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1. 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


2. Bruno, T. (2006, Maggio). Le emozioni dei terapeuti nel lavoro con persone vittime di traumi interpersonali [The emotions of therapists working with victims of interpersonal trauma]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.

Language: Italian

Format: Conference

Abstract:
Quando ascoltiamo storie di devastazione, terrore, impotenza e di tradimento della fiducia, come naturale conseguenza, le nostre sicurezze più profonde possono essere messe in crisi. Applicando l’EMDR, a volte, possiamo essere messi di fronte alla “realtà del trauma” inaspettatamente, senza parole: il/la paziente “torna là” rivive l’esperienza col corpo e noi assistiamo e “viviamo il suo trauma”. Le emozioni (paura, schifo, terrore, rabbia, senso di paralisi ecc.) possono irrompere nello spazio sicuro della stanza di terapia e sfidare il nostro senso di “invulnerabilità” e prevedibilità. Rispetto all’impatto del materiale traumatico sul terapeuta quando si trova come testimone di eventi terribili e delle loro conseguenze ci possono essere risposte quali senso di paralisi, paura, desideri sadici e di vendetta, fino a “violazioni del setting”. Nel lavoro sul trauma possiamo agire in un continuum che va da risposte di evitamento con sentimenti di rifiuto e rabbia verso risposte di iper identificazione con la vittima. Esiste un rapporto circolare fra aspetti controtransferali e traumatizzazione secondaria negli operatori. Possono emergere problemi esistenziali e spirituali, sentimenti aggressivi e di giudizio, orrore, rabbia, senso di vulnerabilità, dolore-pena e sintomi classici del Disturbo da Stress Post Traumatico. La conoscenza, la consapevolezza e la gestione di questo processo all’interno della relazione terapeutica è fondante rispetto alla riparazione del danno nelle vittime e alla salute mentale dei terapeuti. Nel corso della presentazione ci sarà una focalizzazione sugli aspetti del ciclo del controtranfert e della traumatizzazione secondaria nel terapeuta e si forniranno elementi di protezione per i terapeuti.

When we hear stories of devastation, terror, helplessness and betrayal of trust, as a natural result, our securities may be made deeper into crisis. Applying EMDR, sometimes, we may be confronted with the "reality of trauma" unexpectedly, without words, it/the patient "back there" relive the experience with the body and we are seeing and "live her trauma." Emotions (fear, disgust, fear, anger, sense of paralysis, etc.) can break into the safe space of the therapy room and challenge our sense of "invulnerability" and predictability. Compared to the impact of traumatic material when the therapist is as a witness to terrible events and their consequences there may be responses such as sense of paralysis, fear, desires and sadistic revenge, to "violations of the setting." In work on trauma, we can act on a continuum ranging from avoidance responses with feelings of rejection and anger responses of hyper identification with the victim. There is a circular relationship between trauma and countertransference issues in the secondary players. Existential and spiritual problems can arise, aggressive feelings and judgments, horror, anger, sense of vulnerability, pain and pain-classic symptoms of Post Traumatic Stress Disorder. Knowledge, awareness and management of this process within the relationship Therapeutic compliance is fundamental to repairing the damage in the victims and mental health therapists. During the presentation there will be a focus on aspects of the cycle controtranfert and secondary traumatization in the therapist and will give protection elements for therapists.

Keywords: Interpersonal Trauma  

Accuracy Verified: Yes


3. Veerbeek, H. (2013, June). Processing anger and revenge with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Until now, best practise regarding treatment of anger seems to be mostly focused on improving control over angry outbursts. The treatment as usual is cognitive and behaviour oriented. For trauma related internalizing symptoms (anxiety, panic, nightmares, avoidance, intrusions), we know that EMDR is much more effective than a standard cognitive behavioural approach. Anger, embitterment and revenge are, more often than we think, also trauma-related symptoms and can be viewed as externalizing reactions to severe maltreatment, powerlessness and/or humiliation. A lot of our veterans have to deal with a permanent elevated arousal and an aggressive response style after they return from war. These externalizing symptoms can have devastating effects on marriage, work and daily live. In trauma-literature, there has been a lack of attention to this debilitating and externalizing side of PTSD.
In the workshop, after a brief review of the literature on anger and revenge, a new perspective will be presented in understanding anger and revenge. An EMDR-based protocol will be demonstrated, which can be used as a cognitive interweave and also as a “stand-alone” tool to process anger- and revenge symptoms. Extensive video footage will be used to illustrate the effect of this treatment on a patient with severe, dangerous and obsessive revenge symptoms. The question, when this add-on tool can be used and when it will be preferable to stick to the standard EMDR protocol, will be discussed. In conclusion, questions from the audience will hopefully lead to an inspiring discussion.
Learning objectives: Being able to apply the theoretical framework of Posttraumatic Anger in understanding anger symptoms in clients; Being able to detect which experiences en people from the past contributed to current anger – and anxiety symptoms and know when to apply the standard EMDR protocol or the Rage, Resentment and Revenge Protocol; and Being able to apply the Rage, Resentment and Revenge Protocol to process and resolve the anger symptoms.

Keywords: Anger  Revenge  

Accuracy Verified: Yes


4. Veerbeek, H. (2012, June). Revenge fantasy and revengefulness [Fantasía de venganza y plenitud de venganza]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In this workshop the focus will be on the EMDR treatment of problems concerning aggression and revenge as a result of damaging experiences in the past. First of all, the pitfalls in the therapeutic relation, which could obstruct the trauma oriented treatment of aggression and revenge will be dealt with. An important question is when to choose for cognitive behavioral therapy techniques such as Anger Replacement Treatment and when EMDR treatment can be expected to be more effective, in treating aggression and revenge. A model introduced by Ogden will be presented to clarify this. It is essential that the aggressive client will be taught first how to be able to diminish the sometimes dangerous arousal, using the so-­‐called safe place. Only then we can get started with processing the traumatic experiences and/or revenge fantasies. Video recordings will illustrate all this. After explaining the origin of revenge fantasies and revengefulness, extensive video footage will show how this can be treated effectively by means of an adjusted EMDR protocol. A plea will be made for paying more attention to and also treating the externalizing side (anger and revenge) of PTSD and in the case of treating aggression, to concentrate more on revenge and its traumatic origin.

En este taller nos centramos en los problemas referentes al tratamiento EMDR en la agresión y la venganza como resultado de experiencias dañinas en el pasado. En primer lugar, las dificultades en la relación terapéutica pueden obstruir el tratamiento orientado al trauma de la agresión y la venganza, y habrá que lidiar con ello. Una cuestión importante es la elección de las técnicas cognitivo conductuales como el tratamiento de remplazo de la ira, y donde el tratamiento EMDR espera ser más efectivo en el tratamiento de la agresión y la venganza. Un modelo introductorio de Ogden será presentado para aclarar esto. Es esencial que en el cliente agresivo se enseñe primero como ser capaz de bloquear la respuesta peligrosa, usando el también llamado lugar seguro. Solo entonces puede empezarse con el procesamiento de experiencias traumáticas o fantasías de venganza. Todo esto será mostrado mediante videos grabados. Después de explicar el origen de las fantasías de venganza y la venganza propiamente dicha, una filmación de video extensivo mostrará como esto puede ser tratado de manera efectiva, lo que supone un ajuste en el protocolo estándar del EMDR Se rogará una mayor atención para tratar el lado externalizador (ira y venganza) del síndrome de estrés post-­‐traumático y en el caso de tratam

Keywords: Revenge Fantasy  Revengefulness  

Accuracy Verified: Yes


5. Veerbeek, H. (2012, March). Wraakfantasie en wraakdrang: de externaliserende kant van PTSS [Revenge and vengeance urge Fantasy: Externalizing side of PTSD]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
In deze workshop richt de aandacht zich op de EMDR-behandeling van agressie- en wraakproblemen als gevolg van beschadigende ervaringen in het verleden. Allereerst wordt stilgestaan bij valkuilen in de therapeutische relatie die het vanuit trauma-perspectief behandelen van agressie en wraak in de weg kunnen staan. Een belangrijke vraag is wanneer cognitief gedragtherapeutische technieken geïndiceerd zijn en wanneer verwacht kan worden dat EMDR juist effectiever zal kunnen zijn bij de behandeling van de agressie en wraak. Daartoe wordt een model van Ogden gepresenteerd. Voordat begonnen wordt met verwerking van traumamateriaal en/of wraakfantasieën, is essentieel dat aan de agressieve cliënt geleerd wordt hoe middels de veilige plek de soms gevaarljike arousel omlaag gebracht kan worden. Dit wordt met videomateriaal geïllustreerd. Na uitleg over het ontstaan van wraakfantasieen en wraakdrang wordt met gebruikmaking van uitgebreid videomateriaal gedemonstreerd hoe middels een aangepast EMDR-protocol wraakfantasieën en wraakdrang goed behandeld kunnen worden. Een pleidooi wordt gehouden om bij de behandeling van PTSS meer aandacht te hebben voor de externaliserende kant (woede en wraak) en deze ook te behandelen, zoals hier wordt voorgesteld. Daarnaast is het pleidooi om bij de behandeling van agressie en wraak meer aandacht te hebben voor de traumatische oorsprong hiervan.

In this workshop the focus is on the EMDR treatment of aggression and revenge problems resulting from damaging experiences in the past. First, examines pitfalls in the therapeutic relationship from the trauma perspective in treating aggression and revenge can hinder. An important question is when cognitive behavioral therapy techniques are indicated and when it is expected that EMDR will be very effective in the treatment of aggression and revenge. To this end, a model of Ogden presented. Before commencing treatment of trauma material and / or revenge fantasies is essential that the client is taught how aggressive the safe place through the sometimes gevaarljike arousel can be lowered. This is illustrated with video material. After explanation of the origin of wraakfantasieen and revenge urge is using extensive video demonstrates how using a modified EMDR protocol fantasies of revenge and vengeance urge successfully treated. A plea is held to the treatment of PTSD more attentive to the side externalizing (anger and revenge), and also to treat, as proposed here. In addition, the plea for the treatment of aggression and revenge more attention to the traumatic origin of this.

Keywords: Revenge  Vengeance Urge  

Accuracy Verified: Yes