Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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

Language: English

Format: Conference

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

Keywords: Juvenile Delinquents Poster

Accuracy Verified: Yes

2. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.

Keywords: Children Dissociation

Accuracy Verified: Yes

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

Language: Chinese

Format: Journal

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

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

Keywords: Control Study Depression Sertraline

Accuracy Verified: Yes

4. Meignant, I. (2010, July). Adaptive information processing model (AIP). Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This Abstract will explore EMDR as an AIP model of psychotherapy. The following aspects will be discussed. Foundation of pathologies: unprocessed physiologically stored memories of life experiences. Definition of Trauma: Any life experience that has a negative on going impact on a person’s life. Therapy goal: Accessing and reprocessing physiologically stored memories of life experiences, triggers and encoding future templates. Memory as composed of: sensory information (smell, image, sound, taste and touch), cognitions, emotions and body sensations. EMDR as a 3 stage therapy model: Past, Present, Future Three themes explored in EMDR therapy: 1) Responsibility (which includes Culpability and Self-esteem) 2) Safety, and 3) Choice The Eight phases of EMDR: Departure and Arrival stations: SUDs , VOC, and BODY scan

Keywords: Adaptive Information Processing Model AIP Poster

Accuracy Verified: Yes

5. Litt, B. (2012, October). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:EMDR is an efficacious therapy for the treatment of PTSD. Increasingly, EMDR is being recognized as an important and viable therapy in the treatment of complex PTSD, including Dissociative Disorder Not Otherwise Specified, Dissociative Identity Disorder, and personality disorders that have their origins in attachment trauma. This population presents unique clinical challenges in terms of stability, affect tolerance, and accessibility to trauma resolution. While much has been written and presented about affect regulation, attachment issues, and dissociation, therapists are not often aware that these phenomena emerge and must be managed throughout all phases of EMDR therapy. This presentation will focus on advanced techniques that provide solutions to problems within phases 2,3, and 4. Clinicians will learn techniques to incorporate in the stabilization/ preparation phase and to revisit as necessary in later stages of EMDR treatment. Objectives include helping the patient effectively deal with reactions such as avoidance, freeze, hyperarousal and numbing. Techniques include ego state work and somatic interweaves.In Phase 4, (desensitization) therapists will be learn about the Zone of Optimal Arousal and learn a sequence of advanced techniques to maintain client stability and safety, and to identify when and why a patient has stopped processing.

Learning Objectives: Participants will be able to perform a series of strategies for overcoming looping and blocking in EMDR phases three and four. Participants will be able to utilize the Domains of Self Model to rapidly assess triggers and anticipate processing style and resolution profile. Participants will be able to utilize the Zone of Optimal Processing model to assess problems with processing and select appropriate strategies to safely resume desensitization.

Keywords: Advanced Techniques Complex Trauma

Accuracy Verified: Yes

6. Turner, E. (2005). Affect regulation for children through art, play, and storytelling. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing, (pp. 327-344). New York: W W Norton & Co. xi, 360 pp.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Affect Regulation Affect Tolerance Art Emotional Control Emotional Regulation Play Play Therapy Safety Storytelling Tolerance

Accuracy Verified: Yes

7. 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

8. Yule, W. (2002). Alleviating the effects of war and displacement on children. Traumatology, 8(3), 160-180. doi:10.1177/153476560200800304.

Language: English

Format: Journal

Abstract:
The mental health of children is severely compromised by war and consequent displacement. Nations have a duty under various UN agreements to alleviate the effects of war on children’s mental health. This paper argues that fostering mental health in communities starts with re-establishing safety, basic health needs, education and recreation. School and other community leaders need education in recognising stress reactions and in providing basic first aid. Large-scale programmes need to be developed and validated for delivery following wars and disasters. Once such validated programme is described. Small group and individual work is also needed. As long as wars and disasters happen, so the international mental health community needs to prepare positively to meet the predictable, but usually unexpected needs.

Keywords: Displaced Children Large Scale Intervention Refugee Children Traumatic Events Traumatization UNICEF War

Accuracy Verified: Yes

9. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.

Language: English

Format: Book Section

Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]

Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness

Accuracy Verified: Yes

10. Solomon, R. M. (1998, July). The application of EMDR to critical incident trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand what a critical incident is, and learn about the phases of the emotional aftermath; 2) learn about the application of EMDR to critical incident trauma; 3) learn about patterns of resolution that involves responsibility, present safety, and empowerment and self-efficacy; 4) learn what a Critical Incident Stress Debriefing (CISD) is, and its utilization after a critical incident; 5) learn how EMDR and CISD can be utilized together; 6) learn about integrating EMDR and CISD within an overall treatment approach.

Keywords: CISD, Critical Incident Critical Incident Stress Debriefing Recent Events

Accuracy Verified: Yes

11. 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

12. Sachsse, U., & Tumani, V. (1999, November). Be borderline! A successful inpatients’ treatment program for (type II) traumatized female patients with PTSD/DES/BPD and the symptom of self-mutilation. Presentation at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Using therapeutic experiences from the USA (Herman, Putnam, Ross) and the Netherlands (Olthuis, van der Hart) Luise Reddemann (Bielefeld) and Ulrich Sachsse(Goettingen) developed an inpatients’ program for female and some male patients with symptoms, that result from type II traumata, fulfill the phenomenological criteria of BPD and are understood as chron. PTSD/DES. The program utilizes the coping strategies of the patients for stabilisation: splitting (building up an only good world of safety, support and shelter against the only bad, demonized world of trauma); derealisation, dissociation(imagery); depersonalisation (Qi Gong, Feldenkrais). We tell and teach our patients: Be Borderlines- but inside, not in your outer social life or your therapeutic relationship! Trauma-synthesis is done after stabilisation by trauma-exposition every two weeks (EMDR, screen-technique). The patients stay for 3-5 month, sometimes twice, with very good results.

Keywords: BPD Borderline Personality Disorder DES Females Inpatient Treatment Posttraumatic Stress Disorder PSTD Self-Mutiliation

Accuracy Verified: Yes

13. Withers, D. (1999, June). Bilateral movement therapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn to implement Bilateral Movement Therapy, an innovation of EMDR, into a Group Therapy Model, establishing group safety, cohesion and culture; 2) learn to incorporate Dance Movement Therapy techniques and theory into the standard EMDR protocol using the whole body rather than just eye movements; and 3) explore the use of Bilateral Movement Therapy with a variety of treatment issues and populations and how to assess its appropriateness for each.

Keywords: Bilateral Movement Therapy Dance Movement Therapy Group Therapy Model

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Dissociation Somatic Interventions Trauma

Accuracy Verified: Yes

15. Laliotis, D. (2009, August). Building on the basics: An EMDR refresher course. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This course is for EMDR therapists who would like to deepen their understanding of EMDR principles, protocols and procedures. Whether you feel the need for a review because you haven’t been using EMDR recently or you would like to enhance your active EMDR practice, this course is for you. From the three-pronged approach to applications of resource installation and cognitive interweave, you will come away from this course more confident in your ability to integrate EMDR into your clinical practice. You will see videotapes of real cases and will have an opportunity to discuss, in depth, case conceptualization and treatment planning issues and how to incorporate the informational plateaus of responsibility, safety and choices throughout the course of treatment. We will also address the unique demands of being an EMDR therapist and how to successfully navigate the inherent challenges of a powerful and effective psychotherapy approach.

Keywords: Basics Refresher

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Attachment, Eating Disorders Ego States

Accuracy Verified: Yes

18. 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

19. Rost, C. (2008). CIPOS: Constant installation of present orientation and safety. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp.69-85). Paderborn: Junfermann.

Language: German

Format: Book Section

Keywords: CIPOS Constant Installation of Present Orientation and Safety

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Adults Neglect Sexual Abuse Survivors

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

22. Zangwill, W. (2001, June). Combining EMDR and meditation. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This experiential workshop combines EMDR with meditation to teach EMDR clinicians how better to enhance client safety during and between sessions and to address issues of their own. Participants will practice specific meditative techniques for use with themselves and their clients.

Keywords: Meditation

Accuracy Verified: Yes

23. McMulin, T. (1998, June). Combining EMDR with relapse prevention programs to enhance treatment outcomes with sex offenders. EMDRIA Newsletter, 3(2), 20-24.

Language: English

Format: Newsletter

Abstract:
There have been numerous barriers to the development of comprehensive and successful treatment for sex offenders. One of the primary barriers involved societal views of offenders as being incorrigible and first and foremost deserving of punishment. Offenders themselves have fed that view because of seemingly impenetrable defense mechanisms they develop to maintain a sense of safety from others as well as their own thoughts, feelings, and memories. Other barriers to development of comprehensive treatment models involve the failure of traditional psychodynamic techniques, which focus primarily on resolving intrapsychic conflicts, to provide cost effective, adequate, and reliable treatment results (Lockhart, Saunders, & Cleveland, 1989).

Keywords: Relapse Prevention Programs Sex Offenders

Accuracy Verified: Yes

24. van der Kolk, B. (2000). Complex PTSD in children II: Therapeutic interventions. Cavalcade Productions, Inc., Nevada City, CA.

Language: English

Format: Video

Abstract:
In this video series, Bessel van der Kolk and other clinicians from The Trauma Center, along with therapists Joyanna Silberg and Frances Waters, describe the assessment tools and therapeutic approaches that they have found most useful in working the severely traumatized in children. The clinician's role in such cases often includes working with parents or guardians as well as children, and can extend far beyond the therapy room to encompass psychoeducation and advocacy. For children with complex PTSD, safety must be established both externally and internally. Maintaining internal safety can be an especially difficult task when the child is highly dissociative. The presenters discuss ground techniques that can help a child to stay safe and stable, and describe the therapeutic modalities "play, talk, art, and group therapy" that they have found useful. Topics include controlling aggression, accessing emotions, changing the trauma story, and using EMDR.

Keywords: Children Clinical Judgment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Intervention Posttraumatic Stress Disorder PTSD Therapeutic Processes Treatment

Accuracy Verified: Yes

25. Blore, D. (2008, January). Contraindications and safety considerations in the selection of clients for EMDR. Presentation at the meeting of the EMDR, NE England Regional Group, Darlington, England.

Language: English

Format: Conference

Keywords: Client Selection

Accuracy Verified: Yes

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

Language: English

Format: Magazine

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

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

27. Greenwald, R. (1999, Fall). A crisis response approach for suicidal teens. EMDRIA Newsletter, Child and Adolescent Issue, Special Edition, 4(4), 23-25.

Language: English

Format: Newsletter

Abstract:
Child & adolescent issue: A closer look
In my current position as a clinical psychologist based on a high school campus, I often have occasion to meet with adolescents who are suicidal, some having recently made suicidal gestures. Despite the complexity and variety of presenting issues, there is a set of more or less standardized steps to follow to ensure safety as well as appropriate follow-up.

Keywords: Children Suicide Teens

Accuracy Verified: Yes

28. Greenwald, R. (1999, June). A crisis response approach for suicidal teens. Poster presented at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
In my current position as a clinical psychologist based on a hlgh school campus, I often have occasion to meet with adolescents who are suicidal, some having recently made suicidal gestures. Despite the complexity and variety of presenting issues, there is a set of more or less standardized steps to follow to ensure safety as well as appropriate follow-up. In this paper I present a case to illustrate how I have integrated EMDR. This approach to teen suicidality uses several elements of the motivation - anger - trauma therapy (MATT) approach for teens with conduct disorder, which has been described in detail elsewhere (Greenwald 1998, 1999, in press). In addition to the standard crisis interventions - letting the client talk out the problem, contracting for safety, implementing supports and restrictions as needed, and arranging follow-up - I have been using EMDR in various ways to enhance present safety as well as subsequent resiliency. For example: the Choices Have Consequences intervention (cited above, described below) helps the client to realize that self-harm leads to a poor outcome despite its initial appeal; the standard use of EMDR can help to reduce vulnerability to the type of stressor which led to the current crisis; and the Future Movies intervention (also cited above and described below) helps to create a more hopeful long-term perspective while enhancing coping skills.

Keywords: Adolescents Poster Suicide Teens

Accuracy Verified: Yes

29. Oppenheim, H.-J. (2010, June). The cutting must stop: A way out of the stabilisation versus reprocessing paradox with a DID-patient. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In this workshop I will discuss and illustrate by video fragments, the steps of trauma reprocessing with a very instable DID patient. The patient was suffering from sudden severe self-cutting that took place outside the patient's own consciousness. It was clear that an Emotional part of the Personality (EP) was tormented by a severe trauma, and in response, acted very aggressively. Because of the great danger of self-harm, which man could become life-threatening, the cutting had to be stopped as soon as possible. Therapist and patient were trapped in the well known paradox: to reprocess the trauma there had to be enough stability, but to create enough stability the trauma had to be solved. It was clear that in this period of her life the patient couldn't bear any trauma reprocessing. This workshop offers a way out of this paradox. I will show how to establish enough safety for all the parts of the personality who are involved, increasing two of the Apparently Normal parts of the Personality (ANP's). For one of the ANP's, safety meant that she didn't have to witness the story about the trauma, she still didn't know. The workshop will demonstrate how to establish a working alliance with the aggressive part (EP) who is indirectly responsible for the severe cutting. Finally, after all these preparations, the trauma reprocessing by using EMDR on this EP can be started. The participants will learn: a. How to work from a Structural Dissociation view. The importance of an active attitude for the therapist, like a film director, in getting in contact and working together with the different parts of the personality, to reach the necessary goal; c. That trauma processing is at least partly possible in absence of the 'main part' of the personality which can contribute to stabilization in order to reprocess the trauma completely. been This workshop provides an opportunity to escape from the ]paradox: reprocessing a trauma requires stability but stability ]requires a reprocessed trauma. It is always thought that for reprocessing a trauma the ONP('s) must be involved, This workshop will show that if only parts of the personality, without the ANP, undergo the reprocessing, it can lead to a remarkable reduction of dangerous symptoms. The completing of the trauma reprocessing with the ANP can be postponed to the moment that the patient feels sufficiently stable.

Keywords: DID Dissociatve Identity Disorder Stabilization

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

31. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.

Language: English

Format: Newsletter

Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but do not have a dissociative disorder Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life. The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and place, and so forth.) Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated trauma memories and the PTSD symptoms. We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a major survival strategy, but to help the client utilize it with conscious control. It is important to note that attachment issues are an aspect of development that are especially impacted by trauma. The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the client's resources and responses to trauma. One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure to the trauma processing experiences for these clients.

Keywords: Ego State Therapy

Accuracy Verified: Yes

32. 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

33. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

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.

Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have been supported by a number of recent reviews although there have been increasing concerns about their safety. Recent guidance has been issued in the UK by the Regulatory Agency concerning the use of SSRI drugs in people of all ages, but especially in children and young adults. In a meta-analysis of the clinical trial literature for PTSD, following a rigorous bibliographic search, 26 RCTs meeting strict criteria were identified. Data on two hitherto unpublished trials of sertraline were available for inclusion. This review highlights the methodological issues involved in comparing drug trials and trials of psychological therapies. Nonetheless, meta-analysis demonstrates that drug treatments for PTSD are probably more disappointing than hitherto believed. Only five drugs emerged with recommendations for use. One of these has a reliable if modest effect (paroxetine). The other four are included on the basis of small single trial reports. Although there are clear indications for drug treatments, in general there should be an increasing emphasis on ensuring that trauma-focused psychological treatments (CBT and EMDR) are widely available, delivered by competent practitioners, and easily accessible in a timely fashion in primary and secondary care settings.

Keywords: Drug Treatment Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: No

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

Language: English

Format: Conference

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

Keywords: Early Intervention Theory EEI Mass Disaster

Accuracy Verified: Yes

35. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships. Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience. In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies. From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect. This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.

Keywords: Affect Phobias Phobias Relational Trauma

Accuracy Verified: Yes

36. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Keywords: Poster Social Engagement

Accuracy Verified: Yes

37. Yarosh, D. (2003, September). Effective EMDR for high-functioning clients with intimacy problems (Expanded with new cases). Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Participants will learn to integrate EMDR into the longer-term treatment that is necessary where issues of attachment and relationship are paramount. Trauma treament of these clients involves an understanding of their unique personality characteristics, a comprehensive treatment plan that engages their cooperation, a Motivational Interview to set goals, and a Trauma History to prioritze EMDR targets. Specific techniques that will be demonstrated are the interweaving of Resource Development and Installation into the ongoing treatment, and body-focused interweaves to promote client safety when working with strong abreaction. Special interweaves helping clients integrate the successful parts of their lives into the parts where they are developmentally immature will be illustrated.

Keywords: Attachment Intimacy

Accuracy Verified: Yes

38. Smith, G. (2004, September). Effectively applying 8 phases of EMDR to any age child or adolescent. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This workshop will provide a comprehensive system for effectively applying the eight phases of the EMDR protocol with any age client. Participants will learn: 1) Three critical components of effective EMDR Case Conceptualization with children; 2) Steps to take in the Preparation Phase to ensure optimal client safety and treatment effectiveness; 3) Age-based variations for doing BLS and obtaining the Picture, NC, PC, VOC, Emotions, SUDS, and Physical Sensations; 4) Strategies for facilitating optimal processing with children, including strategies for intervention when processing is blocked or looping; 5) Closure and reevaluation strategies for enhancing treatment effectiveness with children.

Keywords: 8 Phases Adolescents Children

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium

Accuracy Verified: Yes

40. 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

41. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Complex Post Traumatic Stress Disorder (C-‐PTSD) is a psychological injury that results from protracted and repeated exposure to traumatic stressor. Though the literature in recent years presented and published papers on C-‐PTSD, the category is under consideration for inclusion in DSM or ICD. PTSD descriptions fail to capture some of the core elements of C-‐PTSD. Such elements include captivity, psychological fragmentation, the loss of a sense of safety, trust, and self-‐ worth, as well as the tendency to be re-‐victimized, and the loss of a coherent sense of self. It is this loss of a coherent sense of self, and the ensuing symptom profile, that most pointedly differentiates C-‐PTSD from PTSD. Six clusters of symptom have been suggested for diagnosis of C-‐PTSD. These are; 1. Alterations in regulation of affect and impulses 2. Alterations in attention or consciousness 3. Alterations in self-‐perception 4. Alterations in relations with others 5. Somatization 6. Alterations in systems of meaning The aim of this workshop is to present C-‐PTSD and the use of EMDR treatment of a severely disturbed young woman with unfinished bereavement for her mother lost 10 years ago, series of sexual abuse by 12 persons, rejection and emotional abuse by close family members. The case will be presented via DVD recordings of sessions.

El trastorno por estrés post-‐traumático complejo (C-‐TEPT) es una lesión psicológica consecuencia de una exposición prolongada y repetida a un estresor traumático. Si bien la literatura ha presentado y publicado trabajos sobre C-‐TEPT en los últimos años, la categoría se encuentra sometida a debate para su inclusión en el DSM o CIE. Las descripciones de TEPT no captan algunos de los elementos esenciales de C-‐ TEPT. Dichos elementos incluyen la fragmentación psicológica, la pérdida de una sensación de seguridad, confianza y valor propio de la persona, así como la tendencia a sufrir nuevas victimizaciones y la pérdida de un sentido coherente del yo. Es precisamente esta pérdida un sentido coherente del yo y el perfil sintomatológico consecuente, lo que diferencia más marcadamente el C-‐TEPT del TEPT. Se han planteado los siguientes seis grupos (“clusters”) de síntomas para el diagnóstico de C-‐TEPT: 1. Alteraciones de la regulación del afecto e impulsos 2. Alteraciones de la atención o conocimiento 3. Alteraciones de la auto-‐percepción 4. Alteraciones de las relaciones con terceros 5. Somatización Alteraciones de los sistemas de significado El objetivo que persigue este taller es el de presentar el C-‐TEPT y el empleo del tratamiento con EMDR de una joven gravemente perturbada con duelo incompleto por la pérdida de su madre hacía 10 años, una serie de abusos sexuales por parte de 12 personas, el rechazo y abuso emocional por parte de familiares cercanos. Se presentará el caso mediante las grabaciones en DVD de las sesiones.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PSTD

Accuracy Verified: Yes

42. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.

Keywords: Affect Centered Therapy Affect Theory

Accuracy Verified: Yes

43. Burdett, C. (2011, October). EMDR and British/Irish law. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
f a witness asks for therapy during the course of prosecution  You must inform the prosecutor and police of the request.  You must discuss the nature of the therapy with the prosecutor so decisions may be made on how to proceed.  The prosecutor may object to the use of EMDR to process memories that are part of the evidence.  The prosecutor may have no objection to the use of EMDR in developing soothing and safety techniques nor to its use to reduce anxiety when the witness is in court.  Therapy must not take place before the police have undertaken a recorded interview.  if new allegations arise in therapy, treatment must stop so that the witness can make a further statement to the police. [Excerpt]

Keywords: Britain Ireland Law

Accuracy Verified: Yes

44. Inobe, S. P. (2000, September). EMDR and ego state therapy: Practical implications for the desensitization and reprocessing of EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will learn to: 1) employ ego state therapy techniques and language to use with clients during desensitization and reprocessing phases of treatment; 2) work with and strengthen a self-system's internal strengths and weaknesses during processing, installation, and integration; 3) name specific techniques to ensure safety and containment; and 4) identify ways to recover from mid-EMDR processing failure.

Keywords: Ego State Therapy Processing Failure

Accuracy Verified: Yes

45. Silvestre, M., & Morris-Smith, J. (2010, June). EMDR and family therapy around the issue of domestic violence. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
During this pre-conference, we will discuss the integration of EMDR and family therapy through the work done with domestic violence cases. In these particular situations, the therapist is faced with complex clinical issues that require one to think and intervene at different levels: the victim, the children's victim, the perpetrator, the family dynamics. This complex clinical situation is challenging us to develop a multilevel way of thinking and working; it is a good example of integration between personal and interrelation issues. Such an integration proves to be a necessary process when faced with the trauma consequences of domestic violence, which we all know impact each family member greatly. We will look into attachment disorder, problems with affect regulation, safety issues and the transmission of perturbed family dynamics. We will also discuss treatment planning and how to articulate work with one person and work with a family with regard to the therapist's affiliation.

Keywords: Domestic Violence Family Therapy

Accuracy Verified: Yes

46. 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

47. 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

48. Wipson, E. C. (2001, June). EMDR applications in addictive disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) explain addictive brain process; 2) list two client readiness safety issues; 3) list two client resources for Resource Installation with addictions; 4) know standard and addictive EMDR protocol; 5) describe one negative cognition and positive cognition example for "urge" desensitization; 6) list two blocks to processing; and 7) list three "disturbances" connected with Addictive Illness suitable for EMDR processing.

Keywords: Addictive Disorders Client Readiness Resource Installation Safety Issues Urge

Accuracy Verified: Yes

49. 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

50. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability and/or control. A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event, prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism for people who need further follow-up, including EMDR. The steps of a CISD include: 1) introduction - to introduce the intervention team, explain the process, and set expectations. 2) fact - to describe the event from each participant's perspective on a cognitive level. 3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions. 4) reaction - to identify the most traumatic aspect of the event for participants. 5) symptom - to identify personal symptoms of distress and transition back to the cognitive level. 6) teaching - to educate as to normal reactions and adaptive coping strategies 7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up. In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in dysfunctional form. EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing. In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it. EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process, EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are relevant to the individual (e.g. Smells, tastes, etc.). The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed. Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such dynamics are understood when formulating the negative cognition. The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.

Keywords: CISM Critical Incidence Stress Management Recent Events

Accuracy Verified: Yes

51. Preston, J. (2000, September). EMDR as an approach to systems work. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) review basic tenants of systems theory and its application to family or couple therapy; 2) know several important aspects of using EMDR with couples and families, such as safety issues, selection of EMDR targets; and decisions about who should be present during sessions; 3) learn ways to apply systems thinking to work with individuals; and 4) review using EMDR in light of a systemic approach to individual work.

Keywords: Couple Therapy Family Therapy Safety Issues Systems Theory Targeting

Accuracy Verified: Yes

52. Aelen, F., & Chateau, K. (2005, November). EMDR bij systeemtherapie [EMDR therapy and systems]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Bij de keuze systeemleden bij de behandeling te betrekken spelen, ook bij behandelaren, cognities een rol mee. Cognities over de groei-en helingmogelijkheden die het gezin (van oorsprong) biedt en over zijn beperkende of zelfs schadelijke invloed op de ontwikkeling van individuen. De systeemtherapeut beweegt zich in het -voor anderen soms onoverzichtelijke- moeras van kansen en gevaren voor het individu: zij heeft leren sturen en wijken, neemt risico’s om gedragsverandering te bewerkstelligen, maar stelt veiligheid voorop. Hoe kan een individueel therapeut op een veilige manier systeemleden betrekken en waartoe kan een systeemtherapeut EMDR inzetten ? Getraumatiseerd is een individu op zijn kwetsbaarst: Het besluit om systeemleden bij de behandeling te betrekken moet dan ook altijd in het voordeel van de getraumatiseerde cliënt zijn Wanneer traumatisering heeft plaatsgevonden binnen het gezinssysteem van oorsprong (of wanneer de ouders niet bij machte zijn geweest om op traumatisering ‘van buiten’ adequaat te reageren) ontwikkelt een individu disfunctionele cognities over zichzelf en over zijn kernrelaties, die vaak generaliseren naar de wereld buiten het gezin. Dit is van invloed op o.m. latere partnerrelaties. Het betrekken bij de EMDR-behandeling van een ‘good enough’ partner kan de individuele cliënt helpen deze gegeneraliseerde cognities te vervangen door passender en meer productiever cognities. In de workshop besteden we aandacht aan de vraag hoe een individueel therapeut op een veilige manier systeemleden kan betrekken bij de EMDR-behandeling en aan de vraag waartoe een systeemtherapeut EMDR kan inzetten. Een eerste stap in het gebruik maken van de extra kansen die het systeemdenken biedt aan EMDR-therapeuten, is het, hypothetisch, in kaart brengen van de positieve en negatieve systeeminvloeden voor de cliënt middels het maken van het genogram . Dit om de effecten van de EMDR te plaatsen in de relationele leergeschiedenis van het individu. Een tweede stap is het betrekken van liefdevolle en betrouwbaar geïnvolveerde partners (of vrienden) en het “verzilveren” van de EMDR met de kernrelatie, waarbij op natuurlijke wijze verbeteringen of soms (tijdelijke) moeilijkheden aan bod komen. Een derde stap is het ineenweven van EMDR en systeemgesprekken, waarbij naast traumaverwerking gezonder verhoudingen het doel zijn en resultaten op beide gebieden elkaar logischerwijs versterken.

In select members for the treatment system involvement, here when medical professionals play a role with Cognitions. Cognitions about the growth and healing potential of the family (or origin) and limiting or Has Been here Harmful Effects on the Development of Individuals. The therapist moves the system to others-Sometimes-confuse Morass of opportunities and risks for the Individual: the therapist has learned to steer and districts, taking risks for behavior change, but does put safety first. How Can an Individual therapist in a safe way to members and involvement System Which Can Deploy a system EMDR therapist? A traumatized individuality to be vulnerable: The decision to members in the treatment system involvement Should therefore always in favor of the traumatized client When trauma occurred HAS Within the Family System of Origin (or When parents are Unable to bone traumatization 'outside' appropriate response) initially develop an individuality Dysfunctional Cognitions about himself and his key relationships in loss or That Generalize to the world outside the family. This subsequent component seem ambiguous to partner relationships. The involvement of the EMDR treatment or a 'good enough' partner, an individuality to help client thesis generalized Cognition to replace more and more Productive Appropriate Cognitions. In the workshop we focus on how an individuality in a safe system therapist members Can Participate in the EMDR treatment and to demand a System Which Can use EMDR therapist. A first step in making use of the extra opportunities the system offers to think EMDR Therapists, it is, hypothetically, identify the positive and negative Influences on the client system through the creation of the genogram. That the effects of EMDR to place in the relational learning history of the individuality. A second step is the involvement or permission and secure agreement of the partners (or friends) and "Redeem" the core relationship with EMDR, which Sometimes Naturally Speaking Improvements or (temporary) problems to be addressed. A third step is weaving together of EMDR and system calls, which in addition to trauma and healthy relationships are the results in objectifying both areas reinforcement each other logically.

Keywords: Systems Therapy

Accuracy Verified: Yes

53. Lewis, V. M. (1997, January). EMDR client safety checklist. EMDRIA Newsletter, 2(3), 9.

Language: English

Format: Newsletter

Abstract:
No abstract available.

Keywords: Client Checklist

Accuracy Verified: Yes

54. Lewis, V. M. (1993, Spring). EMDR client safety checklist. EMDR Network Newsletter, 3(1), 5.

Language: English

Format: Newsletter

Abstract:
The idea for a Checklist arose from a concern that clinicians use EMDR competently and ethically. This checklist is one attempt to assist EMDR-trained therapists in developing professional attitudes and standards that reflect excellence.

Keywords: Client Checklist

Accuracy Verified: Yes

55. Shapiro, F. (1993). EMDR déjà vu. the Behavior Therapist, 16(8), 187-188.

Language: English

Format: Newsletter

Abstract:
The letter from Dr. Thomson in Nova Scotia (the Behavior Therapist, Vol. 16, No. 4, pp. 113-114) addresses some interesting issues. First of all, let me say that I sympathize with his travel problem. The Australians called it the "tyranny of distance." Therefore, after a half dozen clinicians flew into the US to be trained, they coordinated a series of workshops in Australia later that year. During that first trip to Australia we trained almost 500 clinicians in EMDR, and another 350 clinicians six months later. The simple message here is "coordinate it and we will come." The larger issue, however, remains client safety and the consequent need for quality control.

Keywords: Training

Accuracy Verified: Yes

56. Maiberger, B. (2009). EMDR essentials: A guide for clients and therapists. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
1)In easy-to-understand terms, Barb Maiberger explains EMDR to clients and, in turn, equips clinicians with a shorthand way of explaining it to their own patients. Topics include understanding trauma and its symptoms, how and why EMDR works (and when it won't), how to find the right therapist, and sample relaxation exercises. 2)This book discusses eye movement desensitization and reprocessing (EMDR) therapy. Part I explains EMDR, the phases involved in treatment, the nature of trauma and its effect on memory. Theories about why EMDR works, how it can work for children, and safety issues are addressed. Part II provides illustrations from the author's experiences as an EMDR therapist, presenting client issues and how EMDR helped them. The author notes that the purpose of this book is to inform potential EMDR clients what to expect from EMDR therapy and how it may help in trauma healing. (PsycINFO Database)

Keywords: Practice Theory

Accuracy Verified: Yes

57. 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

58. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence, has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment – safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance of learning how to articulate EMDR interventions with the child and her adoptive parents.

Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado, desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo. Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede

Keywords: Developmental Trauma Disorder

Accuracy Verified: Yes

59. Zweben, J., & Yeary, J. (2006, October). EMDR in the treatment of addictions. Journal of Chemical Dependency Treatment, 8(2), 115-227. doi:10.1300/J034v08n02_06.

Language: English

Format: Journal

Abstract:
Journal of Chemical Dependency Treatment Series
EMDR offers so much promise and great challenges to addiction treatment providers. It is a powerful tool for trauma resolution, but it must be carefully integrated into addiction treatment. Organizational as well as individual safety structures must be in place so that vulnerable indivduals may be offered this opportunity under conditions which maximize their chances for success. Efforts are underway to obtain funding for controlled trials, and it is hoped that these will clarify safety and efficacy questions, as well as many clinical issues that arise as more clinicians work with this method. [Haworth]

Keywords: Addictions Childhood Trauma Recovery

Accuracy Verified: Yes

60. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress. As a pilot experience, we have been able to use this EMDRIT framework with 64 clients. Their complex disorders included, for each of them, at least 3 of the following symptoms: Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions. For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis: •Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN). •The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN). •The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system. •Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent. •Need to standardize appropriate scale for database, in order to foster international research and results sharing. We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.

Keywords: EMDR Intensive Therapy EMDRIT

Accuracy Verified: Yes

61. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50.

Language: English

Format: Journal

Abstract:
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to 32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued to work with the recovered corpses and were continually exposed to horrific emotional stressors, with ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention, reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in a human massacre situation. It appears that the treatment may have helped to prevent the development of chronic PTSD and to increase psychological and emotional resilience.

Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events

Accuracy Verified: Yes

62. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR processing, and to work to create a secure, responsive, and positive relational environment that supports change and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation) will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress with greater precision, using both verbal and non-verbal markers to determine where the client is on a given conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different types of interweaves will be delineated with a clear description of the purpose or function associated with each. Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both didactic and video material. Learning Objectives: • Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment decision-making during an EMDR session. • Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice) reflected in a client’s presenting issues, choice of targets, and stuck points. • Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal of maintaining and even accelerating processing within a window of tolerance. • Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal experiences (i.e. affect, sensation, urges, fantasies). • Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies, completing incomplete or truncated actions, and addressing various domains of developmental repair.

Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive favorisant ainsi le changement et l’intégration. Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision ‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou approfondir le traitement du client. Objectifs d’apprentissage: • Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR. • Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité, contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les blocages. • Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de tolérance. • Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes). • Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les dommages survenus au cours du développement.

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

Accuracy Verified: Yes

63. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.

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

Accuracy Verified: Yes

64. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.

Learning Objectives: 1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part. 2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client. 3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.

Keywords: Dissociative Abreaction Psychological Defenses Toolbox

Accuracy Verified: Yes

65. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

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

Accuracy Verified: Yes

66. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.

Keywords: Road Traffic Incidents RTI Travel Phobia

Accuracy Verified: Yes

67. Silvestre, M., & Morris-Smith, J. (2010, July). EMDR with children and families. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
During this practical skills gaining workshop using video examples of clinical material and theoretical presentation, we will talk about basic ideas of EMDR work with children, EMDR protocol adaptation according to the child developmental level, safety and attachment issues, family dynamics and integration with family therapy work. We will discuss case conceptualisation and treatment planning through video clips analysis. The participants will be invited to bring case material and questions during the course of the workshop.

Keywords: Children Families

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Children Chronic Abuse, Domestic Violence

Accuracy Verified: Yes

69. Lovett, J. M. (1995, June). EMDR with Children: Eleven months to eleven years. Presentatioj at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
There are special considerations when treating children for critical incidents, anxiety, or other "EMDR amenable" conditions. Especially challenging for EMDR practitioners, young children may not be able to verbalize their thoughts, feelings, or beliefs children old enough to understand treatment options may choose to keep their symptoms rather than experience temporarily increased anxiety during treatment. Even cooperative children may not be able to identify a positive cognition because their life experience and/or cognitive development have not yet permitted resources for self-soothing or making sense of life changing events. Furthermore, children are dependent on an adult or family for their physical safety and emotional wellbeing. Although the child may be the "identified patient," the parents' own post-traumatic beliefs may be triggering the child's symptoms, and a successful outcome for the child may depend on the parents' reprocessing of traumatic material. Case studies will be presented to illustrate how the EMDR practitioner workmg with children can integrate EMDR techniques with play therapy, use "EMDR enhanced" games, choose an appropriate positive cognition for a young child, introduce creative interweaves to reach trauma resolution, and work with parents to separate their PTSD triggers from their child's behavior.

Keywords: Children

Accuracy Verified: Yes

70. 陈庆玲 [Chen Qingling] (2012). EMDR用于艾滋病患者心理康复研究——以某一艾滋病患者创伤心理治疗的成功个案为例 [The EMDR for AIDS patients psychological Rehabilitation Research - successful cases of an AIDS patient trauma psychotherapy]. 西华大学学报：哲学社会科学版,6.

Language: Chinese

Format: Dissertation/Thesis

Abstract:
感染艾滋病病毒对于生命和躯体安全都是一个严重的创伤性事件,患者往往会承受巨大的精神压力,并有不同程度的情感障碍问题。本文采用EMDR方法对一例具有抑郁情绪和人际交往障碍的艾滋病患者进行治疗,治疗结果显示对HIV/AIDS患者采用EMDR方法能获得良好的效果,因此有必要进行更深入的研究和应用。

HIV infection for the safety of life and body are a serious traumatic event, patients tend to be under tremendous mental stress, and have varying degrees of affective disorder. In this paper, the EMDR method for treatment of one case of AIDS patients with depression and interpersonal barriers, treatment outcomes of HIV / AIDS patients can get good results with EMDR method, it is necessary to carry out more in-depth research and application.

Keywords: AIDS Depression HIV Trauma

Accuracy Verified: No

71. 小川栄一 , 青山慎史 , 東山正靖 , 谷好充 , 志和資朗 , 佐々木高伸 [Eiichi Ogawa, Shinji Aoyama, Masayasu Higashiyama, Yoshimitsu Tani, Shiro Shiwa, and Takanobu Sasaki] (2008年4月). EMDR(眼球運動による脱感作と再処理法)法の主観的安心感に及ぼす効果と脳波変化(一般発表,第35回日本バイオフィードバック学術総会抄録集) [EMDR (treatment of eye movement desensitization and reprocessing) effects for subjective sense of security and EEF changes(general presentation, Abstracts of the 35th Annual Meeting of Biofeedback Research)]. バイオフィードバック研究、35の日本学会（1）、72 [Biofeedback Research, 35(1), 72].

Language: Japanese

Format: Journal

Keywords: EEG Changes Safety

Accuracy Verified: Yes

72. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations: Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.

Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC

Accuracy Verified: Yes

73. Solomon, E. P., Solomon, R. M., & Heide, K. M. (2009, October). EMDR: An evidence-based treatment for victims of trauma. Victims & Offenders, 4(4), 391 - 397. doi:10.1080/15564880903227495.

Language: English

Format: Journal

Abstract:
More than half of the United States population has been affected by psychological trauma. Many individuals who survive traumatic experiences develop post-traumatic stress disorder (PTSD) and related psychological problems. Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for such disorders. EMDR focuses on reprocessing the dysfunctionally stored memories of the traumatic experience, enabling the client to progress through appropriate stages of affect and insight to reach an adaptive resolution regarding critical issues such as personal responsibility, safety in the present, and the availability of choices in the future. This article describes EMDR, discusses studies of its effectiveness, and concludes with recommendations for trauma-related policy and practice.

Keywords: Child Abuse Crime Victims Evidence-Based Treatment Postraumatic Stress Disorder PTSD Trauma Traumatic Stress

Accuracy Verified: Yes

74. D‘Hooghe, D. (2010, June). EMDR‘s application in the treatment of children with selective mutism. In Experimental use of EMDR. Symposium presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This case concerns a 4,5 year old girl with Selective Mutism. In this particular case. I considered Selective Mutism a symptom of an attachment trauma. Since the trauma wasn't accessible seeing her age and the complexity of the trauma, I used the symptom as a target. I applied EMDR within a phase model: the preparation phase, confrontation phase and integration phase. During these three phases I continuously worked with bilateral stimulation It is my hypothesis that in this case the bilateral stimulation: 1. stimulated and strengthened positive links in the adaptive network. 2 synchronized the activity of both cerebral hemispheres, resulting in a connection between the primary emotions of traumatic experiences and rational insights and language. 3. unblocked the traumatic information and reactivated the natural healing process of the brain. I used several forms of bilateral stimulation as visual stimulation, tactile stimulation and the butterfly hug. Because of her lack of words, she wasn't able to tell me anything. So through storytelling I offered her different themes to which she could respond by making drawings, figures in clay, etc. During the preparation phase, I focused on safety, ego strengthening and affect management to reduce the fear to speak. 1. Working with safety : the eye movements were first accomplished using a safe Image which brought up her own sense of security. Then, after imagining this safe place, the child was willing to play tapping games to strengthen feelings of safety. 2. Ego strengthening : to feel as strong as possible by installing resources and positive cognitions, and guiding the child towards acceptance and development of its unique being. Bilateral stimulation was used to strengthen the positive experiences. 3. Affect management: in the process of strengthening affect management, the child was given access to her anxiety by storytelling linked to visualization, the use of images and bodywork. Again, bilateral stimulation was used to strengthen the positive experiences/skills. After a few sessions. I introduced the use of language and stimulated her to make sounds, followed by pronouncing places of words and finally the pronunciation of complete words and sentences. Through this whole process, 1 combined the specific exercises to learn how to speak with bilateral stimulations. During the twelfth session, the child started talking spontaneously Given the fact that there wasn't any direct confrontation work during the sessions, we are left to wonder whether there has or hasn't occurred any trauma processing. The symptom came to a halt, together with the disappearance of other symptoms that were Inked to the trauma. The question is whether it is necessary to confront young children with their trauma in order to heal. Nevertheless, it seems like the combination of bilateral stimulation with storytelling, art therapy, play therapy and visualization speeded up the elimination of the child's trauma symptoms considerably.

Keywords: Experimental Use Selective Mutism

Accuracy Verified: Yes

75. Goodyear-Brown, P. (2008, January). Empirically informed play therapy inteventions for treating traumatized children, Parts I & II. Presentation at the San Diego International Conference on Child and Family Maltreatment, San Diego, CA.

Language: English

Format: Conference

Abstract: E
vidence Based Practice is the new standard in the field. However, the evidence base regarding trauma treatments for children, particularly young children, is in the early stages of it's evolution. Recent research related to the neurobiology of trauma, implicit and explicit memory systems and the impact of these dynamics on trauma treatment will be discussed. Treatments with a large evidence base, such as TF-CBT and EMDR will be discussed with a view to how many of the treatment goals can be accomplished and more easily digested by children through the vehicle of play. It is critical that practitioners who serve traumatized children be able to match interventions to treatment goals and symptomatology. Specific play therapy interventions will be tied to treatment goals in an effort to help practitioners expand their repertoires with child-friendly interventions based on the latest research. The treatment areas covered in this workshop will include helping the client to 1) re-establish a sense of safety and security, 2) learn and practice stress inoculation strategies, 3) identify and confront faulty attributions related to the trauma, 4) restructure distorted cognitions related to the trauma and 5) create a trauma narrative. Several play therapy interventions will be explained and demonstrated for each of the aforementioned gaols. Children accomplish the hard work of healing from trauma in a gentle, fun and safe treatment milieu. Case vignettes, slides and video clips will augment the didactic presentation. Experiential methods will also be used. Participants should come prepared to play!

Keywords: Children Evidence-Based Practice Play Therapy

Accuracy Verified: Yes

76. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]

Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

77. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered. The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma. EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.

Keywords: Intervention Summary

Accuracy Verified: Yes

78. 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

79. 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

80. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 1st Ed. New York: Guilford Press.

Language: English

Format: Book

Abstract:
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias.To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text]

Keywords: Abuse Adults Assessment Child Abuse Children DID Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Survivors Veterans

Accuracy Verified: Yes

81. Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 2nd Ed. New York: Guilford Press.

Language: English

Format: Book

Abstract:
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias. To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text of 1st Edition]

Keywords: Adults Assessment Child Abuse Children Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Abuse Survivors Veterans

Accuracy Verified: Yes

82. Paulsen, S. L. (1995, March). Eye movement desensitization and reprocessing: Its cautious use in the dissociative disorders. Dissociation: Progress in the Dissociative Disorders, 8(1), 32-44.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is described in terms of clinical phenomena, the need for appropriate training in EMDR, and the consistency of neural network theory with BASK theory of dissociation. EMDR treatment failures occur in dissociative disorder patients when EMDR is used without making diagnosis of the underlying dissociative condition and without modifying the EMDR procedure to accommodate it. Careful informed consent and the use of the dissociative table technique can allow EMDR to move successfully to completion in a dissociative patient. Certain "red flags" contraindicate the use of EMDR for some dissociative patients. A protocol for EMDR with dissociative patients is offered, for crisis intervention (rarely appropriate), abreactive trauma work, and integration/fusion. The safety and effectiveness of EMDR's use in the dissociative disorders requires adequate preparation and skillful trouble-shooting during the EMDR. [Author Abstract]

Keywords: Adults Crisis Intervention Dissociative Disorders Females Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

83. Shapiro, E. (2009). Four elements exercise for stress management. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 73-79). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The rationale behind the creation of "The Four Elements Exercise for Stress Management" is to address the cumulative effect of external and internal triggers that occur over the course of the day. Since we know that people cope better with stress when they stay within their arousal "window of tolerance," ways to lower stress—especially when under stress—are essential. The heart of the exercise consists of four, brief, self-calming and self-control activities. The sequence of the four elements—Earth-Air-Water-Fire—is designed to follow the body up from the feet to the stomach and chest, to the throat and mouth, and up through the head. It begins with the ground to signify safety in the present reality and moves up to the imagination of recalled safety. By checking in with stress levels at random times throughout the day and also when stressful events are occurring, the exercise can aid in preventing the accumulation of stress and enables clients to stay within their window of tolerance. The modest goal is to reduce the stress level by 1 or 2 units each time the exercise is performed. The original conceptualization of the Four Elements Exercise was that the first three elements could be a preparation for the Safe Place (or other resource exercise such as the Resource Connection), especially when there is an ongoing emergency situation or when it is difficult to find a Safe Place. Often, the fourth element is introduced at the following meeting, as the first three elements are enough to remember and practice in the beginning for clients. Working on the Safe Place separately during the following session gives it more space and impact. It is advisable to follow up on how the client practiced the four elements at the beginning of the next session and to ask them to show you how they do it. If necessary, demonstrate it again at the beginning of the first few sessions. This is a way of checking for compliance and readiness for EMDR as well as present level of stress and sense of safety with you in the room. [PsycINFO Database]

Keywords: Four Elements Exercise Protocol Stress Management

Accuracy Verified: Yes

84. Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work: Healing the heart of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
The integration of Ego state and Somatosensory work and EMDR will be shown to help patients with Complex PTSD repair fragmentation. disconnections and develop the safety to utilize EMDR successfully.
Although complex trauma victims are seeking help for PTSD. depression and anxiety, additional trauma responses may lead them to encounter difficulty in dealing with triggers, stress and relationships.
The sequential exercises presented will provide stability for dissociated "parts" unable to cope with symptoms.
Learning Objectives include the importance of including information in the history taking about inability to love. fragmentation, and alienation; defining and selecting the appropriate ego state/somatosensory/affect management strategies to help challenging clients.

Keywords: Complex Trauma Ego State Therapy Somasensory

Accuracy Verified: Yes

85. Crenshaw, D. (2008, September-October). The healing power of play; Helping the traumatized child find safety again. Psychotherapy Networker, 32(5), 61-65.

Language: English

Format: Magazine

Abstract: W
hen children are too anxious, afraid, or traumatized to play, they can't utilize this natural resource of childhood to relieve a painful emotional state. Child therapists can help children reclaim this vital feature of emotional self-regulation by teaching, modeling, and setting the stage for the child to play.

Keywords: Children Play Therapy Psychotherapy Youth

Accuracy Verified: Yes

86. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.

Keywords: Affect Theory

Accuracy Verified: Yes

87. Forgash, C. A. (2004, September). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Trauma victims enter therapy seeking help with the symptoms of PTSD, depression and anxiety. Additional trauma responses lead the client to encounter difficulty in dealing with trauma as well as with relationships. This can include the inability to love, nurture and bond with other individuals (even those currently in relationship with the victim). Integrating ego state strategies into the preparation phase of the standard protocol results in a safety and stability focused therapeutic approach. The emphasis in this presentation will be on developing interventions that provide stability and reconnection for the aspects of the self unable to cope with symptoms and life stresses and help clients access/work with their ego state system to desensitize and reprocess trauma.

Keywords: Connections Stability

Accuracy Verified: Yes

88. Maltz, W. (1995, June). Healing the sexual problems caused by sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Sexual abuse is abuse to a person's sexuality. It can seriously harm the development of healthy sexual attitudes, self-concept, and behavior. In particular, survivors are often troubled by a variety of sexual problems, such as, fear and avoidance of sex, approaching sex as an obligation, automatic negative reactions to touch, difficulty becoming aroused or feeling sensation, emotional detachment during sex, disturbing sexual thoughts and fantasies, compulsive sexual behaviors, difficulty with intimate partners, and sexual functioning concerns. EMDR is a technique which can effect significant changes in cognition, sensation, and emotional experience. It can be a powerful tool to help survivors reprocess traumatic material blocking healthy sexual experience. But because sex is often an extremely loaded issue for survivors, and EMDR is seen as technique in which the therapist "does something" to the client, precautions must be taken to avoid negative, retraumatizing reactions and increase positive results. Due to the high potential for negative transference in sex therapy with survivors, the therapist must present the EMDR technique in a style which values client safety and empowerment. This can involve associating the techque with safe images and prior positive experiences, developing relaxation and containment skills, and modifying the physical aspects associated with the technique. There are a variety of sexual concerns which respond well to EMDR intervention. EMDR can be used to help replace old negative messages about sex with new messages which view sex as based on consent, equality, respect and safety. Sexual self-concept can be improved as survivors undo irrational belief systems which blame their sexuality and/or sexual parts for having caused the abuse. EMDR can help introduce new experiences of self-forgiveness and self-acceptance. EMDR can also help desensitize particular objects, sexual settings, types of touch, and associations to the intimate partner which trigger negative reactions. Therapists who focus on sexual healing need to be familiar with a variety of sexual healing techniques. These include the sexual response cycle exercise, relearning touch exercises, techniques for healing unwanted sexual fantasies, and techniques for improving sexual functioning. Therapists can use EMDR to help survivors work through blocks and impasses encountered with the techniques.

Keywords: Sexual Abuse Sexual Issues

Accuracy Verified: Yes

89. Morris-Smith, J. (2006, March). Helping children and families recover: The role of EMDR therapy in the aftermath of disaster and traumatic events. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
Children are often caught up in traumatic situations which are be)cond their control and in which they experience overwhelming helplessness and a sense of abandonment. Their lives become severely disrupted ard may even change completely. Helping children understand their experiences whilst resolving their traumatic memories is fundamental to their future health and adaptation. Parents and carers take the primary role in re-establishing the children's sense of safety in the world. Enabling parents or carers to be a part of the EMDR therapy process and thus to develop insights into the child's understandings through the development of a shared narrative and attunement may also be key to the recovery of the children. This paper aims to look at how this can be achieved during EMDR therapy and will be illustrated by case examples and video clips.

Keywords: Children Families Disaster Trauma

Accuracy Verified: Yes

90. Grey, E. (2009, August). Holistically stressed: A qualitative investigation of EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
To the researcher’s knowledge, there is no phenomenological knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized and clinical populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed participants’ experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR’s criteria for posttraumatic stress disorder (PTSD) or acute stress disorder (ASD). Additionally, a gap in the literature exists in giving a voice to the participants’ experience of EMDR treatment. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD or ASD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. The participants chief complaints included economic stress, relationship stressor, and critical self-talk. The researcher employed a qualitative phenomenological design to gather data in order to answer the research question: what are the lived experiences of sub-clinically stressed participants’ body sensations, beliefs, emotions, and memory imagery during EMDR treatment? The data was collected using the EMDRIA approved research treatment protocol. The researcher included the floatback technique in every reprocessing session to complying with the tenet of the Adaptive Information Processing Model. After installing a safe-place and five reprocessing sessions, the researcher administered a final interview asking questions about what the participants’ experienced in their body, thoughts, emotions, and memory images. All reprocessing session were completed when the participant indicated a SUDs of ‘0’ and a VOC of ‘7’. The data collected during every reprocessing session and the final interviews were analyzed using constant comparative techniques and open coding; verified with member check techniques. The results identify five thematic holistic experiences common in all participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The findings indicate a participants’ lived experience may expand the cognitive themes described in the Adaptive Information Processing Model. The themes of responsibility, safety, power, and value were targeted and reprocessed as disturbing memories. The participants experienced these themes as feeling overly responsible, unsafe, valueless, and/or powerless. The holistic manifestation of the themes of choices emerged as the outcome towards a more adaptive perspective of the disturbing targeted memories. The results of this study further indicate that it may be beneficial to address all four maladaptive themes in mind and body for effective sub-clinical stress resolution. The findings inform scholarly and clinical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices. The findings of this study preliminarily expand the previously unknown holistic manifestation of these themes in sub-clinical participants’ lived sensory experiences. These themes are now in need of additional research to verify and validate the findings of this study.

Keywords: Poster Sub-Clinical Stress

Accuracy Verified: Yes

91. Henry-Schneider, P. (2013, May). The importance of working with the mind/body system. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Ai Chi is a moving meditation in warm water. It is a powerful way to reinforce the body as a positive resource, because it is a multimodal experience. Ai Chi involves being aware of the body in a warm, supportive, nurturing environment. As Bessel van der Kolk points out, “Our brains will continue to take in new information and construct new realities as long as our bodies feel safe.” (2003) Ai Chi reinforces feelings of safety, allowing clients to build upon positive memories and to release negative ones. Ai Chi can be integrated into various stages of the EMDR model. Given an increased awareness of the significance of somatic interventions, an introduction to a little-known modality is important. Utilizing concepts of interpersonal neurobiology developed by Daniel Siegel, levels of integration that constitute mental health will be explored. It will become clear that the characteristics that represent integration are paralleled and reinforced by the Ai Chi process. This puts both EMDR and Ai Chi within a broader context and demonstrates how Ai Chi can reinforce and expand the effects of EMDR. The experience of incorporating a sense of well-being becomes both literal and metaphorical. Participants will learn some of the movements on land and also watch a video of the process. Not only is Ai Chi suitable for most populations, it is particularly helpful for people with chronic pain issues as well as an older population. Learning Objectives: • Come to a basic understanding of mental health from an interpersonal neurobiological point of view • Learn about the practice of Ai Chi • Explore how combining EMDR and Ai Chi can promote the 9 levels of integration described by Daniel Siegel MD • Hear about specific cases and how combining EMDR and Ai Chi has contributed to the resolution of a variety of mental health issues • Experience Ai Chi and/or watch video demonstrating Ai Chi.

Keywords: Ai Chi Mind/Body Connection

Accuracy Verified: Yes

92. Reddemann, L. (2009). The inner safe place. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp.71-72). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The imagery of an "Inner Safe Place" is part of a body of work on stabilization techniques for trauma therapy called "Psychodynamic Imaginative Trauma Therapy (PITT)". It is used within PITT to prepare clients for EMDR. However, it works very well as a resource for EMDR. It is important to know that clients who live in unsafe circumstances are often not able to develop the images and so seeing what happens while working on installing the inner safe place can tell us something about clients' external safety. If clients are able to create an inner safe place, the therapist can proceed with the exercise. If clients are unable to create and install a safe place, other stabilization work is used. This chapter provides the Inner Safe Place Script. [PsycINFO Database]

Keywords: Inner Safe Place Protocol

Accuracy Verified: Yes

93. Brown, S. H., Gilman, S. G., Goodman, E. G., Adler-Tapia, R., & Freng, S. (2010). Integrated trauma treatment in drug court: Combining EMDR and seeking safety. Authors.

Language: English

Format: Other

Abstract:
Trauma histories with co-occurring Substance Use Disorder (SUD) are disproportionately prevalent for individuals in the criminal justice system. A study was implemented in the Thurston County Drug Court Program to determine the prevalence of trauma exposure and evaluate the feasibility of implementing an Integrated Trauma Treatment Program (ITTP) combining two empirically supported treatments: Eye Movement Desensitization and Reprocessing (EMDR) and Seeking Safety (SS). It was hypothesized that individual trauma treatment would lead to improved program outcomes, including increased graduation rates and lower recidivism. Two hundred nineteen males and females, ages 18-65 were screened. One hundred sixty one participants (73.5%) were eligible for the ITTP based on a self-report of at least one “criterion A” event in their lifetime. Fifty-eight participants (26.5%) did not report criterion A trauma and were assigned to program as usual (PAU). Participants who completed only the SS groups (N=50) graduated at a rate of 62% compared to 91.3% of those who completed both SS and EMDR (N=69). After implementation of the ITTP, recidivism for graduates was 7.4% and 18% for terminators, compared to 25% and 30.6% respectively prior to the ITTP. These outcomes provide preliminary evidence that individual trauma treatment can improve graduation rates and decrease recidivism in a Drug Court Program.

Keywords: Drug Court Integrated Trauma Treatment Program ITTP Seeking Safety Substance Use Disorder SUD Thurston County Drug Court Program

Accuracy Verified: Yes

94. Brown, S., & Gilman, S. (2007). An integrated trauma treatment program (ITTP) in the Thurston County Drug Court Program: Program summary - An integrated trauma treatment program (EMDR and seeking safety) as an enhancement in the Thurson County drug court program. Author.

Language: English

Format: Other

Abstract:
The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system. Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.

Keywords: Posttraumatic Stress Disorder PTSD Substance Use Disorder

Accuracy Verified: Yes

95. Brown, S., Gilman, S. G., & Kelso, T. (2008, September). Integrated trauma treatment program: A novel EMDR approach for PTSD and substance abuse. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
PTSD and substance abuse is a common co-occurring disorder for which current research recommends a phased, integrated treatment approach. This presentation covers the 4-year pilot program using EMDR and Seeking Safety© as an Integrated Trauma Treatment Program (ITTP) in a Drug Court. The process, rationale and clinically significant outcomes of this study will be presented. Participants will learn how to implement EMDR in other similar settings and will learn how to develop a simple research model to collect data. Time will be provided for discussion of clinical issues addressed in this ITTP and video of study participants post-treatment.

Keywords: Posttraumatic Stress Disorder PTSD Substance Abuse

Accuracy Verified: Yes

96. Parnell, L. (2010, September/October). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clients who have experienced childhood traumas that have impacted their sense of safety and capacity to form close emotional relationships in adulthood require adjustments to the EMDR phases and procedural steps. These relational traumas can include childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, caregiver misattunement and vicarious trauma. In order for EMDR therapists to be most successful with this population it is important to incorporate an attachment repair orientation into the therapy. Through lecture, case examples, and video clips, participants will learn how an attachment-repair orientation can be integrated into all phases of EMDR treatment.

Keywords: Attachment Repair Orientation Relational Trauma

Accuracy Verified: Yes

97. Parnell, L. (2012, June). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma [EMDR centrado en el apego: Curar el trauma relacional]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Attachment-‐focused EMDR is a new model of EMDR (Eye Movement Desensitization and Reprocessing) developed over a period of nineteen years by psychologist and EMDR trainer Dr. Laurel Parnell that adapts this powerful and effective trauma therapy to the needs of clients with attachment wounds. In this workshop you will learn how the standard EMDR protocol can be modified so that it flows more easily, supports client safety, maintains the therapeutic connection and enhances attunement. Attachment-‐focused EMDR is client-‐centered and emphasizes a reparative therapeutic relationship, using a combination of Resource Tapping (Parnell, 2008) to strengthen clients, EMDR to process traumas and talk therapy to help integrate the information from the EMDR sessions and to provide healing from therapist-‐client interaction. In this workshop Dr. Parnell will present the five basic principles of Attachment-‐ Focused EMDR and how they are implemented in the treatment of traumatized clients with attachment wounds. Case material and video clips of sessions will be used to illustrate key points.

El EMDR centrado en el apego es un nuevo modelo de EMDR (Eye Movement Desensitization and Reprocessing) desarrollado a lo largo de diecinueve años por la psicóloga y formadora de EMDR Dra. Laurel Parnell y que adapta esta terapia de trauma potente y efectiva a las necesidades de clientes que sufren heridas de apego. En este taller, se aprenderá cómo se puede modificar el protocolo de EMDR de tal forma que fluye con mayor facilidad, apoya la seguridad del cliente, mantiene la conexión terapéutica y mejora la sintonía (attunement). Attachment-‐focused EMDR se centra en el cliente y refuerza una relación terapéutica reparadora, con una combinación de Recursos de Tapping (Resource Tapping) (Parnell, 2008) para fortalecer a los clientes, EMDR para procesar los traumas y “talk therapy” (terapia hablada) para contribuir a integrar la información de las sesiones de EMDR y para proporcionar la curación derivada de la interacción entre terapeuta y el cliente. En este taller, la Dra. Parnell presentará los cinco principios básicos de Attachment-‐Focused EMDR y cómo se implementan en el tratamiento de clientes traumatizados y con heridas de apego. Se presentará material sobre los casos y vídeos de las sesiones para ilustrar los puntos más importantes.

Keywords: Attachment Repair Relational Trauma

Accuracy Verified: Yes

98. Gelinas, D. (2003). Integrating EMDR into phase-oriented treatment for trauma. Journal of Trauma and Dissociation, 4(3), 91-135. doi:10.1300/J229v04n03_06.

Language: English

Format: Journal

Abstract:
Originally introduced a century ago by Pierre Janet, phase-oriented treatment has been independently proposed by many authors and is now widely considered by trauma specialists to be the treatment of choice for PTSD and other posttraumatic disorders. Much more recently, introduced by Francine Shapiro in 1989, Eye Movement Desensitization and Reprocessing (EMDR) has also become available for the treatment of PTSD and other trauma-based disorders. EMDR has become widely accepted by clinicians and has received strong support regarding its efficacy from a wide range of empirical studies. However, with a very few exceptions (highlighted in this paper), these two major approaches for treating trauma have developed largely independently. The present paper integrates the major EMDR developments with the different stages of the phase-oriented approach to assess if such an integration is conceptually and clinically useful. The EMDR developments integrated into the phases of trauma treatment include: Shapiro's prototypic protocol for PTSD and the protocols for other trauma-based disorders, safety protocols, Leeds' and Korn's work with Resource Development and Installation, and Kitchur's Strategic Developmental Model for EMDR. The usefulness of integrating phase-oriented treatment and EMDR is then assessed. These approaches were found to strongly complement each other in their clinical strengths and weaknesses, while sharing many underlying theoretical and structural elements. [Author Abstract]

Keywords: Dissociative Identity Disorder Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

99. Paulsen, S. L. (2007, September). Integrating somatic interventions and EMDR: Keeping it AIP “legal”. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Shapiro’s contributions include not only the discovery of the role of eye movements, but the development of the eight-phases for safety and effectiveness and Adaptive Information Processing theory. In tandem, advances in the neurobiology of trauma have resulted in somatic interventions for treating trauma. This workshop will: 1) summarize theory behind somatic interventions and its relationship to AIP theory; 2) identify defining elements of somatic interventions and; 3) identify where in the eight-step process of EMDR specific somatic elements can be utilized while maintaining the integrity of EMDR.

Keywords: Adaptive Information Processing AIP Eight Phases Eye Movements Somatic Interventions

Accuracy Verified: Yes

100. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be discussed. 1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized. Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation, assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are examples of negative cognitions whlch interfere with first stage stabilization goals: - I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better. - If I take care of myself, no one will know I hurt. - I'm pathetic, a failure. - I will die/go crazy fiom these feelings. - I can never do anything right. - I can't stand this feeling. I must cut myself. - Don't trust anyone or anything. Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc. 2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues: - fear/terror and associated avoidance - sense of powerlessnesshelplessness - responsibility/accountability - safety - self, others, environment - self-esteem/self as bad, defective, unlovable - lack of individuation - dependency - anger - grief/mouming - trust/mistrust - fear of abandonment - guilt/self-blame - shame/self-loathing With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing assessment and data collection in making decisions about EMDR targets will be addressed. 3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and issues addressed via EMDR include: - Increasing intimacy and healthy connections - Increasing self-esteem - Increasing self-efficacy and sense of mastery - Reclaiming sexuality - Increasing self-efficacy and sense of mastery - Identity exploration and development - Establishing goals, initiating new projects, and taking reasonable risks At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive and vital self-image. The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying EMDR at a specific stage of treatment.

Keywords: Sexual Abuse Survivors

Accuracy Verified: Yes

101. Landini, S., & Volorarte, E. (2010, Junio). Intervenciones grupales - En busca de seguridad y EMDR, resultados de la evaluación de los usuarios a través de encuesta [Group interventions - In search of safety and EMDR, evaluation of the results of a user survey]. Presentación en XI Congreso Internacional de Estrés Traumático y Trastornos de Ansiedad, Buenos Aires, Argentina.

Language: Spanish

Format: Conference

Keywords: Group Interventions User Survey

Accuracy Verified: Yes

102. Herbert, C. (2005, April). Introduction of safe place installation for clients who have no pre-existing concepts or feelings of safety. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .

Language: English

Format: Conference

Keywords: Safe Place Safety

Accuracy Verified: Yes

103. Herbert, C. (2004, June). Introduction to a safe place installation protocol for use with clients who have no pre-existing concepts or feelings of safety. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Theoretical background: The teaching of a “safe place installation protocol” forms part of the standard EMDR training and for my EMDR practitioners and consultants alike it belongs to their repertoire of EMDR treatment techniques. Such a protocol requires clients to access and identify with an experienced place of safety in their lives. Complex (i.e., Type II) trauma clients, as well as other clients which have not been able to build a secure, positive sense of inner self, as a result of their unsafe experiences during most of all of their life, however, may find it very difficult to access and identify a safe place, which they can draw on during the use of EMDR safe place installation protocol. The standard safe pace installation protocol therefore frequently does not work for these clients. Yet, it is suggested in this presentation that access to the inner ‘safe place’ resource can be of particular therapeutic benefit for this client group. In recognition of the need for such a resource, Dr. Herbert has developed an alternative version of an EMDR-based safe place installation protocol, which draws on all sensory modalities (involving, cognitive, emotional and somatic systems) that will work with clients who have no known prior access to a place of safety in their lives.
Aim of presentation: The conference audience will have the unique opportunity to experience Dr. Herbert’s safe place installation protocol’ during an in-vivo EMDR demonstration session. Suggested variations of the protocol tailored to individual client differences and clinical applications for the use of such a resource with this client group will also be explored. The latter will include use of the protocol as an inner anchoring point that clients can access and connect to in situations of crisis in their daily life and as an aid to facilitate the rebalancing of nervous system functioning.

Keywords: Complex Trauma EMDR Resource Installation Protocol Safe Place

Accuracy Verified: Yes

104. Stowasser, J. (2011, August). An introduction to the treatment of domestic violence victims. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This cursory presentation may help the clinician recognize domestic violence clients and inspire interest in further training, promoting safer integration of EMDR in the treatment of domestic violence. Definitions, statistics, and examples of domestic violence will be briefly explored. History taking approach regarding exposure in childhood and in adulthood will be touched upon. Assessing the victim’s safety, readiness for treatment, and safer reprocessing will be highlighted. Target selection and the three-pronged approach will be briefly examined. Greater awareness may safeguard their practice with this potentially lethal population.

Keywords: Domestic Violence Victims

Accuracy Verified: Yes

105. Paulsen, S. L. (2010, February). Looking through the eyes: EMDR & ego state therapy across the dissociative continuum. Presentation at the 3rd World Congress of Ego State Therapy, Sun City, South Africa.

Language: English

Format: Conference

Abstract: There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop teaches the ego state methods to do this, and this second workshop describes somatic methods as well as ego state methods. [The second workshop ”Looking Through the Eyes: EMDR & Ego State and Somatic Therapies Acrosss the Dissociative Continuum” with its own entry describes somatic methods as well as ego state methods, making that workshop very full indeed.] This first workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Participants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6.For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum Ego State Therapy

Accuracy Verified: Yes

106. Paulsen, S. L. (2009). Looking through the eyes: EMDR, Ego state & somatic therapies across the dissociative continuum. Presentation at the Bainbridge Institute for Integrative Psychology, Bainbridge Island, Washington .

Language: English

Format: Other

Abstract:
There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop ["Looking Through the Eyes: EMDR & Ego State Therapy Across the Dissociative Continuum” with its own entry] teaches the ego state methods to do stabilization and containment. This second workshop describes somatic methods as well as ego state methods, making that workshop very full indeed. This workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon. Partipants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6. For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.

Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing

Accuracy Verified: Yes

107. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Dual Attention

Accuracy Verified: Yes

108. Onofri, A., & Tombolini, L. (2004, Novembre). L’EMDR e il pensare la mente - Attaccamento sicuro e capacità metacognitive [EMDR and the thinking mind - Attachment safe and metacognitive]. Présentation al Congresso Nazionale, je EMDR Bologne, Italie.

Language: Italian

Format: Conference

Abstract:
Innanzitutto alcuni ringraziamenti: ad Isabel Fernandez, per cominciare, per averci chiamati a partecipare a questo I Congresso Nazionale e poi a Roger Solomon, per gli insegnamenti ricevuti. Sono fiero, ve lo dico sinceramente, di far parte di questa nostra Associazione, e di aver conosciuto l’approccio l’EMDR che in questi ultimi anni ha davvero dato un nuovo e ravvivante impulso alla pratica clinica di tanti di noi.

First, some thanks: Isabel Fernandez, to begin with, for having called us to participate in this National Congress and then to Roger Solomon, for the teachings received. I am proud, I tell you frankly, to be part of our Association, and have known the EMDR approach in recent years has really given a new impetus to reviving and clinical practice of many of us.

Keywords: Attachment Metacognitions Safety

Accuracy Verified: Yes

109. Yordy, J. (2013, May). Making the brain/body connection: Using brain gym techniques to enhance child EMDR processing. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop is a presentation which encompasses the Triune Brain Theory, Educational Kinesiology and recent research on trauma and how it effects brain development and functioning. Information will be presented on the Triune Brain Theory and how “bottom up” processing can block EMDR from working with traumatized children. A description of the energy blockages in the brain and how they can be detected and then eliminated through Brain Gym exercises will comprise the second part of this educational workshop. The difference between hyper arousal and dissociative responses and which brain centers are involved will be explained in order to understand the adaptive, evolutionary response of the brain when the child/adult is experiencing trauma. Throughout the workshop will be experiential Brain Gym exercises. This format is designed to encourage greater understanding of the whole brained effects of the exercises as participants learn these tools. Several other exercises which reduce stress and connect the three levels of the brain for efficient, whole-brained processing will also be incorporated. Several case examples will be shared to illustrate how the Brain Gym exercises become part of the child’s coping resources and eventually facilitate the processing of his/her traumaLearning Objectives: • The participants will be able to demonstrate and describe the benefits of a Brain Gym Warm Up to create full brain activation and a relaxed processing state. • Participants will be able to describe the Triune Brain Theory and how trauma creates “bottom up” processing instead of “top down” processing. • Participants will be able to demonstrate specific exercises for reducing stress/trauma within the Central Nervous system thus enhancing a child’s sense of safety. • Participants will be able to identify 5 brain/energy imbalances and how they block EMDR processing. • Participants will be able to identify and explain the Brain Gym exercises which correct each of the 5 brain/ body/energy imbalances.

Keywords: Brain Gym Children

Accuracy Verified: Yes

110. Plagaro-Neill, I. (2011, October). Managing dissociation in EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
In EMDR we are assisting the client to be simultaneously aware of disturbance and the relative safety of the current moment. However, for clients with high levels of dissociation it is often more difficult for him/her to maintain this delicate balance so if we are to use EMDR it is necessary to proceed with caution. I will therefore demonstrate techniques, largely based on the work of Jim Knipe, which can help clients reverse dissociation and provide safety and containment. (Author abstract)

Keywords: Dissociation

Accuracy Verified: Yes

111. Kiessling, R. (2009). Managing the "fear of fear". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 81-83). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
For some clients finding a Safe/Calm Place is very difficult, either because of their life experiences or their difficulty in using their imagination. In cases such as these, construction of a container to hold traumatic material, both during desensitization and between sessions, may be an alternative strategy to help the client develop a sense of safety. Constructing a container follows the same basic setup protocol as establishing the Safe/Calm Place. In this chapter, the Managing "The Fear of the Fear" Script is provided. [PsycINFO Database]

Keywords: Fear Protocol

Accuracy Verified: Yes

112. Arnstein, M. (1996, December). Marital therapy, EMDR, Herman's model of recovery from trauma: The journey of one woman and her family. Australian & New Zealand Journal of Family Therapy, 17(4), 212-224.

Language: English

Format: Journal

Abstract:
Judith Herman delineates a 3-stage model of recovery from trauma: (1) Safety; (2) Remembrance and Mourning; (3) Reconnection. She criticises current treatment methods for their failure to make a difference in the "constrictive symptoms of numbing and social withdrawal...and marital, social and work problems do not necessarily improve." Family therapy has been criticised often for insufficient focus on emotion and general sensations. This case analysis will illustrate how these shortcomings can be successfully addressed with the use of marital counseling and EMDR. The use of multiple treatment approaches contributed to one client's resolution of recent trauma due to a car accident, of past crises due to marital infidelity and early childhood abuse, with significant changes for her in her current family as well as in her family of origin. Theoretical implications for "family therapy" are raised. [Author Abstract]

Keywords: Adults Australians Case Report Child Abuse Family Therapy Females Marital Problems Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

113. Hagen, H. A. (2012, May). Mental health professionals’ perspectives of best practices with children who have experienced complex trauma. University of St. Thomas.

Language: English

Format: Dissertation/Thesis

Abstract:
Complex trauma in early childhood has the ability to impact a child’s development in multiple domains, thus influencing development throughout the rest of their life. The purpose of this study was to explore best practices with children who have experienced complex trauma from the perspective of mental health professionals, with a focus on children between the ages of three and five. Qualitative interviews were conducted with six mental health professionals who were asked to discuss the presentation, interventions, and outcomes of a case where the child experienced complex trauma. Consistent with previous literature, all participants in this study reported self-regulation deficits and relational impairments for the case they discussed. Additionally, all six participants utilized play therapy and expressed the importance of collaboration with other adults and systems in the child’s life in order for treatment to be successful, exemplifying the need to utilize an ecological approach. Other practices used by professionals included Cognitive Behavioral Therapies, feelings/emotion interventions, EMDR, and relational interventions such as including the parents/caregivers in treatment, addressing the attachment needs, and coaching parents. Overall, participants utilize a combination of approaches and interventions in order to provide best practices, always emphasizing safety, attachment, and development.

Keywords: Best Practice Children Trauma

Accuracy Verified: Yes

114. Knipe, J. (2009). The method of constant installation of present orientation and safety (CIPOS). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 235-241). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: CIPOS Constant Installation Present Orientation Protocol Safety

Accuracy Verified: Yes

115. Eckers, D. (2009). The method of constant installation of present orientation and safety (CIPOS) for children. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations (pp. 51-58). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Children CIPOS Constant Installation Present Orientation Protocol

Accuracy Verified: Yes

116. Lazrove, S. (1995). A modification of the EMDR trauma treatment protocol. EMDR Network Newsletter, 5(2), 7-8.

Language: English

Format: Newsletter

Abstract:
Trauma produces a change in our sense of self, our sense of the world's meaning, of its safety, of its rationality. For better or worse, the victim of trauma is no longer the same as he or she was prior to the trauma. One of the greatest strengths of EMDR is that it specifically acknowledges the need for cognitive restructuring as well as serves as a means to that end, formulating negative and positive cognitions. This article points out a here-tofore unrecognized obstacle to cognitive restructuring and describes a simple modification of the EMDR trauma protocol that can be quite helpful for restarting stalled processing.

Keywords: Modification of Treatment Protocol

Accuracy Verified: Yes

117. Carlson, B. E. (2005, January). The most important things learned about violence and trauma in the past 20 years. Journal of Interpersonal Violence, 20(1), 119-126. doi:10.1177/0886260504268603.

Language: English

Format: Journal

Abstract:
In the past 2 decades, important insights have been gained regarding violence and trauma. Complications occur in how violence and trauma, their causes, and their effects on victims should be defined. Violence and abuse to women -- physical, sexual, and emotional -- are not rare events and are most often perpetrated by partners or acquaintances rather than strangers and occur in nonmarital as well as marital relationships, including same-sex relationships. A promising methodological innovation in the study of violence and trauma is the use of longitudinal designs. Innovations in treatments for victims such as evidence-based interventions have been slow to emerge; they include eye movement desensitization and reprocessing (EMDR) and the Seeking Safety group intervention for drug-abusing women with trauma histories. Future research should address increased understanding of variation in individual responses to violence and trauma, matching of treatment to different types of male offenders, better understanding of how culture affects violence perpetration and victimization, and evaluation of domestic violence interventions. [Author Abstract]

Keywords: Commentary Empirical Study Longitudinal Study Review Scientific Research Spouse Abuse Survivors Treatment

Accuracy Verified: Yes

118. de Bont, P. A., van den Berg, D. P., van der Vleugel, B. M., de Roos, C., Mulder, C. L., Becker, E. S., de Jongh, A., van der Gaag, M., & van Minnen, A. (2013, May). A multi-site single blind clinical study to compare the effects of prolonged exposure, eye movement desensitization and reprocessing and waiting list on patients with a current diagnosis of psychosis and co morbid post traumatic stress disorder: Study protocol for the randomized controlled trial treating trauma in psychosis. Trials, 14(5), 151. doi:10.1186/1745-6215-14-151.

Language: English

Format: Journal

Abstract:
Background: Trauma contributes to psychosis and in psychotic disorders post-traumatic stress disorder (PTSD) is often a comorbid disorder. A problem is that PTSD is underdiagnosed and undertreated in people with psychotic disorders. This study's primary goal is to examine the efficacy and safety of prolonged exposure and eye movement desensitization and reprocessing (EMDR) for PTSD in patients with both psychotic disorders and PTSD, as compared to a waiting list. Secondly, the effects of both treatments are determined on (a) symptoms of psychosis, in particular verbal hallucinations, (b) depression and social performance, and (c) economic costs. Thirdly, goals concern links between trauma exposure and psychotic symptomatology and the prevalence of exposure to traumatic events, and of PTSD. Fourthly predictors, moderators, and mediators for treatment success will be explored. These include cognitions and experiences concerning treatment harm, credibility and burden in both participants and therapists. Methods: A short PTSD-screener assesses the possible presence of PTSD in adult patients (21- to 65- years old) with psychotic disorders, while the Clinician Administered PTSD Scale interview will be used for the diagnosis of current PTSD. The M.I.N.I. Plus interview will be used for diagnosing lifetime psychotic disorders and mood disorders with psychotic features. The purpose is to include consenting participants (N = 240) in a multi-site single blind randomized clinical trial. Patients will be allocated to one of three treatment conditions (N = 80 each): prolonged exposure or EMDR (both consisting of eight weekly sessions of 90 minutes each) or a six-month waiting list. All participants are subjected to blind assessments at pre-treatment, twomonths post treatment, and six monthspost treatment. In addition, participants in the experimental conditions will have assessments at mid treatment and at 12 months follow-up. Discussion: The results from the post treatment measurement can be considered strong empirical indicators of the safety and effectiveness of prolonged exposure and EMDR. The six-month and twelve-month follow-up data have the potential of reliably providing documentation of the long-term effects of both treatments on the various outcome variables. Data from pre-treatment and midtreatment can be used to reveal possible pathways of change.Trial registration: Current Controlled Trials: ISRCTN79584912.

Keywords: Multi-Site Study Prolonged Exposure Posttraumatic Stress Disorder PTSD Psychosis Randomized Control Trial RCT

Accuracy Verified: Yes

119. Armstrong, M., & Vaughan, K. (1996, March). An orienting response model of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 27(1), 21-32. doi:10.1016/0005-791(95)00056-9.

Language: English

Format: Journal

Abstract:
Dyck's conditioning model of EMD provides a useful description of failure of habituation in PTSD, but may not account for some common EMD phenomena. An alternative model proposes that the therapist's waving hand -- in the presence of a trauma-related cortical set -- triggers an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect his survival and current safety -- as true outcome of the trauma -- and associated conditioned responses extinguish. Proposals for experimental evaluation of the model are described. [Author Summary]

Keywords: Conditioned Emotional Responses PTSD Treatment Effectiveness

Accuracy Verified: Yes

120. Vaughan, K., & Armstrong, M. (1995, June). An orienting response model to EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The authors reviewed the literature of EMDR and consulted their own clinical experiences to establish the characteristic phenomenology of EMDR. Dyck's (1993) conditioning model of eye movement desensitization provides a useful account of failure and habituation in post-traumatic stress disorder (PTSD), but does not account for some of these common EMDR phenomena. The authors propose an alternative model in which the therapist's waving hand-- in the presence of a trauma-related cortical set-triggers an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect their survival and current safety -- as true outcome of the trauma - and associated conditioned responses extinguish. Some proposals for experimental evaluation of the model are described.

Keywords: Orienting Response

Accuracy Verified: Yes

121. Laliotis, D. (2011, August). Plateaus of responsibility, safety, and choices: Case conceptualization and treatment. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop is for EMDR clinicians seeking to deepen their understanding of EMDR case conceptualization and treatment planning incorporating the informational plateaus of Responsibility, Safety and Choices. These informational plateaus are being presented as developmental plateaus, where deficits in the memory network exist due to a lack of earlier positive experiences to master developmental tasks. Participants will be able to: develop a working definition of each of the plateaus that informs target memory selection and negative beliefs; develop a treatment plan distinguishing between primary and secondary issues; identify and implement present triggers and future template scenarios that address developmental deficits and skills.

Keywords: Choice Responsibility Safety

Accuracy Verified: Yes

122. Wesselmann, D. (2003, May). Plenary. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract: Attachment theory has identified adults with a secure attachment style as more resilient to stress and trauma than insecurely attached adults. The secure adult tends to have supportive relationships which buffer him from stress (Bowlby, 1988), and he is able to reflect upon his inner state and process emotions without becoming overwhelmed (Fonagy, 2000; van der Kolk 1996). In infancy secure attachment is related to the capacity to be soothed and comforted by the caregiver. The caregivers of secure infants are observed to be emotionally attuned, responsive and nurturing (Solomon & George, 1999). Schore (1996) explains that mothers of secure babies synchronize with the infant. The mother's organized brain synchronizes or harmonizes with the baby's disorganized brain, attuning to its feelings and needs, helping it calm when distressed and stay regulated when it is happy and excited. As a result, the infant's brain develops optimal circuitry for emotion regulation, and also learns through experience to trust and be comforted and to comfort himself. His basic sense of safety and trust gives him confidence as he begins leaving his parent's side and exploring the world.

Keywords: Plenary

Accuracy Verified: Yes

123. Mattioli, G. (2004, May). The post traumatic stress disorder and EMDR therapy. Full Informatiu, 169. Retrieved http://guillermomattioli.com/?p=540&lang=en on 2/10/2013.

Language: English

Format: Other

Abstract:
“Post traumatic stress” contains all the features required to mark an epoch. To start with, it has a long prehistory under the name of traumatic neurosis, which includes all the debates about trauma and its etiological value, a “narrative” (here’s another one) that began with Freud and have still not finished. As a coined label (post traumatic stress disorder, PTSD) is fairly recent, appears about the 80ties in the DSM-III, ranged in the chapter on Anxiety Disorders, although some doubts have later been raised about this classification, since PSTD could also be included under Major Depression or also Dissociation. Finally, PSTD has triggered a proliferation of methods to treat it, based on advances in general psychology and neuroscience. Suffering PTSD means that the person affected has experienced, witnessed, imagined or listened about one or more events entailing deaths or threats to his or another one’s safety, and has reacted with fear, helplessness and horror leaving intense negative feelings warded off into his emotional memory, stored in the limbic system. Traumatic scenes may come from either natural disasters, or caused by terrorist acts, of being involved in violent situations, such as war veterans or out of having suffered physical and sexual violence, such as abused children or women

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

124. Leeds, A. M. (2001, December). Principals and procedures for enhancing current functioning in complex posttraumatic stress disorder with EMDR resource development and installation. EMDRIA Newsletter, 6(Special Edition), 4-11 .

Language: English

Format: Newsletter

Abstract:
When developing a treatment plan, clinicians need to be able to recognize not only the specific effects of trauma but to consider symptoms reflecting limited capacities for emotional self regulation. Such problems are often found when client histories included significant childhood neglect or other disruptions of each childhood attachment (Damasio, 1999; Schore, 2000; Sigel, 1999). Clients with a history of secure attachment appear to be more vulnerable to PTSD (Alexander, et al., 1998; Muller, Sicoli, & Kemieux, 2000) and initially need to be addressed with procedures different from those for trauma specific symptoms. Therefore in the consensus model of posttraumatic treatment (Browm Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999) clinicians are urged to focus on clients’ personal safety, stabilization, and the development of client capacities for tolerating and modulating strong affect in the early phases of treatment.

Keywords: DESNOS RDI Resource Development and Installation Posttraumatic Stress Disorder PTSD Stabalization

Accuracy Verified: Yes

125. Ferrie, R. K. (2004, September). Problems with SSRIs in the treatment of traumatic syndromes. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This workshop will focus on the biological and clinical evidence supporting the notion that depression, dissociation, somatization, and PTSD may be symptomatic responses to traumatic events which affect the brain. The safety of SSRls and their application for the treatment of PTSD will be discussed as will the complications arising from their short and long lerm use. Single system designated case studies, will be used to demonstrate how treatment with EMDR allows one to arrive at successful outcomes in trauma spectrum disorders, with or without psychopharmacology.

Keywords: SSRIs

Accuracy Verified: Yes

126. O'Shea, K., & Paulsen, S. (2007, September). A protocol for increasing affect regulation and clearing early trauma. Presentation at the annual meeting of the EMDR International Assocation, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will address two of the most challenging issues in EMDR treatment of individuals with affect dysregulation from early traumatic experience, including emotional neglect and attachment failure. It will offer protocols to: 1) increase client affect tolerance by resetting emotions; and 2) maintain client sense of safety, while enabling access to neuron networks containing implicit memories from early life.

Keywords: Affect Tolerance Clearing

Accuracy Verified: Yes

127. Freeman, C. (2006, July). Psychological and drug therapies for post-traumatic stress disorder. Psychiatry, 5(7), 231-237. doi:10.1016/j.mppsy.2009.06.001.

Language: English

Format: Journal

Abstract:
There is an impressive evidence base for the psychological treatment of post-traumatic stress disorder (PTSD). The strongest evidence is for trauma-focused cognitive therapy and eye movement desensitization and reprocessing (EMDR) but brief eclectic psychotherapy is a promising alternative. As well as this strong evidence for efficacy there is emerging evidence for effectiveness, using these treatments in routine clinical practice without highly trained specialized staff. The treatment of PTSD is more than the use of structured psychotherapy packages – it involves careful assessment and attention to safety, boundary and termination issues. We know much less about how to deal with treatment resistance or complex trauma. Drug treatment is well evaluated with large trials, and has statistical but not clinical efficacy.

Keywords: Cognitive Therapy Drug Treatment Exposure Posttraumatic Stress Disorder PTSD SSRIs Stress-related Disorders Trauma Trauma Psychotherapy

Accuracy Verified: Yes

128. Schnyder, U. (2005). Psychotherapies pour les PTSD – Une vue d’ensemble [Psychotherapies for PTSD – An overview]. Psychotherapies, 25(1), 39-52. doi:10.3917/psys.051.0039.

Language: French

Format: Journal

Abstract:
Depuis le diagnostic du syndrome de stress post-traumatique (SSPT) a été introduit dans le DSM-III en 1980, une variété d'approches psychothérapeutiques ont été développées pour résoudre les problèmes et besoins spécifiques des patients traumatisés. Le succès du traitement du SSPT a besoin d'un bien pensée sur l'attitude thérapeutique. Le thérapeute doit trouver une position équilibrée entre les sur-identification et de se détourner de l'impuissance. Une attitude la recherche de sensations doivent être évités de même que le risque de traumatisme du fait d'autrui. Dans de nombreux cas, le SSPT peut pas être traité suffisamment par la psychothérapie seule: un plan complet de traitement multi-modal peut comprendre pharmacothérapeutique, les interventions physiques, sociaux, juridiques et autres. Les premières interventions psychothérapeutiques au lendemain d'un événement traumatique suivre les règles d'intervention de crise (immédiateté, l'accent sur les problèmes actuels de limitation de temps). Une attention particulière devrait être accordée aux questions de développement d'une relation de confiance thérapeutique, en créant une atmosphère de sécurité, aider le patient à reprendre le contrôle de et / ou se distancier de souvenirs intrusifs. traitements de désensibilisation des mouvements oculaires et retraitement (EMDR) et d'autres «pouvoir» peut offrir un soulagement rapide des symptômes. Après un traumatisme collectif, des débriefings psychologiques sont largement utilisés, bien que la preuve de leur utilité dans la prévention de l'ESPT est discutable. Chez les patients porteurs chroniques du SSPT, le psychothérapeute ne devrait pas travailler exclusivement sur l'événement traumatique et ses séquelles: le traitement doit être orientée vers l'avenir plutôt que par le passé. Au lieu de l'exploration, le thérapeute devrait essayer d'activer les ressources des patients et les aider à trouver un nouveau sens à leur vie future. Il ya un besoin urgent d'soigneusement conçus, randomisés, études d'intervention contrôlée sur l'efficacité de l'intervention précoce chez les patients gravement traumatisés et la mi-aux psychothérapies à long terme chez les patients souffrant de PTSD chronique. En outre, les études futures devraient inclure les approches psychodynamiques, ainsi que des protocoles de traitement multimodal, et d'élaborer des critères d'évaluation cliniques plus sophistiqués. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)

Since the diagnosis of posttraumatic stress disorder (PTSD) was introduced in DSM-III in 1980, a variety of psychotherapeutic approaches have been developed to address the specific problems and needs of traumatised patients. Successful treatment of PTSD requires a well thought-out therapeutic attitude. The therapist must find a well-balanced position between over-identification and turning away out of helplessness. A sensation-seeking attitude should be avoided as should the danger of vicarious traumatisation. In many instances, PTSD cannot be treated sufficiently by psychotherapy alone: a comprehensive, multi-modal treatment plan may include pharmacotherapeutic, physical, social, legal, and other interventions. Early psychotherapeutic interventions in the immediate aftermath of a traumatic event follow the rules of crisis intervention (immediacy, focus on the current problems, time limitation). Special attention should be paid to the issues of developing a trusting therapeutic relationship, creating an atmosphere of safety, helping the patient to regain control over and/or distance himself from intrusive recollections. Eye Movement Desensitisation and Reprocessing (EMDR) and other "power therapies" can offer quick relief from symptoms. After collective traumatization, psychological debriefings are widely used, although the evidence for their usefulness in preventing PTSD is questionable. In patients with chronic PTSD, the psychotherapist should not work exclusively on the traumatic event and its sequelae: treatment should be oriented towards the future rather than the past. Instead of exploring, the therapist should try to activate the patients' resources and help them to find new meaning in their future life. There is an urgent need for carefully designed, randomized, controlled intervention studies investigating the effectiveness of early interventions in acutely traumatized patients and of mid- to long-term psychotherapies in patients suffering from chronic PTSD. Furthermore, future studies should include psychodynamic approaches as well as multimodal treatment protocols, and elaborate more sophisticated clinical endpoints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Crisis Intervention Interdisciplinary Treatment Approach Multimodal Treatment Posttraumatic Stress Disorder Power Therapies Psychotherapy PTSD

Accuracy Verified: Yes

129. 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

130. van der Gaag, M., van der Vleugel, B., van den Berg, D., de Bont, P., de Jongh, A., & van Minnen, A. (2011, August-September). A randomized multicentered trial of trauma focused treatment of psychotic patients with PTSD in the Netherlands; design and research questions. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland .

Language: English

Format: Conference

Abstract:
Objectives: The prevalence of postraumatic stress disorder (PTSD) in severe mental illness varies from 10 to 60% is the published literature. Probably between 10 to 20% of lifetime psychotic patients, also meet the criteria for having a PTSD. There is not much evidence for the efficacy and safeness of treatment in patients with a lifetime psychotic disorder who also meet the criteria for PTSD. Some pilot studies show promising results. Method: A study is designed to investigate whether treatment of PTSD is effective and safe in a group of people with a psychotic disorder? A multi-site randomised clinical trial with 80 patients Eye Movement Desensitisation and Reprocessing (EMDR) versus 80 patients Prolonged Exposure (PEx) versus 80 patients Treatment as Usual/Waiting list (TAU) is now being performed to answer these research questions. The outcome measures in this study are: Primary: Posttraumatic stress disorder (diagnose and severity) Secundary: psychosis, depression, adverse events. Moderators en mediators of treatment success. Cost-effectiveness will be assessed and expressed in Euro per gained Quality Adjusted Life Years. If no effectivity can be demonstrated, a costminimalisation calculation will be made. Results: Therapist have been trained in EMDR and in PEx during eight days. Therapies are closely supervised an monitored during the study. Fidelity measures are collected from a rond sample of sessions. Conclusions and Discussion: Pilots have been promising in showing effective treatment for PTSD without any adverse events or worsening of the condition in psychotic patients with a chronic course. If this study can demonstrate effectivesness and safety, this can change the treatment for many patients with severe mental illness and reduce suffering from symptoms of PTSD and probably also the burden of psychotic symptoms can be reduced in a subsample of the patients.

Keywords: Netherlands Posttraumatic Stress Disorder PTSD Psychotic Disorders Symposium

Accuracy Verified: Yes

131. O'Shea, K., & Wilensky, M. (2006, June). Re-building the foundations of: Early Age (0-3 Years) repair of trauma and neglect. Presentation at the annual meeting of the EMDR Europe Assocation, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Three years ago in which a person's life during the trauma itself in the world can feel safe, confident and have a very significant impact on the relations have to feel effective. In the study, participants simple, safe and effective type of standard protocols will have the opportunity to practice. In this protocol, 1) the early years of trauma for the required security işlemleme create his natural in a way that provides a fast and Preparatory Phase. At this stage, the "Safe Place" instead of "Secure Status" a non-stressful way to define and EMDR'la to be able to meet the "feelings to re-adjustment" method exists. After that, trainers, each age (babies, children, adolescents and adults) for the method will show how to use. After the participants to reach 0-3 years of trauma and to repair 2) more secure, fast and efficient to sort the language and, 3) (Review the experience to assign appropriate Responsibility-Release emotional and physical energy to reach a sense of Safety-Repair the experience by Imagining what was needed in order to have future Choices): Experience of the review, the security of his reach, needed something to imagine the experience to repair and 4) "Creative Blending" (not a therapist, counseling by the uncovered). Study, early age may be a symptom of trauma will be descriptions (eg, somatic disorders and personality disorders), and suspected cases of trauma and neglect the benefits of using this methodology will be revealed.

Keywords: Neglect Trauma

Accuracy Verified: Yes

132. Capps, F. (2005, September). Rebuilding trust: Healing for couples using EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Previous couples' therapy using EMDR has focused on attachment injuries. The body of work is discussed, as is the EMDR protocol, for couples proposed by Moses (2003). This workshop focuses on trust wounds within the relationship my describing 3 scenarios: substance abuse, violence abuse, and infidelity. Protocol variants that enhance client safety are illustrated. Results that include trauma resolution, increased empathy, relapse prevention gains, and heightened intimacy are reported. Innovative outcome assessment instrumentation is demonstrated.

Keywords: Couples Therapy

Accuracy Verified: Yes

133. Shapiro, E., & Laub, B. (2008, May). Recent - traumatic episode protocol (R-TEP). EMDR Israel, Telaviv.

Language: English

Format: Other

Abstract:
Main Features of the R-TEP
Target selection: 1) Episode wide focus = period from the traumatic event to the present 2) Use of "Google Search" (G-Search) metaphor to identify multiple targets within the episode (sensory images/ events/ other experiences) Containment (safety): 1) 8 Phase structure parallel to Standard Protocol 2) Episode Narrative with DAS for grounding 3) Option of using distancing metaphor of TV screen 4) Option of regulation of associations by limiting associations to the image/event/ episode

Keywords: Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

134. Shapiro, E. & Laub, B. (2010, September/October). The recent traumatic episode protocol (R-TEP) for early EMDR intervention. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-TEP may reduce the sensitization and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

Keywords: Early Intervention Recent Events Recent Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

135. Shapiro, E., & Laub, B. (2010, June). The recent-traumatic episode protocol (R-TEP) a comprehensive approach for early EMDR intervention. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
As part of a comprehensive approach to Early EMDR Intervention (EEI), thls workshop, presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The workshop will include video case illustrations. Participant will learn about the issues involved with EEI, the rationale of the developmen: of the R-TEP, 4 key conceptual procedures & their application. EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also be a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications& strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive information Processing (AIP) and don't necessarily show up on the DSM radar, the R-TEP may reduce the sensitisation and accumulation of trauma memories.

Keywords: Early Intervention Recent Events Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

136. Shapiro, E., & Laub, B. (2009, August). The recent-traumatic episode protocol (R-TEP): A comprehensive approach for early EMDR intervention (EEI). Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations and a practicum.

Keywords: Early EMDR Intervention EEI Recent Events Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

137. Shapiro, E., & Laub, B. (2011, June). The recent-traumatic episode protocol (R-TEP): A comprehensive approach for early EMDR intervention (EEI) [Das recent-traumatic episode protocol (R-TEP): Ein umfassender ansatz für den einsatz von EMDR als frühe intervention]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Early EMDR Intervention (EEI), while trauma memories are still consolidating, is perceived as a window of opportunity for adaptive processing of trauma memories. It may be used not only to treat acute distress but also to prevent complications by checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, thereby reducing the sensitization and accumulation of trauma memories. Learning objectives: As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

Keywords: Early EMDR Intervention EEI Recent Events

Accuracy Verified: Yes

138. Shapiro, E. (2012, June). The recent-traumatic episode protocol. A comprehensive approach for early EMDR intervention (EEI) [Protocolo del Trauma Reciente Un planteamiento integral para la intervención precoz con EMDR (EEI)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, may prevent complications & strengthen resilience. Checking for sub-‐clinical sticking points, which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-‐TEP may reduce the sensitisation and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-‐TEP), which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. An introduction to the R-‐TEP will be presented with video case illustrations.

EMDR ha demostrado su eficacia en el tratamiento de TEPT crónico, al igual que para los recuerdos traumáticos antiguos; no obstante, los protocolos para la intervención precoz con EMDR (EEI) no han recibido mucha atención ni por parte de los que investigan en el campo de EMDR ni por parte de los clínicos. Se propone que la EEI, durante el período en el cual aún no han sido integrados los recuerdos traumáticos, puede emplearse no solo para tratar el estrés agudo, sino que también es posible que ofrezca una ventana de oportunidades durante la cual una intervención breve, posiblemente en días sucesivos, puede prevenir las complicaciones y fortalecer la resiliencia. Al comprobar [posibles] puntos de fricción subclínicos que pueden impedir el procesamiento adaptativo de la información (AIP) y que no siempre se manifiestan en el radar del DSM, el R-‐TEP puede reducir la sensibilización y acumulación de recuerdos del trauma. Como parte del planteamiento integral a la EEI, este taller presenta el protocolo para episodios traumáticos recientes (R-‐TEP), un protocolo integrador que incorpora y extiende los protocolos existentes dentro de un nuevo marco conceptual, junto con medidas adicionales para la contención y seguridad. Se presentará una introducción al R-‐TEP junto con casos que sirvan de ejemplos.

Keywords: Early EMDR Intervention EEI Recent-Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

139. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]

Keywords: Physical Pain Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Reexperiencing Stressors Survivors

Accuracy Verified: Yes

140. Amendolia, R. D., Bressler-Wakesburg, E., & Giles-Monroe, E. (2004, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and beliefs, becomes rigidified around the "trauma story.” Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spiritually salient metaphors as well as appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.

Keywords: Culture Ethnicity Spirituality Trauma

Accuracy Verified: Yes

141. Amendolia, R. D., & Gemme, J. (2006, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and spiritual beliefs, becomes rigidified around the "trauma story." Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spilitually salient metaphors, as well appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.

Keywords: Culture Ethnicity Spiriturality

Accuracy Verified: Yes

142. 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

143. Giovannozzi, G. (2013, June). Safety, regulation, self-regulation and eye contact: New challenges for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Porges’ polivagal theory of the hierarchical interpretation of the autonomic nervous system (ANS), in addition to extending the range of human beings’ possible responses to environmental demands, links the first line ventral-vagal response with the regulation of important viscera as well as that of facial and head muscles, mediating social interactions, and associates its activation with the feeling of safety, identifying this latter condition as essential for a person’s well-being.
Without safety no social relations, physiological regulation or healing are possible. Hence the importance for EMDR therapists to lead their clients to this condition: lacking the activation of the ventral-vagal circuit there can be no processing. EMDR therapists will be provided with tools to keep their clients in safe conditions within the setting.
Clients exposed to trauma and/or insecure attachment do not have a good ANS regulation and maintain inadequate defensive attitudes – as demonstrated by Porges’ results, easily comparable with Schore’s on affective development and with those of several multi-disciplinary scholars.
Exploring this dysfunction provides EMDR therapists with useful elements to guide their clients in the difficult task of confronting what they did not/could not process at that time. We propose a three-pronged cross-sectional assessment, regardless of the pathology, aimed at identifying the defensive arousal state of the ANS needed to face the dysregulating impact at that time, focusing on the prevalent activation style of the client, when meeting environmental challenges, and that emerging in the session. Starting from this assessment, EMDR therapists will be provided with tools to help clients recognize and master their defenses to increase their flexibility.
Using the regulation as a healing instrument and goal, and given the two-directional psychophysiological approach, where psychological and physiological processes meet, a new intervention model, stemming from the AIP-EMDR approach, is proposed, acting directly on the missing or impaired developmental stages of the self-regulation ability, consistently with what Porges hoped for.
The intervention focuses on Eye Contact (EC), because, as confirmed by several scholars, this is a privileged communication pathway, in particular in the mother-child dyad, to learn self-regulating skills and is easily impaired in psychiatric clients.
Learning objectives: Raise EMDR therapists’ awareness of the importance of safety for their clients, based on Porges’ Polyvagal Theory; Provide therapists with tools to maintain clients’ safety during the session; Help EMDR therapist to recognize and modulate clients’ Autonomic Nervous System activation; and Present an EMDR Protocol to regulate Eye Contact

Keywords: Eye Contact Protocol Regulation Safety

Accuracy Verified: Yes

144. Forgash, C. A., & Knipe, J. (2001, June). Safety-focused EMDR/Ego state treatment of severe ego state disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will learn 1) why emotional safety is a primary concern in the treatment of Ego State Disorders with EMDR; 2) a way to accurately monitor, using treatment, a client's orientation to present time and safety; and 3) specific innovative treatment strategies which use alternate stimulation to enhance feelings of safety, thereby facilitating processing.

Keywords: Ego State Therapy Emotional Safety Integrated EMDR/Ego State Treatment

Accuracy Verified: Yes

145. Lanius, U. (2012, October). Science & practice: Attachment, dissociation and EMDR. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
EMDR is a powerful integrative psychotherapeutic intervention. However, in the case of disrupted attachment and significant dissociative symptoms EMDR can be destabilizing if used early on in treatment. That is, fragmentation of self and dissociative symptoms commonly interfere with information processing, thus barring the integration and resolution of the traumatic experience through EMDR. Dissociation interferes with clients sense of their own body, their ability to experience emotion, their capacity for emotional regulation and their sense of self. Addressing dissociative symptoms prior to proceeding with EMDR treatment is essential for positive treatment outcomes. A neurobiological model is described that guides therapeutic interventions and integrates diverse approaches that include not only EMDR and relevant target selection, but also mindfulness, body therapy approaches, ego-state interventions, sensory integration, as well as neurobiologically based interventions. Such interventions can be used both in the preparation phase but can also form useful interweaves during EMDR information processing. Using a neurobiologically informed approach, the case is made for the use of somatic and ego-state interventions when dissociation is a signiﬁcant part of the clinical presentation. Specific focus is on different ego-state and body therapy interventions to increase awareness of the self and ones body. Body therapy and somatic interventions are distinguished from other psychotherapeutic interventions in that they are expressed in markedly slowed-down time, in order to give clients ample time to experience the felt sense of their bodies. Similarly ego-state work can be utilized to titrate information processing, as well as provide clients with internal resources that aid in enhanced information processing. Attendees will gain knowledge about possible underlying neurobiological processes with regard to attachment, dissociation and adaptive information processing and how this relates to EMDR treatment. The workshop will teach specific interventions intended to stabilize clients, create safety, help the client stay connected or get reconnected and therefore minimize dissociative symptoms and their effect. Participants will learn how to effectively integrate different somatic and ego-state interventions in the treatment of attachment and trauma related syndromes and dissociative disorders, as well as how to enhance information processing during the EMDR treatment. The workshop also will discuss innovative use of opioid antagonists in the treatment of dissociative symptoms with a particular focus on EMDR.

Learning Objectives: Attendees will gain knowledge about possible underlying neurobiological processes with regard to attachment, dissociation and adaptive information processing and how this relates to EMDR treatment. Participants will learn how to effectively integrate different somatic and ego-state interventions in the treatment of attachment and trauma related syndromes and dissociative disorders, as well as how to enhance information processing during the EMDR treatment. The workshop will teach specific interventions intended to stabilize clients, create safety, help the client stay connected or get reconnected and therefore minimize dissociative symptoms and their effect.

Keywords: Attachment Dissociation

Accuracy Verified: Yes

146. Najavits, L. (2004, September). Seeking safety: A stabilization therapy for PTSD and substance abuse. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Ontario Canada.

Language: English

Format: Conference

Abstract:
The goal of this presentation is to describe current state-of-the-art knowledge about the treatment of patients with the dual diagnosis of posttraumatic stress disorder and substance abuse, a population that is typically considered "difficult to treat" We will cover background on PTSD (including rates, the “typical case”, models and stages of treatment, clinical dilemmas, and gender issues) and clinical interventions for PTSD and substance abuse (including demonstration of specific treatment strategies, assessment tools, and community resources).

Keywords: PTSD Substance Abuse

Accuracy Verified: Yes

147. Calof, D. (1995, June). The self of the therapist: An experiential clinic for clinicians working with abuse recovery issues. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Working with survivors of trauma and abuse can challenge or shatter therapists' basic beliefs about safety, goodness, and meaning, leaving one anxious, vulnerable, uncertain and prone to countertransference act-out. Through discussion and structured experiences that allow for individual pacing, participants in this experiential clinic will have an opportunity to identify, transform, and work through issues of the self of the therapist including countertransferences, parallel process, secondary traumatization, and the intense and sometime immobilizing existential crises that may result from this work. The leader will endeavor to create an enjoyable playful climate of mutual respect, trust, confidentiality and containment throughout the day. Educational objectives: A. Participants will engage in group and individual exercises designed to break with injunctions, scripts and internalizations left over from the family of origin that have prohibited personal authority and experimentation. B. Through lecture/discussion and exercises, participants will explore countertransference issues, secondary PTSD, and common therapeutic impasses and the existential crises they evoke in the self of the therapist. C. Participants will engage in group and individual exercises designed to assist in the resolution of on-going countertransference issues growing out of their current clinical practice. Bibliography: (1) Benedeck, E.P. (1984). The silent scream; Countertransference reactions to victims. American Journal Of Social Psychiatry, IV, 3:49-52. (2) Camstock, C.M. (1991). Countertransference and the suicidal MPD patient. Dissociation, Vol. IV, No. 1;25-35.

Keywords: Abuse Recovery Survivors Trauma

Accuracy Verified: Yes

148. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Clients with complex dissociative disorders usually are in trauma-‐ induced wake trance-‐states. Due to this, they might thrive from treatment-‐ strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety. This workshop highlights seven strategies for extending the EMDR standard protocol, mainly built on clinical hypnosis. They consist of: (1) Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment (2) Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance (3) Using hyper-‐empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by continuously inducing trance, thus helping them to titrate the trauma-‐material (4) Addressing ego-‐states that react as if they still are bound in trauma-‐time (5) Addressing resource-‐rich ego-‐states and parts of the self, f ex ISH (internal self-‐ helper), thus helping the client to begin to metabolize the trauma material (6) Installation of hope and the “memory of the future” (7) Using post-‐hypnotic suggestions for enhancing the neuroception of safety between sessions. Learning objectives: Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of continuous stabilization for this population. Develop an understanding of how to enhance the integrative capacity during trauma-‐work with DD-‐clients. Apply structured techniques and rationales for calming and soothing patients related to their integrative capacity during extended EMDR-‐work.

Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y reinstalar la neurocepción de seguridad. Este taller subraya siete estrategias para extender el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en: (1) Inducción hipnótica formal del lugar seguro/ estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR (2) Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance (3) Uso de inducciones al trance hiper-‐empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático. (4) Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático (5) Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-‐interno ayudante), por tanto ayudando al cliente a empezar a metabolizar el material traumático (6) Instalación de esperanza y la “memoria de futuro” (7) Usando sugestión post-‐hipnótica para fomentar la neurocepción de seguridad entre sesiones. Objetivos de aprendizaje: Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades especiales de estabilización continua para esta población. Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-‐DD. Aplicación de técnicas estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con EMDR.

Keywords: Dissociative Disorders Hypnosis

Accuracy Verified: Yes

149. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Clients with complex dissociative disorders usually are in trauma-induced wake trance-states. Due to this, they might thrive from treatment-strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety. This workshop highlights seven strategies for extending the EMDR standard-protocol, mainly built on clinical hypnosis. They consist of: 1. Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment. 2. Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance. 3. Using hyper-empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by continuously inducing trance, thus helping them to titrate the trauma-material. 4. Addressing ego-states that react as if they still are bound in trauma-time. 5. Addressing resource-rich ego-states and parts of the self, f ex ISH (internal self-helper), thus helping the client to begin to metabolize the trauma material. 6. Installation of hope and the “memory of the future”. 7. Using post-hypnotic suggestions for enhancing the neuroception of safety between sessions. Learning objectives: Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of continuous stabilization for this population. Develop an understanding of how to enhance the integrative capacity during trauma-work with DD-clients. Apply structured techniques and rationales for calming and soothing patients related to their integrative capacity during extended EMDR-work.

Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y reinstalar la neurocepción de seguridad. Este taller subraya siete estrategias para ampliar el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en: 1. Inducción hipnótica formal del lugar seguro / estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR. 2. Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance. 3. Uso de inducciones al trance hiper-empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático. 4. Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático. 5. Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-interno ayudante), por tanto ayudando al cliente a empezar a metabolizar el material traumático. 6. Instalación de esperanza y la “memoria de futuro”. 7. Usando sugestión post-hipnótica para fomentar la neurocepción de seguridad entre sesiones. Objetivos de aprendizaje: Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades especiales de estabilización continua para esta población. Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-DD. Aplicación de técnicas estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con EMDR.

Keywords: Dissociative Disorders Hypnosis

Accuracy Verified: Yes

150. Posmontier, R., Dovydaitis, T., & Lipman, K. (2010, August). Sexual violence: Psychiatric healing with eye movement reprocessing and desensitization. Health Care for Women International, 31(8), 755-768. doi:10.1080/07399331003725523.

Language: English

Format: Journal

Abstract:
Sexual violence, which affects one in three women worldwide, can result in significant psychiatric morbidity and suicide. Eye movement desensitization and reprocessing (EMDR) offers health care providers the option of a brief psychiatric intervention that can result in psychiatric healing in as few as four sessions. Because health care providers often hear stories of sexual violence from their patients, they are in an ideal position to make recommendations for treatment. The purpose of this article is to introduce health care providers to the technique of EMDR, review safety and appropriateness, and discuss clinical and research implications.[Author abstract]

Keywords: Sexual Violence

Accuracy Verified: Yes

151. Klaff, F., & Dutton, P. (2004, September). The short and the long of it: Crisis versus routine treatment of children and adolescents. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.

Language: English

Format: Conference

Abstract:
EMDR techniques with children following crisis will be demonstrated drawing from interventions developed directly at international disaster sites. The nature of immediate intervention with dramatic trauma problems will be addressed in terms of treatment goals, techniques and outcomes. Safety preparation skills using interactive safe place and a quick phobia protocol to clear prior problems will be taught. This approach will be contrasted with more routine treatment for past trauma and resistant family system problems. Clinical issues will be analyzed with videotaped cases treated both in childhood and later in adolescence. Repetitive themes and unresolved issues will be highlighted. The evolution of therapist experience with resultant refinement of treatment skills will be discussed.

Keywords: Adolescents Children

Accuracy Verified: Yes

152. Struik, A. (2011, April). Slapende honden? Wakker maken! Een stabilisatie methode voor vroegkinderlijk, chronisch getraumatiseerde kinderen [Dogs? Wake up! A stabilization method for early, chronic traumatized children]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van, of ze weten er niks meer van omdat ze een dissociatieve stoornis hebben. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken, zeker als er sprake is van dissociatie. In deze presentatie zal ik toelichten hoe je deze stabilisatiemethode, welke een bewerking is van De drie testen (Spierings, 2008), kunt gebruiken en met name bij dissociatieve stoornissen. Deze methode helpt de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Deze workshop is anders dan de presentatie van vorig jaar omdat de focus meer ligt op het toepassen van de methode en dan met name bij dissociatie. Allereerst begin je natuurlijk met diagnostiek van dissociatie. Door dan de problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd voor behandeling. Dan worden de zes stappen van de stabilisatiemethode (veiligheid, rust in het dagelijks leven, hechting verbeteren, emotieregulatie, zelfbeeld en notendop) toegelicht. Dan wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling voor deze kinderen en wat aanpassingen zijn bij dissociatieve stoornissen.

The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seemingly functioning properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they forgot it. They have no more trouble, they know nothing more because they have a dissociative disorder. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For, by this seemingly well-functioning without, is a constant alert, anxious and lonely child. This child can not stick and this lack of secure attachment is devastating for the development. This is often visible only by explicitly to look for, especially when there is dissociation. In this presentation I will explain how this stabilization method, which is a reworking of the three tests (Spierings, 2008), can use and in particular in dissociative disorders. This method helps the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. This workshop is different than the presentation of last year because the focus is more on applying the method and especially for dissociation. First you start with diagnostics course of dissociation. By then the problems the child experiences to link past experiences, the child is motivated for treatment. Then the six steps of the method of stabilization (safety, peace in everyday life, improve adherence, emotion regulation, and self nutshell) explained. Then discusses how EMDR can be integrated into a phased treatment for these children and what changes in dissociative disorders.

Keywords: Children Dissociative Disorders Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Refugees Stablilization

Accuracy Verified: Yes

154. van der Weele, J., & With, A. (2007, June). Stabilization groups with ethnic minority women after domestic violence: Presentation of a model based on structural theory of dissociation, EMDR, intercultural comunication and expressive artwork. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Alternative to violence has developed a group treatment model structured by the theory of structural dissociation and EMDR trauma treatment theory. Woman with ethnic minority background received short terms group treatment at a shelter for victims of domestic violence at an outpatient clinic and at a domestic violence family treatment center. The groups were supplements to individual therapy/counseling. We have had 10 groups; one with only Pakistani women, several mixed ethnic minority cultural groups with translation and groups in “simple Norwegian.” Recruitment was enhanced by the policy of sharing of symptoms and problems today with no obligation to share about personal past. The model has low drop out rate and therapist working with the individuals report more effective treatment sessions. For some women the group becomes the preferred choice of treatment. We discovered that early phase trauma work can be done in a group format with severely and recently traumatized women. Methods used are resource installation and safe place work, increase awareness of negative/positive cognitions, butterfly hug, nightmare protocol, expressive art therapy techniques as grounding, breathing techniques working with personal borders, working with imagination and playfulness. Structural therapy of dissociation concepts as ANP/EP structures and mental capacity, working from here and now, focusing on the ANP above EP's are woven into how the therapists regulate the group process and plan content. The theory organizes how we handle flashbacks, current acute crisis and how we focus on the womens’ personal trauma. We also teach about the effect of violence in relationships, the need to work on personal safety and the needs of children in the aftermath of violence. Theory from the field of intercultural communication gave us guidelines in working with women from high context, indirect and collectivistic cultures. A workbook for the clients on violence, PTSD symptoms and stabilisation treatment has been developed in the aftermath of these groups and is translated into several languages. We will present the material at the conference in the structure of the early fase trauma treatment group format. Showing in vivo how we apply the theory to severely traumatized women. We will share some of our favorite group exercises, metaphors and group rituals. Our goal is: 1. to show how the theory of structural dissociation serves as guideline for organizing and resulting treatment with severely traumatized clients in groups. 2. Give insight into typical adjustments that have been made to tailor treatment to ethnic minority populations. 3. Explain how expressive art work needs to make adjustments to the population of severely traumatized women. 4. Finally show how the group uses elements from EMDR and enhances individual EMDR work. In our experience, the stabilisation groups have integrated the heart, mind and body in the work of healing with a population that is often found difficult to treat effectively. We hare started to retain other therapists in using the model and are in the process of applying for a research grant.

Keywords: Artwork Domestic Violence Dissociation Ethnic Intercultural Communication Minority Stabilization Women

Accuracy Verified: Yes

155. Vojtova, H. (2007, June). Stabilization techniques and EMDR - Two case illustrations. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The poster presents two short case studies – vignettes. Both represent an illustration of interactions between stabilization techniques and trauma confrontation using ERMDR in the psychotherapy of PTSD. The first case portrays a part of a longer and more complex psychotherapy of a woman violently raped by a strange man. The second one exemplifies a short-term psychotherapy of a young woman who developed PTSD after being repeatedly attacked by a dog from a neighbor’s house. Each case in its own way shows the need for both stabilization and trauma-reprocessing and the role of providing real safety in the environment is highlighted.

Keywords: Case Study Poster Stabilization

Accuracy Verified: Yes

156. Korzekwa, M. (2010, September/October). Strategic developmental model for EMDR in borderline personality Disorder post dialectical behavior therapy. Research symposium conducted at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This pilot study (2 cases) tests the feasibility, safety and efficacy of 24 sessions of the Strategic Developmental Model for EMDR in Boderline Personality Disorder subjects who have completed Dialectical Behavior Therapy.

Keywords: DBT Dialectical Behavior Therapy Borderline Personality Disorder BPD Strategic Developmental Model Symposium

Accuracy Verified: Yes

157. 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

158. Fullam, P. (2007, August). Successful EMDR in conditions of patient avoidance: To seek or not to seek the negative cognition. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
The willingness of a victim to re-experience trauma through the use of words and felt emotion, to approach rather than avoid the experience under conditions of safety, is generally associated with the resolution of the trauma (Van der Kolk 2002, Harbour & Pennebaker, 1992). This is usually considered an essential prerequisite for successful therapy. In this paper I would like to consider two associated areas, those of control and the role of semantic processing as they relate to the conduct of brief therapy under adverse conditions in cases where there remain high levels of avoidance.

Keywords: Avoidance Negative Cognition

Accuracy Verified: Yes

159. Schwarz, R. (1997, January). The supportive use of EMDR in working with patients with dissociative identity disorder. EMDRIA Newsletter, 2(3), 21-23.

Language: English

Format: Newsletter

Abstract:
When working with a client with Dissociative Identity Disorder (DID), how does the therapist know when an EMDR protocol will lead a client through a trauma to relative safety vs. precipitate an overwhelming abreaction because of all of the trauma linked up in the associative chain?

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

160. Gilson, G., & Kaplan, S. (2000). The therapeutic interweave in EMDR: Before and beyond: A manual for EMDR trained clinicians. EMDR Humanitarian Assistance Programs, New Hope, PA.

Language: English

Format: Book

Abstract:
Expands the concept of the cognitive interweave to the broader, more inclusive Therapeutic Interweave. Gives structured framework of 16 categories of Therapeutic Interweave, and strategies that enhance safety, assist with affect regulation, self-soothing, and develop ego-strength. Good supplement to Shapiro's basic didactic book on EMDR. [EMDR-HAP]

Keywords: Cognitive Interweave Therapeutic Interweave

Accuracy Verified: Yes

161. Kaplan, S., & Gilson, G. (2005, September). The therapeutic interweave in EMDR: Responsibility, safety and choices. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop presents the expanded concept of the Therapeutic Interweave in EMDR treatment as it relates to responsibility, safety, and choices. It includes cognitive interweaves, as well as affective, body awareness, imaginal, ego state, experiential, dynamic, spiritual, and other interweaves. It offers a format for EMDR clinicians to utilize in decision-making in clinical pracice. The workshop also teaches assessment of the client's need to front-load their system for resourcing and stabilization, i.e., self-soothing, affect modulation, and ego strengthening before beginning or during the EMDR protocol. The workshop is rich in strategies, current case examples and specifically designed practice exercises.

Keywords: Affective Interweave Body Awareness Interweave Dynamic Interweave Ego State Interweave Experiential Interweave Imaginal Interweave Therapeutic Interweave Spiritual Interweave

Accuracy Verified: Yes

162. Kaplan, S., & Gilson, G. (2000, September). Therapeutic interweave: Before and beyond. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to define the cognitive interweave and go beyond it to be able to define an expanded conceptualization of the therapeutic interweave; 2) be able to identify a range of therapeutic interweaves, including cognitive, affective, body awareness, imaginal, ego state, experiential, dynamic, spiritual, healing, etc.; 3) be able to assess for and build in a foundation of safety, where needed, before beginning EMDR work; 4) be able to explain how the range of therapeutic interweaves can help clients establish appropriate responsibility, safety, and choices and explain how therapists can make a space for clients to be able to effect an adaptive change on their own; 5) learn a framework for deciding when, how, and if to use the therapeutic interweave during EMDR treatment when clients have not spontaneously found their way to an adaptive resolution; and 6) develop competence in assessing for and creating a foundation of safety, be able to share interweave approaches that participants have found to be effective, and develop competence in choosing, developing, utilizing, and timing of the therapeutic interweave in carefully designed experiential learning exercises.

Keywords: Therapeutic Interweave

Accuracy Verified: Yes

163. Kaplan, S., & Gilson, G. (2001, June). Therapeutic interweaves and foundation building in EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This workshop presents therapeutic interweaves and their utilization and building a foundation of safety and coping, while weaving in responsibilitiy, safety, and choices. It is rich in case examples, demonstrations, and practice exercises.

Keywords: Choice Responsibility Safety Therapeutic Interweave

Accuracy Verified: Yes

164. Spierings, J. (2010, July). The three tests: A systemic approach to stabilization. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
“The Three Tests” A systematic approach to stabilization: Working with severely traumatized clients, we are confronted with many difficult questions, impossible choices and dilemmas: is the client ready for (EMDR-)trauma work, or is more stabilization needed? How do we assess the bearing strength and affect regulation level of the client? What if the client is too unstable because of the trauma symptoms? How can we enhance safety and control without working on the trauma? And if affect tolerance is too small to do EMDR, what can we do? In this presentation you learn to assess the client’s readiness for EMDR in a systematic way, combined with a treatment plan to work on the skills and resources the client needs to develop. The presentation gives many, many practical ideas for interventions and exercises to help the client develop bearing strength and grow towards trauma confrontation. Of course there will be lots of illustrating case stories.

Keywords: Stabilization

Accuracy Verified: Yes

165. Coste, L. (2007, Juin). Traitement EMDR d'une anorexie dan le cadre d'une thérapie globale et familiale [EMDR treatment of anorexia dangerous part of a comprehensive therapy and family]. Affiche présentée à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Voici le cadre du traitement d’une anorexie chez une adolescente, Annie, 13 ans. Le traitement a duré 10 mois.
Annie est née cinq ans après une demi-soeur, Joanna, 18 ans. Joana n’a pas même père. Le père d’Annie a accepté l’adoption.
Le père, d’Annie, la mère, Annie et Joana vivent sous le même toit. Annie entre difficilement dans l’adolecence, alors que Joana s’exhibe depuis quelques mois avec son compagnon dans la chambre contiguë de celle d’Annie. Les rapports sexuels particiliers sont utilises par Joana à la fois comme instrument de vengeiance envers sa demi-soeur, et encore pour attirer l’attention de des parents sa problématique liée à son arrive dans la famille.
Joana souhaite ainsi impliquer et irriter houte la famille pour résoudre un conflit interne.
Elle réussit à persécuter Annie qui entre dans une phase aiguë de régression avec le souhait de se fonder en sa mère, au point de devoir dormer à ses côtés. Annie développe progressive une depersonalization. Pour autant, Joans ne tente as de s’approprier sin beau-père: au contraite, elle le rejette d’autant plue qu’elle se rend très souvent sur les lieux de père-géniteur dont a elle retrouvé les traces.
Cette situation culpabilise a posteriori un beau-père qui estime avoir éléve sa belle-fille avec amour. Sa position de chef de famille est remise en cause. La situation culpabilise également la mère qui avait pourtant choisi de garder Joana plutôt que d’avorter. Joana gignote de jour en our le territoire de sa dem-soeur sans poor autant vouloir continuer à s’insérer dans cette famille.
Le traitement préconisé sera:
- dans un premier temps, d’enrayer rapidement la dénutrition d’Annie par traitement EMDR (cogntions autour de l’estime de soi) puis traitement d’une peur de mourir (cognitions liées à la sécurité/survie), suivi du choix de “réussiré (congitions liées à la possibilité de contrôle).
- de suivre en alternance les parents, Annie et Joana;
- dans un second temps, de suivre Annie et Joana;
- dans un troisième temps de traiter par EMDR quelques peurs chez Joana et abaisser son irritation en famille, puis preparer son depart.
- Séance après séance, Annie se réappropriera son corps grâce à un imagination et une activité onirique du veille mises au service de la guérison. Annie parviendra finalement à croire en la possibilité de “réussir” sa vie.

Here the treatment of anorexia in a teen, Annie, 13. The treatment lasted 10 months.
Annie was born five years after a half-sister, Joanna, 18. Joana has not even father. Annie's father accepted the adoption.
The father of Annie, mother, Annie and Joana live under the same roof. Annie easily into the adolecents, while Joana showing off for several months with his companion in the room next to that of Annie. Sex particiliers are used by Joana both as an instrument of vengeiance to his half-sister, and again to draw the attention of his parents' problems related to his arrival in the family.
Joana hopes to involve and irritate houte family to resolve an internal conflict.
She managed to persecute Annie enters a critical phase of regression with the desire to rely on his mother, to the point of having to sleep on his side. Annie develops a gradual depersonalization. However, no attempts have Joans sin to appropriate father-to Constrain, she rejects all Plue it goes very often on-site parent whose father she has found the traces.
This guilty post a stepfather who feels his pupil step-daughter with love. His position as head of family is challenged. The situation also blames the mother who nevertheless chose to keep rather than abort Joana. Joana gignote from day o the territory of its dem-sister without all the poor would continue to fit into this family.
The recommended treatment is:
- Initially, to stem the rapid wasting of Annie by EMDR treatment (cogntions around self-esteem) and subsequent treatment of a fear of dying (cognitions related to safety / survival), followed by the choice of "réussiré (congitions related to the possibility of control).
- Follow-linked parents, Annie and Joana;
- A second time, Annie and follow Joana;
- A third time to deal with some fears among EMDR Joana and lowering his irritation with the family, then prepare his departure.
- Session after session, Annie reclaim his body with an active imagination and dream of a day in the service of healing. Annie finally succeed to believe in the possibility of "successful" life.

Keywords: Anorexia Eating Disorders Family Poster

Accuracy Verified: Yes

166. Dodgson, P., Zaghrout-Hodali, M., Ferdoos, A., Wright, J., & Moore, P. (2008, September). Transforming fear: EMDR with victims of torture and organized violence. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract: to EMDR HAP in the Middle East and presentation of clinical work and a pilot study in a situation of ongoing conflict, including early intervention; a presentation of clinical work with victims of torture and organized violence and treatment protocols relating to safety, shame, and working with interpreters; outline of a preliminary study in the use of an EMDR group protocol with adults; clinical case discussion and interactive questions and answers. Participants are invited to bring case outlines and material and to take part in use of the group protocol.

Keywords: Fear Organized Crime Torture Vicitms

Accuracy Verified: Yes

167. Ferrie, R. K. (2006, September). Transforming imagery in the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Many trauma therapies, including EMDR, rely on the transformation of traumatic imagery to images of self-empowerment and safety, either spontaneously or by design. When traumatic memories resolve by transformation, many of the same areas of the brain are involved, as in the original perception: the brain revisits the scene and has a second chance to "see" it a different way i.e. to reprocess the memory. This workshop will begin by examining the neuroscience supporting this hypothesis. Fortunately, not only is mental imagery central to trauma therapy, facility with mental imagery is a set of skills, which can be learned by clients. Participants will be introduced to a method of teaching mental imagery skills as part of no overall resource development protocol the presenter has used in a single-case design study of Complex PTSD. This study examines the correlation between the client's degeee of facility with mental imagery and subsequent recovery from the symptoms of Complex PTSD. The method and results of this study will be presented. Client material will be used to illustrate these techniques and their application to EMDR therapy. Participants will be able to critique this study as well, and in the process, will learn how to apply the single case design paradigm to their own practices.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Mental Imagery

Accuracy Verified: Yes

168. Nelson, S. (1994). Trauma and self-trust: EMDR can help. EMDR Network Newsletter, 4(1), 7-8.

Language: English

Format: Newsletter

Abstract:
Self-trust and trust of others are core issues that emerge time and time again in individual and relationship therapy In the broadest sense, trust implies instinctive, unquestioning belief and reliance upon something or someone. We require some measure of this trust to function even minimally. Specifically, and in terms of our everyday experience, self-trust at least emcompasses the abihty to: l ) Trust awareness of external reality (People, places, things, degree of safety, etc.). 2)Trust awareness of internal reality (visual images, feelings, motives, thoughts, body sensations). 3)Trust personal control of expression, actions, thoughts, motives, body experience, impulses. 4)Trust ability to sustain/meet personal needs. 5)Trust our knowledge of past and present events.

Keywords: Self-Trust Trauma

Accuracy Verified: Yes

169. Lovett, J. (2000). The trauma-attachment tangle: Let's help children and parents out of the bind. The Children's Group Therapy Association Newsletter. Retrieved from http://www.cgta.net/newsletters/play_therapy.html November 16, 2011.

Language: English

Format: Newsletter

Abstract:
What does help children and adults who have had experiences that ruptured their trust in the world and who have been unable to develop close, reciprocal, loving relationships? 1. Experiences of being safe for an extended period of time. 2. EMDR to desensitize and reprocess upsetting memories. 3. Development of healthy “inner parents” who nurture, encourage, and offer guidance. 4. Children benefit from nurturing cuddle time with parents – and alternating bilateral stimulation to reinforce positive experiences of safety, care, tenderness, and attunement. 5. Adults benefit from imagination exercises to help them experience nurturing. 6. Children and adults need a cohesive life story that is developmentally appropriate and explains and reframes what happened to them and offers trauma resolution and hope for the future. 7. EMDR to target confusion, so that uncertainty (necessary for approaching new experiences and learning) does not trigger anxiety. 8. Grief work, to deal with loss and find ways to be loyal to more than one person or family. 9. Creative opportunities for healing. Art, play therapy, drama, sandtray work can be used to express feelings, as well as provide targets for desensitizing and reprocessing traumatic experiences. Fortunately, children can resolve trauma even when EMDR is used to help the action figure, the baby doll, or the toy horse resolve a challenging situation. 10. Work with parents (or refer them) to understand and desensitize their own triggers for reactivity. Children who are fearful, angry, needy, or sad need mature parents who can stay objective and help them contain their strong emotions. 11. While the work of resolving trauma and developing trust can be slow, EMDR can facilitate the process. The rewards are sweet and well worth the effort. [Excerpt]

Keywords: Adults Attachment Children Trauma Treatment

Accuracy Verified: Yes

170. 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

171. Figley, C. R. (1999). Traumatology of grieving: Conceptual, theoretical, and treatment foundations. Philadelphia, PA: 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

172. 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

173. Forgash, C. A. (2006, September). Treating complex trauma and dissociation. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This workshop will present an integrated approach to the treatment of clients diagnosed with complex trauma. Ego state work, somato-sensory work and EMDR are utilized to help such clients deal with dissociation, internal fragmentation, and disconnections, integrating these strategies in the preparation phase of the EMDR protocol results in a safety focused therapeutic approach. Complex trauma victims enter therapy seeking help for PTSD, depression and anxiety. This workshop will help clinicians implement strategies that help traumatized clients to experience first relief, then stability, and trauma processing. Learning objectives include the importance of including information in the history taking about fragmentation and dissociation: defining and selecting the appropriate ego state and somatosensory and affect management strategies to help such clients succcssfully process trauma with the EMDR protocol. This workshop will present case illustrations and slides. Handouts and an extensive bibliography will be provided.

Keywords: C-PTSD Complex Posttraumtic Stress Disorder Complex PSTD Dissociation

Accuracy Verified: Yes

174. Wizansky, B., & Sadeh, E. B. (2013, June). Treating early trauma-engaging parent and child in the therapeutic journey of healing with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
The EMDR treatment of early trauma begins best when both the child and parent can truly experience relaxation and safety in the therapy room. Here we would like to share our experience in creating a non-threatening, environment that is both playful and nurturing. Our presentation will concentrate on teaching ways in which to use the parent-child dyad as a major safety resource as well as integrating the EMDR protocol with a variety of playful modalities tailored to the language of a child. We will demonstrate and teach the specific methods with which our young clients strengthen the attachment bond as they learn to talk about feelings and use spontaneous games to move the treatment forward through the EMDR protocol.
Learning objectives: Learn to use the parent-child dyad as a major safety resource; and Learn to integrate the EMDR protocol with a variety of playful modalities tailored to the language of a child.

Keywords: Children Early Trauma Parents Safety Resourcing

Accuracy Verified: Yes

175. van der Kolk, B. (2011, November). Treating trauma: Helping the entire organism feel safe and live in the present. Presentation at the 27th Annual Meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Trauma affects the entire human organism, which gets stuck in neruobiological, immunological and relational survival modes. Neuroscience research shows that the brain regions most affected by trauma are involved in attention and perception, biasing the organism into preceiving threat and annihilation. The subcortical process are independent from conscious appraisal and conscious control. This presentation will focus on evidence based treatments that address basic issues of safety, threat appraisal and embodied awareness, illustrated by EMDR, meditation, yoga, theater, martial arts and sensory integration.

Keywords: Trauma Treatment

Accuracy Verified: Yes

176. 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

177. Adler-Tapia, R. & Brown, S. (2011, January). Two studies on the efficacy of integrating EMDR: a) EMDR with children treated in a CAC; and, b) EMDR and seeking safety for adults evidencing co-morbidity in the drug courts. Presentation at the 25th Annual Rady Chadwick San Diego Child and Family Maltreatment, San Diego, CA.

Language: English

Format: Conference

Abstract: This presentation will focus on research on EMDR with child victims of crime and on using EMDR for the treatment of comorbid PTSD/SUDS in an adult court ITTP (Integrated Trauma Treatment Program). (Author Abstract)

Keywords: Adults Children Drug Court

Accuracy Verified: Yes

178. Barrett, W. (2011, March). Use of constant installation of present orientation & safety (CIPOS) in children and young people. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
The aim of the paper would be to present a series of case studies relating to use of the CIPOS procedure (Eckers, 2009) with children and young people. Practice issues and areas for future development will be considered, together with feedback from the children and parents involved in the case studies.

Keywords: Adolescents Children CIPOS Constant Installation of Present Orientation & Safety Symposium

Accuracy Verified: Yes

179. Parnell, L. (1995, June). The use of imaginal and cognitive interweaves with sexual abuse survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This hour and a half presentation addresses the use of cognitive and imaginal interweaves in the treatment of adult survivors of sexual abuse. The overall course of treatment with EMDR is briefly outlined including a variety of interweave interventions for use in the beginning, middle and end of EMDR sessions. In working with sexual abuse survivors with EMDR it is important to understand the issues commonly encountered in their treatment. These include issues of safety, trust, responsibility, choice/control, interpersonal relationships, body awareness and image, sexuality and self esteem. A sexual abuse assessment can be taken which includes information on the perpetrator(s), severity and frequency of abuse, type of abuse, age of onset of abuse, duration of abuse, disclosure and family response. Sexual abuse survivors present themselves in treatment in different ways. Some clients come to treatment remembering abuse and want to clear it with EMDR. Other clients come to treatment with no clear memories of incidents but have a "feeling" something happened to them and have symptoms of abuse. There are clients who have no clear memories but something has triggered flashbacks and nightmares of sexual abuse. Finally, there are clients who have no memory of abuse and come to therapy for another reason but uncover what they believe to be sexual abuse memories with EMDR. There are three phases of treatment in sexual abuse cases. In the beginning phase, a history is taken and there is the establishment of a trusting relationship. The client is prepared for EMDR. In the middle phase, there is the reprocessing and working through of traumatic memories and transference work. In the end phase of treatment there is integration of the information which has been uncovered and preparation for life outside of therapy. Interweaves can be utilized in the beginning, middle and end of EMDR sessions. In the beginning of individual EMDR sessions there is a check-in with clients to see how they have been doing during the week. What has come up for them in their dreams or daily life since the last session? Next there is the selection and development of targets for EMDR (body sensation, memory, flashback, symptom, dream, feeling, vague sense, negative cognition or drawing). A safe place is then established where the client can go at the beginning, middle or end of the session as needed. Along with the safe place an inner advisor or other inner resources can be contacted and developed for use in sessions. A connection with the client's inner child is important which can be done through the use of guided imagery, photographs and/or artwork. Instructions on how EMDR will be used are given with attention paid to issues of safety and control (they are in control, they can stop at any time, they can return to the safe place, they know the signal for stop). Negative and positive cognitions are established along with the EMDR protocol. In the middle of individual EMDR sessions there are commonly problems with looping or being "stuck." This seems to occur frequently with sexual abuse survivors because of the intensity of the trauma and because the child self is often frozen in time lacking access to the adult self's information. Ways to work with this include looking for the blocking beliefs (i.e., The perpetrator can hurt me), look for blocking images, and talking to the child part (what does he/she need?). Imaginal and cognitive interweaves can be used in a variety of different ways in the middle of EMDR sessions. Some of these include: imagining the adult self helping the child self in the traumatic scene, bringing in inner and outer resources for help (i.e., a powdl imaginary being, a strong loving fiend, the therapist, etc.), and reality check interweave where is the perpetrator now?, can helshe hurt you now?) It is also important to educate the child part that his or her feelings are normal, sexual feelings are normal etc. It can be helpful to ask the adult self to talk to the child self explaining things to the child. Another useful interweave is to have the adult self hold the perpetrator and allow the child to beat him or her up or have the adult self beat up the perpetrator allowing anger to be expressed safely. Asking clients if they would like to return to the safe place for a break can also be helpful if they are feeling too overwhelmed. There are a number of ways to end or close incomplete EMDR sessions. Often it will not be possible to completely clear a traumatic memory in a session or the memory worked on is completed but connected to a whole network of other traumatic events. For these cases there are a number of interweaves that can be used. Clients can be requested to have the adult self comfort the child self in the . safe place. The client can imagine putting the scary unfinished disturbance that has been uncovered in a file folder, box, safe, leave it in the therapist's office, etc. The client can return to the safe place where the child and adult selves can play together. The adult can comfort the child or do whatever is needed to create safety and containment. Clients can imagine their child self being held by protector figures repeating cognitions related to safety, responsibility and choice. They can also be asked what they learned from the session, installing their response with eye movements. It is helpful to give homework to clients such as journaling, artwork, walks in nature, meditation, stress reduction, group work, exercise, nutritious diet, and restriction of drugs and alcohol. Loving Kindness or Metta Meditation is another very helpful tool for teaching self soothihg to adult survivors of sexual abuse.

Keywords: Cognitive Interweave Imaginal Interweave Sexual Abuse Survivors

Accuracy Verified: Yes

180. Keller, M. (2010, July). Using EMDR at each stage of the trauma recovery process. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
“Using EMDR at Each Stage of the Trauma Recovery Process” 1) Introduction and overview of general principles of traumatology. 2) The stages of trauma recovery: a) Safety, b) Self-regulation capacity, c) Social connection, d) Reprocessing traumatic memories, e) Rebuilding a life worth living. 3) Safety: a) Calm/safe place-indications and contraindications, b) EMD, c) RTEP, d) Coping with current lack of safety. 4) Self-Regulation: a) EMDR self-regulation interventions with the whole brain in mind. 5) Social connection: a) Interventions based on client attachment style, b) Enhancing memories of positive relationships, c) Building layers of connection—intimacy, family, community, religious, 6) Reprocessing traumatic memories: a) Considerations for selecting appropriate memory targets, b) A continuum of reprocessing approaches-EMD through EMDR, c) Recent event and more distant past event issues, d) Cultural considerations. 7) Rebuilding a life worth living: a) The positive future template, 8) Conclusion. The presentation will include video examples of interventions at each stage of the trauma recovery process. Audience questions and interactions will be encouraged.

Keywords: Trauma Recovery Process

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Children

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Children

Accuracy Verified: Yes

183. Wieland, S. (2009, May). Using EMDR with children who dissociate. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. This workshop will briefly describe the effect of dissociation on a child’s inner world and the emotional, behavioural, cognitive, and somatic symptoms that appear in the child’s outer world. The use of EMDR to (1) increase a child’s sense of safety and stability (the first stage in trauma treatment), (2) decrease the disconnection between aspects of self, and (3) process trauma will be described. Attention will be given to recognizing and responding to dissociation during EMDR processing. Numerous case examples will be presented.

Keywords: Children Dissociation

Accuracy Verified: Yes

184. Knipe, J. (2008, Maart). Using EMDR with dissociative clients: The CIPOS method. Keynote gepresenteerd op het derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: English

Format: Conference

Abstract:
During this keynote the so called CIPOS procedure will be fully explained which is helpful with clients who are vulnerable to dissociative aabreaction (e.g. DID, DDNOS). This involves first a method for measuring degree of dissociation during a session (the so-called Back-of-the-Head Scale) and then a method for maintaining present orientation during traums processing (the moeht of Constant Installation of Present Orientation and Safety)

Keywords: CIPOS Dissociation Keynote

Accuracy Verified: Yes

185. Knipe, J. (2006, June). Using EMDR with substance addictions and with behavior problems that have an addictive pattern. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Addictions Substance Abuse

Accuracy Verified: Yes

186. Solomon, R. M. (1998). Utilization of EMDR in crisis intervention. Crisis Intervention and Time-Limited Treatment, 4(2-3), 239-246.

Language: English

Format: Journal

Abstract:
A critical incident is a situation that results in an overwhelming sense of vulnerability and/or lack of control. Information taken in during the traumatic situation may become dysfunctionally stored in the brain, unable to process, resulting in PTSD symptoms. Clinical issues that arise in the emotional aftermath often center around one or more of the following issues: (1) responsibility for the event, (2) personal vulnerability and present safety, and (3) lack of control and efficacy. Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic method that can accelerate the processing of the blocked information resulting in a decrease of symptoms and adaptive resolution. Rather than forcing a person through stages of recovery, EMDR reprocesses dysfunctionally stored information, enabling recovery to take place in a way that is natural for the client. Consequently, within an appropriate clinical framework, EMDR can be applied in the days and weeks following critical incidents to help people process trauma. Case examples illustrate the use of EMDR in the aftermath of a critical incident to deal with issues of responsiblity, present safety, and efficacy. [Author Abstract]

Keywords: Posttraumatic Stress Disorder PTSD Stressors Survivors Traumatic Grief

Accuracy Verified: Yes

187. Solomon, R. M. (1999, September). Utilization of EMDR in crisis intervention. EMDRIA Newsletter, 4(3), 11, 13-14, 31-33.

Language: English

Format: Newsletter

Abstract:
A crisis or traumatic situation occurs when a person is involved in a situation that results in an overwhelming sense of vulnerability and/or lack of control (Solomon, 1995). These situations can shatter basic assumptions about how the world works, interfering with the victim’s ability to assimilate and accommodate the event (Janoff-Bulman, 1992). Three major themes that commonly need to be addressed by victims of critical incidents are 1) responsibility for the event, 2) personal vulnerability and lack of safety, and 3) issues of control and self-efficacy (Shapiro, 1995).

Keywords: Crisis Intervention

Accuracy Verified: Yes

188. Ploeg, C., & Wanders, F. (2012, March). Van draak naar prinses. Op weg naar een geïntegreerd klinisch behandelmodel voor chronisch getraumatiseerde kinderen [From princess to the dragon. Towards an integrated clinical treatment model for chronically traumatized children]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
De behandeling van chronisch getraumatiseerde kinderen vraagt om een lange adem. Op de eerste plaats is natuurlijk de veiligheid en een aanwezige hechtingsfiguur voor het kind van belang. Dit klinkt vanzelfsprekend, maar is in de praktijk vaak moeilijk te realiseren en/of vol te houden. Een goede samenwerking met gezinnen/pleeggezinnen, collega’s en collega instellingen staat hierbij voorop. In deze presentatie willen we jullie ‘imaginair’ meenemen naar onze kliniek en jullie kennis laten maken met de manier waarop wij zoeken naar het meest geschikte behandelklimaat en de meest geschikte behandelvorm voor deze kinderen. Hoe wij hierbij gebruik maken van verschillende behandelmethodieken (Greenwald, Spierings, Struik) om uiteindelijk tot een geïntegreerd behandelmodel te komen voor deze doelgroep. We zullen met jullie onze visie delen over de onmogelijkheden, maar vooral ook de mogelijkheden in de behandeling van deze kinderen. Wij zullen ingaan op o.a. de volgende aspecten: de werkrelatie met deze kinderen en alle betrokkenen, het aanleren van coping, traumaverwerking en hoe je dit als team van hoofdbehandelaren en hbo-behandelaren op de klinische groep vormgeeft.

The treatment of chronically traumatized children requires a long breath. In the first place, of course, the safety is present, and a figure for attachment of the child's interest. This sounds obvious, but in practice often difficult to achieve and / or to maintain. A good partnership with families / foster families, colleagues and fellow institutions is paramount. In this presentation we want to 'imaginary' bring to our clinic and you get acquainted with the way we search for the most appropriate treatment environment and the most appropriate form of treatment for these children. How we make use of different treatment methods (Greenwald, Spierings, Bush) to produce a single integrated treatment model to qualify for this target group. We will share our vision with you about the impossibilities, but also the possibilities in the treatment of these children. We will discuss among others the following aspects: the working relationship with these children and all those involved, the teaching of coping, coping with trauma and how this team as head of therapists and clinicians on the clinical HBO group shape.

Keywords: Children Integrated Treatment Model

Accuracy Verified: Yes

189. Calof, D., Maltz, W., Shapiro, F., & Young, W. (1995, June). What can we learn from the “false/delayed memory” controversy?. Evening symposium and town meeting conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Working with survivors of trauma and abuse can challenge or shatter therapists' basic beliefs about safety, goodness, and meaning, leaving one anxious, vulnerable, uncertain and prone to countertmnsference act-out. Through discussion and structured ewences that allow for individual pacing, participants in this experiential clinic will have an opportunity to identify, transform, and work through issues of the self of the therapist including countertransferences, parallel process, secondary traumatization, and the intense and sometime immobilizing existential crises that may result from this work. The leader will endeavor to create an enjoyable playful climate of mutual respect, trust, confidentiality and containment throughout the day. Educational objectives: A. Participants will engage in group and individual exercises designed to break with injunctions, scripts and internalizations left over from the family of origin that have prohibited personal authority and experimentation. B. Through lecture/discussion and exercises, participants will explore countextramference issues, secondary PTSD, and common therapeutic impasses and the existential crises they evoke in the self of the therapist. C. Participants will engage in group and individual exercises designed to assist in the resolution of on-going countertransference issues growing out of their current clinical practice. Bibliography: (1)Benedeck, E.P. (1984). The silent scream; Countertransference reactions to victims. American Journal of Social Psychiatry, IV, 3:49-52. (2)Camstock, C.M. (1991). Countertransference and the suicidal MPD patient. Dissociation, Vol. IV, No. 1;25-35

Keywords: False Memory

Accuracy Verified: Yes

190. 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

191. 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

192. Knipe, J. (2010, September/October). What the adaptive information processing model brings to the assessment and treatment of dissociative disorders. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clients with a dissociative personality structure can be very vulnerable to dissociative abreaction – i.e. “reliving” the trauma with intense disturbance while experiencing a loss of present orientation and safety. In addition, a client who has repeatedly experienced this type of traumatic intrusion is likely to have developed complex psychological defenses. This presentation will include the description of certain AIP “tools” that can be used to help dissociative clients who have strong phobic fears of their own post-traumatic material and who have developed additional mental actions to prevent the emergence of that troubling material. These “tools” will be illustrated with brief session transcripts and video segments.

Keywords: Dissociative Disorders Plenary

Accuracy Verified: Yes

193. Paulsen, S. (2009, November). Working under the floorboards: Resetting affective circuits in preparation for clearing very early trauma with EMDR. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: EMDR is known for its use in treatment of PTSD and, when the appropriate protocol is used, dissociative disorders. The standard protocol of EMDR is limited when applied to repairing early trauma because 1) it relies upon targeting an explicit memory but early trauma is stored in implicit memory, and 2) when early trauma is accessed it can be overwhelming to clients, because early experience is accessed with the limited containment, safety and affect regulation capacity of the child´s age at the time of trauma. Katie O´Shea developed a four step protocol for the safe treatment of early trauma using EMDR, and it is based upon an ego state approach (O´Shea & Paulsen, 2007). The protocol is based upon the standard EMDR protocol with critical modifications. There are three preparation steps: 1) containment, 2) safe state, and 3) resetting affective circuits. Step three is hypothesized to clear the affective circuits that conduct emotional information processing. The fourth step corresponds to Phases III and IV in the EMDR standard protocol. That fourth step articulates the target and desensitizes it, but the latter is conducted by time frame rather than by explicit memory.

Keywords: Early Trauma

Accuracy Verified: Yes

194. 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

195. Kiessling, R. (2007, September). Yes, it’s your “responsibility”!. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Effective case conceptualization and treatment is dependent upon accurate assessment of the client’s presenting problem’s “Core Cognitions” in order to appropriately identify the Touchstone Event. Understanding the treatment hierarchy of Responsibility, Safety and Choices greatly increases the clinician’s ability to understand and develop the appropriate treatment targeting sequence. This workshop will help clarify the appropriate development of an effective treatment plan according to the client’s core negative belief.

Keywords: Cognitions

Accuracy Verified: Yes

196. Turner, S. (2008, June). “A human rights framework in trauma work". Keynote presented at the annual mmeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Some people survive trauma only to find themselves continuing to live in very real danger of further deliberate harm. This happens, for example, on a large scale where the state uses repressive violence against communities and at a personal level in many types of intra-familial violence, but there are many other illustrations. One of the first steps that we often make as therapists is to clarify that the traumatic experience has come to an end and that the survivor is ready, and feels safe enough, to deal with the emotional components of their past experiences. Victims of violence may come from disadvantaged or minority groups in society and it is often insufficient to rely only on the goodwill of the majority population to achieve this sense of safety. It is essential that there should be human rights policies with the force of law to protect vulnerable people and allow them to achieve justice and a sense of efficacy. This year is the 60th anniversary of the Universal Declaration of Human Rights, an inspirational document prepared after the Second World War, and yet, unfortunately, human rights abuses remain all too common. The interplay between the legal framework of human rights and the therapeutic framework of clinical practice is not always straightforward to negotiate. Problems may occur, for example, for refugees who escape from persecution but whose legal cases in their new country of asylum take years to settle, children experiencing continuing abuse but who are too afraid to talk, adult rape survivors who feel too ashamed to disclose and who would expect a prosecution to fail anyway. An ethical framework for our practice is required which fully takes into account the therapeutic needs of the survivor; their legal right to justice, protection and acknowledgment of harm done; and their personal wishes.

Keywords: Keynote

Accuracy Verified: Yes