Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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1. Everly, G. S. Jr., & Lating, J. M. (2002). A clinical guide to the treatment of the human stress response, 2nd ed. Springer Publishing Company.

Language: English

Format: Book

Abstract:
This updated edition of A Clinical Guide to the Treatment of the Human Stress Response reflects the dramatic changes in this field over the past decade. This edition covers a range of new topics, including stress and the immune system, post-traumatic stress and crisis intervention, Eye Movement Desensitization and Reprocessing (EMDR), Critical Incident Stress Debriefing (CISD), Crisis Management Briefings in response to mass disasters and terrorism, Critical Incident Stress Management (CISM), spirituality and religion as stress management tools, dietary factors and stress, and updated information on psychopharmacologic intervention in the human stress response. As with the previous edition, this volume is designed as a comprehensive and accessible guide to both the clinically relevant physiology and treatment of the human stress response. Discussion of treatment protocols, using selected behavioral treatment strategies, is purposefully brief and clinically targeted. Supplemental information for practitioners includes a flow chart on the nature of stress physiology, a relaxation report form, specific protocols for teaching the relaxation response, a self-report checklist designed for health education purposes, and over 700 references. [Springer] Springer Series on Stress and Coping

Keywords: Human Stress Response

Accuracy Verified: Yes

2. 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

3. Koshal, A. (2012, June). The 4-fields-technique in the trauma therapy of complex traumatized and addicted patients [La técnica de 4-‐Campos en la terapia de trauma complejo y pacientes adictos, incluso en tratamiento de metadona]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This workshop will employ lecture and demonstration of several case studies. The 4-‐Field-‐Technique is a special method of EMDR that was developed by Jarero et al. 1997 in Mexico. For complex traumatized and drug addicted people this method is very helpful. The risk to trigger other trauma clusters is quite minor, because the patient’s concentration is focused on his specific picture and situation. Several international studies demonstrate that addicted people are very often complex traumatized. (Felitti et al., 2003; Schmidt, 2000 etc.) PTSD and other trauma symptoms cause a lot of psychophysical deregulation. The psychiatrist Khantzian realized 1985, that addicted people suffer a lot from different symptoms and try to reduce the unbearable inner tension in using drugs. So Khantzian postulated the “self-‐medication hypothesis of addictive disorders”. Janina Fisher, Trauma Center Boston, 2000, interpreted the correlation of early traumatization and drug-‐addiction as “compensatory strategies aimed at self-‐ regulation”. 20 years of psychotherapeutic work revealed, a high percentage of addicted patients use drugs to influence their emotional states. Drugs and alcohol do short term reduce the mentioned symptoms. Addicted patients need to learn to cope in another, more adaptive way to get a better functioning self-‐regulation. After stabilization, trauma-‐therapy can start. So the patient can reduce his psycho-‐ physiological deregulation. Even when addicted patients are still in a methadone-‐ treatment trauma-‐therapy is effective. Practical experiences show a lot of successful treatments.

Este taller empleará la presentación y demostración de muchos estudios de caso. La técnica de 4 campos es un método especial de EMDR que fue desarrollado por Jarero et al. 1997 en Méjico. Para gente con traumas complejos y adictos este método resulta ser muy adecuado. El riesgo de disparar grupos de traumas es menor, debido a que la concentración del paciente está centrada en una sola imagen y situación. Muchos estudios demuestran que los adictos son muy a menudo traumatizados de manera compleja. (Felitti et al., 2003; Schmidt, 2000 etc.) El TEPT y otros síntomas del trauma causan muchas desregulaciones psicofisiológicas. El psiquiatra Khantzian se dio cuenta en 1985, que la gente que sufre de adicción sufren también muchos otros síntomas diferentes e intentan reducir su tensión interna a través del uso de sustancias. Por ello Khantzian postuló “ La hipótesis de la automedicación en trastornos adictivos” Janina Fisher, Trauma Center Boston, 2000, interpretó la correlación de la traumatización temprana y la adicción a la drogas como “ Estrategias compensatorias dirigidas a la autorregulación”. 20 años de trabajo psicoterapéutico muestran que un gran porcentaje de pacientes adictos usan drogas para modificar sus estados emocionales. Las drogas y el alcohol reducen a corto plazo los síntomas mencionados. Los pacientes adictos necesitan aprender a afrontar de manera más adaptativa su autorregulación. Después de la estabilización, la terapia del trauma puede empezar. Por ello el paciente puede reducir su desregulación psicofisiológica. Incluso cuando aún están sometidos a un tratamiento de metadona la terapia del trauma es efectiva. Las experiencias en la práctica muestran una gran cantidad de tratamientos exitosos.

Keywords: 4-Fields-Technique Addiction

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: 6 Gear Mechanics Complex Trauma

Accuracy Verified: Yes

5. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum

Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.

Keywords: Abortion Postpartum Depression

Accuracy Verified: Yes

6. Tarrier, N., Liversidge, T., & Gregg, L. (2006, November). The acceptability and preference for the psychological treatment for PTSD. Behaviour Research and Therapy, 44(11), 1643-1656. doi:10.1016/j.brat.2005.11.012.

Language: English

Format: Journal

Abstract:
The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for PTSD were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative, and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure, or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR, and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment. [Author Abstract]

Keywords: Cognitive-Behaviour Therapy Cognitive Therapy Exposure Therapy College Students Computer Assisted Psychotherapy Empirical Study Family Therapy Group Psychotherapy Posttraumatic Stress Disorder Preference Psychoanalytic Psychotherapy Psychological Treatment Psychotherapeutic Processes PTSD Quantitative Study Relaxation Therapy Treatment Acceptability Virtual Reality Exposure Web-Based Survey

Accuracy Verified: Yes

7. 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

8. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.

Language: German

Format: Other

Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin, dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.

The EMDR treatment process (EMDR = eye movement desensitization and Reprocessing) was developed by psychologist Francine Shapiro of the American developed and since 1989 as a manualized therapies for the treatment of Patients with post-traumatic stress disorder (PTSD) and other traumabezogenen symptoms used. The basic approach is that the patient in the safety of a therapeutic relationship haltgebenden a confrontation with traumatic memories experienced. The aim of the Trauma treatment is the integration of cognitive, emotional and physical Reactions to the trauma memories revived by the perceived and processed. In other words, is induced by the trauma Dissociation rescinded. The interrupted in the traumatic situation Link between perceptions, thoughts, emotions and Reaction of the body is restored. This is followed by a treatment of dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding are from the classical behavioral trauma exposure in EMDR the phases of trauma exposure is relatively short (30-90 sec) and conducted by bilateral stimulation in the form of eye movements (the hand of the therapist follow with the eyes) or by alternative tactile stimuli on the left and right hand (so-called tapping) or alternatively Helping sounds triggered.

Keywords: Practice Theory

Accuracy Verified: Yes

9. Sack, M. (2009). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. In R. Plassmann (Hg.), Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten (pp. 137-142). Giessen, Germany: Psychosozial-Verlag.

Language: German

Format: Book Section

Keywords: Practice Theory

Accuracy Verified: Yes

10. 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

11. Dexter, B.A. (2007, March). An angel. EMDRIA Newsletter, 12(1), 11.

Language: English

Format: Newsletter

Abstract:
“Just wanted to share something with you all. It is more than rewarding to see the wonderful things people do for each other here. I wrote this short story the other day, as a way to honor these young people who have sacrifi ced all. These are your incredibly brave young men and women, out doing patrols and convoys at extreme risk of death. It is also amazing to see the wonderful work the medical staff does here. I am so very thankful that we can provide this kind of medical care for our troops. Surely God works through their hands!”

Keywords: Practice Theory

Accuracy Verified: Yes

12. 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

13. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
According to the latest statistical evidence Post-Partum Depression develops in approximately 13% of women during the second -third month after childbirth with symptoms lasting between few weeks and a year and risks of relapse. Unlike the Baby Blues (affecting 70% of mothers, with onset in the 3'd - 6" day after delivery and spontaneous recovery within approximately two weeks), likely to be caused basically by hormone modifications in the immediate aftermath of childbirth. PPD development would seem to be solely determined by psychological factors: the experience of childbirth, the surfacing of unresolved problems in the relationships with attachment figures, the change in the woman's role both in the social sphere and within the couple relationship, the fear of being unable to adequately attend to the new responsibilities (both in terms of skills and of the ability to cope with the additional workioad), etc. Consequently, women experiencing childbirth as a traumatic experience are more destabilized by the event, and therefore. at a higher risk of developing PPD. Childbirth requires the deployment of many personal resources. A woman in labor must be able to bear the pain, while having to "push", 1.e. contrast the automatic antalgic reaction (which would close the delivery channel) and "meeting the pain", during the "expulsion" phase. Considering that "Peak Performances" require moving out of a person's comfort zone and stretching a person's boundaries, childbirth experience can be rightfully considered a "Peak Performance". This work describes RDI application times and modes during Delivery Preparation in order to strengthen the different personal resources needed by pregnant women to experience her childbirth as an ego syntonic experience. In this sense, RDI associated with EMDR can be considered an actual Primary Prevention intervention, capable of teaching women something positive about themselves, thus effectively offsetting the onset of PPD. Furthermore the results of the application of this technique collected during the Post-Partum phase on 48 women will be discussed. Learning objectives: 1 identification of the specific issues predisposing the development of PTSD due to Childbirth and of Post-Partum Depression. 2. Framing Childbirth as a Peak Performance. 3 Learning RDI (Resource Development and Installation) application through Bilateral Stimuli during Delivery Preparation Courses.

Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium

Accuracy Verified: Yes

14. 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

15. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children: EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Level I. Targeting of Physical Symptoms or Triggers. Installing of Positive States Use this level when: client readiness and safety factors are met. the experience of the symptom(s) is distressing to the client. a limited number of therapy sessions is available. the client does not necessarily have an awareness of the causes or functions of the symptoms. the client is not aware of a trauma related to the symptom. w the assessment does not reveal trauma related to the symptom. w trauma or other complicating issues are identified but the client's stability or circumstances does not tolerate Level I1 or 111, and client and therapist can devise ways to contain upsetting issues which may come up. the client wants to try for symptom relief without deeper processing. [Excerpt]

Keywords: Injury Physical Illness

Accuracy Verified: Yes

16. 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

17. Royle, L., & Kerr, C. (2010, March). Are EMDR therapists at greater risk of developing secondary traumatic stress disorders?. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Therapists who come into contact with traumatised individuals are at risk of absorbing their distress resulting in their own psychological injury. There is a variety of factors that increase the likelihood of this happening and it can be argued that the EMDR therapist is exposed to many more of these factors than the generic therapist or counsellor. The presenters hope to raise awareness of these risks as the first step in addressing them and reducing the stigma in admitting to secondary trauma. As well as being provided with a theoretical overview of secondary trauma, participants in this workshop will be encouraged to consider their own level of risk and practical steps they can take to reduce this. The workshop will provide an overview of psychological injury constructs including Compassion Fatigue, Vicarious Trauma and Burnout along with a description of signs and symptoms of secondary trauma. Current recommendations for treatment options are outlined and an example is given of how EMDR can be used to successfully treat secondary trauma in the therapist.

Keywords: Burnout Compassion Fatigue Vicarious Trauma Secondary Traumtic Stress

Accuracy Verified: Yes

18. 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

19. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007, July-September). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: Un approccio integrate [Psychological aspects and psychotherapy of women affected by interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosmatica, 52(3), 101-104.

Language: Italian

Format: Journal

Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.

Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral el'EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.

Keywords: Interstitial Cystitis Women

Accuracy Verified: Yes

20. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: un approccio integrato [Psychological and psychotherapy for women with interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosomatica, 52(3), 111-117. .

Language: Italian

Format: Journal

Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.

Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.

Keywords: Interstitial Cystitis Women

Accuracy Verified: Yes

21. Liotti, G. (2012, June). Attachment, psychotherapy and EMDR [Apego, psicopatología y EMDR]. Keynote presented at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The defense system (freezing-‐fight-‐flight-‐feigned death), that is set into motion in every individual by the exposure to any event that threatens life or bodily integrity in the self or in significant others, is terminated after the event is over by mental and interpersonal processes involving the soothing and security-‐ seeking system (attachment). If the functions of the attachment system are hindered by memories (internal working model, IWM) of early attachment interactions with neglecting or abusive caregivers, the defense system may remain active for long periods of time after the traumatic event is over. Insecure and especially disorganized IWMs of early attachments, together with the unavailability of social support after the trauma, are thus risk factors for developing the symptoms of post-‐traumatic stress disorders. This lecture dwells on the main features of attachment disorganization, on the negative interference of attachment disorganization in the therapeutic relationship, and on the reasons why the characteristic patient-‐therapist relationship in EMDR interventions can be instrumental in by-‐passing such negative interference.

El sistema de defensa (respuesta de inmovilización-‐lucha-‐huída-‐muerte fingida) que se pone en marcha en toda persona por la exposición a cualquier incidente que amenaza su vida o la integridad física o las de sus allegados llega a su fin tras el incidente mediante procesos mentales e interpersonales implicados en el sistema de tranquilizar y la búsqueda de seguridad (apego). Si las funciones del sistema de apego se ven impedidas por los recuerdos (el modelo del funcionamiento interno, IWM, por sus siglas en inglés) de interacciones precoces de apego con cuidadores negligentes o abusivos, es posible que el sistema de defensa permanezca activo durante períodos prolongados después de que el evento traumático haya terminado. Así, los IWM inseguros y especialmente desorganizados del apego temprano, junto con la falta de apoyo social tras el incidente traumático, se convierten en factores de riesgo para el desarrollo de síntomas de los trastornos postraumáticos. Esta conferencia se centra en los rasgos esenciales de la desorganización del apego, en la interferencia negativa de la desorganización del apego en la relación terapéutica y en los motivos por los cuales la relación característica entre paciente y terapeuta en las intervenciones con EMDR pueden ser instrumentales para puentear dicha interferencia negativa.

Keywords: Attachment Keynote

Accuracy Verified: Yes

22. Landgrebe, B. (2005, Februr). Beiträge der fachtagung, diagnose, therapie und berufliche rehabilitation von jungen menschen mit traumen in der lebensgeschichte [Contributions to the symposium diagnosis, therapy and vocational rehabilitation of young people with trauma in the life history]. Berufsbildungswerk Abensberg, Deutschland.

Language: German

Format: Other

Abstract:
Bevor ich die Traumabehandlung und den Prozess der Traumabewältigung auf meiner Abteilung darstelle, möchte ich diese für die Behandlung so wesentlichen Differenzierungen etwas aufführen. Wir Menschen haben ein natürliches Verarbeitungssystem für traumatische Erfahrungen. Nicht jeder Traumatisierte entwickelt eine PTSD! (nur ca. 10 – 12 %). Bei der Entstehung und Aufrechterhaltung der Störung spielen neben dem traumatischen Ereignis auch psychologische, biologische und soziale Faktoren eine Rolle.

Before I describe the process of trauma care and trauma to my department, I would like to perform this treatment for something so essential distinctions. We humans have a natural system for processing traumatic experiences. not each developed a traumatized PTSD! (only about 10 - 12%). In the formation and maintenance the disorder play next to the traumatic event and psychological, biological and social factors play a role.

Keywords: Trauma Vocational Rehabilitation Young People

Accuracy Verified: Yes

23. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.

Language: English

Format: Journal

Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.

Keywords: Nightmares Posttruamatic Stress Disorder PSTD

Accuracy Verified: Yes

24. 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

25. Leuenberger, R. (2007, November). Beziehungen zwischen dem modell der ersten personal-existentiellen grundmotivation in der existenzanalyse und der EMDR-methode [Relationships between the model of the first personal-existential basic motivation in the existence and analysis of the EMDR method]. Alfried Längle, Internationale Gesellschaft für Logotherapie und Existenzanalyse, Wien, Austria.

Language: German

Format: Dissertation/Thesis

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)- Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einem PTBS (posttraumatische Belastungsstörung)) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

In this work we will show that during the due four years in a primary care medical practice with EMDR (Eye Movement Desensitization and Reprozessing) - Method for treating mental experience traumatized patients with PTSD (post traumatic Stress disorder)) on the common, partly hypothetical neurobiological explanations addition, the Existential analysis very much a psychological as well as philosophical May contribute to understanding this method. from the verbal expressions of patients before, during and after treatment may be concluded that by affected the deficits of the four basic motivations of Analysis, the existence of the first basic motivation most Meaning. Be the basis of 23 case histories the impact factors of EMDR with the terms the first basic existential analytical understandable motivation.

Keywords: Basic Motivation Existenital Analysis Method

Accuracy Verified: Yes

26. 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

27. 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

28. Reitz, S. (2008, September). Body-memories: A potential healing obstacle in trauma therapeutical and EMDR - Processes and a re-traumatization risk regarding body-based psychotherapies and other body work therapies. In H. Kanitschar (Chair), Trauma and Hypnosis. Symposium presented at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.

Language: English

Format: Conference

Keywords: Body-Based Therapies Re-Traumatization Risk Symposium Trauma

Accuracy Verified: Yes

29. 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

30. Spector, J., & Kremer, S. (2009). Can I use EMDR with clients who report suicidal ideation?. Journal of EMDR Practice and Research, 3(2), 107-108. doi:10.1891/1933-3196.3.2.107.

Language: English

Format: Journal

Abstract:
No abstract available.

Keywords: Risk Assessment Suicide Ideation

Accuracy Verified: Yes

31. Naccarato, C. (2001, December). The capsule adventure. EMDRIA Newsletter, 6(Special Edition), 12-14.

Language: English

Format: Newsletter

Abstract:
In EMDR, a client often cannot seem to move forward in processing a particular memory or scene, and continued attempts seem to worsen the client’s physical response, causing pain or other discomfort. This is a potentially damaging situation in that the discomfort may remain, the memory may not get processed to resolution, and the client may develop a negative view of EMDR and of therapy. Some years ago, I developed a low-risk imaginal invasive technique to encourage clients to explore what was happening in, and to, their bodies, I call it the “Capsule Adventure.” Having used this intervention more than 50 times, I have found it to be a reliable way of resolving this type of impasse and moving the session forward.

Keywords: Capsule Adventure

Accuracy Verified: Yes

32. Greenwald, R. (2007, June). Case conceptualization for EMDR therapists. Presentation at the annual meeting of EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This workshop will present a phase model of trauma-informed treatment that is consistent with the EMDR protocol and that clearly specifies how to go step by step towards EMDR. Participants will have practice analyzing a case from the trauma perspective, developing a structured case conceptualization and explaining this to clients, developing a structure treatment plan, and applying this model to their own cases. Case conceptualization has been widely identified as a skill in need of further development within the EMDR community; and developing a shared understanding and treatment plan has been identified as among "common factors" of effective therapy. This method of teaching case conpetualization and treatment planning has been documented to lead to improved participant attitudes and behaviors towards their challenging clients.

Keywords: Case Conceptualization

Accuracy Verified: Yes

33. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-24.

Language: English

Format: Journal

Abstract:
Torture is used to create fear, destroy individuals and communities, and to suppress unwanted political or religious views. The survivor of torture often endures significant physical and psychological trauma. The basis for treating this trauma varies according to individual needs, community resources, programme designs, and cultural acceptance. The case presented here focuses on torture occurring during the Bosnian conflict of 1992 and demonstrates how the utilisation of a community-based, multidisciplinary network model can be effective in helping survivors through the recovery process. The unique circumstances of the study identify factors of imprisonment, rape, deprivation, physical violence and, particularly, body mutilation through tattooing. [Author Abstract]

Keywords: Bosnians Case Report Cognitive Therapy Depressive Disorders Disfigurement Drug Therapy Females Generalized Anxiety Disorder Middle Aged Muslims Plastic Surgery Treatment Posttraumatic Stress Disorder PTSD Refugees Survivors Torture Yugoslav of Secession

Accuracy Verified: Yes

34. Loris, M., & Johnson, D. R. (2001, December). Case study: Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatment. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract: This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Counting Method Prolonged Exposure Poster

Accuracy Verified: Yes

35. 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

36. Allen, J. G. (2003). Challenges in treating post-traumatic stress disorder and attachment trauma. Current Women’s Health Reports, 3, 213–220.

Language: English

Format: Journal

Abstract:
Treating women suffering from trauma poses significant challenges. The diagnostic prototype of post-traumatic stress disorder (PTSD) is based on single-event trauma, such as sexual assault in adulthood. Several effective cognitivebehavioral treatments for such traumas have been developed, although many treated patients continue to experience residual symptoms. Even more problematic is the complex developmental psychopathology stemming from a lifetime history of multiple traumas, often beginning with maltreatment in early attachment relationships. A history of attachment trauma undermines the development of capacities to regulate emotional distress and thereby complicates the treatment of acute trauma in adulthood. Such complex trauma requires a multifaceted treatment approach that must balance processing of traumatic memories with strategies to contain the intense emotions this processing evokes. Moreover, conducting such treatment places therapists at risk for secondary trauma such that trauma therapists also must process this stressful experience and implement strategies to regulate their own distress.

Keywords: Attachment Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

37. Borrelli, S. (2002). Chaper 5: Into the new millennium: Child advocacy and EMDR. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
When planning treatment for a child, we must assess carefully the developmental issues (internal press) that seem to be ascendant at different life stages, the context (external press) in which these issues are being accomplished and probably frustrated, and secondary gains issues. Especially for a child, the risks of change must be prepared for. Family therapy theories remind us that as the child improves, the status quo of the family "crisis" will also need to adapt. We’re all aware of the obvious and subtle resistances to change offered by family members. all of whom might be vying for survival guarantees. A sensitive assessment of the family context, then, is an essential aspect of the treatment process. Which family members are most likely to be allies in the quest for change, and who are the most at risk, and likely to challenge positive changes? [Excerpt]

Keywords: Children

Accuracy Verified: Yes

38. 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

39. Zangwill, W., Kominksy, P., & Browning, C. (2003, September). Choosing the right EMDR for the right client at the right time: A systematic approach to more effective EMDR implementation. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Substantial variation exists in how, when, and with which clients' clinicians use EMDR. Some clinicians use EMDR early in their work with clients, others spend considerable time on affect management and resource development prior to using standard EMDR. Those in favor of more rapid implementation argue that for many clients' delays in starting EMDR is an unnecessary waste of time and resources. Other EMDR clinicians worry that clients may be harmed by undertaking EMDR processing without extensive prior stabilization. This workshop presents a systematic, comprehensive model to help EMDR clinicians best determine what factors to evaluate in deciding when and how to proceed.

Keywords: EMDR Implementation

Accuracy Verified: Yes

40. 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

41. 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

42. Loris, M., & Johnson, D. R. (2001, December). Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatments. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

43. 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

44. 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

45. 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

46. Grimmett, J., Hartung, J., Galvin, M. D., & Gray, S. (2012, October). Clinician experiences with EMDR: Factors influencing attrition and retention. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Over 70,000 clinicians worldwide have participated in extensive EMDR training in the past 20 years, but, as with other therapies, not all trained clinicians continue to practice newly acquired techniques.
Whether or not a clinician uses a given treatment modality seems to be a complicated issue, the literature can be organized along the lines of five themes: (a) therapists' pre-training factors, (b) the training itself, (c) clients' experiecnes before and during EMDR, (d) post-training skill development, and (e) socio-enviromental contributors to therapist attrition and retention

Keywords: Attrition Clinician Experiences Retention Training

Accuracy Verified: Yes

47. Morris, A. (2009, October). Closing incomplete sessions. Presentation at the 3rd annual EMDR Autumn Workshop, Leeds, UK.

Language: English

Format: Conference

Abstract:
This workshop explores ways of managing sessions when there isn't time to complete the eight stage protocol, and considers the factors that make closure rather than resolution the appropriate response, timing, skills and techniques to bring down high levels of affect and contain unresolved material. This presentation includes discussion and experiential practice.

Keywords: Closure Incomplete Sessions

Accuracy Verified: Yes

48. 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

49. 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

50. Herbert, C. (2012, October). Complex trauma: Road to psychiatric dysfunction or path toward posttrauma growth?. Keynote at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
Healthcare service providers, as well as, mental health practitioners, frequently associate the suffering of complex trauma with pathology, mental illness, personality disorders and severe psychiatric dysfunction. Clients are perceived as difficult to treat, interventions are guided by the nature of the psychiatric diagnosis and therapy focuses on crisis management and on helping clients to achieve reductions of symptoms that account for the psychiatric diagnosis. Although symptom reduction can be of great value and importance to sufferers, sole focus on this misses the great potential to engage a person in a transformative process that can lead to considerable inner strengthening, alignment and positive growth, as a result and in spite of their early traumatic experiences. This keynote introduces a shift in perspective away from the traditional focus on psychiatric dysfunction toward a model of positive growth for clients suffering from Complex Trauma and Dissociative Identity Disorder (DID). It is proposed that development of empathic empowerment of the individual toward greater personal authenticity, honesty, accountability and compassion can open the path toward posttrauma growth. However, in order to achieve such development specific parameters must be fulfilled. These parameters, which include therapist factors, the nature of the therapeutic relationship, an underlying therapeutic framework for working with complex trauma and the guiding principles and ingredients that nurture growth rather than dysfunction, will be outlined and illustrated through the use of client vignettes.

Keywords: Complex Trauma Posttraumatic Growth

Accuracy Verified: Yes

51. Merkies, Y. (2012, March). Complexe PTSS: Evaluatie van een behandeling door cliënt en therapeut - "Je moet niet typen tijdens de EMDR" [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Inhoud Presentatie: Het behandelen van complexe PTSS gaat met ups en downs. Tevreden zijn over een behaald succes kan afgewisseld worden met een periode van wanhoop. Het is voor de behandeling van belang dat de therapeut steeds een helikopterview houdt. Vragen die de therapeut daarbij zichzelf onder andere stelt zijn: waar zitten we in het proces, ben ik als therapeut te voortvarend of neem ik te weinig risico. De patiënt kan indien mogelijk gestimuleerd worden van een afstand naar zijn eigen behandeling te kijken en te leren analyseren: waardoor krijg ik nu een terugval of hoe gaat het nu met me? De verantwoordelijkheid en de regie liggen uiteraard bij de therapeut. Hoe kijkt de patiënt achteraf terug op zijn behandeling en de verschillende fasen hierin? Wat heeft hem in moeilijke periodes geholpen? Welk gedrag van de therapeut heeft hem echt geholpen en wat was juist storend (zie titel)? In hoeverre was humor helpend? Hoe kijkt de patiënt terug op de mate van inspraak. In deze presentatie wordt aan de hand van videobeelden en een interview met een patiënt teruggekeken op het therapieproces. De patiënt is een ernstig getraumatiseerde man, die na een periode van stabilisatie zijn traumatische ervaringen op papier tekende. De tekeningen zijn in het begin gebruikt bij de ordening en bij bepaling van de werkvolgorde van de EMDR- behandeling. Tijdens de behandeling kon hij zelf goed aangeven wat hem hielp en wat niet. Na een forse terugval was hij in staat om te analyseren waardoor dit kwam en wat er voor nodig was om hier weer uit te komen. Deelnemers krijgen mee wat de do’s en don’ts zijn vanuit patiënt perspectief. Het belang van het nadenken over de therapeutische houding wordt gestimuleerd. De mogelijke angst om blunders te maken is hierna verminderd.

"You need not type during the EMDR" Content Presentation: The treatment of complex PTSD goes with ups and downs. Satisfied with a success achieved can be varied with a period of despair. It is important that the treatment the therapist still keeps a helicopter view. Questions that the therapist himself, among other states are: where we are in the process, I as a therapist to energetically or I take too little risk. The patient may be encouraged where possible from a distance to his own treatment to look and learn to analyze: how do I get a relapse or how is it going with me? The responsibility and control are of course with the therapist. How does the patient subsequently returned to his treatment and the different phases in this? What has helped him in difficult times? What behavior of the therapist has really helped him and what was just annoying (see title)? To what extent humor was helpful? How does the patient back on the degree of involvement. In this presentation, using video footage and an interview with a patient look back on the therapy process. The patient is a severely traumatized man, who after a period of stabilization are traumatic experiences on paper signed. The drawings are in the beginning when used in the arrangement, and determining the operating sequence of the EMDR-treatment. During treatment, he could well indicate what helped him and what not. After a sharp decline, he was able to analyze and so this was what it took to come here again. Participants will take what the do's and don'ts are from patient perspective. The importance of thinking about the therapeutic attitude is encouraged. The possible fear of making mistakes is reduced below.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD

Accuracy Verified: Yes

52. 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

53. Horne, B. (2010, September/October). Contain the case: Set a clear path to recovery. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop will provide simple and specific tools for constructing a file so that it becomes a powerful clinical tool. It will teach, through live demonstration, a case illustration through all 8 Phases, and practice activities, how to take, record and summarize client-information on one-page Genograms, Trauma Recovery Plans and Resources Records, for ready access at any moment. This documentation system is informed by the AIP, as demonstrated by the neuroscientists, who show us why we need to take a good history from conception including both “T” traumas and “t” disturbing life events, as well as resources and developmental factors.

Keywords: File Genograms Resource Records Trauma Recovery Plans

Accuracy Verified: Yes

54. Waayer, M., & Feijtel, M. (2006, November). Context en timing bij EMDR behandelingen met adolescenten [Context and timing of EMDR treatment with adolescents]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Pubers en adolescenten, leeftijd tussen 12 en 18 jaar kennen intensieve, snel wisselende ontwikkelingsfasen waarbij het veel afstemming van de therapeut vraagt hoe hij of zij contact kan aangaan met de jongere en zijn ouders. Deze jongeren komen slechts zelden met een eigen hulpvraag bij de GGZ. Meestal trekken de ouders aan de bel, soms school, soms een andere hulpverlener. Om met adolescenten te kunnen werken is het essentieel dat we aansluiting zoeken en vinden bij de jongere zelf en hoe die zijn probleem ervaart, ook al kan deze probleemdefinitie lijnrecht tegenover de aanmeldingsreden staan. Als er een hulpvraag is gevonden die erkent kan worden door de jonger zelf en door zijn ouders/opvoeders heeft de behandeling meer bodem om te kunnen starten. Een indicatie voor EMDR-behandeling vraagt altijd om goede voorlichting en uitleg. Bij jongeren speelt vervolgens mee dat de identiteitsontwikkeling en de daarmee gepaard gaande onzekerheidsgevoelens er vaak aan bijdraagt dat EMDR als een “ vreemde gang van zaken” wordt beschouwd. De therapeut moet genoeg vertrouwen in zichzelf en de therapie hebben om de jongere ook het vertrouwen te geven om in proces te durven gaan. Soms gaat dit in golfbewegingen. Het effect van de behandeling kan om dezelfde reden ontkend worden door de jongere zelf ( er zijn dingen veranderd maar dat kan natuurlijk nooit komen door dat rare gedoe, dat komt vast door die nieuwe verkering die nu zo gelukkig maakt) en belangrijk is dan om ook de context van de jongere erbij te betrekken. Ouders, brusjes of/en vrienden en school kunnen belangrijke informatiebronnen zijn om een goede inschatting te maken over het eventuele effect van de behandeling. Timing wanneer een EMDR-behandeling kan starten zal rekening moeten houden met schoolvakanties, proefwerken, PTA’s, (examen)feesten…omdat het belangrijk is om niet teveel risico te nemen op verbreking van het verwerkingsproces.

Teenagers and adolescents, aged between 12 and 18 years have intense, rapidly varying stages of development where it is much matching the therapist asks how he or she can enter into contact with juveniles and their parents. These young people are rare with an own demand for care in mental health. Usually the parents pull the bell, school sometimes, sometimes another helper. To be able to work with adolescents is essential that we seek and find connections with the young people themselves and what they are experiencing problems, even though this problem definition are diametrically opposed to notification reason. If there is a demand for care is found to be acknowledge by the younger self and his parents / guardians, the more soil treatment to start. One indication of EMDR therapy always requires good information and explanation. Among young people is then that the identity development and the associated uncertainty feelings that often contributes EMDR as a "foreign affairs" is seen. The therapist must have enough confidence in himself and the therapy to the young people the confidence to dare to go to trial. Sometimes this in waves. The effect of the treatment can be denied for the same reason the young people themselves (there are some things changed but that can obviously never get through the crazy stuff that is established by the new traffic that is so happy) and also important is to the context of the younger involvement. Parents, siblings and / or friends and school information important to a good estimate on the possible effect of the treatment. Timing when an EMDR treatment will have to start with school, papers, PTA's, (exam) parties ... because it's important not to take too much risk of breaking the process.

Keywords: Adolescents Juveniles

Accuracy Verified: Yes

55. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.

Language: English

Format: Book

Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist. In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies. Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult. But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client. In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners. Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong. Questions to Ask Your Prospective Therapist Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist. We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product. Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere. If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself. If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.

Keywords: Practice Theory

Accuracy Verified: Yes

56. Wildwind, L. (1991, December). Creating positive cognitions. EMDR Network Newsletter, 1(2), 11.

Language: English

Format: Newsletter

Abstract:
We know that having a positive cognition in mind is crucial to effective EMDR. Sometimes the patient produces an excellent positive cognition with little help. However, more often, even when asked how s/he would rather think or feel about it, the patient is still unable to produce an appropriate positive self-statement. Instead, the desired cognition may refer to the actions of others, or contain a negative, or an unrealistic component. These factors limit the usefulness of the statement since an unrealistic cognition will not 'stick' for avariety of reasons; e.g., the person knows better, negatives are very tricky at the unconscious level, the work can never control the behavior of others, etc. When difficulty arises in producing a positive cognition, it is sometimes helpful to offer alternatives to the patient. However, many of us are uncomfortable about "putting words in people's mouths," which leaves us in the position of struggling to help the client obtain a positive cognition.

Keywords: Positive Cognitions

Accuracy Verified: Yes

57. 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

58. 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

59. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.

Language: English

Format: Journal

Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]

Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors

Accuracy Verified: Yes

60. 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

61. Korkmazlar-Oral, U., Altuncu, Y., & Dogan, E. (2006, June). Cultural sensitivity and influencing factors of cognitions in EMDR applications. Presentation at the annual meeting of EMDR Europe, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Cultural Sensitivity

Accuracy Verified: Yes

62. 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

63. 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

64. 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

65. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. doi:10.1007/s12483-011-0016-6.

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

66. Knipscheer, J., van Middendorp, H., & Kleber, R. (2011, August). De rol van cultuur in het omgaan met psychotrauma [The role of culture in coping with psychotrauma]. Psychologie & Gezondheid, 39(3), 125-131. doi:10.1007/s12483-011-0026-4.

Language: Dutch

Format: Journal

Abstract:
The role of culture in coping with psychotrauma In this paper, the theme of the special issue on Culture and Trauma is introduced. In both empirically oriented articles as well as theoretical and contemplative contributions, the role of culture and migration context in the development of psychological problems following trauma, culture-specific or generic coping with the consequences, help-seeking behavior, and the need for culturally sensitive treatment is explored. First, the influence of the migration context is considered with regard to the possible sickening role of the asylum procedure, the burden for immigrant women who have undergone female genital mutilation and now live in a society that seriously condemns it, and the dilemma of Islamic migrants who experience homosexual feelings while living in a secularized society. Following are some contributions on cultural diversity in the expression of trauma symptoms, like somatization among refugees and the articulation of rage and embitterment among labor migrants. The impact of trauma in combination with migration on families and how children can be affected by the traumatization of their parents is the topic of two contributions in which the role of the (extended) family is explored and a contextual approach to working with families with trauma-related symptoms (a mentalization based multifamily therapy) is described. The factors that impede therapyseeking behaviour and drop-out are discussed in a study on Moroccan or Turkish girls who were raped. Finally, the applicability and efficacy of evidence-based interventions for treating ethnic minority patients with posttraumatic stress disorder is illustrated by a study on Eye Movement Desensitization and Reprocessing with refugees and an article on specific elements of intercultural trauma therapy that appear to be culturally sensitive.

Keywords: Asylum Procedure Cultural Diversity Culture Ethnic Minority Patients Female Genital Homosexuality Islamic Migrants Mentalization-Based Multi-Family Therapy Mutilation Migration Context Posttraumatic Stress Disorder PTSD Psychotrauma Trauma

Accuracy Verified: Yes

67. 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

68. 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

69. 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

70. de Jongh, A., ten Broeke, E., & van der Meer, K. (1997). Die bedeutung der kognitiven faktoren im rahmen des 'eye movement desensitization and reprocessing' (EMDR): Ein fallbeispiel einer klientin mit angst vor erbrechen [The significance of cognitive factors in the 'eye movement desensitization and reprocessing "(EMDR): A case example of a client framework vomiting with fear before]. In C.T. Eschenröder (Ed.), EMDR: Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 123-133). Tübingen: DGTV-Verlag.

Language: German

Format: Book Section

Abstract:
No abstract available.

Keywords: Vomiting

Accuracy Verified: Yes

71. Leuenberger, R. (2008). Die EMDR - Methode und ihr bezug zurbersten grundmotivation [EMDR - the method and its relation to basic motivation]. Existenzanalyse, 25(1), 44-53.

Language: German

Format: Newsletter

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)-Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einer PTBS (posttraumatische Belastungsstörung) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

This thesis should demonstrate that existential analysis can make a substantial contribution to the psychological as well as philosophical understanding of the EMDR (Eye Movement Desensitization and Reprozessing) method of treating mentally traumatized patients with a PTSD (Posttraumatic Stress Disorder), and thus extends beyond the common, and to some degree hypothetical, neurobiological attempts at explaining this method. The study is based on the experiences collected over a period of four years in the practice of a general practitioner who used the EMDR method in the treatment of patients suffering from PTSD. According to the verbal statements of patients made before, during and after treatment, it can be concluded that of the relevant deficiencies in the areas of the four fundamental motivations of existential analysis, those having to do with the first fundamental motivation bear the most significance. On the basis of 23 medical histories the effective factors of the EMDR method will become understandable from an existential-analytic point of view by using the concepts of the first fundamental motivation.

Keywords: Existential Analysis: Fundamental Motivation Trauma

Accuracy Verified: Yes

72. 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 was to investigate the efficacy of EMDR and cognitive-behavioral therapy for posttraumatic stress disorder with the current meta-analysis of publications. In a comprehensive literature search for this original work, both published and unpublished manuscripts were researched. A total of 32 original studies were included in the meta-analysis. 13 of the studies were pure EMDR studies; 7 examined both a group and a group with EMDR with CBT. 12 studies were purely cognitive-behavioral therapy studies. Moreover, the effectiveness should be considered in the light of various PTSD and comorbid symptomatology. In a further step EMDR was compared directly with cognitive-behavioral treatment methods. Effect sizes were calculated for both the PTSD symptom categories intrusions, avoidance and increased arousal as well as the comorbid symptoms of anxiety and depression. The calculation of effect sizes was based on standardized mean comparisons. In addition to the direct comparison of EMDR with cognitive-behavioral therapy approaches and EMDR and CBT with control groups (Post-/Post-Vergleich) and the changes within the treatment groups were calculated (Prä-/Post-Vergleich). In the only controlled and randomized Post-/Post-Vergleich original studies were submitted. In contrast Prä-/Post-Vergleich also single-group studies were included. Hedges'd was used as a measure of effect. The results suggest that both the EMDR and cognitive-behavioral therapy are effective in the treatment of post-traumatic stress disorder. Both methods reduce in clinically relevant extent, both immediate and long lasting, the PTSD symptomatology intrusions, avoidance and increased arousal. In addition, both treatments lead to a reduction in comorbid anxiety and depression symptomatology. The effectiveness of both methods is shown here both in Prä-/Post-Vergleich as well as direct Post-/Post-Vergleich with a control condition. Moreover, there is a similar level of effectiveness of EMDR and CBT, both in comparison to the Prä-/Post-Effektstärken as well as direct Post-/Post-Vergleich. Nevertheless, there seems to be different factors that influence the effectiveness of both EMDR therapy as well as cognitive-behavioral therapy. Due to the small number of studies, these factors can, however, examine in detail. Weitern the distinguished differences in the efficiency of the two forms of therapy from: Thus, the average duration of treatment with EMDR is 5 sessions in cognitive-behavioral therapy, however, 8 sessions. In addition, the exposure dose in the cognitive-behavioral therapies is higher than EMDR. The findings on the effectiveness of bilateral stimulation, however, are less clear. However, studies that attempt to isolate the eye movements with PTSD in persons often characterized by significant methodological flaws. Individual findings and concepts on the role of bilateral stimulation in EMDR are discussed in the discussion section.

Keywords: Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

73. Darker-Smith, S. (2012, October). Dissociative disorders and EMDR: Depersonalisation, derealisation and dissociation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
Within the field of dissociative disorders, EMDR clinicians are advised that there should be significant stabilisation in the preparation phase of the standard protocol. Indeed, where a client has been experiencing depersonalisation and / or derealisation for a significant period of time, there can be elements of heightened risk, such as suicidal intent caused by living in this ‘half-life’ or ‘dream-state’. For these clients, using a float-back technique to introduce body sensation as a mechanism of grounding can be, and is, highly effective in terms of stabilisation. This can enable a swifter progression to a place of stability in order to target the cause of dissociation, where it has been triggered by a natural, protective psychological avoidance to a traumatic event as well as reduce risk of suicide in clients who are experiencing significant distress at being ‘trapped’ in this ‘alternate reality’.

Keywords: Derealization Depersonalization Dissociation

Accuracy Verified: Yes

74. 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

75. 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

76. Tate, K. (2003). Does naturally occurring EMDR-like phenomena in the work environment increase employment risk for survivors of violent crimes?. Mental Health Santuary. Retrieved from http://www.naturalhealthweb.com/articles/tate1.html on 3/29/2013.

Language: English

Format: Other

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a controversial yet exciting therapy that assists many, including survivors of violent crimes to process their experiences so that they can move forward in their healing. The therapist deliberately stimulates left-right brain processing while facilitating an environment similar to that experienced while dreaming. It is particularly effective in treating people with post traumatic stress disorder. While this carefully constructed set of circumstances is beneficial in the hands of a qualified EMDR practitioner and in a safe environment, is it possible that the very factors which lead to healing in EMDR therapy present themselves unawares outside the clinical environment causing post-traumatic stress episodes? The actual triggers leading to a post traumatic stress episode vary, but perhaps upon inspection a naturally occurring commonality mimicking the EMDR phenomenon is present. Although eye movements are the most commonly used external stimulus employed by EMDR therapists, they also use auditory tones, tapping, or other types of tactile stimulation. Are there naturally occurring corollaries in the everyday environment which would make it difficult for a survivor of violent crime to function in their day to day duties? Are work tasks unknowingly triggering the beginnings of an EMDR session without the presence of an EMDR practitioner to facilitate the information processing? Is a post-traumatic stress response the result? Survivors of violent crimes are at high risk for employment. Does Naturally Occurring EMDR-Like Phenomena in the Work Environment Increase Employment Risk for Survivors of Violent Crimes?

Keywords: Posttraumatic Stress Disorder PSTD Survivors Violent Crimes

Accuracy Verified: Yes

77. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Working with traumatized clients can be overwhelming for the therapist, especially when the trauma is complex, involves dissociative symptoms or different personality states, fragmented memories or client affect is intense and poorly regulated. My experience as a supervisor of EMDR practitioners has shown that it is not uncommon for therapists, in an attempt to be helpful to the traumatized clients, to unintentionally use strategies, which are experienced as re-traumatizing or which lead to an increase in their clients’' survival based coping strategies, including the further strengthening of the ANP (Apparently Normal Personal- ~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop highlights different therapeutic challenges, which often arise for therapists when working with trauma and introduce strategies that EMDR practitioners can use in their work with such clients. This workshop embeds the principles of Positive Growth Therapy (PGT - Herbert, 20071, which encompasses combined knowledge from a variety of disciplines, including positive psychology, information-processing theory, neurobiology, somatic psychology, developmental psychology and attachment theory, mindfulness and others. These strategies, designed to nurture growth rather than dysfunction, are linked to specific therapeutic factors relevant to the work with trauma, such as different types of trauma, the nature of dissociation, the therapeutic pathway toward integration. the concept of safety, the importance of resource installation, individual pacing of therapy and the window of tolerance, different types of processing, and the integration of rational and experiential processing systems and others, which will be explored in the course of this workshop This workshop offers opportunities for both, EMDR therapists, who are fairly new to the trauma field and would like to enhance and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop as an opportunity to re-view, further refine or validate their current ways of working. The specific learning objectives for this workshop are: 1. To find out about specific therapeutic factors that is relevant to the work with trauma. 2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity. This workshop is unique in the way in which it transcends specific (and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.

Keywords: Trauma Treatment

Accuracy Verified: Yes

78. 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

79. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Journal

Abstract:
From my clinical work over the past 4 years a case series of 15 women patients, all detained in a secure hospital for periods of up to 30 years discharged after EMDR therapy. Some cases discussed in depth, others factor analysed as case series. Drug modulation permitted intensive therapy. The factors of complex stress disorder are beeing discussed and its simlarity to borderline personality disorder. The effects of long term instititutionalisation after detention in security. The responsible clinician as ‘‘goaler and therapist’’ as well as therapeutic pitfalls are being explored. The psychopathology of the flashback is contrasted with the psychpathology of the alter (dissociative identity). Prognostic factors and outcomes are being presented. The implications for personality disorder as a diagnosis contrasted with complex PTSD will be evaluated.

Keywords: Borderline Personality Disorder BPD Drug Modulation

Accuracy Verified: Yes

80. Lueger-Schuster, B., & Olff, M. (2008, June). Early intervention following traumatic events. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
On successful completion of the workshop, participants will be able to: · Describe the commonly used approaches to early intervention following traumatic events and the rationale behind them including blanket intervention, targeted interventions and the timing of them. Describe specific interventions including critical incident stress debriefing, psychological debriefing, psychological first aid, critical incident stress management, trauma risk management, supportive counselling and trauma focused cognitive behavioural therapy. Discuss the current evidence base for the effectiveness of early interventions following traumatic events.

Keywords: Early Intervention

Accuracy Verified: Yes

81. Dyregrov, A. (2006, March). Early interventions following disasters – A place for EMDR and trauma therapy?. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
Considerable professional debate exists regarding the role of mental health professionals in the early intervention following disasters. Emotional first aid is a natural part of disaster response in western countries, while the active involvement of mental health professionals is debated. The current paradigm is to screen to find those at risk after a period of time (usually > 1 month) and then refer those in need to more active traumatherapeutic assistance based on the screening results. Dr. Dyregrov will argue for an active role for mental health professionals in the early response, but will discuss and question whether EMDR or other specific trauma therapy should be offered within the first few weeks following a disaster.

Keywords: Disasters Early Interventions

Accuracy Verified: Yes

82. 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

83. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.

Language: English

Format: Journal

Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders 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 on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.

Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

84. 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

85. Ueda, E., Yamanishi, K., & Fukui, Y. (2010, July). The effective way of controlling of habitual scratching on atopic dermatitis patients with social stress by using EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This study aims to cure refractory atopic dermatitis (AD) patients, by using EMDR, who severely suffer from habitual scratching that may derive from their unbearable social stress. The prevalence of AD is 13.2% in 3 year-old children and 8.2% among 1st grade university students in Japan, according to a Ministry of Health, Labour and Welfare study, 2000 to 2002. The patients with AD have been increasing in the past 20 years. Among these patients, 20% have more than moderate severity, and within this group, some of the patients have chronic and refractory conditions with some psychosomatic factors. So far a great deal of effort has been made to care those patients, however, there are still quite some patients who are distressed with their difficult state of condition. We then focus on treatment of controlling habitual scratching of AD patients that may generally derive from personal friction or social stress. We obtained fairly significant results with EMDR on which these patients came to be able to control themselves, reduce their scratching, and also enhance their self-efficacy. These results suggested that EMDR were useful for controlling the habitual scratching from stress of traumatic memory such as child abuse, bullying of tragedy and effective for refractory AD patients.

Keywords: Atopic Dermatitis Habitual Stress Scratching

Accuracy Verified: Yes

86. 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

87. 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(3), 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

88. 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

89. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months. Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.

Keywords: ACEH Survey

Accuracy Verified: Yes

90. de Jongh, A., & ten Broeke, E. (2001, March). An efficient way of targeting traumatic material. EMDRIA Newsletter, 6(1), 4.

Language: English

Format: Newsletter

Abstract:
Besides the correct application of the basic EMDR protocol, one of the most important factors involving the treatment of trauma related conditions, is the way the traumatic material is targeted. For example, if clients have trouble processing, this could be due to a lack of focus which prevents the client from successfully tapping into his memory network. It’s our experience that, to adequately tap into the memory network, it is most useful to use a somewhat different strategy for ‘going back to target’ than which is described as part of the standard EMDR procedure. We would recommend the following procedure (see Box I).

Keywords: Targets

Accuracy Verified: Yes

91. 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

92. 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

93. Darker-Smith, S. (2011, October). EMDR and borderline personality disorder and use of B2T protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
The adaptation of the order of the EMDR 8-phase standard protocol to target specific abandonment issues first and primarily limits the therapy interfering behaviours which lengthens overall therapeutic intervention duration and acts as a road-block (Leahy etc.) to therapy. Specifically, using a blind-to-therapist protocol for this client group once fears of abandonment (often acted out in the therapeutic dynamic) is addressed, then the risk of empathy-enhancing exaggerations is reduced. (Author abstract)

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

94. Black, A. (2010, March). EMDR and CBT - Burt and Ernie or Punch and Judy? - a joint treatment approach with complex children and adolescent trauma. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Are EMDR and CBT sworn enemies or best friends? This workshop will through teaching, case presentation and small group exercises explore how Cognitive Behavioural Therapy (CBT) and EMDR can function as a seamless therapeutic treatment model with children and adolescents of all ages. Participants will: • Develop an understanding of what factors constitute complex trauma in children and adolescents and the hurdles it presents to effective treatment in EMDR. • Discover what strategies the CBT model can offer in relation to engagement, goal setting and relapse prevention as part of EMDR treatment. • Practise designing behavioural experiments for children and adolescents to equip them to test and apply their new learning following EMDR reprocessing. • Learn how to utilise the CBT cycle model in providing a rationale for EMDR treatment for children, adolescents and parents and post EMDR treatment understanding and consolidation of change.

Keywords: CBT Cognitive Behavior Therapy Joint Treatment Approach Adolescents Children Cognitive Behaviorial Theapy Trauma Treatment Approach

Accuracy Verified: Yes

95. Hofmann, A. (2001, May). EMDR and dissociation. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Patients with dissociative disorders usually are a complex traumatised population that has an increased risk of complications during their treatment course. In treating these patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to include a number of other treatment modalities and an overall comprehensive treatment plan. The objective of this presentation is to give an overview of the opportunities that EMDR offers and to reduce risks in the course of treatment.

Keywords: Dissociation

Accuracy Verified: Yes

96. 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

97. Spierings, J. J. (1999). EMDR and mourning. New Hope, PA: EMDR Humanitarian Assistance Programs.

Language: English

Format: Book

Abstract:
This manual is based on presentations given by Dr. Spierings. Specific topics are covered, such as the definitions, phases and tasks of handling the normal mourning process. Also included are topics based on clinical indicators, high risk factors and protocols for the complicated mourning process. [EMDR-HAP]

Keywords: Grief Mourning

Accuracy Verified: Yes

98. Spierings, J. (2000, May 6). EMDR and mourning. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This presentation consists of the following two parts:
I. The normal mourning process:
Defintions, phases, mourning tasks and characteristics
General treatment principles, EMDR and other treatment techniques
Therapeutic attitude and your own grief reactions as a therapist
II. The complicated mourning process:
Definitions, high-risk factors, diagnostic criteria and clinical indicators
Patterns of complicated mourning
For each pattern: specialized treatment techniques, EMDR protocols and treatment plans

Keywords: Complicated Grief Grief Mourning Protocol

Accuracy Verified: Yes

99. Nickerson, M. (2008, June). EMDR and the treatment for angry and violent behaviours. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
This workshop will assist the EMDR clinician to more effectively treat angry and violent behaviour. It will include an initial review of the prevalence, impact and dynamics of the problem. The common cyclical nature of violent acting out will be depicted as well as other characteristics in a spectrum of hostile behaviours including perpetrator state and trait issues. Current non-EMDR clinical approaches and the evolving field of domestic violence will be reviewed to aid the EMDR clinician in skilfully integrating into existing clinical contexts and to appreciate the unique capacities of EMDR. The primary focus of the workshop will be on special considerations in the successfully tailored use of the 8-Phase Treatment approach. Clients with problematic anger or violent behaviour present many challenges for the often undertrained clinician and commonly avoid, resist and manipulate treatment or drop out prematurely. Keys to successful clinical engagement, risk assessment and case formulation will be highlighted as critical to early phases of treatment. A metaphor based guide to case formulation will be presented and a decision-tree style flow chart will be offered to inform treatment planning including determining client readiness for trauma processing. EMDR offers the potential for desensitizing the trauma that often drives violent behaviour. Considerations in the identification, prioritization and sequencing of targets for processing will be outlined. This will include use of the cycle of violence model for target identification. Multiple clinical examples will be offered to illuminate points including video taped case material.

Keywords: Anger Violence

Accuracy Verified: Yes

100. Greenwald, R. (2002). EMDR and trauma-focused treatment for conduct problems. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper No. 19 (pp. 15-21) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
Trauma is proposed as a key to understanding the development and persistence of conduct problems, in conjunction with other contributing factors. Preliminary research on child/adolescent trauma treatment indicates that such treatment can successfully reduce post-traumatic symptoms as well as conduct problem symptoms. Eye movement desensitization and reprocessing (EMDR) has shown particular promise. However, it can be difficult to secure treatment compliance for trauma-focused work with this challenging population. A more comprehensive treatment approach is suggested which addresses trauma-related issues of motivation, safety, and self-efficacy as a foundation form which to introduce EMDR. Reductions in post-traumatic stress, related symptoms, and problem behaviours along with improved school performance, indicate the value of further study of this type of treatment approach.

Keywords: Children Conduct Disorders Occasional Paper

Accuracy Verified: Yes

101. Donovan, L. (2002, June). EMDR and traumatized children/adolescents: Systemic affect regulation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Developmental and systemic perspectives support incorporating the caregiver/family in EMDR treatment of children and adolescents to maximize efficacy and minimize risks. Participants will learn to: 1) identify multiple options, risk factors, and guidelines (eg, for timing, sequencing, identifying the need for EMDR/RDI in the traumatized parent/caregiver as well as the child); 2) identify strategies to maximize vicarious processing, and promote resource development and affect regulation in the caregiver/family; 3) define with the family ways to provide safety, take rerponsibility and guide choices; and 4) utilize the nartural relational context to develop affect regulation in the child/adolescent.

Keywords: Adolescents Affect Regulation Children

Accuracy Verified: Yes

102. Nickerson, M. (2008, September). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Assocation, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR offers unique potential in the treatment of clients with angry and violent behaviors. This workshop will include an initial review of the issue’s prevalence, common dynamics, and historic intervention strategies. The underaddressed role of trauma often driving these tendencies will be illuminated. Primary focus will be on the tailored implementation of the 8-Phase Treatment approach. Keys to successful clinical engagement, risk assessment and a metaphor based guide to case formulation will be highlighted. Considerations in the identification, prioritization and sequencing of targets for processing will be outlined. Clinical examples will be offered to illuminate points, including video taped case material.

Keywords: Angry Behaviors Violent Behaviors

Accuracy Verified: Yes

103. Balbo, M. (2003, May). EMDR and treatment of binge eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
The study shows use of EMDR therapeutic method in treatment of eating disorders with binge eating episodes with and without purging with clients treated with cognitive-behavioral psychotherapy. Dissatisfaction with the client’s own body and inadequacy stemming from the influence of cultural elements seem to be the highest maintenance factors of eating disorders associated with binge eating episodes. The study analyzes n.10 cases of clients with various dysfunctional ideas caused by distorted constructions with respect to their self-esteem, self-acceptance and personal value, as shown both in their EDI 2 (Eating Disorder Inventory – 2 by David M. Garner) scores and the analysis of their life histories. The SQ (Symptom Questionnaire by R. Keller) was also administered since it is particularly indicated for administration at short intervals. The EDI 2 and SQ tests have been administered after n.6 EMDR sessions. Results: Use of EMDR on the negative cognitions formulated, learnt and maintained by clients in their experience, as well as on alternatives to binge eating, has produced a considerable reduction of their dysfunctional ideas, and binge eating behaviors showing additionally an increase of the drive to change, leading to an increased compliance and autonomy in therapy progress. The results obtained shall be presented and discussed.

Keywords: Binge Eating Eating Disorders Symposium

Accuracy Verified: Yes

104. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations, repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience relational difficulties and poor quality of life related to all the above factors. Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety and this improvement is positively reflected to the fluency of their speech. In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.

En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala calidad de vida relacionada con los factores previamente mencionados. Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente en la fluidez de su habla. En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva de EMDR.

Keywords: Stuttering

Accuracy Verified: Yes

105. Wipson, E. C. (2002, June). EMDR applications in addictive disorders. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Participants will be able to explain the addictive brain process in relationship to EMDR treatment goals, list client readiness safety factors, and list appropriate client resources for R.I. They will learn appropriate NC & PC for Addictive Illness treatment. Participants will learn a variety of Addictive Illness issues to be targeted with EMDR including the "initial connection." They will learn an EMDR Addictive Disease Treatment Model with accompanying flowchart.

Keywords: Addictions Addictive Disease Treatment Model

Accuracy Verified: Yes

106. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic, agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive disorders. The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style, reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed because they offer excellent support for EMDR and for particular forms of its application. The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder. The discussion will focus on important information in the history taking and personal contact with the client as well as the potential targets for EMDR work with the various anxiety disorders. In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use of supplementals. Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in particular, therapist factors that can improve effectiveness.

Keywords: Anxiety Disorders

Accuracy Verified: Yes

107. Lackie, B. (2004). EMDR as an early itervention in trauma and disaster mental health. Presentation at the annual meeting of the American Psychological Association, Honolulu, HI.

Language: English

Format: Conference

Abstract:
Summarizes a presentation discussing EMDR as an early intervention in trauma and disaster mental health. EMDR is one of the more effective preventative approaches to the effects of disaster and trauma which has emerged over the past ten years. This part of the presentation will review the research findings for effectiveness of this particular approach to reducing the risks of future PTSD, comparing and contrasting it to the alternative approaches presented by the panel. Please see the attached author submitted abstract for more detailed informatoin on EMDR.

Keywords: Disasters Intervention Mental Health Posttraumatic Stress Disorder Prevention Risk Factors Trauma Treatment Effectiveness Evaluation

Accuracy Verified: No

108. Hofmann, A. (2008, September). EMDR bei dissoziativen störungen [EMDR and dissociative disorders]. Presentation at Pre-Congress on EMDR auf dem European Congress of Hypnosis, Wien, Österreich.

Language: German

Format: Conference

Abstract:
Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer bedingter Störungen sind auch neuere erfolgreiche Zugänge zur Behandlung dieser Störungen entwickelt worden. Einer dieser neuen Ansätze ist die von Dr. Francine Shapiro in Palo Alto (Kalifornien) entwickelte und mittlerweile international anerkannte EMDR-Methode.
Diese in ihrer Effektivität gut belegte Behandlungsmethode verwendet einen acht Phasen umfassenden Behandlungsansatz und kann in vielen Psychotherapien auch bei schwer dissoziativen PatientInnen wichtigen Beitrag zur Verarbeitung belastender Erinnerungen leisten.
Dies gilt auch für PatientInnen, die unter schwersten dissoziativen Störungen wie einer multiplen Persönlichkeitsstörung leiden. Die oft langwierige Behandlung dieser PatienInnen ist durch Methodenintegration und kann durch den Einsatz der EMDR-Methode sehr profitieren. Der diagnostische und behandlungstechnisch integrative EMDR-Ansatz bei diesen PatientInnen wird in seinen Forschungsergebnissen und klinischen Anwendungen im Einzelnen diskutiert werden.

Supervision will as well as coaching the professional competence of supervisees at the intersection of different factors: optimizing them accordingly serve the qualification, optimization and reflection of the professional action. With the growing research in the field of psycho-traumatic disorders induced newer successful approaches to the treatment of these disorders have been developed. One of these new approaches is that of Dr. Francine Shapiro in Palo Alto (Calif.) has developed and now internationally recognized EMDR method.
This well-documented in effectiveness treatment method uses a eight phases comprehensive approach to treatment and can afford in many psychotherapies in severely dissociative patients also important contribution to the processing of stressful memories.
This also applies to patients suffering from severe dissociative disorders, such as a multiple personality disorder. The often lengthy treatment of this PatienInnen is through integration of methods and can benefit by using the EMDR method very much. The diagnostic and treatment technique EMDR integrative approach in these patients will be discussed in its research and clinical applications in detail.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

109. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Deze lezing gaat over het implementeren van EMDR in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep: • Meervoudige persoonlijkheidsstoornissen • Meervoudig ernstig getraumatiseerd • Verslavingsproblematiek • Specifieke psychiatrische problematiek • Forensische problematiek • Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren. Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.

This lecture is about the implementation of EMDR In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target: • Multiple personality disorder • Multiple severely traumatized • Addiction Problems • Specific psychiatric problems • Forensic issues • Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors. Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.

Keywords: TBS System of Treatment

Accuracy Verified: Yes

110. Grégoire, P. A. (2010, Avril/Mai). EMDR dans les cas de deuil et de dépression [EMDR in bereavement and depression]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.

Language: French

Format: Conference

Abstract:
Le deuil et la dépression sont des expériences de vie qui présentent un défi pour les mécanismes d’adaptation et remettent en question les états d’équilibre déjà établis. Les liens qui deviennent de plus en plus évidents entre ces états expérientiels et la présence de mécanismes défectueux de traitement de l’information soulignent l’importance d’offrir des services psychothérapeutiques, telle l’approche EMDR qui tient compte de ces besoins et de ces processus spécifiques. Notre présentation veut souligner : 1) l’importance des protocoles et des principes de base de l’approche EMDR comme modèle d’intégration des processus de psychothérapie 2) les recherches qui explorent les mécanismes dysfonctionnels des réseaux de mémoire impliqués lors du travail du deuil et 3) les applications de protocoles spécifiques EMDR pour les diverses étapes du deuil. La partie expérientielle de cette présentation explorera certains des facteurs adaptatifs permettant le renouvellement de cet équilibre perdu et la consolidation de mécanismes reliés à la résilience. (Tous les niveaux)

Grief and depression are life experiences that are challenging for coping and challenge the already established equilibrium states. The links are becoming increasingly evident between these experiential states and the presence of defective mechanisms of information processing emphasize the importance of providing psychotherapeutic services, such as the EMDR approach that addresses these needs and these specific processes. Our presentation will highlight: 1) the importance of protocols and basic principles of the EMDR approach as a model for the integration of psychotherapy process 2) research that explores the dysfunctional mechanisms of memory networks involved in the work of mourning and 3) applications of EMDR protocols specific for the various stages of grief. The experiential part of this presentation will explore some of the factors adaptive to the renewal of this lost balance and strengthening mechanisms associated with resilience. (All levels)

Keywords: Bereavement Depression: Grief

Accuracy Verified: Yes

111. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo. Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR. Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate. In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico. Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo. Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP. Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.

As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.

Keywords: Panic Disorder

Accuracy Verified: Yes

112. Dautovic, E., Aldenkamp, E., & Rodenburg, R. (2012, June). EMDR effectiveness in adults with PTSD and an intellectual disability: A case series [La efectividad del EMDR en adultos con una discapacidad intelectual y TEPT: Series de casos]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Background People with an intellectual disability (ID) have an increased vulnerability for abuse and assault, and subsequently an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD is found to be significantly higher in people with intellectual disabilities than in people without disabilities. Eye movement Desensitization and Reprocessing (EMDR) has proved to be an effective PTSD treatment in people without ID. EMDR is widely used in treating people with ID, while research into the effectiveness of EMDR in individuals with an ID is very scarce. Therefore more research is necessary to speak of EMDR being an evidence-based trauma treatment for this specific population. Objective The objective of this study was to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) in treating PTSD in adults with an ID. The effects of the treatment on anxiety, symptoms of depression, and quality of life were also investigated. Methods From September 2010 till december 2012, adults with an ID, diagnosed with PTSD and treated with EMDR, were included in the study. Before and after treatment questionnaires were completed by the participants. Normative deviation scores (NDS) were calculated to estimate the condition of the participant before and after treatment compared to the non-disabled population. The Reliable Change Index (RCI) was used to establish statistically significant change due to treatment. Preliminary results Primarily, a significant change in PTSD symptoms, from clinical to non-clinical levels, is found. Secondarily, co-morbid anxiety and depression complaints are detected, which decline after treatment with EMDR. In addition, an increase in wellbeing in the participants is found. Conclusion From the preliminary results EMDR seems an effective treatment for PTSD in adults with an ID. However, for calculations are still being conducted, the final results and conclusions will be presented at the conference

La población con una discapacidad intelectual, tiene un riesgo mayor de vulnerabilidad para el abuso y el asalto, y por tanto un aumento en el riesgo de desarrollar un trastorno de estrés post-‐traumático (TEPT). La prevalencia del TEPT es significativamente mayor en personas con retraso mental que en personas sin este tipo de discapacidad. El EMDR ha sido mostrado como efectivo en el tratamiento del TEPT en personas sin discapacidad intelectual. EDMR es ampliamente usado en el tratamiento de personas con discapacidad intelectual, mientras tanto la investigación en la efectividad del EMDR en personas con discapacidad intelectual es muy escasa. Consecuentemente mas investigaciones son necesarias para hablar de EMDR siendo un tratamiento valido para el trauma en esta población especifica. El objetivo de este estudio fue investigar la eficacia del reprocesamiento por movimiento oculares (EMDR) en el tratamiento del TEPT en adultos con una deficiencia mental. Los efectos de este tratamiento en ansiedad, síntomas de depresión y calidad de vida fueron también investigados. Desde Septiembre de 2010 hasta diciembre de 2012, los adultos con una deficiencia mental, fueron diagnosticados de TEPT y tratados con EMDR, fueron incluidos en este estudio. Se pasaron cuestionarios pre y post tratamiento a los participantes. Las puntuaciones de desviación típica fueron calculadas para estimar la condición del participante antes y después del tratamiento comparada con la población sin discapacidad. El índice de cambio real (RCI) fue utilizado para establecer de manera estadísticamente significativa el cambio debido al tratamiento. Los resultados preliminares, muestran un cambio significativo en el los síntomas del TEPT, en niveles clínicos y no clínicos. De manera secundaria, quejas de comorbilidad con ansiedad y depresión fueron detectadas que disminuyeron tras el tratamiento con EMDR. Además, un incremento en el bienestar de los participantes fue encontrado. La conclusión de estos datos preliminares es que el EMDR parece ser un tratamiento efectivo para el TEPT en adultos con una discapacidad intelectual. Sin embargo, los cálculos aún están siendo analizados, los resultados finales y las conclusiones serán presentadas en la conferencia.

Keywords: Adults Intellectual Disability Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

113. Baldé, P. (2005). EMDR en hypnose: Suggestieve elementen in een populaire techniek [EMDR and hypnosis: Suggestive elements in popular technique]. Directieve Therapie, 25(1) 35-41. doi:10.1007/BF03060369.

Language: Dutch

Format: Journal

Abstract:
Over de werkzame bestanddelen van Eye Movement Desensitisation and Reprocessing (EMDR) is veel gespeculeerd, maar er is nog weinig duidelijkheid over. Hoewel vaak wordt beweerd dat EMDR voornamelijk op suggestie berust, ontbreken serieuze analyses in die richting. De auteur stelt dat EMDR overeenkomt met de gefractioneerde inductietechniek van Langen. Hij bespreekt de suggestibiliteitverhogende factoren van EMDR en de overeenkomsten met hypnose, zoals het toepassen van impliciete suggesties. Conclusie: EMDR werkt. Niet uitsluitend vanwege de suggestieve technieken, maar wel door daar optimaal gebruik van te maken.

About the active ingredients of Eye Movement Desensitisation and Reprocessing (EMDR) has been much speculation, but there is still little clarity about. Although often claimed that EMDR is based mainly on suggestions, no serious analysis in this direction. The author proposes that EMDR corresponding to the fractional induction technique of Langen. He discusses the factors suggestibiliteitverhogende of EMDR with hypnosis and agreements, such as the use of implicit suggestions. Conclusion: EMDR works. Not only because of the suggestive techniques, but by making best use of it.

Keywords: Hypnosis

Accuracy Verified: Yes

114. Huson, N., & van Wijk, K. (2001). EMDR en non-specifieke motivering: Een casuistisch verhaal [EMDR and non-specific reasons: A casuistic story]. Directieve Therapie, 21(3), 102-106. doi:10.1007/BF03060259.

Language: Dutch

Format: Journal

Abstract:
Dit artikel beschrijft het bewust gebruikmaken van non-specifieke factoren en suggesties bij de behandeling met Eye Movement Desensitization and Reprocessing van een vrouw met hardnekkige somatoforme klachten.

This article describes the deliberate use of non-specific factors and suggestions in dealing with Eye Movement Desensitization and Reprocessing of a woman with persistent somatoform symptoms.

Keywords: Non-specific Factors Somatoform Symptoms

Accuracy Verified: Yes

115. Greenwald, R., Soberman, G., Shelton, D., & Fisher, B. (2000, September). EMDR for conduct problems. Presentation at the International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) identify several significant contributing factors in the development and persistence of conduct problems; 2) describe several clinical applications of EMDR which are pertinent to the clinical issues presented by the conduct problem population; 3) discuss the findings of the study in which brief EMDR treatment was added to standard care for boys with conduct problems; 4) discuss the findings of the study in which the MASTR protocol was used with middle and high school students - also the preliminary findings of the MASTR study with incarcerated juveniles; and 5) discuss the findings of the study which "enhanced" EMDR was used with domestic violence offenders.

Keywords: Brief EMDR Treatment Conduct problems Domestic Violence Offenders Enhanced EMDR Incarcerated Juveniles MASTR Protocol

Accuracy Verified: Yes

116. Jacob, P. (2012, Novembro). EMDR gerando frutos: Relato de caso [EMDR generating fruits: A case report]. In casos clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Já é sabido no meio científico ligado ao EMDR e percebido diariamente nos consultórios dos psicoterapeutas que utilizam essa técnica inovadora que a terapia por EMDR tem um alcance muitas vezes maior do que o inicialmente planejado. A presente apresentação objetiva relatar um desses casos: o caminho da psicoterapia de Ana (nome fictício), de trinta e seis anos de idade, desde seu pedido inicial de amenizar sua autocobrança excessiva, passando pelo momento em que percebeu que sua crença negativa mais atuante poderia ser um dos fatores que impediam sua fertilidade, até sua gravidez, antes imaginada como impossível. Após quase três anos de tentativas frustradas de engravidar naturalmente, Ana procurou uma clínica de reprodução humana. Nos sete anos seguintes Ana passou por vários tratamentos, entre eles duas inseminações com resultado positivo que resultaram em abortos retidos algumas semanas depois, e uma fertilização com sucesso até o final, a gestação da qual nasceu seu filho, hoje com cinco anos de idade. Embora sem um diagnóstico preciso, os médicos que a acompanharam durante todos esses anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada. Palavras-chave: EMDR; esterilidade; infertilidade; gestação. 4. 3. Depressão por Parto na Adoção: A Cura pelo EMDR Roberta Vanessa Torres - Psicóloga Clínica, Especialista em Saúde Coletiva, Psicóloga Social em abrigos, Terapeuta de EMDR (em formação) Esse trabalho anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada.

It is known in scientific circles connected to EMDR and perceived daily in the offices of psychotherapists who use this innovative technique that EMDR therapy has a range many times greater than originally planned. This presentation aims to report a case in point: the path of psychotherapy Ana (not her real name), thirty-six years old, since its initial order to mitigate their excessive autocobrança past the moment he realized that his negative belief more active could be one of the factors that hindered their fertility until her pregnancy before imagined as impossible. After nearly three years of failed attempts to conceive naturally, Ana sought a clinical human reproduction. In the seven years following Ana underwent various treatments, including two inseminations with positive outcome that resulted in miscarriages held a few weeks later, and a successful fertilization until the end of the pregnancy which was born his son, now five years old. Although without an accurate diagnosis, doctors who accompanied her all these years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated. Keywords: EMDR; sterility, infertility, pregnancy. 4th. 3rd. Depression by Calving in Adoption: Healing the EMDR Roberta Vanessa Torres - Clinical Psychologist, Specialist in Public Health, Social Psychologist in shelters, EMDR Therapist (in training) This work years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated.

Keywords: Case Study Fertility Pregnancy Sterility

Accuracy Verified: Yes

117. Meise, S. (2010, Juli). EMDR heilsame Augenbewegungen [EMDR healing eye movements]. Psychologie-Heute. Retrieved from http://www.psychologie-heute.de/archiv/detailansicht/news/emdr_heilsame_augenbewegungen/?type=0%2525252525252525252..cmd%3Dinfomailcmd%3Dinfomailcmd%3Dinfomail&cHash=9bb26b334680750cd6eb8f28f5e65e01 on 8/9/2010.

Language: German

Format: Magazine

Abstract:
Traumapsychotherapien mit EMDR sind 20 Jahre nach dessen Einführung unbestritten erfolgreich. Während die Wirkfaktoren noch erforscht werden, wenden Therapeuten es längst nicht mehr ausschließlich zur Behandlung schwerer Traumata an. Auch bei Allergien, Essstörungen, chronischen Erkrankungen und verhaltensgestörten Kindern hat sich das Verfahren bewährt Revolution oder Humbug? Die Psychotherapie Eye Movement Desensitization and Reprocessing, kurz EMDR, polarisiert die Traumaforschung, seit sie 1989 von der amerikanischen Psychologin Francine Shapiro für posttraumatische Belastungsstörungen, PTBS, entwickelt wurde. Mittlerweile ist sie eine auch von offiziellen Gremien anerkannte Methode, denn über 20 kontrollierte Studien weisen deren teils frappierend schnelle Wirkung nach. Trotzdem gibt es erst seit etwa 10 Jahren einschlägige Fachartikel meist wird EMDR darin als Scharlatanerie oder Form der Hypnose abgekanzelt und mit dem Etikett...

Trauma with EMDR psychotherapies are 20 years after its introduction undoubtedly successful. While the effective factors are elucidated, it is no longer consult therapists exclusively for the treatment of severe trauma on. Even with allergies, eating disorders, chronic diseases and behavioral disorders, the procedure has proven Revolution or humbug? The Psychotherapy Eye Movement Desensitization and Reprocessing, EMDR brief, polarized the trauma research, since it was developed in 1989 by the American psychologist Francine Shapiro for post-traumatic stress disorder, PTSD. She is now an accepted method by official bodies, for more than 20 controlled studies demonstrate the sometimes striking quick effect. Nevertheless, it is only since about 10 years of relevant professional articles is EMDR is usually dismissed as quackery or form of hypnosis and with the label...

Keywords: Eye Movements

Accuracy Verified: Yes

118. Hase, M. (2001, May). EMDR in a critical incident in Germany (prison riot). Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
The prison system serves, among many others, one important goal: to separate those members of society, who are dangerous to others, from the more peaceful and law-abiding majority. As a consequence one could assume that the inmates of a prison from a, subgroup of human beings, distinct by their aggressive potential. Though this is not true for all of the prisoners, it may be true for many of them. It is a well known fact, at least in Germany, that procedures for controlling the safety in a prison, can't eliminate criminal behaviour or dealing with drugs in a prison. One could assume, that even if an adequate standard of safety is upheld, a prison would be a dangerous place to work in and that prison staff would be at a considerable risk of being traumatised at work. In the prison system in Lower Saxony, Germany, between 5 and 10 recently traumatised staff are invited to participate in a group consultation each year. The number of unrecorded cases is certainly much higher. In contrast there is not much literature about traumatisation of prison staff. On the other hand prison staff are regarded as a population often reluctant to engage in psychotherapy and leaving psychotherapy prematurely, without a significant treatment effect. On 13th of August 1999 a prisoner attacked prison staff at Uelzen prison in Lower Saxony, Germany. The perpetrator killed two members of staff, wounded two others severely and committed suicide immediately afterwards. More members of staff suffered from the psychological effects of the violence. The Critical Incident Team within the Ministry of Justice provided intensive care and counselling. 15 members of staff were identified as a high risk group to develop PTSD. 10 members of staff began psychotherapy. 7 qualified for a diagnosis of PTSD, 3 for related diagnoses, according to ICD-10 criteria None of them left therapy prematurely. One member of staff suffered from the effects of a civil war situation experienced 15 years before, with a late onset PTSD triggered by vicarious traumatisation. Only one remains out of work, but does not qualify for a diagnosis of PTSD at present. Three are still in therapy. 7 patents ended therapy with a complete recovery. EMDR was applied to great extent in 9 of the 10 cases. EMDR was tolerated well and proved to be fast and efficient. Treatment effects seem to last over time. Setting the focus on the trauma and using EMDR as a specific psychotherapeutic method seems to provide an accepted strategy with significant gains for this population.

Keywords: Critical Incident Prison Recent Events Riot

Accuracy Verified: Yes

119. Beer, R. (2006). EMDR in de behandeling van jongeren met een eetstoornis [EMDR in the treatment of adolescents with an eating disorder]. Kinder- & Jeugdpsychotherapie, 33(3), 54-64.

Language: Dutch

Format: Journal

Abstract:
Eetstoornissen zijn ernstige ziektebeelden met een grote kans op een chronisch beloop, hoge morbiditeitcijfers en veel co-morbiditeit (van Elburg & Rijken, 2004). In de DSM IV worden verschillende eetstoornissen onderscheiden: Anorexia Nervosa, Boulimia Nervosa en Eetstoornis Niet Anders Omschreven. Eetstoornissen komen meestal tot bloei tijdens de adolescentie. Bij Anorexia Nervosa ligt de piek van het ontstaan tussen veertien en achttien jaar, Boulimia Nervosa begint doorgaans pas na het zestiende jaar (Robbe e.a., 1999; Fleminger, 2002; Vandereyken & Noordenbos, 2002). Anorexia Nervosa (AN) heeft het hoogste mortaliteitspercentage van alle psychiatrische stoornissen en bij adolescenten staat het op de derde plaats in de rij van meest voorkomende stoornissen. Behandelingsresultaten zijn weinig bemoedigend (Vandereyken & Noordenbos, 2002). Voor AN is nog geen ‘evidence based’ behandeling voorhanden. Zie: National Institute of Clinical Excellence (2004) en de Multidisciplinaire Richtlijn Eetstoornissen (2006). Behandelaars zijn daarom nog steeds op zoek naar nieuwe invalshoeken. Op de afdeling jeugdpsychiatrie van het Universitair Medisch Centrum Utrecht is een zorgprogramma eetstoornissen ontwikkeld, waarmee jongeren met AN en met een Eetstoornis NAO worden behandeld door een multidisciplinair team2. Zie voor een beschrijving van dit programma: van Elburg & Rijken (2004). Tijdens mijn werkzaamheden voor deze afdeling (2000-2005) heb ik hieraan mogen bijdragen door het implementeren van cognitieve gedragstherapie en EMDR als potentiële onderdelen van een breed-spectrum behandeling. Een beschrijving van een protocol voor cognitieve gedragstherapie is in voorbereiding ( Beer & Tobias). In dit artikel wordt beschreven hoe EMDR kan worden ingezet bij de behandeling van jongeren met een eetstoornis. De hier beschreven experimentele status. De voorgestelde mogelijkheden zijn weliswaar uitgeprobeerd door meerdere psychotherapeuten, maar van systematische toetsing is nog geen sprake geweest. Een gedetailleerde beschrijving en theoretische onderbouwing van de voorgestelde toepassing van EMDR is eveneens in voorbereiding (Beer & Hornsveld). In dit artikel wordt besproken waarom (theoretisch kader), hoe (aangrijpingspunten) en wanneer (timing) EMDR kan worden ingezet. Na een aantal illustratieve behandelfragmenten wordt besproken waarom het juist voor jongeren een waardevolle module kan zijn in een multidisciplinaire behandeling (toegevoegde waarde). Afgesloten wordt met een conclusie.

Eating disorders are serious illnesses with a high risk of chronic course, high morbidity rates and many co-morbidity (Elburg & Rich, 2004). The DSM IV eating disorders several distinguished: Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not Otherwise Specified. Eating disorders usually come to fruition during adolescence. In Anorexia Nervosa is the peak of emergence between fourteen and eighteen, Bulimia Nervosa usually begins after the age of sixteen (Robbe et al, 1999; Fleminger, 2002; Vander Eyken & Noorden, 2002). Anorexia Nervosa (AN) has the highest mortality rate of all psychiatric disorders and among adolescents is on the third row of the most common disorders. Treatment results are very encouraging (Vander Eyken & Noorden, 2002). AN is no "evidence based treatment available. See: National Institute of Clinical Excellence (2004) and Multidisciplinary Directive Eating Disorders (2006). Clinicians are therefore still looking for new angles. The adolescent psychiatry department at the University Medical Center Utrecht is an eating disorder care program developed for young people with AN and with an ED-NOS treated by a multidisciplinary team2. For a description of this program from Elburg & Rich (2004). During my work on this section (2000-2005) I have this may contribute by implementing cognitive behavioral therapy and EMDR as potential components of a broad-spectrum treatment. A description of a protocol for CBT in preparation (Beer & Tobias). This article describes how EMDR can be used in the treatment of adolescents with eating disorders. The described experimental state. The options proposed are indeed tested by several therapists, but systematic review has not been a case. A detailed description and theoretical underpinning of the proposed use of EMDR is also in preparation (Beer & Horn Field). This article discusses why (theoretical framework), how (targets) and when (timing) EMDR can be used. After several treatments illustrative excerpts discuss why it is a valuable youth module in a multidisciplinary treatment (value added). Completed with a conclusion.

Keywords: Adolscents Eating Disorders

Accuracy Verified: Yes

120. Steeghs, M., & Gerrits, G. (2011, December). EMDR in de kindergeneeskunde [EMDR in paediatrics]. Tijdschrift voor Kindergeneeskunde, 79(6), 199-202, doi:10.1007/s12456-011-0039-2.

Language: Dutch

Format: Journal

Abstract:
Dit artikel beschrijft het belang van het inzetten van eye movement desensitization and reprocessing (EMDR) om traumatisering te voorkomen of te behandelen bij kinderen en adolescenten. Paediatric medical traumatic stress en posttraumatische stressstoornis worden besproken om de relevantie van EMDR voor de kindergeneeskunde toe te lichten. Er volgt een korte beschrijving van het behandelprotocol en twee verklaringsmodellen voor het effect van EMDR. Ter illustratie worden er in het artikel twee casussen beschreven. Er wordt gepleit voor vroege risicosignalering en tijdige doorverwijzing door kinderartsen en medische teams. Geconcludeerd wordt dat EMDR een kindvriendelijke en breed toepasbare methode is om de negatieve gevolgen van traumatische ervaringen die kinderen in een medische setting opdoen te behandelen of te voorkomen.

This article describes the importance of the use of Eye Movement Desensitization and Reprocessing (EMDR) for trauma to prevent or treat in children and adolescents. Paediatric medical traumatic stress and posttraumatic stress disorder are discussed the relevance of EMDR for pediatrics to explain. There follows a brief description of the treatment protocol and two explanatory models for the effect of EMDR. For illustration, there are two cases described in the article. There are calls for early risk detection and timely referral by pediatricians and medical teams. It is concluded that EMDR is a child-friendly and widely applicable method is to reduce the negative effects of traumatic experiences that children experience in a medical setting to treat or prevent.

Keywords: Pediatrics

Accuracy Verified: Yes

121. Hofmann, A., & Solomon, R. (2009). EMDR in der behandlung akut traumatisierter [EMDR in the treatment of acutely traumatized]. In A. Hofmann, N. Galley, & R. A. Solomon, EMDR – Therapie psychotraumatischer Belastungssyndrome, 2 Tabellen, (4., unveränd. Aufl.) (pp 107-114 ) Stuttgart: Georg Thieme Verlag KG.

Language: German

Format: Book Section

Abstract:
Mit den zunehmenden Erfahrungen und Forschungsergebnissen im Bereich psychotraumatischer Reaktionen gelangte in den Jahren nach der Entwicklung der Konzepte über die chronischen traumatischen Störungen auch der Bereich der akuten Traumatisierungen in das Blickfeld systematischer Studien und Interventionsversuche. So wurden zunehmend diagnostische und therapeutische Konzepte entwickelt, in denen versucht wird, Opfern von z. B. krimineller Gewalt, schweren Unfällen oder kritischen Zwischenfällen im polizeilich/militärischen Bereich bereits kurz nach den traumatischen Ereignissen hilfreich zur Seite zu stehen und – wenn möglich – sogar die Entwicklung schwerer Störungen zu verhindern. Als günstig erwies sich dabei, dass sich die Mehrzahl der Opfer akuter Traumatisierungen innerhalb einer Zeit von mehreren Wochen bis Monaten ohne äußeres therapeutisches Eingreifen spontan erholen und das Ereignis seelisch bewältigen können (Rothbaum u. Foa 1993). Als problematisch zeigte sich aber einerseits die Vielfalt möglicher Symptome direkt nach einem traumatischen Ereignis, andererseits der zunehmende Übergang in eine posttraumatische Symptomatik (aber auch andere) bei einer meist kleineren Gruppe der Traumatisierten (Orner u. Schnyder 2003). Forscherische und therapeutische Bemühungen versuchen derzeit, die Gruppe der Traumaopfer, die ein erhöhtes Risiko haben könnten, später eine posttraumatische Störung zu entwickeln, zu identifizieren und ihnen – wenn möglich – schon frühzeitig gezielt Hilfe zukommen zu lassen. Auf der anderen Seite wird so versucht, die Traumaopfer, bei denen eine Bewältigung des traumatischen Ereignisses ohne spezifische therapeutische Hilfe erwartet werden kann, nicht unnötig zu pathologisieren, ihnen aber ausreichend Unterstützung und Hilfe zu gewähren, sodass sie den Verarbeitungsvorgang ohne äußere Irritationen abschließen können (Fischer et al. 1998). Diese diagnostischen und therapeutischen Forschungen sind derzeit noch in vollem Gange, gesicherte Forschungsergebnisse liegen bisher nur in wenigen Bereichen der Behandlung akuter Traumatisierungen vor (Barre u. Biesold 2002, Orner u. Schnyder 2003, Yehuda 1998). Dennoch liegen bereits Modellrechnungen der Kostenträger vor, die belegen, dass frühe, fundierte Interventionsansätze bei akut Traumatisierten (z. B. Überfallopfern) erhebliche Kosteneinsparungen der Kostenträger bewirken (Wiessmann 2002). Angesichts der großen Zahl der täglich bei schweren Unfällen oder Verbrechen akut traumatisierten Menschen, die derzeit mit einer Vielzahl empirisch wenig validierter Konzepte behandelt werden müssen, wird der hohe Handlungsdruck einerseits, die Einschränkung vieler der folgenden Anhaltspunkte für therapeutische Intervention andererseits, deutlich. Auch Hinweise und Empfehlungen bezüglich eines Einsatzes der EMDR-Methode bei diesen Patienten sollten mit diesen Einschränkungen verstanden werden. Auch wenn es einige erste Hinweise auf einen erfolgversprechenden Einsatz der EMDR-Methode bei akut Traumatisierten gibt, so sollte eine Therapie mittels EMDR in einen umfassenden, z. B. dynamisch-behavioralen, Behandlungsplan dieser Patienten eingebettet werden (Bisson 2003, McNally u. Solomon 1999). Weiterhin sollte der systematische Einsatz der EMDR-Methode derzeit – wenn irgend möglich – an hohen Qualitätsstandards orientiert und forschungsmäßig evaluiert werden, um die Nutzen-Risiko-Abwägung bezüglich bestimmter Patientengruppen sowie den optimalen Einsatzzeitpunkt konfrontierender Verfahren systematisch verbessern zu können.

With increasing experience and research results in the field of psycho-traumatic Responses came in the years after the development of concepts about the chronic traumatic disorders, the area of acute trauma in the field of view systematic studies and intervention trials. Thus, more diagnostic and therapeutic concepts developed in which attempts are is, for example, victims of criminal violence, serious accidents or critical incidents the police / military shortly after the traumatic events to help Page is available and - if possible - even the to prevent development of severe disorders. Proved to be favorable, that the Most of the victims of acute trauma in a period of several weeks to months without an external therapeutic intervention spontaneously recover and cope with the emotional event can (Rothbaum and Foa 1993). One problem was but one part of the Variety of possible symptoms immediately after a traumatic event, on the other hand, the increasing Transition to a post-traumatic symptoms (And others) usually at a smaller group of traumatized (and Orner Schnyder 2003). Research and therapeutic efforts currently trying the group of trauma victims, an increased risk could later to develop post-traumatic disorder to identify them and - if possible - early to be targeted to come help. On the other hand, will attempt to Trauma victims, where a managing traumatic event without specific therapeutic Assistance can be expected not unnecessarily pathologization them but enough to provide support and assistance so that they the processing operation without external irritation can conclude (Fischer et al. 1998). These diagnostic and therapeutic research are still in full swing, secured Research results are presently available in few areas of acute trauma and before (Barre and Biesold 2002, Orner Schnyder 2003, Yehuda 1998). Nevertheless, there are already Model calculations of the cost modes, in the Demonstrating that early, in-depth intervention approaches in acute trauma (such as assault victims) significant cost savings for payers cause (Wiesmann 2002). Given the high volume of daily at serious accidents or crimes acutely traumatized People currently with a variety empirically validated concepts treated less must be the high pressure to act one hand, the restriction of many of the following Indications for therapeutic intervention on the other, significantly. Also advice and recommendations regarding of using the EMDR method in these patients should understand these limitations be. Although there are some initial indications a promising application of EMDR method in acutely traumatized people are so should be a therapy using EMDR in a comprehensive, such as dynamically-behavioral, treatment plan these patients are embedded (Bisson 2003, McNally and Solomon 1999). Furthermore, should be the systematic use of the EMDR method now - if possible - to high Quality standards and research-oriented terms is assessed to the benefit / risk ratio with respect to specific patient groups and the optimal use time of confrontational Method to improve systematically.

Keywords: Trauma

Accuracy Verified: Yes

122. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.

Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.

Keywords: Dissociative Disorders, Psychotherapeutic Processes

Accuracy Verified: Yes

123. Zobel, M. (2006). EMDR in der behandlung von suchtpatienten mit posttraumatischer belas tungsstörung [EMDR in the treatment of addicted patients with post-traumatic stress disorder]. In Schriftenreihe des Fachverbandes Sucht, e.V. Band 29 "’Integrierte Versorgung’: Chancen und Risiken für die Suchtrehabilitation" Beiträge des 18. Heidelberger Kongresses 2005, Geesthacht: Neuland..

Language: English

Format: Other

Abstract:
Die Wahrscheinlichkeit, dass wir im Laufe unseres Lebens einem oder mehreren traumatisierenden Ereignissen ausgesetzt sind, ist relativ hoch: Die Lebenszeitprävalenzen von traumatischen Ereignissen und einer posttraumatischen Belastungsstörung betragen in internationalen epidemiologischen Studien für Frauen 17,7 – 74,2 Prozent (PTBS: 1,3 - 12,3 Prozent) und für Männer 25,2 - 81,3 Prozent (PTBS: 0,4 - 6,0 Prozent) (Kuhn, 2004). Menschen mit Suchtproblemen berichten dabei überzufällig häufig von Gewalt- und Missbrauchserfahrungen in Kindheit, Jugend und im Erwachsenenalter. In vielen Fällen kann ein Zusammenhang zwischen dem traumatischen Ereignis, der Entwicklung einer posttraumatischen Belastungsstörung und Alkoholmissbrauch und –abhängigkeit abgeleitet werden (Perkonigg et al., 2000; Zobel, 2006). Bei Vorliegen einer PTBS íst das Risiko einer Suchterkrankung oder anderer komorbider Störungen um das 4-5fache erhöht (Breslau, 2002).

The probability that we are in the course of our lives one or more traumatic events are exposed, is relatively high: the lifetime prevalence of traumatic events and posttraumatic stress disorder be in international epidemiological studies for women from 17.7 to 74.2 Percent (PTSD: 1.3 - 12.3 percent) for men and from 25.2 to 81.3 percent (PTSD: 0.4 - 6.0 percent) (Kuhn, 2004). People with addiction problems to report here than chance often violence and abuse experiences in childhood, adolescence and adulthood. In many cases, a connection between the traumatic Event, the development of post traumatic stress disorder and alcohol abuse and are derived dependence (Perkonigg et al., 2000; Zobel, 2006). In the event of a PTSD is a risk of addiction or other comorbid disorders at the 4-5-fold increased (Breslau, 2002).

Keywords: Addictions Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

124. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR en psicosis y trastorno mental severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Interactions between trauma and biology, dissociation and psychosis are complex. Some cases could be more biologically based, and traumatic events may trigger a psychotic episode or contribute to the low-response to usual interventions. But traumatic experiences could also influence neurodevelopment and brain structure. In some cases past adverse events may be a main factor in the development of psychotic psychopathology. The treatment of psychotic disorders with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the relative contribution of these different factors from clinical results. The empirical research about the application of EMDR will be also reviewed. A relevant point for EMDR therapy in psychotic disorders is the complex relationship between dissociation and psychosis. Patients presenting with the belief of being controlled by an external force, intrusive thoughts and hallucinatory voices that comment on one's thoughts or actions or that have a conversation with other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but can often be best understood and approached as dissociative symptoms. These patients can be treated with EMDR, but the procedures present relevant modifications in relation with the standard EMDR procedure for PTSD. In this workshop we will briefly describe how EMDR can be applied in different examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.

Las interacciones entre trauma y biología, disociación y psicosis son complejas. Algunos casos pueden estar más basados en el ámbito biológico, y los eventos traumáticos pueden ser disparadores de un episodio psicótico o contribuir a la baja respuesta ante las intervenciones usuales. Pero las experiencias traumáticas pueden también influenciar el neurodesarrollo y la estructura cerebral. En Algunos casos eventos adversos del pasado pueden ser el principal factor para desarrollar psicosis o una psicopatología. El tratamiento de los trastornos psicóticos con un terapia orientada al trauma como el EMDR nos ayudan a evaluar la contribución relativa de distintos factores a los resultados clínicos. La investigación empírica acerca de la aplicación del EMDR también será revisada. Un punto relevante de la Terapia EMDR en trastornos psicóticos es el resultado complejo de la relación entre disociación y psicosis. Los pacientes que presentan creencias de control por fuerzas externas, pensamientos intrusivos y voces alucinatorias que comentan las acciones o pensamientos o tienen una conversación con otras voces alucinatorias, normalmente son diagnosticadas como esquizofrenia y psicosis pero en algunas ocasiones estarían mejor entendidas desde un enfoque que las considerara síntomas disociativos. Estos pacientes pueden ser tratados con EMDR, pero los procedimientos presentan modificaciones referentes al procedimiento estándar de EMDR para el TEPT.

Keywords: Psychosis Severe Mental Disorders

Accuracy Verified: Yes

125. Hofmann, A. (2000, May 6). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
Patients with dissociative disorders are a complex patient population in which EMDR can be one of the key treatment approaches in a therapy setting that usually needs to enclose a number of other treatment modalities and an overall comprehensive treatment plan. If undiagnosed, dissociative patients are, on the other hand, at increased risk of developing complications during the treatment with EMDR. In this workshop, participants will learn how to: (1) develop a comprehensive treatment plan that includes trauma work with EMDR, (2) integrate the 8 phases of EMDR with the three general phases of trauma treatment according to Janet (stabilization, trauma work, integration), (3) find a good balance to interchange in therapy between stabilization phases, trauma work with EMDR and work within the therapeutic relationship, and (4) recognize and possibly counter treatment complications.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

126. Amato, M. (2008, Novembre). EMDR nel servizio screening post-partum [EMDR in the post-partum screening service]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’attività è stata svolta presso l’U.O. di ginecologia-ostetricia di Lamezia Terme nella quale è stato attivato uno Screening sulla “Depressione in gravidanza e nel puerperio” che ha come obiettivo primario di individuare i soggetti vulnerabili alla depressione o PN- PTSD e di rilevare i fattori di rischio: vulnerabilità e/o scatenanti e i fattori protettivi. La gravidanza e il parto sono eventi fisiologici che segnano un periodo determinato del ciclo di vita di una donna. Sono eventi che attivano vissuti emotivi intensi e predispongono la donna ad una eccessiva sensibilità e vulnerabilità. In questo periodo la donna contatta e fa proprie una serie di processi identificativi assunti nell’infanzia che possono, se non bene rielaborati, bloccare il comportamento responsivo della futura madre con comportamenti non idonei e convizioni target inadeguate. Anche la presenza di eventi di vita stressanti possono sovraccaricare la donna a livello emotivo tale da strutturare comportamenti poco adattivi da provocare serie difficoltà nella gestione del bambino. Nel sistematizzare tale screening si è adoperato il metodo EMDR sia nell’ambito dell’assessment nella raccolta delle informazioni dal punto degli aspetti diagnostici con riferimenti alla mappa dei traumi, che nella cura nell’uso dei tices, taping, posto al sicuro in soggetti particolarmente vulnerabili. Tale metodologia si è dimostata efficace in quanto: • individua in brevissimo tempo il target delle difficoltà con i possibili traumi, • attiva i fattori di protezione con istallazione delle risorse positive, • desensibilizza e fluidifica gli stati emotivi intensi, • velocizza la risoluzione dei comportamenti disadattavi in comportamenti adattivi adeguati al maternage, al ben-essere della donna e della genitorialità.

The activity was held at the U. O. gynecology-obstetrics Lamezia Terme in which it was activated a screening on "Depression in pregnancy and childbirth" which has as main objective to identify those vulnerable to depression or PN-PTSD and to detect risk factors: vulnerability and / and protective factors or triggers. Pregnancy and childbirth are physiological events that mark a given period of the life cycle of a woman. They are events that trigger intense emotional experiences and predispose women to an excessive sensitivity and vulnerability. During this time she makes contact, and their identification processes undertaken a series of childhood that can, if not well elaborated, lock the responsive behavior of the mother with inappropriate behavior and inappropriate convictions target. The presence of stressful life events can overload the woman on an emotional level that structuring behavior just to cause serious problems in adaptive management of the child. In systematizing this screening method was used in EMDR is of the Assessment in collecting information from the diagnostic aspects with reference to the map of trauma care in the use of which tices, taping, safe place particularly in subjects vulnerable. This methodology is effective because it can show: • identify the target in the shortest time possible difficulty with trauma, • active protection factors with installation of positive resources, • desensitizes and liquify the intense emotional states, • speeds up the resolution of maladaptive behavior in adaptive behaviors adapted to mothering, the well-being of women and parenting.

Keywords: Post-Partum Depression

Accuracy Verified: Yes

127. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.

Keywords: Panel Discussion

Accuracy Verified: Yes

128. Murray, K. (2008, September). EMDR to reduce fears of recurrence of breast cancer - Including phantom breast pain. Presentation at the annual meeting of the EMDR International Assocation, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Distress and fears of recurrence following breast cancer treatment are viewed through the lens AIP. Through review of research and case presentation of one stage III client, participants will be able identify traumatic stress symptoms in women with breast cancer and the factors that predict distress; describe how intrusion, hyperarousal and avoidance can impact cancer treatment and quality of life, including fears of recurrence; apply research on the use of EMDR with phantom limb pain to the phantom sensations experienced by many women following mastectomy; and identify treatment considerations in the use of the eight phases of EMDR to improve quality of life and decrease fears of recurrence.

Keywords: Breast Cancer Phantom Breast Pain Phantom Pain

Accuracy Verified: Yes

129. Solomon, R. M. (2008, June). EMDR with grief and mourning. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The death of a loved one confronts people with particularly complicated challenges at a time of often unparalleled distress. This workshop will focus on integrating EMDR into the treatment of grief and mourning. Understanding grief and mourning in terms of the Adaptive Information Processing model will be presented and illustrated by case presentations and videos of EMDR sessions. EMDR does not shorten the phases the mourner has to go through for adaptive assimilation and accommodation of the loss, but processes the factors that can complicate the mourning. The processes the mourner has to go through for assimilation and accommodation of the loss, and how EMDR facilitates movement through them, will be presented. Particular attention will be paid to how EMDR facilitates the emergence of adaptive inner representations. We do not lose attachments to loved ones that die, they are transformed. We move from loving in presence to loving in absence. Memories of the deceased often emerge during EMDR treatment. It is the emergence of memories of the deceased that let us know and acknowledge the meaning of the relationship, the person’s role in our lives and identity, and enable us to carry the basic security of having loved and been loved into the future. We can go forward in a world without the deceased, because we have an adaptive inner representation to take with us. Content includes: · Overview of AIP model and how it applies to grief and mourning · Acute grief as a form of traumatic stress · Common responses to loss · The six “R” processes of mourning · High-risk factors predisposing to complicated mourning · General principles of EMDR treatment in grief and mourning

Keywords: Bereavement Grief Mourning Psychotherapeutic Processes Survivors

Accuracy Verified: Yes

130. Algotsson, L. (2004). EMDR – Eye movement desensitization and reprocessing, Ett försök att teoretiskt förklara en integrativ metod [EMDR - Eye movement desensitization and reprocessing: An attempt to explain theoretically integrative approach]. Umeå Universitet, Institutionen för klinisk vetenskap, Enheten för psykoterapi.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
EMDR – Eye Movement Desensitization and Reprocessing är en behandlingsmetod som främst visat sig vara effektiv vid behandling av posttraumatiskt stressyndrom. Francine Shapiro som upptäckt och utvecklat metoden grundar den på ide´n om hjärnan som ett självreglerande, självorganiserande system och kallar sin förklaringsmodell Adaptive Information Processing model. Syfte med detta arbete är att beskriva dess verksamma faktorer, då den inte fungerar samt försöka anknyta teorier som neuropsykologi, dynamisk systemteori och dialektisk konstruktivism till metoden och dess modell. Resultatet ger vid hand att den dynamiska systemteorin främst förklarar de både snabba och plötsliga förändringar som kan noteras vid användandet av metoden, att senare neuropsykologisk forskning förmår bekräfta metodens användbarhet då det gäller att beskriva och förklara det som neuropsykologiskt sker vid behandlingen samt att terapeutisk förändring ofta inbegriper ett pendlande mellan erfarande och förklarande.

EMDR - Eye Movement desensitization and Reprocessing is a method of treatment primarily shown to be effective in treating post-traumatic stress disorder. Francine Shapiro, who discovered and developed the method based on the ide'n brain as a self-regulating, self-organizing systems and calls its explanation Adaptive Information Processing model. Aim of this work is to describe the active factors, then it does not work and try to link theory to neuro-psychology, dynamic systems theory and dialectical constructivism to the method and its model. The result shows that the dynamical systems theory mainly explains both the rapid and abrupt changes occurring in the use of the method, the recent neuropsychological research is able to confirm the usefulness of the method when the to describe and explain what occurs at the neuro-psychological treatment and that therapeutic change often involves oscillating between experiencing and explanatory.

Keywords: Practice Theory

Accuracy Verified: Yes

131. Bertolotti, G. (2008, June). EMDR: Should be appropriate in a rehabilitation multidisciplinary programme?. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Because EMDR is a powerful short-term therapy effective for confronting and overcoming stress, anxiety, and trauma which could be its role in an intensive rehabilitation multidisciplinary programme? As well-known PTSD is the most common diagnostic category used to describe symptoms arising from emotionally traumatic experience.This disorder presumes that the person experienced a traumatic event involving actual or threatened death or injury to themselves or others. Some research shows that EMDR is rapid, safe and effective in helping those who suffer from anxiety, distressing memories, nightmares, insomnia, as consequences from traumatic events. Several recent reviews have looked at the relationship between medical illness and subsequent PTSD. Moreover Spindler(2005) published a review with focal point on subjects after cardiovascular disease and mainly with a focus on prevalence rates, risk factors, and future. Should be possible catch a trauma event right through in-hospital and use the EMDR when appropriate? Hence how should be tailored an appropriate assessment procedures during the rehabilitation in-hospital? Anxiety (using a the STAI) and Depression (measured with Depression Questionnaire) with clinical cut-off score might be useful in screening and an adequately structured interview could complete in-hospital screening. In a more wide assessment screening a device for psychophysiological assessment measuring electrodermal activity and heart rate/pulse wave. An elevated cardiovascular and electrodermal activity during the interview should be an index for selecting a clinical simple of patients where carry out a deeper assessment in search for a trauma connect to the pre-rehabilitation period or older. The aforementioned could be a wished-for screen subjects with trauma events both at short or long term insurgence.

Keywords: Rehabilitation Multidisciplinarian Program

Accuracy Verified: Yes

132. Shapiro, F. (1991, August). EMDR: A cautionary note. EMDR Network Newsletter, 1(1), 3-4.

Language: English

Format: Newsletter

Abstract:
The responses to my article, "Eye Movement Desensitization & Reprocessing: From EMD to EMDR -- A New Treatment Model for Anxiety and Related Traumata" in the May 1991 (Vol. 14, No. 5) issue of the Behavior Therapist, have been both gratifying and, at times, disturbing. After receiving numerous requests for a "description of the revised procedure," and upon rereading the article, I can see that I did not make sufticiently clear the fact that clients are at risk if untrained clinicians attempt to use EMDR.

Keywords: Cautions

Accuracy Verified: Yes

133. Bower, B. (1995, October 21). EMDR: Promise and dissent. Science News, 148(17), 270-271.

Language: English

Format: Magazine

Abstract:
Scientists rarely sound as apologetic as Charles R. Figley did after discussing his latest investigation at the American Psychological Association's annual meeting in New York City this August. "I'm taking a major risk in presenting such odd and unusual techniques to you," Figley told the assembled clinicians. "But these are potentially revolutionary treatments for traumatic stress reactions."

Keywords: Research

Accuracy Verified: Yes

134. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., & Macklin, M. (1996, November-December). Emotional processing during eye-movement desensitization and reprocessing therapy of Vietnam veterans with chronic post-traumatic stress disorder. Comprehensive Psychiatry, 37(6), 419-429. doi:10.1016/S0010-440X(96)90025-5.

Language: English

Format: Journal

Abstract:
This study examined emotional processing and outcome in 27 Vietnam veterans with chronic PTSD who underwent eye movement desensitization and reprocessing (EMDR) therapy, with and without the eye movement component, in a crossover design. Results supported the occurrence of partial emotional processing, but there were no differences in its extent in the eye-movement versus eyes-fixed conditions. Therapy produced a modest to moderate overall improvement, mostly on the Impact of Event Scale. There was slightly more improvement in the eyes-fixed than eye-movement condition. There was little association between the extent of emotional processing and therapeutic outcome. In our hands, EMDR was at least as efficacious for combat-related PTSD as imaginal flooding proved to be in a previous study, and was better tolerated by subjects. However, results suggest that eye movements do not play a significant role in processing of traumatic information in EMDR and that factors other than eye movements are responsible for EMDR's therapeutic effect. [Author Abstract]

Keywords: Americans Clinical Trial Empirical Study Longitudinal Study Males Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

135. Seliga, M. (2009, Fall). Empirically supported treatment interventions for clients with posttraumatic stress disorder and comorbid borderline personality disorder: A critical review. Praxis, 9, 61-69.

Language: English

Format: Journal

Abstract:
The overall stigma- and gender-related controversies that surround the diagnosis of Borderline Personality Disorder (BPD) present a unique ethical mandate to the practitioner. The relationship between trauma and the BPD diagnosis strengthens the need for carefully designed treatment interventions in order to secure the benefits of trauma-focused work, while minimizing the risk of undue regression. The complexity and risk of harm introduced by a diagnosis of comorbid BPD and PTSD urges the need for clarification of optimal treatment interventions to guide practitioners. The use of adjunctive treatment modalities alongside traumafocused interventions emerges as an empirically supported technique in the treatment of severely comorbid patients.

Keywords: Borderline Personality Disorder Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

136. Hartung, J. (2009). Enhancing postive emotion and performance with EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 339-375). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive quality, or hoping to fine-tune existing skills. The scripts accompany a model that has been taught in a number of countries to therapists, coaches, and human resource advisors. The model combines elements of coaching and psychotherapy. Coaches attend to a client's skills and deficits, look for solutions that are behavioral and strategic, and focus on the present and future while downplaying the past. Psychotherapists, on the other hand, attend to the client's internal experience: emotions, self-talk, beliefs, and other not-so-observable factors. The focus is largely on the past and present. It follows that the model will be most useful to persons who practice both coaching and psychotherapy. As a coach, the practitioner is familiar with the situation in which the client seeks to perform, whether the client hopes to run faster, lead more effectively, parent better, or study smarter. Competency issues for coaches have been detailed by Hays. As a psychotherapist, the practitioner—it will be assumed—will be comfortable using EMDR in the treatment of traumatic memories and other matters that interfere with the client's personal growth. This chapter provides appropriate scripts. [PsycINFO Database]

Keywords: Performance Positive Emotion Protocol

Accuracy Verified: Yes

137. Ernst, E. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder, Reply. Acta Psychiatrica Scandinavica, 110(2), 159. doi:10.1111/j.1600-0047.2004.00369.x.

Language: English

Format: Journal

Abstract:
Reply by the current author to the comments made by E.M. Corrigan and J. Jennett (see record 2004-16054-010) on the original article (see record 2003-05653-002). They describe a 29-year-old woman with an obsessive compulsive disorder relapse following ingestion of herbal products containing ephedra alkaloids. This case report highlights a number of points which can be important for psychiatric practice: our patients often see herbal remedies as risk-free additions to their conventional treatments; in reality, however, they can contain powerful ingredients with potential to harm. One may love or hate complementary medicine, but vis-à-vis its popularity with our patients it seems an ethical imperative to know the essentials about it. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Comment Ephedra alkaloids Letter Obsessive Compulsive Disorder OCD Relapse Reply

Accuracy Verified: Yes

138. Yehuda, R. (2012, October). Epigenetics: What does it explain about trauma survivors?. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA .

Language: English

Format: Conference

Abstract:
Most persons who develop PTSD in the aftermath of exposure recover from trauma-related symptoms, but remain at risk for a recrudescence of symptoms. This suggests that there are aspects of the response to high magnitude trauma that are long-lasting, despite variations in symptom intensity over time. Current bio-behavioral models of PTSD fall short of explaining the apparent paradox of an enduring response on the one hand and symptom change over time on the other. However, this phenomenon can potentially be explained by epigenetic mechanisms. Epigenetics (literally: “epi” meaning “in addition to” genetics) refers to a heritable change in the genome that can be induced by environmental events and does not involve an alteration of DNA sequence. Such modifications reflect enduring changes in the function of the DNA that are caused by environmental exposures. These changes can alter gene function influencing its biological activity. This presentation will discuss evidence for such changes in PTSD, and will explain how such mechanisms explain many of the salient features of PTSD, including individual variation in responses to events of similar intensity (e.g., combat exposures), and the relative permanence of biological and psychological alterations associated with the disorder. Current models of stress, or even gene-environment interactions, only partially address the influence of prior exposure(s) on PTSD vulnerability and the long-lasting biological and psychological effects of trauma exposure. In addition, epigenetic modifications can be transmitted intergenerationally, both through the maternal and paternal lines. The implications of such changes as PTSD vulnerability factors will also be discussed.

Keywords: Epigenetics Plenary Survivors Trauma

Accuracy Verified: Yes

139. Grand, D. (2007, Novembro). A Essência do EMDR [The essence of EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract: EMDR á uma abordagem poderosa que já trouxe cura emocional a milhões de pessoas que sofrem com traumas ao redor do mundo. Os protocolos e procedimentos estão claramente desenvolvidos e delineados, mas a essência do EMDR permanece ainda por ser explorarada. Nesta apresentação olhamos de forma profunda os fatores que estão por detrás do EMDR, incluindo as capacidades inerentes do cliente, o ambiente de contenção que o terapeuta provê, as qualidades da relação terapêutica, a sabedoria da integração mente-corpo e o uso da esperança, possibilidades, espiritualidade e filosofia que emergem no processo.

EMDR will be a powerful approach that has brought emotional healing to millions of people who suffer from trauma around the world. the protocols and procedures are clearly developed and designed, but the essence of EMDR remains yet to be explorarada. in this Presentation to look so deep factors that underlie EMDR, including the inherent capabilities of the client, the environment contention that the therapist provides the qualities the therapeutic relationship, the wisdom of integration mind-body and the use of hope, possibilities, spirituality and philosophy that emerged in process.

Keywords: Practice Theory

Accuracy Verified: Yes

140. Reamer, F. G. (2004, September). Ethical issues in EMDR: Risk-management implications. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.

Language: English

Format: Conference

Abstract:
This workshop will provide participants with a comprehensive overview of ethical, malpractice, and risk-management issues encountered in EMDR. Using extensive case material, participants will learn how to handle complex practice-based ethical dilemmas, prevent professional malpractice, and avoid liablity. Emphasis will be on practical strategies designed to protect clients, professionals, and employers. Key topics will include the limits to clients' rights to confidentiality and self-determination, privileged communications, informed consent procedures, the use of high-risk treatment techniques, boundary issues and dual relationships, conflicts of interest, defamation of character, consultation and referral, supervision, termination of services, documentation, and the problem of impaired colleagues. Participants will be provided with a typology of compelling ethical dilemmas and "high risk" areas, and acquainted with practical decision-making strategies.

Keywords: Ethics Risk Management

Accuracy Verified: Yes

141. Gottlieb, M. C. (2007, September). Ethics: The therapeutic value of informed consent. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop is eligible for psychological Ethics credits by APA ~ Many practitioners assume that informed consent is a legal barrier to be overcome by signing forms at the outset of treatment. In this workshop, Dr. Gottlieb argues that this view is inaccurate and short sighted. He will show that effective informed consent is based on a variety of factors, occurs at different levels, arises at various points throughout the treatment process, and can be used as an effective treatment tool.

Keywords: Informed Consent

Accuracy Verified: Yes

142. Turpin, R. C. (1999, August). An exploration of reported transpersonal/spiritual experiences during and after eye movement desensitization and reprocessing (EMDR) treatment of traumatic memories. California Institute of Integral Studies, San Francisco, CA. AAT 9962663.

Language: English

Format: Dissertation/Thesis

Abstract:
This research project sought to investigate if EMDR therapists observed their clients reporting transpersonal/spiritual experiences during or following EMDR. In addition, it sought to identify and explore the client and therapist factors that may influence the frequency with which these experiences are observed. One hundred sixty-nine questionnaires were mailed to EMDR facilitators throughout the United States and 50 were returned with usable data. Quantitative statistical analyses were performed on much of the questionnaire data and several significant associations and differences were found (p < .05). However, these significant associations and differences did not lead to more global statements regarding the factors that were analyzed. Interviews were conducted with 11 of the respondents in an attempt to shed light on these research questions. The results indicate that a number of EMDR therapists are observing their clients reporting transpersonal/spiritual experiences during or following EMDR. Several potentially important client and therapist factors were noted that may be influencing factors in therapists observing their clients reporting these experiences. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1099.

Keywords: Emotional Trauma Empirical Study Religious Experiences Therapists Transpersonal Psychology Transpersonal/Spiritual Experiences

Accuracy Verified: Yes

143. Boyer, W. R. (2007). An exploratory study of the effects of EMDR on state/trait anxiety and anger in adult male sex offenders. Argosy University, San Francisco, CA. ATT 3286571.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this exploratory study was to investigate the effects of EMDR on state and trait anxiety and anger levels associated with developmental traumas of sexual offenders in outpatient sex offender treatment. A qualitative component explored the participants' perceptions of their therapy experiences as helpful in resolving problematic reactive behaviors linked with the developmental traumas and other negative life experiences. The male participants ranged in age from 20 to 49 and were self-selected from a purposive sample of clients receiving treatment in an outpatient sex offender program in Southwest Florida. From this sample group, N = 17, the study participants were randomly assigned to one of two treatment modalities, EMDR or CBT. This exploratory study utilized a quasi-experimental, mixed methods format to analyze the effects of EMDR on state/trait anxiety and anger levels. The study utilized both quantitative and qualitative research strategies to acquire what Webster and Marshall (2004) described as "the clearest, fullest picture of behavior" (p. 118). The quantitative analysis of data obtained from the pre and post-testing found no significant differences between the treatment groups in reducing state/trait anxiety and anger levels. The analysis of the qualitative interview data revealed four core themes: Treatment Efficacy, Emotional Processing, Therapeutic Alliance, and Empowerment. The emergent themes of emotional processing and the therapeutic alliance have not been fully explored in sex offender therapy and may warrant further scrutiny. Additionally, processing of developmental traumas and past victimization has been avoided or minimized in standard cognitive-behavioral sex offender treatment contrary to more recent research findings that identify attachment problems and intimacy deficits as key dynamic risk factors associated with sexual recidivism (Adams, 2003). The field of sex offender therapy may benefit from future research that investigates the role of trauma resolution in mitigating dynamic risk factors that are linked with recidivistic sexual violence. EMDR may serve as an adjunctive therapy to assist sexual offenders to effectively process developmental wounds and in so doing target dynamic risk factors by improving their ability to emotionally self-regulate and enhance their ability to more fully experience victim empathy and improve interpersonal relationships. Future sex offender research may benefit from more expanded investigations of EMDR and other limbic therapies. Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(10-B), 2008, pp. 6951.

Keywords: Anger Anxiety Criminals Developmental Disabilities Empirical Study Qualitative Study Outpatients Quantitative Study Sex Offenders Sex Offenses Trauma Treatment

Accuracy Verified: Yes

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

Language: Swedish

Format: Newsletter

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

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

Accuracy Verified: Yes

145. Jumelet, C. (2011, April). Eye movement desensitisation and reprocessing (EMDR) bij kinderen met een verstandelijke beperking [Eye Movement Desensitisation and Reprocessing (EMDR) in children with intellectual disabilities]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract: Achtergrond: Eye movement desensitisation and reprocessing (EMDR) is een evidence-based behandelmethode voor zowel kinderen als volwassenen die blijvende psychische of lichamelijke klachten overhouden aan een of meer ingrijpende gebeurtenissen. Er is nog nauwelijks effectonderzoek verricht bij kinderen met een verstandelijke beperking (VB). Deze doelgroep heeft meer risico op traumatische ervaringen vanwege beperkte cognitieve en verbale vaardigheden en geringere draagkracht (Mevissen 2010). EMDR doet weinig beroep op verbale mogelijkheden, is een concrete en directieve methode en lijkt daarom in het bijzonder geschikt voor kinderen met een VB. Doel: emdr beschikbaar maken voor getraumatiseerde kinderen met een VB. Methoden: Bestaande EMDR-protocollen worden aangepast door elementen aan te brengen als: visualiseren middels pictogrammen; ouders meer betrekken, bijvoorbeeld door hen het verhaal te laten vertellen; effectevaluatie via ouders en belangrijke derden (leerkracht), meer herhaling en meer sessies. Resultaten: In een caseserie van 10 patiënten met een iq tussen 50-85 was er in 70% een goed resultaat. Alle patiënten maakten de behandeling af. Het aantal sessies varieerde tussen 2 en 10. Conclusie: emdr is een veelbelovende behandelmethode bij kinderen met een VB.
Background: Eye Movement Desensitisation and reprocessing (EMDR) is an evidence-based treatment for both children and adults that permanent mental or physical complaints about holding one or more major events. There is little outcome research performed in children with intellectual restriction (VB). This group has more risk limited due to traumatic experiences cognitive and verbal skills and lower capacity (Mevissen 2010). EMDR does little rely on verbal abilities, is a concrete and directive method and therefore seems particularly for children with a VB. Purpose: EMDR available to traumatized children with a VB. Methods: Existing EMDR protocols be modified by elements to as: visualization using icons; parents more involved, by for instance the story to tell, through impact assessment parents and significant others (teacher), more repetition and more sessions. Results: In a case series of 10 patients with an IQ between 50-85, there was 70% a good result. All the patients were treatment. The number of sessions varied between 2 and 10. Conclusion: EMDR is a promising treatment for children with VB.

Keywords: Children Intellectual Disabilities

Accuracy Verified: Yes

146. Shapiro, F. (2001, April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Psicoterapia Cognitiva e Comportamentale, 7(1), 43-75.

Language: English

Format: Journal

Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single trauma victims no longer maintain the posttraumatic stress disorder (PTSD) diagnosis after the equivalent of 3 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. This article describes the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Anxiety Disorders Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs Review

Accuracy Verified: Yes

147. Shapiro, F. (1999, January-April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Journal of Anxiety Disorders, 13(1-2), 35-67. doi:10.1016/S0887-6185(98)00038-3.

Language: English

Format: Journal

Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single-trauma victims no longer maintain the posttraumatic stress disorder diagnosis after the equivalent of three 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. Unfortunately, some research has been conducted that has been severely hampered by insufficient treatment fidelity and lack of clinical validity. Consequently, this article will attempt to describe the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. [PubMed]

[Note: Erratum in Journal of Anxiety Disorders 13(6), 621, Nov-Dec 1999]

Keywords: Anxiety Disorders Literature Review Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs

Accuracy Verified: Yes

148. Marich, J. N. (2009, May). Eye movement desensitization and reprocessing (EMDR) in the addiction continuing care: A phenomenological study of women treated in early recovery. Capella University, Minneapolis, MN. UMI 3355347.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study is to explore: (a) the lived experiences of clients participating in Eye Movement Desensitization and Reprocessing (EMDR) treatment as part of their addiction continuing care, and (b) the impact of the EMDR experience on their lives as individuals recovering from addiction. A review of the critical literature was conducted to reveal a wealth of information concerning EMDR's efficacy with posttraumatic stress disorder (PTSD), suggestions for implementing EMDR into addiction treatment, and various ethical-clinical issues that continue to be addressed within the scope of EMDR treatment. Research on implementing EMDR as part of the overall addiction recovery process is minimal at present. In this study, ten women who received EMDR at a treatment program in the urban Midwest participated in a semi-standardized phenomenological interview to share their experiences with active addiction, treatment, EMDR, and recovery. Using Giorgi's Descriptive Phenomenological Psychological Method to analyze the data, four major thematic areas emerged: safety as an essential crucible of the EMDR experience, accessing the emotional core as vital to the recovery experience, lifestyle change, and using a combination of factors for successful treatment. All ten of the women who came forward through the established recruitment process expressed positive sentiments about their EMDR experiences, and in various degrees, they credited their EMDR treatment with being a crucial competent of their addiction continuing care processes. As a collective sample, the participants shared experiences about how EMDR altered their perspectives of self, others, and situations. These perspective shifts resulted in meaningful lifestyle changes that were critical to developing healthy, enduring recoveries.[Author abstract]

Keywords: Addiction Early Recovery Women

Accuracy Verified: Yes

149. Soberman, G. B. (1998). Eye movement desensitization and reprocessing (EMDR) in the treatment of conduct disorder with preadolescents and adolescents. Walden University, Minneapolis, MN. AAT 9910218.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was determine the efficacy of Eye Movement Desensitization Reprocessing (EMDR) with traumatized adolescents primarily diagnosed with conduct disorder (CD). The effect of exposure to domestic violence and other forms of human initiated violence puts children at risk of developing significant mental health problems including CD and other childhood disorders that can have a profound effect on the community. In order to test the null hypotheses that the EMDR treatment protocol would not lead to any significant reduction in posttraumatic or behavioral symptoms with this population, a repeated measures MANOVA was utilized for four of the five dependent variables. These variables were the Impact of Event Scale (IES), the Child Report of Posttraumatic Symptoms (CROPS), the Parent Report of Posttraumatic Symptoms (PROPS), and the Problem Rating Scale (PRS). A simple two-group independent t-test analysis was used to analyze the fifth independent variable (reward points) and the 2-month follow-up data. All of the 5 null hypotheses were supported by an inferential analysis (MANOVA; t-test) of the dependent variables of this study. EMDR treatment was not found to be statistically significant on any of the dependent variables. Despite these findings, future research should continue to focus on the efficacy of EMDR with childhood trauma. Future research should also continue to focus on the emotional needs of children in residential treatment, the benefits of therapeutic as opposed to punitive intervention with delinquent youths, and the role that EMDR can play in breaking the cycle of violence in our society. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(10-B), April 1999, pp. 5587.

Keywords: Adolescents Conduct Disorder Emotional Trauma Empirical Study Preadolescents Symptoms Trauma Treatment Outcomes

Accuracy Verified: Yes

150. Vyas, K. J. (2008, April). Eye movement desensitization and reprocessing (EMDR) to decrease human immunodefiency virus (HIV) risk behaviors among Latino men who have sex with men (MSM). Presentation at the National Conference on Undergraduate Research, Salisbury University, MD.

Language: English

Format: Conference

Abstract:
Among Latino MSM, those who have reported early childhood sexual abuse continually report high levels of HIV risk behaviors. The objective of this study was to test if EMDR can be more effective as an HIV risk reduction behavioral intervention than a non-trauma based comparison, the Explore Study intervention. At a university-based outpatient clinic, 35 Latino MSM were randomized into Explore (n=13) and EMDR (n=22). The main outcome measure was a self-report questionnaire assessing unprotected anal sex, number of sexual partners, and use of substances before or during sexual activity during the previous month. Sexual risk behaviors were assessed at baseline, before randomization, and at one week post-intervention. Compared to baseline rates, participants who didn’t report unprotected receptive anal intercourse increased by 11% in Explore and decreased by 12% in EMDR. The corresponding comparisons for number of sexual partners were a 4% increase for Explore and a 41% decrease in EMDR. Explore and EMDR participants showed an increment of 25% and 9%, respectively, in those who denied having used alcohol or drugs before or during sexual activity. Follow-up data at 2 and 6 months post-intervention are being collected. This preliminary analysis suggests that certain HIV risk behaviors can be reduced by EMDR, while others can be equally reduced by more conventional interventions.

Keywords: AIDS HIV Latino

Accuracy Verified: No

151. Shapiro, F. (1996, September). Eye movement desensitization and reprocessing (EMDR): Evaluation of controlled PTSD research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 209-218. doi:10.1016/S0005-7916(96)00029-8.

Language: English

Format: Journal

Abstract:
The complete controlled PTSD research on eye movement desensitization and reprocessing (EMDR) is placed within the context of other methods used in the treatment of PTSD. A number of studies are presented that support EMDR as an empirically validated method. However, in several studies, clinical standards have not always been integrated with rigorous scientific methdology. The suggested standards include fidelity checks for the method being tested, the use of appropriate psychometrics, and assessment of co-morbidity factors. At the same time, because of common misconceptions about the method, a variety of problematic issues are discussed. [Author Abstract]

Keywords: Adults European Americans Arousal Literature Review Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

152. Marich, J. (2010, September). Eye movement desensitization and reprocessing in addiction continuing care: A phenomenological study of women in recovery. Psychology of Additive Behaviors, 24(3), 498-507. doi:10.1037/a0018574.

Language: English

Format: Journal

Abstract:
Traditional models of addiction treatment and relapse prevention fail to consider the role that unresolved trauma plays in an addicted woman's recovery experience. Implementing Eye Movement Desensitization and Reprocessing (EMDR) into the treatment process offers a potential solution to this problem. Ten women (alumnae of an extended-care treatment facility) participated in a semistandardized interview to share their experiences with active addiction, treatment, EMDR therapy, and recovery. With the use of A. P. Giorgi's descriptive phenomenological psychological method for analysis, four major thematic areas emerged from the interview data: the existence of safety as an essential crucible of the EMDR experience, the importance of accessing the emotional core as vital to the recovery experience, the role of perspective shift in lifestyle change, and the use of a combination of factors for successful treatment. All 10 women, to some degree, credited EMDR treatment as a crucial component of their addiction continuing-care processes, especially in helping with emotional core access and perspective shift. Implications emerge from the data on how to best implement EMDR into a comprehensive addiction treatment program.

Keywords: Client-Centered Therapy Client Safety Phenomenology Protocols Therapeutic Alliance Therapists Training

Accuracy Verified: Yes

153. Rodenburg, R., Benjamin, A., Meijer, A. M., & Jongeneel, R. (2009, September). Eye movement desensitization and reprocessing in an adolescent with epilepsy and mild intellectual disability. Epilepsy & Behavior, 16(1), 175-180. doi:10.1016/j.yebeh.2009.07.015.

Language: English

Format: Journal

Abstract:
Intellectual disability is a comorbid condition in epilepsy. People with epilepsy and intellectual disability are at high risk of developing behavioral problems. Among the many contributors to behavioral problems in people with epilepsy and intellectual disability are those of traumatic experiences. As such, behavioral problems can be seen as a reflection of these traumatic experiences. Among established trauma therapies, eye movement desensitization and reprocessing (EMDR) is an emerging treatment that is effective in adults and also seems to be effective in children. This article is a case report of EMDR in an adolescent with epilepsy and mild intellectual disability, in whom the EMDR children’s protocol was used. The aim was to assess whether clinical trauma status significantly diminished to nonclinical status posttreatment. Change in trauma symptoms was evaluated with the Reliable Change Index (RCI). Results showed a significant decrease in trauma symptoms toward nonclinical status from pretreatment to posttreatment. EMDR consequences for epilepsy and intellectual disability are discussed.[Elsevier 2009]

Keywords: Case Report Children Epilepsy Intellectual Disability Reliable Change Index Trauma Symptoms

Accuracy Verified: Yes

154. Hudson, J., Chase, E., & Pope, H. (1998, January). Eye movement desensitization and reprocessing in eating disorders: Caution against premature acceptance. International Journal of Eating Disorders, 23(1), 1-5.

Language: English

Format: Journal

Abstract:
Objective: Eye movement desensitization and reprocessing (EMDR) has been claimed effective in the treatment of a wide variety of psychiatric disorders, including eating disorders. An informal survey suggests that EMDR is now widely offered to patients with eating disorders. Before accepting a new therapy such as EMDR, one must determine that its benefits outweigh its adverse effects. This paper reviews the literature in an attempt to assess the benefits and risks of the use of EMDR in the treatment of eating disorders. Method: We reviewed the literature on the use of EMDR to treat eating disorders and other conditions. Results: Looking at the question of its benefits, we were unable to find any methodologically sound studies that have shown efficacy for EMDR in eating disorders, or, indeed, any psychiatric disorder. We were also unable to find a sound theoretical basis for expecting EMDR to be effective. In addition, EMDR may have adverse effects. First, EMDR is sometimes used in conjunction with efforts to "recover" memories of traumatic events. But "recovered memory" therapy may carry a risk of inducing potentially harmful false memories. Second, use of EMDR may prevent or delay other therapies of established efficacy for eating disorders, such as cognitive behavioral therapy and antidepressants. Discussion: In light of the findings of our review, the risk/benefit ratio of EMDR does not as yet encourage its widespread acceptance.

Keywords: Eating Disorders Literature Review

Accuracy Verified: Yes

155. Gosselin, P. W. (1994). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of eye movement and expectancy on the procedure's results. University of Massachusetts Amherst. AAT 9420630.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing, abbreviated EMDR, is a recently discovered technique acclaimed as a major breakthrough for the reduction of anxiety. Numerous anecdotal studies have been presented showing the efficacy of EMDR. There are currently no published studies investigating use of EMDR specifically for test anxiety. The purpose of this study was to use the EMDR technique to study its efficacy for test anxiety. This study also examined whether or not high and low expectancy conditions significantly affected scores on post-session anxiety ratings. In addition, the procedure was used with and without eye movement to see whether or not eye movement was a critical factor in eliciting positive change in anxiety ratings. A single session of approximately one hour was conducted individually with 41 subjects, college students reporting test anxiety. The subjects were randomly assigned to one of four conditions reflecting varying combinations of eye movement and expectancy conditions. A 2 x 2 analysis of variance was conducted for expectancy and eye movement factors on two dependent measures. These measures were Subjective Units of Disturbance Scale (SUDs) and the Test Anxiety Inventory (TAI). Results of the study show a significantly greater amount of reduction in the SUDs using the eye movement supporting the hypothesis that eye movement is critical to the efficacy of EMDR. No other statistically significant main effects or interactions were found with measuring the SUDs or TAI. However, it should be noted that all groups showed substantial reductions in post-treatment TAI scores. The expectancy conditions presented to subjects also had no measureably significant effects. There was anecdotal support of the power of the eye movement but no significant behavioral changes other than the reduction in SUDs. It was concluded that EMDR is worthy of further study with larger samples of the test anxious population. Further study may want to use EMDR in conjunction with other techniques and for more than one session.

Keywords: Test Anxiety

Accuracy Verified: Yes

156. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187.

Language: English

Format: Dissertation/Thesis

Abstract:
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.

Keywords: Adjustment Disorder Empirical Study Exposure Therapy Nonclinical Case Study Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

157. Lohr, J. M., Lilienfeld, S. O., Tolin D. F., & Herbert J. D. (1999, January-April). Eye movement desensitization and reprocessing: An analysis of specific versus nonspecific treatment factors. Journal of Anxiety Disorders, 13(1-2), 185-207. doi:10.1016/S0887-6185(98)00047-4.

Language: English

Format: Journal

Abstract:
Incremental validity and incremental efficacy have become important issues in the evaluation of psychological assessment and intervention procedures. Incremental validity in assessment is that shown by novel measures over and above established ones. Incremental efficacy is that shown by novel treatments over and above nonspecific and established treatment effects. In this paper, we critically examine the question of whether Eye Movement Desensitization and Reprocessing (EMDR) possesses efficacy above and beyond nonspecific treatment effects and components that are shared with well-established interventions. A review of recently published efficacy studies reveals that (a) the effects of EMDR are largely limited to verbal report indices, (b) eye movements and other movements appear to be unnecessary, and (c) reported effects are consistent with nonspecific treatment features. Examination of individual studies shows that control procedures for nonspecific features have been minimal. We analyze EMDR for nonspecific treatment features and suggest experimental controls to examine the incremental efficacy of EMDR. [Author Abstract]

Keywords: Literature Review Methodology Treatment Effectiveness

Accuracy Verified: Yes

158. Bolen, D. W. (1999, August). Eye movement desensitization reprocessing for the treatment of anxiety in psychology internship applicants: An interrupted time series design. The Chicago School - School of Professional Psychology, Chicago, IL. AAT 9920131.

Language: English

Format: Dissertation/Thesis

Abstract:
This study used an interrupted time series design to study the effectiveness of Eye Movement Desensitization Processing (EMDR) on the anxiety levels of 17 psychology graduate student participants who were in the process of applying to psychology internship sites. Participants were screened for pathology using the Symptom Checklist - Revised. Anxiety was assessed four times using the State Trait Anxiety Scale, twice prior to and twice following treatment with EMDR. Additionally, in an attempt to the account for some of the error variance due to history, the Schedule of Recent Events was given twice during the study, once prior to the EMDR treatment and once along with the final administration of the State Trait Anxiety Scale. Additional information about the effects of EMDR on anxiety, were obtained by monitoring heart rate and blood pressure changes during EMDR treatment for half of the participants. A dependent t-test on pre- and post-EMDR State Trait Anxiety Scale data failed to yield significant results. Other analyses also showed no effect of treatment. However, visual inspection of the data suggested that EMDR may have been effective for some participants. The range and diversity of participant's responses to anxiety over the course of the study, the relatively small sample size and design factors that increased the error variance were discussed in relation to the insignificant results. It was suggested that specific personality traits (e.g. characterological anxiety) and attributes of the distressing target event (e.g. amount of affect evoked) may act as intervening variables in an individual's response to EMDR treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(2-B), Aug 1999, pp. 0819.

Keywords: Anxiety Empirical Study Interrupted Time Series Design Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

159. Young, W. (1995, Spring). Eye movement desensitization/reprocessing: Its use in resolving the trauma caused by the loss of a war buddy. American Journal of Psychotherapy, 49(2), 282-291.

Language: English

Format: Journal

Abstract:
A case of refractory PTSD was treated with Eye Movement Desensitization/Reprocessing (EMDR). Within one 60-minute session there was a dramatic resolution of two traumatic memories that persisted at nine-month follow-up. Long-standing personality factors did not appear to change during this single-session intervention. This report supports the need for good controlled clinical studies on EMDR. [Author Abstract]

Keywords: Americans Bereavement Case Report Males Middle Aged Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

160. Vanhoeck, K., & Gykiere, K. (2010). Fantasiemanagement bij seksuele delinquenten [Fantasy management in sexual offenders]. Tijdschrift voor Seksuologie, 34, 224-235.

Language: Dutch

Format: Journal

Abstract:
Fantasy management for sex offenders Sexual fantasies of sex offenders are a complex therapeutic issue. First, there is not so much we know yet for sure about sexual fantasies. Secondly, the question is what role sexual fantasies play as a risk factor for sexual abuse. And third, therapists see themselves confronted with the difﬁcult task how to affect the sexual fantasies of their client (if they are willing to do this at all). In part 1 of this article, we brieﬂy go through the scientiﬁc knowledge about sexual fantasies of sex offenders and will primarily have to ﬁnd out that we do not know much. In part 2 we present four ethical statements as a therapeutic framework for fantasy management. Finally we describe six steps to make it practical to get started.

Keywords: Fantasy Management Sex Offenders

Accuracy Verified: Yes

161. Morris-Smith, J. (2012, June). Footsteps into the future: EMDR for children and families using a neurodevelopmental perspective [Pasos hacia el futuro: EMDR para niños y familias desde una perspectiva del neurodesarrollo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The acquisition of clinical skills in developing successful EMDR therapeutic practices is in itself a journey of discovery. Each step forward brings new clinical puzzles, challenges and insights: why are some individuals able to use the EMDR therapy more smoothly that others; what is the role of attachment; how are preverbal memories made and how do they become accessible to verbal recall with EMDR therapy; what is the developmental role of dissociation and why do some evolve into coherent, integrated individuals whilst others develop pathological dissociation? This paper presents a neurodevelopmental approach to inform our clinical practice of EMDR therapy with children, adolescents and adults. Brain development is affected by both genetic and environmental factors and included in the latter are: the family milieu, physical illness, toxins and developmental opportunities. During development the brain organizes from the bottom to the top with the lower parts of the brain developing earliest. The majority of the brain organization takes place during the first 4 years of life. Development of the brain in childhood unfolds in a series of stages with higher cortical areas entering final developmental processes much later in childhood and into early adulthood. How to integrate neurodevelopmental aspects with our EMDR clinical practice to develop healthier positive future trajectories for children, adolescents and their families is discussed. This paper will be illustrated by the use of video clips and case material.

La propia adquisición de las habilidades clínicas para desarrollar prácticas terapéuticas de EMDR de éxito es de por sí, un viaje de descubrimiento. Cada paso hacia delante nos plantea nuevos rompecabezas, retos, y conocimientos clínicos: ¿Por qué algunos individuos encuentran menos obstáculos en la aplicación de terapia con EMDR que otros?; ¿Cuál es la función del apego?; ¿Cómo se forman los recuerdos preverbales y cómo se accede a ellos mediante el recuerdo verbal con la terapia con EMDR?; ¿Qué papel desempeña la disociación en el desarrollo y por qué algunas personas se convierten en individuos coherentes e integrados mientras que otros desarrollan una disociación patológica? Esta ponencia pretende presentar un planteamiento desde el neurodesarrollo para instruir nuestra práctica clínica de terapia con EMDR con niños, adolescentes y adultos. El desarrollo cerebral se ve afectado por factores tanto genéticos como ambientales; entre éstos últimos se incluyen: el entorno familiar, las enfermedades físicas, las toxinas y las oportunidades de desarrollo. Durante el período de desarrollo, el cerebro organiza desde abajo hacia arriba, siendo las áreas inferiores del cerebros las que primero se desarrollan. La mayor parte del desarrollo cerebral ocurre durante los cuatro primeros años de vida. El desarrollo del cerebro durante la infancia sucede en una serie de etapas, entrando las áreas corticales superiores en los últimos procesos de desarrollo, mucho más tarde en la infancia y al principio de la vida adulta. Se abordan las cuestiones de cómo integrar aspectos de neurodesarrollo en nuestro trabajo clínico con EMDR para poder desarrollar trayectorias más sanas y positivas para el futuro para los niños, adolescentes y sus familias. Se emplearán grabaciones en vídeo y notas clínicas para ilustrar esta ponencia.

Keywords: Children Families Neurodevelopment

Accuracy Verified: Yes

162. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR with people suffering from complex trauma often leads to difficulties regarding the treatment plan, but also during desensitization, reprocessing, with a risk of major destabilization, and treatment drop outs. Often, many targets, especially those coming from early childhood, are pre-‐verbal in nature and stay therefore implicit. Should we then renounce in doing EMDR with these people? Is it possible to apply EMDR safely and without getting lost, adjusting to each person, so different from another, and their life events somewhat chaotic? The gearbox, through the metaphor of a journey by car, suggests a hierarchical processing structure to navigate through therapy with people suffering from complex trauma, which allows the therapist to adapt to the client, his/her life context, knowing what to do, and why. The result is a more self-‐confident therapist, who is able to adapt to the client, being so more flexible and safe while doing EMDR. By integrating the current knowledge of EMDR for complex trauma, the gearbox is a dynamic and adaptive tool.

EMDR en personas que sufren trauma complejo a menudo conlleva dificultades respecto al plan terapéutico y también durante la desensibilización y reprocesamiento, con el riesgo de una desestabilización mayor y el abandono del tratamiento. Con frecuencia, muchos de los objetivos y, muy especialmente los que tienen su origen en la primera infancia, son preverbales y, por lo tanto, permanecen implícitos. ¿Deberíamos renunciar al uso de EMDR con estas personas? ¿Es posible aplicar EMDR de forma segura y sin perderse, adaptándose a cada persona, tan distintas unas de otras, así como a sus eventos de vida, algo caóticos? “Gearbox”, a través de una metáfora de un viaje en coche, sugiere una estructura jerárquica de procesamiento para navegar por la terapia con personas que sufre trauma complejo, lo que permite al terapeuta a adaptarse al cliente, el contexto de su vida, sabiendo qué hacer y por qué. El resultado es un terapeuta con más confianza en sí mismo, capaz de adaptarse al cliente, con mucho más flexibilidad y seguridad mientras utiliza EMDR. Al integrar los conocimientos actuales de EMDR en casos de trauma complejo, “la caja de cambios” es una herramienta dinámica y adaptativa.

Keywords: Gear Box

Accuracy Verified: Yes

163. Wesselmann, D. (1999, June). Generational problems in parenting: Intervening with attachment disordered adults. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will be able to 1) define parent-child attachment, identify the factors that insure a secure attachment, as well as the 1ife-long positive effects; 2) identify how an insecure chidhood attachment history can affect core beliefs into adulthood and get carried over into the next generation of parenting; 3) help parents target the negative misperceptions that rule their emotional responses when they interact with their children and identify possible alternative positive cognitions before EMDR processing; and 4) use the egogram as a roadmap with attachment disordered adults, using EMDR to strengthen the competent adult and nurturing parent ego-states and separate the child ego-state from the parenting role.

Keywords: Egogram Parent-Child Attachment

Accuracy Verified: Yes

164. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used. NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere. To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment. The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.

Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium

Accuracy Verified: Yes

165. Leeds, A. M. (2012, November). Guía de protocolos estándar de EMDR para terapeutas, supervisores y consultores [A guide to the standard EMDR protocols for clinicians, supervisors, and consultants]. Bilbao ESPAÑA: Desclée De Brouwer.

Language: Spanish

Format: Book

Abstract:
Aprender a utilizar el EMDR con seguridad y eficacia requiere la integración de una amplia gama de conocimientos y competencias. Esta guía quiere ser una orientación para las cuestiones clínicas, profesionales y de gestión de riesgos con las que los profesionales del EMDR se encuentran a diario. Siguiendo el modelo de las ocho fases de la EMDR, el libro propone una guía clara y detallada para la utilización de los protocolos convencionales de EMDR para el tratamiento del trastorno de estrés postraumático, fobias y ataques de pánico. También se incluyen pautas para la formulación de casos, la planificación del tratamiento y para preparar a los pacientes para el reprocesamiento con EMDR. Además, la guía también contiene muestras de contratos para supervisión y formularios para documentar los resúmenes de los casos y los resultados de los tratamientos, así como: - gráficos, formularios, ilustraciones, tablas y árboles de decisión para guiar la planificación del tratamiento y la documentación. - estudios de casos con trascripciones que ilustran los distintos protocolos y pautas para tomar decisiones informadas. - cuestiones éticas de aplicación clínica, consulta, supervisión e investigación. Gracias a las pautas de tratamiento claras y concisas sobre el uso clínico del EMDR, este libro es un recurso de incalculable valor para terapeutas en activo, supervisores, consultores y directores clínicos.

Learning to use EMDR safely and effectively requires the integration of a wide range of knowledge and skills. This guide is intended as a guide for clinical, professional and risk management with which EMDR practitioners encounter daily. Modeled after the eight phases of EMDR, the book offers a clear and detailed guide to the use of EMDR protocols for treating PTSD, phobias and panic attacks. Also included are guidelines for case formulation, treatment planning and to prepare patients for reprocessing with EMDR. The guide also contains samples for monitoring contracts and forms to document summaries of cases and treatment outcomes, as well as: - Charts, forms, illustrations, tables and decision trees to guide treatment planning and documentation. - Case studies with transcripts illustrating the different protocols and guidelines to make informed decisions. - Ethical issues in clinical application, consultation, supervision and research. With treatment guidelines clear and concise on the clinical use of EMDR, this book is an invaluable resource for practicing therapists, supervisors, consultants and clinical directors.

Keywords: Prtactice Protocols Theory

Accuracy Verified: Yes

166. Leeds, A. M. (2009). A guide to the standard EMDR protocols for clinicians, supervisors, and consultants. New York, NY: Springer Publishing Co.

Language: English

Format: Book

Abstract:
This book serves as a resource for practicing clinicians, supervisors, clinic directors, and hospital administrators. Leeds provides clear, concise treatment guidelines on the clinical use of EMDR. This book provides an orientation to the clinical, professional, and risk management issues. Leeds provides sample consultation agreements and forms for documenting treatment planning, case summaries, and treatment outcomes. These forms will be especially helpful for case managers and clinical supervisors in agencies and community health treatment centers. Key features: Includes charts, forms, illustrations, tables, and decision trees, presenting essential information clearly and concisely to guide treatment planning and documentation. Presents case studies with transcripts illustrating the different protocols and presenting guidelines for informed decision making. Outlines the stages of clinical skill development Discusses ethical issues in clinical application, consultation, supervision, and research.

Keywords: Protocols

Accuracy Verified: Yes

167. van der Does, W. (2006, December). Heeft iedereen gewonnen, en moeten allen prijzen hebben? [Has everyone won, and must all have prizes?]. De Psycholoog, 41(12), 650-657.

Language: Dutch

Format: Magazine

Abstract:
De 'Dodo bird verdict' is al lang de uitkomst van psychotherapie-onderzoek: geen tekort aan behandelingen, maar geen verschillen in effectiviteit. Tegenwoordig (cognitieve) gedragstherapie (CGT) is de behandeling van keuze voor steeds meer en steeds complexere problemen. Van tijd tot tijd, nieuwe oppervlaktebehandeling die claim betere of snellere resultaten. De meeste van deze claims zijn ongegrond en hebben korte halflifes. Echter, EMDR, een behandeling voor Psychotrauma, heeft bereikt mainstream psychologie. Na McNally (1999), een vergelijking is gemaakt met een miraculeuze behandeling die Europa veroverde meer dan twee eeuwen geleden. Geconcludeerd wordt dat EMDR is minder effectief dan wordt beweerd, en dat de effectiviteit ervan is te wijten aan de opname van CBT elementen en de grote rol van placebo factoren in nieuwe behandelingen. (PsycINFO Database Record (c) 2008 APA, alle rechten voorbehouden)

The 'Dodo bird verdict' has long been the outcome of psychotherapy research: no shortage of treatments, but no differences in effectiveness. Nowadays (cognitive) behavior therapy (CBT) is the treatment of choice for increasingly more and increasingly complex problems. From time to time, new treatments surface that claim better or faster results. Most of these claims are unfounded and have short halflifes. However, EMDR, a treatment for psychotrauma, has reached mainstream psychology. Following McNally (1999), a comparison is made with a miraculous treatment that conquered Europe more than two centuries ago. It is concluded that EMDR is less effective than has been claimed, and that its effectiveness is due to the incorporation of CBT elements and to the large role of placebo factors in new treatments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Dodo Bird Verdit

Accuracy Verified: Yes

168. van der Zee, H., & Zaal, A. (2011, April). Het emotionele brein; EMDR & neuropsychologie [The emotional brain, EMDR & neuropsychology]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Het menselijk brein is bijzonder veerkrachtig. Als gevolg op een traumatische ervaring ontstaat er in het lichaam een keten aan reacties. De meeste van deze reacties zijn adaptief en gericht op een natuurlijke verwerking. Bij 10 tot 20 % van de mensen die een traumatische ervaring meemaken verloopt de verwerking pathologisch en ontstaat een post traumatische stress stoornis. Lichamelijke veranderingen als gevolg van langdurige stress of een genetische gevoeligheid kunnen hierbij een rol spelen. Bij de verwerking van emotionele gebeurtenissen en psychotrauma zijn verschillende hersenstructuren betrokken. In deze presentatie zal een toelichting worden gegeven op biologische factoren bij het ontstaan van psychotrauma en de rol van ‘ het emotionele brein’ bij traumaverwerking. Ook zal worden ingegaan op de wijze waarop bilaterale stimulatie deze processen mogelijk beïnvloed en hoe dit zich verhoudt tot vigerende verklaringsmodellen over de werkzaamheid van EMDR. Tot slot wordt een casus gepresenteerd waarbij EMDR is toegepast in een neuropsychologische behandeling en is er ruimte voor discussie over de toepassing van EMDR bij neuropsychologische problematiek.

The human brain is very resilient. Due to a traumatic experience develops in the body of a chain reaction. Most of these responses are adaptive and focused on a natural process. At 10 to 20% of people who experience a traumatic experience does the pathological process and creates a post-traumatic stress disorder. Physical changes resulting from prolonged stress or a genetic susceptibility may play a role. In the processing of emotional events and psychotrauma several brain structures involved. This presentation will be given an explanation on biological factors in the development of psychotrauma and the role of the emotional brain in trauma. It will also examine how these processes affect bilateral stimulation and how this relates to current models of explanation about the efficacy of EMDR. Finally, a case presented which EMDR was used in a neuropsychological treatment and there is room for discussion about the use of EMDR with neuropsychological problems.

Keywords: Neurobiology Neuropsychology

Accuracy Verified: Yes

169. Verstraaten, M. J., & van Vliet, E. (2009, Juni). Het werkzame mechanisme van eye movement desensitization and reprocessing (EMDR): Is dit het van een afstand bekijken of het herbeleven van een traumatische gebeurtenis? [The active mechanism of eye movement desensitization and reprocessing (EMDR): Is this the view from a distance or reliving a traumatic event?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek is een replicatie van de studie van Lee, Taylor en Drummond (2006) waarin de werkingsmechanismen beschrijft tijdens een desensibilisatie Eye Movement and Reprocessing (EMDR) behandeling. Deze studie onderzocht of er een relatie is tussen verbetering van de symptomen en de manier waarop de cliënt ziet de traumatische gebeurtenis, is dit vanuit een oogpunt van vrijstaande (afstand) of wanneer het trauma opnieuw wordt ervaren (herbeleving). De reacties van de 30 klanten tijdens een EMDR sessie, worden ingedeeld in vier categorieën volgens de classificatie van Lee et al.. (2006) (distantiëring, herbeleven, beïnvloeden en verbonden). Toegevoegd in dit onderzoek is de categorie onbeslist. De resultaten laten zien is er geen verschil in de antwoorden die tijdens een EMDR sessie en de vermindering van PTSS-symptomen (gemeten met de Nederlandse versie van de Impact of Event Scale) en van het verdriet (gemeten met de subjectieve Eenheden van Disturbance Scale). Alle reacties zijn gerelateerd aan een verbetering, ongeacht de categorie. Deze resultaten zijn niet in overeenstemming met de bevindingen van Lee et al.. (2006) die aantonen dat afstand-reacties zijn geassocieerd met een grotere vermindering van de symptomen dan herbeleven-reacties. Naast Lee et al.. (2006), de huidige studie is gebleken dat zowel de aard van het trauma (opzettelijk of niet opzettelijk) alsmede de negatieve cognitie van een cliënt (onmacht of eigenwaarde) niet zijn geassocieerd met een verbetering van de symptomen tijdens de EMDR behandeling. Toekomstig onderzoek kan bijdragen aan kennis over andere factoren die geassocieerd kan worden met de effectiviteit van EMDR.

This research is a replication of the study of Lee, Taylor and Drummond (2006) which describes the working mechanisms during an Eye Movement Desensitization and Reprocessing (EMDR) treatment. This study tested whether there is a relation between improvement in symptoms and the way the client sees the traumatic event; is this from a detached point of view (distancing) or when the trauma is re-experienced (reliving).The responses of 30 clients during an EMDR session, are classified into four categories according to the classification of Lee et al. (2006) (distancing, reliving, affect and associated). Added in this study is the category undecided. The results show there is no difference in the responses given during an EMDR session and the reduction of PTSD-symptoms (measured with the Dutch version of the Impact of Event Scale) and of the distress (measured with the Subjective Units of Disturbance Scale). All the responses are related to an improvement, regardless of the category. These results are not in line with the findings of Lee et al. (2006) that show distancing-reactions are associated with a greater reduction in symptoms than reliving-reactions. In addition to Lee et al. (2006), the current study found that both the nature of the trauma (intentional or not intentional) as well as the negative cognition of a client (powerlessness or self-esteem) are not associated with an improvement in symptoms during EMDR treatment. Future research may contribute to knowledge about other factors that may be associated with the effectiveness of EMDR.

Keywords: Distancing Reliving

Accuracy Verified: Yes

170. Spierings, J. (2013, April). Hoezo therapeutische relatie, we hebben toch het protocol? [Why therapeutic relationship, we do have the protocol?]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
De therapeutische relatie in EMDR: Lambert en Barley (2001) komen in hun review van tientallen onderzoeken naar de resultaten van psychotherapie tot de volgende conclusies: Toepassen van de methodiek (in dit geval EMDR) maakt 15% van het resultaat uit. Nog eens 15% is toe te schrijven aan het placebo effect, lees: hoop en verwachting (en daarmee ook inzet en commitment van de cliënt). Maar liefst 30% komt voor rekening van de zgn. non-specifieke variabelen zoals de kwaliteit van de relatie tussen hulpverlener en cliënt, de geloofwaardigheid van de therapeut, het vermogen van de therapeut om de cliënt aan het werk te krijgen en de aandacht van de cliënt op zijn eigen beleving gefocust te houden. Nog eens 40% wordt bepaald door buiten de therapie gelegen factoren (cliëntfactoren zoals het vermogen om te associëren, of een nieuwe relatie, of medicatie die goed aanslaat).

The therapeutic relationship in EMDR: Lambert and Barley (2001) conclude in their review of dozens of studies on the results of psychotherapy to the following conclusions: Application of the method (in this case EMDR) is 15% of the result. Another 15% is due to the placebo effect, read: hope and expectation (and thus effort and commitment of the client). A whopping 30% is accounted for by the so-called non-specific variables such as the quality of the relationship between counselor and client, the credibility of the therapist, the ability of the therapist to the client to work and get the attention of the client on his own experience to keep focused. Another 40% is determined by factors located outside therapy (client factors such as the ability to associate, or a new relationship, or medication that is successful).

Keywords: Therapeutic Relationship

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Benefits Children Trauma Effects

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

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

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

Accuracy Verified: Yes

173. Humi, M. P., Godoy-Izquierdo, D., Vazquez, M. L., & Godoy, J. F. (2012, June). Hypothesis of emotional trauma and structural dissociation in idiopathic parkinson’s disease: Treatment by EMDR?. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: English

Format: Conference

Abstract: INTRODUCTION: Idiopathic Parkinson’s disease (PD) is proposed to be the result of a multifactorial process that causes the loss of dopaminergic neurons in the substantia nigra. The first symptoms appear when dopamine is reduced by 80% in the striatum nucleus or when 60% of the negro-striatal neurons have disappeared. This indicates that the cause of PD happens or starts to be active years if not decades before the first symptoms appear. There is evidence from animal and human models that PD has an early pre-symptomatic or masked onset as a result of pre- or perinatal disruption of the neuronal development of the brain and/or by a postnatal traumatic impact very early in life affecting the neurogenesis and/or making the nigro-striatal system vulnerable to subsequent experiences (Diseth, 2005; Le, Chen and Jankovic, 2009). Medical research identifies such (subsequent) traumatic impacts in genetic or environmental factors or following a neurodevelopmental insult by aging alone (Le et al., 2009).

Keywords: Parkinson’s Disease Poster

Accuracy Verified: Yes

174. Fernandez, I. (2002, Dicembre). I disturbi post-traumatici da stress, fattori di rischio, aspetti diagnostici e trattamento con l'EMDR [The post-traumatic stress disorder factors of risk, diagnostic aspects and treatment with EMDR]. Rivista Scientifica di Psicologia, Sommario 01, 15-24.

Language: Italian

Format: Journal

Abstract:
In seguito a un evento traumatico (critico) il cervello potrebbe immagazzinare una parte delle intense emozioni che scaturiscono al momento del trauma per elaborarle in un secondo momento, quando lo stato di sopravvivenza è recuperato e lo shock superato. Questi eventi critici possono dar seguito ad un Disturbo Post traumatico da Stress (PTSD). L’autrice espone l’EMDR (Desensibilizzazione e Rielaborazione attraverso i Movimenti Oculari) come metodo per risolvere questi disturbi. L’EMDR agisce ad un livello neuropsicologico ed è basato sulla stimolazione alternata dei due emisferi attuata nel momento in cui il paziente sta richiamando l’esperienza traumatica. Le ricerche sperimentali hanno convalidato l’efficacia del trattamento, che viene ora utilizzato in molte istituzioni nell’area della psicologia dell’emergenza.

Following a traumatic event (critical) the brain may store some of the intense emotions that arise in time of trauma to elaborate later, when the rule of survival is recovered and the shock passed. These critical events can act on Disorder Post Traumatic Stress (PTSD). The author exposes EMDR (Desensitization and Reprocessing Eye movement) as a method to solve these problems. EMDR works with a neuropsychological level and is based on stimulation of AC two hemispheres implemented when the patient is recalling traumatic experience. The experimental studies have validated effectiveness of treatment, which is now used in many institutions in the area of emergency psychology.

Keywords: PTSD Emergency Treatment Therapy

Accuracy Verified: Yes

175. Rutten, J. (2008, Maart). Ik ken het wel, maar ik kan het niet”. EMDR bij de behandeling van kinderen met faalangst [I know it, but I can not. EMDR in the treatment of children with anxiety]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Over het gebruik van EMDR bij de behandeling van faalangst is nog weinig bekend en voor zover er over gepubliceerd is betreft het volwassenen. In de praktijk blijkt echter dat het gebruik van EMDR bij de behandeling van kinderen met faalangst zeer effectief kan zijn. Daarbij sluit het EMDR protocol, met de nadruk op de negatieve en de positieve cognities, direct aan bij de problematiek waar veel van deze kinderen mee worstelen. Immers, het ene moment kunnen zij nog "ik ken het wel" denken om, naarmate het moment waarop er moet worden gepresteerd nadert, steeds meer overtuigd te raken van "ik kan het niet!" Over disfunctionele cognities en de rol die deze spelen bij hun angsten hoeven deze kinderen dan ook vaak weinig uitgelegd te krijgen. In deze presentatie zal nader ingegaan worden op het gebruik van EMDR bij de behandeling van kinderen met faalangst. De factoren die meespelen bij de ontwikkeling van faalangst kunnen echter heel verschillend zijn en niet bij iedere vorm lijkt EMDR even effectief. Hier zal tevens aandacht aan worden besteed.

On the use of EMDR in the treatment of anxiety is still little known and where there has been published on the adults. In practice, however, that the use of EMDR in the treatment of children with anxiety can be very effective. It closes the EMDR protocol, with emphasis on the negative and positive cognitions directly with the problems that many of these children are struggling with. Indeed, one moment they can still "I know it" to think, as when it needs to be performed is approaching, more and more convinced of "I can not!" On dysfunctional cognitions and the role they play in their fears that children are often having little meaning to get. This presentation will be elaborated on the use of EMDR in the treatment of children with anxiety. The factors that influence the development of failure can, however, very different and not with any appears EMDR as effective. There will also be given attention.

Keywords: Anxiety Children

Accuracy Verified: Yes

176. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.

Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.

Keywords: Infertility

Accuracy Verified: Yes

177. Luber, M., & Shapiro, F. (2009). Illness and somatic disorders protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 189-211). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
When the perpetrator is the client's own body, the Illness and Somatic Disorders Protocol can be used. It is important to note that this protocol addresses both psychological and physical factors related to somatic complaints. This is not a substitute for appropriate medical care but an adjunct to it. For many, addressing the psychological dimensions will cause partial or complete remission of the physical symptoms. When primarily organic processes are involved, the psychological issues may be exacerbating the physical conditions. While physical symptoms may not remit, the clinical emphasis is on improving the person's quality of life (Shapiro, 2001). This chapter presents a summary of the Illness and Somatic Disorders Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). The Illness and Somatic Disorders Protocol Script is provided. [PsycINFO Database]

Keywords: Illness Protocol Somatic Disorders

Accuracy Verified: Yes

178. Klaus, P. (2005, September). The impact of childhood sexual abuse on childbearing: EMDR and other therapeutic interventions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Childhood abuse memories can be activated at significant developmental periods or at stressful life events. Childbearing is especially vulnerable due perhaps to uncontrollable factors such as rapid changes in the woman's body, uncertainty and pain of labor, numerous invasive procedures, coping with medical professionals who are strangers with authority and power, and responsibility for a tiny, dependent infant. Participants will identify symptoms that may be exhibited during childbearing, recognize specific triggers that activate abuse memories and interfere with birth or parenting, and learn how to incorporate EMDR with specific interventions to help survivors reduce fears, minimize htrggers, promote healing and bonding.

Keywords: Child Bearing Sexual Abuse

Accuracy Verified: Yes

179. Woodward, V. (2000, December). Incorporating EMDR and psychodrama into therapy. EMDRIA Newsletter, 5(Special Edition), 16-18.

Language: English

Format: Newsletter

Abstract:
The Mental Health Treatment Supervisor at the Danville Center for Adolescent Females where I worked previously is a secure, residential treatment program for girls between ages 14 and 18 who have been adjudicated by the courts. Residents are supervised at all times. There is almost continuous interaction with staff, except for brief periods when residents are expected to work on clinical issues in their rooms. Doors to rooms are always open during waking hours, with 15-minute checks performed. Residents deemed to be at risk of hurting themselves or others can be placed on one-to-one supervision. If a resident become physically aggressive or is threatening to herself or others, she can be restrained.

Keywords: Psychodrama

Accuracy Verified: Yes

180. Gauvreau, P., & Bouchard, S. (2010). Indications préliminaires de l’efficacité de l’EMDR dans le traitement du trouble anxieux généralisé [Preliminary indications of the effectiveness of EMDR in the treatment of generalized anxiety disorder]. Journal of EMDR Practice and Research, 4(4), E47-E62. doi:10.1891/1933-3196.4.4.E47.

Language: French

Format: Journal

Abstract:
Cette étude préliminaire a tenté d’évaluer l’effi cacité potentielle de l’EMDR ( Eye Movement Desensitization and Reprocessing: désensibilisation et retraitement par les mouvements oculaires) en tant que modalité de traitement du trouble anxieux généralisé (TAG). L’effi cacité de 15 séances EMDR a été évaluée à travers un protocole de cas unique avec des lignes de base multiples en fonction des participants. Les résultats indiquent qu’à la suite du ciblage de facteurs expérientiels favorisant le TAG et de situations actuelles et anticipées provoquant une inquiétude excessive, les scores d’anxiété et d’inquiétude excessive ont baissé sous le seuil diagnostique et, dans deux cas, jusqu’à la rémission totale des symptômes du TAG. A la fi n du traitement et lors du suivi après deux mois, aucun des quatre participants ne relevait du diagnostic de TAG. De plus, les analyses de séries temporelles (ARMA) indiquent une amélioration statistiquement signifi cative sur les deux mesures quotidiennes de l’inquiétude et de l’anxiété au cours du traitement EMDR.
Cet article a paru que Gauvreau, P. & Bouchard, S. (2008). Les données préliminaires pour l'efficacité de l'EMDR dans le traitement du trouble anxieux généralisé. Journal de pratique EMDR et de la recherche, 2 (1), 26-40. Traduction française par Ann Rydberg Jenny.

This preliminary study attempted to assess the potential effi ciency of EMDR (Eye Movement Desensitization and Reprocessing: desensitization and reprocessing eye movement) as a treatment modality for generalized anxiety disorder (GAD). The efficiency of 15 EMDR sessions was evaluated through a protocol unique case with multiple baselines according to participants. The results indicate that following the targeting of experiential factors favoring the TAG and current and anticipated situations causing excessive worry, the scores of anxiety and excessive worry dropped below the diagnostic threshold, and in both cases up 'to the total remission of symptoms of GAD. In the fi n of treatment and at follow-up after two months, none of the four participants was outside the diagnosis of GAD. In addition, time series analysis (ARMA) indicate statistically signifi cannot improvement over the two daily measurements of anxiety and anxiety during treatment EMDR.
This article originally appeared as Gauvreau, P. & Bouchard, S. (2008). Preliminary Evidence for the Efficacy of EMDR in Treating Generalized Anxiety Disorder. Journal of EMDR Practice and Research, 2 (1) , 26–40. French translation by Jenny Ann Rydberg.

Keywords: Efficacy GAD Generalized Anxiety Disorder

Accuracy Verified: Yes

181. Maxfield, L. (2002, June). The influence of methodological variables on outcome in psychotherapy research. Panel discussion (L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context) at the (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
Although there is consensus that EMDR is efficacious in the treatment of PTSD, different studies have achieved a range of results. This presentation reviews a methodological meta-analysis that found a significant positive correlation between effect size and ratings of methodological rigor. Specific client, therapist, and methodological factors were identified in the analysis as accounting for some of the disparities in outcome. These variables are examined, and include the over-all rigor of the study, qualities of the assessor, treatment fidelity, symptom severity, and appropriate course of treatment. Implications for interpreting research outcomes are discussed, and recommendations are made for future research. The scale for assessing methodological variables was adapted from Foa and Meadows (1997), and the analysis suggests modifications and additions to improve the measurement of methodology.

Keywords: Methodology Outcome Research

Accuracy Verified: Yes

182. Nichols, L. M. (2012). Integrating complementary therapies with counseling: A qualitative study of practicing counselors' approaches to wellness. Pennsylvania State University, University Park, PA.

Language: English

Format: Dissertation/Thesis

Abstract:
There is a growing interest in the United States in complementary therapies (CT) to address the health needs and hopes of individuals. Research in the medical and allied health communities has reflected the expanding interest, however, the counseling profession has limited literature focusing on CT integration practices. The current study expands on existing research using a constructivist lens and grounded theory approach; a sample of 16 practicing counselors were interviewed to develop a theoretical model of CT integration in the counseling context. Scholarly literature has described CT and reasons for its use, which can be linked to counseling through professional identity, the wellness model, and ethical practice. The results of this study indicate that experience, beliefs, competence, and practice are primary factors in the integration of CT in counseling. Implications of the results on the counseling profession will be detailed in terms of practice, training, and future research.

Keywords: Complementary Therapies Counselor Approaches Qualitative Study

Accuracy Verified: Yes

183. Lyhus, K. E. (2003, April). Integration of EMDR with other therapeutic approaches: A survey investigation. Catholic University of America, Washington, DC. AAT 3067496.

Language: English

Format: Dissertation/Thesis

Abstract:
The present study examined assimilative integration, i.e., when techniques from various therapeutic approaches are imported into a single, consistent theoretical framework. Specifically, the aim of this study was to investigate how Eye Movement Desensitization and Reprocessing (EMDR), a manualized therapeutic approach originally developed as a treatment for traumatic memories, is incorporated into clinical practice. In assimilative integration, elements of the EMDR protocol would be expected to be conceptualized and possibly modified in ways that are consistent with the therapist's theoretical framework. A survey design, using web-based questionnaires, was implemented to gather information from therapists who use EMDR. Therapists responded to a broad range of questions regarding their theoretical orientation, involvement in EMDR organizations, and practice of EMDR. A large sample (N = 532) was obtained, and results demonstrated that most therapists integrated EMDR with other therapeutic methods. Further, there was some evidence that therapists were practicing assimilative integration. Specifically, therapists typically added methods consistent with their primary theoretical orientation and conceptualized the effective elements of EMDR as those that were most consistent with their orientation. Most therapists reported using most of the elements of the EMDR protocol, perhaps reflecting the high level of interest in EMDR among therapists in the sample. However, there were some differences related to therapists' level of commitment to EMDR. For example, members of the EMDR International Association used more elements of the protocol and were more likely to report that they did not combine other methods with EMDR when compared to nonmembers. The diagnosis of the client was also an important factor in how EMDR was integrated into treatment. For example, therapists treating clients with PTSD were more likely to report on their use of EMDR as the primary therapeutic approach and to integrate cognitive/behavioral methods than were those treating clients with other disorders. This study was among the first to examine the process of assimilative integration. The findings show that psychotherapy integration varies by therapists' base theoretical orientation, client factors, and therapists' commitment to the treatment method being integrated. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4912.

Keywords: Assimulative Integration Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Traumatic Memories

Accuracy Verified: Yes

184. Hembree, E., & Foa, E. (2003, April). Interventions for trauma-related emotional disturbances in adult victims of crime. Journal of Traumatic Stress, 16(2), 187-199. doi:10.1023/A:1022803408114.

Language: English

Format: Journal

Abstract:
This paper provides an overview of several treatment interventions for trauma-related disturbances in adult victims of crime. Following a brief discussion of mental health service utilization among crime victims, we describe interventions for acute and chronic reactions to trauma. We present some controlled studies of psychosocial treatments for PTSD that have gained empirical support and are recommended as first line interventions by expert consensus including exposure therapy, cognitive therapy, and stress inoculation training, followed by a brief summary of selected studies examining the efficacy of pharmacological treatment for PTSD. Finally, we discuss multicultural issues, factors associated with treatment outcome, and challenges we have encountered in treating crime victims. [Author Abstract]

Keywords: Adults Crime Literature Review Posttraumatic Stress Disorder PTSD Survivors Treatment Treatment Effectiveness

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Poster Research Therapist's Beliefs

Accuracy Verified: Yes

186. Bardot, E. (2009). L 'EMDR (Eye movement desensitization and reprocessing). In A. Deneux, F.-X. Poudat, & T. Servillat (Eds.) Les psychothérapies: Approche plurielle (pp. 375-386) Paris: Masson.

Language: French

Format: Book Section

Abstract:
Les pratiques psychothérapiques se sont multipliées au cours des dernières décennies. On dénombre actuellement dans le monde près de 400 types de psychothérapies. Cette diversité peut entretenir un flou croissant autour de ces approches avec un risque d'amalgame ou de repli sur telle ou telle référence exclusive. Afin d'éviter ce risque et d'orienter les étudiants et les thérapeutes, ce livre propose de présenter les principaux courants psychothérapiques : psychanalytique, cognitivo-comportemental, systémique et stratégique. Le lecteur sera sensibilisé pour chacun des courants à leur histoire, aux enjeux théoriques et psychopathologiques, à la spécificité de la clinique, à la question des indications. Des portraits de personnalités marquantes scandent la présentation de chaque courant, apportant un éclairage biographique. L'ambition est de saisir la pluralité des champs mais également leurs complémentarités car au-delà des spécificités théoriques et techniques, on identifie un certain nombre d'invariants et de facteurs communs au processus psychothérapique. Cet ouvrage espère ainsi contribuer à un mouvement de décloisonnement et de partage des richesses et ressorts des grands courants, dans un esprit d'exigence et de respect mutuel. Des thérapeutes d'horizons et de références différents seront ainsi sensibilisés à la diversité de ces courants et pourront mieux poser les indications d'autres approches que la leur.

Psychotherapeutic practices have proliferated in recent decades. There are currently around the world nearly 400 types of psychotherapy. This diversity can sustain a growing uncertainty around these approaches with a likelihood of confusion or retreat on any particular exclusive reference. To avoid this risk and to guide students and therapists, this book proposes to present the mainstream psychotherapy: psychoanalytic, cognitive-behavioral, systemic and strategic. The reader will be sensitized to each of their common history, theoretical issues and psychopathology, the specificity of the clinic, when asked for directions. Portraits of personalities punctuate the presentation of each course, providing lighting biography. The ambition is to capture the diversity of their fields but also complementary because beyond the specific theoretical and technical, it identifies a number of invariants and common factors in the psychotherapeutic process. This book hopes to contribute to a movement of deregulation and wealth sharing and springs from the mainstream, in a spirit of care and mutual respect. Therapists backgrounds and different references are well aware of the diversity of these streams and can better ask directions other than their own approaches.

Keywords: Practice Theory

Accuracy Verified: Yes

187. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute. Tre gli elementi salienti offerti dalla ricerca: 1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni. 2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari. 3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente. Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce. Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico). A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali. Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa. Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione. Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio. E questo è un punto di forza notevole per l’EMDR. I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008). L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).

In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that -- relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a "Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008). EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).

Keywords: Body-Mind Interaction PNEI

Accuracy Verified: Yes

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

Language: French

Format: Other

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

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

Keywords: Gearbox

Accuracy Verified: Yes

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

Language: Spanish

Format: Journal

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

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

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

190. Zillhardt, P. (2007, Juin). La thérapie EMDR avec les troubles des comportements alimentaires [EMDR therapy with eating disorders]. Document présenté lors de la réunion de l'Institut Français d'EMDR, Paris, France.

Language: French

Format: Conference

Abstract:
Si les troubles des comportements alimentaires (TCA) sont considérés par de nombreux auteurs comme une pathologie addictive du fait de schémas comportementaux et d’un support neurobiologique comparables aux autres dépendances (substances ou comportements), l’accord paraît unanime pour y voir une réponse spécifique à un modèle biopsychosocial. Un tel modèle implique : des facteurs inducteurs et déclencheurs, et des facteurs facilitants et de pérennisation. Par exemple, des travaux récents mettent l’accent sur la prépondérance de facteurs socio-culturels indissociables des forces médiatiques actuelles. L’importance de ces derniers facteurs se fait particulièrement ressentir depuis la seconde moitié du 20ème siècle et pourrait aller « crescendo ». En outre, la problématique des TCA est rendue plus complexe par l’existence d’une lourde comorbidité dont les éléments pathologiques sont autant causes que conséquences. Notons que 40% des patients souffrant de TCA ont eu, à un moment de leur vie, un PTSD. Nous, praticiens, ne sommes pas étonnés de constater que bon nombre de ces patients souffrent d’une altération notable de leur identité. Le caractère dit « synclétique » de la thérapie EMDR permet une approche intégrative dans le traitement des TCA : un aspect cognitif indéniable, le processus associatif induit par les stimulations alternées met souvent en lumière des matériaux reflétant des conflits intrapsychiques plus ou moins archaïques. Le travail portant sur l’imagerie mentale ou les états dissociés du moi peut aussi être associé dans les cas difficiles de patients souffrant de TCA. Le travail d’anamnèse et l’approche phénoménologique jouent un rôle primordial dans l’approche EMDR des TCA. L’un des aspects forts de la thérapie EMDR est l’identification de « clusters possibles » représentatifs des thématiques inductrices des souffrances et des symptômes inhérents à l’expérience de vie tragique de ces patients. Le plan de la thérapie est bien sûr personnalisé pour chaque patient.

If the eating disorders (TCA) are considered by many authors pathology as a result of addictive patterns behavioral and neurobiological support comparable to other addictions (substances or behavior), the agreement seems unanimous see a specific response to a biopsychosocial model. Such a model implies: inducing factors and triggers, and facilitating factors and sustainability. For example, recent studies emphasize on the balance of socio-cultural factors inseparable forces current media. The importance of these factors is particularly experience since the second half of the 20th century and could go "crescendo". In addition, the problem of TCA is made more complex by the existence of a heavy comorbidity whose elements are all pathological causes the consequences. Note that 40% of patients with TCA had, at some point in their lives, PTSD. We practitioners are not surprised to note that many of these patients suffer a significant change of their identity. The character says "Syncletica" of EMDR provides an integrative approach in the treatment CAW: a cognitive undeniable, the process associative stimulation induced by alternating often sheds light reflecting materials intrapsychic conflicts more or less archaic. The work on mental imagery or statements dissociated ego can also be associated in the case difficult patients with TCA. Work history and the phenomenological approach play an important role in the approach EMDR CAW. One of the strengths of EMDR is identifying "clusters possible" representative inducing themes of suffering and symptoms inherent in the tragic experience of life of these patients. The plan of therapy is of course customized for each patient.

Keywords: Eating Disorders

Accuracy Verified: Yes

191. Robinson, N. S. (2012, June). Legacy informed EMDR: Promote positive and desensitize negative core beliefs stemming from transgenerational and cultural sources [Legado informado EMDR: Promover positivo y desensibilizar a las creencias negativas que se derivan de las fuentes principales transgeneracionales y cultural]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Ancestral, familial and cultural factors often become embedded and can lay the foundation of core negative beliefs and symptomatology. Legacy informed EMDR introduces the idea that EMDR can be utilized to reconsolidate transgenerational roots of symptomatology. The workshop outlines how to use EMDR to: 1) promote a positive core belief by accessing legacy-based resources 2) desensitize legacy-based maladaptive beliefs, traumatic events and emotional baggage 3)help clients develop an affirming coherent life narrative. This integrative approach is informed by a wide range of recent, notable researchers in the fields of neurobiology, attachment, and family systems (Siegel,1999, 2010; Main,1990; Boszormenyi-Nagy,1984; White, M. & Epston, D,1990). The workshop addresses how to incorporate legacy informed work into the standard 8-phase, 3-pronged protocol. Phase 1 includes an extended genogram. A core positive cognition is elicited and a VOC is taken as part of goal setting. Legacy based resources are developed for preparation and RDI. The standard protocol is used to desensitize traumatic targets. Access to ancestral, familial and cultural beliefs and information is gained with an EMDR time-line similar to that used in Maureen Kitchur’s Strategic Developmental Model (Kitchur, 2005). Clinicians can complete a course of EMDR therapy by reconsolidating threads from the distant past, remembered past, current being and future vision. Material often emerges and is reprocessed relating to race, gender, disabilities, sexual orientation and socio-economic dynamics as well as trauma and oppression. This legacy workshop is practice oriented and is anecdotally based on the presenter’s clinical work.

Factores ancestrales, familiares y culturales en muchas ocasiones se ensamblan y pueden llevar a la formación de creencias irracionales y sintomatología. El Legado informado EMDR introduce la idea de que el EMDR puede ser utilizado para reconsolidar las raíces transgeneracionales de la sintomatología. El taller revisa como usar el EDMR para: (1) Promover las creencias positivas accediendo a los recursos basados en el legado (2) Desensibiliza mediante el legado las creencias desadaptativas, eventos traumáticos y bagaje emocional. (3) Mantener el desarrollo de los clientes y afirmar la coherencia narrativa de la vida. Este enfoque integrativo esta creado a partir de un amplio espectro de recientes e importantes investigaciones en los campos de la neurobiología, apego y sistemas familiares(Siegel,1999, 2010; Main,1990; Boszormenyi-‐Nagy,1984; White, M. & Epston, D,1990). Este taller muestra como incorporar el legado informado al trabajo de las 8 fases, con el protocolo de 3 flancos. La fase uno incluye un árbol genealógico. Una cognición positiva es elicitada y el VOC es cogido como parte de una meta. Los recursos basados en el legado son desarrollados para la preparación y el RDI. El protocolo estándar es usado para desensibilizar los recuerdos diana. Acceder a los recuerdos ancestrales, familiares y culturales y la información proporcionada por el EMDR a tiempo real es similar en la usada por el modelo de desarrollo estratégico de Maureen Kitchur(Kitchur, 2005). Los clínicos pueden completar el curso de EMDR reconsolidando estos enunciados del pasado distante, pasado recordado, presente y visión futura. A menudo el material surge y es reprocesado en función a la raza, genero, discapacidad, orientación sexual y dinámicas socioeconómicas como el trauma y la opresión. Este taller de legado es una práctica orientada y esta basada de manera anecdótica en el trabajo clínico del ponente.

Keywords: Core Beliefs Cultural Transgenerational

Accuracy Verified: Yes

192. Masters, R. (2009). Letters to the editor. Journal of EMDR Practice and Research, 3(1), 57. doi:10.1891/1933-3196.3.1.57.

Language: English

Format: Journal

Abstract:
“The Effect of Single-Session Modified EMDR on Acute Stress Syndromes,” Kutz, Resnik, and Dekel (2008). As my long-suffering research professor drummed into me years ago, the most serious error that can be made in experimental research is to confuse a correlation with a cause: in the case of this study, the fact that recovery followed the use of EMDR does not mean that EMDR caused the recovery. The cause of recovery may have been the natural healing properties of the brain or myriad other factors. (Excerpt)

Keywords: Letter

Accuracy Verified: Yes

193. Zimmermann, P., Biesold, K. H., Barre, K., & Lanczik, M. (2007, May). Long-term course of post-traumatic stress disorder (PTSD) in German soldiers: Effects of in patient eye movement desensitization and reprocessing therapy and specific trauma characteristics in patients with non-combat-related PTSD. Military Medicine, 172(5), 456-460 .

Language: English

Format: Journal

Abstract:
Objective: In this study, we retrospectively evaluated a patient population of 89 German soldiers who received inpatient treatment for PTSD at the German Armed Forces Hospital in Hamburg from 1998 to 2003. Methods: Patients were nonrandomly assigned to a treatment group who received eye movement desensitization and reprocessing (EMDR) and a comparison group with general hospital treatment and relaxation training. Follow-up information was obtained 29 months post-treatment. Trauma-related symptoms were assessed using the Impact of Event Scale and the Post-Traumatic Stress Scale (PTSS-10) as parameters of improvement. Results: The Impact of Event Scale showed that inpatient trauma therapy with EMDR significantly improved the course of PTSD. In addition, the Impact of Event Scale indicated a significantly poorer long-term outcome for patients who had been confronted with death during their traumatic experience. Other factors tested were of no significant influence. CONCLUSIONS: These results may influence further treatment strategies for traumatized German soldiers. [Author Abstract]

Keywords: Adults Army Personnel German Posttraumatic Stress Disorder PSTD Psychiatric Inpatients Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

194. Lambin, M. (2012, April). L’écran, un outil clinique en EMDR [The screen, a clinical tool in EMDR]. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.

Language: French

Format: Conference

Abstract: Il est fréquent que des clients avec lesquels nous utilisons l’EMDR présentent des symptômes de dissociation au cours de la séance, particulièrement si les émotions deviennent très intenses ou si le souvenir du trauma est réactivé de façon très aigue. Parmi les stratégies que l’on peut utiliser à ce moment pour aider le client à rester dans l’expérience, l’écran s’avère un outil clinique extrêmement efficace. Le but de cet atelier est d’amener le clinicien à découvrir et expérimenter l’utilisation de l’écran dans le traitement en EMDR. Ainsi, lors de l’application du protocole en 8 étapes, si des symptômes dissociatifs apparaissent, l’écran permet une stabilisation et favorise la poursuite du traitement adaptatif de l’information. Le déroulement de cet atelier de 3 heures comporte un grand volet pratique pour permettre l’expérimentation et les échanges chez les participants. Ce qui favorise l’intégration des connaissances actuelles en EMDR ainsi que l’expérience clinique à partir d’un cas précis. L’apprentissage de cet outil donne accès aux ressources du client.
Objectifs d’apprentissage: 1. Approfondir les connaissances pour mieux cibler l’intervention en EMDR (facteurs facilitants et écueils rencontrés) 2. Reconnaître les manifestations des symptômes dissociatifs en cours de traitement EMDR 3. Faire l’apprentissage de l’écran comme outil clinique dans le traitement adaptatif de l’information 4. Privilégier l’accès du client à ses ressources 5. Favoriser le mouvement et la stabilisation de la personne par l’utilisation de cet outil dans le cadre des 8 étapes pour poursuivre le traitement EMDR.

It is common for clients with whom we use EMDR with symptoms of dissociation during the session, especially if emotions become intense or if the memory of the trauma was reactivated very acute. Among the strategies that can be used at this time to help the client to remain in the experiment, the screen is an extremely effective clinical tool. The purpose of this workshop is to bring the clinician to explore and experiment with using the screen in the EMDR treatment. Thus, when applying the protocol in 8 steps, if dissociative symptoms appear, the screen allows a stabilization and promotes the pursuit of adaptive processing of information. The course of this 3 hour workshop includes a large practical component to allow experimentation and exchanges among participants. Which promotes the integration of existing knowledge in EMDR and clinical experience from a case. Learning this tool provides access to client resources.
Learning Objectives: 1. Deepen the knowledge to better target intervention in EMDR (facilitating factors and pitfalls) 2. Recognize the manifestations of dissociative symptoms during treatment EMDR 3. Make learning the screen as a clinical tool in the adaptive processing of information 4. Preferred customer access to its resources 5. Encourage movement and stabilization of the person through the use of this tool as part of the 8 steps to continue the EMDR treatment.

Keywords: Dissociation Screen

Accuracy Verified: Yes

195. Gamba, M. (2005). L’integrazione dell'EMDR nella psicoterapia dei disturbi del comportamento alimentare [EMDR integration into the psychotherapy of eating disorders]. Universita Degli Studi Padova, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract:
Questo mio lavoro di tesi rappresenta una rassegna degli studi compiuti negli ultimi anni, sui disturbi del comportamento alimentare. Negli ultimi vent’anni molto è stato detto su questa patologia che ha attirato l’attenzione non solo di clinici e specialisti ma anche dei mass media. Si tratta, purtroppo, di disturbi che si stanno imponendo sempre di più nella società occidentale e che iniziano a comparire anche nelle zone più povere del mondo. Come sarà possibile notare nel primo capitolo, questi disturbi interessano principalmente, ma non esclusivamente, soggetti di sesso femminile e gli indici di prevalenza indicano un valore attorno all’1% per la bulimia nervosa nelle giovani donne adulte, mentre per l’anoressia nervosa questa percentuale oscilla attorno lo 0,3%. Dopo una descrizione generale di queste patologie, mi sono occupata dei disturbi specifici evidenziati dal DSM-IV, redatto dall’American Psychiatric Association nel 1996: Anoressia Nervosa, Bulimia Nervosa, Disturbo da Alimentazione Incontrollata (BED). Questi disturbi vengono descritti singolarmente, analizzandone i fattori di rischio e le caratteristiche cliniche e diagnostiche; nella descrizione ho tralasciato i fattori eziopatogenetici della Bulimia Nervosa e del BED perché sono rintracciabili tra quelli evidenziati per l’Anoressia Nervosa.

My thesis is a review of studies made in last year, about eating disorders. Over the past twenty years Much has been said about this disease that has attracted the attention not only to and clinical specialists, but also the media. This is, unfortunately, of disorders are becoming more and more in Western society and start to appear even in the poorest parts of the world. As you will notice in the first chapter, these problems primarily, but not exclusively, female subjects, and prevalence rates indicate a value of around 1% for bulimia nervosa in young adult women, while for anorexia nervosa, this percentage fluctuates around 0.3%. after a general description of these diseases, I have dealt with specific disorders highlighted by the DSM-IV, prepared by the American Psychiatric Association in 1996: Anorexia Nervosa, Bulimia Nervosa, binge eating disorder (BED). These disorders are described individually, analyzing the factors risk and the clinical and diagnostic features, I have omitted in the description causative factors of Bulimia Nervosa and BED because they are detectable among those highlighted for Anorexia Nervosa.

Keywords: Eating Disorders

Accuracy Verified: Yes

196. Lapp, L. K., Agbokou, C., Peretti, C. S., & Ferreri, F. (2010, September). Management of post traumatic stress disorder after childbirth: A review. Journal of Psychosomatic Obstetrics & Gynecology, 31(3), 113-122. doi:10.3109/0167482X.2010.503330.

Language: English

Format: Journal

Abstract:
Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.

Keywords: Childbirth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

197. Shapiro, F. (2007). Manuel d’EMDR – Principles, protocols, procédures [Handbook of EMDR: Principles, protocols, procedures]. Paris, France: Dunod-InterEditions.

Language: French

Format: Book

Abstract:
En complément d'information, consulter la fiche Psychothérapie. Vous y trouverez une vue d'ensemble des multiples approches psychothérapeutiques – incluant un tableau guide pour vous aider à choisir les plus appropriées – ainsi qu'un exposé sur les facteurs de réussite d’une thérapie.

In additional information, consult the psychotherapy. You will find an overview of many approaches to psychotherapy - including a graphical guide to help you choose the most appropriate - and a presentation on the factors of a successful therapy.

Keywords: Practice Theory

Accuracy Verified: Yes

198. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Great strides have been made in applying EMDR to different populations with a variety of diagnoses. Integrating this powerful treatment into couples therapy is relatively new and very promising. By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic presentation and case illustration, participants will understand the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be able to identify clinical manifestations of ego state conflict in conjoint sessions, including the doublebind, split loyalty, and reenactments. Participants will be able to use this learning to diagnose the interlock of negative cognitions in their client couples, and implement strategies to contract for individually-focused EMDR therapy. Participants will be able to explain to clients the risks and benefits of conjoint EMDR, and understand the contraindications for conjoint EMDR. Participants will learn a model of EMDR treatment planning that includes target selection and salience, and will be able to utilize a progressive sequence of techniques for facilitation EMDR processing with dissociative clients who are blocked, looping, or at risk of abreaction.

Keywords: Couples Therapy Ego State Therapy

Accuracy Verified: Yes

199. Bodill, B. (2007, March). Measuring outcomes: Using EMDR in the NHS. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.

Language: English

Format: Conference

Abstract:
Types of outcomes measures CORE-OM Clinical Outcomes in Routine Evaluation 34 items Covers 4 domains: problems, social functioning, well-being and risk. [Excerpt]

Keywords: NHS Outcomes Symposium

Accuracy Verified: Yes

200. Chang, S. H. (2005). Mechanism of EM in EMDR: Change strength of semantic associations. Presentation at the American Psychological Association Annual Convention, Washington, DC.

Language: English

Format: Conference

Abstract:
Research background & objectives: Based on REM-sleep dependent memory reprocessing model, this study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001). Stickgold (2002) 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. Specifically, the effect of EM in relation to order of relatedness of associations on change of strength of semantic associations for negative words after saccadic bilateral eye movements was examined in the present study. Methods: Sixty-four college students were recruited as participants. Via semantic priming task, a 2 (eye movement condition: horizontal saccadic eye movements vs. no eye movements) × 3 (strength of semantic association: strong priming vs. weak priming vs. unrelated priming) × 2 (block order of presentation: related prime first vs. unrelated prime first) mixed factorial design was performed, with strength of semantic association serving as within Ss factor and the other two variables serving as between Ss factors. The primes consisted of negative word stimuli. Each trials consisted of an 8 seconds saccadic horizontal eye movement manipulation (200 ms per movement in EM condition), followed by 500-msec fixation point and then prime displayed for 32msec, which was followed immediately by the target. The participant was instructed to read the target as soon as possible and the reaction time was recorded by the compuer. While absolute primeability index for strong (or weak) association was calculated as (RT related – RT unrelated) for strong primes or weak primes, respectively, relative primeability index was calculated as (RT related – RT unrelated)/RT unrelated. The dependent variables were correct (%), error (%), and primeability index for each of strong prime and weak prime. Change of primeability of weak associations for negative stimuli as opposed to that of strong ones under different EM conditions and different block order was compared. Results: For absolute primeability index, the 2 (EM condition) × 2 (order) × 2 (strength of priming) ANOVA showed that only the interaction effect of EM × strength of semantic association was approaching significance, indicating that weak priming significantly exceeded strong priming after EM (F (1, 56) = 18.01, p < .001; partial ω 2= .210), while the opposite was true after non-EM (F (1, 56) = 25.86, p < .0001; partial ω 2 = .280). Further, for weak prime, the priming effect was stronger after EM than after non-EM (F (1, 56) = 74.62, p < .0001; partial ω 2 = .535). For relative primeability index, it also revealed that only the interaction effect of EM × strength of semantic association was significant (F (1, 56) = 6.09, p < .02; partial ω 2 = .074), and tests of simple main effects showed similar patterns as those of absolute primeability index. Conclusions: 8s EMs was associated with change of strength of semantic associations. While EM didn’t weaken the primeability for the strong association, EM did enhance the primeability for weak associations. Further, weak priming significantly exceeded strong priming after EM, while the opposite was true after non-EM. 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. Given that order of relatedness didn’t play a role and previous research showed that EM resulted in decreased vividness and emotionality and generated greater amount of associations for negative stimuli as well, the implications of the present results from theoretical and psychotherapy point of views and future research possibilities are discussed.

Keywords: EMDR REM REM-Sleep Dependent Memory Reprocessing Model Posttraumatic Stress Disorder PTSD Saccadic Eye movement Semantic Association

Accuracy Verified: Yes

201. Dieffenbach, R. (2001). Medikamentöse behandlung und EMDR [Drug therapy and EMDR]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Arzneimittel und Psychotherapie Medikamentengabe und psychotherapeutische Prozesse treffen sich an der Schnittstelle sehr unterschiedlicher Paradigmen. So ergeben die meisten Forschungen der unterschiedlichen psychotherapeutischen Prozesse, solange sie schulenübergreifend sind, dass die methodische Ausrichtung für den Erfolg einer psychotherapeutischen Behandlung relativ unerheblich ist. Lambert et al. (1986) sowie Miller et al. (1997) haben in Literaturübersichten über Therapieerfolgsforschung darauf hingewiesen, dass die erfolgsbeeinflussenden Faktoren für die Änderung in einer Therapie sich nur zu 15% auf Technik- und Modellfaktoren zurückführen lassen, mit gleicher Häufigkeit werden Plazebofaktoren aufgeführt, sehr viel wichtiger werden die Beziehungsfaktoren mit 30% und am wichtigsten werden die (außertherapeutischen) Klientenfaktoren mit 40% eingestuft.

Drug medication and psychotherapy and psychotherapeutic processes meet at the intersection of very different paradigms. So devoted, most research of different psychotherapeutic processes, as long as they are across the school that the methodological approach for the success of a psychotherapeutic treatment relatively insignificant. Lambert et al. (1986) and Miller et al. (1997), in literature reports on successful therapy research pointed out that the erfolgsbeeinflussenden factors allow for the change in therapy is attributed only to 15% on technique and model factors, with the same frequency can be placebo factors listed, much more important are the relationship factors with 30% and most importantly the (außertherapeutischen) client factors are classified with 40%.

Keywords: Drug Therapy

Accuracy Verified: Yes

202. Mosquera, D. (2012, March). Met behulp van EMDR bij de behandeling van borderline-stoornis bersonality [Using EMDR in the management of borderline personality disorder]. Preconference presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .

Language: Dutch

Format: Conference

Abstract:
Onveilige en ongeorganiseerd bijlagen en het begin van relationele verwaarlozing en trauma diepgaand effect op het ontwikkelingstraject van de toekomstige volwassen en verhogen het risico op het ontwikkelen Borderline persoonlijkheidsstoornis (BPD). Mensen met een borderline-stoornis en een geschiedenis complex trauma hebben veel problemen met zelfregulering en met betrekking tot anderen. Het beheer van deze zelfregulering en relationele problemen zijn centrale aspecten in de behandeling van BPS. De stabilisatiefase is opgemerkt als essentieel oor trauma werk. Bij de behandeling van de borderline-stoornis en complexe trauma betekent dit vele bijzonderheden die we moeten in gedachten houden, waaronder: de rol van gehechtheid-gerelateerde gemoedstoestanden en fobieën voor de bevestiging, beïnvloeden en traumatische herinneringen. Werken met gevallen van BPS en complex trauma is intrinsiek relationeel en vaak gepaard gaat met de noodzaak om momenten van intense beïnvloeden en invloed hebben op fobieën beheren in de overdracht en tegenoverdracht. Inzicht in deze aspecten en met strategieën voor het aanpakken van hen is van essentieel belang zowel voor als tijdens EMDR opwerking van traumatische herinneringen om ervoor te zorgen dat de verwerking van traumatische herinneringen veilig en effectief kan worden gedaan met deze patiënten. Deze workshop integreert theoretische uiteenzetting met de presentatie van video's gevallen. De algemene structuur van EMDR therapie bij de behandeling van BPD, interventies in de voorbereidings-en overwegingen voor trauma-gerichte EMDR werk zal worden gedemonstreerd en uitgelegd.

Insecure and disorganized attachments and early relational neglect and trauma profoundly affect the developmental trajectory of the future adult and increase the risk of developing Borderline Personality Disorder (BPD). People with BPD and a history complex trauma have many difficulties with self-regulation and relating to others. The management of these self-regulation and relational difficulties are central aspects in the treatment of BPD. The stabilization phase has been remarked as essential prior to trauma work. In treating BPD and complex trauma this implies many particularities that we should keep in mind including: the role of attachment-related states of mind and phobias for attachment, affect and traumatic memories. Working with cases of BPD and complex trauma is intrinsically relational and often involves the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding these aspects and having strategies for addressing them is essential both before and during EMDR reprocessing of traumatic memories to ensure that reprocessing of traumatic memories can be done safely and effectively with these patients. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD, interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

203. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th Annual Meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Eye movement desensitization (EMDR) and exposure therapies (e.g. prolonged exposure therapy) have both been recommended as first-line treatments for posttraumatic stress disorder (PTSD). However, relatively little is known about the comparative efficacy of the two types of treatments. To date, the few studies that have been conducted have small sample sizes, making it difficult to draw conclusions. The goal of the current study was to use meta-analytic techniques to synthesize the existing data on the relative efficacy of exposure therapies and EMDR. Through a comprehensive literature search, we identified six randomized control trials that met our inclusion criteria. We calculated Hedges g effect sizes for the continuous variables (positive values favor exposure therapies) and risk ratios (RRs) for dichotomous variables (values greater than one favor exposure therapies). EMDR and exposure therapies did not differ significantly on clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46), or dropout (RR = 0.79). However, higher-quality studies (based on Foa & Meadows’ 1997 criteria) consistently favored exposure therapies. Clinical implications will be discussed

Keywords: Exposure Therapy Meta-analysis Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

204. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Treatment Studies: I
Eye movement desensitization (EMDR) and exposure therapies (e.g. prolonged exposure therapy) have both been recommended as first-line treatments for posttraumatic stress disorder (PTSD). However, relatively little is known about the comparative efficacy of the two types of treatments. To date, the few studies that have been conducted have small sample sizes, making it difficult to draw conclusions. The goal of the current study was to use meta-analytic techniques to synthesize the existing data on the relative efficacy of exposure therapies and EMDR. Through a comprehensive literature search, we identified six randomized control trials that met our inclusion criteria. We calculated Hedges g effect sizes for the continuous variables (positive values favor exposure therapies) and risk ratios (RRs) for dichotomous variables (values greater than one favor exposure therapies). EMDR and exposure therapies did not differ significantly on clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46), or dropout (RR = 0.79). However, higher-quality studies (based on Foa & Meadows’ 1997 criteria) consistently favored exposure therapies. Clinical implications will be discussed.

Keywords: Adult Exposure Therapy Meta-Analytic Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

205. Binder, J. L. (2007, June). Mind or brain? Where does therapeutic change originate? A reaction to 'The reunion process: A new focus in short-term dynamic psychotherapy. Psychotherapy, 44(2), 137-141. doi:10.1037/0033-3204.44.2.137.

Language: English

Format: Journal

Abstract:
In "The Reunion Process: A New Focus in Short-Term Dynamic Psychotherapy," by Dr. Sandler (see record 2007-09422-001), addresses posttreatment relapse by a new therapeutic strategy based on attachment theory and recent research findings concerning the neurobiology of memory. This strategy involves the discovery or creation of positive childhood maternal attachment memories as a method of overcoming the dominance of negative memories. Dr. Sandler makes assumptions about what can be achieved in short-term therapies, the pace of therapeutic change, as well as the role in treatment outcome of techniques versus therapist skill and relationship factors. These assumptions are not supported by psychotherapy research. While the attempt to use new discoveries from neurobiology to guide the development of therapeutic techniques is admirable, the author appears to engage in a fair amount of speculative theoretical reductionism in attempting to explain the eventually positive outcome of the case he presents. I offer a more parsimonious psychological explanation, which is consistent with the short-term dynamic psychotherapy theory of change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Keywords: Attachment Attachment Behavior Brief Psychotherapy Early Memories Memory Theory Panic Disorder Psychodynamic Psychotherapy Psychotherapeutic Processes Relapse Short-term Dynamic Psychotherapy

Accuracy Verified: Yes

206. Brown, S. (2003). The missing piece: The case for EMDR-based treatment for post traumatic stress disorder and co-occurring substance use disorder. Author.

Language: English

Format: Other

Abstract:
Jails and juvenile halls are filled with them, hospitals and clinics are filled with them, counseling and psychiatric offices are filled with them. They are the dually diagnosed, also known as co-occurring disorders. It means the presence of more than one psychiatric problem occurring at the same time, such as (for the purpose of this article) Substance Use Disorders and Posttraumatic Stress Disorder (PTSD). Accurate diagnosis can be difficult, effective treatment even more difficult. It is emotionally challenging simply to cope with one psychiatric illness. Imagine the complicating factors of managing two, both for the client and the treatment provider.

Keywords: Posttraumatic Stress Disorder PSTD Substance Use Disorder

Accuracy Verified: Yes

207. Greenwald, R. (2002). Motivation-adaptive skills-trauma resolution (MASTR) therapy for adolescents with conduct problems: An open trial. Journal of Aggression, Maltreatment and Trauma, 6(1), 237-261. doi:10.1300/J146v06n01_12.

Language: English

Format: Journal

Abstract:
Trauma is proposed as a key to understanding the development and persistence of adolescent conduct problems, in conjunction with other contributing factors. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training (cognitive-behavioral therapy), and trauma resolution (eye movement desensitization and reprocessing). This paper reports on an open trial of six adolescents with school and conduct problems who received school-based Motivation-Adaptive Skills-Trauma Resolution (MASTR) treatment. Reductions in post-traumatic stress, related symptoms, and problem behaviors, along with improved school performance, indicate the value of further study of this treatment approach. [Author Summary]

Keywords: Adolescents Americans Clinical Trial Cognitive Therapy Depressive Disorders Disruptive Behavior Disorders High School Students Individual Psychotherapy Junior High School Students Preadolescents School Based Treatment Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Narcissistic Personality Disorder

Accuracy Verified: Yes

209. Willemsen, H., Chowdhury, U., & Briscall, L. (2002, October). Needle phobia in children: A discussion of aetiology and treatment options. Clinical Child Psychology and Psychiatry, 7(4), 609-619. doi:10.1177/1359104502007004012.

Language: English

Format: Journal

Abstract:
In this article we review the current literature surrounding needle phobia, concentrating on clinical symptoms, aetiology and treatment options. Clinical symptoms include sudden increase in heart rate and blood pressure on exposure to needles followed by an immediate slowing of the heart and decrease in blood pressure (vasovagal reflex). The various schools of thought surrounding aetiology of this condition include biological, psychological and psychodynamic theories. Treatment options vary from simple education and reassurance to medication and specific behavioural approaches. Consideration should be given to past trauma associated with the phobia and relevant family factors. Careful clinical assessment will not only identify the problem but will also help to indicate appropriate treatment options.

Keywords: Behavioural Therapy Needle Phobia Psychotherapy Trauma Vasovagal Reflex

Accuracy Verified: Yes

210. Bradshaw, J. (2008, June). Neurobiological factors when working with children who have been victims of domestic violence and other traumatic events using EMDR. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This presentation will highlight the effects of domestic violence and other traumatic experiences on children from pre birth to 12 years of age and how EMDR can reduce the symptoms and give the subject a more appropriate perception of their experiences. The neurobiological aspects will be discussed at pre and post treatment of EMDR. EMDR therapy has proven to be a highly successful technique in the relief of psychological distress after trauma. It will be shown that babies traumatised before birth can be treated as effectively as children traumatised after birth. The impact on the developing baby will be discussed in relation to the stage of gestation that the mother experienced trauma. Knowledge of sensory development in pregnancy can inform the treatment plan for mother and baby subsequently. The impact of domestic violence and traumatic birth will be explored. If untreated in the mother there can be long lasting effects in the mother, child and the parent child relationship. Clinical examples will explain how EMDR can be modified to treat unresolved traumatic events. In infancy and early childhood memories are stored in sensory form often with little language. We will illustrate on video a narrative approach combined with parent facilitated EMDR in a traumatised 30 month old infant whose parents have a history of drug use. The impact of traumatic stress on the developing brain will be discussed and illustrated by video of two EMDR sessions with 10 and 12 year old children. This will show how the normal EMDR protocol must be modified to take childhood factors into account.

Keywords: Children Domestic Violence

Accuracy Verified: Yes

211. Vojtova, H., & Hasto, J. (2009). Neurobiology of eye movement desensitization and reprocessing. Activitas Nervosa Superior, 51(3), 98-102.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disord-ers. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic acti-vation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiograph-ic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation.

Keywords: Brain Dissociation Neurobiology Posttraumatic Stress Disorder PTSD Psychotherapy

Accuracy Verified: Yes

212. Gene-Cos, N. (2010, April). New ways of working with complex PTSD and head injury. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
I will begin by outlining the appropriate assessment procedures for complex cases, including bio-psychosocial factors within a multidisciplinary approach. This will be followed by the presentation of two clinical cases, the first of which is one of severe head injury (with severe language impediment) and severe PTSD. In this case I will describe the use of Sensorimotor Therapy and a modified EMDR protocol. The second case is of severe developmental trauma with forensic and substance misuse background, where the treatment used is Lifespan Integration. In both cases I will give a full picture of methods and of outcomes, including videos of the treatment. I will seek to offer delegates a hands-on understanding both of the assessment issues and of the therapies.
Learning Outcomes Learning how to assess complex PTSD cases within a multidisciplinary framework. Dealing with patients whose clinical presentation falls outside the remit of NICE PTSD guidelines. Delegates will be introduced to new therapeutic approaches including Sensorimotor Therapy, Lifespan Integration, and a modified protocol for EMDR with the above clinical cases.

Keywords: Head Injury Traumatic Brain Injury Posttraumatic Stress DIsorder PTSD

Accuracy Verified: Yes

213. Lohr, J. M., Hooke, W., Gist, R., & Tolin, D. F. (2003). Novel and controversial treatments for trauma-related stress disorders. In S. O Lilienfeld, S. J. Lynn, J. M. Lohr, (Eds.), Science and pseudoscience in clinical psychology (pp. 243-272). New York: Guilford Press.

Language: English

Format: Book Section

Abstract:
The purpose of this chapter is to critically examine novel or controversial interventions for psychological trauma and its sequelae. Because the field of trauma treatment has recently witnessed a substantial increase in unusual treatments with questionable claims of efficacy, careful scrutiny of these treatments is warranted. We begin by discussing psychological trauma and its prevalence. We next describe the symptoms of PTSD, and discuss data concerning the risk of developing this disorder following a trauma. We outline current cognitive-behavioral theories of PTSD, and describe empirically supported treatments based on such theories. Finally, we describe a number of novel and controversial trauma interventions, including eye movement desensitization and reprocessing (EMDR), thought field therapy (TFT), and critical incident stress debriefing (CISD). We examine the theoretical and empirical bases of these three treatments and discuss the implications of their promotion for the field of clinical psychology. [Text, p. 243]

Keywords: Critical Incident Stress Debriefing Posttraumatic Stress Disorder PTSD Stressors Survivors TFT Thought Field Therapy Treatment Effectiveness

Accuracy Verified: Yes

214. Lilieblad, B. (1996, October 9). Ogonrorelser vid bearbetning av traumatisk stress [Eye movements when coping with traumatic stress]. Läkartidningen, 93(41), 3553.

Language: Swedish

Format: Newsletter

Abstract:
Många personer som exponerats för traumatisk stress kan inte verbalisera sina upplevelser och känslor vilket försvårar krisbearbetningen. En del av dessa riskerar psykisk invaliditet, posttraumatiskt stresssyndrom (PTSD).

Many people who were exposed of traumatic stress can not verbalize their experiences and feelings which complicates emergency processing. Some of these risk mental disability, post-traumatic stress syndrome (PTSD).

Keywords: Letter Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

215. Lee, C. W., & Schubert, S. (2009). Omissions and errors in the Institute of Medicine's report on scientific evidence of treatment for posttraumatic stress disorder. Journal of EMDR Practice and Research, 3(1), 32-38. doi:10.1891/1933-3196.3.1.32.

Language: English

Format: Journal

Abstract:
A recently released report by the Institute of Medicine (IOM, 2008) commissioned by the U.S. Department of Veterans Affairs examined the evidence for psychotherapeutic and pharmacological treatments for posttraumatic stress disorder (PTSD). It concluded that the evidence was inadequate to determine the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of PTSD. However, a critical examination of the basis for this conclusion reveals errors in three areas. First, the findings of key studies that reported positive outcomes for EMDR were misrepresented; second, a number of positive studies were excluded without apparent justification; and, finally, the IOM report failed to consider additional readily available studies that also reported benefits for EMDR. These factors appear to explain why the conclusions of the IOM report are at odds with the numerous meta-analyses and practice guidelines of PTSD treatments issued by other scientific committees worldwide. [Author abstract]

Keywords: Evidence Based Institute of Medicine IOM Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

216. Jaspers, J. (2011, March). Over behandeleffectiviteit en verandermechanismen [About treatment effectiveness and change mechanisms]. Psychologie & Gezondheid, 39(1), 3-4. doi:10.1007/s12483-011-0001-0.

Language: Dutch

Format: Journal

Abstract: In het vorige nummer van Psychologie & Gezondheid schreef Remco Havermans een kritische forumbijdrage over mindfulness. Zijn stelling, dat de werkzaamheid van mindfulnessmeditatie nog onvoldoende is aangetoond om de toepassing ervan in de gezondheidszorg te rechtvaardigen, wordt in dit nummer beargumenteerd tegengesproken door Maya Schroevers en haar collega’s en door Ivan Nyklíček. Zijmenen dat het effectonderzoek naar mindfulness weliswaar nog uitgebreider en beter kan, maar dat het onderzoek tot nu toe voldoende evidentie heeft opgeleverd om toepassing te rechtvaardigen. Nyklíčekmerkt hierbij op dat in de psychologie een nieuwe therapie meestal eerst in de klinische praktijk jarenlang wordt toegepast voordat wetenschappelijk deugdelijk wordt onderzocht of de therapie wel werkt. Havermans blijkt verre van overtuigd en fileert de aangedragen evidentie genadeloos. Deze interessante discussie roept de vraag op wanneer we een behandeling evidence based mogen noemen. Het standpunt dat hiervan pas sprake kan zijn als gecontroleerd onderzoek de effectiviteit van de behandeling heeft aangetoond, zal door de meeste vakgenoten worden onderschreven. Maar wat is ‘gecontroleerd onderzoek’? Volstaat een wachtlijstcontrolegroep of moet de (nieuwe) behandeling worden vergeleken met andere actieve interventies, waarvan al eerder de effectiviteit is aangetoond? Ook de relatie tussen praktijk en theorie is interessant. Afgezien van de vraag of de opmerking van Nyklíček nog steeds hout snijdt in deze tijd van evidence based interventies, is het wel verantwoord om op grote schaal een nieuwe psychologische interventie toe te passen als de effectiviteit of specifieke werkzaamheid nog niet is aangetoond? Havermans meent dat men een nieuwe gedragstherapeutische interventie ontwikkelt op basis van veelbelovende klinische observaties en gedragswetenschap, met andere woorden er moet ook een theoretische onderbouwing van de interventie zijn. Voor dit laatste is inderdaad veel te zeggen, maar de geschiedenis leert dat de theorieën die aanvankelijk als verklaring voor de werkzaamheid van de interventie werden geformuleerd, meestal bij nader inzien de toets van de wetenschappelijke kritiek niet konden doorstaan. Onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) heeft al heel wat reinigend werk verricht op theoretisch gebied. Op de keper beschouwd is van heel wat evidence based interventies aangetoond dat deze effectief zijn, maar hoe deze werken is veelal nog onduidelijk of voor de theoretische onderbouwing ervan is nog onvoldoende steun gevonden. Het laatste Najaarscongres van de Vereniging voor Gedragstherapie en Cognitieve Therapie (VGCT) had als thema ‘Change. Verandermechanismen en cognitieve gedragstherapie’. Tijdens het congres werd duidelijk dat over de verandermechanismen van evidence based interventies nog veel onduidelijkheid bestaat en dat het onderzoek hiernaar soms verrassende resultaten laat zien (Jaspers, 2011). Het is bepaald niet alleen EMDR (eye movement desensitization and reprocessing), waarover de theoretische inzichten zijn veranderd, ook al bestaat over de werkzaamheid van de interventie geen twijfel. In het volgend nummer van Psychologie & Gezondheid leest u hier meer over. In dit nummer vindt u nog een forumbijdrage, waarin de spreekwoordelijke knuppel in het hoenderhok wordt gegooid. De prikkelende titel ‘Huidige behandeling depressie is weggegooid geld’ nodigt op zijn minst uit tot lezing. Hoezo weggegooid geld? Als er een probleem is waarvoor evidence based behandelingen bestaan, is het immers depressie. Kok en collega’s laten echter zien dat ondanks de enorme bedragen die jaarlijks in Nederland worden uitgegeven aan de behandeling van depressie, in de huidige financiering van de gezondheidszorg nog onvoldoende rekening wordt gehouden met het hoge risico op terugval bij depressie. Het door velen, om uiteenlopende redenen verfoeide DBC-systeem (Diagnose Behandel Combinatie) ontmoedigt om langdurig met behandelingen door te gaan. Bestaande effectieve interventies om het risico op terugval te verminderen worden nauwelijks toegepast, terwijl deze bij de behandeling van een vaak chronische aandoening als depressie uitdrukkelijk zijn aangewezen. Hiermee wijzen de auteurs impliciet op een belangrijke tekortkoming van het bestaande effectonderzoek: het gebrek aan evaluatie van de langetermijneffecten van de onderzochte interventie. Ook voor psychologische interventies bij depressie is duidelijk dat deze werkzaam zijn. En al geldt ook voor depressie dat we nog lang niet weten wat de specifieke werkingsmechanismen zijn (hoe deze werken), de noodzaak van implementatie van evidence based interventies om terugval te vermijden of uit te stellen kan niet genoeg worden benadrukt. Het recidiverend karakter maakt depressie immers tot een aandoening met zowel hoge maatschappelijke kosten als een zeer hoge ziektelast, lijdensdruk en risico op suïcide.

In the previous issue of Psychology & Health Havermans Jim wrote a critical forum posting about mindfulness. His thesis, that the efficacy of mindfulness meditation is insufficient evidence to its application in health care to justify, this issue argued contradicted by Schroevers Maya and her colleagues and by Ivan Nyklicek. Zijmenen mindful that the impact study, while still more extensive and better, but that the investigation so far has yielded enough evidence to justify the application. Nyklíčekmerkt in psychology here that a new therapy in clinical practice usually first applied for years before being properly scientifically investigated whether the therapy works. Havermans appears far from convinced the fillets and put forward evidence mercilessly. This interesting discussion raises the question if we may call evidence-based treatment. The view that this only if there can be controlled study the efficacy of treatment has shown, most colleagues will be endorsed. But what is 'controlled study'? Is a waiting list control group or to the (new) treatment are compared with other active interventions whose effectiveness has already been demonstrated? The relationship between practice and theory is interesting. Apart from the question whether the remark Nyklicek still holds water in this era of evidence-based interventions, it is widely recognized for a new psychological intervention should be as specific activity or effectiveness is not proven? Havermans believes that a new behavioral intervention developed on the basis of promising clinical observations and behavioral science, in other words, there is also a theoretical justification for the intervention. For the latter is indeed much to say, but history shows that the theories initially as an explanation for the efficacy of the intervention were formulated, mostly on closer inspection the test of scientific criticism could not stand. Research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) has a lot of work cleaning the theoretical field. On closer examination of many evidence-based interventions shown to be effective, but how they work is often unclear whether the theoretical substantiation is found insufficient support. The last Autumn Congress of the Association for Behavioral and Cognitive Therapy (VGCt)'s theme was "Change. Change mechanisms and cognitive behavioral therapy. During the conference it became clear that the change mechanisms of evidence-based interventions much uncertainty and that the research on this surprising results show (Jaspers, 2011). It provides not only EMDR (Eye Movement Desensitization and Reprocessing), which the theoretical views have changed, even as to the efficacy of the intervention no doubt. In the next issue of Psychology & Health You can read more about. In this issue you will find a forum posting where the proverbial cat among the pigeons thrown. The provocative title "Current treatment depression is a waste of money 'invites at least into reading. Why wasted? If there is a problem for which evidence-based treatments exist, it is indeed depression. Cook and colleagues reveal that despite the enormous sums spent each year in the Netherlands for the treatment of depression in the current financing of health care is still insufficiently taken into account the high risk of relapse in depression. By many, for various reasons detested system DBC (Diagnosis Treatment Combination) discourages long-term treatments to continue. Existing effective interventions to reduce the risk of relapse are rarely used, while in the treatment of a chronic condition such as depression often explicitly designated. This, the authors implied a major weakness in the current outcome research: the lack of evaluation of the long-term effects of the tested intervention. For psychological interventions for depression is clear that this work. And already includes a long depression that we do not know the specific mechanisms of action (how they work), the necessity of implementation of evidence-based interventions to prevent relapse or delay can not be overstated. The recurrent nature makes depression after a disease with both high social cost as a very high disease burden, distress and risk of suicide.

Keywords: Change Mechanisms

Accuracy Verified: Yes

217. Agius, M., Middleton, E., & Zaman, R. (2011, January). P02-466 - Audit and re-audit of patients with PTSD in a community team in Bedfordshire, UK. European Psychiatry, 26(1), 1062. doi:10.1016/S0924-9338(11)72767-5.

Language: English

Format: Journal

Abstract:
Post-traumatic stress disorder (PTSD) is a disorder which can develop following exposure to one or more severely traumatic events. Symptoms experienced by PTSD suffers include re-experiencing the trauma through intrusive ‘flashbacks’ and recurrent dreams or nightmares, distress when exposed to reminders of the trauma, hyperarousal and emotional blunting. These symptoms can cause significant impairment of function and reduction in quality of life for suffers. Both psychotherapies, including cognitive behavioural therapies (CBTs) and eye movement desensitisation and reprocessing (EMDR), and pharmacotherapy are used in the treatment of PTSD. Method We audited patients with PTSD in Bedford East performed in November 2008. A re-audit was performed using data from August 2010 patient database. Demographic information, risk factors, co-morbidities, psychological therapy and pharmacotherapy were compared between these audit and re-audit. Results There is increased use of antidepressant augmentation between 2008 and 2010. While no patients in 2008 were on antidepressant augmentations, by 2010, 9 patients were. All 25 patients on anti-psychotics have important identified risk factors. There is no evidence of Psychosis in our PTSD patients except in two cases. There is an increase in Anti-psychotic use in our PTSD Patients. There is an increased use of Mood Stabilisers in our patients with PTSD. Discussion PTSD is being identified more frequently in our patients, probably because of greater awareness and more accurate identification. Conclusion New patients being identified represent a group of more difficult to treat patients who represent severe risks. Present psychotherapies offered are not all recommended in present guidelines.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

218. Staff. (2000). Phobia: When an irrational fear takes control. Films for the Humanities & Sciences, Princeton, NJ.

Language: English

Format: Video

Abstract:
For a person with a phobia, overcoming the fear--or at least learning how to resist its debilitating effects--can open the door to a fuller, freer life. This riveting two-part series uses MRI scans, body imaging, EEG tracing, and thermal photography to take an unflinching look at the biological and psychological mechanics of terror, as courageous patients seek to master their fears through medication, behavioral therapy, hypnotherapy, desensitization, virtual reality exposure therapy, the controversial technique of flooding, and a new treatment called EMDR.

Keywords: Fear Phobias Psychosocial Factors Treatment

Accuracy Verified: No

219. Park, S.-C., Park, Y.-C., Lee, M.-S., & Chang, H. S. (2012, March). Plasma brain-derived neurotrophic factor level may contribute to the therapeutic response to eye movement desensitisation and reprocessing in complex post-traumatic stress disorder: A pilot study. Acta Neuropsychiatrica. doi:10.1111/j.1601-5215.2011.00623.x.

Language: English

Format: Journal

Abstract:
We investigated the relationship between plasma levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) and responses to eye movement desensitisation and reprocessing (EMDR) in complex PTSD. Before and after EMDR, plasma levels of neurotrophic factors and scores in the indices of self-questionnaires were obtained for 8 men with complex PTSD. Baseline plasma levels of BDNF and NGF of responders and of non-responders were compared. The plasma BDNF levels of responders were higher than those of non-responders. However, plasma NGF levels did not differ in two groups. Plasma BDNF level might contribute to the therapeutic response to EMDR in trauma-related psychiatric disorders, such as complex PTSD. [Text]

Keywords: Pilot Study Plasma Brain-Derived Neurotrophic Factor Level Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

220. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea.

Language: English

Format: Dissertation/Thesis

Abstract:
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors. Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurotrophic Factors Plasma Levels

Accuracy Verified: Yes

221. Ellis, T. L. (1999). Play therapy versus eye movement desensitization and reprocessing (EMDR): A comparative study examining the treatment effects with school-age children, Homan Elementary School, Fresno, California. California State University, Fresno. AAT 1401332.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the differences between play therapy and Eye Movement Desensitization and Reprocessing (EMDR) when applied to children. Eleven participants from Homan Elementary School, Fresno, California, participated in this study. The treatment consisted of four combinations of varied administrations of play therapy and EMDR. Dependent variables included the self-reporting instruments of the Trauma Reaction Indicators Child Questionnaire (TRICQ), the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition Scale (VOC), and the Global Feelings Self-Report Scale. Qualitative data included observed changes in behaviors on the educational risk assessment. No clinical significance was demonstrated on the self-report instruments; however, statistical significance was found on the qualitative data using the chi-square goodness-of-fit test on the posteducational risk assessment. Positive changes were reported in the qualitative analysis on the educational risk assessment.

Keywords: Counseling in Elementary Education Play Therapy

Accuracy Verified: Yes

222. Calero, M., Cutinella, L., Duarte, G., Frontini, M. D., Garcia, S. Garcia, V., F., & Yoo, I. (2012). Policinca para el tratamiento del trauma [Policinca for the treatment of trauma]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1).

Language: Spanish

Format: Other

Abstract:
La falta de alternativas de tratamiento para pacientes graves y el reconocimiento de situaciones traumáticas como factores etiológicos o coadyuvantes de sus patologías, ha generado la necesidad de nuevas respuestas terapéuticas para esta población. Se instrumentó una Policlínica para el tratamiento del Trauma con el Modelo EMDR en el Hospital Psiquiátrico Vilardebó de Uruguay que da atención tanto a pacientes internados con patologías psiquiátricas severas como a pacientes ambulatorios con TEPT. Los pacientes atendidos son del sector público, de bajos recursos, algunos de los cuales presentan también causas judiciales por cometer hechos delictivos asociados a Trastornos Disociativos. Se presenta esta experiencia, la forma en que se instrumenta, el equipo que la forma, y la necesidad que se repliquen instancias similares en otros sectores de atención.

The lack of alternative for treatment with grave patients and the acknowledgment of traumatic situations as etiological or aggravating factors in their pathologies has generated the need for therapeutic responses to this population. This Poli-Clinic was trained in trauma treatment using EMDR in this Hospital that gives attention to residential patients with severe psychiatric pathologies as well as outpatients with PTSD. The patients were from the public sector, low income, some of whom presented with legal situations due to crimes committed associated to Dissociative Disorders. The experiment will be presented, how the training was administered, the instruments used and the need for replication of results in other sectors of attention.

Keywords: Police Trauma Treatment

Accuracy Verified: Yes

223. Calero, M. (2010, Octubre/Noviembre). Policlinica para el tratamiento del trauma con modelo EMDR en pacientes graves en el Hospital Psiquátrico Vilardebó de Montevideo, Uruguay [Poli-clinical treatment for trauma with EMDR in severe patients in a psychiatric hospital (Vilardebo) in Montevideu, Uruguay]. Presentada en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Abstract:
La falta de alternativas de tratamiento con pacientes graves y el reconocimiento de situaciones traumáticas como factores etiológicos o coadyuvantes de sus patologías, ha generado la necesidad de respuestas terapéuticas para esta población.Se instrumentó una Policlínica para el tratamiento del Trauma con el Modelo EMDR en el Hospital Psiquiátrico Vilardebó de Uruguay que da atención tanto a pacientes internados con patologías psiquiátricas severas como a pacientes ambulatorios con TEPT. Los pacientes atendidos son del sector público, de bajos recursos, algunos de los cuales presentan también causas judiciales por cometer hechos delictivos asociados a Trastornos Disociativos.Se presentará esta experiencia, la forma en que se instrumenta, el equipo que la forma, y la necesidad que se repliquen instancias similares en otros sectores de atención.

The lack of alternative for treatment with grave patients and the acknowledgment of traumatic situations as etiological or aggravating factors in their pathologies has generated the need for therapeutic responses to this population. This Poli-Clinic was trained in trauma treatment using EMDR in this Hospital that gives attention to residential patients with severe psychiatric pathologies as well as outpatients with PTSD. The patients were from the public sector, low income, some of whom presented with legal situations due to crimes committed associated to Dissociative Disorders. The experiment will be presented, how the training was administered, the instruments used and the need for replication of results in other sectors of attention.

Keywords: Hospital Trauma Montevideu, Uruguay

Accuracy Verified: Yes

224. Strom, I., & Christie, H. (2001, May). Possible EMDR targets when working with children diagnosed with OCD: A case history. Poster presented at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
This poster will describe a girl who is 13 years of age and how she is living with mother and stepfather, her symptoms and her obsessive thought and actions. The poster will give information about a girl who is a very lively and charming person and who is strongly motivated to get help. There will be information about how the girl's life is strongly influenced by obsessions both thoughts and actions and her symptoms. For example, she feels frequently she must ask whether it will be a fire, if there is any risk for her being contaminated, or if she will get different diseases like AIDS, or even getting pregnant. How the girl thinks she can hurt other persons and that she will get hurt herself. For example the girl has to check and dry off the toilet several times before, leaving, she also thinks she must wash her hands several times a day. She could seldom stay or play with her friends. Further the poster will describe how she enjoys school and feels sorry for having to do all the constant asking and the different rituals - how she understands that it is stupid to go on doing what she does - and that she can not help it. The poster will give examples of targets, how and when the EMDR is used in the treatment. Information on the poster about the treatment, and the experience and effect of the EMDR interventions. This information from the therapeutic process will be separately provided and presented from the girl, the mother and the therapist.

Keywords: Children Obsessive Compulsive Disorder OCD Poster

Accuracy Verified: Yes

225. Winkel, F. W. (2007, October 17). Post traumatic anger: Missing link in the wheel of misfortune. Lecture delivered on the official acceptance of the INTERVICT office of professor of Psychological Victimology at Tilburg University, Netherlands.

Language: English

Format: Other

Abstract:
Psychological victimology concerns crime victims in need of emotional support. Sources of support include significant others1, victim assistance volunteers, and mental health professionals. In the wider victimological context, victim needs spark controversy and are subject of a seemingly endless and recurring debate (Ten Boom & Kuijpers, 2007). The issue who is in need has a rather straightforward answer: victims with chronic post traumatic stress disorder (PTSD) are in need of emotional treatment, and victims at risk of this condition are in need of preventive counseling. The more controversial issue here is why these needs develop, and what constitutes a helpful and effectual response.

Keywords: Anger Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

226. Creamer, M., & O'Donnell, M. (2002). Post-traumatic stress disorder. Current Opinion in Psychiatry, 15(2), 163-168.

Language: English

Format: Journal

Abstract:
This paper provides an overview of recent developments in the literature on post-traumatic stress disorder. Epidemiological studies indicate that approximately 15-25% of individuals experiencing a significant trauma will go on to develop post-traumatic stress disorder, although approximately half will recover without formal intervention. Potential vulnerability factors for post-traumatic stress disorder have been identified, but the mechanisms and complexities require further exploration, with recent research suggesting that prevalence rates and risk factors may differ across populations. Studies of psychological treatment have demonstrated prolonged exposure and cognitive therapies to be equally beneficial, whereas eye movement desensitization and reprocessing may be useful but perhaps less effective in the long term. Pharmacological treatment studies indicate that selective serotonin reuptake inhibitors may be the first choice of drug treatments for post-traumatic stress disorder. Non-selective primary prevention strategies remain contentious, although secondary prevention, in the form of cognitive behavioural interventions for acutely symptomatic survivors, appears to reduce the subsequent development of post-traumatic stress disorder.

Keywords: Cognitive Therapies Drug Therapy Exposure Therapies Posttraumatic Stress Disorder Prevention Primary Prevention PTSD Risk Factors Secondary Prevention Susceptibility (Disorders) Treatment Vulnerability Factors

Accuracy Verified: Yes

227. Qain, M. (2010, July). Posttraumatic growth and its impact factos among earthquake victims in Sichuan. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
To investigate the posttraumatic growth and its impact factors in victims having experienced Wenchuan earthquake and living in community in one of the most severe disaster area. With the Impact of Event Scale- Revised (IES-R), Posttraumatic Growth Inventory (PTGI) and questions about the objective and subjective influences (e.g. economic loss, personal feelings) of the earthquake to the subjects, data were collected from 2403 victims living in a temporary community of Pengzhou, a severe disaster impacted area. 2106 valid questionnaire were analyzed for the related factors influencing posttraumatic growth. The age of subjects and PTSD symptoms could predict posttraumatic growth significantly. Both objective and subjective influence of the earthquake on victims contributed significantly to posttraumatic growth, whereas they became less or not significant when PTSD symptoms were accounted into the regression model. PTSD symptoms were the most important factor to predict posttraumatic growth; economic loss for individual experiencing the earthquake could also predict posttraumatic growth stably.

Keywords: Earthquake Sichaun Victims

Accuracy Verified: Yes

228. McLean, P. D., & Woody, Sheila, R. (2001). Posttraumatic stress disorder. In P. D. McLean & S. R. Woody (Eds.), Anxiety disorders in adults: An evidence-based approach to psychological treatment (pp. 205-241). New York: Oxford University Press.

Language: English

Format: Book Section

Abstract:
Description and conceptualization (phenomenology; diagnostic trends; prevalence and course); Theoretical perspectives; Assessment (diagnosis; assessment of symptoms; assessing contextual factors: social support, cognitive distortions, avoidant coping, multiple trauma history, occupational adjustment, physical history/pain/litigation; case formulation); Treatment models and guidelines (cognitive behavioral therapy for PTSD: education, exposure, cognitive control, cognitive restructuring, relaxation training; specific types of trauma: sexual assault, motor vehicle accident, combat; pharmacological treatment for PTSD; eye movement desensitization and reprocessing [EMDR]; client-treatment matching; minimal vs. optimal interventions; common problems: noncompliance due to fear and avoidance, comorbidity, medical and litigation complications; treatment outcome evaluation and life planning). [Pilots]

Keywords: Adults Evidence Based Treatment Posttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

229. Kennedy, J. E., Jaffee, M. S., Leskin, G. A., Stokes, J. W., Leal, F. O., & Fitzpatrick, P. J. (2007). Posttraumatic stress disorder and posttraumatic stress disorder-like symptoms and mild traumatic brain injury. Journal of Rehabilitation Research and Development, 44(7), 895-920. doi:10.1682/JRRD.2006.12.0166.

Language: English

Format: Journal

Abstract:
In this article, we review the literature on posttraumatic stress disorder (PTSD) and PTSD-like symptoms that can occur along with mild traumatic brain injury (TBI) and concussion, with specific reference to concussive injuries in the military. We address four major areas: (1) clinical aspects of TBI and PTSD, including diagnostic criteria, incidence, predictive factors, and course; (2) biological interface between PTSD and TBI; (3) comorbidity between PTSD and other mental disorders that can occur after mild TBI; and (4) current treatments for PTSD, with specific considerations related to treatment for patients with mild TBI or concussive injuries.

Keywords: Biological Factors Blast Concussion Clinical Course Comorbidity Concussion Incidence Mild Traumatic Brain Injury Posttraumatic Stress Disorder PTSD Rehabilitation TBI Traumatic Brain Injury Treatment

Accuracy Verified: Yes

230. Yu, B. H., & Dimsdale, J. (1999, September). Posttraumatic stress disorder in patients with burn injuries. Journal of Burn Care and Rehabilitation, 20(5), 426-433 [Discussion 422-425].

Language: English

Format: Journal

Abstract:
This article reviews the literature about the extent of posttraumatic stress disorder (PTSD) in patients with burns. PTSD is a relatively new diagnostic label, although the emotional effects of severe trauma have long been recognized. A burn injury-one of the most traumatic of all injuries--can be accompanied by serious psychological sequelae, including PTSD. Psychiatric symptoms may not be immediately apparent in patients with burns because the patients often develop PTSD many months after the injury. The reported prevalence rate of PTSD in patients with burns varies from 8% to 45%. The factors increasing these patients' risks include preburn affective disorder, delirium or severe pain during acute treatment, and less perceived social support. Psychosocial issues must be considered in the recovery or rehabilitation phase. Pharmacotherapy, psychodynamic psychotherapy, cognitive-behavioral therapy, and eye-movement desensitization and reprocessing may be helpful to the PTSD patient. Early detection and treatment of PTSD cannot only diminish the effects of this disabling disorder but can also help the rehabilitation of patients with this condition.

Keywords: Burn Injuries Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

231. Davidson, J. R. T., Stein, D. J., Shalev, A.Y., & Yehuda, R. (2004, Spring). Posttraumatic stress disorder: Acquisition, recognition, course, and treatment. Journal of Neuropsychiatry and Clinical Neuroscience, 16(2), 135-147. doi:10.1176/appi.neuropsych.16.2.135.

Language: English

Format: Journal

Abstract:
Following exposure to trauma, a large number of survivors will develop acute symptoms of posttraumatic stress disorder (PTSD), which mostly dissipate within a short time. In a minority, however, these symptoms will evolve into chronic and persistent PTSD. A number of factors increase the likelihood of this occurring, including characteristic autonomic and hypothalamic-pituitary-adrenal axis responses. PTSD often presents with comorbid depression, or in the form of somatization, both of which significantly reduce the possibilities of a correct diagnosis and appropriate treatment. Mainstay treatments include exposure-based psychosocial therapy and selective serotonin reuptake inhibitors, such as paroxetine and sertraline, both of which have been found to be effective in PTSD. This paper looks at the course of PTSD, its disabling effect, its recognition and treatment, and considers possible new research directions.

Keywords: Comorbidity Posttraumatic Stress Disorder PTSD Recognition and Treatment SSRIs

Accuracy Verified: Yes

232. Stramrood, C., Paarlberg, K. M., Vingerhoets, A. J., van den Berg, P. P., & van Pampus, M. G. (2012, March). Posttraumatic stress following childbirth: Diagnosis, treatment and prevention. Poster presented at the 70th annual scientific meeting of the American Psychomatic Society, Athens, Greece.

Language: English

Format: Conference

Abstract:
Background: What to do with women who experienced childbirth as so traumatic that they keep having nightmares, flashbacks and problems concentrating, who do not want to become pregnant again or demand a cesarean section at the next delivery? One to two percent of women suffers from posttraumatic stress disorder (PTSD) following childbirth, which may affect mother-child bonding as well as future pregnancies. Methods: Based on current knowledge from literature, including own research, an overview will be presented of the prevalence, risk factors, diagnosis and treatment of PTSD following childbirth. Results: PTSD is an anxiety disorder affecting 1-2 percent of women after childbirth. Risk factors include [a] obstetric complications and interventions (emergency cesarean section, preterm birth), [b] history of psychiatric problems or depression/anxiety during pregnancy, [c] psychosocial factors (low coping skills, low social support). Furthermore, 50 percent of women with PTSD following childbirth also suffers from postpartum depression. When PTSD is suspected, clinicians can use the self-report measure Traumatic Event Scale-B to quantify symptoms, and refer to a psychiatrist/psychologist if necessary. Several studies indicate that spontaneous remission of PTSD following childbirth is uncommon. Possible negative consequences of the condition include insecure attachment of the infant, impaired partner relationship, avoiding future pregnancies and demanding a cesarean section in a subsequent pregnancy. Although these possible adverse outcomes justify treatment and prevention, effective interventions and prevention strategies have not been adequately researched in this patient group. International guidelines regarding PTSD in other (non-pregnant) populations point to eye-movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) as the most promising treatments. Identification of women at risk, both during pregnancy and postpartum, is key to early intervention and possible prevention. Conclusions: Posttraumatic stress disorder following childbirth is a serious condition affecting 1-2 percent of postpartum women, with higher prevalence rates among women with complicated pregnancies/deliveries and those with a history of mental health issues. Adequate identification of women at risk and those with clinical symptoms is key to early intervention and eventually prevention.

Keywords: Childbirth

Accuracy Verified: Yes

233. Hasto, J., & Vojtova, H. (2012). Posttraumatická stresová porucha, bio-psycho-sociálne aspekty EMDR a autogénny tréning pri pretrvávajúcom ohrození: Prípadová stúdia [Post-traumatic stress disorder, bio-psycho-social aspects of EMDR and autogenic training with ongoing risk: A case study]. (1.vyd) Olomouc: Univerzita Palackého v Olomouci.

Language: Slovak

Format: Book

Abstract:
Eye Movement Desenzibilizácia a prepracovanie predstavuje sľubný prístup k liečbe poúrazových porúch. Medzi špecifické faktory, z ktorých jej účinnosť spoliehajú predovšetkým na bilaterálnej stimulácie, ktorá ako sa zdá, vyvolať špecifickú neurobiological odpoveď počas traumatické odvolanie najmä u jedincov s PAS. Empirické poznatky poskytujú dôkazy o vplyve BLS na autonómneho nervového systému dosiahnuť rovnováhu smerom aktivácia parasympatiku (zníženie vzrušenie), ako aj vplyv na subjektívne vnímanú živosťou a emocionálne záťaž z autobiographic pamätí (pokles). Najdôveryhodnejší hypotézy odvodiť účinky z neurobiologických mechanizmov pracujúcich v duálnom zamerať pozornosť, orientujúca reflex a REM spánok. Ďalší výskum je potrebné preskúmať procesy zahrnuté v terapii EMDR podrobnejšie a objasniť úlohu bilaterálne stimulácie. (PsycINFO Database Record (c) 2012 APA, všetky práva vyhradené)

Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disorders. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic activation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiographic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Autonomic Nervous System Bilateral Stimulation Neurobiology Posttraumatic Stress Disorder PTSD REM Sleep

Accuracy Verified: Yes

234. Aasen, B. (2010, July). Practical work with dissociated parts with EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
When working with complex trauma, where there is secondary or tertiary or dissociation, the EMDR therapist must be cautious or emotional parts that are overwhelming to the client can be evoked. Care must be taken to provide sufficient assessment and stabilization and knowledge of the personality system or there is the risk of opening Pandora’s box and overwhelming the client. However, there are ways to safely work with emotional parts of the personality. If the ANP is able to stay present, the client has sufficient emotional stabilization and strategies to lower emotional arousal, then integration can place. This workshop will provide guidelines on assessment and stabilization, and then discuss strategies to work with EPs. Video tapes of client sessions will illustrate teaching points.

Keywords: Dissociation

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

236. Karatzias, A., Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., & Swanson, V. (2007, February). Predicting treatment outcome on three measures for post-traumatic stress disorder. European Archives of Psychiatry and Clinical Neuroscience, 257(1), 40-46. doi:10.1007/s00406-006-0682-2.

Language: English

Format: Journal

Abstract:
The aim of the present study was to investigate predictors of treatment outcome for Posttraumatic Stress Disorder (PTSD) after treatment completion and at 15-months follow-up (n = 48), in a trial of Eye Movement Desensitisation and Reprocessing (EMDR) versus Imaginal Exposure and Cognitive Restructuring (E+CR). Factors associated with treatment outcome were investigated using regression analyses with the mean change scores in three assessor and self-rated PTSD symptomatology measures, including the Clinician-Administered PTSD Scale (CAPS), the Impact of Events Scale (IES) and the PTSD Symptom Checklist (PCL) from pre- to post-treatment and pre-treatment to follow-up as the dependent variables and demographics, trauma, clinical and personality measures as independent variables. Irrespective to outcome measures and assessment points it was found that four variables were able to predict significantly treatment outcome. These included baseline PTSD symptomatology, number of sessions, gender and therapy type. Overall, our results showed that it is difficult to use pre-treatment variables as a powerful and reliable tool for predicting treatment outcome, as significant predictors were found to be sample-specific and outcome measure-specific. Clinical relevance of the present results and directions for future research are discussed.

Keywords: Empirical Study Postraumatic Stress Disorder Predictors PTSD Quantitative Study Treatment Outcome

Accuracy Verified: Yes

237. Rothbaum, B. (2008, November). Predictors of treatment response for EMDR and prolonged exposure. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Recent developments in PTSD treatment outcome research: Although cognitive behavior therapy is the treatment of choice for PTSD, there is a need to develop more effective treatments and to determine factors that influence treatment response. This symposium presents four studies that address treatment outcome research. The initial paper provides an overview of treatment predictors from two trials of cognitive processing therapy. The second paper reviews the differential responses to treatment of survivors of terrorist attacks and motor vehicle accidents. The third paper reviews predictors of outcome following EMDR and Prolonged Exposure. The fourth paper overviews a series of studies that have used structural and functional fMRI to identify the neural factors that predict response to CBT and also the impact of CBT on neural functioning.

Predictors of treatment response for EMDR and prolonged exposure: Predictors for response to treatment in a controlled study aimed to evaluate the relative efficacy of Prolonged Exposure (PE) and Eye Movement Desensitization and Reprocessing (EMDR) compared to a no-treatment wait-list control (WAIT) in the treatment of PTSD in adult female rape victims were examined. In this study, 74 participants with PTSD were randomly assigned to one of the three experimental conditions to achieve 20 completers per group. Independent Assessors blind to the treatment condition administered standard measures of PTSD and related symptoms. Improvement in PTSD, depression, dissociation, and state anxiety was significantly greater in both PE and EMDR group than the WAIT group. PE and EMDR did not differ significantly for change from baseline to either post-treatment or 6-month follow up measurement for any quantitative scale. EMDR subjects with 2 or more comorbid diagnoses, however, improved significantly less than all other active treatment subjects. At post-treatment and 6- months, 95% and 94% of PE subjects and 75% and 74% EMDR subjects no longer met DSM-IV PTSD criteria, respectively. At the 6-month follow-up assessment, 78% of those who received PE and 35% of those who received EMDR met criteria for good end state functioning (p=.017).

Keywords: Panel Prolonged Exposure Symposium Treatment Response Predictors

Accuracy Verified: Yes

238. Alley, A., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2005, November). Pretreatment attrition in a PTSD comparative treatment outcome study. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Treatment attrition represents a considerable problem for effective delivery of care for PTSD. While treatment attrition during the course of treatment is well researched, little is known about the factors that affect sample selection before the beginning of a study. Previous research on other Axis I disorders indicates that patients may refuse participation more often because of study medication than because of psychosocial treatment. The present study examines traits and predictors of pretreatment attrition from a study of PTSD that compared treatment outcomes for fluoxetine versus EMDR. Potential study participants were screened over the telephone for study eligibility. During the telephone screen, a total of 394 people met study eligibility requirements but declined participation (59% of total eligible participants). While a variety of factors were cited for declining study participation, consistent with previous research, refusal of study medication emerged as the pre-dominant reason for pretreatment attrition (49%). Results are discussed in terms of how treatment preferences and other pretreatment attrition factors may impact the external validity of comparative treatment outcome studies. Clinical implications discussed include the potential for pretreatment attrition factors to interfere with trauma survivors’ ability to seek and obtain effective treatment

Keywords: Comparative Treatment Outcome Study Poster Pretreatment Attrition Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

239. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora. L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini. IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati. Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.

The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more. The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men. IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared. So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.

Keywords: Cancer Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

240. Giannantonio, M. (2002, Settembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Sinergie e integrazioni nella psicoterapia dei disturbi post-traumatici e dell'attaccamento (EMDR) [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Synergies and integration in psychotherapy with post-traumatic stress and attachment]. IX Congresso della Società Europea di Ipnosi: L'ipnosi e gli altri modelli terapeutici nel nuovo millennio, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
L’incremento costante di interesse nei confronti dei disturbi post-traumatici sta portando non soltanto ad un costante e rapido approfondimento delle conoscenze in questo campo, ma anche ad una continua riscoperta della psicoterapia ipnotica e ad un suo raffinamento come approccio psicoterapico. La psicoterapia ipnotica, infatti, non solo è la più antica delle psicoterapie, ma anche la prima ad essere stata in grado di trattare con successo gli esiti di esperienze traumatiche o altamente stressanti e ad attribuire ad esse una adeguata rilevanza in seno ad una comprensione trasversale della psicopatologia tutta. Nonostante l’evidente esistenza di frequenti esperienze traumatiche nel corso della vita delle persone, con ogni probabilità, però, solo le conseguenze sociali drammatiche di continui coinvolgimenti bellici (insieme alla rivoluzione della cultura femminista) hanno portato definitivamente al centro dell’attenzione la presenza di esperienze reali come implicate nello sviluppo di stati di sofferenza (Hacking, 1995). La rinascita del cosiddetto “modello traumatico” di Pierre Janet ha portato ad una iniziale riscoperta dei traumi secondo una concezione di essi come di esperienze discrete, circoscrivibili, rilevanti essenzialmente per la loro grandezza oggettiva; una tale visione, infatti, viene ufficializzata dalla pubblicazione della terza edizione del manuale Diagnostico e Statistico dei Disturbi Mentali (DSM-III; American Psychiatric Association, 1980) e progressivamente diventa la concezione dominante in tema di Disturbo Post-traumatico da Stress (PTSD). Il progresso delle conoscenze, però, sta portando sempre più in luce che nella comprensione dei disturbi post-traumatici sono necessari modelli molto più complessi e non lineari (Pennati, 1995, 2001; Pennati, Grecchi, 2001), valutativi di un insieme di condizioni cliniche molto più vasto ed articolato di quello previsto dal DSM-IV (Wilson, Friedman, Lindy, 2001), pienamente immersi nei molteplici e affatto secondari fattori di rischio: psicologici, genetici, neurologici, biochimici, interpersonali, sociologici (per una rassegna: Yehuda, 1999). Oltre a ciò, anche nei confronti del più studiato e prototipico dei disturbi post2 traumatici, ovvero il Disturbo Post-traumatico da Stress, vengono sempre più decisamente sollevate obiezioni concettuali che renderebbero quantomeno parzialmente discutibili le ricerche sull’efficacia delle psicoterapie nel loro trattamento. Infatti, sebbene la quasi totalità della ricerca si concentri sulla valutazione testistica dei sintomi di intrusione, evitamento ed iperattivazione, nondimeno sembra opportuno pensare che il PTSD sia costituito anche da alterazioni del sistema motivazionale dell’attaccamento, delle strategie interpersonali e della strutturazione del Sé (Wilson, Friedman, Lindy, 2001) (Tabella 1).

The steady increase of interest in the post-traumatic stress is leading not only to a constant and rapid advancement of knowledge in this field, but also to a continuous rediscovery of hypnotic psychotherapy and its refinement as a psychotherapeutic approach. The hypnotic psychotherapy, in fact, not only is the oldest of psychotherapy, but also the first to be able to successfully treat the sequelae of traumatic or highly stressful experiences and to give them a proper understanding of relevance within a transverse all of psychopathology. Despite the apparent existence of frequent traumatic experiences in people's lives, in all likelihood, however, only the social consequences of dramatic escalation continues (along with the feminist revolution of culture) have finally brought to light the presence of real experiences as involved in the development of states of suffering (Hacking, 1995). The rebirth of the "trauma model" by Pierre Janet has led to a rediscovery of the initial trauma according to a conception of them as experiences of discrete constrained, mainly relevant for their size objective, such a vision, in fact, be formalized by publication of third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association, 1980) and gradually became the dominant view in terms of Posttraumatic Stress Disorder (PTSD). The advancement of knowledge, however, is bringing more and more light in the understanding of post-traumatic stress models are needed much more complex and nonlinear (Penn, 1995, 2001; Pennati, Grecchi, 2001), evaluation of a set of conditions Clinical much more vast and that provided by the DSM-IV (Wilson, Friedman, Lindy, 2001), not fully immersed in multiple and secondary risk factors: psychological, genetic, neurological, biochemical, interpersonal, sociological (for a review: Yehuda, 1999). Moreover, even against the most studied and prototypical post2 traumatic disorder, or Posttraumatic Stress Disorder, are decidedly more conceptual objections that would make at least partially questionable research on the effectiveness of psychotherapy in their treatment. Although almost all of dissertation research focuses on evaluation of symptoms of intrusion, avoidance and hyperactivity, however, it seems appropriate to suggest that PTSD is also consist of changes in the motivational system of attachment, interpersonal strategies and structuring of the self ( Wilson, Friedman, Lindy, 2001) (Table 1).

Keywords: Attachment Posttraumatic Stress

Accuracy Verified: Yes

241. Lennmarken, C., & Sydsjo, G. (2007, September). Psychological consequences of awareness and their treatment. Best Practice & Research: Clinical Anaesthesiology, 21(3), 357-367. doi:10.1016/j.bpa.2007.04.005.

Language: English

Format: Journal

Abstract:
Intraoperative awareness with subsequent recall is a rare but serious complication with an incidence of 0.1–0.2%. In approximately one third of the patients who have experienced awareness, late severe psychiatric sequelae may develop. The psychiatric symptoms in these patients fulfil the diagnostic criteria for post traumatic stress disorder. To prevent awareness as a negative outcome after anaesthesia, a thorough perioperative management of anaesthesia is necessary. The definite risk for post traumatic stress disorder following awareness indicates the necessity of postoperative clinical routines to identify awareness patients. The problem must be acknowledged. Professional psychiatric assessment and follow up should constitute standard practice. The treatments of choice are Eye Movement Desensitisation Reprocessing and Cognitive Behaviour Therapy.

Keywords: Anesthesia Awareness CBT Cognitive Behaviorial Therapy Consciousness Memory Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

242. Ilic, Z. (2004). Psychological preparation of torture victims as witnesses toward the prevention of retraumatisation. In Ž. Špiric, G. Kneževic, V. Jovic, & G. Opacic (Eds.), Torture in war: Consequences and rehabilitation of victims – Yugoslav experience. (pp. 377-387) Belgrade, Serbia: International Aid Network.

Language: English

Format: Book Section

Abstract:
This work presents psychological specificities of situations where torture victims are witnesses at the court trial of perpetrators at the same time. Witnesses are subject to the risk of secondary traumatisation, retraumatisation and revictimatisation, which may lead to the deterioration of existing PTSD symptoms. Starting from the very act of reaching the decision whether to testify, witnesses are in a state of ambivalence associated with a need for truth and justice, the need that perpetrators should be adequately punished and thus certain compensation be provided as well as with fear of the course that the trial itself may take, they being partially aware of the risk for retraumatisation and retraumatisation. The author sets forth the need for psychological-psychiatric preparation of the witness prior to the trial, as well as co-operation between judicial organs and psychiatric-psychological service. The paper features examples from the Centre for Rehabilitation of Torture Victims – IAN Belgrade.

Keywords: Torture War

Accuracy Verified: Yes

243. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.

Language: English

Format: Journal

Abstract:
Background: Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no systematic reviews of these therapies in children and adolescents. Objectives: To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD. Search methods: We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011. The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked reference lists of relevant studies and reviews. We applied no date or language restrictions. Selection criteria: All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in children or adolescents exposed to a traumatic event or diagnosed with PTSD. Data collection and analysis: Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or referral to the review team. We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95% confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated support service. The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative, supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological therapy. Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI -1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of completing psychological therapy compared to a control group. The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study, n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month: three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01), and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group compared to a control. No adverse effects were identified. No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias. Authors’ conclusions: There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less likely to respond to psychological therapies than others. The findings of this review are limited by the potential for methodological biases, and the small number and generally small size of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by subgroup or sensitivity analyses. More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

244. Sanchez-Meca, J., Rosa-Alcazar, A. I., Marín-Martínez, F., & Gomez-Conesa, A. (2010). Psychological treatment of panic disorder with or without agoraphobia: A meta-analysis. Clinical Psychology Review, 30(1), 37–50. doi:10.1016/j.cpr.2009.08.011.

Language: English

Format: Journal

Abstract:
Although the efficacy of psychological treatment for panic disorder (PD) with or without agoraphobia has been the subject of a great deal of research, the specific contribution of techniques such as exposure, cognitive therapy, relaxation training and breathing retraining has not yet been clearly established. This paper presents a meta-analysis applying random- and mixed-effects models to a total of 65 comparisons between a treated and a control group, obtained from 42 studies published between 1980 and 2006. The results showed that, after controlling for the methodological quality of the studies and the type of control group, the combination of exposure, relaxation training, and breathing retraining gives the most consistent evidence for treating PD. Other factors that improve the effectiveness of treatments are the inclusion of homework during the intervention and a follow-up program after it has finished. Furthermore, the treatment is more effective when the patients have no comorbid disorders and the shorter the time they have been suffering from the illness. Publication bias and several methodological factors were discarded as a threat against the validity of our results. Finally the implications of the results for clinical practice and for future research are discussed.

Keywords: Panic Disorder Agoraphobia Psychological Treatment Outcome Evaluation Meta-Analysis

Accuracy Verified: Yes

245. Kitchiner, N. J. (2004, August). Psychological treatment of three urban fire fighters with post-traumatic stress disorder using eye movement desensitisation reprocessing (EMDR) therapy. Complementary Therapies in Nursing and Midwifery, 10(3), 186-193. doi:10.1016/j.ctnm.2004.01.004.

Language: English

Format: Journal

Abstract:
Fire fighters are at increased risk of developing mental health problems due to the nature of their work, which can sometimes be extremely traumatic. Arranging for immediate access to mental health specialists can often take a protracted time to arrange, leading to the individual remaining disabled and off work. The South Wales fire and rescue service have responded to this challenge and formed a partnership with their local NHS traumatic stress service. This has enabled fire fighters to receive early psychological assessment and treatment from a nurse therapist trained in cognitive behaviour therapy or referred to a consultant liaison psychiatrist. This paper will describe 3 cases which all suffered with PTSD and were treated via the partnership with a controversial therapy, EMDR. [Author Abstract]

Keywords: British Case Report Fire Fighters Males Middle Aged Posttraumatic Stress Disorder PTSD Stressors Survivors

Accuracy Verified: Yes

246. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium conducted at the 21st International Society for Traumatic Stress Studies Conference, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.

Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological treatments for PTSD were identified. Trauma focused cognitive behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing (EMDR) showed clinically important benefits over waitlist/usual care on measures of PTSD. The evidence base for EMDR was not as strong as that for TFCBT, both in terms of the number of RCTs available and the certainty with which clinical benefit was established. There was limited evidence that TFCBT and EMDR were superior to supportive/non-directive treatments, hence it is highly unlikely that their effectiveness is due to non-specific factors such as attention. There was limited evidence for stress management and group CBT but other therapies (supportive/non-directive therapy, psychodynamic therapies and hypnotherapies) that focus on current or past aspects of the patient’s life other than the trauma or general support, did not show clinically important effects on PTSD symptoms. However, this may be due to the limited number of studies available and does not mean that these treatments were shown to be ineffective.

Keywords: Posttraumatic Stress Disorder PSTD Psychological Treatments Symposium

Accuracy Verified: Yes

247. Hughes, J. H. (2006, July). Psychology and cognitive processing in post-traumatic disorders. Psychiatry, 5(7), 228-230. doi:10.1053/j.mppsy.2006.04.002.

Language: English

Format: Journal

Abstract:
Post-traumatic stress disorder (PTSD) involves a number of cognitive factors in its aetiology and, therefore, in the criteria required for diagnosis. Whilst psychobiological theories and treatments are considered very briefly, the focus of this contribution is the role of cognitive factors in the onset, maintenance and treatment of PTSD. This contribution, therefore, reviews the role of cognitive factors in the genesis and development of PTSD before examining early cognitive theories, through the work of Mowrer on two-factor theory to the work of Foa and Kozak on emotional processing. The contribution then considers the current state of cognitive theorizing about PTSD, with particular reference to the theories of Brewin, Clark and Ehlers. The particular role of memory, the importance of previously held and current beliefs and the crucial part played by cognitive strategies are all considered and seen to be most important if the phenomenon of PTSD is to be fully understood. The two primary cognitively based treatments for PTSD – cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) – are then introduced and considered in turn, particularly from the point of examining how each treatment approach targets cognitive factors involved in the maintenance of post-traumatic symptomatology and distress.[Journal abstract]

Keywords: CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD Stress-Related Disorders Trauma

Accuracy Verified: Yes

248. Smith, G. (2005, September). The psychology of high-performing leaders. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will introduce the latest research on the psychology of high performing leaders, and a system for applying it to your EMDR Performance Enhancement work. Participants will lean how to: explain to their client the skills, psychological characteristics, and critical success factors of High- Performing Leaders; explain to their clients the "derailment" factors and non-rational thinking patterns that are the primary barriers lo high performance; use this information to do optimum EMDR Performance Enhancement case conceptualization; utilize the standard EMDR protocol to reduce/eliminate any performance barriers; utilize an integrated RDI protocol to strengthen and develop high-performance skills and traits.

Keywords: High Performance Leaders Performance Enhancement Performance Barriers

Accuracy Verified: Yes

249. Devilly, G. J., & Borkovec, T. D. (2000, June). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31(2), 73-86. doi:10.1016/S0005-7916(00)00012-4.

Language: English

Format: Journal

Abstract:
The present research evaluated the psychometric properties of the credibility/expectancy questionnaire, a quick and easy-to-administer scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies. The results suggested that this questionnaire derives the two predicted factors (cognitively based credibility and relatively more affectively based expectancy) and that these factors are stable across different populations. Furthermore, the questionnaire demonstrated high internal consistency within each factor and good test-retest reliability. The expectancy factor predicted outcome on some measures, whereas the credibility factor was unrelated to outcome. The questionnaire is appended to the paper, yet the authors stress care when utilizing the scale. During the administration of the questionnaire, the participant sees two sections -- one related to thinking and one related to feeling. However, the researcher needs to be aware that the 2 factors derived are not grouped into those questions. Instead credibility was found to be derived from the first three think questions and expectancy was derived from the fourth think question and the two feel questions. [Author Abstract]

Keywords: Adults Australians Cognitive Therapy Postttraumatic Stress Disorder PTSD Self Report Instruments Stressors Survivors

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

251. Peñalba, V., McGuire, H., & Leite, J. R. (2009). Psychosocial interventions for prevention of psychological disorders in law enforcement officers. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005601. doi:10.1002/14651858.CD005601.pub2.

Language: English

Format: Other

Abstract:
Background: Psychosocial interventions are widely used for the prevention of psychological disorders in law enforcement officers. Objectives: To assess the effectiveness and comparative effectiveness of psychosocial interventions for the prevention of psychological disorders in law enforcement officers. Search strategy: CCDANCTR-References was searched on 12/5/2008, electronic databases were searched, reference lists of review articles and included studies were checked, a specialist journal was handsearched, specialist books were checked and we contacted experts and trialists. Selection criteria: Randomised and quasi randomised controlled trials were eligible. The types of participants were people employed directly in law enforcement, including police officers and military police, regardless of gender, age and country of origin, and whether or not they had experienced some psychological trauma. All types of psychosocial intervention were eligible. The relevant outcome measures were psychological symptoms, adverse events and acceptability of interventions. Data collection and analysis: Datawas entered intoReviewManager 4.2 for analysis, but this reviewwas converted toRevMan 5.0 for publication.Quality assessments were performed. Two authors independently selected studies, extracted data and assessed the quality of studies. Summary effects were to be calculated using RevMan but no meta-analyses were possible. For individual studies, dichotomous outcome data are presented using relative risk, and continuous outcome data are presented using the weighted mean difference. These results are given with their 95% confidence intervals (CI). Main results: Psychosocial interventions for prevention of psychological disorders in law enforcement officers (Review) 1 Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. Ten studies were included in the review but only five reported data that could be used. Three of the ten studies were related to exercisebased psychological interventions. Seven were related to psychological interventions. No meta-analyses were possible due to diversity of participants, interventions and outcomes. Two studies compared a psychosocial intervention versus another intervention. Three studies compared a psychosocial intervention to a control group. Only one primary prevention trial reported data for the primary outcomes and, although this study found a significant difference in depression in favour of the intervention at endpoint, this difference was no longer evident at 18 months. No studies of primary prevention comparing different interventions and reporting primary outcomes of interest were identified. The methodological quality of the included studies was summarised. No study met our full quality criteria and one was regarded as low-quality. The remainder could not be rated because of incomplete data in the published reports and inadequate responses from the trialists. Authors’ conclusions: There is evidence only from individual small and low quality trials with minimal data suggesting that police officers benefit from psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems, cynicism, anger, PTSD, marital problems and distress. No data on adverse effects were available. Meta-analyses of the available data were not possible. Further well-designed trials of psychosocial interventions are required. Research is needed on organization-based interventions to enhance psychological health among police officers.

Keywords: Law Enforcement, Officers Review

Accuracy Verified: Yes

252. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51.

Language: English

Format: Journal

Abstract:
This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]

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

Accuracy Verified: Yes

253. Solomon, S., & Johnson, D. (2002, August). Psychosocial treatment of posttraumatic stress disorder: A practice-friendly review of outcome research. Journal of Clinical Psychology, 58(8), 947-959. doi:10.1002/jclp.10069.

Language: English

Format: Journal

Abstract:
Examines the use of combined cognitive and behavioral techniques in the treatment of posttraumatic stress disorder (PTSD). Factors considered in the treatment of PTSD; Consideration of psychosocial treatments; Characterization of trauma.(Wiley)

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

254. Teegen, F. (2000). Psychotherapie der posttraumatischen belastungsstörung [Psychotherapy of post-traumatic stress disorder]. Psychotherapeut, 45(6), 341-349. doi:10.1007/PL00006723.

Language: German

Format: Journal

Abstract:
Die Posttraumatische Belastungsstörung (PTBS) ist ein häufiges Krankheitsbild und mit einer Standardtherapie, die die spezifische Problematik der Störung unberücksichtigt lässt, nur eingeschränkt behandelbar. Der Beitrag geht auf aktuelle diagnostische Kriterien sowie spezifische Risikofaktoren für die Ausbildung chronischer und komplexer PTBS-Symptome ein. Verschiedene Behandlungsansätze – Konfrontationstherapie, Kognitive Restrukturierung, EMDR, psychodynamische Therapie, angeleitetes Schreiben – werden auf der Basis validierter Therapiestudien vorgestellt. Ausführlicher berücksichtigt werden Behandlungsmöglichkeiten für sexuell traumatisierte Frauen mit chronischer PTBS und komorbiden Beschwerden.

Post-traumatic stress disorder (PTSD) is a frequent disorder. But standard treatments which neglect the specific characteristics of the symptomatology are only of limited outcome. The paper focuses on recent diagnostic criteria and specific risk factors that are likely to influence the development of chronic and complex PTSD symptoms. Different treatment programmes and techniques are presented on the basis of validated therapy studies: prolonged exposure, cognitive restructuring, EMDR, psychodynamic therapy and writing assignments. Particular attention is payed to the psychotherapy of sexually traumatised women who suffer from chronic PTSD and comorbid disorders.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

255. Cooper, G. (2008, November-December). PTSD treatments and the dodo bird. Psychotherapy Networker, 32(6), 17-20.

Language: English

Format: Magazine

Abstract:
So why does the dodo bird win again? Benish suspects that attempts to identify unique aspects of any particular therapy create an artificial taxonomy that obscures some common factors that all effective treatments share. It calls to mind Harvard psychologist Richard McNally's famous assessment of EMDR that what's effective about EMDR isn't new and what's new about it isn't effective. [Excerpt]

Keywords: Dodo Bird Verdict Efficacy Metanalysis Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

256. Kinowski, K. (2003). Put your best foot forward. Clinical practice manual. An EMDR-related protocol for empowerment using somatosensory and visual priming of resource experiences (2nd Ed.). Victoria, BC: Author.

Language: English

Format: Other

Abstract:
The theory and how-to of the protocol are contained in a 153 page manual, 8 ½" x 11". The second edition updates the database and includes a new chapter with case reports from other therapists. The manual's contents include: the full text protocol enough practical information so you can knowledgeably use it if you wish a simplified record form for the client's file two new ratings scales: Subjective Units of Body Safety( SUBS) and Rating of Confidence (RoC) theoretical discussion of midbrain areas that I think are activated by the process 13 tables of descriptive statistics, n= 40, 67 administrations of the protocol stills taken from video of therapy sessions (with client permission, faces obscured) colored illustrations of client imagery, key midbrain areas, and body diagrams summarizing different results a 3 page table summarizing each of the protocol's eight stages from four operational factors - therapist mode of activity, information processing, somatosensory processing, and conjectured neural activation more than 15 cases are described in whole or in part, 8 from other therapists

Keywords: Empowerment Protocol

Accuracy Verified: Yes

257. Arditi, I. (2009, May). Rafael de Morra: Performance anxiety due to inferiority and cultural difference in "The Bewitched". York University, Toronto, Canada. AAT MR51500.

Language: English

Format: Dissertation/Thesis

Abstract:
This thesis is about my primary artistic challenge and how it was addressed in my thesis role, the character Rafael De Morra (the court jester to Carlos II the King of Spain) in the play The Bewitched by Peter Barnes. My artistic challenge was to overcome the performance anxiety and the fear of humiliation that had surfaced during training and performance work at York University. I chose to address my performance anxiety by incorporating internal and external approaches simultaneously. The internal approach I developed to deal with my performance anxiety was a combination of different procedures: defining and analyzing it (and the inferiority complex behind it) through personal practices of psychoanalysis and EMDR Therapy (Eye Movement Desensitization and Reprocessing), examining the cultural factors that reinforce it, exploring it in other actors, observing it in my studio work, rehearsals and performance and investigating personal practice of Yoga, Feldenkrais and Craniosacral Therapy as tools to work on it. To further prepare for my thesis role Rafael De Morra, I researched the historical period in Spain and Europe between 1600 and 1700, the years during which the play takes place and the origins and significance of court jester tradition at the time. Such research helped me to better understand my character, Rafael De Morra. The external approach, on the other hand included confronting the anxiety by taking risks in my thesis role such as accentuating the more theatrical aspects of Rafael and creating an effective physicality for the character, both of which were difficult for me as an actor. The internal approach and the research I've done about the time period, the playwright and the court jester tradition prepared me for my external approach: taking risks in performing my thesis role. I can conclude that the methodology I devised to overcome my performance anxiety yielded favourable results as I didn't experience extreme versions of it in acting Rafael De Morra in the play The Bewitched by Peter Barnes. At the end of the process I also discovered some other actor challenges that I should be working on in the future.

Keywords: Cultural Differences Performance Anxiety

Accuracy Verified: Yes

258. Todder, D., & Kaplan, Z. (2007, August). Rapid eye movements for acute stress disorder using video conference communication. Telemedicine and e-Health, 13(4), 461-464. doi:10.1089/tmj.2006.0058.

Language: English

Format: Journal

Abstract:
In order to effectively reduce the risk of developing long-lasting mental disorders in the aftermath of traumatic stress exposure, interventions must be offered early on. Therefore, access to expert assistance can have significant effects on prognosis. Rapid eye movements are part of the Eye Movement Desensitization and Reprocessing procedure that gained considerable attention in previous years. The authors present a patient suffering from an acute stress disorder, treated by rapid eye movements through telepsychiatry services.

Keywords: Telemedicine Telepsychiatry Trauma Treatment

Accuracy Verified: Yes

259. Weisensee, K. (2002). Resiliency through EMDR self-administration: A proposal for a protocol. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
Some basic ideas and experiences with Self-administration of EMDR are reported and three different zones are discriminated: the self-administration zone, the selfadministration standard protocol zone and the zone of therapy. Different strategies for self-administration in the case of small trauma "t" and life events "less than t" are explored, the probably existing risk of a habituation effect is mentioned and a first modest proposal for a protocol for every day use of EMDR self-administration is recommended. The development of the EMDR field, the training in EMDR and the further course of EMDR to a more complete form of psychotherapy are taken into considerations.

Keywords: Self-Administration

Accuracy Verified: Yes

260. Schmidt, S. J. (1999, March). Resource-focused EMDR: Integration of ego state therapy, alternating bilateral stimulation, and art therapy. EMDRIA Newsletter, 4(1), 8, 10-13, 25-28.

Language: English

Format: Newsletter

Abstract:
I conceptualize EMDR as the process of linking the trauma from one part of the brain to a solution in another part of the brain, to reach an adaptive resolution. The standard EMDR protocol proposes accomplishing this by focusing heavily on the trauma. Most of my clients are adult survivors of childhood trauma and their tolerance of a trauma-focused protocol is often low. I wondered if the same adaptive resolution could be accomplished by focusing primarily on the part of the brain holding the solution rather than the trauma. I recently began developing a resource-focused protocol, which borrows from Sandra Paulsen’s (1994, 1995, & 1996) suggestions for integrating EMDR with ego state therapy, and Andrew Leeds’ (1997) protocol for resource development and resource installation (RD/RI). This new protocol puts significant emphasis on developing and strengthening the felt sense of well-being connected to resource ego states before EMDR processing, and maintenance of the sense of well-being during EMDR processing. It involves using the clients’ drawings of resource ego states and traumatized ego states (drawn with the dominant and nondominant hand) as anchors for ego state processing, and as the focal points in eye movements (EMs). In this protocol, traumatic material is elicited only when sufficient internal resources, represented by drawings, are displayed in front of the client. The intention of this approach is to minimize risk of affect overwhelm and maximize the probability that the part of the brain holding the trauma will link to the part of the brain holding the solution. In my experience the resource-focused protocol

Keywords: Art Therapy Bilateral Stimulation BLS Ego State Therapy Resource-Focused EMDR

Accuracy Verified: Yes

261. Shapiro, F. (1998, July). Riding the wave. Keynote presented at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) review the controlled studies completed on EMDR; 2) explore the ramifications of the information processing model; and 3) review the clinical validity factors that need to be incorporated in future research.

Keywords: Clinical Validity Factors Controlled Studies Information Processing Model Future Research Keynote

Accuracy Verified: Yes

262. Hase, M., & Hofmann, A. (2005, März). Risiken und nebenwirkungen beim einsatz der EMDR-Methode [Risks and adverse effects in treatment with EMDR]. PTT: Persönlichkeitsstörungen Theorie und Therapie, 9(1), 16-21.

Language: German

Format: Journal

Abstract:
Eye Movement und Desensitizer Wiederaufbereitung (EMDR) ist ein etabliertes mittlerweile Ansatz in der Behandlung der posttraumatischen Belastungsstörung (PTSD). EMDR Focus auf die Aufarbeitung der traumatischen Erinnerungen und anderes Trauma-Symptomen, wie zB Trigger oder derzeitigen Trauma verbundenen dysfunktionalen Verhaltens. Eine Laissez-faire Durchsetzung und dazu beitragen, "die unzureichende technische Mai Akkumulieren Unannehmlichkeit für den Patienten. Risiken und Nebenwirkungen des EMDR con Ansatz durch umfassende diagnostische Verfahren, Bewertung der Stabilitäts-Patienten, Zubereitung, Behandlung Planung und präzisen Anwendung von EMDR entgegengewirkt werden. Die Berufsorganisationen "versuchen sollte, zu dem höchsten Niveau der ethischen und professionellen Verhaltens getroffen, um das Risiko von Nebenwirkungen zu minimieren. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten).

Eye Movement Desensitization and Reprocessing (EMDR) is a meanwhile well established approach in the treatment of posttraumatic stress disorder (PTSD). EMDR focuses on the reprocessing of traumatic memories, and other trauma-related symptoms, e.g., triggers or current trauma-related dysfunctional behaviors. A laissez-faire application and insufficient technique may contribute to accumulating patient discomfort. Risks and adverse effects of the EMDR-approach con be counteracted by comprehensive diagnostic procedures, assessment of patient stability, preparation, treatment planning and precise application of EMDR. The professional organizations should try to ensure the highest level of ethical and professional conduct in order to minimise the risk of adverse effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adverse Effects Posttraumatic Stress Disorder PTSD Risk Factors Side Effects (Treatment) Stress

Accuracy Verified: Yes

263. Dietrich, A. M. (2001, April). Risk factors in PTSD and related disorders: Theoretical, treatment, and research implications. Traumatology, 7(1), 23-50. doi:10.1177/153476560100700103.

Language: English

Format: Journal

Abstract:
Contemporary treatment approaches for Posttraumatic Stress Disorder (PTSD) include traditional approaches such as Cognitive-Behavioral therapy, Psychodynamic therapy, Group Therapy, Pharmacotherapy, et cetera, as well as experimental approaches such as Body therapies (e.g., Sensorimotor Processing) (Ogden & Minton, in press) and other Asian-based approaches (often termed “Energy Therapies”). These approaches have varying degrees of data in support of their effectiveness, that range from anecdotal case reports to randomized and controlled studies (e.g., see Dietrich, et al., 2000; Foa, Keane, & Friedman, 2000; Shalev, Bonne & Eth, 1996; van der Kolk, McFarlane, & van der Hart, 1996).

Keywords: Posttraumatic Stress Disorder PSTD Risk Factors

Accuracy Verified: Yes

264. Chang, S. H. (2007, September). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. Presentation at the annual meeting of the EMDR International Association Conference, Dallas, Texas. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s 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. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Semantic Association

Accuracy Verified: Yes

265. Chang, S. H. (2009). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Sematic Association

Accuracy Verified: Yes

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

Language: English

Format: Other

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

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

Keywords: Females Inhibited Sexual Desire Low Sexual Desire Sexual Abuse

Accuracy Verified: No

267. Lilienfeld, S. O., & Landfield, K. (2008, October). Science and pseudoscience in law enforcement: A user-friendly primer. Criminal Justice and Behavior, 35(10), 1215-1230. doi:10.1177/0093854808321526.

Language: English

Format: Journal

Abstract:
Pseudoscience and questionable science are largely neglected problems in police and other law enforcement work. In this primer, the authors delineate the key differences between science and pseudoscience, presenting 10 probabilistic indicators or warning signs, such as lack of falsifiability, absence of safeguards against confirmation bias, and lack of self-correction, that can help consumers of the police literature to distinguish scientific from pseudoscientific claims. Each of these warning signs is illustrated with an example from law enforcement. By attending to the differences between scientific and pseudoscientific assertions, police officers and other law enforcement officials can minimize their risk of errors and make better real-world decisions.

Keywords: Confirmation Bias Falsifiability Law Enforcement Peer Review Police Pseudoscience

Accuracy Verified: Yes

268. Herbert, J. D., Lilienfeld, S. O., Lohr, J. M., Montgomery, R. W., O'Donohue, W. T., Rosen, G. M., & Tolin, D. F. (2000, November). Science and pseudoscience in the development of eye movement desensitization and reprocessing: Implications for clinical psychology. Clinical Psychology Review, 20(8), 945-971. doi:10.1016/S0272-7358(99)00017-3.

Language: English

Format: Journal

Abstract:
The enormous popularity recently achieved by Eye Movement Desensitization and Reprocessing (EMDR) as a treatment for anxiety disorders appears to have greatly outstripped the evidence for its efficacy from controlled research studies. The disparity raises disturbing questions concerning EMDR's aggressive commercial promotion and its rapid acceptance among practitioners. In this article, we: (1) summarize the evidence concerning EMDR's efficacy; (2) describe the dissemination and promotion of EMDR; (3) delineate the features of pseudoscience and explicate their relevance to EMDR; (4) describe the pseudoscientific marketing practices used to promote EMDR; (5) analyze factors contributing to the acceptance of EMDR by professional psychologists; and (6) discuss practical considerations for professional psychologists regarding the adoption of EMDR into professional practice. We argue that EMDR provides an excellent vehicle for illustrating the differences between scientific and pseudoscientific therapeutic techniques. Such distinctions are of critical importance for clinical psychologists who intend to base their practice on the best available research.

Keywords: Commentary Review Scientific Research Treatment Effectiveness

Accuracy Verified: Yes

269. Scheck, M. M., Schaeffer, J. A., Gillette, C. S., & van der Kolk, B. A. (1996, June). Scientific investigations into EMDR (Part I) - Brief psychological intervention with young high-risk females: A comparison of eye movement desensitization and reprocessing with active reflective listening. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: Americans Battery Child Abuse Effects Emotional Abuse Females Incest Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Stressors Survivors Treatment Effectiveness Young Adults

Accuracy Verified: Yes

270. Russell, M. C. (2008, December). Scientific resistance to research, training and utilization of eye movement desensitization and reprocessing (EMDR) therapy in treating post-war disorders. Social Science & Medicine, 67(11), 1737-1746. doi:10.1016/j.socscimed.2008.09.025.

Language: English

Format: Journal

Abstract:
In this study, Barber's [(1961). Resistance by scientists to scientific discovery. Science, 134, 596-602] analysis of scientists' resistance to discoveries is examined in relation to an 18-year controversy between the dominant cognitive-behavioral paradigm or zeitgeist and its chief rival - eye movement desensitization and reprocessing (EMDR) in treating trauma-related disorders. Reasons for persistent opposition to training, utilization and research into an identified 'evidence-based treatment for post-traumatic stress disorder' (EBT-PTSD) within US military and veterans' agencies closely parallels Barber's description of resistance based upon socio-cultural factors and scientific bias versus genuine scientific skepticism. The implications of sustained resistance to EMDR for combat veterans and other trauma sufferers are discussed. A unified or super-ordinate goal is offered to reverse negative trends impacting current and future mental healthcare of military personnel, veterans and other trauma survivors, and to bridge the scientific impasse.[PUBMED]

Keywords: Adults Americans Health Personnel Attitudes Posttraumatic Stress Disorer PTSD Scientific Research

Accuracy Verified: Yes

271. Leeds, A. M. (1992, Winter). Selection criteria for negative and positive cognitions in EMDR. EMDR Network Newsletter, 2(3), 12-15.

Language: English

Format: Newsletter

Abstract:
Before we proceed with EMDR processing, we select a Negative Cognition (NC and a more desirable Positive Cognition (PC) that we will install after we have desensitized the client’s presenting material. Clinical observations indicate that appropriate selection of the NC and PC is often crucial to the success of EMDR processing. It is not possible to specify all of the factors that need to be considered in selecting the NC and PC for all clinical situations. The focus here will be on common problems encountered by trained EMDR clinicians. I will review several board principles for four selection criteria that the reader might find helpful when eliciting the NC and PC.

Keywords: Negative Cognition Positive Cognition Selection Criteria

Accuracy Verified: Yes

272. Hopper, E., Simpson, W., Blaustein, M., & Spinazzola, J. (2004, November). Self-perception of symptom change in the treatment of PTSD. Presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
The current study examined client self-perception of change in posttraumatic stress symptoms during and after treatment in three treatment conditions: psychopharmacology (fluoxetine), an exposure-based psychotherapeutic treatment (EMDR), and a pill placebo. Subjects were 88 patients with mixed-trauma exposure and primarily chronic trauma response. Subjects completed the Davidson Trauma Scale (DTS) prior to beginning treatment, during the treatment phase, and during follow-up. In all conditions, selfreported symptoms of posttraumatic stress decreased during the treatment phase. After treatment, average DTS score for subjects in the therapy condition continued to decrease, while mean score for subjects who received pharmacological treatment increased slightly. Two months after termination of treatment, the average DTS score was 21 for the EMDR condition and 43 for the fluoxetine condition. Results revealed that subjects perceived themselves as improving steadily during the course of treatment, regardless of treatment condition. These results support the idea that there are non-specific factors in therapy (perhaps including factors such as instillation of hope, treatment expectations, and empathy) that lead to self-perceived improvement in symptoms. However, maintenance of perceived gains did appear to favor exposure-based therapy as a treatment for posttraumatic stress disorder.

Keywords: Posttraumatic Stress Disorder PSTD Self-Perception Symptom Change

Accuracy Verified: Yes

273. Astbury, J. (2006, December). Services for victim/ survivors of sexual assault - Identifying needs, interventions and provision of services in Australia. Issues, Australian Centre for the Study of Sexual Assault, 6, 1-26.

Language: English

Format: Publication

Abstract:
Firstly, the perceived needs of victim/survivors are identified. Secondly, literature on the existing interventions that are perceived to address these needs, and data on their effectiveness are reviewed. Currently, most of these interventions are therapeutic or counselling interventions. Finally, data on the services that currently provide these interventions, with patterns of service usage, barriers to using these services, and the characteristics of these services that victim/survivors find particularly valuable are identified. The paper will end by making some recommendations for primary health care providers working with victim/survivors of sexual assault. The paper employs a gendered, health and human rights perspective and an ‘ecological framework’ to inform the overall aim of investigating current intervention programs for victim/survivors of sexual assault. A multilevel ecological perspective informed This paper begins to address this gap by providing a summary of the international and national literature that exists on sexual assault services. The paper focuses by a gender and human rights perspective is considered the most appropriate model for understanding interpersonal violence including sexual violence (Krug, Dahlberg, Mercy, Zwi, & Lozano, 2002). The ecological framework recognises the multifaceted nature of sexual violence and encourages exploration of the relationship between individual and contextual factors. Sexual violence is seen as the product of multiple levels of influence on behaviour from the level of the individual, to relationships, community and society.

Keywords: Violence

Accuracy Verified: Yes

274. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.

Language: English

Format: Journal

Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden within the context of medical care. The aims of this review are to determine which specific health disorders have been associated with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse. Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that might be efficacious in treating the physical health problems associated with sexual abuse history.

Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma

Accuracy Verified: Yes

275. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.

Language: English

Format: Journal

Abstract:
Sexual assault occurs with alarming frequency in Canada. The prevalence of Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national prevalence of the disorder, which is a strong indication that the current therapies for sexualassault- related PTSD are in need of improvement. Increasing knowledge and understanding of the pathologies associated with rape trauma in biological, psychological and sociological domains will help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic- Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms. Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted by the survivor. Psychological health is compromised following interpersonal trauma and many psychological therapies are available, but with varying efficacy. A person's cognitions have a dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological impacts of assault influence the development of PTSD through victim-blaming attitudes and the perpetuation of rape myths. Perceived positive regard and early social support is shown to be important to successful recovery. Education is vital in rape prevention and to foster a supportive environment for survivors. The biological, psychological and sociological impacts and treatments should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate the physical and emotional pain following the trauma of rape.

Keywords: Pharmacotherapy Posttraumatic Stress Disorder PTSD Rape Sexual Assault Trauma

Accuracy Verified: Yes

276. Dodgson, P. W. (2007, June). Shame: The adaptive information processing model and introduction of the "protocol interweave" in EMDR with victims of torture, rape and organised violence. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Shame is often a key component of post-traumatic stress and one that can inhibit processing because the person concerned feels no compassion for the self that was shamed. Shame may lead to despising or hating that self so that allowing the self to grow, to recovered, feels almost impossible. Shame is experienced cognitively, emotionally, and somatically: in “brain, heart, and body.”
Shame may lead to blocked processing that does not respond to cognitive interweaves or other approaches such as changes in speed, modality and direction of bilateral stimulation, or “TICES’ strategies, changing aspects of images, cognitions or emotional and sensory interventions. Typically, Subjective Units of Distress scale scored stick at 4.
This paper will draw on clinical work with people who have experienced rape, torture and organized violence and explore ways of unlocking the inhibiting factors of shame, enabling the victim of personal violence to have compassion for themselves, and forgiveness. With compassion, a person can allow themself to recover, and processing the memories of the traumatic incident or incidents can move to adaptive resolution.
The paper will present case material using the adaptive information processing model as a helpful way of enabling clinets to normalize their mental, emotional and somatic reactions, to structure what often seems like a chaotic inner world and to address issues including shame.
This paper will propose a protocol for EMDR psychotherapy with people who have been victims of rape, torture, and organized violence and will introduce a “protocol interweave” for working with people for whom shame is a factor that impedes effective processing.
The “protocol interweave” focuses on the ‘self who has been shamed” and adapts the desensitization phase to enable the individual to process material associated with their thoughts, feelings, and sensations with regards to the self of whom they are ashamed and whom they may despise. The paper will also examine recent thinking about shame, compassion and forgiveness and reflect on similarities across psychotherapeutic modalities such as gestalt and cognitive behaviour therapy and the way in which EMDR is an integrative model that accommodates these.
The presentation will include PowerPoint and video clips of clinical consultations.

Keywords: Adaptive Information Processing AIP Organised Violence Protocol Interweave Rape Shame Torture

Accuracy Verified: Yes

277. Norcross, J. (2003, August). Sociopolitical and psychohistorical factors in acknowledging the effectiveness of EMDR. Presentation at the 111th annual meeting of the American Psycholgical Association, Toronto, Ontario, Canada.

Language: English

Format: Conference

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) has been mired in intense controversy since its inception. Initial claims of its efficacy were probably exaggerated, but many researchers continue to outright dismiss its positive outcome data. Indeed, the ongoing debate over the effectiveness of EMDR recapitulates the developmental history of validating many psychotherapy systems. This presentation reviews sociopolitical considerations in interpreting and acknowledging the outcome research on EMDR. These considerations include paradigm strain, early restrictions on EMDR training, the timing of controlled research vis a vis clinical applications, initial failure to place EMDR into existing theories, its application to disorders beyond trauma, and the use of ?eye movements? in its title. Dispassionate reviews generally find the clinical results of EMDR with PTSD to be equivalent to exposure methods in fewer sessions, but the research community has failed to embrace these conclusions. Needed are critical openness to new psychotherapies, familiarity with the published data, and a responsibility to evaluate the effectiveness of any therapeutic innovation.

Keywords: Effectiveness

Accuracy Verified: No

278. Lohr, J., DeMaio, C., & McGlynn, F. (2003, July). Specific and nonspecific treatment factors in the experimental analysis of behavioral treatment efficacy. Behavior Modification, 27(3), 322-368. doi:10.1177/0145445503027003005.

Language: English

Format: Journal

Abstract:
Interest in the empirical demonstration of the clinical efficacy of psychosocial treatments has been rekindled by societal concerns over accountability and cost-effectiveness in the delivery of mental health services. Behavior therapy has had a long history of experimental research on treatment efficacy and enjoys a visible presence in contemporary mental health practice. The demonstration of behavioral treatment efficacy, however, requires experimental evidence that shows the efficacy of prescriptive structured procedures beyond nonspecific factors in delivery of such procedures. The authors provide an analysis of the nature of nonspecific treatment factors and nonspecific effects and suggest experimental procedures testing the incremental validity of specific treatments. They examine two widely promoted, prescriptive structured treatments to analyze the specificity of their clinical efficacy: eye movement desensitization and reprocessing for anxiety disorders and cognitive-behavioral treatment of generalized anxiety disorder. They conclude that the treatments show different levels of efficacy and different degrees of specificity.

Keywords: Behavior Therapy Efficacy Literature Review Methodology Specific Factors Treatment Effectiveness

Accuracy Verified: Yes

279. Brink, A. (2006). Spiritualität in der traumatherapie mit EMDR [Spirituality in trauma therapy with EMDR]. Institut für Traumatherapie. Retrieved from http://www.traumatherapie.de/users/brink/Spirituelle%20Aspekte.html on 11/16/2011.

Language: German

Format: Other

Abstract:
Allgemeine spirituellle Aspekte der Traumatherapie Viktor Frankl entwickelte Ideen zu Psychotherapie und psychischer Gesundheit am schrecklichsten Ort, den die Welt je sah: in einem Konzentrationslager der NS-Zeit. Seine Schriften lesen sich gleidhwohl alles andere als schrecklich, todesnah oder morbide. Vielmehr geht es um tiefe existentielle Fragen, die Frankl stellt und fur sich selbst voll Glauben, ~i tmenschl ichdeiut nd spiritueller Einsicht beantwortet. 1st es ein Zufall, dass gelrade ein ~olocaust -~ber lebenddeer r Begrijnder der Logotherapie ist, die die "Frage nach dem Sinn" (Frankl, 1985) zum obersten Gebot des "Sinn-voll heilen" (1984) in der psychologischen Behandlung erhebt? Ich denke nicht. Die Auseinandersetzung mit dem Trauma - dem eigenen wie dem anderer - wirft vielmehr ganz voh selbst existentielle und spirituelle Fragen auf. Therapeuten wie Patienten haben sich diesen zu stellen. Ich denke, von der Gute der Antwort auf die Frage nach dem Sinn des schicksalhaften Leidens hangt die zukunftige Lebensqualitat eines Traumatisierten ab. Unsere therapeutische Aufgabe muss daher sein, gerneinsam mit dem Patienten eben diese Fragen zu stellen und ihh auf der Suche nach einer befriedigenden Antwort zu begleiten. Dabei nutzt es nichts, sith groOe Worte, wie sie in der Politik so leicht uber die Lippen gehen, anzueignen, etwa von "innerem Frieden", von "Schuld und Suhne" bzw. von "Unschuld" oder gar von "Vergebung" zu sprechen. Es zahlt nur das, was fuhlbar wird, was als innere Erfahrung auf$teigt, was als "Eingebung", "Erleuchtung", "Gedankenblitz" oder "innere Weisheit" aus delm Patienten selbst heraus entwickelt wird. In der modernen Psychotherapieforschung werden diese therapeutischen Momente als Therapieeinheiten mit bdsonders hoher Kongruenz (Grawe, 2005) beschrieben und damit als anzustrebende Therapiegestaltung: "Je intensiver solche Erfahrungen der Kongruenz sind, desto mehr wird sich sein [des Patienten] Inkongruenzniveau verringern mit all den weit reichenden positiven Folgen, die sich aus den [...KIorrelationen zwischen Verringerungen der Inko~ngruenzu nd klinischen Verbesserungen ergeben" (Grawe, 2005). Hellinger (2003), verlangt als Abschluss seiner Familienaufstellungen stets das Erweisen von Respekt, ja Versohnung und Vergebung - auch Eltern gegenuber, die ihr Kind misshandelt, ignoriert, rrhissbraucht oder weggegeben haben. Aus traumatheoretischer Sicht birgt dieses Vorgehen das Risiko einer erneuten Traumatisierung. Ganz alnders, wenn derselbe Patient ganz von allein, aus seinem eigenen Prozess heraus, zu einer Haltung der Vergebung finden kann: dann ist es mehr als eine Genesung, ein wirkliches Ganz und Heil werden, ein groOer Schritt zu einern spirituellen Bewusstsein. Wie wir noch sehen werden, wird dieser Schritt durch EMDR haufig gefordert. Er Iasst sich nicht erzwingen, aber ich durfte mehrfach Zeuge werden, wie er ganz von allein geschieht. Zunachst aber kehren wir zu der Feststellung zuruck, dass die Auseinandersetzung mit den spirituellen Seiten des Seins ihren festen Platz in der Traumatherapie hat.

Spiritual general aspects of trauma therapy Viktor Frankl developed ideas on psychotherapy and mental health in the most horrible place that the world has ever seen: in a concentration camp during the Nazi period. His papers read gleidhwohl anything but terrible, todesnah or morbid. The issue is deep existential questions that Frankl makes for himself and full of faith, i ~ nd tmenschl ichdeiut spiritual insight answered. 1st it a coincidence that Paddlewheel a ~ olocaust - ~ over lebenddeer r Begrijnder is of logotherapy, the "question of the meaning" (Frankl, 1985) the supreme command of the "cure sensible" (1984) in the psychological treatment does? I think not. Dealing with the trauma - their own as the others - quite the contrary voh throws himself on existential and spiritual questions. Therapists and patients have to face them. I think the best answer to the question of the meaning of the fatal disease depends the future Lebensqualitat from a traumatized. Our therapeutic task must be, therefore, like to make alone with the patient on this very issue and ihh to accompany the search for a satisfactory answer. It is no use sith Grooe words, as in politics go so easily over the lips, to appropriate to speak of such "inner peace", from "Crime and Suhner" or of "innocence" or even "forgiveness" . It pays only what is palpable, as the inner experience of what teigt $, which as "inspiration", "enlightenment", "mind flash" or "inner wisdom" is developed from delme patients themselves out. In modern psychotherapy research, these therapeutic moments as therapy sessions with bdsonders high congruence (Grawe, 2005) described and so as to be aimed at treatment planning: "The more such experiences of congruence, the greater will reduce his [the patient] Inkongruenzniveau far with all the reaching positive consequences arising from the [... KIorrelationen between reductions in Inko ngruenzu ~ nd clinical improvements result "(Grawe, 2005). Hellinger (2003), required as a conclusion of his family always lists the demonstration of respect, even reconciliation and forgiveness - to about parents who abused their child, ignored, have rrhissbraucht or given away. Trauma from a theoretical perspective this approach carries the risk of re-traumatization. All of ALND if the same patient come about solely from his own trial, may related to an attitude of forgiveness: it is more than a recovery, a true and full salvation to a einern groOer step spiritual awareness. As we shall see, this step by EMDR is often required. He Iasst force is not, but I could go back and witness how it happens all by itself. At first but we return back to the finding that the conflict is with the spiritual side of being a permanent place in trauma therapy.

Keywords: Spirituality Trauma Therapy

Accuracy Verified: Yes

280. Lo Iacono, S. (2008, Novembre). Stato di coscienza e paradigma: Un confronto tra 2 descrizioni sistemiche dei processi di cambiamento osservati in una psicoterapia integrate con EMDR [State of consciousness and paradigm: A comparison between 2 descriptions - Systemic change processes observed in psychotherapy integrated with EMDR]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In questa presentazione la psicoterapia integrata con EMDR viene definita sulla base delle due tecniche principali di questa metodologia clinica: 1. le attivitï¿½ di Focalizzazioni Mentali Multiple su immagini, cognizioni e sensazioni corporee e sul qui ed ora della relazione terapeutica piï¿½. 2. la Stimolazione Bilaterale Alternata su un canale sensoriale. Vengono, quindi, confrontate due differenti descrizioni sintetiche, Paradigma e Stato di Coscienza, dei processi di cambiamento osservati nel paziente in una psicoterapia con EMDR. La descrizione sintetica come cambiamento di Paradigma viene effettuata in stretto parallelo con le definizioni originali di Paradigma date dallo stesso Kuhn. La seconda descrizione sintetica degli stessi processi di cambiamento viene effettuata dopo aver definito un modello di Stato di Coscienza come prodotto di tre fattori: stato fisico chimico dell'organismo, stato mentale dell'organismo e condizioni fisiche e sociali dell'ambiente. Nelle conclusioni si evidenzia come la descrizione sintetica di Salto di Paradigma possa render conto solo dei cambiamenti di ambito cognitivo mentre restano escluse da questa descrizione i cambiamenti inerenti le emozioni e le sensazioni corporee che si osservano in una psicoterapia integrata con EMDR. La descrizione sintetica come cambiamento dello Stato di Coscienza potrebbe, invece, essere utile a comprender meglio i modi in cui il cambiamento ï¿½ indotto ed a distinguere il ruolo delle attivitï¿½ di Focalizzazioni Mentali Multiple da quello della Stimolazione Bilaterale Alternata e quindi a riflettere e ad intervenire, sia in contesti clinici che di ricerca, sulle due tecniche prevalenti della psicoterapia con EMDR.

In this presentation, the integrated psychotherapy with EMDR is defined on the basis of two Main technical methodology of this trial: 1. Multiple Mental activities focusing on images, cognitions and bodily sensations and on the here and now of the therapeutic relationship more. 2. Alternating Bilateral Stimulation on a sensory channel. Are then compared two different brief descriptions, model and state of consciousness, processes of change observed in the patient in psychotherapy with EMDR. Description summarized as a change of paradigm is carried out in close parallel with the definitions original paradigm given by Kuhn. The second summary description of these processes of change is made after a model for state of consciousness as the product of three factors: state physical chemist body, mental body and physical and social environment. In conclusions noted as a concise description of paradigm shifts can realize only of changes in the cognitive field and are excluded from this description the Changes related emotions and bodily sensations that are observed in psychotherapy integrated with EMDR. The outline as a change of consciousness, but it could be useful to understand better the ways in which change is induced and to distinguish the role of activities Focus from that of the Multiple Mental Stimulation alternative two and then reflect and act, whether in clinical research, the two prevailing techniques psychotherapy with EMDR.

Keywords: Practice Theory

Accuracy Verified: Yes

281. Kitchur, M. (2005). The strategic developmental model for EMDR. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 8-56). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
The strategic developmental model (SDM) for EMDR originated in Canada in 1996. It is a model that was born out of desperation in the face of the overwhelming treatment needs of severe- and multiple trauma victims, forensic clients, and short-term funded high-risk individuals. It is an efficient and comprehensive method for maximally delivering the benefits of EMDR to high-needs clients before their therapy might be prematurely interrupted by the realities of funding or of a multiproblem life. Such a method, I felt, would need to effectively facilitate rapid engagement and address or circumvent the fear, hostility, anxiety, and resistance that so often undermine or sabotage therapy with high-need and high-risk populations. Clinical experience also suggested the importance of having some systematic manner of assessing and treating the often multiple fundamental underlying causes of pathology and symptomatology in order to assist these high-risk and high-need clients to break the cycles and patterns that likely would repeat in their lives. I hypothesized that any process or strategies that might facilitate healing in these ways could also be anticipated to optimize therapeutic outcome for high-functioning clients and diverse client populations. [Text, p. 8] [Pilots]

Keywords: Patient History Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

282. Kitchur, M. (2000, December). The strategic developmental model for EMDR: A sequential treatment strategy for diverse populations, facilitative of developmental recapitulation, with implications for neurobiological maturation. EMDRIA Newsletter, 5(Special Edition), 4-10.

Language: English

Format: Newsletter

Abstract:
An efficient strategic model is described, one that systematically facilitates a developmental hypothesis about the symptoms or psychopathology of clients and which then efficiently implements EMDR with that developmental perspective or template. Four major features of the model are described including a strategic history-taking format which yields a “Developmental Baseline” from which a macro treatment plan can be formulated; strategic Ericksonian (hypnotic) language to mobilize client resources and bypass resistance; flexible targeting options; and therapeutic attunement. The four features of the Model are designed to facilitate developmental recapitulation and “catch-up,” and therapeutic attunement in particular may also potentiate right-brain repair leading to increased self-regulation. The model has application with challenging adult ad adolescent client populations, such as short-term funded, multiple trauma, high-risk, forensic addicted, and chronically ill, and also with high-functioning self-referred individuals and couples.

Keywords: Strategic Developmental Model

Accuracy Verified: Yes

283. Shapiro, F. (1993, Fall/Winter). Stray thoughts: Cautions. EMDR Network Newsletter, 3(2), 1-4.

Language: English

Format: Newsletter

Abstract:
I have compiled the following list that should be kept in mind in regards to client safety factors. It is being included in this column both as a reminder and as an incentive for clinicians to write in with other items they consider important for screening or client care.

Keywords: Cautions Client Safety Factors

Accuracy Verified: Yes

284. Shapiro, F. (1992, Winter). Stray thoughts: Memory retrieval. EMDR Network Newsletter, 2(3), 1-3.

Language: English

Format: Newsletter

Abstract:
It appears as though one of the heritages ofthe psychodynmc model is the belief in the need for "uncovering memories" as necessary prerequisites for "working themthrough." Consequently, it appears as though some EMDR-trained clinicians have decided to use a combination of EMDR and hypnosis for "memory retrieval." While hypnosis has been a highly successful and standard form of practice for many years, its interaction effects with EMDR have not been systematically investigated. Therefore, I would like to issue some additional words of caution in this regard, since each clinician is bound to approach issues of possible "repression" and "resistance" in ahighly subjective manner. The points are made below in order to highlight factors that might possibly have been forgotten or overlooked by some clinicians in the merging of variant models.

Keywords: Memory Retrieval Repression Resistance

Accuracy Verified: Yes

285. Hann, G. R. (2001, Fall). Students: For your eyes only!. Psychotherapy Bulletin, 36(4) .

Language: English

Format: Newsletter

Abstract:
This article discusses a once-in-a-lifetime meeting of living legends in psychology and psychotherapy held on February 22-24, 2002. Included will be Drs. James F.T. Bugental, Albert Ellis, Alvin R. Mahler and Rachel Hare-Mustin. In addition to the "living legends," students will have the chance to hear from and talk with another esteemed cohort of "cutting edge" therapists and psychologists: Drs. Norman Ables (Geriatric Psychotherapy and Assessment), James Bray (Psychotherapy in Primary Care Settings), Gary DeNelsky (Tobacco Addiction), Hanna Levinson (Time-limited Dynamic Psychotherapy for Personality Disorders), Don David Lusterman (Divorce Mediation), Francine Shapiro (EMDR), and Jeffery Younggren (Risk Management).

Keywords: Albert Ellis Alvin R. Mahler Don Lusterman Francine Shapiro Gary DeNelsky Hanna Levinson James Bray James F.T. Bugental Norman Ables Psychology Psychotherapy Rachel Hare-Mustin

Accuracy Verified: Yes

286. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Sexologie, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 .

Language: English

Format: Journal

Abstract:
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged. Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities. In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches. Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance. The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological. Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.

Keywords: Dyspareunia Dysesthetic Vulvodynia Sexual Pain Sexological Techniques

Accuracy Verified: Yes

287. Dieffenbach, I. (2010, June). TAFO study II (Task force) long-term evaluation of specific therapeutic early interventions following acute strain among children and adolescents with multiple trauma experience. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Existing research into the after effects of traumatic experiences with regard to children and adolescents is scanty. Early intervention is intended to prevent or at least reduce chronic manifestation of acute traumatic strain (Zehnder, Hornung & Lanolt, 2006) since such strain has a negative impact on the child's day-to-day quality of life and overall development, including the development and functioning of the brain (Cohen, Perel, DeBellis, Friedman & Putnam, 2002). Studies of multiple trauma among adults and adolescents have shown that the severity of any impairment upon their psychological health must be seen in relation to the number of traumatic experiences that took place during childhood (Turner RJ, Lloyd DA 1995, Finkelhor D, Omrod RK, Turner HA 2007-1, Finkelhor D, Omrod RK, Turner HA 2007-11, Holt MK. Finkelhor D, Kantor CK 2007). In this process, interpersonal traumatic experiences such as accidents or severe illnesses can adversely affect development as much as traumatic exposure connected to elements of crime. Objectives: Interventions following acute traumatic strain will be examined with regard to the symptoms and the mental health of children and adolescents with multiple trauma experience in the long term. The study will examine whether early intervention has a positive effect on symptoms and whether such effects are of a short or long-term nature. The study should show whether gender specific and/or age specific correlation can be identified in the development of symptoms according to specific types of trauma, and whether risk groups can be identified as a result. The study will examine whether there exists an independent sub-group of children with multiple trauma under the age of 6, whose symptoms correspond to a developmental trauma disorder (van der Kolk 2005). Methods: The study will be divided into a retrospective and prospective part. The retrospective part will contain an examination of the treatment results of 150 children and adolescents with multiple trauma experiences in the Vestische Children's Clinic in Datteln between 2002 and 2009. This will be followed by an evaluation of the treatment results by way of a newly developed telephone catamnesis, based on validated questionnaires (CRIES-13, ILK, Telekat) for measurement points TI-T3 Results: First results of the retrospective examination of children and adolescents with multiple trauma experience will be presented in comparison to the results of the evaluation of specific therapeutic early interventions following acute strain among children and adolescents with mono trauma experience.

Keywords: Acute Stress Adolescents Children Early Intervention Multiple Trauma Incidents Symposium TAFO

Accuracy Verified: Yes

288. Paulsen, S. L., & Golston, J. (2005, September). Taming the storm: 43 secrets to successful stabilization. Presentation at the annual meeting of the EMDR Interational Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Clients with complex and severe trauma histories require stabilization of symptoms, and containment of affect before ever beginning EMDR. A wealth of stabilization tools helps mitigate the impact of dysregulated affect and physiology. The tools reduce risk of retraumatization, client loss of hope, and abandonment of treatment. They also protect practitioners from reenacting unprocessed client material, ethical and clinical error, and therapist overwhelm. The presenters will identify risks and manifestations of client affect dysregulation, bridging theory and practice, and equipping participants with both a rich toolkit of specific tactics, as well as a decision process for matching tool and circumstance.

Keywords: Affect Dysregulation Bridging Theory Stabilization

Accuracy Verified: Yes

289. Lovett, J. (2012, October). Targeting confusion to facilitate trauma resolution and promote attachment. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
This presentation will help clinicians recognize and address the confusing or inexplicable aspects of trauma as they follow standard EMDR protocol. Children who experienced complex trauma, adults who had childhood trauma and individuals who have had medical trauma may be at risk for confusion that interferes with executive functioning, learning and attachment. This workshop will present ways to address confusion through cognitive interweaves, developmentally appropriate explanations, cohesive narrative and specific targeting of physical sensations. The presentation will provide case studies accompanied by slides, videos, practicum and discussion.

Keywords: Attachment Confusion

Accuracy Verified: Yes

290. Klaus, P. (2012, June). The use of EMDR in preverbal trauma [La utilización de EMDR en el trauma preverbal]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Psychological, somatic and medical problems often have their origins in more obscure beginnings. This method helps reveal a deeper and more comprehensive history taking process to enable the clinician to help the client more quickly gain access to preverbal underlying factors, which may block healing. Along with a clearer picture of the condition, integrating a variety of healing mechanisms with EMDR provides an individualized approach to activate the client’s own potential to heal.

A menudo los problemas psicológicos, somáticos y médicos tienen su origen en comienzos más oscuros. Este método ayuda a desvelar un proceso para elaborar una anamnesis más profunda y exhaustiva para permitir al clínico a ayudar al cliente a acceder más rápidamente a los factores preverbales subyacentes que pueden bloquear la curación. Junto con una imagen más clara de la afección, la integración de una variedad de mecanismos de curación con EMDR ofrece un planteamiento individualizado para activar el potencial propio del cliente para curarse.

Keywords: Preverbal Trauma

Accuracy Verified: Yes

291. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15.

Language: English

Format: Newsletter

Abstract:
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect, dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative abreaction.

Keywords: Dissociation

Accuracy Verified: Yes

292. Aduriz, M. E. (2007, Novembro). Trabajando creativamente con EMDR en niños y familia - Como motivar al niño a usar EMDR [Working creatively with EMDR children and family - How to motivate the child to use EMDR]. Presentación en el Primer Congreso Iberoamericano de EMDR, Brasilia, Brasil.

Language: Spanish

Format: Conference

Abstract:
Como aplicar las 8 fases a distintas edades en relación a: • Informar que es EMDR y que sucede en el cerebro • Acceder a la Estimulación Bilateral como una experiencia segura • Maneras de armar y amplificar la función del Lugar Seguro • Introducir el I C E S (Imagen- Creencia – Emoción – Sensación Corporal).y las Escalas del SUD y VOC • Reconocimiento y tolerancia de las emociones• Fase de desensibilización. Su diferencia con los adultos. • Como detectar y superar: ab-reacciones - bloqueos – riesgo de disociación • Modos de instalar y amplificar la creencia positiva. • Como hacer cierre de sesión en las distantes edades y situaciones • Importancia del Seguimiento o reevaluación con la ayuda de los padres.

How to apply the 8 stages at different ages in relation to: • Report is EMDR and what happens in the brain • Access to a Bilateral Stimulation safe experience • Ways to set up and amplify the role of Safe Place • Enter the I C E S (Picture-Belief - Emotion - Feeling Body). And Scales of SUD and VOC • Recognition and tolerance of emotions • Phase desensitization. The difference with adults. • How to identify and overcome: ab-reactions - blocks - the risk of dissociation • Ways to set up and amplify the belief positive. • How to logout in the distant ages and situations • Importance of monitoring or reassessment with the help of parents.

Keywords: Children Family

Accuracy Verified: Yes

293. Cvetek, R. (2012). Traitement EMDR d'expériences troublantes qui ne répondent pas aux critères de l'ESPT [EMDR treatment of disturbing experiences that do not meet the criteria for PTSD]. Journal of EMDR Practice and Research, 6(3), 31E-45E. doi:10.1891/1933-3196.6.3.E31.

Language: French

Format: Journal

Abstract:
L’EMDR (eye movement desensitization and reprocessing : désensibilisation et retraitement par les mouvements oculaires) permettrait de traiter avec succès non seulement l’état de stress post-traumatique (ESPT) mais aussi d’autres troubles psychiatriques et problèmes de santé mentale dans la mesure où ceux-ci possèdent des facteurs contributifs expérientiels. Cet essai clinique randomisé a étudié les effets du traitement d’expériences troublantes (ou traumatismes petit “t”) qui ne correspondent pas aux critères de l’ESPT. Trois heures d’une forme légèrement adaptée de l’EMDR ont été comparées à une écoute active (placebo attentionnel, également de 3 heures) et à une liste d’attente. Les résultats obtenus auprès de 90 participants ont montré que l’EMDR produisait des scores significativement plus faibles sur l’échelle de l’impact des événements (Impact of Events Scale [IES]) que l’écoute active ou la liste d’attente. L’EMDR résultait également en une augmentation significativement moins importante sur la sous-échelle état de l’inventaire d’anxiété état-trait (State-Trait Anxiety Inventory) après le rappel du souvenir. Quelques limites et implications des résultats sont abordées.

EMDR (eye movement desensitization and reprocessing: desensitization and reprocessing movements eye) would successfully treat not only the state of post-traumatic stress (PTSD) but also other psychiatric disorders and mental health problems to the extent they have experiential contributing factors. This randomized clinical trial investigated the effects processing disturbing experiences (or small trauma "t") which do not correspond to criteria for PTSD. Three hours of a slightly adapted form of EMDR were compared to a active listening (attentional placebo, also 3 hours) and a waiting list. The results with 90 participants showed that EMDR produced significantly higher scores low on the scale of impact events (Impact of Events Scale [IES]) as active listening or waiting list. EMDR also resulted in a significantly lower increase in subscale inventory status state-trait anxiety (State-Trait Anxiety Inventory) after the reminder memory. Some limitations and implications of the findings are discussed.

Keywords: Dysfunctionally Stored Stressful Experiences Effectiveness Life Experiences Random Clinical Trial RCT SlovenesS Small “T” Trauma Survivors Treatment Effectiveness Young Adults

Accuracy Verified: Yes

294. Rasolkhani-Kalhorn, T. (2009, November). Translation and adaptation of the EMDR protocol to the Iranian culture: A country study. VDM Verlag Dr. Müller e.K. pp. 108.

Language: Farsi (Iran)

Format: Book

Abstract:
Dr. Rasolkhani-Kalhorn produced a translation of the EMDR protocol in Farsi (Persian). In her dissertation she tells how she found psychologists in Iran to help with the translation, and to use the EMDR protocol in their field work in earthquake devastated regions of Iran. The psychologists also filled out a survey assessing the value of the translation, and use of EMDR in Iran. She considers the possible problems using the treatment in a foreign culture and shows how it could be incorporated through a country-wide effort to train EMDR therapists at the village level throughout Iran. The dissertation also includes a publication from the journal Traumatology outlining a theory of the neural basis of EMDR. This theory has since been proven correct through her research with two colleagues using EEG recordings of patients undergoing EMDR therapy.

Keywords: Empirical Study Eye Movements Quantitative Study Sociocultural Factors

Accuracy Verified: Yes

295. Rasolkhani-Kalhorn, T. (2005). Translation and adaption of the EMDR protcol to the Iranian culture. Colorado School of Professional Psychology, Colorado Springs, CO. AAT 3295606.

Language: English

Format: Dissertation/Thesis

Abstract:
Francine Shapiro's eye movement desensitization and reprocessing (EMDR) treatment and training manual (1995, 2001) was translated into Persian and reviewed for cross-cultural adaptation. The EMDR Persian translated edition was clinically tested in the earthquake stricken regions of Bam and Zarand in southern Iran. Therapists using this manual provided feedback in the form of an email questionnaire. According to this feedback, the manual was useful for training therapists to administer EMDR therapy in Iran. A more recent proposal for the neurobiological basis of EMDR therapy, which I have co-authored, is presented in this dissertation project. It addresses EMDR as a physical healing process that will have further acceptance by Iranians and the Iranian medical community. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(12-B), 2008, pp. 8409.

Keywords: Empirical Study Eye Movements Quantitative Study Sociocultural Factors

Accuracy Verified: Yes

296. Siracusano, A., & Niolu, C. (2006, Settembre-Dicembre). Trattamento farmacologico del - Disturbo post-traumatico da stress [Drug treatment of - post-traumatic stress disorder]. NÓOς, 12(3), 243-276.

Language: Italian

Format: Journal

Abstract:
Complesso caratteristiche sintomatologiche del disturbo. Qui troviamo, mescolati tra loro, i sintomi di ansia, panico, depressione, dissociazione, evasione, deterioramento della memoria. La Società per traumatica Stress Studies (ISTSS) le linee guida suggeriscono alcuni passi: da un debriefing psicologico top e la terapia cognitivo-comportamentale (CBT), seguita dal trattamento farmacologico e di alcuni altri approcci: tecniche psico-sociale e riabilitativo, il movimento degli occhi desensibilizzazione e rielaborazione (EMDR), ipnosi, psicoterapia di coppia e di gruppo, psychothery psicoanalitico. Nel ultimi anni, molti dati dalla ricerca fornire consulenza per l'avvio forte CBT e farmacologiche trattamento subito dopo il trauma (entro 72 ore) solo per gestire dissociazione peritraumatico, ad alto rischio fattore per lo sviluppo di PTSD. Inoltre, quando si avvicina al trattamento del PTSD, è importante prendere in considerazione altre comorbidità con asse I e II e con disturbi abuso di sostanze.

Complex symptomatological features of the disorder. Here we find, mixed up together, symptoms of anxiety, panic, depression, dissociation, avoidance, memory impairment. The Society for Traumatic Stress Studies (ISTSS) guidelines suggest some steps: on the top psychological debriefing and cognitive-behavioral therapy (CBT), followed by pharmacological treatment and some other approaches: psychosocial and rehabilitative tecniques, eye movement desensitization and reprocessing (EMDR), hypnosis, couple and group psychotherapies, psychoanalitic psychothery. In the last years, many data from the research give strong advice for starting CBT and pharmacological treatment soon after trauma (within 72 hours) just to manage peritraumatic dissociation, high risk factor for the development of PTSD. Moreover, when approaching to the treatment of PTSD, it’s important to consider comorbidity with other axis I and II disorders and with substance abuse.

Keywords: Acute Stress Disorder ASD Cognitive-Behavioral Therapy Comorbidity Hypnosis Peritraumatic Dissociation Psychological Debriefing Trauma

Accuracy Verified: Yes

297. Mevissen, L., & Lievegoed, R. (2010, June). Trauma and institutionalization - EMDR: A tool to cure, relieve or prevent. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Because of their vulnerability children as well as adults with developmental disorders are supposed to be at greater risk to suffer from the disruptive effects of trauma or cumulating negative life events. Resulting psychopathology or behavioral problems might bring them into contact with institutional psychiatric or educational care. On the basis of four video-illustrated clinical vignettes various aspects according the use of EMDR are discussed. Institutionalization in itself can be traumatizing as shown by EMDR treatment of an adult with autism and traumatic memories of being outplaced and long-term isolated. Outplacement might be a consequence of untreated trauma. EMDR can relieve suffering as shown by the treatment of a 12-year old boy with behavioral problems who's family ties were broken. Outplacement can be traumatic and as a consequence block personal growth as illustrated by the case of a 48-year old man with mild to moderate intellectual disability and autism, who had been institutionalized at the age of 8. Desperate parents regain educational skills by using a combination of EMDR and intensive psychiatric family support as illustrated by the case of an 8 years old girl with supposed multi-complex developmental disorder (McDD). Adaptations of the standard protocol might be necessary when using EMDR in patients with psychiatric disorders as shown in two of the cases that will be presented. As posttraumatic stress symptoms can be manifested differently in this population there is a risk of diagnostic errors. Learning objectives: Participants take note of possibilities to make EMDR beneficial to the institutionalized population; are able to identify adaptations to the EMDR protocol required by particular needs of clients with developmental disorders; are able to use EMDR to help parents to overcome the trauma of having a child with developmental disorders; become aware of nonspecific symptoms of trauma in this special population.

Keywords: Institutionalization

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: ID Intellectual Difficulties Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

299. Bumke, P. (2011, June). Trauma centered psychotherapy and EMDR in a humanitarian mass disaster: Evaluating the ACEH experience. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
In a project carried out by Trauma Aid-HAP Germany between 2007 and 2009 and sponsored by Terre des Hommes and the German Official Development Assistance more than 3200 adult and child clients were treated for mental disorders related to traumatic experiences after the Tsunami in 2004 and the civil war in Aceh/ Indonesia. An accompanying monitoring and research component provided detailed diagnostic data before and after therapy. This guided both the therapeutic process, and the training process in psychotraumatology. Also with this component the long term effectiveness of the interventions was assessed. In turn these findings were related to various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy outcome. Particular attention was paid to a variety of cultural implications entailed in using therapies such as EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research and future intervention strategies will be addressed.

Keywords: ACEH Disasters Keynote Plenary

Accuracy Verified: Yes

300. Schleyer, M. A. (2000, July). The trauma client's experience of eye movement desensitization and reprocessing: A heuristic analysis. Union Institute and University, Cincinnati, OH. AAT 9958854 .

Language: English

Format: Dissertation/Thesis

Abstract:
Traumatic stress and its impact on the individual, family and society have been described in the literature for over one hundred years. Controversy exists regarding etiology, determinants and therapeutic intervention for traumatic stress. There is limited research regarding the comparative value of treatment of trauma. In 1989 Eye Movement Desensitization and Reprocessing (EMDR) emerged as a therapeutic intervention for traumatic stress. Studies have shown the benefits of EMDR to be equal to or superior to those of other therapies in the treatment of PTSD. To date, the value of EMDR has been measured primarily by the decrease or amelioration of symptoms. Limited research has focused on the client's experience of EMDR and life changes after EMDR. The specific aim of this study was to: (a) generate a description of the personal experience of the EMDR process, (b) identify whether life changes had occurred after EMDR, and (c) if any life changes had occurred describe the changes and the nature of these changes.Data were collected via unstructured interviews with seven individuals who had experienced some form of trauma, and who had experienced EMDR as a therapeutic intervention for trauma. Van Manen's and Heidegger's interpretive processes were used to guide the method of data analysis. The shared meanings identified were: (a) Set-up for Harm, (b) Being Stuck, (c) Willing to Risk in Spite of..., (d) Release, (e) Movement and (f) Ongoing Movement. The participants all described childhood events of being put in harm's way. As adults participants felt frustrated with their inability to change personal and relational alienation which resulted from the childhood events. However, in spite of incredulity and fears, risking the experience of EMDR was primarily dependent on trust in the therapist. All experienced emotional, cognitive and physical release in response to the EMDR experience which allowed participants to move forward with their lives. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(1-B), Jul 2000, pp. 549.

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

Accuracy Verified: Yes

301. Greenwald, R. (2000). The trauma orientation and child therapy. In K. N. Dwivedi (Ed.), Post-traumatic stress disorder in children and adolescents (pp. 7-24). London: Whurr Publishers.

Language: English

Format: Book Section

Abstract:
Trauma is proposed as a key to understanding the development and persistence of conduct disorder in conjunction with other contributing factors. Trauma history is virtually universal in this population, and trauma effects can help to account for many features of the disorder including lack of empathy, impulsivity, anger, acting out, and resistance to treatment. The current standard of care fails to fully address trauma, which may partially explain the low success rate. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training, and trauma resolution and integrates eye movement desensitization and reprocessing (EMDR). Two illustrative case examples are presented and discussed. [Author Abstract]

Keywords: Adolescents Assessment Children Posttraumatic Stress Disorder PTSD Stressors Survivors

Accuracy Verified: Yes

302. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
The mainstream treatments for Post Traumatic Stress Disorder (PTSD) are Cognitive Behavioral and Prolonged Exposure Therapies (CBT & PE). These closely studied evidence based treatments also show high relapse, dropout, and failure rates of up to half of those treated (Bryant, R., et al., 2008, p. 555). While not as well researched and harder to measure in terms of the gold standard in Evidence Based Practice of Psychology (EBPP), studies of “alternative” treatments and their methods, yield different and interesting evidence. Using the standards espoused by EBPP alongside alternative movements, this study examined modalities used in veterans’ treatment. A guiding question was “What can the field of trauma studies learn from a systematic and comparative review of the research and treatment of combat veterans suffering the sequelae of trauma?” Included in this integrative literature review—which generates a critique and theoretical synthesis of a body of literature (Torraco, R., 2005, p. 356)—were peer-reviewed studies from 2006-2010. The participating studies consisted largely of Veterans Administration (VA)-funded, CBT/PE treatments, with an average of over 32 patients per participating study, of approximately 13 weeks duration, and where 20% of patients avoided treatment, 25% dropped out, and 30% failed treatment altogether. Concept matrix analysis of data included distillation of essential statements further reflecting poor tolerability, dropout, failure, and an inability to maintain symptom reductions (75% of studies). Authors tended to overstate positive effects while omitting adequate examination of study design and construct validity, leading to dearth bias, defined as scarcity of evidence hiding behind citations. From this integrative review of the literature a reconceptualization and agenda for future research emerged. The reconceptualization stems from the usefulness of hybridized efficacy and effectiveness research, self-reflection and bracketing, and more accounting for dearth bias. The future agenda recommends practitioners use concept matrices as iv research and practice tools, conduct more common factors research, and develop more clinical practice-based evidence. Especially as related to knowledge evaluation, increased accountability, and system-wide change, these recommendations can assist the spread of more diverse and useful EBPP, to help relieve some of the pain of the traumatized combat veteran.

Keywords: Combat Veterans Literature Review

Accuracy Verified: Yes

303. Scharloo, A., & Coppens, L. (2010, Apirl). Trauma treatment after sexual abuse for people with developmental disabilities. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociaion Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
Trauma treatment after sexual abuse for people with developmental disabilities People with disabilities have an increased vulnerability to experience violence and abuse. Also they have more negative experiences in general and are more often treated in an unpleasant manner. They are therefore at greater risk to develop trauma. Beside that they have fewer capacities to cope with traumatic experiences in a healthy way. For a long time it was thought that people with developmental disabilities couldn’t profit from psychotherapy. Still people with developmental disabilities are being told that they can’t get treatment. In this workshop we will show that psychotherapy is very well possible for people with developmental disabilities and we will show how adjustments can be made to the regular approach to meet the special needs of these people. We will explain that to meet these needs a broader scope is necessary which include therapeutic interventions towards key persons and organizations in their lives. We will introduce two women with mental disabilities who both have been sexually abused. We will tell about the therapy in which we used this broader approach (involving parents, group counselor, church) combined with EMDR, solution focused therapy methods, cognitive behavioral techniques and creative techniques.
Learning Outcomes Participants will know that trauma treatment is possible for people with developmental disabilities. Participants will know adjustments can be made to the regular approach to meet the special needs of people with developmental disabilities. Participants will know how to involve key persons from the network of the developmentally disabled client in order to make trauma treatment work well.

Keywords: Developmental Disabilities Sexual Abuse

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Heart Attack Medical Issues Symposium

Accuracy Verified: Yes

305. van der Vleugel, B. M., van den Berg, D. P. G., & Staring, A. B. P. (2012, March-April). Trauma, psicosi, disturbo da stress post-traumatico e l’utilizzo dell’EMDR [Trauma, psychosis, post-traumatic stress disorder and the application of EMDR]. Rivista di Psichiatria, 47(Supplement 1), 33S-38S. doi:10.1708/1071.11737.

Language: Italian

Format: Journal

Abstract:
In questo articolo descriveremo tre interazioni tra trauma, disturbo da stress post-traumatico (PTSD) e psicosi: 1. molti pazienti con disturbi psicotici hanno subito esperienze di vita traumatiche che giocano un ruolo fondamentale nell’insorgenza e nel dar forma al contenuto della loro psicosi; 2. sia l’esperienza psicotica sia il suo trattamento psichiatrico possono causare la sintomatologia da stress post-traumatico; 3. nel caso in cui la psicosi ricorra assieme ad un PTSD, vi è un rischio sostanziale che i due quadri clinici si rinforzino reciprocamente in maniera negativa, oltre a un potenziale protrarsi della traumatizzazione. Sebbene queste interazioni siano clinicamente molto rilevanti, raramente vengono tenute in considerazione durante la pratica clinica di routine. Le tre interazioni verranno illustrate attraverso un caso singolo e una descrizione di un trattamento con EMDR. In conclusione raccomandiamo di prestare attenzione, durante la pratica clinica di routine, alla traumatizzazione e a una co-diagnosi di un PTSD nei casi che presentano un disturbo piscotico, oltre che offrire un trattamento a questi pazienti.

In this article we describe three interactions between trauma, post-traumatic stress disorder (PTSD) and psychosis: 1. many patients with psychotic disorders suffered from traumatic life experiences that play an important role in the onset and content of their psychosis; 2. the experience of psychosis as well as its psychiatric treatment may result in post-traumatic stress symptoms; 3. if psychosis and PTSD occur simultaneously, there is a substantial risk for reciprocal negative reinforcement of both symptom groups as well as for potentially ongoing traumatization. Although these interactions are highly relevant from a clinical perspective, they usually remain unattended in routine care. The three interactions will be illustrated by a case history as well as an impression of the psychological treatment including EMDR. We recommend to pay attention to traumatization and comorbid PTSD in routine care for people with psychosis, as well as to offer them treatment.

Keywords: Posttraumatic Stress Disorder PTSD Psychosis Schizophrenia Trauma

Accuracy Verified: Yes

306. van den Berg, D. P. G., van der Vleugel, B., & Staring, A. (2010, December). Trauma, psychose, PTSS en de toepassing van EMDR [Trauma, psychosis, PTSD and the use of EMDR]. Directieve Therapie, 30(4), 303-328. doi:10.1007/s12433-010-0242-9.

Language: Dutch

Format: Journal

Abstract:
In dit artikel beschrijven wij drie interacties tussen trauma, psychose en PTSS: 1. Veel patiënten met psychosen hebben in hun leven traumatiserende ervaringen meegemaakt. Deze traumata spelen vaak een belangrijke rol in hun psychosen en in het ontstaan hiervan. 2. Het meemaken van een psychose en de psychiatrische behandeling zijn voor veel patiënten levensechte en traumatische ervaringen, die kunnen leiden tot posttraumatische stressklachten. 3. Vaak komen psychosen en een posttraumatische stressstoornis gezamenlijk voor, waarbij er sprake is van negatieve wederzijdse beïnvloeding en voortgaande traumatisering. Deze drie interacties hebben een hoge klinische relevantie. Er is in de praktijk van de zorg voor patiënten met psychosen echter weinig aandacht voor traumatisering en comorbide PTSS. Eye Movement Desensitization and Reprocessing (EMDR) is een behandelmethode die effectief is bij de behandeling van traumata en PTSS. Wij beschrijven per genoemde interactie een behandeling waarbij EMDR is ingezet. Daarna bespreken wij een aantal factoren die een EMDRbehandeling bij patiënten met psychosen kunnen bemoeilijken, zoals doorlopende traumatisering door psychotische klachten, cognitieve beperkingen, moeite met oogbewegingen, belemmeringen door antipsychotische medicatie en verminderde affectieve expressie. Wij sluiten het artikel af met het advies om in de zorg voor mensen met psychosen aandacht te hebben voor trauma en comorbide PTSS, en patiënten hier ook voor te behandelen.

In this article we describe three interactions between trauma, psychosis and PTSD: 1. Many patients suffering from psychosis have been traumatized. This trauma often plays an important role in their psychosis and the onset thereof. 2. Having a psychosis and being treated in a psychiatric hospital are traumatic experiences for a lot of patients, and can lead to posttraumatic stress symptoms; and 3. Often psychoses and post-traumatic stress disorder occur jointly, reciprocally influencing one another and leading to ongoing traumatization. These interactions have a great clinical relevance. In the practice of care for patients with psychosis however there is little attention for traumatization and co-morbid PTSD. EMDR is a treatment approach that is effective in treating traumas and PTSD. Per interaction mentioned above we describe a treatment in which EMDR was used. After this we discuss certain factors that may complicate an EMDR treatment in patients with psychosis, such as ongoing traumatization by psychotic symptoms, cognitive impairments, difficulty with eye movements, barriers due to antipsychotic medication, and diminished emotional expression. We end the article with the advise to be aware of the high prevalence of trauma and co-morbid PTSD in the care for patients with psychosis and to treat patients for these complaints.

Keywords: Posttraumatic Stress Disorder Psychosis PTSD Trauma

Accuracy Verified: Yes

307. Gelbach, R. A. (2008). Trauma, research, and EMDR: A disaster responder's wish list. Journal of EMDR Practice and Research, 2(2), 146-155. doi:10.1891/1933-3196.2.2.146.

Language: English

Format: Journal

Abstract:
Disasters, both natural and "man-made", affect a large portion of the Earth's population and can be expected to increase in intensity over the coming decades. The impact of disasters on mental health of affected populations is substantial and likely to be insufficiently addressed in the overall context of disaster response. While successful mental health intervention has been demonstrated in a variety of cases, including through the use of EMDR treatment, this problem needs more attention. Effective mental health response will be greatly supported by increased research on questions related to the incidence, form, and prognosis of disaster-generated traumatic stress, as these are affected by type of disaster, culture of affected population, sociological conditions, and neuropsychological factors, and the interactions among these. A brief summary of desirable research is presented that could help responders meet these challenges. [Author Abstract]

Keywords: Disaster Disaster-Response Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

308. Tinker, R., Wilson, S., & Becker, L. A. (1999, June). Trauma-based diagnosis: A framework to predict treatment parameters for EMDR with children and adults. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) to understand and define the term "trauma-based diagonsis;" 2) to detail the differences between trauma-based diagnoses and DSM-IV diagnoses; 3) to detail trauma characteristics that affect treatment length in EMDR; 4) to indicate which trauma characteristics exert a major effect on treatment length in EMDR; 5) to indicate which trauma characteristics exert a minor effect on EMDR treatment length; and 6) to understand risk factors in PTSD and how these factors relate to treatment paramaters in EMDR.

Keywords: Adults Children Trauma-Based Diagonsis Risk Factors in PTSD Treatment Length Treatment Parameters

Accuracy Verified: Yes

309. Greenwald, R. (2000, April). A trauma-focused individual therapy approach for adolescents with conduct disorder. International Journal of Offender Therapy and Comparative Criminology, 44(2), 146-163. doi:10.1177/0306624X00442002 .

Language: English

Format: Journal

Keywords: Adolescents Cognitive Therapy Disruptive Behavior Disorders Individual Psychotherapy Males Psychiatric Inpatients Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

310. Greenwald, R., Stain, M., Allen, R., Azubuike, A., & Borgen, R. (2004, November). Trauma-informed treatment for incarcerated youth: A controlled study. Presentation at the 20th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Keywords: Incareration Trauma Youth

Accuracy Verified: Yes

311. Diseth, T. H., & Christie, H. J. (2005, September). Trauma-related dissociative (conversion) disorders in children and adolescents – An overview of assessment tools and treatment principles. Nordic Journal of Psychiatry, 59(4), 278-292. doi:10.1080/08039480500213683.

Language: English

Format: Journal

Abstract:
A high proportion of patients in child and adolescent psychiatry with significant dissociative symptomatology after early childhood traumatization may go undiagnosed, be wrongly diagnosed and/or inappropriately treated. The diagnostics and treatment of dissociative disorders have been limited by lack of comprehensive, reliable and valid instruments and the ongoing polarization and fierce controversy regarding treatment. However, recent neurobiological findings of neurochemical, functional and structural cerebral consequences of early stressful childhood experiences point out a need for active, early and effective identification and treatment interventions. We present an update on assessment tools available in the Nordic countries, and an overview of different appropriate therapeutic intervention models for children and adolescents. A systematic overview of studies of dissociation in children and adolescent published over the last decade disclosed a total of 1019 references. The 465 papers describing aspects of assessment tools and/or treatment were studied in detail. Reliable and valid screening questionnaires and diagnostic interviews for children and adolescents now allow for effective early identification of dissociative disorders. A combination of individual psychotherapy, pharmacotherapy and family therapy are often required to handle dissociative disorders in children and adolescents. Cognitive-behavioural therapy, hypnotherapy, Eye-Movement Desensitization-Reprocessing (EMDR), psychodynamic therapy and an integrated approach are the main described psychotherapeutic approaches, but treatment of dissociation in children and adolescent does not require allegiance to any one particular treatment model. However, achievement of physical safety by providing a safe environment is a primary goal that supersedes any other therapeutic work. Assessments tools are now available, and appropriate therapeutic intervention models may hopefully contribute to reduce the risk of wrong diagnoses and inappropriate treatment of dissociative symptomatology in children and adolescents. However, controlled clinical trials of the various interventions and longitudinal outcome studies are needed.

Keywords: Adolescents Children Conversion Disorders Empirical Study Quantitative Study

Accuracy Verified: Yes

312. Tufnell, G. (2008, June). Traumatised parents of traumatised children: A brief EMDR intervention. Presentation at the annual mmeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Where children have suffered traumatic experience, parents may also have been affected by the same event and may themselves suffer significant post traumatic symptoms. Parents affected in this way are often unable to attend as well as they would like to the needs of their children, to respond appropriately, or to provide optimal support for their children. It is well known that parental mental ill-health – especially maternal mental health problems - is a risk factor for mental health problems and the development and perpetuation of PTSDs in children. Our clinic has seen many children with parents who have been affected in this way. This paper describes a brief EMDR intervention developed by our team for providing help to these traumatized parents. It is shows how a brief intervention of this kind can be useful in bringing rapid relief to parents suffering from PTSs and how the resulting improvement in attunement and responsiveness to the child is associated with improvements in the child’s functioning.

Keywords: Children

Accuracy Verified: Yes

313. Figley, C. R. (1999). Traumatology of grieving: Conceptual, theoretical, and treatment foundations. Philadelphia: Brunner/Mazel.

Language: English

Format: Book

Abstract:
Conceptualizing death and trauma: a preliminary endeavor; Empirical perspectives on contextualizing death and trauma; Factors associated with effective loss accommodation; Intersections of grief and trauma: family members' reactions to homicide; Duty-related deaths and police spouse survivors: group support effects; Emotional dissociation, self-deception, and adaptation to loss; Bereavement after homicide: its assessment and treatment; The treatment of PTSD through grief work and forgiveness; Relieving the naumatic aspects of death with naumatic incident resolution and EMDR; Death-related treatment applications for the elderly; Safety reconnaissance for grieving trauma survivors. [Pilots]

Keywords: Bereavement Effects Survivors Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

314. Manfield, D. C. (1998). Treating a highly defended client: reworking traditional approaches. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 217-231). New York: Norton.

Language: English

Format: Book Section

Abstract:
Several key points emerge for consideration when treating the highly defended client with EMDR, in particular clients whose primary defenses are distancing ones. The first is to carefully gauge the client's level of functioning, the depth of therapeutic alliance, and the client's perceived sense of safety. These factors determine the appropriateness of EMDR, and presuming that, the style and directiveness of the clinician.Secondly, the use of EMDR with highly defended clients may require a directiveness that exceeds the basic protocol designed by Shapiro. Once the therapeutic alliance has been established, the clinician must balance, while being sensitive to, the client's need for control over the therapeutic process, hopefully avoiding unproductive periods of defensive distancing. This balance and sensitivity, inherent in all effective treatments and psychotherapies, is particularly important when the modality is as potent and emotionally evocative as EMDR can be. The case of William illustrates the risks in a directive approach, such as initiating EMDR too early, promoting a withdrawing or angry transference, or choosing the wrong cognitions. Knowing your client well and securing an effective working alliance is crucial to success. [Text, pp. 230-231]

Keywords: Adults Americans Anxiety Disorders Case Report Defense Mechanisms Life Experiences Male Psychotherapeutic Processes Self Concept Survivors Treatment Effectiveness

Accuracy Verified: Yes

315. Russell, M. C. (2008, April). Treating traumatic amputation-related phantom limb pain: A case study utilizing eye movement desensitization and reprocessing within the Armed Services. Clinical Case Studies, 7(2), 136-153. doi:10.1177/1534650107306292.

Language: English

Format: Journal

Abstract:
Since September 2006, more than 725 service members from the global war on terrorism have survived combat-related traumatic amputations that often result in phantom limb pain (PLP) syndrome. Combat amputees are also at high risk of developing chronic mental health conditions such as posttraumatic stress disorder (PTSD) and clinical depression as they deal with wartime experiences, rehabilitation, and postrehabilitation adjustments. One active-duty patient was referred to a military outpatient clinic for treatment of PLP and PTSD following a traumatic leg amputation from a noncombat-related motor vehicle accident. Four sessions of eye movement desensitization and reprocessing (EMDR) led to elimination of PLP and a significant reduction in PTSD, depression, and phantom limb tingling sensations. A detailed account of this treatment, as well as a review of the benefits of EMDR research and treatment in the military, is provided. The results are promising but in need of further research.

Keywords: Clinical Case Study Military Pain Phantom Limb Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

316. Wright, S. A., & Russell, M. C. (2013, April). Treating violent impulses: A case study utilizing eye movement desensitization and reprocessing with a military client. Clinical Case Studies, 12(2), 128-144, doi:10.1177/1534650112469461.

Language: English

Format: Journal

Abstract:
The growing attention to acts of interpersonal violence and misconduct among military members has accompanied a host of research investigating the nature and causes associated with these behaviors. As such, a robust body of literature exists lending insight into risk factors and clinical presentations associated with anger and aggression; however, such factors are multidimensional and complex, particularly for those suffering with war stress injuries. Furthermore, mental health stigma and treatment compliance with exposure and cognitive-based models, particularly in clients with aggressive presentations, can impact successful outcomes. One active-duty marine was referred to an outpatient mental health clinic for the treatment of posttraumatic stress disorder (PTSD). Four sessions of eye movement desensitization and reprocessing (EMDR) were used to significantly reduce obsessive violent impulses, traumatic grief, and depression. The benefit of EMDR therapy as a treatment for violent impulses is explored. The results are promising, but more research is needed.

Keywords: Military Misconduct Violence

Accuracy Verified: Yes

317. Tormey, M. E. (2004, June). Treatment and resolution of the traumatic component of erectile dysfunction with eye movement desensitization and reprocessing (EMDR). In EMDR, biology, and the body (J. Spector, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
The role of trauma in the etiology of impotence or erectile dysfunction (ED) appears to be underestimated in the current sex therapy literature. With newer pharmacological treatments available, less attention is being given to exploring other modalities of intervention for this condition. In a thorough assessment of a client presenting with a complaints of impotence, it becomes evident that once a medical clearance is given which rules out organic factors, the very existence of the condition becomes an issue fraught with complexities and drama. The original onset of the ED may be perceived as traumatic in itself or evoke successive traumas over time. Or there may be residual trauma from the client’s early history, which impact on the development of the ED is not immediately accessible or evident to the client and/or therapist, thereby undermining the traditional sex therapy interventions for impotence. EMDR is an effective means of identifying and resolving trauma of varying origins. In light of this, it was offered as a treatment intervention to two clients, both of which were in their fifth decade of life and had opted out of pharmacological treatment of ED and who had not resolve the issue with other techniques. This 30 minute symposium presentation will include two clinical case presentations with the goals of elucidating the : 1) role of the traumatic component in erectile dysfunction, 2) use of the EMDR standard protocol as an element of the treatment and rapid resolution of ED, 3) unique suitability of EMDR in sex therapy for client without partners.

Keywords: ED Erectile Dysfunction Sex Therapy Symposium

Accuracy Verified: Yes

318. Dohrmann, M. (2009). Treatment effects of EMDR on risk to re-offend by sexual offenders traumatized as children. Colorado School of Professional Psychology, The University of the Rockies, Colorado Springs. AAT 3344547.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the effects of EMDR (Shapiro, 2002) and DeTUR (Popky, 2005) on three sexual offenders' risk to re-offend. Participants were given pretests and treatment outcomes were measured post treatment and 90 days thereafter using the IES-R (Weiss & Marmar, 1997), the TSI (Briere, 1995), the SOI (Kafka, 1997), the ACUTE 2007 (Hanson, Harris, Scott, & Helmus, 2007), and the Monarch 21 PPG Assessment (Byrne, 2006). The Reliable Change Index (RCI; Jacobson, Follette, & Revenstorf, 1984; as cited by Wise, 2004) was used to measure reliable differences. The results suggest there was no significant change in the level of trauma symptoms; however there was significant change in deviant arousal which lowered the risk level of two offenders. One offender experienced an increase in his risk level due to an increase in trauma symptoms. [Author abstract]

Keywords: Good Lives Model Recidivism Sex Offenders Sexual Deviance Trauma Treatment

Accuracy Verified: Yes

319. de Jongh, A. (2012). Treatment of a woman with emetophobia: A trauma focused approach. Mental Illness, 4(1), 10-14. doi:10.4081/mi.2012.e3.

Language: English

Format: Journal

Abstract:
A disproportionate fear of vomiting, or emetophobia, is a chronic and disabling condition which is characterized by a tendency to avoid a wide array of situations or activities that might increase the risk of vomiting. Unlike many other subtypes of specific phobia, emetophobia is fairly difficult to treat. In fact, there are only a few published cases in the literature. This paper presents a case of a 46-year old woman with emetophobia in which a trauma-focused treatment approach was applied; that is, an approach particularly aimed at processing disturbing memories of a series of events which were considered to be causal in the etiology of her condition. Four therapy sessions of Eye Movement Desensitization and Reprocessing (EMDR) produced a lasting decrease in symptomatology. A 3-year follow up showed no indication of relapse.

Keywords: Emetophobia Specific Phobia Vomiting Phobia

Accuracy Verified: Yes

320. Whisman, M. (2000, May 6). Treatment of obsessive compulsive disorder (OCD) with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This presentation will focus on key factors believed to contribute to the development and maintenance of OCD: a damaged, diffuse sense of self; a perceived inadequacy to function, to meet the vicissitudes of life; and an elaborate defence system designed to offer the illusion of safety and control (avoidance of affect and action). Given the prominence of cognitive distortions and avoidance of affect in OCD, and the impact of EMDR on such phenomena as exhibited in the literature about EMDR treatment with PTSD, Whisman believes EMDR has the potential to be quite beneficial in the treatment of OCD. EMDR seems to allow the OCD client to hold a dual focus: the illusion of the disorder and the reality of the self; and to tolerate the affect accompanying this processing. Bridging past experience and present behavior, EMDR appears to allow new connections to be made that offer the client a distance form the disorder and a strengthening of the self. A model for educating the client about OCD will be presented a model whcih develops a "language" between therapist and client and bridges self and disorder; changes in the standard EMDR protocol will be presented and demonstrated via videotape; and EMDR components such as targeting, cognitive interweaves, and resource installation will be addressed. Clinical observation and client self-report are pointing to EMDR as an effective treatment component for OCD.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

321. Mevissen, L. (2011, June). Treatment of people with developmental disabilities. How far can we go?. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
There is evidence to suggest that people with developmental disabilities are at greater risk to suffer from the disruptive effects of traumatic events. However, parents, teachers, caregivers and even clinicians who offer specialized outpatient treatments often lack awareness of this. In general, emotional and behavioural problems are attributed to other diagnosed disorders such as genetic syndromes, cognitive impairments, ADHD or autism. Taking history with regard to behavioural changes following overwhelming events appears not to be a common practice at all. Moreover, the expression of trauma symptoms as well as the interpretation of distressing experiences often differs in comparison with the general population. Furthermore, because of their limited communication skills, common treatment methods are not appropriate. As a result, this patient category seldom receives treatment for exposure to disturbing events, including apparent symptoms of PTSD. Preliminary research findings illustrate that EMDR, because of its strongly non-verbal character, seems to be an applicable, effective and efficient treatment method for this patient category. But how far can we go? During this workshop these findings will be presented, illustrated by many video clips of treatments of patients carried out in a centre for child and adolescent psychiatry and an outpatient treatment of adults with mental health problems. Special attention is given to creative adaptations of the EMDR protocol and the cooperation with parents, who are often traumatized themselves and have to be treated as well, either to make them able to function as a co-therapist or to strengthen their skills in educating a child with special needs. Learning objectives: After this workshop attendees will be aware of the specific expression of PTSD symptoms in people with various serious developmental disabilities and the various possibilities of EMDR treatment in this population.

Keywords: Developmental Disabilities Treatment

Accuracy Verified: Yes

322. de Jongh, A. (2001, May). Treatment of phobias with EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
In contrast with the learning model which proposes a strategy of gradual exposure to the 44 feared stimuli, the primary goal in EMDR is the processing of traumatic memories which are thought to be impaired. One advantage of EMDR above an exposure approach involves client comfort. Prolonged real-life exposure to anxiety provoking stimuli or thought is not always easy to pursue. Consequently, clients are not always ready or motivated enough to endure such a procedure; a procedure which also holds a potential risk of drop out before treatment can often not be successfully concluded. Another possible advantage of EMDR relates to the costs of treatment. For example, it may be more useful to apply EMDR than exposure in vivo treat flying phobia for which in many cases, as part of their in vivo treatment, clients have to take costly flights. The most important advantage seems to be the possibility of utilising EMDR for situations where the critical triggers cannot be reproduced or simulated in real life (e.g., certain sexual, illness or death situations) or, more generally, for which phobic stimuli are hard to obtain. This workshop focuses on the clinical application of EMDR with specific phobias. Participants will learn when and how to apply EMDR with phobias and integrate this into a general (cognitive-behavioural) treatment approach. This approach is illustrated by several video taped treatments.

Keywords: Phobias

Accuracy Verified: Yes

323. Swatzyna, R. (1997). The treatment of post-traumatic stress disorder utilizing biofeedback relaxation training with eye movement desensitization and reprocessing therapy. University of Texas, Arlington, TX. AAT 1387189.

Language: English

Format: Dissertation/Thesis

Abstract:
This study evaluates a protocol incorporating Biofeedback Assisted Relaxation (BAR) training with Eye Movement Desensitization and Reprocessing (EMDR) therapy for the treatment of PTSD. Based on Everly & Benson's strategic metatherapeutic approach for PTSD, a tactical therapeutic protocol was developed with specific attention to both neurologic and psychologic arousal factors. A single-subject design (A-B-C) was utilized for the three PTSD experimental subjects. The A phase consisted of three baseline psychophysiological assessments; the B phase consisted of four BAR training sessions; and, the C phase consisted of four sessions of EMDR therapy. The study results indicate resolution of PTSD attained by all three subjects, and psychologic and neurologic desensitization accomplished. [Author Abstract]

Keywords: BFB Biofeedback Training Posttraumatic Stress Diosrder PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

324. Hodes, M., & Diaz-Caneja, A. (2007). Treatment options for young people and refugees with post-traumatic stress disorder II. In A. A. Hosin (Ed.), Responses to traumatized children, (pp. 40-65). Basingstoke, England: Palgrave Macmillan.

Language: English

Format: Book Section

Abstract:
This chapter focuses on the effective treatments for PTSD which are used with young people, particularly young refugees. Comprehensive accounts of treatments and treatment efficacy for PTSD in young people have been provided elsewhere. The aims of this chapter are therefore twofold: first to describe the more established treatments for young people with PTSD, and second to look at all innovative treatment approaches that have been developed for young refugees. The chapter has an evidence-based perspective, and so provides data regarding the efficacy of the treatments described.In order to achieve these aims, it was felt necessary to describe the background to evidence-based practice. This will be followed by a summary of children's and adolescents' reactions to traumatic events, and salient developmental factors. The description of treatments begins then with the therapies for which there is currently most evidence, e.g. cognitive behavioural and related treatments, including group CBT and exposure therapy. Two other individual treatments -- EMDR and psychopharmacology -- will also be described in this chapter. There is then consideration of some innovative therapies that have been used for young refugees with PTSD, such as testimony therapy and narrative exposure therapy. Non-directive therapies such as art therapy are highlighted and discussed alongside the role of the family and its potential for involvement in treatment and any proposed management plan. Finally, attention is given to some contextual factors that will influence choice of treatments. [Text, p. 40][Pilots]

Keywords: Posttraumatic Stress Disorder PTSD Refugees Treatment Young People

Accuracy Verified: Yes

325. Grant, M. (2001). Understanding and treating chronic pain as trauma, with EMDR. Author.

Language: English

Format: Other

Abstract:
It is generally accepted that pain, particularly chronic pain, involves psychological factors, whether as a reaction to pain (Fordyce 1975; Turk & Meichenbaum, 1989) or as a predisposing factor for pain (Engel, 1959, Goodwin & Attias, 1999). Different theoretical approaches emphasize the role of psychological factors differently. For example, Cognitive- behavioral approaches emphasize people’s reactions [to injury and pain] as a factor in causing and maintaining pain. One of the main theoretical constructs of CBT is secondary gain which is based on operant conditioning and posits that pain can be maintained by ‘rewards’ such as too much attention or sympathy. Psychodynamic approaches place more emphasis on pre-existing trauma and emotional states as a causal factor for chronic pain (Engel, 1959, Goodwin & Attias, 1999). One of the main psychodynamic theories of pain is .. which posits that pain is .. There is evidence to suggest that there is some truth to both approaches. However, the research regarding behavioral theories of chronic pain has often produced mixed results (..) and been found to have many problems (King..). However, there is reliable data to suggest that trauma and emotional processes associated with trauma are often associated with chronic pain.

Keywords: Chronic Pain Trauma

Accuracy Verified: Yes

326. McFarlane, A. (2010, June). Understanding traumatic stress reactions - The linking of phenomenology, aetiology and treatment plan. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
One of the most intriguing aspects of traumatic stress has been the repeated learning and forgetting of lessons about its importance as a cause of psychopathology. It remains the case that the broader body of psychiatry and psychology has an ambivalent relationship with the field of traumatic stress and the nature of posttraumatic stress disorder. The origins of this ambivalence and their impact will be discussed. It is important that practitioners in the field of traumatic stress be aware of these barriers and how to address them in a research setting and clinical practice.
The underlying phenomenology of posttraumatic stress disorder will be explored and its neurobiological origins will be highlighted. It is important to deconstruct posttraumatic stress disorder into the different symptom components, as they have substantially different mechanisms underpinning their intensity and presentation. Posttraumatic stress disorder is a dynamic condition in which symptoms fluctuate with time and are substantially influenced by the environmental demands placed upon the individual.
It is often forgotten that somatic symptoms are a core element of the experience of individuals with PTSD. The nature of these somatic dimensions of distress and their significance will be discussed.
The epidemiology of posttraumatic stress disorder highlights how the prevalence of these conditions is seemingly increasing. However, this reflects the developments in the measurement of the effects of trauma in research settings. This has major implications for clinicians as to how best take a history about exposures to traumatic events. The evidence is that systematic investigation is critical and that unless questions are asked, symptoms will frequently go unreported. Recent evidence suggests that PTSD may be in fact more common than major depressive disorders. Equally, it should not be forgotten that depression is an important dimension of posttraumatic reactions. There is also an associated comorbidity with substance abuse. The risks associated with trauma exposure have a long tale of effect and these will be described.
The challenges of treatment will be discussed in the context of early intervention and workplace intervention. Treatment needs to be a sequential process where there are a variety of strategies, including EMDR, which can be used in treatment. The sequence of these strategies in treatment is a challenging question that has not been systematically addressed in research.
It remains the case that one of the primary issues in treatment is early identification, and this raises questions about the importance of screening in at-risk populations. Again, there are significant differences in opinion; however, the militaries around the world are now regularly screening populations returning from deployment. A recent novel approach to considering the issues of treatment is whether a staging approach should be used for conditions such as PTSD.
In summary, it is critical that clinicians have an explicit model of the mind and its neurobiology. Posttraumatic stress disorder can best be understood as an information processing disorder, which both impacts upon an individual's ability to engage with their day to day environment as well as integrate past experiences as a source of information to influence current behaviour. The integration and modulation of neural systems that manage environmental input is critical to adaptive functioning. The ways that these systems become dysregulated in PTSD will be highlighted and how these underlying deficits can be addressed in treatment will be focused upon.
A further issue that needs to be considered in the treatment of PTSD is the long-term risk of individuals, who have developed this condition, to have relapses after a successful intervention. Some long-term treatment outcome data will be presented.

Keywords: Posttraumatic Stress Disorder PTSD Traumatic Stress

Accuracy Verified: Yes

327. Marotta, S. A. (2003, Winter). Unflinching empathy: Counselors and tortured refugees. Journal of Counseling and Development, 81(1), 111-114. doi:10.1002/j.1556-6678.2003.tb00232.x.

Language: English

Format: Journal

Abstract:
After the events of September 11, 2001, and at a time in world history when refugees and displaced persons are moving about the world in numbers that are unprecedented (United States Committee for Refugees, 2001), the likelihood of counselors encountering refugees is increased regardless of their treatment settings, from schools to government agencies. Civilians are increasingly at risk for being victimized by organized political violence (Porter & Haslam, 2001), and the United States alone hosts almost half a million refugees (United States Committee for Refugees, 2001). In the article "Refugee Survivors of Torture: Trauma and Treatment," Gorman (2001) illustrated dynamics that may go unrecognized by clinicians who work with these complex individuals and families, and he provided a holistic conceptualization of these dynamics.

Keywords: Counselors Empathy Refugees Torture

Accuracy Verified: Yes

328. Klaus, P. H. (1995, June). The use of EMDR in medical and somatic problems. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Patients facing medical problems present for psychotherapy with a variety of concerns which include: distress or fears about the illness or condition itself (i.e., cancer, need for surgery, etc.); anxiety about various aspects of the treatment they need to undergo; and some have trepidation about interaction with medical personnel. At the same time, patients may also be concerned about the strength or weakness of their bodies to heal. In addition, many patients suffer from chronic conditions which occur in either acute or chronic episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e., asthma, migraine, functional bowel distress, PMS). Some aspects of illness may be the result of somatization due to childhood trauma, secondary gain, unconscious need to mask strong negative affect; Dissociative disorders or conversion reactions; as well as acute or chronic stress. History-taking includes, 1) a description of the condition, 2) the patient's perceptions or beliefs about the illness, 3) the patient's experience with the medical system, 4) the patient's medical and personal goals. Personal history should include, 1) current life issues and past stressors, 2) significant life events, as well as the patient's pattern of coping. EMDR in association with other psychotherapeutic techniques such as hypnosis is useful in the following ways; A) to desensitize negative or traumatic events associated with medical treatments; B) to uncover as appropriate, stress-related or psychological factors which may either exacerbate or be causal to the condition; C) to more quickly gain access to underlying factors which may block healing; D) to activate the patient's own potential to heal; E) to enable the patient to project oneself with hope into the future. Specific cases using EMDR along with other psychotherapeutic techniques will be presented.

Keywords: Medical Problems Somatic Problems

Accuracy Verified: Yes

329. Klaus, P. (2007, June). The use of EMDR in medical and somatic problems. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clients facing medical problems or experiencing somatic conditions may present for psychotherapy with a variety of concerns which include: distress or fears about the illness or condition itself (e.g., cancer, anxiety about various aspects of the treatment they need to undergo, surgery, etc., and some trepidation and genitive experiences from their interaction with the medical system or medical personnel, causing secondary trauma, Clients may also be concerned about the strength or weakness of their own bodies to heal immune system, mind/body potential). Many clients suffer from chronic conditions, which occur in either acute or chronic episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e., asthsma, migraine, bowel problems, ulcerative colitis, Cohn’s disease, PMS, insomnia). Some aspects of illness may be the result of somatization due to childhood trauma, secondary gain (a defense against strong feelings), unconscious need to mask strong negative affect; dissociative disorders of co aversion reactions; as well as acute or chronic stress. Some chronic symptoms may be due to long-term interpersonal problems. Clients may be suffering from maladaptive patterns established during infancy or childhood creating pervasive dysfunction in one’s sense of self, one’s relationships, or in one’s life function. Psychosomatic conditions may result.
History taking includes several levels of investigation, including current and past psychosocial and symptom history, looking for premorbid or comorbid conditions, and helping clients uncover related trauma as well as unrecognized strengths. Since a number of somatic and medical problems often have their origins in more obscure beginnings, this method helps reveal a deeper and more comprehensive history taking and decision-making process to help the clinician choose the level of complexity to use in the face of a client’s physical or emotional distress. This process may enable the clinician to help the client more quickly gain access to underlying factors which may block healing. Along with a clearer picture of the condition, integrating a variety of healing mechanisms with EMDR provides an individualized approach to activate the client’s own potential to heal.

Keywords: Health Problems Medical Problems Somatic Problems

Accuracy Verified: Yes

330. Gupta, M., & Gupta, A. (2003, September/October). Use of eye movement desensitization and reprocessing (EMDR) in the treatment of dermatologic disorders. Journal of Cutaneous Medicine and Surgery, 6(5), 415-421. doi:10.1007/s10227-001-0116-8.

Language: English

Format: Journal

Abstract:
Background: The use of psychological therapies in dermatology is being increasingly recognized because stress and negative emotions are major factors in a wide range of dermatologic disorders. Eye movement desensitization and reprocessing (EMDR) is a relatively new psychological intervention which was first described to be effective in post-traumatic stress disorder, a condition associated with extremely stressful life situations. Objective: We evaluated the efficacy of EMDR in primary dermatologic disorders where psychological stress plays an important part in the pathogenesis of the disorder, and in clinical situations where the dermatologic symptom is the feature of a stress-related psychiatric disorder. Methods: Four patients (two patients with atopic dermatitis and psoriasis, respectively, whose symptoms were exacerbated by stress, one patient with acne excoríee associated with body image pathology as a result of childhood emotional abuse, and one patient with generalized urticaria associated with post-traumatic stress disorder) were treated using the standard EMDR protocol with 3–6 sessions for a period ranging from 4 to 12 weeks, and followed up for 6–12 months after the end of EMDR therapy. Results: All 4 patients experienced a marked improvement in their symptoms after 3–6 sessions of EMDR, within a period of ?3 months, and maintained improvement during followup periods of 6–12 months. Conclusion: Our preliminary findings suggest that EMDR may be beneficial in the treatment of a wide range of stress-mediated dermatologic symptoms.

Antécédents: Le stress et les émotions négatives étant les principales causes de certaines dermatoses, la psychothérapie est de plus en plus reconnue en dermatologie. La désensibilisation des mouvements oculaires et retraitement est une intervention psychologique relativement nouvelle, qui, à l'origine, était décrite comme efficace pour le syndrome de stress post-traumatique, une condition associée à un style de vie extrêmement stressant. Objectif: Nous avons évalué l'efficacité de la désensibilisation des mouvements oculaires et retraitement dans les troubles dermiques primaires, où le stress psychologique joue un rôle important dans la pathogenèse du trouble, et dans les situations cliniques où le symptôme cutané est causé par le trouble psychique relié au stress. Méthodes: Quatre patients (2 patients souffrant l'un de dermatite atopique et l'autre de psoriasis, dont les symptômes ont été exacerbés par le stress, une patiente souffrant d'acné excoriée associée à un complexe de l'image du corps découlant d'abus psychologiques durant l'enfance et un patient atteint d'urticaire genéralisée associée au syndrome de stress post-traumatique) ont été traités à la désensibilisation des mouvements oculaires et retraitement, avec 3 à 6 séances durant une période allant de 4 à 12 semaines, et suivis pendant 6 à 12 mois après la fin du traitement. Résultats: Les 4 patients ont été soulagés de leurs symptômes aprés 3 à 6 séances de traitement au cours d'une période ne dépassant pas 3 mois et leur amélioration s'est maintenue durant les 6 à 12 mois de suivi. Conclusion: Les résultats préliminaires suggèrent que la désensibilisation des mouvements oculaires et retraitement pourrait être bénéfique dans le traitement d'un éventail de symptômes cutanés reliés au stress.

Keywords: Dermatological Disorders

Accuracy Verified: Yes

331. Kutz, I. (2007, June). The use of single session EMDR protocol in acute stress syndromes (ASS). Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The workshop provides novel concepts regarding the nature of Acute Stress Syndromes following research in Israel. The use of a single session, modified protocol for EMDR in ASS is described, following terror attacks, motor vehicle accidents, and the war with Lebanon. The following themes will be covered in the workshop.
Part one: Novel approaches to Acute Stress Syndromes – Redefining the time axis of SS; the diagnosis of Immediate; Acute Stress Reaction (ASR) and Prediction of Risk Vulnerability: A novel assessment tool; a review of Acute Post Traumatic Stress Syndromes and how they differ from chronic PTSD; the characteristics of intrusive phenomena in ASS; and a phase oriented intervention model for ASS.
Part Two: EMDR in ASS – A brief review regarding the nature of EMDR and PTSD; the modified brief EMDR Protocol; the use of a single session EMDR in ASS – in a GH practice, during terror attacks and following war situations; clinical demonstrations of a single session EMDR in ASS patients (video movies); indications, advantages and precautions using the single session EMDR intervention; and possible psycho-physiological mechanisms.

Keywords: Acute Stress Syndrome Early Intervention

Accuracy Verified: Yes

332. Wesselmann, D. (2013, April). Using EMDR to treat attachment trauma in adults and children. Preconference presentation at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.

Language: English

Format: Conference

Abstract:
Trauma experienced within the earliest attachment relationships leave children and adults at great risk for the development of psychiatric disorders. Maltreatment by attachment figures and traumatic losses are both closely associated with attachment disorganization, the attachment category identified in 70% of patients in psychiatric hospitals. Research shows insecure and disorganized attachments to be transmitted transgenerationally at a rate of between 70 and 80%.Adults and children with disturbed attachments frequently experience severe emotional dysregulation along with intense feelings of despair, anxiety, shame, and mistrust of others. Affected children and adults frequently lack helpful or adaptive information or insights and exhibit behaviors that elicit negative responses from those around them. Due to heavy defenses and poor self-regulation and self-awareness, patients suffering from attachment trauma are traditionally difficult to treat. However, with proper adaptations, the EMDR approach becomes a powerful method for healing attachment injuries in adults, children, and parent-child dyads. Participants will learn creative methods of adapting EMDR for the special challenges that accompany attachment injury. Participants will learn to utilize attachment resource development techniques designed to strengthen the capacity for closeness, trust, and self-compassion. They will discover how to coach an attachment figure to provide emotional regulation and help with cognitive interweaves. Participants will be able to write a therapeutic story to help process pre-verbal trauma and develop adaptive information for successful reprocessing. Creative interweaves, contained reprocessing, and methods for weaving together of past, present, and future will help participants experience successful EMDR with their most challenging cases. Case studies, video, and EMDR/attachment research will be presented.

Keywords: Adults Children Trauma Attachment

Accuracy Verified: Yes

333. Zantvoord, J. B., Diehle, J., & Lindauer, R. J. (2013, March). Using neurobiological measures to predict and assess treatment outcome of psychotherapy in posttraumatic stress disorder: Systematic review. Psychotherapy and Psychosomatics, 82, 142-151. doi:10.1159/000343258.

Language: English

Format: Journal

Abstract:
Background: Trauma-focused cognitive-behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are effective treatments for posttraumatic stress disorder. However, little is known about their neurobiological effects. The usefulness of neurobiological measures to predict the treatment outcome of psychotherapy also has yet to be determined. Methods: Systematic review of randomized controlled trials (RCTs) focused on neurobiological treatment effects of TF-CBT or EMDR and trials with neurobiological measures as predictors of treatment response. Results: We included 23 publications reporting on 16 separate trials. TF-CBT was compared with a waitlist in most trials. TF-CBT was associated with a decrease in heart rate and blood pressure and changes in activity but not in volume of frontal brain structures and the amygdala. Neurobiological changes correlated with changes in symptom severity. EMDR was only tested against other active treatments in included trials. We did not find a difference in neurobiological treatment effects between EMDR and other treatments. Publications on neurobiological predictors of treatment response showed ambiguous results. Conclusion: TF-CBT was associated with a reduction of physiological reactivity. There is some preliminary evidence that TF-CBT influences brain regions involved in fear conditioning, extinction learning and possibly working memory and attention regulation; however, these effects could be nonspecific psychotherapeutic effects. Future trials should use paradigms aimed specifically at these brain regions and physiological reactivity. There are concerns regarding the risk of bias in some of the RCTs, indicating that methodologically more rigorous trials are required. Trials with neurobiological measures as predictors of treatment outcome render insufficient results to be useful in clinical practice. Copyright © 2013 S. Karger AG, Basel.

Accuracy Verified: Yes

334. Donneau, D., Barry, S., Heteau, C., Hamrioui, M., Journniac, K., Ferric, O., Heron, A., & Paris, P. (2012, Decembre). Utilisation de l'outil EMDR pour améliorer la prise en charge des psycho-traumatismes dans un service d'urgence psychiatrique [Using EMDR tool to improve the management of psychological trauma in a psychiatric emergency service ]. Poster présenté au 40ème Congrès annuel de l'Association Française de Thérapie comportementale cognitive de et), Paris, France.

Language: French

Format: Conference

Abstract:
Problématique : L’outil thérapeutique EMDR est recommandé par l’HAS dans la prise en charge du psycho-traumatisme. Mais comment le mettre en place en pratique dans nos unités d’urgence psychiatrique ? Méthode : La structuration suit les 8 phases du protocole validé, dont la « préparation » où l’on détermine l’indication et les cibles à traiter , une phase « ressources » indispensable dans les traumatismes complexes et en cas de risque de déstabilisation. Enfin, la phase de « désensibilisation des cognitions inadaptées et « d’installation » des cognitions plus adaptées amenant à une restructuration cognitive. Résultats : 83 patients (sex ratio=0.76) ont mobilisé 330 interventions, soit 3.9 interventions/patient en moyenne. Ces PEC ont conduit à 6% de séances complètes de désensibilisation à l’impact de souvenir traumatique, 10% de séances incomplètes de désensibilisation, 13% d’arrêts précoces en raison d’une déstabilisation persistante ce qui est la Contre-Indication fonctionnelle principale . Dans le cas des traumatismes récents, l’efficience de l’EMDR a été confirmée avec un nombre moyen de 3 séances de 90 min par patient, permettant d’obtenir une désensibilisation complète. Dans les cas de traumatismes complexes, le nombre de séances de préparation est plus important (>5 séances) car ils nécessitent une recherche de ressources. Discussion : L’EMDR est un outil utilisable aux urgences psychiatriques qui peut être très efficace dans le cas de traumatismes récents et simples. Le protocole est structurant et permet ainsi une bonne implication des patients et des intervenants. Mais cela nécessite une formation exigeante et couteuse. L’organisation est plus difficile dans le cas des traumatismes complexes, anciens, avec comorbidités psychiatriques. L’espacement des séances de 10j est difficile à respecter en pratique hospitalière, elles sont chronophages et fatigantes, aussi bien pour le soigné que le soignant. Projet : à la suite de cette observation, démontrer en 2013 que cette approche pourrait réduire la durée d’hospitalisation et la fréquence des récidives dans les cas de troubles de la personnalité souvent associés à des traumatismes anciens en permettant en quelque sorte d’activer une restructuration cognitive.

Problem: The EMDR therapeutic tool is recommended by the HAS in the management of psychological trauma. But how to set up in practice in our emergency psychiatric units? Method: The structure follows the eight phases of the validated protocol, the "preparation" where we determine the indication and the target process, a phase "resources" essential in complex trauma and in case of risk of destabilization. Finally, the phase of "desensitization inadequate cognitions and" installation "cognitions leading to a more appropriate cognitive restructuring. Results: 83 patients (sex ratio = 0.76) mobilized 330 interventions, or 3.9 interventions / patient on average. These PEC led to 6% of full sessions of desensitization to the impact of traumatic memories, 10% incomplete desensitization sessions, 13% of stops early due to a persistent destabilization which is the main functional Counter Indication . In the case of recent trauma, EMDR efficiency was confirmed with an average of 3 sessions of 90 minutes per patient to obtain a complete desensitization. In cases of complex trauma, the number of preparation sessions is larger (> 5 sessions) because they require research resources. Discussion: EMDR is a useful tool for psychiatric emergencies that can be very effective in the case of recent trauma and simple. The protocol allows structuring and good involvement of patients and stakeholders. But it requires a demanding and costly. The organization is more difficult in the case of complex trauma, elders with psychiatric comorbidities. The spacing of sessions 10j is difficult to achieve in hospital practice, they are time consuming and tiring for both the cared caregiver. Project as a result of this observation, in 2013 demonstrate that this approach could reduce the duration of hospitalization and the frequency of relapses in cases of personality disorders often associated with trauma Oldest to somehow activate a cognitive restructuring.

Keywords: Emergency Service Trauma

Accuracy Verified: Yes

335. Demick, I. (2007, Juin). Utilisation du dispositif tac/audioscan (neurotek) dans la traitement des migraines [Use of the tac/audioscan machine (neurotek) in treatment of migraines]. Document présenté à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Ce qui suit est une procédure expérimentale proposée comme traitement préliminaire pour les patients souffrant de migraines chroniques qui nécessitent de repos total, le retrait de tous active sociale et professionnelle et qui doivent être traités par des médicaments. Cette procédure utilise l'EMDR, l'hypnose et la relaxation et est destiné aux patients souffrant de douleur chronique (symptômes connus et traités depuis cinq à 10 ans).
Les trois composantes de la migraine sont les suivants: MENTALE - expressions de l'impuissance, la solitude, le rejet, l'épuisement physique et psychique, perte de contrôle; émotionnel - la dépression, la colère, la peur, et physique - les sensations physiques, dans des séquences fluctuant évalué entre 6 et 10 sur le échelle de la douleur.
La durée moyenne de ce traitement est de 4 mois pour 6 consultations.
L'objectif du traitement est de rétablir la confiance du patient par l'amélioration physique et bien-être psychologique.
Le principe cliniques: Le patient
douloureux chronique alterne entre le désespoir, la peur de ne jamais trouver un remède (un état mental qui peut être provoquée par l'entourage familial et médical), de la colère contre une histoire personnelle qui peut être amené le syndrome douloureux ( maltraitance parentale ou de l'absence, accident, intervention chirurgicale), l'épuisement physique et l'espoir qu'il ya encore la possibilité d'une guérison. Il est donc important de transmettre un message d'espoir et de la vision d'un traitement qui implique les patients avec son physique, émotionnelle, les ressources psychiques. Explication de la souffrance comme une accumulation de facteurs de stress et le cerveau comme ayant la possibilité de solution, il est proposé au patient de se concentrer sur cette partie du corps qui «parle» dans le phénomène de la douleur. Le patient entend »ou« sent »le mouvement alternatif du Tac / machine Audioscan (Neurotek) tout en étant assuré de la physique et bien-être psychique au cours du traitement.
Le principe neuropsychologiques:
Le patient se concentrer sur la "douloureuse" zone associés sensorielle, psychique souvenirs conscients et inconscients; ces souvenirs traités progressivement par le mouvement de la Tac / machine Audioscan qui fonctionne comme un balayage interne pour éliminer les tensions et à intégrer mental, émotionnel, physique et informations par les chaînes successives.

The following is an experimental procedure proposed as preliminary treatment for patients suffering from chronic migraines which require total rest, withdrawal from all social and professional activates and which must be treated by medication. This procedure used the EMDR, hypnosis and relaxation and is intended for patients suffering from chronic pain (symptoms known and treated since five to 10 years).
The three components of the migraines are: MENTAL – expressions of impotence, loneliness, rejection, physical and psychic exhaustion, loss of control; EMOTIONAL – depression, anger, fear; and PHYSICAL – physical feelings in fluctuating sequences evaluated between 6 and 10 on the pain scale.
The average duration for this treatment is 4 months for 6 consultations.
The objective of the treatment is to restore the patient’s confidence by improving physical and psychological well-being.
The clinical principle:
The chronic painful patient alternates between despair, fear of never finding a cure (a mental state which may be provoked by the family and medical entourage), anger against a personal history which may have cause the painful syndrome (parental maltreatment or absence, accident, surgical operation), physical exhaustion and hope that there is still the possibility for a cure. It is therefore important to transmit a message of hope and the vision of a treatment which involves the patients with his physical, emotional, psychic resources. Explaining the suffering as an accumulation of stressful factors and the brain as having the possibility of solution, it is proposed to the patient to concentrate on that part of the body which 'speaks’ in the phenomenon of pain. The patient ‘hears’ or ‘feels’ the alternative movement of the Tac/Audioscan machine (Neurotek) while being assured of the physical and psychic well-being during the treatment.
The neuropsychological principle:
The patient’s concentration on the “painful zone” associates sensory, psychic conscious and unconscious memories; these memories treated progressively by the movement of the Tac/Audioscan machine which operates like an internal sweeping to eliminate tensions and to integrate mental, emotional, and physical information by successive channels.

Keywords: Medical Illness Migraines

Accuracy Verified: Yes

336. Solomon, R. (2004, June). Utilization of EMDR with grief and mourning. In single trauma and grief. Symposium conducted at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
EMDR is a treatment methodology that can be useful in the mourning process. Utilizing Theresa Rando’s framework, a protocol will be presented describing how EMDR can be applied through the mourning process. REMDR does not shorten the phases of assimilation and accommodation of the loss, but processes the factors that can complicate the mourning. EMDR can help the mourner deal with the following mourning processes: 1) Recognizing the loss 2) React to the separation 3) Recollect and re-experience the deceased and the relationship 4) Relinquish the old (external) attachments to the deceased and the old assumptive world 5) Readjust to move adaptively into the new world without forgetting the old 6) Reinvest. EMDR seems to facilitate the formation of an adaptive inner representation. We do not lose attachments to loved ones that die, they are transformed. We move from living in presence to living in absence. Memories of the deceased often emerge during EMDR treatment. It is the emergence of memories of the deceased that let us know and acknowledge the meaning of the relationship, the person’s role in our lives and identity. And enable us to carry the basic security of having loved and been loved into the future. We can go forward in a world without the deceased, because we have an adaptive inner representation to take with us.

Keywords: Grief Mourning Single Trauma Symposium

Accuracy Verified: Yes

337. Solomon, R., & Rando, T. (2009, August). Utilization of EMDR with traumatic bereavement. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Traumatic bereavement is the state of having suffered the loss of a loved one when grief over the death is overpowered by the traumatic stress brought about by its circumstances. EMDR can be integrated into treatment of traumatic bereavement to process the trauma that complicates the bereavement and enable the mourner to complete the necessary processes involved in assimilation/accommodation of the loss. This presentation will discuss grief and bereavement, the processes necessary for adaptive assimilation and accommodation of the loss, factors that can complicate bereavement, treatment guidelines, and how EMDR can be integrated into an overall treatment plan.

Keywords: Traumatic Bereavement

Accuracy Verified: Yes

338. Marich, J. (2012, October). What makes a good EMDR therapist: Exploratory findings from client-centered inquiry. Journal of Humanistic Psychology, 52(4), 401–422. doi:10.1177/0022167811431960.

Language: English

Format: Journal

Abstract:
There are several qualities of good EMDR (eye movement desensitization and reprocessing) therapists that must be examined to understand what clients most value in this specialized treatment. These qualities, as defined by former clients, include therapist personality, an ability to empower clients, flexibility, intuition, a sense of ease and comfort in working with trauma, and a commitment to the small measures of caring that clients identify as helping them feel safer. This article highlights the importance of honoring client safety in EMDR treatment by further exploring a theme from a phenomenological parent study on the use of EMDR with women in addiction continuing care. The parent study offered qualitative evidence showing that there is a place for EMDR as part of a comprehensive women’s addiction recovery program when applied properly. In this article, participants’ descriptions of their EMDR therapists and how these therapists were able to establish safety are described in greater detail than the parent study article allowed. Implications for emphasis on client-centered factors in the training and formation of EMDR therapists are discussed using the data extrapolated from the clients’ experiences, and further directions for researching the clientcentered perspective in EMDR are presented.

Keywords: Client-Centered Therapy Client Safety Phenomenology Protocols Therapeutic Alliance, Therapists Training

Accuracy Verified: Yes

339. Marich, J. (2012, January). What makes a good EMDR therapist? Exploratory findings from client-centered inquiry. Journal of Humanistic Psychology, 52(4), 401-422. doi:10.1177/0022167811431960.

Language: English

Format: Journal

Keywords: Addiction Safety Women

Accuracy Verified: Yes

340. van Minnen, A., Hendriks, L., & Olff, M. (2010, April). When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors. Behaviour Research and Therapy, 48(4), 312-320. doi:10.1016/j.brat.2009.12.003 .

Language: English

Format: Journal

Abstract:
To investigate when and why therapists opt for or rule out imaginal exposure (IE) for patients with posttraumatic stress disorder (PTSD), 255 trauma experts were randomized to two conditions in which they were presented with four cases in which the patients’ comorbidity and treatment preferences were manipulated. The results confirmed IE to be an underutilized approach, with the majority of professionals being undertrained in the technique. As predicted, the patient factors influenced the expert’s choice of therapy: in case of a comorbid depression, IE was significantly less preferred than medication. Also, IE was significantly more likely to be offered when patients expressed a preference for traumafocused treatment. The therapist factors were also found to be importantly related to treatment preferences, with high credibility in the technique being positively related to the therapists’ preference for IE. Perceived barriers to IE, such as a fear of symptom exacerbation and dropout, were negatively related to the perceived suitability of the treatment when patients had suffered multiple traumas in childhood. The results are discussed in the light of clinical implications and the need of exposure training for trauma professionals.

Keywords: Controlled Study: Exposure Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

341. Levin, C., Shapiro, F., & Weakland, J. (1996). When the past is present: A conversation about EMDR and the MRI interactional approach. In M. F. Hoyt (Ed.), Constructive therapies: Volume 2 (pp. 197-210). New York: Guilford Press.

Language: English

Format: Book Section

Abstract:
Presents a conversation between C. Levin, F. Shapiro and J. Weakland. [consider an interactional approach to the] possible common factors and connections between the ways in which "past" and "present" might be understood and approached therapeutically within each respective method [eye movement desensitization and reprocessing (EMDR) and MRI (Mental Research Institute) brief therapy] (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Brief Psychotherapy MRI Scientific Communication

Accuracy Verified: Yes

342. Foster, S. (1998, July). Where do you want to go tomorrow? Issues of self-actualization, fear of success, and fear of failure in EMDR peak performance work. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the primary factors involved in fear of failure when clients desire to improve their performance; 2) understand the primary factors involved in fear of success when clients desire to improve their performance; and 3) be able to discuss the "extended" use of future templates in EMDR peak performance work.

Keywords: Extended Use of Future Templates Fear of Failure Fear of Success Peak Performance

Accuracy Verified: Yes

343. Curry, S. (2007, June). Where protocol meets client: Choices in case conceptualization in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR is being increasingly – and successfully – utilized for a broader range of big “T” and small “t” traumas. Research indicates that adherence to the 8-phase protocol and the 3-pronged approach brings about the most successful outcomes in our clients. The problem in their application, however, is frequently “how?” A day in the life of an EMDR therapist can involve a plethora of symptoms: attachment difficulties, anxiety, Phobias, relational dysfunction, dissociation, and mood disorders, to name just a few client presentations. Much confusion and discouragement can arise as the clinician struggles with the variety of client presentations and the awkwardness of learning a significantly different approach to psychotherapy. Consultation experience reveals that it is most often psychotherapy. Consultation experience reveals that it is most often these two factors which bring about the unfortunate discrepancy between the numbers of those who take EMDR training and those who utilize it frequently. By means of a discussion of pre-screening typical and atypical case scenarios and the provision of a decision tree using appropriate resources and specialize protocols, participants will learn a more systematic way to conceptualize their cases. In addition, there will be a summary of frequently asked questions about the course of EMDR therapy garnered from the presenter’s consultees. And guidelines for keeping treatment on a course as common challenges in EMDR present themselves. This workshop is an outgrowth of “Decisions, Decisions ... Forks in the Road in EMDR: What, When and Why” presented at the EMDR Europe Conference in Istanbul and the EMDRIA conference in Philadelphia in 2006.

Keywords: Case conceptualization Protocol

Accuracy Verified: Yes

344. Greene, M. (2004, February). The wild bunch: EMDR and angry boys. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Severe behavioural problems in children (and adults) are always inextricably linked with problems of affect regulation, the most problematic of which is out of control expression of angry feelings. Such behaviour is often seen as organically based, ADHD or ODD (i personally refer ADD: Absent Dad Disorder), and pharmacological treatments are often suggested, yet early or more recent trauma is frequently a factor and EMDR has a potentially important role to play in helping these children, through enabling old truama to be processed and helping them manage their behaviour on a day to day basis without resorting to the self medicating aspects of violence. I describe work in two school settings, an EBD Primary School and a Catholic Secondary School, using EMDR with pupils whose angry impulses have been causing serious probolems in their lives, sometimes meaning they risk permanent exclusion from school.

Keywords: Affect Regulation Anger School-Setting Students

Accuracy Verified: Yes

345. Erdmann, C. (2006). Wirkfaktoren in der psychotherapie und der EMDR-behandlung. (Wie) kann psychotherapie wirksamer werden? [Effective factors in psychotherapy and EMDR therapy. (How can psychotherapy are effective?)]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Auf der Grundlage neurowisenschaftlicher Erkenntnisse werden in der letzten Zeit vermehrt Psychotherapiemethoden und -verfahren neu bewertet und evaluiert. Zunehmend werden in diesem Zusammenhang Wirkfaktoren diskutiert, denen Klaus Grawe (Prof. Dr. K. Grawe, ehem. Psychologisches Institut der Universität Bern) und seinen Mitarbeitern zufolge eine besondere Bedeutung für eine effektive psychotherapeutische Behandlung und in der psychotherapeutischen Ausbildung zukommen sollte.

Based on findings neurowisenschaftlicher recently increased psychotherapy methods and procedures re-evaluated and evaluated. Increasingly discussed in this context, effective factors, which Klaus Grawe (Prof. Dr. K. Grawe, former Department of Psychology, University of Bern) and to send his staff that a special importance for effective treatment and psychotherapy in psychotherapeutic training should ..

Keywords: Efficacy

Accuracy Verified: Yes

346. Vazquez, A. G. (2008, June). Work with parts in DID & EMDR. Presentation at the annual meeting of the EMDR International Association, London, England.

Language: English

Format: Conference

Abstract:
Work with Dissociative Identity Disorder is a complex therapy process. Many warnings have been made about using EMDR with this group of patients. But problems with EMDR therapy in DID are basically attributable to the risk always involved in working directly on traumatic memories in complex dissociative disorders. If we know the general principles of the treatment of dissociative disorders, we should be able to use EMDR safely. Work with alters or parts is a specific aspect of therapy in DID patients. This work should be used throughout the therapy stages: stabilization; trauma work; integration. In this workshop we will show how to implement EMDR protocols working with dissociative parts or alters in DID therapy. The exposition will be illustrated with clinical vignettes and short therapy fragments on video.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

347. Gonzalez, A. (2008, June). Work with parts in DID & EMDR. Presentation at the annual meeting of EMDR Europe Association, London, UK.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

348. Shapiro, F. (1991, August). Worth repeating. EMDR Network Newsletter, 1(1), 1-2.

Language: English

Format: Newsletter

Abstract:
This column is devoted to statements that were made in the workshop that should be ingrained in the mind of every EMDR practitioner. Since EMDR is still in the "experimental stage" (i.e., replication studies have not yet confiremed its efficacy, the EMDR-trained clinicians are the frontline spokespeople. In order to avoid misunderstandings of untrained clinicians and laypeople, please recall the following: EMDR is not a "cookiecutter; Reprocessing a trauma is like removing a quilt from the bed; Using EMDR is like opening a stuck faucet; Client safety is paramount; Never attempt EMDR In a nonclinical setting; EMDR is an interface with your clinical skills; Clients are at risk if EMDR is attempted by untrained clinicians; and Clients should not be placed at risk without their informed consent.

Keywords: Cautions Metaphors

Accuracy Verified: Yes

349. Woltereck, B. (2001). Zur anwendung von EMDR in der einzelsupervision bzw. im coaching [For the application of EMDR in individual supervision and in coaching]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Coaching verstehe ich in diesem Zusammenhang als einen Teilbereich der Einzelsupervision: es ist eine verheißungsvollere und verkaufsfördernde Bezeichnung dessen, was zuvor unter "Leitungssupervision" verstanden wurde (vgl. "Supervision und Coaching - Gleiches Angebot mit unterschiedlicher Aufschrift?", in: DGSv aktuell 4.2000, Köln, 2000, S.1-10).
Ich werde hier Einzelsupervision, Supervision und Coaching synonym verwenden.

Supervision will as well as coaching the professional competence of supervisees at the intersection of different factors: optimizing them accordingly serve the qualification, optimization and reflection of the professional action.
Coaching I understand in this context as a part of individual supervision: it is an auspicious and promotional description of what was previously understood as "management supervision" (see "Supervision and Coaching - The same offer with different words?", In: DGSv currently 4.2000 , Cologne, 2000, p.1-10).

Keywords: Coaching Supervision

Accuracy Verified: Yes