with improvised versions of the method taught to their therapists by past participants in EMDR trainings. Some participants had even trained lay hypnotists and massage therapists in their version of EMDR. There seemed to be little understanding that you are not qualified to teach something you just learned. My psychiatrist friends laughed at my shock and said, "Why are you surprised? Haven't you heard of 'See one, do one, teach one?" Advertisements for "eye movement therapy" started appearing around the country taught by people who had never been fully trained themselves. Some even started to run workshops based on their reading of the two-page procedure section of my eight-year-old research publication.

The intentions of these therapists may have been benign, but the consequences for their clients were sometimes disastrous. One young woman who had been raped was treated by a therapist who had heard that EMDR was useful for treating trauma. Without any other information, preparation or procedural safeguards, the therapist started using the eye movement component of EMDR, without any real grasp of the method. The young woman appeared to calm slightly, but when she returned home, she started crying uncontrollably, ended up in a fugue state and had to be hospitalized. When I told the story to another therapist, his response was, "Clients do that all the time. How do you know it wouldn't have happened anyway?" The answer is I don't, but I know that there is much less likelihood of a client being hurt if clinicians are well trained in their methods. As long as we shrug off the use of methods by colleagues who haven't been adequately trained in them, we have to accept part of the responsibility for their results.

Keywords: Cautions Training

Accuracy Verified: Yes

280. Huffer, K., & Parrett, B. (1999, June). Don’t let the system do you in – Improve your odds for justice (Part I). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) increase knowledge and awareness of this "complex PTSD;" 2) be able to integrate the 8-step protocol of "Overcoming the Devastation of Legal Abuse Syndrome" with the 8-phase protocol of EMDR; 3) learn to consider advocacy for legal consumer abuse issues; and 4) be able to discuss and develop plans for further action and research in the treatment and prevention of LAS.

Keywords: LAS Legal Abuse Syndrome Legal Consumer Abuse

Accuracy Verified: Yes

281. Manfield, P. (1999, June). Double-blind alternating tone research. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the nature of the tone research conducted and be able to evaluate the strengths and weaknesses of the design of the study; 2) be able to determine if the use of alternating tones for lowering disturbance levels is effective; 3) be able to determine what frequency of alternation in tones is most effective for lowering disturbance levels.

Keywords: Tone Research

Accuracy Verified: Yes

282. Hembree, E., Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. In N. Feeney (Chair), Is exposure therapy for PTSD helpful or harmful? Symposium conducted at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment dropout? We will examine clinical impressions and research in this area. First, clinical perspectives on the tolerability of exposure will be presented.Then, three empirical papers will explore: dropout rates for exposure, symptom exacerbation in women undergoing imaginal exposure, and factors that influence treatment choices.

Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In the present paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 17 controlled studies of cognitive behavioral treatment for PTSD that 67 Concurrent Sessions–Saturday,November 9 Saturday: 1:00 p.m.–2:15 p.m. included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR.These findings are consistent with previous research about the tolerability of exposure therapy.

Keywords: Dropout Rate Symposium

Accuracy Verified: Yes

283. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.

Language: English

Format: Book

Abstract:
A new therapy using a saccadic eye-movement desensitisation .EMD procedure has recently been introduced to treat posttraumatic stress disorder, a disorder that has been difficult to treat in the past. This paper reports the treatment of a woman with posttraumatic stress disorderusing the EMD procedure. She was treated with only two sessions of EMDR lasting approximately one hour and a half. The 90 day follow-up showed that the treatment gains were maintained and after a year the positive therapeutic effects were stable. These results show the efficacy and efficiency of EMDR method in the treatment of chronic traumatic memories.
EMDR perspectives reports recent research on the adaptative and maladaptative consequences of the experience of trauma. It is suggested that EMDR generates directions for future research and is helping in the treatment of patients with impaired ego-strength. The procedure fits well in a psychodynamic oriented setting : EMDR through the flow of associations, is developing an awareness,that might help the client to establish a contact with the internal representation.

Keywords: Accelerated Information Processing Adaptative Resolution AIP Desensitization Dissociation Negative Cognition

Accuracy Verified: Yes

284. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.

Language: English

Format: Journal

Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]

Keywords: Adaptive Information Processing Model AIP Cognitive Processes Crisis Intervention Early EMDR Intervention Emergency Room Patients Israel-Hezbollah War Israelis Prevention of PTSD Psychotherapeutic Processes PTSD Recent Events Survivors

Accuracy Verified: Yes

285. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives: Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general. Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP); Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention; Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.

Keywords: Early Intervention Theory EEI Mass Disaster

Accuracy Verified: Yes

286. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
Although most human service professionals believe in the utility of early intervention post-trauma to prevent development of chronic psychological problems, there is little agreement as to the appropriate forms of care. A range of psychological interventions has been advocated for use with various traumatized populations within days or weeks of their trauma exposure, including education about trauma and stress reactions, critical incident stress debriefing (CISD), cognitive-behavioral brief intervention packages, EMDR, and psychopharmacological interventions. Currently, prospective research studying response to trauma and beginning within hours or days of the traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing development of PTSD. Recent support for such interventions is developing at the same time that the evidence for the most popular early intervention, debriefing, is being called into question. In this panel discussion, four members of the recently initiated ISTSS “Early Interventions” Special Interest Group will describe their personal views as to what the next generation of early intervention services will look like, how existing models of early intervention should be improved based on current research and theory, and how improved services can be implemented in real-world settings.

Keywords: Early Intervention Future Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

287. Maxfield, L. (2007). Editorial. Journal of EMDR Practice and Research, 1(2), 66-67. doi:10.1891/1933-3196.1.2.66.

Language: English

Format: Journal

Abstract:
This second issue of the Journal of EMDR Practice and Research highlights the strong relevance of the clinical application of EMDR (eye movement desensitization and reprocessing). The purpose of this editorial is to encourage therapists to consider submitting a clinical article to the journal. Many readers of the journal are clinicians, with interesting cases of their own and whose published contributions could advance the field. This editorial provides an overview of the types of articles published by the journal, most of which could easily be written by an individual practitioner. This journal also publishes Controlled Research Studies, in which two or more groups are compared to each other. In conclusion, I want to strongly encourage EMDR clinicians to consider submitting articles to the Journal of EMDR Practice and Research. This will allow you to contribute to the field, educate fellow therapists, and advance knowledge about EMDR applications for various disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Editorial

Accuracy Verified: Yes

288. Burt, H. (2006, Fall). Editorial. Canadian Art Therapy Association Journal, 19(2), 1.

Language: English

Format: Journal

Abstract:
In this issue several common threads weave through the articles that look at working with specific populations, the importance of working with the community in community centres, trauma, and integrating other models into our work. First, a professor from the University of Montreal presents his work with developmentally delayed and dual diagnosed adults in a community centre in Montreal. Then a specialist in the field of community art studio methods adds a political context to her work and takes us on a journey of the development of a community art studio in Albuquerque, New Mexico. And, lastly, a professor at the University of Victoria shares his groundbreaking research in art therapy and EMDR (Eye Movement Desensitization and Reprocessing). The editorial also observes that it is always exciting to see Canadian Art Therapy researchers pioneer new areas and new ways of utilizing art therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Art Therapy Canadian Community Centre Community Art Studio Communities Delayed Development Developmentally Delayed Dual Diagnosed Adults Dual Diagnosis Editorial Political Context

Accuracy Verified: Yes

289. Figley, C. R. (2006, March). Editorial note: Historic markers and a new era. Traumatology, 12(1), 1-7. doi:10.1177/153476560601200101.

Language: English

Format: Journal

Abstract:
This particular issue of Traumatology (Vol 12[1]) is historic because this is the first issue published since the Journal has been acquired by Sage Publications. Starting with the next issue, readers will find a substantial improvement in the quality of the Journal in terms of its appearance, although the content will remain scholarly and influential in the growing field of traumatology. The number of articles in each issue will be between 5-10 depending upon the length as well as the inclusion of other items such as book reviews. This issue includes, for example, five articles and two book reviews. The articles are organized in the traditional manner: Theory, research, and then treatment/applications. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Editorial

Accuracy Verified: Yes

290. Maxfield, L. (2009). Editorial: Looking back, moving forward. Journal of EMDR Practice and Research, 3(4), 210. doi:10.1891/1933-3196.3.4.210.

Language: English

Format: Journal

Abstract:
This issue is our second special issue in 2009, celebrating 20 years of EMDR. First introduced in 1989 with reports of an important clinical study by Francine Shapiro, EMDR has developed from a simple desensitization technique to a comprehensive psychotherapy approach. Although its research evidence is primarily related to the treatment of posttraumatic stress disorder (PTSD), some case studies and anecdotal reports indicate that EMDR may also be effective in reducing/eliminating symptoms related to other disorders, especially those with an emotionally disturbing etiology.

Keywords: History

Accuracy Verified: Yes

291. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Early diagnosis and intervention in mass casualty events: Since September 2000, Israeli and Palestinian societies suffered great losses. on the Israeli side, civilians of all ages, and ethnic groups, have been exposed to various types of terrorist attacks. This symposium examines issues of diagnosis and interventions

The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified abridged EMDR protocol in reducing Acute Stress Syndromes (ASS) following accidents and terrorist bombing attacks. Methods: Treatment was provided, in a general hospital inpatient and out-patient setting to 86 patients with ASS. Friday: 11:00 a.m. – 12:15 p.m. Presenters are underlined and discussants are italicized. If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive symptoms and general alleviation of their distress, 27% described partial alleviation of their symptoms, while 23% reported no improvement. Four week and six month follow-up, in the terror victims group only, showed that the immediate responders remained symptom free, while half of the non-responders, who also received subsequent additional interventions modalities, were still symptomatic. Conclusions: The difference in response may be attributed, in part, to the fact that immediate responders tended to have an uncomplicated ASS with fewer risk factors for PTSD, while the non-responders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention in uncomplicated cases and offer a psycho-physiological hypothesis for immediate response. While additional controlled studies are essential, this immediate symptomatic relief may be a potential addition for focused interventions in acute trauma victims.

Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists

Accuracy Verified: Yes

292. Laugharne, J. (2010, July). The effect of EMDR on pathological personality traits: An initial case series. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
There is little published data regarding the effect of Eye Movement Desensitisation and Reprocessing (EMDR) on personality disorders and pathological personality traits. A PTSD clinic has been developed at Fremantle Hospital in Western Australia since May 2009. All patients referred are initially assessed using the MINI–plus for DSM IV axis I diagnoses, the PTSD Checklist, and the SCID 2 for personality traits/disorders. These assessments are carried out again post treatment. All patients accepted for treatment have PTSD according to DSM IV criteria but most have comorbid axis I diagnoses and often marked pathological personality traits or personality disorders. The primary psychological treatment for PTSD offered at the clinic is EMDR. In this presentation, data will be presented regarding an initial series of cases treated for PTSD at the clinic using EMDR with an emphasis on changes in their SCID 2 scores post-treatment and how this relates to changes in PTSD scores. The theoretical and practical implications of the data will be discussed in the context of the existing literature as well as transcultural considerations and future research directions outlined.

Keywords: Personality Traits

Accuracy Verified: Yes

293. Lee, H., Yum, M. K., Kim, S. H., Lee, Y. J., & Kim, D. (2008). Effect of horizontal eye movements on the heart rate variability after exposure to a fear-inducing film clip. Korean Journal of Biological Psychiatry, 15(1), 35-45.

Language: Korean

Format: Journal

Abstract:
Objectives: There has been a continued debate regarding the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). This study examined the possible autonomic effect of horizontal eye movements after being exposed to fearful stimuli. Methods: Fifty two healthy adult women were randomly allocated to eye movement or eye fixed groups after watching a five minute fear-inducing film clip. ECG was recorded during the resting state, after watching the clip, and the treatment. A spectral power analysis of the heart rate variability was performed. As the variables violated the rule of normal distribution and the number in each group is small the non-parametric test was used. Results: Overall, we did not find the differences between the groups in both time and frequency domains. Some minor differences found were not consistent with results from previous studies. Conclusions: Effect of eye movement on autonomic nervous system during fear desensitization was not supported in this experiment. Further study with other psychophysiological measures is needed to understand the role of eye movements in treatment of traumatic memory.

Keywords: Autonomic Nervous System Eye Movements Eye Movements Females Fear Film Clip Heart Rate Variability Horitzontal Korean

Accuracy Verified: Yes

294. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Journal

Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy Obstetrics Posttraumatic Stress Disorder PSTD Stillbirth

Accuracy Verified: Yes

295. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Conference

Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy Obstetrics Stillbirth

Accuracy Verified: Yes

296. Kahveci, S. & Karakus, D., (2009, June). The effect of RDI on test anxiety with a group setting of adolescents. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Adolescents Group Setting RDI Research Test Anxiety

Accuracy Verified: Yes

297. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.

Language: English

Format: Dissertation/Thesis

Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.

Keywords: Adults Americans Battery Empirical Study Females Posttraumatic Stress Disorder Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness

Accuracy Verified: Yes

298. Becker, L. (2000). Effect size. Lee Becker, Ph.D..

Language: English

Format: Other

Abstract:
Effect size (ES) is a name given to a family of indices that measure the magnitude of a treatment effect. Unlike significance tests, these indices are independent of sample size. ES measures are the common currency of meta-analysis studies that summarize the findings from a specific area of research. See, for example, the influential metaanalysis of psychological, educational, and behavioral treatments by Lipsey and Wilson (1993). There is a wide array of formulas used to measure ES. For the occasional reader of meta-analysis studies, like myself, this diversity can be confusing. One of my objectives in putting together this set of lecture notes was to organize and summarize the various measures of ES. In general, ES can be measured in two ways: a) as the standardized difference between two means, or b) as the correlation between the independent variable classification and the individual scores on the dependent variable. This correlation is called the "effect size correlation" (Rosnow & Rosenthal, 1996). These notes begin with the presentation of the basic ES measures for studies with two independent groups. The issues involved when assessing ES for two dependent groups are then described.
The psychotherapies include: behavioral treatments (primarily different forms of exposure therapies), eye movement desensitization and reprocessing (EMDR), relaxation therapy, hypnosis, and psychodynamic therapy. The control conditions include: pill placebo (used in the drug treatment studies), wait list controls, supportive psychotherapy, and no saccades (a control for eye movements in EMDR studies).

Keywords: Effect Size

Accuracy Verified: Yes

299. 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

300. 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

301. Hechler, T., Blankenburg, M., Dobe, M,, Kosfelder, J., Hübner, B., & Zernikow, B. (2010, January). Effectiveness of a multimodal inpatient treatment for pediatric chronic pain: A comparison between children and adolescents. European Journal of Pain, 14(1), 97.e1–97.e9, DOI: 10.1016/j.ejpain.2009.03.002.

Language: English

Format: Journal

Abstract:
Objectives: To evaluate short and long-term treatment outcome of children (7-10 years) in comparison to adolescents (11-18 years) with disabling chronic pain following multimodal inpatient pain treatment. Patients and Methods: Thirty-three children and 167 adolescents underwent multimodal inpatient pain treatment. Standardized assessment of pain-related variables, disability, coping, and use of analgesics was performed at admission, 3- and 12-month follow-up. Results: Children and adolescents displayed similar pain-characteristics at admission. Adolescents demonstrated significantly higher disability and passive pain coping. Children relied more on others when in pain. All core variables (i.e., pain intensity, pain-related disability, school absence and pain-related coping) decreased significantly in both children and adolescents after 3 months. Both groups maintained this decline 12 months later. More than half of the children and adolescents demonstrated a 50%-reduction in pain intensity after 3 months, and almost 60% after 12 months. Use of analgesics was significantly reduced at 3-month follow-up with no additional changes after 12 months. While age did not exert any impact on results, there were significant gender differences in pain intensity and school absence. Girls demonstrated higher pain intensity and higher school absence 1 year following treatment. Conclusions: Children display similar pain-characteristics to adolescents when entering inpatient treatment. A multimodal inpatient program appears to stop the the long-term vicious cycle of disability and pain for both children and adolescents. The demonstrated gender differences raise issues for further research and the possibility of additional pain management strategies for girls.

Keywords: Adolescents Children Multimodal Inpatient Treatment Pediatric Chronic Pain

Accuracy Verified: Yes

302. Aytun, O. A. (2010, June). The effectiveness of EMDR and support group treatment model in smoking cessation. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The purpose of this study is to assess the effectiveness of a treatment model in cigarette cessation. Among the volunteers who enrolled to participate in the study, 15 participants were selected as our subject group in terms of their scores in Fagerstrom Test for Nicotine Dependence (middle or upper level of dependency). The participants of this study attended 9 weeks of treatment including a preliminary session in the first week following 8 EMDR sessions (once a week) and 4 group sessions (once every two weeks). The 5 follow up sessions (15-day, a month, 3 month. 6 month. 1 year foilow-up) are included in the study to evaluate the efficacy of the model and the relapse rate of the subjects. EMDR (Eye Movement Desensitization and Reprocessing) DeTUR Protocol (Popky, 1993) and a support group format is used as treatment methods. Hughes-Watsukami Withdrawal Questionnaire, STAI, Traumatic Life Events Questionnaire (TLEQ) and Fagerstrom Test for Nicotine Dependence is the instruments of this study.

Keywords: Group Treatment Smoking Cessation Symposium

Accuracy Verified: Yes

303. 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

304. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.

Language: English

Format: Journal

Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.

Keywords: Childbirth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

305. Beere, D. B. (2009). The effectiveness of EMDR with the dissociative disorders: A research study leading to the development of an EMDR protocol for DID. Manuscript in preparation.

Language: English

Format: Journal

Keywords: DID Dissociative Disorders Dissociative Identity Disorder Research

Accuracy Verified: No

306. Lothlorien (2010, December). The effectiveness of EMDR: A literature review. (Author) Online .

Language: English

Format: Dissertation/Thesis

Abstract:
This literature review has been conducted to study the effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) in treating trauma. Articles for this literature review were chosen using the Google Scholar database with OhioLink applying keywords such as EMDR, EMDR and trauma, and EMDR effectiveness. Articles were also found using the EMDR International Association website at http://emdria.org. Most articles were chosen due to their relevance to the research question. Other factors that were considered were the quality of the research, timeliness, the number of times an article was cited by others, and accessibility. . Of these ten articles, 2/10 (20%) were literature reviews, 2/10 (20%) were conceptual articles, and 6/10 (60%) were empirical studies. All of the empirical studies (6/6 or 100%) were quantitative. All empirical studies cited in the literature review (6/6 or 100%) used primary data based on observation. Five out of the six (83%) empirical studies used and experimental design. One out of six (17%) used a quasi-experimental design. In the six empirical studies, the mean sample size was 51. The smallest sample size was 22, and the largest sample size was 88. Based on the articles studied for this review, EMDR is found to be an effective treatment for trauma. It has also been found to work faster than other therapies. Some studies also showed it to be more easily tolerated by clients than other therapies. Major limitations to this review are the number of publications included, the fact that only articles available in full text form via OSU affiliates were selected, and time available for the literature review. Based on the conclusion that EMDR is an effective mode of treatment for trauma survivors, social workers conducting therapy with this population would benefit from learning the technique and incorporating it in their repertoire of therapies.

Keywords: Literature Review Research Methods Trauma

Accuracy Verified: Yes

307. Williams, C. J. (2001). The effectiveness of eye movement desensitization and reprocessing (EMDR) in the treatment of psychologically traumatized individuals: A literature review. University of Wisconsin - Stout.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this literature review was to investigate the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized individuals primarily diagnosed with Post Traumatic Stress Disorder (PTSD). In this investigation an overview of Eye Movement Desensitization and Reprocessing (EMDR) as well as other approaches in the treatment of traumatized individuals was explored. Included in this investigation is a critical review of controlled research and the use of EMDR. Finally, the information is summarized and recommendations are offered based upon information gathered.

Keywords: Literature Review Trauma

Accuracy Verified: Yes

308. Fleming, J. (2012). The effectiveness of eye movement desensitization and reprocessing in the treatment of traumatized children and youth. Journal of EMDR Practice and Research, 6(1), 16-26. doi:10.1891/1933-3196.6.1.16.

Language: English

Format: Journal

Abstract:
This article provides a summary of all the studies that have investigated eye movement desensitization and reprocessing (EMDR) treatment of traumatized children and adolescents. The effectiveness of the treatment is revealed in more than 15 studies. This article considers the differences between Type I and Type II traumas and specifically examines the effects of EMDR on traumatic stress experienced by children and youth following Type I and Type II traumas. There is a considerable body of research evaluating EMDR treatment of Type I traumas, showing strong evidence for its efficacy, but there are few studies that have specifically investigated EMDR treatment of Type II traumas. The effect of EMDR on various symptoms and problem areas is also examined. Recommendations are made for the clinical application of EMDR and for further research.

Keywords: Children Posttraumatic Stress Disorder PTSD Review Trauma Treatment

Accuracy Verified: Yes

309. Lamphear, M. H. (2011). Effectiveness of the post critical incident seminar in reducing critical incident stress among law enforcement officers. Walden University, Minnesota. 3454138.

Language: English

Format: Dissertation/Thesis

Abstract:
Summative program evaluation was used to examine the effectiveness of the Post Critical Incident seminar (PCIS) in reducing traumatic stress symptoms of law enforcement officers (LEOs). Previous trauma theory research indicated when not addressed, the impact of such trauma leads to serious physical and mental health problems. The use of the PCIS with the study population had not been evaluated. This study was conducted, using archival data, to address this gap. The sample consisted of LEOs in the southeastern US. Officers participated in either PCIS-only or PCIS + EMDR (eye movement desensitization and reprocessing) groups and were also categorized according to time since the incident. The Impact of Events Scale-Revised (IES-R) was administered at the start of each PCIS and again at 6 months. Dependent t tests were used to demonstrate significant pre/post decreases in IES-R scores for both groups. Of clinical concern at pretest, the IES-R scores for the PCIS + EMDR group were reduced to below the scale's threshold for clinical concern. Regression analyses were used to also document significant links connecting the time since the incident, type of incident, and gender with IES-R scores. These preliminary findings lend support for the PCIS, with implications for social change and further study: With continued research and recommendations, the PCIS can be enhanced to best help LEOs remain healthy and fit for duty, resulting in a safer society.

Keywords: Critical Incidents Law Enforcement Officers Peer Support Posttraumatic Stress DIsorder Psychology Stress PTSD Recent Events Trauma

Accuracy Verified: Yes

310. Hornsveld, H. (2010, April). Effectiviteit oogbewegingen door recent onderzoek ondersteund, maar klikjes niet. Wat betekent dit voor de praktijk? [Effectiveness eye movements supported by recent research, but no clicks. What does this mean for practice?]. In Heikele kwesties en voortschrijdend inzicht [Delicate issues and progressive insight]. Plenaire gepresenteerd op de 4e EMDR Association UK Conferentie, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Keywords: Eye Movements Plenary

Accuracy Verified: Yes

311. Ernst, R. (2011, Juli). Effectiviteit van oogbewegingen, klikjes en geen dubbeltaak bij EMDR in een klinische steekproef [Effectiveness of eye movements, clicks and no double task of EMDR in a clinical sample]. Utrecht: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Een werkgeheugen rekening van Eye Movement Desensitization and Reprocessing (EMDR) is op grote schaal ondersteund door laboratoriumonderzoek. Taken die belasting werkgeheugen voldoende Het een traumatische gebeurtenis herinneren terwijl het verminderen van emotionaliteit en levendigheid van traumatische herinneringen. Vaak therapeuten vervangen EMDR-Eye Movements met minder belasten binaurale piept, terwijl de laatste Suggest Sommige onderzoeken zijn inferieur aan oogbewegingen. De huidige studie direct vergelijken oogbewegingen en piept met EMDR in een klinisch monster. In een within-subjects design, 51 patiënten verwezen voor EMDR traumatherapie Hun herinneringen herinnerde tijdens het (a) het maken van gaten horizontale bewegingen, (b) binauraal luisteren naar pieptonen en (c) gericht op een punt (controle). Volgorde van de stimulaties gerandomiseerde WAS Deelnemers en Elke stimulatie over duurde zes minuten. De resultaten toonden aan dat oogbewegingen emotionaliteit en levendigheid van de herinnering reduceert aanzienlijk meer dan de controle, terwijl de emotionaliteit Meer met aanzienlijk minder in de buurt van oogbewegingen dan met pieptonen. Geen significante verschillen in Vermindering van levendigheid en emotionaliteit Beide werden gevonden tussen piept en controle. Hun trauma patiënten gewaardeerd meestal visuele herinneringen, terwijl meer in de buurt van visuele herinneringen significant geassocieerd met een grotere daling van de emotionaliteit en levendigheid met oogbewegingen. De studie ondersteunt Bewijs voor een cumulatief voordeel van oogbewegingen met EMDR. Resultaten worden besproken Deze modaliteit in termen van een specifieke werkgeheugen rekening en klinische implicaties worden besproken.

A working memory account of Eye Movement Desensitization and Reprocessing (EMDR) has been widely supported by laboratory research. Tasks that sufficiently tax working memory while recollecting a traumatic event reduce emotionality and vividness of traumatic memories. EMDR-therapists often substitute eye movements with less taxing binaural beeps, while some studies suggest the latter are inferior to eye movements. The present study directly compares eye movements and beeps with EMDR in a clinical sample. In a within-subjects design, 51 patients referred for EMDR therapy recollected their trauma memories while (a) making horizontal eye movements, (b) listening to binaural beeps and (c) focusing on one point (control). Sequence of stimulations was randomized across participants and each stimulation lasted for six minutes. Results showed that eye movements reduce emotionality and vividness of the memory significantly more than control, while emotionality reduced near significantly more with eye movements than with beeps. No significant differences in reduction of both emotionality and vividness were found between beeps and control. Patients rated their trauma memories mostly visual, while more visual memories were near significantly associated with a larger decrease of emotionality and vividness with eye movements. The study supports evidence for a cumulative benefit of eye movements with EMDR. Results are discussed in terms of a modality specific working memory account and clinical implications are discussed.

Keywords: Eye Movements Posttraumatic Stress Disorder PTSD Working Memory

Accuracy Verified: Yes

312. Brennstuhl, M. J., & Tarquinio, C. (2012, June). Effects of an specific EMDR protocol for the treatment of chronic pain [Los efectos de un protocolo específico de EMDR para el tratamiento del dolor crónico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Treatment of chronic pain stays problematic. The complex part of cognitive, behavioral and emotional in chronic pain makes treatment complicated. Since few years, many authors have argued on a traumatic symptomatology, which is responsible of chronic pain (reactive symptom of PTSD) (Bioy & Fouques, 2002; Ferragut, 2007, 2010), or that chronic pain may induce a trauma (Burloux, 2004). This argumentation brought to us to envisage the EMDR therapy for the treatment of chronic pain. This research aims to test the effectiveness of treatment of chronic pain. We have elaborated a new protocol, which focuses on specificities on chronic pain problematic. This protocol focuses on pain and physical sensation. Inspiration on Mark Grant Protocol (Grant, 2009), R-‐Tep and Google research (Shapiro & Laub, 2009) isn’t unnoticed. Chronic pain can be approached like an elaborated trauma, because it’s always happening. So, as with recent event trauma, we can find the most difficult moment. It’s why we proposing a protocol based on focusing symptom: pain. Ten patients were treated with this new EMDR protocol, specific on chronic pain. After every session, and at the end of the treatment, the effects of this protocol on chronic pain and traumatic symptomatology were evaluated and show significant improvement. The objective is double: a significant improvement was made reducing chronic pain and associated symptoms (depression, anxiety...), and also use this protocol in a prevention move and stop chronicity of pain in the beginning.

El tratamiento del dolor crónico sigue siendo problemático. Los elementos cognitivos, conductuales y emocionales complejos dificultan su tratamiento. Desde hace algunos años, muchos autores han debatido sobre una sintomatología traumática que sería la responsable del dolor crónico (síntoma reactivo del TEPT) (Bioy & Fouques, 2002; Ferragut, 2007, 2010) o que el dolor crónico puede inducir trauma (Burloux, 2004). Esta controversia nos ha llevado a contemplar el empleo de EMDR para el tratamiento del dolor crónico. Esta investigación pretende comprobar la efectividad [de EMDR] del tratamiento del dolor crónico. Hemos elaborado un protocolo nuevo que se centra en las especificidades del dolor crónico problemático. Este protocolo se centra en el dolor y la sensación física. No pasa desapercibida la inspiración del protocolo de Mark Grant (Grant, 2009), R-‐Tep e investigación en Google (Shapiro & Laub, 2009). Se puede abordar el dolor crónico del mismo modo que el trauma elaborado, dado que es constante. Por lo tanto, al igual que un evento reciente, podemos identificar el momento más difícil. Por eso proponemos un protocolo que se basa en centrarnos en el síntoma: el dolor. Diez pacientes fueron tratados con este nuevo protocolo de EMDR, específico para el dolor crónico. Tras cada sesión y al finalizar el tratamiento, se evaluaron los efectos de este protocolo sobre el dolor crónico y la sintomatología traumática; los resultados han mostrado una mejoría significativa. El objetivo es doble: por un lado, lograr una mejora significativa y reducir el dolor crónico, así como los síntomas asociados (la depresión, ansiedad...), y por el otro lado, usar este protocolo como estrategia preventiva y poner fin a la cronificación del dolor desde un principio.

Keywords: Chronic Pain

Accuracy Verified: Yes

313. Parker, A., & Dagnall, N. (2007, April). Effects of bilateral eye movements on gist based false recognition in the DRM paradigm. Brain and Cognition, 63(3), 221–225. doi:10.1016/j.bandc.2006.08.005 .

Language: English

Format: Journal

Abstract:
The effects of saccadic bilateral (horizontal) eye movements on gist based false recognition was investigated. Following exposure to lists of words related to a critical but non-studied word participants were asked to engage in 30s of bilateral vs. vertical vs. no eye movements. Subsequent testing of recognition memory revealed that those who undertook bilateral eye movement were more likely to correctly recognise previously presented words and less likely to falsely recognise critical non-studied associates. This result joins other research in demonstrating the conditions in which false memory effects can be attenuated.

Keywords: DRM Paradigm Eye Movements False Recognition

Accuracy Verified: Yes

314. Parker, A., Relph, S., & Dagnall, N. (2008, January). Effects of bilateral eye movements on the retrieval of item, associative, and contextual information. Neuropsychology, 22(1), 136-145. doi:10.1037/0894-4105.22.1.136.

Language: English

Format: Journal

Abstract:
Two experiments are reported that investigate the effects of saccadic bilateral eye movements on the retrieval of item, associative, and contextual information. Experiment 1 compared the effects of bilateral versus vertical versus no eye movements on tests of item recognition, followed by remember-know responses and associative recognition. Supporting previous research, bilateral eye movements enhanced item recognition by increasing the hit rate and decreasing the false alarm rate. Analysis of remember-know responses indicated that eye movement effects were accompanied by increases in remember responses. The test of associative recognition found that bilateral eye movements increased correct responses to intact pairs and decreased false alarms to rearranged pairs. Experiment 2 assessed the effects of eye movements on the recall of intrinsic (color) and extrinsic (spatial location) context. Bilateral eye movements increased correct recall for both types of context. The results are discussed within the framework of dual-process models of memory and the possible neural underpinnings of these effects are considered. [PsycINFO]

Keywords: Bilateral Stimulation BLS Eye Movements

Accuracy Verified: Yes

315. Istanbul Metropole Municipality. (2009, June). The effects of early interventions (EMD) and (R-TEP) on the victims of a terrorist bombing in Istanbul. In A. de Jongh (Chair), PTSD research. Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Bombings Early Intervention EMD, R-TEP Istanbul Posttraumatic Stress Disorder PTSD Recent Events Research Symposium Terrorist

Accuracy Verified: Yes

316. Khalfa, S. (2012, June). Effects of EMDR on cognition, psychophysiology and cerebral mechanisms in PTSD [Efectos del EMDR en cognición, psicofisiología y mecanismos cerebrales en TEPT]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Despite the emergence of many theories on biological EMDR mechanisms, research is still needed to understand the healing processes of EMDR. We conducted four experiments to explore the effects of EMDR on PTSD with 17 to 22 patients suffering from one unique trauma. The first experiment evidenced attentional bias in PTSD towards negative words that disappeared after successful EMDR Therapy. The second experiment has shown a less efficient control of emotion in PTSD as compared to healthy controls. This altered emotional suppressing measured through psychophysiological responses was restored after symptoms disappearance following EMDR. The third experiment also using psychophysiological measures confirmed the increased fear sensitization and delayed fear extinction in PTSD and again the restoration of a normal fear conditioning and extinction processes after EMDR. The last experiment explored the negative emotional cerebral mechanisms using functional magnetic resonance imagery in PTSD. Activities in prefrontal structures were modified in PTSD as compared to healthy controls. After the EMDR treatment accompanied by symptoms removal, the prefrontal responses were not different between PTSD patients and their controls. Theoretical issues of these results will be discussed in order to integrate cognitive, psychophysiological and cerebral mechanisms observations.

A pesar del emerger de muchas teorías sobre los mecanismos biológicos del EMDR, la investigación aún necesita entender el proceso de curación que se produce en EMDR. Hemos realizado 4 experimentos para explorar los efectos del EMDR en TEPT de 17 a 22 pacientes que sufrieron un único trauma. El primer experimento evidencia un sesgo atencional del TEPT ante las palabras negativas que desaparecen después de una terapia exitosa de EMDR. El Segundo experimento mostró una baja eficiencia del control de las emociones en los TEPT comparados con el control de individuos sanos. Esta alterada supresión emocional medida a través de respuestas psicofisiológicas fue restaurada después de una desaparición de los síntomas realizando EMDR. El tercer experimento también confirma mediante medidas psicofisiológicas el aumento de la sensación de miedo y un retraso en la extinción del mismo en el TEPT. De nuevo tras administrar una terapia EMDR se produjo una restauración a una condición normal de miedo y un proceso de extinción. El último experimento explica los mecanismos negativos emocionales cerebrales usando resonancia funcional magnética en TEPT. La actividad en las estructuras prefrontales fue modificada en el TEPT comparado con el control. Después del tratamiento de EMDR acompañado de una remisión de los síntomas, las respuestas prefrontales no fueron diferentes entre los pacientes con TEPT y los controles. Cuestiones teoréticas sobre estos resultados serán discutidas con el fin de integrar cognitivamente, psicofisiológicamente y observar los mecanismos cerebrales del EMDR.

Keywords: Cognition, Psychophysiology and Cerebral Mechanisms Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

317. MacCulloch, M. (2006, December). Effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings from Ricci, Clayton, and Shapiro. Journal of Forensic Psychiatry and Psychology, 17(4), 531-537. doi:10.1080/14789940601075760.

Language: English

Format: Journal

Abstract:
We publish in this issue a preliminary and tentative account of the reduction of deviant sexual arousal, as measured by phallometry, by eye movement desensitisation and reprocessing (EMDR). The purpose of this editorial is to show that the conclusions of Davidson and Parker (2001), and the comment by Salkovskis, can now be set aside, and to present our readers with some theoretical thoughts on some of the mechanisms by which EMDR could induce its effects, including trauma reduction. A major bar to the further acceptance of EMDR as a treatment and as an inviting research topic stems from the fact that workers still cannot see how eye movements can cause the reported clinical changes and the increasing number of temporally related psycho-physiological phenomena. This editorial suggests that the organs of computation of the mind have evolved by natural selection to solve problems of survival and, signally, include corollary discharge and feed forward (CD-FF) mechanisms by which they intrinsically function and also interact with one another. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Abused Child Molesters Editorial Pedophilia Physiology Sexual Arousal

Accuracy Verified: Yes

318. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A.M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic stress disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece. European Journal of Nuclear Medical and Molecular Imaging, 33, S169.

Language: English

Format: Conference

Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]

Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

319. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A. M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September-October). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic Stress Disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece.

Language: English

Format: Conference

Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

320. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University, Kalamazoo, MI. AAT 9732881.

Language: English

Format: Dissertation/Thesis

Abstract:
Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.

Keywords: Anxiety Disorders College Students Empirical Study Life Experiences Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

321. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.

Language: English

Format: Dissertation/Thesis

Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.

Keywords: Children Trauma

Accuracy Verified: Yes

322. Becker, L., Black-Tanski, D., Nugent, N., & Thede, L. (1999, November). The effects of eye movement on the stream of consciousness. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
A recent meta-analysis of PTSD treatments (van Etten & Taylor, 1998) found EMDR to be as efficacious as behavioral and drug treatments. There is considerable controversy, but little research, on the underlying mechanisms of EMDR. A conditioning model by Dyck (1993) suggests that eye movements (EM) effect a distraction from trauma related thoughts, causing an extinction trial. According to this model, the distraction of EM should cause thoughts to be directed outward. A psychodynamic model by Allen and Lewis (1996) suggests that EM facilitate the formation of new associations to traumatic memories and allow the client to “remain in the present while thinking of the past.” This model postulates that EM cause thoughts to be directed inward. We report two experiments in which thought processes were studied using a stream of consciousness (SOC) technique (Singer, 1993). In both studies, undergraduate participants wrote down a sad (or happy) target event from their life. They then thought about the target event and let their thoughts go where they may for 10 minutes. At approximately 1-minute intervals they were asked to report their thoughts. The baseline study (n = 42) looked at SOC with eyes closed; the second study (n = 27) compared SOC with eyes open, eyes closed, and with EM. Relative the to the eyes-open condition, EM tended to keep the SOC internally focused. During the last 4 minutes of the SOC, eyes open participants were externally focused (thoughts about the surroundings) about 50% of time; EM participants were externally focused 25% of the time; and eyes closed participants were externally focused 3% of the time, F(1, 11) = 6.08, p = .017. Eye movements produced a blend of external (eyes open) and internal (eyes closed) thoughts, offering support to the psychodynamic model.

Keywords: Eye Movement Poster Stream of Consciousness

Accuracy Verified: Yes

323. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18, 148-158.

Language: English

Format: Journal

Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.

Keywords: Horitzontal Eye Movements

Accuracy Verified: Yes

324. Farkas, L. (2008, December). The effects of motivation-adaptive skills-trauma resolution (MASTR) - Eye movement desensitization and reprocessing (EMDR) on traumatized adolescents with conduct problems. Universite de Montreal, Canada. AAT NR55659.

Language: English

Format: Dissertation/Thesis

Abstract:
Objective.- This dissertation explored the effectiveness of a treatment package, Motivation-Adaptive Skills-Trauma Resolution (MASTR) in combination with Eye Movement Desensitization and Reprocessing (EMDR). This intervention was assessed in a sample of traumatized adolescents manifesting conduct problems (CPs) admitted to youth protective services. CP adolescents have been found to be particularly treatment-resistant and the treatments used with them often neglect to target the trauma that many of these youths have faced. Therefore, it seemed promising to implement a trauma-focused treatment with these youths that accounts for their resistance to treatment. MASTR-EMDR was studied with this population due to the favorable findings in the few studies assessing its use with high-risk populations. In addition to examining the effects of this treatment with CP youth exposed to various types of trauma, a particular focus was given to victims of sexual abuse (SA). This type of trauma seemed particularly suited for EMDR due to its circumscribed nature, which may be more easily worked through in this treatment that targets one trauma at a time.
Method.- Participants in the first study were 40 adolescents (ages 13-17) exhibiting CPs and exposed to trauma in youth protective services. A subsample (n = 30), consisting of victims of SA, was included in the second study. Participants in both studies were randomly assigned to MASTR-EMDR treatment or to a wait list condition where they were offered routine care. Self-report questionnaires and semi- structured interviews were administered to participants and one of their parents or caregivers by independent evaluators at three points in time: pre-treatment, post-treatment (12 weeks later) and follow-up (12 weeks after post-treatment). These measures evaluated trauma history, trauma-related sequelae, CPs, social competence and internalizing problems. The MASTR-EMDR sessions were administered once a week over a 12 week period, with each session lasting a maximum of 1.5 hours.
Results.- ANCOVAs and repeated measures ANCOVAs were used to assess treatment effects and the maintenance of gains at a 3-month follow-up. As predicted, MASTR-EMDR led to significant gains in outcome measures compared to routine treatment with both samples. In addition, gains were maintained at follow-up.
Conclusions.- This dissertation supports the use of MASTR-EMDR in populations exposed to general trauma and SA who exhibit CPs. This research was innovative in its implementation of a novel treatment-approach in youth protective services, where empirically-supported treatments are necessary and sometimes lacking. Therefore, the results have both clinical and scientific value and can help pave the way toward more trauma-focused treatments for CP youth, more evidence-based practices in youth protective services as well as enrich current understanding of the effects of this treatment approach.[Author Abstract]

Keywords: Conduct Problems Protective Services Psychotherapeutic Techniques Trauma Treatment Outcome Youth

Accuracy Verified: Yes

325. Pastva, A. M. (2008). The effects of rhythmic and arrhythmic eye movements on memory recall. The College of William and Mary, Williamsburg, VA..

Language: English

Format: Dissertation/Thesis

Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a therapy that treats many trauma-related disorders by requiring patients to perform rapid eye movements, has raised controversy because it lacks the support of a proven theoretical rationale. A recent theoretical explanation proposes that the eye movements reduce the vividness of the distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, but support for this model has been weakened by methodological flaws that the current study attempted to overcome. The present study compared the effects of tracking rhythmic and arrhythmic stimuli on the recall of arousing television shock-ads. Eye-movement conditions did not significantly differ in terms of vividness, emotionality, or accuracy of memory as compared to the control condition. Arrhythmic targets increased the negative emotional response and decreased the vividness of the memories, but neither rhythmic nor arrhythmic target patterns produced responses that differed from the control condition. Heart rate recordings taken throughout the study did not suggest that arousal mediates the relationship between eye-movement patterns and vividness. The present study does not support the VSSP theory but provides valuable insights on the direction of future research.

Keywords: Eye Memory Visual perception

Accuracy Verified: Yes

326. Kavanaugh, D. J., Freese, S., Andrade, J., & May, J. (2001). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267-280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objectives. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories Eye Movement Imaginal Expsoure Visio-Spatial

Accuracy Verified: Yes

327. Kavanagh, D. J., Freese, S., Andrade, J., & May, J. (2001, September). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267–280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objective. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories Visuospatial Tasks

Accuracy Verified: Yes

328. Malz, S. (2003). Effektivitaet von eye movement desensitization and reprocessing (EMDR) bei posttraumatische belastungsstorung (PTBS) eine theoretische untersuchung des aktuellen forschungsstandes [Effectiveness of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder (PTSD), a theoretical investigation of the current state of research]. Marburg University, Germany.

Language: German

Format: Dissertation/Thesis

Keywords: Posttraumatic Stress Disorder PTSD Research

Accuracy Verified: Yes

329. Hensel, T. (2006, April). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Kindheit und Entwicklung, 15 (2), 107-117. doi:10.1026/0942-5403.15.2.76.

Language: German

Format: Journal

Abstract:
EMDR (eye movement desensitization and reprocessing) has proved to be an independent, effective, and empirically validated approach for the treatment of chronic post-traumatic stress disorder (PTSD) in adults. This work provides an overview of the status of research into the use of EMDR in traumatized children and adolescents. The available randomized controlled studies are summarized and assessed for their methodistic value. The empirically supported and effective treatment is described. The results show - albeit on a narrow empirical basis - that EMDR, when used in children and adolescents, demonstrates a Comparable effectiveness in symptom reduction and efficiency (limited treatment duration) to that observed in adults. Issues relating to the integration of the treatment into the existing care structure are discussed.

Keywords: Adolescents Bilateral stimulation Care Children Chronic Illness Chronic PTSD Effectiveness Emotional Trauma Empirically Supported Treatment Empirical Study Psychologically Traumatized Children Quantitative Study Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

330. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.

Language: Italian

Format: Dissertation/Thesis

Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it. Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000). L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998). Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico... Questi studi tuttavia commettono uno o più dei seguenti problemi: 1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995). 2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999). La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD. Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma. Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”. Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti. Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.

EnglishSpanishArabicAlpha EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD. Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it. The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000). EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998). Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology: ...... These studies, however, have committed one or more of the following problems: 1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995). 2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999). This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD. In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma. In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information." The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents. In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

331. 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

332. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models. Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach. Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT. The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress. This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement. The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented. Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

333. Schubert, S. (2010, July). The efficacy and psycho physiological correlates of dual-attention tasks in EMDR. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Methods: Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Results: Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Conclusion: These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention Poster Physiological Correlates

Accuracy Verified: Yes

334. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention Psychophysiological Correlates

Accuracy Verified: Yes

335. de Bont, P. (2011, August-September). Efficacy and safety of prolonged exposure or EMDR-treatment for PTSD with patients with a vulnerability for psychosis. A multiple baserate N=10 single case design. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Objectives: Untill now, only a small number of studies have investigated the safety and effects of psychological treatment for PTSD in psychotic patients. The main aim of this study was to explore the effects of two psychological, highly manualized, guideline PTSD treatments: EMDR and prolonged exposure. Another important aim was to determine if negative side effects would occur as a result of therapy. Among clinicians fear exists of harming vulnerable patients with confronting therapeutic procedures, thus risking psychotic exacerbation, suicidal behaviour or other adverse events. Methods: In a N=10 single case study design the effects of psychological PTSD treatment were studied in psychiatric patients who suffer from psychoses. Participants were randomly assigned to either EMDR or Prolonged Exposure. Weekly measurements of PTSD and psychotic symptoms prior to, during and after treatment, gave a strong impression of how symptoms respond to treatment. The treatment in both conditions consisted of 12 sessions of 90 minutes. Adverse events were monitored weekly. Before, directly after and 3 months after treatment all subjects were tested more extensively for the variables PTSD and psychosis, and for three secondary outcome measures cognitive style, social functioning and quality of life. Results: The results show that PTSD-treatment can be quite effective for both PTSD and even some of the psychotic symptoms. PTSD symptoms dropped considerably, in a number of cases below the point of still having a PTSD. In some cases treatment helped diminish the occurence of harming voices. Not one patient became psychotic as a result of therapy, not even patients that went through the guided reliving of traumatic psychotic events during Prolonged Exposure. No suicide attempts occured. Occasional minor adverse events with medication occurred, but results taken as a whole the treatments were obviously safe. Conclusion: This study shows that PTSD-treatment in psychotic patients is a serious option, next to medical treatment. It can be done safely, effectively and in a manualized fashion. No information can be derived from this study as to which of the two, Prolonged Exposure or EMDR, can be best applied in specific situations. Both seem to be equal in the limited number of cases.

Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium

Accuracy Verified: Yes

336. Kristjansdottir, H., Blondahl, M., Sigurosson, E., Sigurosson, J. F., & Salkovskis, P. M. (2011, August-September). Efficacy of cognitive behavioral therapy in the treatment of mood and anxiety disorders in adults - Review. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Introduction: Cognitive behavioural therapy (CBT) represents the form of psychotherapy which has the most research data to build on in the treatment of mental disorders for adults. Method: In this review we will introduce CBT and present the results of pertinent outcome research for mood and anxiety disorders. Efficacy at the end of the treatment will be discussed, as well as long term effectiveness and the efficacy of combined treatment with medication and CBT Results: The results of this review show that CBT is an effective treatment for mood and anxiety disorders; depression, dysthymnia, GAD, panic disorder, social phobia, OCD, PTSD and specific phobia. Results of follow-up studies also show that the efficacy of CBT lasts for a considerable time after the termination of treatment. CBT is more effective than other forms of psychotherapy except for behaviour activation and interpersonal therapy in treatment for depression and EMDR in treatment for PTSD. When CBT is compared with medication (SSRI) results reveal that CBT is as effective or more effective than medication. This is true except for the treatment of dysthymnia, especially when the long-term effects are considered. Results are contradictory regarding whether medication improves or reduces the efficacy of CBT, e.g., there are indications that the medication reduces the efficacy of CBT for some disorders, like panic disorder. Discussion: It is clear that CBT is an effective treatment for most common mental disorders. Side effects are almost never a problem and long-term success is a good. Further research is needed on combined treatment – CBT and medication. Conclusion: Numerous studies support the efficacy of CBT for common mood and anxiety disorders and its good long term effects.

Accuracy Verified: Yes

337. Swiney, U. M. (2004). The efficacy of EMDR for survivors of a natural disaster: Intervention after Hurricane Floyd. University of North Carolina at Chapel Hill. AAT 3129821.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is considered effective for civilian PTSD, but no controlled evaluation of EMDR, or any other treatment for PTSD, has been conducted with adults in a natural disaster context. Following Hurricane Floyd, 8 individuals from disaster-torn North Carolina communities were randomly assigned to 6 sessions of EMDR or a 1-month waiting list followed by treatment. All of the predominantly Caucasian, female participants met DSM-IV criteria for PTSD, and half reported moderate to severe levels of depression. Participants completed standardized self-report measures of PTSD, depression, and anxiety before and after the waiting period, or before, during (Session 4), and after the 6-week intervention. The principal investigator (PI) and blind assistants conducted a PTSD symptom interview before and after treatment and waiting period. Weekly progress was monitored with additional PTSD and depression self-report measures. The PI, a Level II-trained EMDR therapist, provided treatment. Treatment integrity, assessed by undergraduate assistants following an established checklist, was good.Compared to the untreated control condition, EMDR produced significantly larger decreases in self-reported PTSD and depression symptoms, and tended to promote greater improvement in observer-rated PTSD. However, random effects regression analyses of the secondary PTSD measure failed to detect a significant difference between the two groups. In contrast, random regression analyses confirmed a significant decrease in depression during treatment compared to the control condition. Controlled effect sizes for PTSD symptoms were large and compared favorably to research with other trauma populations. Nevertheless, despite sizeable reductions in symptoms, many clients continued to report elevated levels of PTSD even after treatment. In addition, despite random assignment, the average age of the two groups differed, and age was non-significantly but negatively associated with change in PTSD symptoms. This association, and the small size of this sample, limit the interpretation and generalizability of these findings. Thus, while results tentatively support extending EMDR to disaster survivors with depression and PTSD, this work is best considered as preliminary data. Research with a larger sample remains necessary to better evaluate both the impact of treatment and the potentially more complex treatment needs of this population. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(4-B), 2004, pp. 2116.

Keywords: Adults Americans Depressive Disorders Females Hurricane Floyd Hurricanes Posttraumatic Stress Disorders PTSD Random Clinical Trial RCT Recent Events Survivors Treatment Effectiveness

Accuracy Verified: Yes

338. Ribchester, T. (2001, May). Efficacy of EMDR in children and adolescents with PTSD symptomatology. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
This paper aims to describe on-going research on the evaluation of efficacy of EMDR as a treatment for post traumatic stress symptomatology in children who have been in road traffic accidents. Various cognitive measures were used to see which of them differentiated children who had been in road traffic accidents and developed post-traumatic stress symptomatology from those who had been in road traffic accidents and did not. Those who developed post traumatic stress symptomatology and agreed to take part in the study were then treated with EMDR. Pre and post-treatment measures of cognitive variables previously assessed were compared. Of the 12 who agreed to participate 11 were found to be free of post traumatic stress symptomatology following treatment that varied in length from 2-5 sessions.

Keywords: Adoelscents Children Efficacy Motor Vehicle Accidents Posttraumatic Stress Disorder PTSD Traffic Accidents

Accuracy Verified: Yes

339. Rodenburg, R., Benjamin, A., de Roos, C., Meijer, A. M., & Stams, G. J. (2009, November). Efficacy of EMDR in children: A meta-analysis. Clinical Psychology Review, 29(7), 599-606. doi:10.1016/j.cpr.2009.06.008.

Language: English

Format: Journal

Abstract:
The efficacy of eye movement desensitization and reprocessing (EMDR) in children with posttraumatic stress symptoms was meta-analytically examined from the perspective of incremental efficacy. Overall post-treatment effect size for EMDR was medium and significant (d = .56). Results indicate efficacy of EMDR when effect sizes are based on comparisons between EMDR and non-established trauma treatment or no-treatment control groups, and incremental efficacy when effect sizes are based on comparisons between EMDR and established (CBT) trauma treatment. The discussion focuses on future replication of EMDR findings and further research on posttraumatic stress in children.

Keywords: Children Incremental Efficacy Meta-Analysis Posttraumatic Stress Symptoms

Accuracy Verified: Yes

340. de jongh, A., & van de Oord, H. J. M. (2002). Efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of specific phobias: Four single-case studies in dental phobia. Presentation at the 80th General Session of the International Association for Dental Research, San Diego, CA.

Language: English

Format: Conference

Abstract:
Objectives: Several years ago a new treatment for anxiety related problems was introduced, named Eye Movement Desensitization and Reprocessing (EMDR). EMDR combines short exposure periods with an external distracting stimulus. The aim of this study was to examine the applicability of EMDR to trauma-based dental phobia. Methods: EMDR treatment outcome was tested with four dental phobic individuals by means of a single-subject experimental design. Pretreatment assessment included: severity of dental fear (DAS), trauma-related symptomatology (IES), occurrence and believability of negative cognitions (DCQ), and general psychopathology (SCL-90-R). A psychologist administered a clinical interview and a behavior test. Behavior tests were videotaped and rated for observed anxiety level (0-10) by a blind and independent observer. Results: Following two to three sessions of EMDR treatment three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs, and behavior changes. These gains were maintained at six weeks follow-up. In all four cases the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. Conclusion: The findings support the notion that EMDR can be an effective treatment alternative for traumatically induced dental phobia.

Keywords: Specific Phobias

Accuracy Verified: Yes

341. Hollwig, K. E. (2002). Efficacy of eye movement desensitization and reprocessing in the treatment of trauma and anxiety disorders. California State University, Long Beach, CA. AAT 1409202.

Language: English

Format: Dissertation/Thesis

Abstract:
This study evaluated the efficacy of Eye Movement Desensitization and Reprocessing for treating trauma and anxiety disorders in adult, adolescent, and child clients with or without a dissociative disorder. Participants comprised 23 California-licensed mental health professionals who possessed at least a master's degree in the mental health field and specifically had been trained in EMDR by the EMDR Institute. Each participant completed a survey questionnaire developed specifically for this study. Results indicated significant differences between EMDR and the other surveyed therapeutic approaches for overall level of efficacy in treating trauma in adults and adolescents. Significant differences between EMDR and two other approaches for treating child trauma were also revealed. A significant difference was found between EMDR and one other approach for overall level of efficacy in treating anxiety in adults and adolescents. No significant differences were found between therapeutic approaches for treating child anxiety. Directions for future research are discussed.

Keywords: Anxiety Disorders Trauma

Accuracy Verified: Yes

342. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]

Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness

Accuracy Verified: Yes

343. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.

Language: English

Format: Journal

Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]

Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

344. Lytle, R. A., Hazlett-Stevens, H., & Borkovec, T. D. (2002). Efficacy of eye movement desensitization in the treatment of cognitive intrusions related to a past stressful event. Journal of Anxiety Disorders, 16(3), 273-288. doi:10.1016/S0887-6185(02)00099-3.

Language: English

Format: Journal

Abstract:
Much of the Eye Movement Desensitization and Reprocessing (EMDR) efficacy research has been widely criticized, limiting scientific understanding of its therapeutic components. The present investigation of Eye Movement Desensitization (EMD) effectiveness included undergraduate students reporting current intrusive cognitions concerning a traumatic event. Forty-five participants received a single treatment session of either: (a) EMD, as described by Shapiro [J. Behav. Ther. Exp. Psychiatry 20 (1989b) 211], (b) an identical procedure which employed eye fixation on a stationary target, or (c) non-directive counseling. Standardized self-report, subjective rating, Daily Diary, and intrusive thought sampling measures were collected before and after treatment. Results indicated that participants in the eye fixation group reported marginally (p<.052) fewer cognitive intrusions than the non-directive group 1 week following treatment. No significant differences between the EMD and non-directive conditions or between the EMD and eye fixation conditions on this measure were found. During the treatment session, both desensitization groups were superior to the non-directive group in reducing reported vividness of the mental image of the original event. However, the non-directive group improved to the level of the two other groups by the following week. Rapid saccadic eye movements were therefore unrelated to immediate treatment effects for this sub-clinical sample, and non-directive treatment largely yielded eventual outcomes equivalent to the two desensitization conditions (Pilots).

Keywords: Biologic Markers College Students Intrusive Thoughts Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Witnesses

Accuracy Verified: Yes

345. Sellers, J. L. (1997, October). Efficacy of the eye movement desensitization procedure as compared to accelerated massed desensitization in the treatment of test anxiety. California School of Professional Psychology, San Diego, CA. ATT 9729659.

Language: English

Format: Dissertation/Thesis

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure had been widely promoted as an effective anxiety reducing treatment, yet the methodology of many studies has not been adequate to clearly investigate the procedure (Lohr, Kleinknecht, Conley, Dal Cerro, Schmidt, & Sonntag, 1992) and comparison treatments have been inappropriately applied (Lohr, Kleinknecht, Tolin & Barrett, 1995). This study compared EMDR and Accelerated Massed Desensitization (AMD), which has been empirically supported as a short term intervention in the treatment of test anxiety. All participants were screened for participation and 38 were determined test anxious, according to the Test Anxiety Inventory (TAI; Spielberger, 1980). No subjects were involved in any form of relaxation training or taking any medications to reduce anxiety at the time of their participation. All participants were recruited from college and university classes in the Orange and San Bernardino counties and were paid $10 for their participation. Six therapists and the primary investigator conducted therapy sessions for both treatments. All therapists completed the EMDR training, completed relevant reading materials for the AMD procedure, and followed protocols for both procedures throughout the therapy sessions. Participants were randomly assigned to either the EMDR or AMD treatment condition and a therapist. Participants completed the state portion of the State-Trait Anxiety Inventory (STAI; Spielberger, 1983) and the Subjective Units of Distress scale (SUD; Wolpe, 1982) measures at pre and post treatment and at pre and post in-class exam. Participants received two sessions of treatment for each of the conditions. This study hypothesized that the EMDR treatment would significantly reduce anxiety as measured by the STAI and the SUD as compared to the AMD treatment. This study also hypothesized that EMDR would significantly reduce anxiety in both treatment and in vivo settings. Supplementary hypotheses predicted that the AMD treatment would reduce anxiety in both the treatment and in vivo settings. Results indicated that students in the AMD condition experienced more anxiety reduction than students in the EMDR condition. However, both treatments were effective in reducing anxiety in both the treatment and in vivo setting, as measured by the STAI and SUD scales. These results suggest that both treatments may be effective for reducing anxiety. However, the AMD treatment led to greater reductions in anxiety, as compared to the EMDR treatment. It is suggested that further research of the EMDR procedure include suitable comparison groups in order to assess its effectiveness and allow clinicians to choose appropriate treatments based on empirical support. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(4-B), Oct 1997, pp. 2139.

Keywords: College or University Students Identified As Test Anxious Efficacy of Eye Movement vs Accelerated Massed Desensitization for Treating Test Anxiety Psychotherapeutic Techniques Sellers Test Anxiety

Accuracy Verified: Yes

346. Penarreta, L. (2011, Mayo). Eficiencia del EMDR en la psicoprofilaxis quirúrgica para disminución de los síntomas emocionales adversos, y mejoramiento del proceso de recuperación en niños de 5 a 12 anos del servicio de cirugía del hospital de niños Baca Ortiz de Quito-Ecuador [Efficiency of EMDR in the psycho surgical reduction of adverse emotional symptoms, and improvement of the recovery process for children 5 to 12 years of service children's hospital surgery Baca Ortiz in Quito, Ecuador]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
Las ideas que las personas tienen de una cirugía están impregnadas de fantasías con una excesiva carga de ansiedad que impiden un adecuado control emocional y proceso de recuperación. Una intervención quirúrgica implica un desequilibrio biológico y psicológico que requiere que la persona vuelva a lograr su estabilidad. El presente trabajo tiene como objetivo verificar que el método del EMDR (Desensibilización y reprocesamiento a través de movimientos oculares) es eficiente en la psicoprofilaxis quirúrgica logrando reducir estas ansiedades y temores en los niños de 5 a12 años del Servicio de Cirugía del Hospital de Niños Baca Ortiz que tendrán que enfrentar un acto quirúrgico. A través de la identificación de los recursos necesarios para hacer frente a cada una de estas situaciones, con el EMDR se procede a instalarlos usando estimulación bilateral y acoplándolos con la correspondiente creencia positiva permitiendo que el infante consiga una exitosa evolución pre y post-quirúrgica. Se trata de una investigación correlacional cuasi-experimental en la que se seleccionó una muestra infantil con los criterios de inclusión y exclusión, que son infantes de 5 a 12 años que requieren ser operados, y que cumplan los criterios para el tratamiento con EMDR; donde se demuestra que el 100% de los niños estudiados presentan un alto nivel de ansiedad antes de la cirugía y que luego de aplicarse este método psicoterapéutico esta sintomatología disminuye llegando a niveles bajos, observándose una evolución favorable en su recuperación. Se considera por lo tanto que el EMDR es un método eficiente en la psicoprofilaxis quirúrgica infantil.

ABSTRACT. The ideas that people have about a surgery are impregnated with fantasies and an excessive burden of anxiety that impede an adequate emotional control and recovery process. Surgery involves biological and psychological imbalance that requires a person to be able to achieve stability again. The present work aims to verify that the method of EMDR (Eye Movement Desensitization and Reprocessing) is efficient in reducing these pre surgical anxieties and fears in children patients from 5 to12 years old at Children's Hospital Baca Ortiz who will face a surgical procedure. Through the identification of resources needed to address each of these situations, EMDR is appropriate to install them using bilateral stimulation and coupling them with the corresponding positive belief allowing the child to get a successful development of pre-and post-surgical procedure. This is a quasi-experimental correlational research in which a sample was selected according to the criteria of inclusion and exclusion, infants that are 5 to 12 years who require surgery, and who meet the criteria for treatment with EMDR; which shows that 100% of the children studied, had a high level of anxiety before surgery and then applying this psychotherapeutic method these symptoms decreased to low levels, showing a favorable trend in his recovery. It is considered therefore that the EMDR is an effective method in child surgery preparation.

Keywords: Adverse Emotions, Hospital Baca Ortiz Surgery Preparation

Accuracy Verified: Yes

347. de Jongh, A., ten Broeke, E., & van der Meer, K. (1995). Eine neue entwicklung in der behandlung von angst und traumata: “Eye movement desensitization and reprocessing (EMDR)” [A new development in the treatment of anxiety and trauma: Eye movement desensitization and reprocessing (EMDR)]. Zeitschrift für Klinische Psychologie, Psychopathologie und Psychotherapie, 43(3), 226-233.

Language: Dutch

Format: Journal

Abstract:
Dit artikel presenteert een nieuwe ontwikkeling op het gebied van de psychotherapie: Eye-Movement Desensibilisatie and Reprocessing (EMDR). Dit recent ontwikkelde procedure belooft snelle en effectieve behandeling van angst-gerelateerde klachten, met inbegrip van PTSS (DSM-III-R). In essentie leidt de therapeut een serie van snelle en ritmische oogbewegingen. EMDR vergemakkelijkt cognitieve veranderingen en blijvende daling van de angst. Zoals aangegeven door middel van onderzoek en geïllustreerd door casuïstiek, kan EMDR effectief te zijn in een sessie. Tot nu toe is er geen definitieve verklaring voor de effectiviteit van deze methode. [Auteur Abstract]

This article presents a new development on the field of psychotherapy: Eye-Movement Desensitization and Reprocessing (EMDR). This recently developed procedure promises rapid and effective treatment of anxiety related complaints, including PTSD (DSM-III-R). In essence the therapist induces a series of rapid and rhythmic eye-movements. EMDR facilitates cognitive changes and lasting decrease of anxiety. As indicated by research and illustrated by case histories, EMDR can be effective in one session. Until now there is no definitive explanation for the effectiveness of this method. [Author Abstract]

Keywords: Adult Anxiety Disorders Dental Procedures Females Males Posttraumatic Stress Disorder PTSD Rape Survivors

Accuracy Verified: Yes

348. Sack, M., Lempa, W., & Lamprecht, F. (1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169 .

Language: German

Format: Journal

Abstract:
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren. In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen. Epidemiologie Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit. Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein. Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.

Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose. In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma. Epidemiology According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times. The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance. Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

349. Marx, C. (2007, Janvier). Éjaculation rapide: Une nouvelle piste thérapeutique avec l’eye-movement desensitization and reprocessing (EMDR) [Premature ejaculation: A new therapeutic with eye-movement and reprocessing Ddsensitizer (EMDR)]. Médecine Sexuelle, 1(1), 52-55.

Language: French

Format: Journal

Abstract:
Cet article est le fruit d’une étude personnelle basée sur une technique psychothérapique nouvelle, l’Eye- Movement Desensitization and Reprocessing (EMDR), appliquée à la prise en charge de l’éjaculation précoce. Le protocole thérapeutique a comporté trois consultations d’une heure, à trois semaines d’intervalle environ, précédées d’une première consultation visant à expliquer la méthode et recevoir l’accord des patients. Parmi 11 cas traités, 8 ont vu s’améliorer leur sexualité (le critère d’amélioration était le passage à une durée de rapport intravaginal « acceptable » pour les deux partenaires, avec disparition de l’anticipation négative). Deux patients n’ont remarqué aucun changement. Le dernier a dû interrompre son traitement pour une raison non liée à celui-ci. Cette expérience pilote est encourageante, et encourage à poursuivre cette recherche sur un échantillon plus large de patients.

This is the report of a pilot study of Eye-Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic method initially proposed as treatment of Post-Traumatic Stress Disorder, in 11 men with Premature Ejaculation. After an initial visit aiming to explain the principles and modalities of this therapy, and to collect the patients’ consent, each man attended 3 therapeutic sessions of one hour duration at 3 weeks interval. Eight of the 11 patients reported an increase in the duration of vaginal penetration till a length acceptable for both partners, and a disappearance of their negative anticipation. These results are encouraging, and justify to continue this research on a larger sample of patients.

Keywords: Premature Ejaculation Sexotherapy

Accuracy Verified: Yes

350. Artigas, L., & Jarero, I. (2005, March). El abrazo de la mariposa [The butterfly hug]. Revista de Psicotrauma para Iberoamérica, 4(1), 30-31.

Language: Spanish

Format: Journal

Abstract:
E.M.D.R. Son las siglas de Eye Movement Desensitization and Reprocessing, que se podría traducir como Desensibilización y reprocesamiento por medio de movimiento oculares. Se trata de un tratamiento psicoterapéutico innovador utilizado para tratar un amplio rango de patologías. Originalmente fue diseñado por F. Shapiro en 1987 para tratar el estrés postraumático y su eficacia fue probada experimentalmente para casos de abusos infantiles, violaciones, veteranos de la guerra de Vietnam y otros trastornos. Su éxito fue tan rotundo que se multiplicaron las investigaciones sobre su capacidad de curar otras patologías, demostrándose su utilidad en los trastornos que implican ansiedad, dolor crónico, duelos y fobias. Cientos de estudios de casos han sido publicados y la amplia investigación experimental realizada en EEUU y en Europa El abrazo Mariposa es una técnica de Auto control.

E.M.D.R. Stands for Eye Movement Desensitization and Reprocessing, which could be translated as Desensitization and Reprocessing Eye Movement. This is an innovative psychotherapy used to treat a wide range of pathologies. Originally designed by F. Shapiro in 1987 to treat PTSD and its effectiveness was tested experimentally for cases of child abuse, rape, veterans of the Vietnam War and other disorders. Its success was so resounding that multiplied the research on their ability to cure other diseases, proving its usefulness in disorders involving anxiety, chronic pain, grief and phobias. Hundreds of case studies have been published and extensive experimental research conducted in the U.S. and Europe The butterfly hug is a technique of self-control.

Keywords: Butterfly Hug

Accuracy Verified: Yes

351. Uribe, M. E. R., & Ramirez, E. O. L. (2006, Diciembre). El efecto de la terapia EMDR en el tratamiento de la información negativa en los pacientes que sufren depresión [The effect of EMDR therapy on the negative information processing on patients who suffer depression]. Revista Electrónica de Motivación y Emoción (REME), 9(23-24).

Language: English

Format: Magazine

Abstract:
Una investigación de las ciencias cognitivas sobre la depresión se presenta. En concreto, los pacientes con depresión mayor fueron obligados a participar en un proceso terapéutico que involucró la metodología EMDR (Eye Movement desensibilización y reprocesamiento) y los experimentos de facilitación afectiva, lo que demuestra el impacto terapéutico sobre el procesamiento emocional cognitiva acerca de la información pertinente negativo de eventos traumáticos. Los resultados mostraron un cambio significativo y también que hubo participantes que implementaron un filtro cognitivo para eliminar las palabras negativas autobiográficas. Además, se implementó un sesgo para facilitar el reconocimiento de los positivos, así como los estímulos negativos. En la sección de debate, las coincidencias entre las evaluaciones conscientes e inconscientes se analizan sobre la superación de la depresión en esta terapia.

A cognitive science research on depression is presented. Specifically, patients with mayor depression were required to participate in a therapeutic process which involved the EMDR methodology (Eye Movement Desensitization and Reprocessing) and affective priming experiments, which showed the therapeutic impact over the emotional cognitive processing about relevant negative information of traumatic events. Results showed a significant change and also that there were participants who implemented a cognitive filter to eliminate the autobiographic negative words. Further, it was implemented a bias to facilitate the recognition of positive as well as negative stimuli. In the section of discussion, coincidences between conscious and unconscious evaluations are analyzed about overcoming of depression under this therapy.

Keywords: Depression

Accuracy Verified: Yes

352. Uribe, M. E. R., & Ramírez, E. O. L. (2006, Diciembre). El uso del escalamiento multidimensional en el análisis del procesamiento adaptativo de la información mediante la psicoterapia EMDR, en personas con depresión [The use of multidimensional scaling in the adaptative processing information analysis through EMDR on subjects with depression]. Revista Electrónica de Motivación y Emoción (REME), 9(23-24). Retrieved from http://reme.uji.es/articulos/numero23/article4/article4.pdf on 4/5/2008.

Language: Spanish

Format: Journal

Abstract:
La presente investigación enmarcada en el campo de la ciencia cognitiva de la emoción, se llevó a cabo en la práctica clínica mediante estudios de caso longitudinales con dos pacientes diagnosticadas con depresión mayor. Ellas participaron en un proceso terapéutico que involucró la aproximación EMDR (por sus siglas en inglés -Eye Movement Desensitization and Reprocessing-) y en tres estudios de representación emocional depresogénica, cuyos datos se analizaron mediante la técnica de escalamiento multidimensional. Las gráficas obtenidas permitieron observar el impacto de la terapia en la organización en memoria a largo plazo de la información relacionada con sus experiencias traumáticas. Los resultados muestran que se confirmó la hipótesis y que sí se afectaron los niveles representacionales de la información emocional. En la sección de la discusión se hacen señalamientos interesantes sobre la integración de las herramientas de la ciencia cognitiva de la emoción a la práctica clínica.

A cognitive science research on depression is presented. Specifically, patients with mayor depression were required to participate in a therapeutic process which involved the EMDR methodology (Eye Movement Desensitization and Reprocessing) and affective priming experiments, which showed the therapeutic impact over the emotional cognitive processing about relevant negative information of traumatic events. Results showed a significant change and also that there were participants who implemented a cognitive filter to eliminate the autobiographic negative words. Further, it was implemented a bias to facilitate the recognition of positive as well as negative stimuli. In the section of discussion, coincidences between conscious and unconscious evaluations are analyzed about overcoming of depression under this therapy.

Keywords: Cognition Depression Emotion Multidimensional Scaling

Accuracy Verified: Yes

353. Grbesa, G., Simonovic, M., & Jankovic, D. (2010, April). Electrophysiological changes during EMDR treatment in patients with combat-related PTSD. Annals of General Psychiatry, 9(Supplement 1), S209. doi:10.1186/1744-859X-9-S1-S209.

Language: English

Format: Journal

Abstract:
1st International Congress on Neurobiology and Clinical Psychopharmacology and European Psychiatric Association Conference on Treatment Guidance
Background Efficiency of the EMDR procedure is based on a presumption of neuropsychological changes in therapeutic process.The aim of the investigation is to scann and give evidence of electroactivity changes, during the process of EMDR procedure and after finishing it. Materials and methods We have recorded a continual polygraph EEG, before, during and after EMDR therapy, in patient with combat-related PTSD. Results Before the treatment, EEG recorded basic activity of low voltage (attenuation) of 20 μV, frequency of beta range (17-26 Hz), bioccipital, with no pathologic activity. Patient had prominent vegetative symptoms (anxiety, heart rate 100/min). Background activity immediately after the treatment records the amplitude values of around 50 μV, frequency of around 11-12 Hz. After the end of the treatment background activity possesses the amplitude value of about 37 μV, holding the persistence in frequency. Conclusions If the EMDR treatment is successful, sudden increase of amplityde activity is noted imensly. This sharp border line, which signifies normal activity, appears in 2-3 seconds affter the desensitize phase. The investigation suggest that from neurophysiological point of view, cortex (in EMDR procedure), works according to the principle "all or nothing". If there is processing of traumatic memory, the activity gets completly normal. If the therapy is not successful, there are numerous artefacts, because of increased muscle activity. This kind of activity, in our investigation is marked as "Artefact therapy". The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment. Acknowledgements The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment. References EEG Asymmetry and its Clinical Correlates in PTSD, Steven Silverstein, Stewart Shankman Lea Williams, Patrick Hopkinson, Richard Bryant

Keywords: Combat Electrophysiological Change Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

354. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
"The Body Keeps the Score" (B. v.d. Kolk, 1996) Clients who suffer from traumatic stress are often afraid about disturbing and painful somatic symptoms. Structural dissociation alienates from body reactions. Nevertheless it is the body that "holds" the discomfort and painful memory of neglect and violence. Trauma Survivors tend to perceive their body as hostile. They suffer from Alexithymia deficiency of interpreting the meaning of body reactions and muscle activation. Trauma Survivors are easily irritated and tend to react with rage on very slight provocations and freeze when they are frustrated. Even minor problems cause fear and helplessness. The Polyvagal Theory (S. Porges 2010) proves the neurological aspect of behavioral patterns. Neurozeption describes how we perceive others in a neurological way. Certain behavioral patterns are established through life experiences. This research underlines Francine Shapiros AIP model and confirms the importance of a body orientated approach. We know that experiencing the effect of eye movement -‐ and other bilateral stimulation, is a gentle and powerful way to bring the voice of the body into the therapeutic space. EMDR helps to integrate cognitive, emotional and body sensations. Using movement and body orientated skills in difficult processes f.e. with severely and/or early traumatised clients, even enhances the effect of EMDR. Content of the Workshop: Short theoretical implications: Polyvagal Theory and AIP Model. Stabilisation and Movement -‐ creating a „Moving Container“: How to create a safe place of relationship and attachment between the client and the therapist by using movement and bodywork? The body is the most powerful resource: How to use movement to access this power. How to recognize and dissolve dissociation by body and movement awareness. EMDR Process and Movement : How to widen the „window of tolerance“ by using movement and deeper levels of body consciousness. Adding a fourth level of attention to the EMDR process: cognition -‐ emotion -‐ body scan -‐ movement. Movement and reflex feedback as interweave technique in difficult processes. Methods used in the Workshop: Lecture and Video Presentation. Practical demonstration of some movement orientated techniques. Discussion.

“El cuerpo lleva la cuenta” (B. v.d. Kolk, 1996), los clientes que sufren de estrés traumático tienen a menudo miedo sobre sus síntomas somáticos preocupantes y dolorosos. La disociación estructural aliena las reacciones del cuerpo, sin embargo es el cuerpo el que “mantiene” el disconfort y el recuerdo doloroso de negligencia y violencia. Los supervivientes a un trauma suelen tender a percibir su propio cuerpo como hostil. Sufren de Alexitimia, deficiencias para interpretar las señales corporales y la activación muscular. Son fácilmente irritables y tienden a reaccionar con ira, con leves provocaciones y se “congelan” cuando están frustrados. Incluso problemas de fuerza menor causan miedo y desesperanza. La teoría polivagal (S. Porges 2010) prueba el aspecto neurológico de los patrones de comportamiento. La neurocepción describe cómo percibimos a los otros desde un punto de vista neurológico. Ciertos patrones de comportamiento están establecidos a través de las experiencias vitales. Esta investigación se basa en el modelo SPIA de Francine Shapiro y confirma la importancia del enfoque orientado al cuerpo. Sabemos que al experimentar el efecto de la estimulación ocular, y otras estimulaciones bilaterales, es un camino poderoso y suave para traer la voz del cuerpo dentro del espacio terapéutico. EMDR facilita la integración cognitiva emocional y corporal. Usar el movimiento y las habilidades orientadas al cuerpo en los procesos difíciles con clientes traumatizados, severamente o tempranamente, incluso amplifica el efecto terapéutico del EMDR Contenido del taller: Implicaciones teóricas: Teoría Polivagal y modelo SPIA Estabilización y movimiento – Crear un “recipiente de movimiento” Cómo crear un lugar seguro en relación al apego entre el cliente y el terapeuta usando movimiento y trabajo corporal. El cuerpo es el recurso más poderoso: Cómo usar el movimiento para acceder a este poder. Cómo reconocer y disolver la disociación en el cuerpo y la atención al movimiento. Procesamiento EMDR y movimiento: Cómo ampliar la "ventana de tolerancia" mediante el uso de movimientos y niveles más profundos de la conciencia del cuerpo. Añadir un 4 nivel de atención al procesamiento de EMDR: Cognición-‐Emoción-‐ Escáner corporal-‐movimiento.

Keywords: Body Oriented Therapeutic Interweaves

Accuracy Verified: Yes

355. Hofmann, A., & Hase, M. (2012, June). EMDR to treat chronic depression [EMDR en el tratamiento de la depresión]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Depression is an often debilitating disease with a high prevalence. Not only is depression associated with other diseases, often leads into disability but shows a high risk of suicides. Relapse is seen often and every relapse increases the risk of chronicity. Research shows that there is no strong correlation with genetic factors but with stressful life-‐events. There is growing evidence of the efficacy of EMDR in the treatment of chronic depression. Two pilot studies show promising data. A European multicenter study is running since 2010. As EMDR is often well tolerated and accepted there is hope to gain another option in the treatment of chronic depression. The EMDR depression protocol aims to achieving more complete remissions of a depressive episode and prevent later relapse. In this workshop the presenters will explain the depression protocol, regarding treatment planning, targeting sequence and techniques. Video demonstration will outline the teaching points and will enable the participant to integrate this approach into clinical practice.

La depresión es a menudo una enfermedad debilitante con una alta prevalencia. No sólo se asocia a otras enfermedades, en muchas ocasiones puede derivar en una invalidez y muestra un alto riesgo de suicidios. Las recaídas son muy comunes y cada recaída incrementa el riesgo de la cronicidad. Las investigaciones muestran que no existe una fuerte correlación entre los factores genéticos, pero sí con eventos vitales estresantes. Existe una creciente evidencia de la eficacia del EMDR para el tratamiento de la depresión crónica. Dos estudios piloto muestran datos prometedores en un centro multidisciplinar que lleva funcionando desde 2010. Como la terapia con EMDR normalmente es bien tolerada y aceptada, existe la esperanza de contar con otra opción para el tratamiento de depresión crónica. El protocolo de depresión crónica EMDR, tiene como objetivo conseguir una más completa remisión de los episodios depresivos y prevenir las recaídas. En este taller los ponentes explicarán el protocolo de depresión referente a la planificación del tratamiento, detección de secuencias y técnicas. Una demostración en vídeo resumirá las pautas de actuación y permitirá al profesional integrar este enfoque en la práctica clínica.

Keywords: Depression

Accuracy Verified: Yes

356. Smyth, N. J., & Rogers, S. (2002, June). EMDR & cognitive behavior therapy: Exploring shared and distinctive active components. Open discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
There has been extensive debate about the active treatment components involved in Eye Movement Desensitization & Reprocessing (EMDR); one commonly stated perspective is that EMDR is simply a repackaged cognitive behavior therapy (CBT). This discussion will explore the active components of EMDR and CBT for the treatment of PTSD. In order to provide a shared context for discussion, it will begin with a brief overview of the interventions (EMDR, Exposure, Stress Inoculation Therapy), including some video clips of the interventions. Following this, key questions will be presented for discussion by the entire group, such as: "What shared components are evident?" "What research designs would be appropriate to evaluate components?" "What process and outcome measures might be included to shed light on mechanisms?" Participants will be also encouraged to offer their own questions for discussion.

Keywords: Cognitive Behavior Therapy Integrative Treatment Models Open Discussion Psychotherapy Mechanisms

Accuracy Verified: Yes

357. Cowart, M. (2011, August). EMDR & embodied cognition: The search for theoretical mechanisms and increased explanatory power. Poster presented at the annual conference of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
A growing number of clinical studies indicate that EMDR is an effective intervention for PTSD. Yet, despite these successes, researchers do not fully understand exactly how the EMDRprotocol works. Specifically, researchers are still trying to isolate the mechanisms that explain how EMDR facilitates cognitive change by diminishing the severity of traumatic memories resulting from PTSD. Proponents of EMDRclaim that this promissory note will be answered as research progresses and the mechanisms are uncovered, while critics claim that these cognitive mechanisms will not be found because the BMDW protocol is inherently flawed.

Keywords: Mechanisms of Action Poster

Accuracy Verified: Yes

358. Herbert, C. (2008, June). EMDR & positive psychology. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
There has been increasing academic interest and growth in the field of Positive Psychology in recent years. Despite this, applied Clinical Psychology, Psychiatry and much of therapeutic practice and academic research in Europe remains focused on the diagnosis and treatment of pathology and dysfunction and the reduction in symptoms frequently used as the sole outcome measure. Most of EMDR research and practice also follows this pattern. While, achievement of symptom relief is clearly of great importance, often especially situations, which confront individuals with great inner pain, such as a life crisis or present or past trauma, have the potential to move a person into a process of enormous inner growth and positive life development. People can become more authentic, accepting and loving of themselves. This, in turn, frequently, has a very positive effect on people’s functioning in life, including improvements in their interpersonal relationships, feelings of inner happiness and greater contentment and fulfilment. This workshop introduces concepts and findings from the field of Positive Psychology and explores how these can be incorporated into the practice of EMDR to facilitate positive inner growth, the development of a more authentic Self and help individuals attain greater, personal meaning in their lives.

Keywords: Positve Psychology

Accuracy Verified: Yes

359. Heitzler, M. (2008, November). EMDR עם פסיכותרפיה הגוף [EMDR with body psychotherapy]. לגוף עיניים - Models for EMDR treatement with Enhanced Focus on the Body, Tel Aviv, Israel.

Language: Hebrew

Format: Conference

Abstract: Heitzler introduces the principles and techniques Moorish combination of EMDR psychotherapy through the body. Lecture rich clinical examples illustrating the combination of the tools of both methods.

Keywords: Body Psychotherapy Moorish Combination

Accuracy Verified: Yes

360. Ersen, M., & Cumartesi, H. (2009, Aralık). EMDR İle kronik başağrılarına son [EMDR with chronic headaches]. Aktüel Psikoloji.

Language: Turkish

Format: Other

Abstract:
EMDR, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici deneyimlerin neden olduğu duygusal sorunlarda kullanılan psikolojik bir yöntem. Ayrıca fobi, performans kaygısı, panik bozukluk, yas, kronik ağrı ve başka sorunların tedavisinde de uygulanıyor. Davranış Bilimleri Entitüsü uzmanları, yöntemi kullandıkları kişilerin migren ve kronik baş ağrılarının azaldığını tespit edince migren hastalarıyla bir çalışma başlattı. Gaziosmanpaşa Hastanesi’nden en şiddetli migren hastalarını kendilerine yönlendirmelerini istediler. 10 hastaya EMDR uyguladılar. Hastalarda atak şiddeti, sıklığı, süresi ve alınan ilaçlarda ciddi düşüşler oldu.

EMDR, war stress, harassment, or natural disasters experienced in childhood, such as the irritating experience distressing events caused by psychological methods used in emotional problems. In addition, phobias, performance anxiety, panic disorder, age, in the treatment of chronic pain and other problems are being implemented. Behavioral Sciences Entitüsü experts, the method they use people and chronic migraine headaches migraine patients reduced their study found that when launched. The most severe migraine patients themselves Gaziosmanpaşa Hospital referrals wanted. 10 hastaya EMDR uyguladılar. EMDR applied to 10 patients. Attacks in patients with severity, frequency, duration and had taken drugs for serious decline.

Keywords: Emre Konuk Headaches Migraines

Accuracy Verified: Yes

361. Kavakci, O., Dogan, O., & Kugu, N. (2010, September). EMDR (Göz hareketleri ile fuyarsızlaştırma ve yeniden işleme): Psikoterapide farklı bir deçenek [EMDR (eye movement desensitization and reprocessing): A different option in psychotherapy]. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 23(3), 195-205. doi:doaj.org/doaj?func=openurl&genre=article&issn=10188681&date=2010&volume=23&issue=3&spage=195.

Language: Turkish

Format: Journal

Abstract:
Göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and Reprocessing), son yıllarda oldukça ilgi çeken terapi yöntemlerinden biridir. Bu ilginin bir nedeni, özellikle Travma Sonrası Stres Bozukluğu (TSSB) tedavisindeki etkinliğinin pek çok çalışma ile gösterilmiş olmasıdır. EMDR, bilgi işleme süreçlerini kolaylaştıran ve travmatik anı parçalarının bütünleşmesini sağlayan yenilikçi bir terapi yöntemidir. Bu yaklaşımla bilginin gelecekte daha iyi işlevsellik sağlayacak şekilde işlenmesi sağlanır. Son yıllarda, tedavi kılavuzlarında ve meta analizlerinde EMDR, önerilen tedaviler arasında belirtilmektedir. Travma ve sonrası bozuklukların görülme sıklığı oldukça yüksektir. Buna karşın, Türkçe alanyazında bu bozuklukların tedavi seçenekleri ile ilgili yayınlar oldukça sınırlıdır. EMDR’nin etki mekanizması henüz tam olarak aydınlanmamıştır. Shapiro bir uyumsal bilgi işleme modeli önermiştir. Daha sonra, çeşitli araştırmacılar laboratuvar ve görüntüleme yöntemlerine dayanan çeşitli nörobiyolojik modeller önermişlerdir. Bu çalışmada, EMDR ve sekiz evresi açıklanmış, bir olgu örneği, seans kayıtları ile sunularak uygulaması gösterilmiş ve bu tekniğin çalışma biçimi açıklanmış, etki mekanizması ile ilgili önerilen nörobiyolojik modeller özetlenmiş, Türkiye’de EMDR ile yapılan az sayıdaki yayın gözden geçirilmiştir. Bu tekniğin ruh sağlığı çalışanlarının uygulamalarına daha çok girmesi, hem uygulayıcıların psikiyatrik bozukluklar üzerindeki yetkinliklerini arttıracak hem de travma ve benzeri bozukluklardan yakınan hastalara hızlı iyileşme şansı verecektir.

In recent years, there has been an interest in using the EMDR (Eye Movement Desensitization and Reprocessing) therapy. One of the reasons for this interest may be its effectiveness shown by numerous studies, especially, conducted with individuals who suffer from Post Traumatic Stress Disorder (PTSD). The EMDR is known to be an innovative approach that accelerates information processing and facilitates the integration of fragmented traumatic memories. This process is stated to allow better integration of the information that a person has to handle in the future. Recent practice guidelines and meta-analyses have designated the EMDR as a first-line treatment for trauma. Although the prevalences of trauma and trauma related disorders are high in Turkey, there has been a limited number of published studies highlighting treatment options. The EMDR’s mechanism of action has not yet been fully explained. Shapiro has proposed an adaptive information processing model. Later, based on laboratory and neuroimaging methods, a number of neurobiological models have been suggested. The present study explained the EMDR and its eight-phases. A case example with session records was provided to show the application and operation of the technique. After that, leading neurobiological models which attempt to explain the mechanisms of action of the EMDR were summarized. Finally, few studies conducted in Turkey using the EMDR were reviewed. Given the effectiveness of the EMDR regarding trauma and related disorders, the utilization of the technique by a broad number of mental health professionals may not only increase the professionals’ competency on psychiatric disorders, but also may provide patients suffering from these disorders a chance to recover in a relatively short period of time.

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD Therapy

Accuracy Verified: Yes

362. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.

Language: Danish

Format: Dissertation/Thesis

Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet af flere internationalt anerkendte forskere. Derudover en betydelig stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv måde at behandle PTSD. I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske fejl og mangler i metoder til forskning og objektivitet. Som EMDR synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet, to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet, som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer, der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR, vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen rundes af med en bred debat og en efterfølgende konklusion. Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks negative og invaderende tanker og derfor EMDR kan anbefales som en mulig valg af behandling, og bekvemt som et supplement. At den teoretiske fundament af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.

This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The Cure of PTSD. Worldwide several national health organizations recommend EMDR as the treatment for clients suffering from PTSD, and this recommendation is supported by several internationally recognized academics. Additionally a considerable large number of researches have been published, showing that EMDR is an effective way of treating PTSD. At first, the preliminary question should be easy to answer, had it not been due to the cutting contrast found in several other published researches and articles claiming that EMDR is not effective and is next to being a fraud. This criticism indicates academic errors and deficiencies in methods of research and objectiveness. As EMDR seems to divide the academic societies into “who´s for and who´s against”, the preliminary question is not answerable at first. In approaching an answer to the question, two theoretical parts will be represented. In the first main part, the diagnosis of PTSD will be taken through. The diagnosis is rather new and contains a complexity, which is necessary to uncover, before presenting the theoretical foundation of EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD has replaced the concept of crisis in practice, whereas former separated diagnoses are included in PTSD today. As an example it has led to, mentally stable persons, who have been traumatized, are diagnosed with the same diagnosis as traumatized persons suffering from severe personality disorders. For example this constellation makes it difficult to research the efficiency of the therapies, as the same therapies can result differently according to which group of persons in question. Having taken the diagnosis of PTSD through, the second theoretical main part which is on EMDR, will be presented. At first, in this part, the theoretical foundation of EMDR will be presented to obtain a better perspective of the following criticism. The dissertation closes with a broad discussion and a subsequent conclusion. Among others, the dissertation concludes that EMDR works effectively on isolated symptoms of PTSD to quite some length. EMDR works effectively on flashbacks, negative and invading thoughts and therefore EMDR is recommendable as a possible choice of therapy, conveniently as a supplement. That the theoretical foundation of the effectiveness of EMDR should not be only a variant of cognitive exposure therapy is, however, very frail and lacks an independent evidence-based research.

Keywords: Literature Review

Accuracy Verified: Yes

363. Hensel, T. (2008). EMDR - Eye movement desensitization and reprocessing. In M. A. Landolt & T. Hensel, (Hg) Traumatherapie bei Kindern und Jugendlichen [Trauma therapy in children and adolescents] (s. 61-83) Gottingen: Hogrefe.

Language: German

Format: Book Section

Abstract:
Im vorliegenden Buch werden in einer umfassenden Übersicht die aktuellen Methoden der Traumatherapie im Kindes- und Jugendalter detailliert vorgestellt. Namhafte und erfahrene Vertreter der verschiedenen Therapieverfahren präsentieren die theoretischen Grundlagen, das therapeutische Vorgehen sowie den Stand der wissenschaftlichen Evidenz der einzelnen Methoden und illustrieren den Therapieansatz anhand von Fallbeispielen. Dargestellt werden sowohl ambulante als auch stationäre Behandlungsansätze, wie beispielsweise die traumafokussierte kognitiv-behaviorale Therapie, EMDR, die Narrative Expositionstherapie für Kinder, die traumazentrierte Spieltherapie, die psychodynamisch imaginative Traumatherapie für Kinder usw. Erstmalig im deutschen Sprachraum liegt damit eine praxisnahe und umfassende Übersicht über die verschiedenen Verfahren der Traumatherapie im Kindes- und Jugendalter vor. Das Buch kann nicht nur von Psychotherapeuten mit Gewinn gelesen werden, sondern gibt auch allen anderen Fachpersonen, die mit traumatisierten Kindern arbeiten, wichtige Informationen zur Behandlung von Traumafolgestörungen.

In this book are presented in detail in a comprehensive overview of the current methods of trauma treatment in childhood and adolescence. Well-known and experienced representatives of the various treatment methods present the theoretical bases, the therapeutic approach, and the available scientific evidence of each method and illustrate the therapeutic approach with case studies . Shown are both outpatient and inpatient treatment approaches, such as cognitive- behavioral therapy traumafokussierte, EMDR, narrative exposure therapy for the children who traumazentrierte play therapy, the psychodynamic imaginative trauma therapy for children, etc. For the first time in the German language so that there is a practical and comprehensive overview over the different methods of trauma treatment in childhood and adolescence. The book can be read with profit not only by psychotherapists, but also all other professionals who work with traumatized children, important information for the treatment of traumatic stress disorders.

Keywords: Children Adolescents

Accuracy Verified: Yes

364. Shapiro, F. (1999). EMDR - Grundlagen und praxis: Handbuch zur behandlung traumatisierter menschen [Eye movement desensitization and reprocessing (EMDR): Basic principles, protocols, and procedures]. Paderborn: Junfermann Verlag GmbH & Co.

Language: German

Format: Book

Abstract:
EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode und ist eine unverzichtbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren.

EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method and is an essential reading for all clinicians and researchers interested in working with trauma victims

Keywords: Trauma

Accuracy Verified: Yes

365. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]

This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]

Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

366. Shapiro, F. (2002, January). EMDR 12 years after its introduction: Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]

Keywords: Cognitive Processes Literature Review Posttraumtic Stress Disorder PTSD Research Needs

Accuracy Verified: Yes

367. Fernandez, I. (2008). EMDR after a critical incident: Treatment of a tsunami survivor with acute posttraumatic stress disorder. Journal of EMDR Practice and Research, 2(2), 156-159. doi:10.1891/1933-3196.2.2.156.

Language: English

Format: Journal

Abstract:
Research indicates that EMDR is effective for the treatment of PTSD, with numerous studies showing a high percentage of symptom remission after 3 sessions. The case of a tsunami survivor with acute PTSD is presented. Treatment for overt trauma symptoms was completed within 3 sessions, including all 8 phases and the 3-pronged protocol (i.e., past, present, future targets). One EMDR session was sufficient to process the trauma and alleviate the related symptoms, while another session was necessary for re-evaluation and processing present triggers and future templates. Resource installation was particularly helpful to prepare him for those future situations that had been generating anxiety as a result of his traumatization. [Author Abstract]

Keywords: Adults Brief Psychotherapy Case Report Disaster Disaster-Response Indian Ocean Tsunami Italians Males Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Recent Events Survivors Trauma Tsunamis

Accuracy Verified: Yes

368. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag. In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn. Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt. Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen. Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.

On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior. In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance. When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration. Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease. Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.

Keywords: Forensic Examination Violent Behavior

Accuracy Verified: Yes

369. Shapiro, F. (2005, December). EMDR and adaptive information processing: Clinical applications and case conceptualization. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA.

Language: English

Format: Conference

Abstract: EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions from participants will be used to explore potential clinical applications.

Keywords: Adaptive Information Processing Model Adolescents AIP Cognitive Processes Family Systems Therapy Females Integrative Psychotherapy Memories Psychotherapeutic Processes Self Concept Video

Accuracy Verified: Yes

370. Shapiro, F. (2005, December). EMDR and adaptive information processing: Clinical applications and case conceptualization. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA.

Language: English

Format: Conference

Abstract:
EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions from participants will be used to explore potential clinical applications.

Keywords: Adaptive Information Processing AIP Case Conceptualization

Accuracy Verified: Yes

371. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.

Keywords: Analyitical Psychology Case Study Imagery Imaginal Jungian Analysis Mind-Body Observation Symposium

Accuracy Verified: Yes

372. Foster, S. (1999). EMDR and assisting athletes in coping with a critical incident. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
This symposium presentation focuses on Eye Movement Reprocessing and Desensitization (EMDR) as an intervention to assist an athlete in recovering from the distressing effects of a critical incident and the adverse impact that such an event can have on the athlete's performance. Two cases will be presented; that of a major league baseball player and a male pair skater and national competitor. Each experienced a life threatening critical incident which triggered symptoms of posttraumatic stress disorder. The EMDR methodology was first used as a treatment for trauma, its original utilization. However, the extension of the EMDR protocol for performance enhancement was also employed, to help restore the athlete's desire for engaging in his sport and to provide mental rehearsal for future participation. The presenter will also discuss the current EMDR neurophysiological research, and the relevance of this method of enhancing athlete performance.

Keywords: Athletes Critical Incident Recent Events Symposium

Accuracy Verified: Yes

373. Smyth, N. J., & Poole, A. D. (2002). EMDR and cognitive-behavior therapy: Exploring convergence and divergence. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 151-180). Washington, DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
Since first introduced by Shapiro, eye movement desensitization and reprocessing (EMDR) has been the subject of considerable interest, debate, and controversy within the behavioral literature. In this chapter, EMDR is examined from a behavioral perspective with the goal of exploring connections between it and behavior therapy. Since its initial introduction as an intervention for PTSD, EMDR has been expanded and is used to treat a range of other disorders. The present discussion centers on its application in the management of PTSD for two reasons: First, PTSD is the diagnostic category on which the majority of research studies have focused. Second, empirical research has determined that EMDR and cognitive-behavioral therapy (CBT) are efficacious in the treatment of PTSD; they seem to be equally effective, although EMDR may be more efficient.The chapter begins with a brief consideration of the development and essential principles of behavior therapy and of the manner in which behavioral approaches have conceptualized PTSD. This context is essential to understanding how EMDR is conceptualized from a behavioral perspective. The relationship between EMDR and behavior therapy is then explored and mechanisms for its apparent effectiveness considered. Finally, contributions of behavior therapy to EMDR and of EMDR to behavior therapy are discussed, including challenges that each poses to the other. [Text, pp. 151-152]

Keywords: Adults Cognitive Therapy Posttraumtic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

374. 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

375. Dodgson, P. (2009, March). EMDR and diversity. Keynote presented at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract: In this keynote address, Philip Dodgson will outline some of the ways in which EMDR has been developed through the application of the Adaptive Information Processing model to new areas of clinical practice. Drawing on clinical material and published research, Philip will include case material from work in the National Health Service, private practice and the EMDR Humanitarian Assistance Program. Case material will include work with people in a setting of ongoing conflict, people involved in gender re-assignment, and people who experience hearing voices. EMDR and diversity will be explored not only in terms of current clinical work but also as a challenge for the future, both in clinical practice and in encouraging and training EMDR practitioners from a wide range of backgrounds.

Keywords: Diversity

Accuracy Verified: Yes

376. Shapiro, E. (2012). EMDR and early psychological intervention following trauma. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 241-251. doi:10.1016/j.erap.2012.09.003.

Language: English

Format: Journal

Abstract:
Introduction: This article evaluates developments in the field of early psychological intervention (EPI) after trauma in general and the place of early eye movement desensitization and reprocessing (EMDR) intervention (EEI) in particular. The issues and dilemmas involved with EPI and EEI will be outlined; related research presented and the current status evaluated. Literature and clinical findings: Reviewing the literature and drawing on findings from initial research and case studies, the rationale and contribution that EMDR therapy has to offer is discussed relative to current evidence and theory regarding post-traumatic stress syndromes and trauma memories. The relative advantages of EEI will be elaborated. Discussion and conclusion: It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Through the rapid reduction of intrusive symptoms and de-arousal response as well as by identifying potential obstructions to adaptive information processing (AIP), EMDR therapy may reduce the sensitisation and accumulation of trauma memories.

Keywords: Early Psychological Intervention EPI Trauma

Accuracy Verified: Yes

377. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.

Language: English

Format: Other

Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD. Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice. Goals 1. Participants will gain understanding of neuroscience’s trauma paradigm · Biological nature of trauma · Specific trauma symptoms and their order of appearance · Primary treatment issues in trauma therapy. 2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including: · Hyperarousal · Affect dysregulation · Dissociation · Body memories and “flashbacks” 3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material. Objectives 1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms. 2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”. 3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR 4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy. 5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol. 6. Participants will describe the differences between eye movement, auditory and tactile stimulation. 7. Describe the process for resourcing a client prior to actual processing traumatic material. 8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.

Keywords: Practice Theory

Accuracy Verified: No

378. 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

379. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2003, January). EMDR and exposure plus cognitive restructuring are found effective in treating PTSD. Clinician's Research Digest, 21(1), 2.

Language: English

Format: Newsletter

Abstract: Compared the effectiveness of eye movement desensitization and reprocessing (EMDR) versus exposure plus cognitive restructuring (ECR) versus a waiting list (WL) in treating posttraumatic stress disorder. This research appeared in Clinical Psychology and Psychotherapy, 9, 299-318.

Keywords: Cognitive Restructuring Exposure Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

380. 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

381. McNeal, S. (2001, January-April). EMDR and hypnosis in the treatment of phobias. Eye movement and desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 263-274. doi:10.1080/00029157.2001.10404281.

Language: English

Format: Journal

Abstract:
Clinical hypnosis and EMDR have both been employed in the treatment of phobias. EMDR has been a controversial treatment method with the research showing mixed results concerning its efficacy. Many studies have shown the effectiveness of hypnosis in the treatment of phobias, but no studies have directly compared hypnosis to EMDR. This paper discusses each approach to treatment, with special emphasis on EMDR. Relevant research and current theories are reviewed along with questions raised and recommendations for future research. (ASCH)

Keywords: Hypnotherapy Phobias Review

Accuracy Verified: Yes

382. Whalen, J. E. (1999, September). EMDR and hypnosis: A theoretical and clinical investigation. University of Tennessee, Knoxville, TN. AAT 9923344.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a controversial new treatment for anxiety disorders that is proported to evince rapid and lasting treatment gains. EMDR theorists argue that humans have an innate biological drive to process events and their memories into adaptive and useful forms. Traumatic memories become "stuck" and unprocessed, resulting in a host of psychopathological symptoms. EMDR's curative power rests primarily in the eye movements. Shapiro argues that the eye movements directly access and alter traumatic memories at a neurophysiological level. Memories are then processed down into adaptive forms, with a concomitant abatement of symptoms. Research supports the clinical efficacy of EMDR. However, there is much debate as to the actual mutative element in the EMDR protocol. Support for eye movements playing a curative role is meager and equivocal. This study examines the proposition that the primary mutative component of EMDR is response to suggestion. Specifically, this study proposes that the EMDR treatment protocol is laced with suggestion for improvement. Highly hypnotizable individuals will respond to these suggestions even though EMDR is an explicitly nonhypnotic treatment. That is, subjects will improve to the extent they respond to suggestion. Further, this study tests the viability of Shapiro's eye movement theory. An eye movement condition is compared to an eye fixation condition in terms of treatment outcome. Results indicate a positive correlation between subjects' hypnotizability and treatment outcome. In addition, eye movement conditions were as efficacious as eye fixation conditions where treatment outcome is concerned. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1319.

Keywords: Anxiety Disorder Anxiety Disorders Effectiveness Empirical Study Hypnotic Susceptibility Hypnotizability Treatment Outcomes Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

383. Lanius, U. F. (2008, June). EMDR and information processing: Towards a neurobiological model. Keynote presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Recent neuroscience research is discussed with a view towards increasing our understanding of underlying neurobiological processes with respect to traumatic stress syndromes and EMDR treatment. Moreover, the relevant neuroscience research and theory with regard to learning, memory and information processing is reviewed, with a view towards integrating Shapiro's Adaptive Information Processing Model and EMDR clinical practice with current theory and research in the field of neuroscience.

Keywords: Keynote Neurobiology

Accuracy Verified: Yes

384. Lanius, U. (2009, May). EMDR and information processing: Towards a neurobiological model. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Keywords: Neurobiology

Accuracy Verified: Yes

385. Rasolkhani-Kalkorn, T., & Harper, M. L. (2006, March). EMDR and low frequency stimulation of the brain. Traumatology, 12 (1), 9-24. doi:10.1177/153476560601200102.

Language: English

Format: Journal

Abstract:
Laboratory research on animals indicates that the potentiation of synapses in various areas of the limbic system is the primary step in fear memory formation. Depotentiation of these synapses can result in erasure or modification of these memories. The principal mechanism for depotentiation is induction of low frequency stimulation (LFS). This research has also shown that during memory recall, potentiated circuits within the limbic system become labile, and more vulnerable to depotentiation. The authors propose that LFS can be induced in the human brain during eye-movement desensitization and reprocessing therapy (EMDR), and that this can lead to quenching or modification of fear memory traces. Hence, the authors theorize that this process is the main biological basis for the therapeutic effects of EMDR. [Author Abstract]

Keywords: Neurophysiology Transcranial Magnetic Stimulation

Accuracy Verified: Yes

386. van den Hout, M. A., Engelhard, I. M., Beetsma, D., Slofstra, C., Hornsveld, H., Houtveen, J., & Leer, A. (2011, December). EMDR and mindfulness. Eye movements and attentional breathing tax working memory and reduce vividness and emotionality of aversive ideation. Journal of Behavior Therapy and Experimental Psychiatry, 42(4), 423-431, doi:10.1016/j.jbtep.2011.03.004.

Language: English

Format: Journal

Abstract:
Methods. Working memory taxation by EM and AB was assessed in healthy volunteers by slowing down of reaction times. In a later session, participants retrieved negative memories during recall only, recall + EM and recall + AB (study 1). Under improved conditions the study was replicated (study 2). Results. In both studies and to the same degree, attentional breathing and eye movements taxed working memory. Both interventions reduced emotionality of memory in study 1 but not in study 2 and reduced vividness in study 2 but not in study 1. Limitations. EMDR is more than EM and MBCT is more than AB. Memory effects were assessed by self reports. Conclusions. EMDR and MBCT may (partly) derive their beneficial effects from taxing working memory during recall of negative ideation

Keywords: Attentional Breathing Mindfulness Working Memory

Accuracy Verified: Yes

387. Welch, K. L. (2007, August). EMDR and neuroscience research: Some questions and implications for psychotherapy integration. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
Since its introduction, Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro, 1989) has received the attention of many mental health professionals. There has been much critical debate on the subject of EMDR. Most of the clinical discussion has centered on the role of EMDR in the treatment of Posttraumatic Stress Disorder (PTSD). While the EMDR procedure has been compared to Mesmerism (McNally, 1999), declared as pseudoscience (Herbert, Lilienfeld, Lohr, Montgomery, O’Donohue, Rosen, and Tolin, 2000), or regarded as a highly marketed placebo (Lilienfield, 1996), most studies support the efficacy of EMDR in treating PTSD (Ironson, Freund, Strauss, and Williams, 2002; Lee, Gavriel, Drummond, Richards, and Greenwald, 2002; Marcus, Marquis, and Sakai, 1997; Rothbaum, 1997; Van Etten and Taylor, 1998; Wilson, Becker, and Tinker, 1997). There has been some evidence for accompanying physiological changes in PTSD subjects treated with EMDR with patterns of cortex functioning, (Levin, Lazrove, and van der Kolk, 1999; Nicosia, 1994) event-related potential changes (Lamprecht, Kohnke, Sack, Matzke and Munte, 2004), as well as positive effects on the level of the stress hormone cortisol (Haber, Kellner and Yehuda, 2002).

Keywords: Neuroscience

Accuracy Verified: Yes

388. Zaccagnino, M. & Cussino, M. (2012, June). EMDR and parenting: A case-report [EMDR y crianza de los hijos: Un informe de caso]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Attachment research has investigated the role of parents’ attachment representation on the quality of attachment developed by their children (George, Kaplan e Main, 1984/1985/1996; van Ijzerdoorn, 1995). Past research on children has shown that there is an association between problematic care-‐giving, attachment insecurity and psychopathology (e.g., Greenberg, 1999; O’Connor, Marvin, Rutter, Olrick, & Britner, 2003; Rutter, 2006). On the other hand, secure attachment in childhood and adulthood is typically associated with a history of involvement in supportive and sensitive care giving relationships (Cairns, 2002; Mikulincer & Shaver, 2007). The results lead to the hypothesis of the intergenerational transmission of attachment identified by van Ijzendoorn (1995). These studies, however, failed to explain why insecure attachment in the parent does not necessarily lead to an insecure attachment pattern of the child, nor why children can develope insecure patterns of attachment even in the case of positive attachment experiences with caregivers (Solomon e George, 2000). In the light of these considerations, and recovering an aspect sharpened by Bowlby (1969), George and Solomon (1999; Solomon e George, 2000) proposed a different approach to the study of parent-‐child relationship, point up the differences between the attachment system and the caregiving system, despite the mutual influences due to their complementarity. These authors have proposed to investigate the specific characteristics of the system of caregiving, paying more attention to the current relationship between child and parent. Their hypothesis is that the characteristics of that relationship may affect the link between past attachment experiences of the caregiver and attachment pattern developed by the child, representing a significant element for understanding the behavior and the quality of the care of the caregiver. Therefore, the IWM of the parent would be the most important predictor of the quality of attachment developed by the children, as capable of driving the mental state of the caregiver to him (Solomon e George, 1996). Given these assumptions, it is clear that traumatic experiences in the parent, stored in a dysfunctional way, can be reactivated in the parent’s caregiving system, defining an IWM of attachment system of the child that holds the memory traces of such traumatic events. In this regard, a series of tools such as the Child Attachment Interview (Target et al. 2007) and the Parent Development Interview (Slade et al. 1993) which constitute a needful resource for the assessment of IWM of attachment and caregiving system will be presented. A clinical case in which mother in EMDR treatment had an indirect positive effect on mother-‐child relationship and on the child’s wellbeing will be reported. The results have been documented and show clear changes in the mental representations of the caregiving system measured with PDI. The results will be shown.

La investigación sobre el apego ha proporcionado representaciones del rol del apego parental en función de la calidad del apego desarrollado por sus hijos (George, Kaplan e Main, 1984/1985/1996; van Ijzerdoorn, 1995). Investigaciones anteriores han mostrado que existe una asociación entre los cuidadores problemáticos y el apego inseguro y la psicopatológica (e.g., Greenberg, 1999; O’Connor, Marvin, Rutter, Olrick, & Britner, 2003; Rutter, 2006). Por otro lado, el apego seguro en la infancia y la etapa adulta es asociado con una historia de participación activa y sensible de las relaciones de los cuidadores (Cairns, 2002; Mikulincer & Shaver, 2007). Los resultados nos llevan a la hipótesis de transmisión intergeneracional del apego identificada por Van Ijzendoorn (1995). Estos estudios, sin embargo, fallaron a la hora de explicar porqué el apego inseguro de los padres no desembocaba necesariamente a un patrón de apego inseguro en el niño, no debido a que los patrones inseguros del apego del niño pueden llegar a desarrollarse incluso con unas experiencias positivas de apego con sus cuidadores (Solomon e George, 2000). En línea con estas investigaciones y recuperando un aspecto propuesto por Bowlby (1969), George e Solomon (1999; Solomon e George, 2000) (1969), los cuales propusieron un enfoque diferente en el estudio de las relaciones padres-‐ hijo, señalando las diferencias entre el sistema de apego y el sistema de cuidados, debido a las influencias entre ambos debido a que son complementarios. Estos autores se propusieron investigar las características específicas del sistema de cuidado, prestando más atención a la relación entre el niño y el cuidador. Nuestra hipótesis es que las características de dicha relación pueden afectar al enlace entre las experiencias pasadas de apego del cuidador y los patrones de apego desarrollados por el niño, representando un elemento importante para el entendimiento del comportamiento y la calidad del cuidado. Sin embargo el IWM del padre, puede ser uno de os predictores más importantes a la hora de estimar la calidad del apego desarrollada por el niño, capaz de conducir el estado mental del cuidador al suyo propio (Solomon e George, 1996). Tomando estas afirmaciones, está claro que las experiencias traumáticas en los padres, almacenadas de manera disfuncional, pueden ser reactivadas en el sistema de cuidado de los padres, definiendo un IWN de sistema de apego del niño que guarda trazas de memoria de dichos eventos traumáticos En relación con esto presentaremos una serie de herramientas como la “Child Attachment Interview (Target et al. 2007) y la “Parent Development Interview” (Slade et al. 1993), que constituyen un recurso necesario para la asignación del IWN de apego y sistema de cuidado. Mostraremos un caso clínico en donde la madre realizo EMDR y tuvo un efecto indirecto positivo en la relación madre-‐hijo y en el bienestar del niño. Los resultados han sido documentados con un claro cambio de la representación mental del sistema de cuidado medido con el PDI. Se mostrarán los resultados

Keywords: Parenting

Accuracy Verified: Yes

389. Fensterheim, H. (1997, December). EMDR and personality disorders. EMDRIA Newsletter, 2(6), 4-5.

Language: English

Format: Newsletter

Abstract:
There is some tendency in psychotherapy to suggest that the treatments for Axis I disorders and Axis II disorders should be based on different concepts. Millon (1988), for example, argues that the behavioral approaches are appropriate for the Axis I disorders but that an integrated approach is indicated for those that fall within Axis II. It is wroth considering that different EMDR protocols and methods may be required for these different conditions.

Keywords: Personality Disorders

Accuracy Verified: Yes

390. Zampieri, M. A. J. (2012, Novembro). EMDR and pesquisa [EMDR and research]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Nem todo profissional engaja-se na atividade científica. Além de questões vocacionais e tecnológicas, é comum encontrar-se mesmo uma reação aversiva ao tema. Nem sempre a exclusão dessa atividade é uma questão de escolha. Propõe-se incitar nessa oficina, a elaboração de pesquisa com EMDR, com utilização de protocolo para desbloqueios associados ao tema. Além disso, objetiva-se subsidiar o participante a iniciar o seu trabalho científico ao longo da atividade.

Not every professional engages in scientific activity. Besides vocational and technological issues, it is common to find even an aversive reaction to the topic. Not always the exclusion of this activity is a matter of choice. It is proposed to encourage this workshop, the development of research on EMDR, using protocol for unlocks associated with the topic. Moreover, the objective is to subsidize the participant to start your scientific work throughout the activity.

Keywords: Intervention Research

Accuracy Verified: Yes

391. Wilson, S. A., & Tinker, R. (2009). EMDR and phantom limb research protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 559-571). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Phantom Limb Protocol Research

Accuracy Verified: Yes

392. Wachtel, P. L. (2002). EMDR and psychoanalysis. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 123-150). Washington: American Psychological Association.

Language: English

Format: Book Section

Abstract:
Although EMDR is clearly an integrative approach, it is an integrative approach with a strong cognitive-behavioral flavor. In this chapter, EMDR is examined and considered from a different vantage point. For some time, I too have been engaged in developing an integrative approach to therapy. However, apropos the previous paragraph, my integrative efforts have a different flavor; they are rooted most deeply in the psychodynamic tradition, not the cognitive- behavioral.As a consequence of my psychodynamic vantage point, my view and use of EMDR differ somewhat from the "classic" approach to EMDR. This chapter is thus likely to reflect clinical and theoretical views that differ in important ways from those of many of this book's other authors. However, my discussion does not constitute a critique of EMDR. I began using EMDR and am writing this chapter because I am intrigued by EMDR -- by its clinical potential, the experiences it seems to generate, and the challenges to theory and research that it presents. My goal is to expand our ways of viewing and thinking about EMDR, and to consider the ways in which EMDR can be enriched by a psychoanalytic perspective and vice versa. For an integration or combination of EMDR and psychoanalysis to be viable, two conditions must be satisfied. The differences must not be so fundamental and unbridgeable that any effort to bring the two approaches together is inherently incoherent and contradictory. At the same time, the differences must not be so trivial or superficial that putting them together adds little or nothing. The interface between EMDR and psychoanalysis meets both these conditions, and the chapter will attempt to demonstrate this as it proceeds. [Adapted from Text, p. 124] [Pilots]

Keywords: Psychoanalytic Psychotherapy Psychotherapeutic Processes

Accuracy Verified: Yes

393. Marotta, S. A. (1998, July). EMDR and psychosocial development post childhood trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) describe relevant research on EMDR with childhood trauma; 2) analyze the developmental tasks that are affected by childhood trauma; 3) use case study data to illustrate how EMDR enables reprocessing of trust, autonomy, identity and intimacy issues; and 4) describe some ways race/ethnicity might mediate response to EMDR treatment.

Keywords: Childhood Trauma Ethnicity Psychosocial Development Race Research

Accuracy Verified: Yes

394. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.

Language: English

Format: Book

Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]

Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

395. Devilly, G. J. (1996, November). EMDR and PTSD: The score at half time. Psychotherapy in Australia, 3(1), 26-31.

Language: English

Format: Journal

Abstract:
The treatment of post traumatic stress disorder (PTSD) has been a hot topic of debate since it’s inclusion into the Diagnostic and Statistical Manual of Mental Disorders in the 1980’s. However, it was not until 1989, with the introduction of Eye Movement Desensitization and Reprocessing (EMDR), that this debate reached such lofty heights of vigour. The lack of any theoretical models as to why the EMDR process might work has not helped in gaining professional credence. It will be the purpose of this article to briefly review the reasons for this debate, give a short outline of the EMDR procedure and comment upon the current state of research.

Keywords: Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

396. Solomon, R., Hofman, A., Seidler, G., & Tiedt-Schutte, M. (2005, June). EMDR and recent event trauma: The tsunami disaster. In “EMDR in action,” Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
EMDR can be utilized shortly after a traumatic event as described by the protocol from Shapiro and Solomon (1992 and 1995). Even if there is no controlled study finalized, there is sufficient experience with the protocol to guide further research. Experiences from research studies and clinical experiences on EMDR and acute trauma will be presented. Discussion will focus on issues of client selection, client readiness for EMDR. and timing of EMDR. The EMDR recent event protocol and experimental protocols for extreme dissociation following a traumatic event will be presented. A European network for developing more research regarding the diversity of acute trauma reactions are proposed.

Keywords: Recent Event Trauma Symposium Tsunami

Accuracy Verified: Yes

397. Leeds, A. M., & Shapiro, F. (2000). EMDR and resource installation: Principles and procedures for enhancing current functioning and resolving traumatic experiences. In J. Carlson, & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 469-534). Phoenix, Arizona: Zeig, Tucker & Theisen, Inc..

Language: English

Format: Book Section

Abstract:
This chapter presents an overview of eye movement desensitization and reprocessing (EMDR), a research-validated treatment for PTSD, and a related set of procedures known as resource development and installation (RDI), which have been reported to be useful in ego strengthening and stabilization. First, the extant research on EMDR, its theoretical model, and the 8 phases of its treatment are summarized (patient history and treatment planning, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation). The 5 main elements of memory networks in EMDR are: image, thoughts and sounds, affect, sensation, and self-appraisal. The principles and theoretical foundations of RDI are then discussed. Then, 2 case examples are given. The 1st case illustrates a simple application of resource development and installation to supplement the standard EMDR PTSD protocol in the brief treatment of a marital crisis. The 2nd case summarizes the brief, strategic use of RDI to stabilize a patient with complex PTSD who was referred for collaborative treatment and to build a foundation for comprehensive EMDR treatment. [Adapted from Text, p. 469] [Pilots]

Keywords: Brief Psychotherapy Clinical Case Study Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD

Accuracy Verified: Yes

398. Zangwill, W. M. (2004, July). EMDR and sex therapy. Contemporary Sexuality, 38(7), 13-20.

Language: English

Format: Journal

Abstract:
Over the past 15 years, Eye Movement Desensitization and Reprocessing (EMDR) has been used to effectively treat the pain and dislocation caused by such trauma as rape. Research has repeatedly shown EMDR to be effective in the treatment of Post Traumatic Stress Disorder and it has been accepted as efficacious by a number of organizations in the trauma field. EMDR is an integrative, psychotherapeutic approach that assumes that information is processed and stored on a number of different dimensions: sensory, cognitive, affective, and psychological. EMDR assumes the existence of an adaptive information processing system that digests life experiences and integrates them as needed most of the time. [AN]

Keywords: Sex Therapy

Accuracy Verified: Yes

399. Konuk, E., & Epozdemir, H. (2010, July). EMDR and strategic family therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that EMDR therapists may integrate efficiently into their practice is Family Therapy. It may speed up the therapy especially when both trauma and relationships are particularly having a role in the formation and maintenance of the problem. In this workshop, the participants will learn: • The basic principles and techniques of Strategic Family Therapy, • Why and how change occurs, • When Strategic Family Therapy is called upon for help, • How interventions are designed and implemented.

Keywords: Strategic Family Therapy

Accuracy Verified: Yes

400. Konuk, E. & Epozdemir, H. (2010, March). EMDR and strategic family therapy. Presentation at the XVIII World International Family Therapy (IFTA) Congress, Buenos Aires, Argentina.

Language: English

Format: Conference

Abstract: Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that Family and Marriage Therapists integrate efficiently into their practice is EMDR. Though EMDR (Eye Movement Desensitization and Reprocessing) is relatively new in the therapy world, now it is credited by many professional and governmental organizations as either “treatment of choice” or a valid psychotherapy approach. Especially when trauma is particularly have a role in the formation of the problem, then EMDR is a “life saver” for the therapist. In this workshop, the participants will learn: • The basic principles and techniques of EMDR and Strategic Family Therapy • Why and how change occurs • When EMDR is called upon for help • How interventions are designed and implemented The cases will be presented by live video recordings of sessions.

Keywords: Strategic Family Therapy

Accuracy Verified: Yes

401. Solomon, R. M., & Shapiro, F. (2008). EMDR and the adaptive information processing model - Potential mechanisms of change. Journal of EMDR Practice and Research, 2(4), 315-325. doi:10.1891/1933-3196.2.4.315.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive information processing (AIP) model. This article provides a brief overview of some of the major precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories, with therapeutic change resulting from the processing of these memories within larger adaptive networks. Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast to extinction-based information processing models and treatment is provided, including implications for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral stimulation. Research suggestions are offered in order to investigate various hypotheses.

Keywords: Adaptive Information Processing Model AIP Information Processing Mechanism of Change Psychotherapy

Accuracy Verified: Yes

402. de Jongh, A., & ten Broeke, E. (2009). EMDR and the anxiety disorders: Exploring the current status. Journal of EMDR Practice and Research, 3(3), 133-140. doi:10.1891/1933-3196.3.3.133.

Language: English

Format: Journal

Abstract:
Based on the assumptions of Shapiro's adaptive information-processing model, it could be argued that a large proportion of people suffering from an anxiety disorder would benefit from eye movement desensitization and reprocessing (EMDR). This article provides an overview of the current empirical evidence on the application of EMDR for the anxiety disorders spectrum other than posttraumatic stress disorder (PTSD). Reviewing the existing literature, it is disappointing to find that 20 years after its introduction, support for the efficacy of EMDR for other conditions than PTSD is still scarce. Randomized outcome research is limited to panic disorder with agoraphobia and spider phobia. The results suggest that EMDR is generally more effective than no-treatment control conditions or nonspecific interventions but less effective than existing evidence-based (i.e., exposure-based) interventions. However, since these studies were based on incomplete protocols and limited treatment courses, questions about the relative efficacy of EMDR for the treatment of anxiety disorders remain largely unanswered.

Keywords: Anxiety Disorders Panic Disorder Specific Phobia

Accuracy Verified: Yes

403. Settle, C. (2010, July). EMDR and the art of psychotherapy with children. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The presenter will use the Adaptive Information Processing (AIP) Model to explain how to creatively change the language of EMDR to meet the child’s developmental needs. Participants will learn how to develop a comprehensive treatment plan that includes the three-pronged approach. Demonstrations with pictures and a short video will show ways of getting the targets and the NC and PC through mapping, while still remaining true to the eight-phase model. Innovative child-oriented methods for Resource Development Installation (RDI) and Cognitive Interweaves (CI) will be explained.

Keywords: Children

Accuracy Verified: Yes

404. Phillips, M. (2001, June). EMDR and the body. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This course presents a five-step model for body focused psychotherapy. Specific methods for incorporating EMDR into each phase are included. The existing EMDR somatic protocol is expanded to facilitate skill development in the areas of body awareness, sensory discrimination, symbolization, body learnings, and integration of more functional somatic patterns. Topics include uses of EMDR to create the body safe place, develop the body felt sense, reduce pain and increase comfort, reprocess aspects of trauma, and explore somatic developmental issues.

Keywords: Body Awareness Body Felt Sense Body-Focused Psychotherapy Body Learnings Body Safe Place Sensory Discrimination Symbolization

Accuracy Verified: Yes

405. Wizansky, B. (2011). EMDR and the challenge of treating childhood trauma: A theoretical and clinical discussion with case examples. In V. Ardino (Ed.), Post-traumatic syndromes in childhood and adolescence: A handbook of research and practice (pp. 297-321). Wiley-Blackwell.

Language: English

Format: Book Section

Abstract:
Treating childhood trauma with EMDR (Eye Movement Desensitization Reprocessing) requires the practitioner to be aware of the challenge inherent in adapting a focused therapeutic model created for adults to young developing clients. Problems involved in exposing young children to disturbing, often terrifying memories loom large. How do we cope with parents' fear of damaging their son or daughter? How do we answer our own internal resistance to leading a young client into a difficult session and the dangers of retraumatizing a child? These are problems which demand solutions. Recent neurological research has defined the necessity of including the processing of traumatic material into the treatment plan as directly as possible. No part of the brain can change if it is not activated. The chapter aims to detail how EMDR meets this challenge.

Keywords: Childhood Trauma Children Focused Therapeutic Model

Accuracy Verified: No

406. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express themselves sexually. A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There will be a review of the psychological theories and the research about the origins of homosexuality. The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the "pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points where EMDR therapists can be sensitive to the presence of emotional issues related to being gay. Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning now applies to one's self. EMDR is effective in resolving this "internalized homophobia." "Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness, not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings. This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved, acceptance and valuing of self increases. Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out." EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are: gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay persons recruit young people, etc. The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching death, and (5) issues of "meaning" as life moves toward death. EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and "get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc. EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably. The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being present at the death of a client, and other issues that arise in HIVIAIDS care. The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.

Keywords: Gay Clients Homosexuality

Accuracy Verified: Yes

407. van der Kolk, B. A. (2003, June). EMDR and the lessons from neuroscience research. Plenary presented at the annual meeting of the EMDR Europe Association, Rome Italy.

Language: English

Format: Conference

Abstract:
Until recently we had little knowledge how to help people integrate such disintegrated traumatic imprints. Traditionally, before the advent of contemporary methods of treatment outcome evaluation, many clinicians, from Pierre Janet to Milton Erikson and his followers, considered hypnosis to be the treatment of choice. Unfortunately the efficacy of hypnosis for the treatment of PTSD was never systematically studied. EMDR was the first of a group of new therapies that did not primarily rely on speaking about one’s traumatic experiences, but that claimed to be able to rapidly and effectively integrate traumatic memories by asking PTSD subjects to focus intensely on the emotions, sensations and meaning of the traumatic experience, while asking to follow the hand of a clinician who induces slow saccadic eye movements. EMDR had a number of advantages over hypnosis, including the fact that it could easily be put into a treatment protocol. This makes it relatively easy to conduct treatment outcome research. Since it was first articulated by Francine Shapiro, around 1988, it has received intense scientific scrutiny and has been found to be quite an effective treatment of PTSD (e.g. Chemtob et. al, 2000), even though the specific role of eye movements in its therapeutic action remains controversial.

Keywords: Neuroscience Plenary Research

Accuracy Verified: Yes

408. Gaudiano, B. A. (2002, Fall/Winter). EMDR and the media - Is change in the wind?. The Scientific Review of Mental Health Practice, 1(2), 201-203.

Language: English

Format: Journal

Abstract:
Comments on the article "The finger-wagging cure. Saturday Night," (2001) by C. Milstone. The article began with the presentation of the harrowing story of a coal miner who developed symptoms of posttraumatic stress after being badly injured and nearly killed in a construction equipment accident. The man reported dramatic positive changes after only a few sessions of eye movement desensitization and reprocessing (EMDR) and testifies that the treatment "released the pain" of the trauma. This is usually the point at which many previous articles on EMDR would have presented one or two token skeptics and provided additional anecdotal evidence to counter any of the criticisms. However, Milstone's article did not follow this common formula. Instead, she chose to delve more deeply into the claims of EMDR proponents to contrast these claims with the research evidence. The article will likely be criticized by many EMDR proponents. Nevertheless, this article appears to be representative of a subtle shift hi the media coverage of EMDR that has been evident in recent years. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

409. Zimmerman, E. (2010, June). EMDR and the phase two treatment of the migraine and headache-protocol. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
After the presentation of Dr. Steven Marcus PhD on different EMDR-conferences of treating migraine and headaches in a two-phase protocol, the authors of this presentation decided to develop a study on the phase two treatment of the headache protocol. The phase one treatment of the headache protocol I-EMDR (integrated EMDR) of Dr. Marcus is for the relief of acute headache pain and related symptoms (nausea, vomiting, light or sound sensitivity etc.). A research study of Dr. Marcus showed very strong effects of the treatment of migraines in this acute phase. (Steven V. Marcus: Phase 1 of integrated EMDR: An Abortive Treatment for Migraine Headaches. JEMDR, Vol. 2, Number 1, 2008, pg. 15ff). The phase two treatment is a multi-session EMDR headache treatment utilizing the Standard EMDR Protocol to prevent or reduce future headache frequency, duration and severity. The phase one has to be included in the second phase. Thus, this phase two protocol has not yet been the subject of a scientific research. The authors present their study design and some cases with video presentations as well as first results on the research of this phase two treatment.

Keywords: Headache Medical Issues Migraine Symposium

Accuracy Verified: Yes

410. 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 observation