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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.
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


