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Your Results - you searched for the keyword Safety Issues 677 Results
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. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.
Language: Chinese
Format: Conference
Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)
Keywords: Complication Grief Personality Theory
Accuracy Verified: Yes
4. マギーフィリップス(田中究、穂積由里子、浅田雅子(翻訳) [Maggie Phillips (Tanaka Kiwamu, Hozumi Yuriko, Asada Masako (translators)] (2002). 最新心理療法―EMDR・催眠・イメージ法・TFTの臨床例 [単行本] [Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help resolve health problems]. 東京:春秋社。 392 pp [Tōkyō: Shunjūsha. 392 pp.].
Language: Japanese
Format: Book
Abstract:
マギー・フィリップス著 ; 田中究監訳 ; 浅田仁子,穂積由 最新心理療法: EMDR・催眠・イメージ法・TFTの臨床例 Saishin shinri ryōhō: Īemudīāru saimin imējihō tīefutī no rinshōrei 春秋社
A groundbreaking book that applies the principles of energy psychology and medicine to mind/body healing. Eastern healing focuses on correcting imbalance so that qi (life force energy) can flow freely again. This book proposes that various therapies can similarly address energies in mind/body systems and restore health. These tools can open inner, healing pathways that have been frozen by stress, trauma, and unresolved developmental issues.
Keywords: Body-Focused Therapy Hypnosis Imagery TFT Thought Field Therapy
Accuracy Verified: Yes
5. 張素凰、 [Chang Sue-Hwang]. (2008年3月). 眼球運動中的作用機制 EMDR的治療:證據為基礎的研究 [Role of eye movements in the therapeutic mechanisms of EMDR: Evidence-based research]. 論文發表於2008年TACP(台灣臨床心理學協會)年度會議(第三次大會),專題討論會以證據為基礎研究在台灣第1節心理障礙,3月8-9日,政治大學,台北,台灣。 (國科會91 -2413 - H型009 -鹽度-;國科會92 -2413 - H型002 -024-;國科會93 -2413 - H型002 -002-) [Presentation at the 2008 TACP (Taiwan Association of Clinical Psychology) Annual Conference (Third General Meeting), Symposium on Evidence-Based Research in Taiwan; Section of Mental Disorders, March 8-9, Chengchi University, Taipei, Taiwan. (NSC 91-2413-H-009-SSS-; NSC 92-2413-H-002-024-; NSC 93-2413-H-002-002-)].
Language: Chinese
Format: Conference
Abstract:
研討會以證據為基礎的研究,在台灣,部分精神疾病。 (國科會 91 - 2413 - H的009 -量表中文),國家安全委員會 92 - 2413 - H的- 002 - 024 -);國家安全委員會 93 - 2413 - H的- 002 - 002 -)眼動脫敏和再加工(EMDR;夏皮羅,1989 ,1995,2001)最近聲稱要有效地紓緩創傷後應激障礙的症狀,恐怖疾病。眼運動(電磁)是一種治療的關鍵因素,其治療機制有待澄清。在這個談話的目的是要研究系列報告,從我們的實驗室就EM的作用,治療機制 EMDR。具體來說,在EMDR程序被簡單地描述,EM的功效及工藝相比,暴露了問題。此外,對影響電磁情緒變化和生動的圖像或自傳記憶,改變數量和強度的語義協會的報告。此外,關於如何EMDR問題可能的工作,無論是電磁沒有添加任何超出了純粹接觸機制和電磁相互作用,價的刺激,他們的陳述順序進行了討論。最後,在EM的作用方面提出的刺激價為了從理論的角度來看,其臨床意義,提出和未來研究的可能性進行了討論。
Symposium on Evidence-Based Research, in Taiwan; Section of Mental Disorders. (NSC 91-2413-H-009-SSS-); NSC 92-2413-H-002-024-); NSC 93-2413-H-002-002-) Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995,
2001) has recently been claimed to be effective in ameliorating the symptoms of
PTSD and phobic disorders. Eye movement (EM) was one of the crucial treatment
elements, of which the therapeutic mechanisms await elucidation. The aims of this
talk were to report series of studies from our lab regarding the role of EM in the
therapeutic mechanism of EMDR. Specifically, after EMDR procedure being briefly
described, the efficacy of EM and its process compared to exposure were addressed.
Further, the effects of EM on changes of emotionality and vividness of images or
autobiographic memories, and changes of amount and strength of semantic
associations were reported. Also, the issues regarding how EMDR might work,
whether EM did add anything beyond the mechanisms of pure exposure, and the
interplay of EM, valence of stimuli, and their presentation order were discussed.
Finally, the role of EM in terms of stimulus valence presentation order from
theoretical point of view and its clinical implications are proposed, and future
research possibilities are discussed.
Keywords: Eye Movement Exposure Symposium Therapeutic Mechanism
Accuracy Verified: Yes
6. 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
7. 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
8. Follette, W. C., & Beitz, K. (2003, July). Adding a more rigorous scientific agenda to the empirically supported treatment movement. Behavior Modification, 27(3), 369-386. doi:10.1177/0145445503027003006.
Language: English
Format: Journal
Abstract:
As the empirically supported treatment (EST) effort has expanded, there are efforts to make the
study of ESTs a more integral part of training programs. In its present form, the EST list provides
a poor model of how to evaluate treatment and scientific issues related to our field. This article
offers several suggestions regarding how to establish a more relevant scientific agenda for the
committee’swork if the study of ESTs is to usefully influence training programs. Recommendations
are made to encourage programs and the CSP to study mechanisms of change, important
contextual variables for therapy delivery, the distinction between statistical significance and
clinical meaningfulness, dissemination, cost-effectiveness, and iatrogenic effects. It is argued
that any program that created a curriculum educating students to thoughtfully address these
issues when evaluating therapies would be producing sound clinical scientists regardless of the
quality of the EST list itself.
Keywords: Critique Training Committee on Science and Practice CSP Empirically Supported Treatments EST
Accuracy Verified: Yes
9. Schubert, S., & Lee, C. W. (2009). Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 3(3), 117-132. doi:10.1891/1933-3196.3.3.117.
Language: English
Format: Journal
Abstract:
This article provides an overview of selective issues relating to adult posttraumatic stress disorder (PTSD) and its treatment with eye movement desensitization and reprocessing (EMDR). The article begins by providing a historical overview of PTSD, and debates about the etiology and definition of PTSD are discussed. The most predominant theories of PTSD are summarized by highlighting how they have evolved from traditional behavioral accounts based on the assumption that PTSD is an anxiety disorder to theories that now incorporate information-processing models. This article then examines the development of EMDR and the corresponding body of research that clearly demonstrates its efficacy for the treatment for adult PTSD. The underlying mechanisms of EMDR are discussed, with a focus on the importance of the eye movement component and how the therapeutic processes in EMDR differ from those of traditional exposure therapy. Finally, the adaptive information-processing (AIP) model that underlies EMDR is outlined, and evidence for the model is summarized. The article concludes by suggesting future research based on questions raised about PTSD and its treatment with EMDR when the AIP model is compared to other information-based theories of PTSD.
Keywords: Adult Mechanism of Action Review Posttraumatic Stress Disorder PTSD Theory
Accuracy Verified: Yes
10. Grand, D. (1998, July). Advance clinical seminar: Innovation and integration in EMDR based diagnosis, technique, teaching, performance enhancement and creativity. Presentation at the annual meetng of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to understand and utilize EMDR based diagnosis; 2) be able to utilize both forming of "questioning interweaves" and reflection of clients questions for processing; 3) gain an in depth understanding of the rationale and use of auditory and tactile modes of EMDR stimulation; 4) have working knowldge of advanced conceptualizations of parallel protocols, processing interaction between internalized selves and longer term EMDR; 5) have an expanded knowledge of issues in teaching EMDR, such as individual and group supervision and presenting seminars; 6) gain an understanding of a developmental model of performance and techniques for application of EMDR to performance enhancement and sports psychology; and 7) develop comprehensive understanding of issues of creativity and EMDR. This will include both the client's and therapist's creativity in the EMDR process, as well as se of EMDR for creativity enhancement.
Keywords: Creativity Performance Enhancement
Accuracy Verified: Yes
11. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.
Keywords: Children
Accuracy Verified: Yes
12. Foster, S., & Lendl, J. (1996, June). Advanced case consultations on EMDR applications to the workplace: Enhancing career performance. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Explains the intake process for a client presenting with work-related issues.
Keywords: Career Performance Case Consultation Peak Performance Performance Enhancement
Accuracy Verified: Yes
13. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive
behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive
behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of
maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive
behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who
have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing
comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including
traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping
adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors
needs to be carefully evaluated.
A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented
which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is
needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment
protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting
EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize
the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of
facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with
skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented
which take into consideration clients' readiness, as well as the need to accelerate the recovery process.
EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated
processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming
barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work
should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in
processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong
with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as
to how such core issues can be targeted to accelerate the recovery process.
A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors
directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case
examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge
without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive
behaviors.
The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their
substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes
both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the
standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing
negative cognitions associated with grief and trauma.
Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a
primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse")
because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive
change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate
"ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use
disorder (i.e., functional, autonomous, or both).
Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain
feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to
apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and
to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR
protocol were employed are presented in detail.
Keywords: Addictions Substance Abuse Symposium
Accuracy Verified: Yes
14. 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
15. Kaplan, R., & Manicavasagar, V. (1998, October). Adverse effect of EMDR: A case report. Australian & New Zealand Journal of Psychiatry, 32(5), 731-732.
Language: English
Format: Journal
Abstract:
This letter documents adverse complications following a course of EMDR in and individual suffering from an adjustment disorder. Ethical issues are raised by the widespread use of this technique without sufficient screening for possible adverse reactions.
Keywords: Adjustment Disorder Adults Clinical Case Study Empirical Study Letter Males Negative Therapeutic Reaction Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
16. 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
17. 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.
Accuracy Verified: Yes
18. Zangwill, W., & Lipke, H. (2007, September). All EMDR all the time…plus. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Many presentations often show only video snippets of wildly successful EMDR processing. This presentation will be different. The first half will show an entire EMDR session working with small “t” traumas so that participants can see all of the little nuts and bolts that go into making a session successful (or not). The second half of the presentation will enable participants to discuss the session and the many things Zangwill could have done differently to make the processing more effective. Participants will also be encouraged to engage in case consultation on a variety of issues.
Keywords: Small T Traumas
Accuracy Verified: Yes
19. 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
20. Picciano, L. (2009, Fall). Alumni incorporate EMDR into psychodynamic treatment. GSAPP Alumni Newsletter, 10(2), 1,4.
Language: English
Format: Newsletter
Abstract:
EMDR is a treatment developed by Francine Shapiro (2001) to
reprocess traumatic experiences that are “locked” in the nervous
system and give rise to current symptomatology. It involves an
eight stage protocol in which clients select a target memory and,
with the clinician, assess its cognitive, somatic, and emotional components
as well as associated level of distress. The memory is then
reprocessed through bilateral stimulation (most commonly eye
movements) of the brain until the level of distress is reduced.
Shapiro developed the “information-processing model” to explain
EMDR’s “…treatment effects in terms of the association of memory
networks” (Shapiro, 2002, p. 29). The reprocessing allows the
client to “digest” a stuck traumatic memory by connecting it with
more adaptive memory networks in the brain. EMDR originated as
a treatment for PTSD, but EMDR protocols now exist for a variety
of issues, such as phobias and grief. Originally developed with
adults, its use has also been extended to children, but with modifications
in technique.
Accuracy Verified: Yes
21. 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
22. Descilo, T. (1999). Amelioration of death-related trauma with traumatic incident reduction (TIR) and eye movement desensitization and reprocessing (EMDR). In C. R. Figley (Ed.), Traumatology of grieving: conceptual, theoretical, and treatment foundations (pp. 153-182). Philadelphia: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
The author notes the significance of the child-adult system and the effects of the death of either person on the other. She describes two treatment approaches: traumatic incident resolution (TIR) and eye movement desensitization and reprocessing (EMDR). Both approaches are reviewed, beginning with the theoretical model on which they are based. In a synthesis of both TIR and EMDR, the author offers "clinical traumatology skills" to overcome the potential bias introduced by the therapist. She discusses three focusing drills to develop practitioners' effectiveness in focusing on the most critical issues and procedures of trauma work. Acknowledgement and closure drills enable practitioners to more effectively end trauma work sessions. The author also discusses what effective trauma treatment should look like. These end points help assure both client and therapist that the distress associated with the memories has been removed permanently. After discussing the role of emotions in processing traumatic events, the chapter focuses on TIR and then EMDR regarding assessment and treatment procedures. This is followed by a discussion of what can go wrong when applying the treatment procedures. The chapter ends with presentation and discussion of a case example. [Adapted from Introduction]
Keywords: Assessment Bereavement Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors TIR Traumatic Incident Reduction
Accuracy Verified: Yes
23. Descilo, T. (1999). Amelioration of death-related trauma with traumatic incident reduction (TIR) and eye movement desensitization and reprocessing (EMDR). In C. Figley (Ed.), Death-Related Trauma: Conceptual, Theoretical, and Treatemnt Foundations. London: Taylor & Francis.
Language: English
Format: Book Section
Abstract: The author notes the significance of the child-adult system and the effects of the death of either person on the other. She describes two treatment approaches: traumatic incident resolution (TIR) and eye movement desensitization and reprocessing (EMDR). Both approaches are reviewed, beginning with the theoretical model on which they are based. In a synthesis of both TIR and EMDR, the author offers "clinical traumatology skills" to overcome the potential bias introduced by the therapist. She discusses three focusing drills to develop practitioners' effectiveness in focusing on the most critical issues and procedures of trauma work. Acknowledgement and closure drills enable practitioners to more effectively end trauma work sessions. The author also discusses what effective trauma treatment should look like. These end points help assure both client and therapist that the distress associated with the memories has been removed permanently. After discussing the role of emotions in processing traumatic events, the chapter focuses on TIR and then EMDR regarding assessment and treatment procedures. This is followed by a discussion of what can go wrong when applying the treatment procedures. The chapter ends with presentation and discussion of a case example. [Adapted from Introduction]
Keywords: Death Traumatic Incident Reduction
Accuracy Verified: Yes
24. Kahveci, S., Erdogan, T., Karakus, D., Dogaroglu, S., Aydemir, S., Sen, G., Serpel, A., Kakan, N., & Ozgun S. (2010, June). Analyzing the effect of EMDR on pre-post menstrual disturbance. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Description of the study: Traumatic experiences may
lead to body sensations. Some illnesses such as Migraine, ulcer
and fibromyalgia which causes body disturbance have psychological
roots. Steven Marcus also shows the relation between
traumatic event and migraine in his studies. This study is inspired
by the relationship between body disturbance related illnesses
and traumatic experiences. In this study, physical and
emotional disturbances experienced by women during the
MDR menstrual cycle is studied by the use of EMDR.
Participants in this study will receive a (max) 12 session EMDR
treatment. All participants are going to fill a battery of tests
consisting of Beck Depression Scale, STAI, Life Events Check
List, Subjective Pain Level before and after the study and keep
a diary of disturbance during the study.
EMDR and the study: It is hypothesized that females who have
more traumatic experiences related to menstrual cycle will experience disturbances during the menstrual cycle and after 12 first session of EMDR treatment there will be a decrease in reported
disturbance levels. It is also hypothesized that the more negative cognitions a women has related to her gender/sexuality, the more disturbance she experiences.
Learning objectives: Showing the way EMDR can be used in
PMS and Dismenore Establishing the relationship between Pre- Post Menstrual Disturbances and negative & irrational beliefs related to gender identity.
Enhancing the knowledge on the effect of previous negative
life events on somatic sensations in the long term.
Our study suggests that: Despite the fact that premenstrual
Disturbances and Dismenore are quite common among the
women, it is rarely studied by psychotherapists. In this study
we reviewed the relevant literature and tried to show that these
problems can be studied by using EMDR.
Keywords: Female Issues Pre Menstrual Post Menstrual Symposium
Accuracy Verified: Yes
25. 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
26. Manfield, P., & Shapiro, F. (2003). The application of EMDR to the treatment of personality disorders. In J. F. Magnavita (Ed.), Handbook of Personality Disorders: Theory and Practice (pp. 304-330). New York: John Wiley & Sons.
Language: English
Format: Book Section
Abstract:
Since its inception in 1987, Eye Movement Desensitization and Reprocessing (EMDR) has evolved into an integrated approach to psychotherapy that synthesizes aspects of the major psychological orientations. As such, its comprehensive treatment effects span cognitive, somatic, and affective domains (Shapiro, 2002). Although most widely used to process single or multiple incident traumatic memories, it can be used effectively to treat many conditions. In this chapter, we describe the theoretical foundations of this approach and how it is used to treat personality disorders. A fundamental principle of the Adaptive Information Processing Model is that present disturbance and dysfunctional characteristics have their origins in past events; these antecedents, whether identified or not, can be processed to an adaptive resolution using EMDR. In treating personality disorders, the EMDR approach integrates procedures from many other orientations to stabilize clients and equip them to address their source memories. The accelerated processing of disturbing memories that takes place during EMDR makes it possible for clients to address and resolve their issues relatively rapidly. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Personality Disorders Psychotherapeutic Processes Theories
Accuracy Verified: Yes
27. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
According to the latest statistical evidence Post-Partum
Depression develops in approximately 13% of women
during the second -third month after childbirth with symptoms
lasting between few weeks and a year and risks of relapse.
Unlike the Baby Blues (affecting 70% of mothers, with onset in
the 3'd - 6" day after delivery and spontaneous recovery within
approximately two weeks), likely to be caused basically by hormone
modifications in the immediate aftermath of childbirth.
PPD development would seem to be solely determined by psychological
factors: the experience of childbirth, the surfacing of
unresolved problems in the relationships with attachment figures,
the change in the woman's role both in the social sphere and
within the couple relationship, the fear of being unable to adequately
attend to the new responsibilities (both in terms of skills
and of the ability to cope with the additional workioad), etc.
Consequently, women experiencing childbirth as a traumatic
experience are more destabilized by the event, and therefore.
at a higher risk of developing PPD.
Childbirth requires the deployment of many personal resources.
A woman in labor must be able to bear the pain, while having
to "push", 1.e. contrast the automatic antalgic reaction (which
would close the delivery channel) and "meeting the pain", during
the "expulsion" phase. Considering that "Peak Performances"
require moving out of a person's comfort zone and
stretching a person's boundaries, childbirth experience can be
rightfully considered a "Peak Performance".
This work describes RDI application times and modes during Delivery
Preparation in order to strengthen the different personal
resources needed by pregnant women to experience her childbirth
as an ego syntonic experience. In this sense, RDI associated
with EMDR can be considered an actual Primary Prevention intervention,
capable of teaching women something positive about
themselves, thus effectively offsetting the onset of PPD. Furthermore
the results of the application of this technique collected
during the Post-Partum phase on 48 women will be discussed.
Learning objectives:
1 identification of the specific issues predisposing the development
of PTSD due to Childbirth and of Post-Partum Depression.
2. Framing Childbirth as a Peak Performance.
3 Learning RDI (Resource Development and Installation) application
through Bilateral Stimuli during Delivery Preparation Courses.
Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium
Accuracy Verified: Yes
28. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva.
A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc.
Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP.
Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”.
Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.
The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.
Keywords: Postpartum Depression RDI Resource Development and Installation
Accuracy Verified: Yes
29. Forgash, C. (2008). Applying EMDR and ego state therapy in collaborative treatment. In C. Forgash and M. Copeley, (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 313-341). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter will describe the application of the collaborative treatment model to clients who undergo EMDR and ego state therapy with a specialist in addition to their regular therapy. EMDR and ego state therapy specialists are uniquely positioned to assist primary therapists in resolving stalled therapies and enhancing the treatment provided by the primary therapist. We will explore in this chapter the issues that become problematic over time in a course of therapy, which clients are good candidates for collaborative EMDR and ego state treatment, how to develop an effective working relationship with the primary therapist, and how to avoid problems that may arise out of this dual relationship. A detailed case study will illustrate each step of the treatment, from the initial contact with the primary therapist through the conclusion of the adjunct therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Collaborative Treatment Ego State Therapy
Accuracy Verified: Yes
30. 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
31. Dunton, R. (1993, March). Applying the EMDR method to children and adolescents with school related behavior and learning issues. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
"I know that girl--it's Pat," said Sophie to the Moon Rabbit. She's
always sour-faced , always quarreling. Nobody likes her."
"But here (on the moon) you see her as she really is, underneath her
shyness and loneliness. You see her as she would be if she were treated like a
princess. That's what everyone deserves, you know," said the Moon Rabbit.
(Excerpt from The Princess and the hloon, Daisaku Ikeda-1991, Knopf, NY.)
Keywords: Children Learning Difficulties
Accuracy Verified: Yes
32. Weiner, M., & Mullaney, D. (2006). Are 'the basics' more important than innovation?. Addiction Professional, 4(2), 1-58.
Language: English
Format: Journal
Abstract:
Behavioral Health of the Palm Beaches (BHOPB) is a residential alcoholism and drug abuse treatment facility in Lake Worth, Florida. The desire to provide the best possible treatment for our patients has led us to seek innovative treatment interventions. Examples include Eye Movement Desensitization and Reprocessing (EMDR) for patients with symptoms of trauma and acupuncture for patients with chronic pain. Tailored interventions are also available for addicts with co-occurring chronic anxiety, unresolved anger, or grief issues. The desire to discover how well our patients have done led us to track a random sample of 90 patients for one year. Data were collected between August 2002 and December 2004. We were eager to determine an overall success rate, as well as the impact of our innovative interventions. Patients were contacted by telephone three months, six months, nine months, and one year from their date of discharge. We learned that 53% of the sample completed one year of continuous recovery. We believe these results understate patients' overall success. The essentials for treatment are discussed.
Keywords: Alcoholism Drug Abuse Drug Rehabilitation Health Care Services Residential Care Institutions
Accuracy Verified: Yes
33. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.
Language: English
Format: Other
Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages.
Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light.
This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level.
The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks.
The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.
Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors
Accuracy Verified: Yes
34. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
While most research on PTSD has studied subjects exposed to single
trauma, in clinical practice the vast majority of treatment seeking
patients have histories of multiple traumas, usually interpersonal,
abuse. This gives rise to complex clinical pictures, of which
PTSD is just one dimension. The Trauma Center in Boston is a
large, multidisciplinary, developmentally focused Clinic which specializes
in the treatment of traumatized children and adults. Our
clinic uses a developmentally based assessment tool which helps in
the staging of appropriate treatment interventions. Special emphasis
is placed on providing patients with skills to deal with complex
trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource
installation, SIT, and body-oriented methods, in which patients are
taught skills to increase their internal locus of control. We will
review the rationale for various psychopharmacological interventions
and the role of groups to enhance the capacity for mutual
relationships. All treatment occurs on the foundation of continuity
of care with one individual therapist who follows the patient’s
progress,explores life issues, helps deal with re-enactment behaviors,
and does trauma-specific treatment, such as EMDR or CBT
for alleviation of trauma-specific symptoms. This conference will
explore these issues in depth and discuss in detail the staging and
applications of various treatment techniques in clinical practice.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD
Accuracy Verified: Yes
35. Nickerson, M. (2012, October). Attachment at the societal level: Reprocessing internalized stigma and oppression. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Attachment challenges also occur at the societal level as individuals seek to integrate in a meaningful way into social groups and the larger society. An added dimension of clinical work awakens with a cultural context lens that understands social identity and addresses the traumatic impact of social marginalization and oppression. The AIP model successfully predicts that internalized stigma and oppression can be dismantled by building inner resources, reprocessing memories associated with experiencing discrimination and integrating new knowledge about social dynamics. Practical EMDR based strategies will be portrayed with clinical examples, videotaped sessions and the validating feedback from over 60 EMDR therapists who explored these issues in training practicums.
Keywords: Attachment Internalized Stigma Oppression
Accuracy Verified: Yes
36. Zangwill, W. (1996, June). The basics and beyond: Conceptual issues and advances in using EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This workshop is designed to review the basics of using EMDR and
discuss the importance of developing a conceptual framework in which to
view the patient and hidher life experiences.
Keywords: Conceptual Issues
Accuracy Verified: Yes
37. 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
38. Mevissen, L., & Lievegoed, R. (2011, April). Behandeling van tandartsfobie bij een niet sprekend kind met pre-verbaal medisch trauma [Treatment of dental phobia in a non-speaking child with pre-verbal trauma medical]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop staat de behandeling van een 5-jarig jongetje met extreme tandartsangst centraal. Er is sprake van een genetisch bepaalde overgevoeligheid van het mondgebied. Het patientje krijgt zijn dagelijkse voeding voornamelijk via een sonde. De oorsprong van de angst wordt toegeschreven aan pré-verbaal medisch trauma. Aan de hand van videobeelden worden zowel casusconceptualisatie, verloop van de behandeling als de effecten in de tandartskamer geïllustreerd. De complexe gehechtheidsrelatie is in de problematiek verweven; de behandeling daarvan wordt eveneens belicht.
In this workshop the treatment of a 5-year-old boy with extreme dental fear central. There is a genetically determined hypersensitivity of the mouth area. The young patient gets his daily diet primarily through a tube. The origin of fear is attributed to pre-verbal medical trauma. Using both video conceptualization, course of treatment if the effects illustrated in the dental room. The complex is in the attachment relationship issues intertwined their treatment is also highlighted.
Keywords: Dental Phobia Mutism Pre-Verbal Trauma
Accuracy Verified: Yes
39. Kiessling, R., & Kacsur, R. (2002, June). Being brief with EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
While there have been many modifications of the standard EMDR protocol to address a multitude of client issues, little has been said about
integrating EMDR with Brief Therapy. Many clients seeking EMDR treatment may have a specific problem needing immediate relief, or have
limited time, financial resources, or insurance benefits. This workshop is
designed to help the EMDR clinician adapt brief treatment strategies to
the standard EMDR approach. A belief/feeling cluster focused history
taking approach is combined with a narrowly focused targeting strategy that effectively addresses identified past, present and future targets. The installation phase of treatment is extended into present and future
targeting strategies. This strategy not only addresses present and future issues more rapidly, but also identifies additional blocking beliefs that may require targeting in order for the client to achieve full resolution of the presenting problem.
Keywords: Brief Therapy
Accuracy Verified: Yes
40. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized
history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the
“Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each
other in working with complex bereavement. The Presentation outlines the conceptualization of the case based
on this theory, the working process and milestones. As the individual grieves, various levels of structural
dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts
of the Personality”. The working procedures within the EMDR framework involve processing materials from
different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia,
anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment,
traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]
Keywords: Dissociation Personality Theory Poster
Accuracy Verified: Yes
41. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
42. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.
Language: English
Format: Conference
Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.
Accuracy Verified: Yes
43. Laliotis, D. (2010, April/May). Beyond trauma: Rebuilding the self with EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Clients who present with life-long relationship problems and serious self-esteem issues often have pervasive developmental deficits that manifest as attachment and/or character disorders. While EMDR is an efficient treatment, addressing the early life experiences that contribute to a client’s ongoing difficulties is more than just reprocessing the nodal events of childhood; it is about generating corrective experiences of self in relationship with others. Participants will learn how to use EMDR to facilitate the uncoupling of negative core beliefs and core affects from positive, more adaptive aspects of self that have been depressed, dissociated, or otherwise undeveloped. To this end, clinicians will learn how to actively utilize the client’s emergent experience of self within the context of EMDR processing using an expanded repertoire of cognitive interweave strategies. Materials will be presented through lecture and videotape of actual continuous clinical cases as well as a large group discussion format in which participants will be able to discuss their own cases with the presenter. (All Levels)
Keywords: Rebuilding Self
Accuracy Verified: Yes
44. 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
45. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal: An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Events at birth are traumatic and create feelings of powerlessness when they
are actually or appear life-threatening to self or loved ones, are sudden,
change quickly from "normal" to dangerous without explanation, and when
the situation appears overwhelming. There is no time to prepare, no way to
plan an escape or to prevent something from happening. A number of
events during labor or birth such as unplanned interventions, serious
problems in the mother, physical damage, a sick infant, and separation from
the baby can be classified as traumatic. Major trauma for a woman occurs
in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how
a woman is treated and how she perceives the experience, often causing
humiliation and stigma. Trauma during the prenatal period can affect the
parents' perception of the baby, their own self-concept, their relationship,
and can impair bonding and attachment. Early trauma can have both
immediate and long-range effects on the parents and the infant and may
create later in the adult psychological and somatic conditions and a
negative self-concept. Equally important is the history the parents bring to
this event as well as the quality of their relationship. Birth is a magnet for
unresolved issues to emerge. Clinicians will learn about the causes and
effects of these early traumas as well as methods, including EMDR to
uncover, resolve, and heal them.
Keywords: Birth Defects
Accuracy Verified: Yes
46. Spector. J. (2003, February). Blocked processing. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
When EMDR goes at it is suppose to, there is no psychotherapeutic procedure as
remarkable, effective, and efficient for the treatment of trauma based disturbance and
especially PTSD. However, as with all psychotherapy, things do not always go according
to plan and as we might expect. Clients bring a whole range of personality and
relationship issues into therapy that can make progress problematic as well, of course, as
different degrees of disturbance and psychopathology with the most long standing
difficulties and deeper disturbance causing the greatest problems.
Keywords: Blocked Processing
Accuracy Verified: Yes
47. 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
48. Bush, Y. R. (1999, June). Bonding and attachment. Prescott College, AZ.
Language: English
Format: Dissertation/Thesis
Abstract:
This paper reviews the issues of major importance in the current study of bonding and attachment. Adopted children and children who have spent some of their childhood in foster care account for a disproportionate number of unattached children. A review of the history of literature relative to bonding and attachment from Freud to Bowlby and to present day experts is presented. The relatively new diagnosis of Reactive Attachment Disorder and the DSM IV diagnostic features are addressed.
The treatment process, including the various accepted techniques that have been somewhat successful, is described. The newest technique, Eye Movement Desensitization and Reprocessing (EMDR), developed by Francine Shapiro, is being used to help children who have been diagnosed with Reactive Attachment Disorder. The technique is explained in this paper.
Chapter six includes information regarding how to complete a family history and assessment and the outline for a more formal narrative report.
This paper was written to explain bonding and attachment and its format was planned so that parts of it can be used as a teaching tool. The purpose of the paper is to gain knowledge and understanding in this field of study so that children will benefit. Assessing the level of bonding and attachment will assist the helping professional plan appropriate treatment for children and families.
Keywords: Adoption Attachment Bonding Children
Accuracy Verified: Yes
49. Leeds, A., & Mosquera, D. (2012, October). Borderline personality disorder and EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
BPD patients present difficulties with self-regulation and relating to others. The management of these difficulties is central to the treatment of BPD. Working with cases of BPD and complex trauma is intrinsically relational, often involving the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding and having strategies for addressing these issues is essential. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD and interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
50. Watson, C., Davis, R., & Heimonen, T. (2010, September/October). Bridging the gap between clinical practice and research with EMDR. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a trauma treatment with origins date back to 1987 by its founder Francine Shapiro. EMDR is based on an information-processing model and is being used to treat traumatic symptoms. Clinicians in many types of clinical settings worldwide employ EMDR for a board range of treatment issues including grief, depression, anxiety, physical and sexual abuse. Although there is evidence that EMDR is effective in treatment of Posttraumatic Stress Disorder, more research needs to be done in clinical practice settings to contribute to the much needed research base about effective of EMDR with other issues.
Therapists working with trauma are often dealing with high caseloads and administrative requirements of the agencies that they work with. The clinicians involved in this research have observed that there have been some encouraging developments in their community which have served to build bridges for clinicians to increase their confidence in the world of research. In 2007, an intiative called Research Skills Development Program offering mentoring in research skills development was offered in association with Lakehead University and Northern Ontario School of Medicine, Ontario, Canada.
Completion of this 1-year program proved to be the first step in make the transition from clinician to researcher. From there, partnerships were formed within the agency and community. With the support of our agency, researchers were able to gain access to testing and computer software that made data collection and data anaylsis possible with least disruption to our clinical services.
The clinicians were encouraged by previous results from our first study in 2007 (n=6) to continue systematic data collection with more clients (n=6). Approval for this recent study was received by the Ethics Committee of St. Joseph's Care Group.
Keywords: Poster Practice Research Research Skills Development Program
Accuracy Verified: No
51. Greenwald, R. (2007, June). Bridging the trauma scientist-clinician gap with a new journal format. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Scientists have long complained that practitioners do not read research, and thus remain ignorant of how science can inform practice. Clinicians, on the other hand, complain that most research had limited relevance to clinical practice: or even if relevant on occasion, is not very accessible. This poster introduces a hew journal, focused on child/adolescent trauma, loss, and related issues, that is explicitly designed to bridge this gap and facilitate effective communication of research findings to practitioners. The journal will alternate between general and guest-edited special topic issues. Regular features include brief reports of clinically relevant research, as well as “Clinicians Research Digest” style literature reviews and “Consumer Reports” style reviews of assessment instruments, books, web sites, and other resources for practitioners. The approach exemplified in this journal can server as one model for efforts to disseminate effective treatments and other research findings.
Keywords: Poster Scientist-Clinician Gap
Accuracy Verified: Yes
52. Borstein, S. S. (2008, September). Brief adjunctive EMDR: How to work collaboratively and quickly with referrals for EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many of us have been asked to provide some EMDR to a colleague’s client. How do we decide whether to accept such a referral, define our role, and conceptualize the work? This workshop presents a model of brief adjunctive EMDR consultation, a focused application of standard EMDR therapy, provided by the EMDR consultant to clients in collaboration with their referring therapist. The workshop offers guidelines for identifying appropriate referrals and for maintaining a collaborative stance with referring therapists. Ethical issues and potential pitfalls will be discussed. Small group activities and handouts will help participants to implement the model.
Keywords: Adjunctive Therapy Referrals
Accuracy Verified: Yes
53. Borstein, S. S. (2006, September). Brief adjunctive EMDR: A collaborative consultation model. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Non-EMDR trained clinicians sometimes ask if
"a little EMDR" might help some of their clients.
When painful feelings about a single incident continue to intrude or interfere with otherwise
productive psychotherapy, a short trial of EMDR
may indeed resolve the impasse. By narrowly targeting specific traumatic memories or intrusive
material, adjunctive EMDR can accelerate
progress in traditional therapy, help the client and
the primary therapist to clarify stuck points, and
enrich the ongoing work. This workshop will
describe a model of brief adjunctive EMDR
consultation, a focused application of standard
EMDR therapy, provided by the EMDR
consultant to clients in collaboration with their
referring therapist. In this model, adjunctive
EMDR does not replace or intempt ongoing
therapy. It is complementary to the primary therapy
relationship. The workshop will include guidelines
for identifying appropriate referrals and for
maintaining a collaborative stance with referring
therapists. Ethical issues will be addressed, and
potential pitfalls will be discussed. The presenter
will describe a pilot study of this model, including
qualitative and quantitative measures of outcome.
Keywords: Consultation
Accuracy Verified: Yes
54. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Cambodia Thailand Tsunami Typhoon
Accuracy Verified: Yes
55. 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.
Accuracy Verified: Yes
56. Boèl, J. (2000, September). The butterfly hug plus drawings: Clinical and self-care applications. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify several vicarious traumatization and negative countertransference issues which commonly arise when working as a therapist with trauma victims; 2) demonstrate the use of countralateral self-stimulation and drawings based on a standard EMDR protocol applied to stressful work-related issues; and 3) describe the use of contralateral self-stimulation and drawings based on a standard EMDR protocol may be modified with individuals or groups of adults or older children.
Keywords: Butterfly Hug Drawings Groups Contralateral Self-Stimulation Work-Related Stress
Accuracy Verified: Yes
57. Adler-Tapia, R., & Settle, C. (2009, August). Case conceptualization: Decision points in EMDR with children for attachment, dissociation, and concurrent diagnosis including OCD, ADHD, and PTSD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This presentation will focus on illustrating decision points in EMDR in case conceptualization with children involving complex diagnoses. Videotapes will include sessions with young children diagnosed with post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), attachment traumas, Traumatic Brain Injury (TBI), dissociation and other diagnoses. This is an interactive workshop where participants are encouraged to bring questions about the protocol and challenging issues in practice. Areas to be discussed: how attachment affects the progression of EMDR, at what point does dissociation impact the protocol, and at what point does the therapist consider installing mastery, resource development, or the Inverse Protocol.
Keywords: ADHD Attachment Disorders Attention Deficity Hyperactivity Disorder Case Conceptualization Children Dissociation Inverse Protocol Obsessive Compulsive Disorder OCD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
58. 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
59. 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
60. Goldman, J., & Coane, J. (2010, October). A case of strategic collaboration: Two therapists and one DDNOS patient in end phase treatment. Presenttion at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
A colleague, experienced in DID treatment, was
invited to collaborate by the primary therapist in the
end phase of treatment to facilitate patient movement
through the introduction of EMDR. The nature of the
collaborative relationship, its influence on transference
and countertransference, the contribution of the
different genders of the two therapists, as well as
issues of launching the patient more fully into adult
life as influenced by the collaboration will be explored. The rationale for introducing EMDR as well as its specific contribution will be explicated. The argument for therapeutic collaboration, as related to the patients
history and treatment process, will also be addressed.
Participants will be able to :
♦♦ List the indications for initiating adjunctive treatment.
♦♦ assess the effects of collaboration.
♦♦ appraise the treatment trajectory to decide
when to bring in another modality.
Keywords: DDNOS
Accuracy Verified: Yes
61. Campbell-Beattie, J. (2002, May). Case presentation: "Swimming/fish phobia" - A single session case using an abbreviated EMDR protocol . The EMDR Practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
I have been using a short EMDR session along the same protocol lines as Parnell(1999),
being less pedantic about the ordered protocol set-up.
While the patient tells me about self and their issues, I consider the necessary approach.
In this case the value of EMDR, and a focus on what is needed for it to work best.
Working within a 40 minute time limit window some direct questioning is usually
necessary to focus the patient's attention.
Keywords: Fish Phobia Swimming Phobia
Accuracy Verified: Yes
62. Angell, J. D. (1995). Case study. EMDR Network Newsletter, 5(3), 6.
Language: English
Format: Newsletter
Abstract:
The client is an intelligent, attractive,
46-year-old married woman with an
abusive background (as well as multiple
dysfunctions in her blended family).
Using EMDR, as well as other
approaches, we have worked through
many issues of co-dependency, anger,
self-worth, boundaries, and
assertiveness. Although she was feeling
better, something was still amiss.
Keywords: Case Report
Accuracy Verified: Yes
63. Smith, T. (1993, Spring). A case study. EMDR Network Newsletter, 3(1), 19-20.
Language: English
Format: Newsletter
Abstract:
Following my Level I training, I had a long laundry list of issues that I wanted to tackle with EMDR. Bear in mind that I have received approximately three years of one- to tow-times-per-week talk therapy from three different clinicians ranging in orientation, as well as a complete psychoanalysis four times per week for 4.5 years.
Keywords: Case Study
Accuracy Verified: Yes
64. Herbert, C. (2002, June). A CBT-based therapeutic alternative to working with complex client problems. European Journal of Psychotherapy, Counseling & Health, 5(2), 135-144.
Language: English
Format: Journal
Abstract:
This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.
Keywords: CBT Cognitive Behavioral Therapy Countertransference Distress Phenomenology Physical Manifestations Psychoanalysis Psychotherapy Psychoanalytic Psychotherapy Psychological Distress Psychosomatic Phenomena Self Destructive Behavior Self Harm Somatoform Disorders Thinking Trauma Therapy
Accuracy Verified: Yes
65. Herbert, C. (2002, May). A CBT-based therapeutic alternative to working with complex client problems. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract: This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.[Taylor-Francis]
Keywords: CBT Cognitive Behavioral Therapy Counseling Psychotherapy
Accuracy Verified: Yes
66. McGowan, I., McLaughlin, D., Miller, P., & Paterson, M. (2010, April). Cessation of suicide related behaviour following EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland .
Language: English
Format: Conference
Abstract: Deliberate self harm (DSH) and suicidal behaviour are major public health issues. It is estimated that DSH costs around £40 million pounds annually in addition to the incalculable human cost. The aim of the presentation is to highlight on- going work exploring the relationship between trauma and suicide related thoughts and behaviour. Utilising a case series approach the presentation will build upon previous work by the presenters. It report a number of cases in which suicidal behaviour and thoughts have ceased following treatment of a trauma related presentation using Eye Movement Desensitization & Reprocessing. The paper will conclude that suicidal behaviour is related to previous trauma and that by resolving the initial trauma the potential for suicidal behaviour including DSH is greatly diminished or disappears.
Learning Outcomes By the end of the session participants will be able to:
• discuss the relationship between trauma and suicidal behaviour,
• discuss the potential of using trauma focused interventions in treating suicidal behaviour
Keywords: Suicide
Accuracy Verified: Yes
67. Borrelli, S. (2002). Chaper 5: Into the new millennium: Child advocacy and EMDR. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
When planning treatment for a child, we must assess carefully the developmental issues
(internal press) that seem to be ascendant at different life stages, the context (external
press) in which these issues are being accomplished and probably frustrated, and
secondary gains issues. Especially for a child, the risks of change must be prepared for.
Family therapy theories remind us that as the child improves, the status quo of the family
"crisis" will also need to adapt. We’re all aware of the obvious and subtle resistances to
change offered by family members. all of whom might be vying for survival guarantees.
A sensitive assessment of the family context, then, is an essential aspect of the treatment
process. Which family members are most likely to be allies in the quest for change, and
who are the most at risk, and likely to challenge positive changes? [Excerpt]
Keywords: Children
Accuracy Verified: Yes
68. Klaff, F. (2007). Children of divorce. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 284-305). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Much attention has been devoted to examining whether divorce negatively impacts children's psychological adjustment, or whether divorce is now so prevalent that it can be considered a normative transitional event (Kaslow, 1981). Divorce brings many structural and functional changes. These include the logistic and emotional complications of a nonresidential parent, financial disequilibrium, and two systems with differing rules and expectations. Additionally, there are new subsystem components, such as parental figures, step- and half-siblings, and extended families with a potentially motley cast of new characters and different environments impacting the system. What constitutes "family" for children of divorce is often quite different from what is traditionally viewed as the nuclear family. This chapter discusses divorce effects on childhood adjustment; family systems-based treatment of divorce; adaptive information processing model applied to divorce issues; and the therapy process--integrative family therapy and Eye Movement Desensitization and Reprocessing (EMDR). Two case examples are presented, followed by a concluding discussion. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model Adjustment Children of Divorce Divorce Emotional Adjustment Family Family Systems Family Systems Theory Family Therapy Integrative Family Therapy Integrative Psychotherapy Models Therapy Process
Accuracy Verified: Yes
69. 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
70. 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
71. 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
72. 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
73. Rhoads, J., Pearman, T., & Rick, S. (2007, October). Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Archives of Psychiatric Nursing, 21(5), 249–256. doi:10.1016/j.apnu.2007.05.002.
Language: English
Format: Journal
Abstract:
It has been almost 2 years since Hurricane Katrina struck the Gulf Coast.
These 2 years can be characterized by constant struggle and pain as the people
try to reattain some semblance of life as they knew it before Katrina struck.
Some have chosen to leave their ancestral homes, homes where they were
raised and where they, in turn, raised their own families. Those who did leave
are able, in some way, to reestablish some semblance of normality, but those
who stayed showed manifestations of and dealt with psychological trauma.
These manifestations include regression, inattentiveness, aggressiveness, somatic
complaints, irritability, social withdrawal, nightmares, and crying. Longer
lasting effects may include depression, anxiety, adjustment disorders, and
interpersonal or academic difficulties. These postdisaster manifestations can
linger or remain hidden until well after the traumatic event and could persist
for years. This article presents issues about the effects of Katrina on the mental
health of the people of New Orleans. It discusses the profile of posttraumatic
stress disorder and presents evidence-based review of interventions the health
care provider can implement to care for thosewho continue to suffer the effects
of this horrific disaster.
Keywords: Hurricanes Intervention Katrina Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
74. Dworkin, M. (2005, June). Clinical strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
This workshop will address clinician issues with clients who are challenging to
work with. These strategies will include parts of the Procedural Steps Outline
in preparation for anticipated problems; applied R/D/1 strategies for compartmentalizing activated clinician state dependent moments; and
variations of cognitive interweaves designed to repair moments of
misattunement, returning both parties to a co-regulated states so that
trauma processing may proceed.
Keywords: Challenging Client
Accuracy Verified: Yes
75. Dworkin, M. (2005, September). Clinican strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address clinician issues with clients who
are challenging to work with both before and during an EMDR session. Participants will develop greater awareness of these moments and learn strategies to overcome
potential moments of misattunements. These strategies will include parts of the
Procedural Steps Outline in preparation for anticipated problems; applied RDI
strategies for compartmentalizing activated clinician state dependent moments in session; and using a variation of a cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent collaborative communication. "The Clinician Self Awareness Questionnaire"
will be introduced as a method of enhancing these awarenesses. Participants are
invited to bring their most challenging cases to work on.
Keywords: Challenging Client Clinician Self Awareness Questionnaire Countertransference Trauma Treatment
Accuracy Verified: Yes
76. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
77. 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
78. 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
79. Lipke, H. (1999). Comments on "thirty years of behavior therapy . . ." and the promise of the application of scientific principles. the Behavior Therapist, 22(1), 11-14.
Language: English
Format: Newsletter
Abstract:
In the summer of 1997 Behavior Therapy published a "Special Issue" titled
"Thirty Years of Behavior Therapy: Promises Kept, Promises Unfulfilled". In
introducing the articles Forsythe and Hawkins suggested that there are many venues
in which the issues raised could be further discussed. I accept this suggestion as an
invitation, and offer the following comments on one of behavior therapy's promises,
that of commitment to scientific principles in evaluating the effectiveness of methods of
psychotherapy.
Keywords: Efficacy
Accuracy Verified: Yes
80. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
81. Vienot, R. C. (1999, June). A comparison of EMDR and biofeedback/stress inoculation training in treating test anxiety. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to identify issues and problems in treating test anxiety; 2) be able to identify the basic components of both the EMDR and biofeedback/stress inoculation training protocols used in this study; 3) learn the EMDR protocol used in treating test anxiety; 4) learn how EMDR, biofeedback/stress inoculation training, and a no-treatment group compare in treatment effect size on six dependent variables; and 5) learn how EMDR, biofeedback/stress inoculation trainlng and a no-treatment group compare in clinical significance on five dependent variables.
Keywords: Biofeeback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
82. Staff. (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: No
83. Leeds, A. (2006, September). The consensus model. In criteria for assuring appropriate clinical use and avoiding misuse of resource development & installation when treating complex posttraumatic stress syndromes (A. Leeds). Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex PTSD Complex Posttraumatic Stress Disorder C-PSTD Consensus Model Resource Development & Installation RDI Treatment Criteria
Accuracy Verified: Yes
84. Maxfield, L. (2008). Considering mechanisms of action in EMDR. Journal of EMDR Practice and Research, 2(4), 234-238. doi:10.1891/1933-3196.2.4.234.
Language: English
Format: Journal
Abstract:
This special issue of the Journal of EMDR Practice
and Research contains a number of articles that address
preliminary issues related to these complex
questions. There are two research studies: a study
investigating the physiological effects of EM (Sack
et al.) and a study evaluating the effect of EM on the
components of autobiographical memory (Maxfi eld
et al.) . There are several articles by researchers who
have summarized their fi ndings and provided a theoretical
perspective on related issues (Lee; Propper &
Christman; Sondergaard & Elofsson; Stickgold). Two
theoretical articles propose neurobiological and other
mechanisms of action (Bergmann; Solomon & Shapiro
). All these articles make a real contribution to our
conceptualizations of EMDR mechanisms. It is our
hope and intention that this issue will stimulate thinking,
and provide ideas and models for future research,
with the expectation that fi ndings will help to guide
and direct clinical practice. (Excerpt)
Keywords: Editorial Mechanism of Action
Accuracy Verified: Yes
85. Staff. (2003, June). Consortial member profile: The Human Performance Laboratory at the University of Calgary. Journal of the Canadian Chiropractic Association, 47(2), 84-92.
Language: English
Format: Journal
Abstract:
The CCCRC now has 12 members and is a network of
Canadian researchers designed to foster cross-disciplinary
research collaboration on a variety of issues that will
advance the CCA’s Research Agenda. Each issue of the
JCCA will feature a Consortial Member profile and clinicians
and researchers are invited to establish links with
those areas of interest. The first Consortial member to be
featured is Dr. Walter Herzog at the University of
Calgary.
We completed our first study in eye movement desensitization
reprocessing therapy (EMDR). The study showed
that EMDR is an effective method for helping athletes
overcome traumatic events. Athletes significantly reduced
their anxiety as a result of the therapy. We also found that
those receiving therapy have gaze control characteristics outcome
that make have an influence on the conduct and
of the therapy.
Keywords: Athletes Gaze Control Characteristics
Accuracy Verified: Yes
86. Forgash, C. (2009). Constructive avoidance of present day situations: Techniques for managing critical life issues. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 291-296). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Protocol
Accuracy Verified: Yes
87. 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
88. 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
89. 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
90. 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
91. Leeds, A. (2006, September). Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes
emphasizes assuring adequate stabilization before
and during uncovering and resolving of traumatic memories. Resource Development and Installation
(RDI) has been reported to be a potentially
effective intervention for enhancing patient & stabilization. There are now several published
descriptions and case reports of RDI including a
summary in the standard reference text on EMDR.
The growing use of RDI by EMDR trained
clinicians has been followed by reports indicating
that a significant number of patients with
posttraumatic stress syndromes who meet
standard EMDR readiness criteria for ego strength
and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical
situations the use of RDI is indicated; for which
patients and clinical situations RDI should be
offered cautiously, if at all, but alternate
stabilization methods should be considered; and
for which patients RDI should not be offered but
where standard EMDR reprocessing should be
offered without delay. An overview of RDI
procedural steps will be presented to clarify its
use. Strategies will be offered to address technical,
clinical and countertransference issues that may
be associated with misuse of RDI. Clinical
vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Consensus Model RDI Resource Development and Installation Treatment Criteria
Accuracy Verified: Yes
92. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation
Accuracy Verified: Yes
93. Leeds, A. (2010, July). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate
stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation
(RDI) has been reported to be a potentially effective intervention for enhancing patient stabilization. There are now several
published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing
use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with
posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered
RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for
which patients (1) and clinical situations (3) the use of RDI is indicated; for which patients and clinical situations (4) RDI should
be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients (2) RDI should
not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps
will be presented (5) to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues
that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical
cautions and misuse of RDI.
Keywords: Posttraumatic Stress Disorder PTSD RDI Resource Development & Installation
Accuracy Verified: Yes
94. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.
Language: English
Format: Journal
Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
95. Nowill, J. (2010, April). A critical review of the controversy surrounding eye movement desensitisation and reprocessing. Counselling Psychology Review, 25(1), 63-70.
Language: English
Format: Journal
Abstract:
The treatment eye movement, desensitization and reprocessing (EMDR) continues to court controversy despite its adoption by the National Institute for Health and Clinical Excellence (2005) as a preferred treatment for post-traumatic stress disorder. This article critically reviews the two issues at the heart of the controversy. First, is EMDR effective for unique reasons or is it a disguised treatment such as exposure therapy? Second, is evidence-based practice an appropriate framework within which to assess psychological therapies or are its criteria too narrow and inflexible? The article proposes practice-based evidence as a potential way forward in EMDR research and describes an appropriate model within an EMDR treatment framework.
Keywords: Review
Accuracy Verified: Yes
96. Hornsfeld, H. (2005, June). Cue exposure and EMDR, a new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
In this presentation a new protocol will be described which combines EMDR
and cue exposure in the treatment of binge eating disorder. Reason to
adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed
at extinction of the conditioned response pattern, but misses the opportunity
to specifically address the processing of emotional and cognitive reactions.
Two years of experience with this new procedure show results. The
protocol will be presented and will be illustrated by video fragments. Specific issues like target selection, NC, PC and future templates will be discussed.
Keywords: Cue Exposure Eating Disorders Symposium
Accuracy Verified: Yes
97. Hornsveld, H. (2005, June). Cue exposure and EMDR, A new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
In this presentation a new protocol will be described which combines EMDR and cue exposure in the treating of binge eating disorder. Reason to adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed at extinction of the conditioned response pattern, but misses the opportunity to specifically address the processing of emotional and cognitive reactions. Two years of experience with this new procedure show positive results. The protocol will be presented and will be illustrated by video gragments. Specific issues like target selection, NC, PC and future templates will be discussed.
Keywords: Binge Eating Cue Exposure Treatment
Accuracy Verified: Yes
98. Kluft, R. P. (2003). Current issues in dissociative identity disorder. Bridging Eastern and Western Psychiatry, 1(1), 71-87.
Language: English
Format: Magazine
Abstract:
Dissociative Identity Disorder (DID), formerly Multiple Personality Disorder (MPD), remains among the most challenging of mental disorders. It is difficult to understand, to diagnose, to treat, to discuss objectively in the face of the many controversies that swirl around it. It remains a condition that requires intensive individual psychotherapy for its satisfactory resolution.
The controversies that have surrounded DID have often obscured the progress that has been made. DID is emerging as a not uncommon consequence of overwhelming childhood events.
The major challenges facing the treatment of DID are disentangling this condition and its therapy from the controversies that swirl about them, encouraging the more widespread use of specific diagnostic approaches, educating managed care organizations to accept standards of care for DID that are based upon those treatment approaches that are effective, making specific treatments for DID more available, and continuing to develop more successful approaches for the more difficult-to-treat DID subgroups of DID patients.
Keywords: Dissociative Identity Disorder DID MPD Multiple Personality Disorder
Accuracy Verified: Yes
99. 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
100. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.
Language: German
Format: Conference
Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und
emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese
richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3,
und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen.
Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen
Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender,
emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese
Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung
für die erfolgreiche und effiziente Anwendung von EMDR dar.
Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr
häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen,
dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a.
durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann.
In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen
EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner
Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August
2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht.
Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals
klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und
den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das
Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt.
Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die
TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐
Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen.
Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit
EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden.
Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop
soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven
eröffnen helfen.
Experience shows that successful work often with EMDR significantly taken from and
emotionally meaningful choice of cognition depends. But experience shows also that these
Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3,
and not only for beginners but also for experienced EMDR therapists.
This especially when the focus of the work of non-traumatic on clearly defined classical
Individual events, but on complex, early-life subjects. Working out of profound,
emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This
Situation often creates uncertainty among clients and therapists and offers a challenge
represents for the successful and efficient use of EMDR
Meanwhile, it has been worked into the binding and trauma research that very early interference
often have a dissociative structure among those affected the result. We must therefore assume
that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3
may be manifested by problems with the development of cognition.
In recent years I have developed the dialogue EMDR protocol, how to deal with such complex
EMDR situations in phase 3 easier. In October 2009, a short version of my
Work on this specific EMDR protocol in German newsletter published EMDR and in August
2011 an English translation of the EMDR Journal for Research & Practice is published.
The workshop on the one hand the importance of cognition in the successful EMDR should work again
and clarify the related theoretical principles from neurobiology, attachment theory and
summarize the theories of Structural Dissociation and ego state theory. Then, the
Dialog protocol described in detail and illustrated using case studies in practical applications.
A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The
By means of concrete examples to own participants, phase 3 of the dialogue with application-
Exercise protocol in order for the practice to bring a hands-on experience based on personal experience.
This involves having to capturing phase 3 to the VOC, not a complete self-awareness
EMDR. It is the emotional relevance of coherent and profound cognition can be experienced.
If it is the time frame allowed to own cases are presented for discussion. The workshop
should enable a collegial discussion of issues in application of EMDR and new perspectives
help open up.
Keywords: Cognitions Dialogue Protocol
Accuracy Verified: Yes
101. Black, J., & Gauvreau, P. (2010, Avril/Mai). De la problématique, à la cible, à la désensibilisation [Of the problem, the target, the desensitization]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Il peut être parfois un défi pour les thérapeutes EMDR à aider les clients à identifier les cibles de travail EMDR lorsque la personne se présente avec un problématique généralisée ou des enjeux « non-traumatiques » par exemple, certains associés à l’estime personnel, l’affirmation de soi, les habiletés relationnelles pour lesquelles des événements traumatiques « petits-t » où les liens ou expériences à cibler ne sont pas facilement identifiables. Cet atelier à pour objectif de permettre aux cliniciens à mieux aider leur clients à préciser d’avantage les enjeux et les cibles de travail potentielles avec l’EMDR; ainsi que de faciliter à ce que le client puisse, à partir de la problématique, de la cible et de l’image, mieux trouver les cognitions/croyances négatives activées. Dans ce processus, on vise aussi à accentuer l’importance de la phase 1 (l’histoire de la personne). Également, l’atelier se penchera sur l’importance de bien identifier/cerner la croyance négative sous-jacente au moment d’amorcer le travail avec les cibles identifiées, afin de maximiser les effets du retraitement et de favoriser la généralisation.
À travers des présentations didactiques, des vignettes cliniques et des exercices de groupes, les participant(e)s pourront développer des stratégies pour mieux conceptualiser les plans de traitement EMDR avec ces types de problématiques. Également, les cliniciens seront amenés à réfléchir sur les thèmes des enjeux travaillés et leurs liens avec les cognitions négatives identifiées, sous les thèmes de responsabilité, sécurité et choix personnel. (Tous les niveaux)
It can sometimes be a challenge for EMDR therapists to help clients identify targets EMDR work when the person presents with a widespread issue or issues "non-traumatic" for example, some associated with the estimated personnel, assertiveness, interpersonal skills for which the traumatic events "small-t" which links or targeting experiments are not easily identifiable. This workshop aims to enable clinicians to better help their clients to clarify issues and benefit the target potential working with EMDR, as well as to facilitate the client can, using the issue of and the target image, find the best cognitions / beliefs turned negative. In this process, it also aims to highlight the importance of phase one (the story of the person). Also, the workshop will focus on the importance of identifying / understanding the underlying negative belief at the time to begin work with the targets identified in order to maximize the effects of reprocessing and to promote generalization. Through didactic presentations, clinical vignettes and group exercises, the participant (s) will develop strategies to better conceptualize the EMDR treatment plans with these types of issues. Also, clinicians will need to reflect on themes and issues worked their links with negative cognitions
Keywords: Target
Accuracy Verified: Yes
102. van Arkel, E. P. M., & Baas, A. M. (2008, Juni). De rol van het op afstand beleven en het herbeleven in eye movement desensitisation and reprocessing (EMDR) [The role of the remote experience and relive in eye movement desensitisation and reprocessing (EMDR)]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Dit onderzoek was voor ons zowel een eerste kennismaking met Eye Movement Desensitisation and Reprocessing (EMDR) als een eerste kennismaking met het klinische werkveld. Naast het leerzame traject van het onderzoek zelf, waren deze aspecten een speciale aanvulling op onze scriptie. Wij hebben dan ook met veel enthousiasme aan deze scriptie gewerkt en ons op verschillende gebieden breder ontwikkeld. Wij zijn voornamelijk blij dat wij „op de valreep van onze studie‟ nog kennis hebben mogen maken met de behandelmethode EMDR. Het is een behandelmethode die wij in onze verdere loopbaan binnen de psychologie zeker mee zullen nemen. Onze dank gaat uit naar de therapeuten en cliënten die mee wilden werken aan dit onderzoek. Zonder deze medewerking was dit onderzoek immers niet tot stand gekomen! Daarnaast willen wij graag onze begeleidster mw. dr. H.K. Hornsveld bedanken voor het overbrengen van haar enthousiasme voor EMDR en al haar op- en aanmerkingen op ons onderzoek. Mede dankzij haar is dit onderzoek goed afgerond en is ons enthousiasme gegroeid.
This study gave us both a first encounter with Eye Movement Desensitisation and Reprocessing (EMDR) as a first introduction to the clinical field. Besides the educational process of research itself, these issues were a special addition to our thesis. We also have enthusiastically worked on this paper and our wider development in various fields. We are especially pleased that we are "at the very end of our study" may even be familiar with the EMDR treatment method. It is a treatment that in our careers in psychology will certainly take it. Our thanks go to the therapists and clients who wanted participate in this study. Without this cooperation, this research was not realized! In addition, we want our companion mw. Dr. H.K. Hornsveld thanks for transferring her enthusiasm for EMDR and all her observations and comments on our research. Partly thanks to her that this study is well rounded and our enthusiasm grew.
Keywords: Desensitization, Distancing Reliving Vividness
Accuracy Verified: Yes
103. Hornsveld, H., & de Jongh, A. (2011, April). De werkgeheugentheorie: Resultaten en klinische implicaties [The working theory: Results and clinical implications]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Er zijn verschillende theorieën om de gunstige effecten van EMDR te verklaren. De laatste jaren wijst onderzoek op dit terrein steeds meer in de richting van de zogenaamde werkgeheugenhypothese. Niet in de laatste plaats vanwege het onderzoek van Marcel van den Hout, Iris Engelhard en Hellen Hornsveld aan de Universiteit Utrecht. Dit onderzoek kreeg in 2010 in de VS de EMDR Award for Outstanding Research.
In deze presentatie zullen Hellen Hornsveld en Ad de Jongh samen ingaan op dit onderzoek en met name op de klinische implicaties van deze bevindingen. Ook zullen zij nieuwe data presenteren van een onderzoek naar het verschil tussen de effectiviteit van oogbewegingen en ‘klikjes’ binnen een klinische populatie. Aan dit onderzoek hebben een groot aantal leden van de Vereniging EMDR Nederland meegewerkt.
De volgende thema’s zullen in deze presentatie aan bod komen.
1. Het gebruik van klikjes in plaats van oogbewegingen.
2. Het gebruik van ‘flash forwards’ en de nieuwe toepassingen die hierdoor ontstaan binnen
het ‘linksom model’ bij de behandeling van angststoornissen.
3. Het gebruik van bilaterale stimulatie bij RDI, de veilige plek, en positief afsluiten.
Sommige van deze onderwerpen zullen worden geïllustreerd door middel van videoclips. Vanzelfsprekend zal hierbij ook gelegenheid zijn voor discussie.
There are several theories to explain beneficial effects of EMDR. In recent years research in this area points increasingly towards the so-called working memory hypothesis. Not least because of the investigation of Marcel van den Hout, Iris Engelhard and Hellen Hornsveld at Utrecht University. This study was in 2010 in the U.S. EMDR Award for Outstanding Research.
This presentation will Hellen Hornsveld and Ad de Jongh together and discuss this study in particular the clinical implications of these findings. They will also present new data from a study of the difference between the effectiveness of eye movements and "clicks" in a clinical population. In this study have many members of the Association EMDR Netherlands participated.
The following topics will be discussed in this presentation.
1. The use of clicks rather than eye movements.
2. The use of 'flash forwards' and the resultant new applications within
the 'left' model in the treatment of anxiety disorders.
3. The use of bilateral stimulation of RDI, the safe place and positive conclusion.
Some of these issues will be illustrated by video clips. Obviously this will also be opportunity for discussion.
Accuracy Verified: Yes
104. 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
105. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have
trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned
from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in
detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural
competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The
presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and
ethically utilize EMDR with clients.
An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs
(HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and
December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on
several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided
narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The
crucial steps in establishing and implementing this training program are explained, with a summary of the subjective
impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This
information may be useful to future cross-cultural humanitarian efforts following large-scale disasters.
This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs
in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery
following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster
and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations.
Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric
epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They
pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies
and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006)
delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of
the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic,
and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and
needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for
Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following
the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami
survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite
specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than
1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions
that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue
to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate
funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in
traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a
variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A
project like this is expensive. IRT received.
Keywords: Asia HAP Humanitarian Assistance Programs Trainings
Accuracy Verified: Yes
106. 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
107. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]
Keywords: Addiction Addictions Behavior Problems Behavior Therapy Bilateral Stimulation Compulsions Craving Desensitization of Triggers Dysfunctional Behaviors Information Processing Model Psychotherapeutic Techniques Urge Reduction Protocol
Accuracy Verified: Yes
108. Blore, D. C., Holmshaw, E. M., Swift, A., Standart, S., & Fish, D. M. (2013). The development and uses of the “blind to therapist“ EMDR protocol. Journal of EMDR Practice and Research, 7(2), 95-105. doi:10.1891/1933-3196.7.2.95.
Language: English
Format: Journal
Abstract:
The blind to therapist (B2T) protocol (Blore & Holmshaw, 2009a, 2009b) was devised to circumvent client unwillingness to describe traumatic memory content during eye movement desensitization and reprocessing (EMDR). It has been used with at least six clinical presentations:
• Reassertion of control among “executive decision makers“
• Shame and embarrassment
• Minimizing potential for vicarious traumatization
• Cultural issues: avoiding distress being witnessed by a fellow countryman
• Need for the presence of a translator versus prevention of information “leakage“
• Reducing potential stalling in processing: client with severe stammer
This article details the history, development, and current status of the protocol, and provides case vignettes to illustrate each use. Clinical issues encountered when using the protocol and “dovetailing“ the B2T protocol back into the standard protocol are also addressed.
Keywords: Aphasia Blind to Therapist Protocol Client-Centered Approach EMD Guilt Shame
Accuracy Verified: No
109. Baardseth, T. P. (2012, May). Direct comparisons of cognitive-behavioral treatments and bona fide non-cognitive-behavioral treatments for adult anxiety disorders: A meta-analysis. University of Wisconsin, Madison, WI.
Language: English
Format: Dissertation/Thesis
Abstract:
Despite growing evidence that all treatments intended to be therapeutic (i.e., bona fide
treatments) are equally efficacious, the question of relative efficacy persists. In fact, cognitivebehavioral
treatments (CBT) have gained a more favorable status over non-CBT treatments for
adult anxiety disorders. However, the assertion that CBT treatments are superior is premature
due to conceptual and methodological issues affecting the extant CBT research. This metaanalysis
addressed these limitations by consensually identifying CBT treatments and determining
the true relative efficacy of bona fide CBT and bona fide non-CBT treatments for adult anxiety
disorders. The study employed strict inclusion criteria to identify randomized clinical trials that
contained at least one direct comparison of a bona fide CBT treatment and a bona fide non-CBT
treatment. Additionally, 91 CBT experts from the Association of Behavioral and Cognitive
Therapists (ABCT) were surveyed to identify the bona fide treatments as CBT or non-CBT.
Thirteen clinical trials met inclusion criteria. CBT treatments and non-CBT treatments were
found to be equally efficacious across targeted and non-targeted outcome measures. Additional
analyses revealed that researcher allegiance did not account for the significant heterogeneity. The
results are consistent with the increasing evidence for uniform efficacy among treatments
intended to be therapeutic, and stand in contrast to assertions for the superiority of CBT
treatments for adult anxiety. This meta-analysis contributes to the growing body of research
revealing that a particular therapeutic approach is not more effective than another treatment
when intended to be therapeutic.
Keywords: Adults Anxiety Disorders Meta-Analysis
Accuracy Verified: Yes
110. O'Connor, M., Russell, A., & Mueller, K. (2008, June). A discussion forum for child practitioners. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
The aim of this workshop is to provide participants with an opportunity to join a discussion led by a group of Child
Trained EMDR Consultants. The focus of the discussion will be on the most frequently voiced queries, issues and
concerns raised by EMDR child practitioners in the various support and supervision groups across the UK.
Participants will be invited to join the discussion amongst Panel Members as they share learning arising from
their experiences of leading support and supervision groups where the practice issues range from work with very
young children to older teenagers including those with additional support needs. Members of the Panel are from
a range of professional disciplines and practice EMDR with children and adolescents in a variety of education,
health and community settings.
Keywords: Child Therapists
Accuracy Verified: Yes
111. Forgash, C. (2010, September/October). Dissociation in the dental chair: Implications for the EMDR treatment of health issues. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR treatment is effective in dealing with many health problems (exacerbated by dissociation)encountered by many complex trauma clients. The negative sequelae of abuse on the physical and mental health of these clients includes flashbacks and dissociative episodes. They are frequently avoidant of health care, which can lead to further consequences. This presentation will focus on expanding the EMDR Preparation Phase; presenting strategies to deal with dissociation, emotional issues, and PTSD symptoms. The Desensitization and Reprocessing Phase will deal with earlier traumatic events, health issues and current and past dissociative events which are frequently at the root of these problems.
Keywords: Dissociation Health Issues
Accuracy Verified: Yes
112. Manfield, P. (2003, September). Don’t go with that!. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
For some elients and in some situations, "Go with that" is not effective. In these situations "go with that" will lead to looping at best, but most
likely to a flat unproductive session or the opposite, an unfinished session with many new and sometimes only loosely related unresolved issues. In this workshop, we will identify these clients and those situations. Using video, structured role play, and transcripts, participants will learn strategies for elaborating targets for these clients that will minimize the occurrence of these situations, and for effectively responding to these situations when they do occur.
Keywords: Go With That Targeting
Accuracy Verified: Yes
113. Huffer, K., & Parrett, B. (1999, June). Don’t let the system do you in – Improve your odds for justice (Part I). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase knowledge and awareness of this "complex PTSD;" 2) be able to integrate the 8-step protocol of "Overcoming the Devastation of Legal Abuse Syndrome" with the 8-phase protocol of EMDR; 3) learn to consider advocacy for legal consumer abuse issues; and 4) be able to discuss and develop plans for further action and research in the treatment and prevention of LAS.
Keywords: LAS Legal Abuse Syndrome Legal Consumer Abuse
Accuracy Verified: Yes
114. Samec, J. R. (2005, December). Dorothy's dilemma: A patient with an insecure base for treatment. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
A traumatized adolescent, sensitive to rejection and exposed to real threat by the perpetrator who caused past traumatisation, would seem to have an insecure base for therapeutic treatment. Such a patient may have difficulty developing resources according to the Eye Movement Desensitization and Reprocessing (EMDR)-resource installation procedure and accepting EMDR-cognitive interweaves. Treatment of such a patient demonstrates that therapy is possible, if the patient is given the possibility to confront the perpetrator in an imaginary anticipatory situation and process that event with EMDR, even though not all past and current issues have been completely treated.[Author abstract]
Keywords: Adolescents Client Readiness Cognitive Interweave Resource Installation Trauma
Accuracy Verified: Yes
115. Samec, J. R. (2005, Februari). Dorothys dilemma, När en patient inte har en trygg bas för behandling [Dorothy’s Dilemma: A patient with an insecure base for treatment]. EMDR Tidningen.
Language: Swedish
Format: Newsletter
Abstract:
James R. Samec, leg. psykoterapeut med privat verksamhet i Stockholm och Norrtälje. Han är
också verksam vid barn- och ungdomspsykiatriska mottagningen i Norrtälje. Artikeln är en
omarbetad version av den som publicerades i EMDR-tidningen i februari 2005. Författaren tackar
också leg. psykoterapeut Lotta Landerholm för hennes ovärderliga och insiktsfulla observationer.
Hur gör man när en patient vägrar att berätta om vad hon har varit utsatt för, vem som utsatt henne
för det och hotar henne i hennes aktuella liv? Denna artikel illustrerar hur psykodynamisk
psykoterapi med Eye Movement Densensitization and Reprocessing (EMDR) ger möjlighet att
bearbeta ett trauma utan att psykoterapeuten vet vem och vad patienten har varit utsatt för och hur
en omvänd applicering av EMDR kan hjälpa en patient som fortfarande är utsatt för den förövaren
som orsakade traumatiseringen.
A traumatized adolescent, sensitive to rejection and exposed to real threat by the perpetrator who caused past traumatisation, would seem to have an insecure base for therapeutic treatment. Such a patient may have difficulty developing resources according to the Eye Movement Desensitization and Reprocessing (EMDR)-resource installation procedure and accepting EMDR-cognitive interweaves. Treatment of such a patient demonstrates that therapy is possible, if the patient is given the possibility to confront the perpetrator in an imaginary anticipatory situation and process that event with EMDR, even though not all past and current issues have been completely treated.
Keywords: Adolescents Client Readiness Cognitive Interweave Resource Installation Trauma
Accuracy Verified: Yes
116. 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.
Accuracy Verified: Yes
117. 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
118. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.
Language: English
Format: Journal
Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]
Keywords: Adaptive Information Processing Model AIP Cognitive Processes Crisis Intervention Early EMDR Intervention Emergency Room Patients Israel-Hezbollah War Israelis Prevention of PTSD Psychotherapeutic Processes PTSD Recent Events Survivors
Accuracy Verified: Yes
119. 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
120. 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
121. 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
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: Poster Social Engagement
Accuracy Verified: Yes
122. Temple, M. (2011, October). Eating disorders and EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
This workshop will focus on EMDR in eating disorders, particularly Anorexia Nervosa, commencing with a review of the evidence base particularly in relation to EMDR and perspective on aetiology / causations. The discussion will focus on physical risks and need for combined multi-disciplinary working for safe management with a specific focus on published EMDR work and the importance of the preparatory / resource phase. Target areas for using EMDR including identified trauma, attachment / abandonment issues, fear of need / emotion, specific experiences of the anorexia itself and symptom areas such as body image distortion will all be considered leading to a possible overall ‘EMDR and Eating Disorders’ model. (Author abstract)
Keywords: Eating Disorders
Accuracy Verified: Yes
123. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
124. Kruse, M. J. (2011, June). The effect of energy psychology on rates of relapse and recidivism for substance abuse offenders in a community correction setting. The University of the Rockies, Colorado Springs, CO. AAI3460565.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation was a study of a community corrections program which incorporated adjunct Energy Psychology Therapies for Substance Abuse Offenders (SAOs), who were transitioning back into community. Rates of relapse and recidivism were compared, upon success/failure to complete drug and alcohol treatment. When Energy Psychology therapies were added, assisting offenders in resolving underlying trauma issues, there were significance differences between groups. The Choices Program used brief therapies including: Eye Movement Desensitization and Reprocessing, Thought Field Therapy, Emotional Freedom Techniques, (EMDR, TFT, EFT) along with group and individual classes/sessions to relieve underlying trauma symptoms. The results indicated that people who chose to resolve underlying trauma achieved more successful treatment outcomes, thereby lowering rates of relapse and recidivism significantly.
Keywords: Community Corrections EFT motional Freedom Techniques Energy Psychology Offenders Eye Movement Social Sciences Substance Abuse Trauma
Accuracy Verified: Yes
125. Becker, L. (2000). Effect size. Lee Becker, Ph.D..
Language: English
Format: Other
Abstract:
Effect size (ES) is a name given to a family of indices that measure the magnitude of
a treatment effect. Unlike significance tests, these indices are independent of sample
size. ES measures are the common currency of meta-analysis studies that summarize
the findings from a specific area of research. See, for example, the influential metaanalysis
of psychological, educational, and behavioral treatments by Lipsey and
Wilson (1993).
There is a wide array of formulas used to measure ES. For the occasional reader of
meta-analysis studies, like myself, this diversity can be confusing. One of my
objectives in putting together this set of lecture notes was to organize and summarize
the various measures of ES.
In general, ES can be measured in two ways:
a) as the standardized difference between two means, or
b) as the correlation between the independent variable classification and the
individual scores on the dependent variable. This correlation is called the "effect size
correlation" (Rosnow & Rosenthal, 1996).
These notes begin with the presentation of the basic ES measures for studies with two
independent groups. The issues involved when assessing ES for two dependent groups
are then described.
The psychotherapies include: behavioral treatments (primarily different forms of
exposure therapies), eye movement desensitization and reprocessing (EMDR),
relaxation therapy, hypnosis, and psychodynamic therapy.
The control conditions include: pill placebo (used in the drug treatment studies), wait
list controls, supportive psychotherapy, and no saccades (a control for eye movements
in EMDR studies).
Keywords: Effect Size
Accuracy Verified: Yes
126. Yarosh, D. (2002, June). Effective EMDR for high-functioning clients with intimacy problems. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
To treat high-functioning clients who suffer from intimacy problems EMDR must be integrated into a necessarily long-lerm treatment where
issues of relationship and attachment are paramount. Participants will learn to integrate EMDR into existing long-term treatments or to create new comprehensive treatment plans with the cooperation of the client. Participants will learn to use Greenwald's Motivational Interview to set goals, a Trauma History to prioritize EMDR targets, and the interweaving of Resource Development and Installation into the ongoing treatment. Special interweaves helping clients integrate the successful parts of their
lives lnto the parts where they are developmentally immature will be illustrated. Issues of timing and ego stabilization will be discussed.
Keywords: Motivational Interview Resource Installation Trauma History
Accuracy Verified: Yes
127. 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
128. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The
technique is not recommended for couples in which
either or both partners do not have adequate affect
tolerance, observing ego, or trust of each other's
integrety. Other risk factors for using EMDR in
couples therapy that have been highlighted in other
presentations and literature will be briefly reviewed.
Participants will learn to differentiate between
clients' statements that represent present experience
and those that represent concepts of present
experience or reporting of past experiences.
Participants will be taught specific interventions
which they will practice in guided exercise that
will enable them to facilitate both individuals and
couples to stay in their present experience during
EMDR targeting. Irrational emotional responses
to daily interactions and conflicts are often the result
of unresolved issues resulting from underlying
feeder memories. Participants will learn a simple
method for identifying underlying issues of each
individual partner related to a given conflict. The
final and most substantial portion of this
presentation will be focused on using a refined
"affect bridge" technique to identify the feeder
memories associated with those issues so that they
can be targeted with the standard EMDR protocol.
Specific methods will be taught to overcome
clients' resistance and difficulties with accessing
memories; these methods include use of accessing
cues (re: Neurolinguistic Programming) and
developing eidetics (re: Eidetic Psychotherapy)
These methods will be illustrated using a case
transcript, guided participant experiential exercise, and live demonstration.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
129. Manfield, P. (2005, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Based an a relatively simple protocol for finding targets specific to the partners' issues, this approach is especially effective with couples who tend to want to spend sessions complaining about each other and recounting the conflicts of the past week. Equal time will be devoted to identifying targets and then developing them using the basic principles of Ahsen's Eidetic Psychotherapy and a modified version of Walkins' "affect bridge." Methods will be taught to overcome resistance and difficulties clients have with accessing memories. Through case transcripts and participation exercises, the basics of this protocol will be explained and demonstrated.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
130. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
131. 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
132. Khalfa, S. (2012, June). Effects of EMDR on cognition, psychophysiology and cerebral mechanisms in PTSD [Efectos del EMDR en cognición, psicofisiología y mecanismos cerebrales en TEPT]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Despite
the
emergence
of
many
theories
on
biological
EMDR
mechanisms,
research
is
still
needed
to
understand
the
healing
processes
of
EMDR.
We
conducted
four
experiments
to
explore
the
effects
of
EMDR
on
PTSD
with
17
to
22
patients
suffering
from
one
unique
trauma.
The
first
experiment
evidenced
attentional
bias
in
PTSD
towards
negative
words
that
disappeared
after
successful
EMDR
Therapy.
The
second
experiment
has
shown
a
less
efficient
control
of
emotion
in
PTSD
as
compared
to
healthy
controls.
This
altered
emotional
suppressing
measured
through
psychophysiological
responses
was
restored
after
symptoms
disappearance
following
EMDR.
The
third
experiment
also
using
psychophysiological
measures
confirmed
the
increased
fear
sensitization
and
delayed
fear
extinction
in
PTSD
and
again
the
restoration
of
a
normal
fear
conditioning
and
extinction
processes
after
EMDR.
The
last
experiment
explored
the
negative
emotional
cerebral
mechanisms
using
functional
magnetic
resonance
imagery
in
PTSD.
Activities
in
prefrontal
structures
were
modified
in
PTSD
as
compared
to
healthy
controls.
After
the
EMDR
treatment
accompanied
by
symptoms
removal,
the
prefrontal
responses
were
not
different
between
PTSD
patients
and
their
controls.
Theoretical
issues
of
these
results
will
be
discussed
in
order
to
integrate
cognitive,
psychophysiological
and
cerebral
mechanisms
observations.
A
pesar
del
emerger
de
muchas
teorías
sobre
los
mecanismos
biológicos
del
EMDR,
la
investigación
aún
necesita
entender
el
proceso
de
curación
que
se
produce
en
EMDR.
Hemos
realizado
4
experimentos
para
explorar
los
efectos
del
EMDR
en
TEPT
de
17
a
22
pacientes
que
sufrieron
un
único
trauma.
El
primer
experimento
evidencia
un
sesgo
atencional
del
TEPT
ante
las
palabras
negativas
que
desaparecen
después
de
una
terapia
exitosa
de
EMDR.
El
Segundo
experimento
mostró
una
baja
eficiencia
del
control
de
las
emociones
en
los
TEPT
comparados
con
el
control
de
individuos
sanos.
Esta
alterada
supresión
emocional
medida
a
través
de
respuestas
psicofisiológicas
fue
restaurada
después
de
una
desaparición
de
los
síntomas
realizando
EMDR.
El
tercer
experimento
también
confirma
mediante
medidas
psicofisiológicas
el
aumento
de
la
sensación
de
miedo
y
un
retraso
en
la
extinción
del
mismo
en
el
TEPT.
De
nuevo
tras
administrar
una
terapia
EMDR
se
produjo
una
restauración
a
una
condición
normal
de
miedo
y
un
proceso
de
extinción.
El
último
experimento
explica
los
mecanismos
negativos
emocionales
cerebrales
usando
resonancia
funcional
magnética
en
TEPT.
La
actividad
en
las
estructuras
prefrontales
fue
modificada
en
el
TEPT
comparado
con
el
control.
Después
del
tratamiento
de
EMDR
acompañado
de
una
remisión
de
los
síntomas,
las
respuestas
prefrontales
no
fueron
diferentes
entre
los
pacientes
con
TEPT
y
los
controles.
Cuestiones
teoréticas
sobre
estos
resultados
serán
discutidas
con
el
fin
de
integrar
cognitivamente,
psicofisiológicamente
y
observar
los
mecanismos
cerebrales
del
EMDR.
Keywords: Cognition, Psychophysiology and Cerebral Mechanisms Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
133. Wills, S. M., & Kraber, G. (2001, December). The effects of exposure-based therapy on attitudes about guilt in Vietnam combat veterans. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract:
There has long been consistent agreement that guilt has both cognitive and affective
dimensions. Cognitive components of guilt can be seen in the errors of logic and
resulting faulty conclusions that trauma victims often make about their roles in traumatic
events. The present investigation will present outcome data on the Changing Attitudes
About Guilt in a group of Vietnam Combat Veterans who were treated in a 20-week
program that included a combination of Cognitive Processing group therapy and
individual Eye Movement Desensitization Reprocessing (EMDR). The ten veterans
participated in a structured, time-limited trauma group in which they addressed issues
peripheral to combat exposure in 20 weekly 90-minute group sessions. Each individual
group member also underwent a minimum of theree individual EMDR sessions to
process traumatic combat experiences. The Kubany Attitudes About Guilt Inventory was
administered at the beginning of the group prior to EMDR sessions and again at the
final session of group. Post-group follow up data is also included in this presentation.
Keywords: Combat Group Therapy Poster Veterans Vietnam
Accuracy Verified: Yes
134. Hensel, T. (2006, April). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Kindheit und Entwicklung, 15 (2), 107-117. doi:10.1026/0942-5403.15.2.76.
Language: German
Format: Journal
Abstract:
EMDR (eye movement desensitization and reprocessing) has proved to be an independent, effective, and empirically validated approach for the treatment of chronic post-traumatic stress disorder (PTSD) in adults. This work provides an overview of the status of research into the use of EMDR in traumatized children and adolescents. The available randomized controlled studies are summarized and assessed for their methodistic value. The empirically supported and effective treatment is described. The results show - albeit on a narrow empirical basis - that EMDR, when used in children and adolescents, demonstrates a Comparable effectiveness in symptom reduction and efficiency (limited treatment duration) to that observed in adults. Issues relating to the integration of the treatment into the existing care structure are discussed.
Keywords: Adolescents Bilateral stimulation Care Children Chronic Illness Chronic PTSD Effectiveness Emotional Trauma Empirically Supported Treatment Empirical Study Psychologically Traumatized Children Quantitative Study Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
135. 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
136. Jayatunge, R. M. (2006). The efficacy of EMDR – A study based on Sri Lankan combatants. New Hope, PA: EMDR Humanitarian Assistance Programs.
Language: English
Format: Other
Abstract:
This paper discusses the therapeutic effects of EMDR or Eye Movement Desensitization
and Reprocessing. EMDR is a relatively new trauma management method that has been
used to treat Sri Lankan combatants with PTSD and other trauma related disorders. The
feasibility of this mode of therapy is summarized. Practical trauma management issues in
the field setups are reviewed and some case examples are provided. EMDR is considered
to be an effective treatment for PTSD and Sri Lankan combat veterans diagnosed with
combat related PTSD (uncontrolled study; 18 males) showed significant improvements
from pre- to posttreatment following EMDR.
Keywords: Combatants Posttraumatic Stress Disorder PTSD Sri Lanka
Accuracy Verified: Yes
137. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.
Language: English
Format: Dissertation/Thesis
Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347
Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
138. 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
139. 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
140. Schubbe, O. (2001). EMDR - Supervision. Institut für Traumatherapie.
Language: German
Format: Other
Abstract:
Angeregt durch meine eigene Supervisionserfahrung und meine Rolle als Ausbilder für EMDR möchte ich meine Form der Supervision der therapeutischen Arbeit mit EMDR vorstellen. Ich wünsche mir, durch einen kollegialen Austausch zu neuen, und weiter verbesserten Konzepten zu gelangen. Die Grundhaltung der Psychotherapie mit EMDR spiegelt sich auch in der Supervision dieser Tätigkeit:
•im transparenten professionellen Rahmen,
•im ressourcengeleiteten Ansatz und,
•im strukturierten Vorgehen. Der Inhalt der EMDR-Supervision unterscheidet sich von üblicher Fallsupervision durch den hohen Stellenwert:
•von traumaspezifischer Gegenübertragung,
•der Notwendigkeit von Burnoutprävention, und
•der Wiederholung von Ausbildungsinhalten.
Nach einer Darstellung des äußeren Rahmens und des ressourcenorientierten Vorgehens schildere ich in der EMDR-Supervision besonders häufig angesprochene Themen.
Inspired by my own supervision experience and my role as trainers of EMDR, I would like to introduce my form of supervision of therapeutic work with EMDR. I want to go through a collegial exchange of new concepts and further improved. The stance of the psychotherapy with EMDR is also reflected in the supervision of this activity: • in transparent professional framework, • ressourcengeleiteten approach and, • the structured approach. The content of the EMDR supervision differs from the usual case supervision by the high priority: • from specific traumatic countertransference, burnout • the need for prevention, and • the repetition of course content. After a description of the outer framework and the resource-oriented approach I describe in the EMDR Supervision particularly common issues raised
Keywords: Supervision
Accuracy Verified: Yes
141. Grand, D. (2001, June). EMDR acting coaching: The healing art form. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
EMDR applied to issues of acting, entering character, creating bodily held character memory, exiting character, and also audition anxiety, role prep, relaxation. EMDR acting coaching also provides healing by processing emotional aspects of creative blocks. Includes live demo by actors of before/after scene work and monologues with EMDR acting coaching.
Keywords: Acting Audition Anxiety Coaching Creative Blocks
Accuracy Verified: Yes
142. Shapiro, F. (2009, December). EMDR and adaptive information processing: Applications to individual and family therapy. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
EMDR directly addresses the physiologically stored
memory networks that underlie both psychological problems
and mental health. This orientation to both case conceptualization
and treatment will be explored to address
diverse clinical applications, including attachment issues,
body image, chronic pain, substance abuse, sexual dysfunction,
personality disorders, and other presenting complaints.
The Integration of EMDR with family therapy
practices will also be discussed.
Keywords: Adaptive Information Processing
Accuracy Verified: Yes
143. 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
144. Darker-Smith, S. (2011, October). EMDR and borderline personality disorder and use of B2T protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
The adaptation of the order of the EMDR 8-phase standard protocol to target specific abandonment issues first and primarily limits the therapy interfering behaviours which lengthens overall therapeutic intervention duration and acts as a road-block (Leahy etc.) to therapy. Specifically, using a blind-to-therapist protocol for this client group once fears of abandonment (often acted out in the therapeutic dynamic) is addressed, then the risk of empathy-enhancing exaggerations is reduced. (Author abstract)
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
145. 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]
Accuracy Verified: Yes
146. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives:
1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS
2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera)
3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.
Keywords: Chronic Illnesses
Accuracy Verified: Yes
147. Hurley, E. C., Zabukovec, J., Click, J., Francke, B., & Burd, J. (2009, August). EMDR and combat trauma. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: This one-day workshop is designed to provide EMDR clinicians essential information for providing psychotherapy to veterans, active military personnel with combat trauma, and military families. The morning session provides essential information for psychotherapists working with military and veteran cultures, including how soldiers transition to combat and later transition from combat to home. Video interviews with key individuals within the military will address issues in working within the DOD/VA. The afternoon part of the session will include a panel of EMDR consultants, representing extensive experience working with combat trauma and military families. The panel will address treatment issues in working with combat trauma, as well as address questions generated by participants. Video presentations will highlight issues in the treatment of life adjustment issues, combat trauma and military families.
Keywords: Combat
Accuracy Verified: Yes
148. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This presentation addresses how creativity has
been interwoven into the discovery and
development of EMDR, as well as how EMDR is
an effective tool in unblocking and enhancing
creativity. Dr. Shapiro's discovery of EMDR and
her development of the EMDR Protocol, are
examined as underpinnings of EMDR and
Creativity. EMDR processing will also be
examined as an essentially creative process at the
core of healing trauma-based blocks. The
therapeutic relationship in EMDR is discussed as
a co-creative process. This presentation addresses
creative enhancements EMDR's healing tools
including: "open listening" - avoiding
assumptions while attending to all in-the-moment
verbal and non-verbal client communications, creative use of eye movements with flowing hand
movements and shifting rates of speed, integrating
music and nature sounds into left/right auditory
stimulation and enhancing of body sensations with
color and imagery. This presentation also
addresses using EMDR in addressing issues of
creativity. Creative blocks are regularly reported
by both artists and non-artists and often cripple
and traumatize the artist, and interfere with the
creativity of diallng living of non-artists. Using
EMDR protocol to target creative blocks is
discussed, as well as the contribution of trauma
to these blocks. The EMDR future template is
discussed as a tool for enhancing creativity with
artists free of significant blocks. This includes
actors, singers, dancers, writers and graphic
artists. Mini-practica and demonstrations are used
to operationalize the concepts presented in lecture and handout format.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
149. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.
Keywords: Creativity
Accuracy Verified: Yes
150. Richman, A. (2003, March). EMDR and cross-cultural issues. Presentation at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
As trauma therapists, we are increasingly encountering the challenges of using EMDR cross-culturally with highly traumatised clients who are refugees from war torn countires and/or oppressive regimes. This presentation seeks to address some of the difficulties of working across cultures, often with the aid of interpreters.
Keywords: Cross-Cultural Issues
Accuracy Verified: Yes
151. Eliscu, M.S., Fitzgerald, J., Gomez, A., Bergmann, U., Page, R., Cloud, L., Davis, K., & Janis, K. O. (2010, September/October). EMDR and diversity: A panel presentation discussion. Panel discussion at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
The workshop will consist of a panel of EMDR clinicians who work with a particular population of clients with whom the clinician shares a background or heritage or with whom he/she has a deep sense of empathy and understanding. Each presenter will explain how he/she came to work with this population. This will be followed by a response to three questions about using EMDR with a particular population. In addition, presenters will explain what special approaches and adaptations (if any) work to benefit the population they serve. They will also address what unspoken issues may be important in treating each population.
Keywords: Diversity Panel Discussion
Accuracy Verified: Yes
152. Shapiro, E. (2012). EMDR and early psychological intervention following trauma. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 241-251. doi:10.1016/j.erap.2012.09.003.
Language: English
Format: Journal
Abstract:
Introduction:
This article evaluates developments in the field of early psychological intervention (EPI) after trauma in general and the place of early eye movement desensitization and reprocessing (EMDR) intervention (EEI) in particular. The issues and dilemmas involved with EPI and EEI will be outlined; related research presented and the current status evaluated.
Literature and clinical findings:
Reviewing the literature and drawing on findings from initial research and case studies, the rationale and contribution that EMDR therapy has to offer is discussed relative to current evidence and theory regarding post-traumatic stress syndromes and trauma memories. The relative advantages of EEI will be elaborated.
Discussion and conclusion:
It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Through the rapid reduction of intrusive symptoms and de-arousal response as well as by identifying potential obstructions to adaptive information processing (AIP), EMDR therapy may reduce the sensitisation and accumulation of trauma memories.
Keywords: Early Psychological Intervention EPI Trauma
Accuracy Verified: Yes
153. 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
154. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
155. 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
156. Stowasser, J. E. (2007). EMDR and family therapy in the treatment of domestic violence. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 243-261). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Domestic violence (DV) has been defined as a pattern of verbal and physical behavior intended to control another person in an existing, former, or desired intimate relationship (Walker, 1979). Although DV is not confined to heterosexual unions or to males as abusers, this chapter focuses on heterosexual males as offenders because 85% of DV is directed by men toward women (Rennison & Welchans, 2000). This chapter discusses integrating Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) and Therapy of Social Action (TSA) in the treatment of couples with domestic violence issues. A case example is then presented. The concluding discussion asserts that TSA and EMDR appear to be a powerful combination for the treatment of DV. When used with carefully selected couples, EMDR and TSA can repair the damage caused to the victims, strengthen relationships, inhibit abuser and victim tendencies in children, eliminate posttraumatic stress disorder (PTSD), increase personal responsibility, develop nonviolent conflict resolution skills, and increase empathy for self and others. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Domestic Violence Family Therapy Integrative Psychotherapy Therapy of Social Action
Accuracy Verified: Yes
157. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK.
Language: English
Format: Conference
Abstract:
The information processing model has been described in many different ways and is potentially the underlying
process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly
compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information
processing model and conclude that although they may use different language to describe their theories, a
unifying information processing model describes both paradigms. Human beings are meaning making machines
(Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the
more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or
internal process’s and this information goes through our filters where we delete, distort and generalise this
information based on the rules created in our information processing unit (Fig 1). This information processing
mechanism gives meaning to this filtered information and generates a response, this response interacts with this
information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do;
we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a
useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was
developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing
the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and
Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders.
One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to
control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many
clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important
feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self
and threatening information. Both EMDR and MCT describe an information management/processing system that
organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to
respond to a trauma memory Both therapies appear to change this system / process to something that is much
more adaptive for the client, as if they change the master information management control programme that runs
this system, in the same way a conductor influences the orchestra and the music they produce. Both models
describe the same process, although they utilise different language to describe this change process.
Perhaps a change of focus for the development of pychotherapy towards more process change models rather than
content change interventions.
Keywords: Metacognitive Therapy Poster
Accuracy Verified: Yes
158. Spierings, J. (2013, June). EMDR and mourning. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Working with mourning clients can be difficult. To face the irrevocability of loss and to stand helpless and empty-handed as a therapist is a heavy burden. Sometimes it seems there is nothing we can do to help our clients. Yet there are many ways in which EMDR can contribute to help our clients to live a valuable life after a serious loss.
In this presentation the psychodynamics of complicated mourning are discussed. Treatment strategies and treatment techniques (both EMDR and combined techniques) are developed for specific patterns of complicated mourning (i.e. denied mourning, postponed mourning, chronic mourning, distorted mourning, traumatized mourning, somatized mourning).
Some non-EMDR techniques (rituals, Gestalt dialogue, writing assignments, imagination techniques) will be integrated into EMDR treatment. Also practical interventions to address resistance and affect regulation problems will be discussed.
Learning Objectives:
What are the key aspects of using EMDR with issues of grief and mourning;
Outline the core characteristics of stabilization and resourcing for this population;
Review the range of cognitive interviews that have an application when evidence of blocked processing is apparent with this client group
Keywords: Grief Mourning Resourcing Stabilization
Accuracy Verified: Yes
159. Zampieri, M. A. J. (2012, Novembro). EMDR and pesquisa [EMDR and research]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Nem todo profissional engaja-se na atividade científica. Além de questões vocacionais e tecnológicas, é comum encontrar-se mesmo uma reação aversiva ao tema. Nem sempre a exclusão dessa atividade é uma questão de escolha. Propõe-se incitar nessa oficina, a elaboração de pesquisa com EMDR, com utilização de protocolo para desbloqueios associados ao tema. Além disso, objetiva-se subsidiar o participante a iniciar o seu trabalho científico ao longo da atividade.
Not every professional engages in scientific activity. Besides vocational and technological issues, it is common to find even an aversive reaction to the topic. Not always the exclusion of this activity is a matter of choice. It is proposed to encourage this workshop, the development of research on EMDR, using protocol for unlocks associated with the topic. Moreover, the objective is to subsidize the participant to start your scientific work throughout the activity.
Keywords: Intervention Research
Accuracy Verified: Yes
160. Marotta, S. A. (1998, July). EMDR and psychosocial development post childhood trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) describe relevant research on EMDR with childhood trauma; 2) analyze the developmental tasks that are affected by childhood trauma; 3) use case study data to illustrate how EMDR enables reprocessing of trust, autonomy, identity and intimacy issues; and 4) describe some ways race/ethnicity might mediate response to EMDR treatment.
Keywords: Childhood Trauma Ethnicity Psychosocial Development Race Research
Accuracy Verified: Yes
161. Solomon, R., Hofman, A., Seidler, G., & Tiedt-Schutte, M. (2005, June). EMDR and recent event trauma: The tsunami disaster. In “EMDR in action,” Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
EMDR can be utilized shortly after a traumatic event as described by the
protocol from Shapiro and Solomon (1992 and 1995). Even if there is no
controlled study finalized, there is sufficient experience with the protocol to
guide further research. Experiences from research studies and clinical
experiences on EMDR and acute trauma will be presented. Discussion will
focus on issues of client selection, client readiness for EMDR. and timing of
EMDR. The EMDR recent event protocol and experimental protocols for
extreme dissociation following a traumatic event will be presented. A
European network for developing more research regarding the diversity of
acute trauma reactions are proposed.
Keywords: Recent Event Trauma Symposium Tsunami
Accuracy Verified: Yes
162. Allon, M. (2004, June). EMDR and right-left brain stimulation. Poster presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
This presentation will present and demonstrate my clinical observations, that clients while talking or working on their issues will sometime lean their heads toward the right or the left shoulder. People with their heads to the left will tend to report thoughts, while those with their heads to the right will tend to report images and emotions. In therapy, utilizing EMDR when clients have leaned their heads to one side, I have tended to reinforce the side they put their head to, utilizing eye movements in a diagonal direction, corresponding to the direction the head was learning. That is. If the person learned their head to the left, I would move my hand from their upper left side to their lower right side, and opposite if their heads leaned to the right. The outcome of these diagonal eye movements was that it tended to evoke cognitions when the head leaned to the left or images when the head learned to the right. Client who come to therapy requesting help concerning fears, tend to lean their heads to the rights, corresponding with imagery and imagination of the right hemisphere and may lack the cognitive, logical thinking skills (left hemisphere) to counter their fears. With these clients, when the SUDS do not drop significantly, I will tend to do body-cognitive interweave. I request that the client lean their head on the left and work over and over with cirrsponding sets of diangonal eye movmenets. The left hemisphere of the brain is thus stimulated and logical thinking (PC) is enhanced. This helps to counter and balance out the negative images, and the fear decreased.
Through care histories and examples, I would like to accomplish the following objectives: 1) to make the participants more aware of body language and it its significance in therapy; 2) to examine the differences between the right and left hemispheres of the brain and their relationship to therapy with EMDR; and 3) to introduce and demonstrate a body-cognitive interweave in EMDR therapy with client s who request help with fears.
Keywords: Body-Cognitive Interweave Left-Right Brain Hemispheres of the Brain Poster
Accuracy Verified: Yes
163. Carvalho, E. R. (2013, May). EMDR and role therapy: Healing the folks who live inside. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Role Therapy will be presented as a comprehensive approach to the treatment of
a wide spectrum of clients. Role therapy is presented as a “normalizing” approach to trauma and dissociation,
treating clients’ inner roles as EMDR targets. Central to this approach is the conceptualization of self and one’s
inner roles and counter-roles. Discussion will include how to use a developmental approach to assessment, and
will review the identification, mapping and accessing of roles, as well as how to promote the use of role-specific
EMDR targets, facilitating the enhancement of EMDR processing.
Learning Objectives:
• Participants will be able to discuss and implement the applications of Role Theory concepts and techniques to
all phases of the EMDR protocol in order to facilitate the treatment of clients.
• Participants will be able to discuss and describe how to developmentally assess, identify, map and access
client roles and how to treat roles with traditional EMDR protocols.
• Participants will be prepared to utilize EMDR targeting clients’ inner roles to enhance the processing of
clients’ issues and resolution of symptoms.
Keywords: Role Therapy
Accuracy Verified: Yes
164. Levine, L. (1999, June). EMDR and sex therapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) understand how sex-negative cultural messages can lead to a damaged sense of self and understand how to target and reprocess these damaging messages; 2) understand the importance of taking a thorough psycho-social-sexual history before embarking on EMDR; 3) understand the indications and contraindications for using EMDR with sexual issues; and 4) understand how to use the EMDR model of past, present, and future to work on sexual performance issues.
Keywords: Cultural Messages Sexual Issues Sex Therapy Three Prongs
Accuracy Verified: Yes
165. Zangwill, W. M. (1994). EMDR and shame: A brief report. EMDR Network Newsletter, 4(3), 13.
Language: English
Format: Conference
Abstract:
One of the most difficult issues in
an EMDR session is when a patient is
not able to "let go" and experience the
process. There are a variety of reasons
for this happening, one of which
involves the shame patients sometimes
feel in both reexperiencing the
memories and of sharing them with
us. Despite assurances that they do
not have to share content, some patients
have still reported difficulty in
letting past material arise to be reprocessed
because of fear of embarrassment
and humiliation.
Keywords: Shame
Accuracy Verified: Yes
166. Shapiro, F., & Laliotis, D. (2011, June). EMDR and the adaptive information processing model: Integrative treatment and case conceptualization. Clinical Social Work Journal, 39(2), 191-200. doi:10.1007/s10615-010-0300-7.
Language: English
Format: Journal
Abstract:
EMDR is a comprehensive psychotherapy approach that is compatible with all contemporary theoretical orientations. Internationally recognized as a frontline trauma treatment, it is also applicable to a broad range of clinical issues. As a distinct form of psychotherapy, the treatment emphasis is placed on directly processing the neurophysiologically stored memories of events that set the foundation for pathology and health. The adaptive information processing model that governs EMDR practice invites the therapist to address the overall clinical picture that includes the past experiences that contribute to a client’s current difficulties, the present events that trigger maladaptive responses, and to develop more adaptive neural networks of memory in order to enhance positive responses in the future. The clinical application of EMDR is elaborated through a description of the eight phases of treatment with a case example that illustrates the convergences with psychodynamic, cognitive-behavioral, and systemic practice.
Keywords: Adaptive Information Processing AIP Integrative Treatment Memory Networks
Accuracy Verified: Yes
167. Phillips, M. (2001, June). EMDR and the body. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This course presents a five-step model for body focused psychotherapy. Specific methods for incorporating EMDR into each phase are included. The existing EMDR somatic protocol is expanded to facilitate skill development in the areas of body awareness, sensory discrimination, symbolization, body learnings, and integration of more functional somatic patterns. Topics include uses of EMDR to create the body safe place, develop the body felt sense, reduce pain and increase comfort, reprocess aspects of trauma, and explore somatic developmental issues.
Keywords: Body Awareness Body Felt Sense Body-Focused Psychotherapy Body Learnings Body Safe Place Sensory Discrimination Symbolization
Accuracy Verified: Yes
168. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
169. Zimmerman, E. (2010, June). EMDR and the phase two treatment of the migraine and headache-protocol. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
After the presentation of Dr. Steven Marcus PhD
on different EMDR-conferences of treating migraine and headaches
in a two-phase protocol, the authors of this presentation
decided to develop a study on the phase two treatment of the
headache protocol.
The phase one treatment of the headache protocol I-EMDR (integrated
EMDR) of Dr. Marcus is for the relief of acute headache
pain and related symptoms (nausea, vomiting, light or sound
sensitivity etc.). A research study of Dr. Marcus showed very
strong effects of the treatment of migraines in this acute phase.
(Steven V. Marcus: Phase 1 of integrated EMDR: An Abortive
Treatment for Migraine Headaches. JEMDR, Vol. 2, Number 1,
2008, pg. 15ff). The phase two treatment is a multi-session EMDR
headache treatment utilizing the Standard EMDR Protocol
to prevent or reduce future headache frequency, duration and
severity. The phase one has to be included in the second phase.
Thus, this phase two protocol has not yet been the subject of a
scientific research.
The authors present their study design and some cases with
video presentations as well as first results on the research of this
phase two treatment.
Keywords: Headache Medical Issues Migraine Symposium
Accuracy Verified: Yes
170. Nickerson, M. (2008, June). EMDR and the treatment for angry and violent behaviours. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
This workshop will assist the EMDR clinician to more effectively treat angry and violent behaviour. It will include
an initial review of the prevalence, impact and dynamics of the problem. The common cyclical nature of violent
acting out will be depicted as well as other characteristics in a spectrum of hostile behaviours including
perpetrator state and trait issues. Current non-EMDR clinical approaches and the evolving field of domestic
violence will be reviewed to aid the EMDR clinician in skilfully integrating into existing clinical contexts and to appreciate the unique capacities of EMDR. The primary focus of the workshop will be on special considerations
in the successfully tailored use of the 8-Phase Treatment approach. Clients with problematic anger or violent
behaviour present many challenges for the often undertrained clinician and commonly avoid, resist and
manipulate treatment or drop out prematurely. Keys to successful clinical engagement, risk assessment and case
formulation will be highlighted as critical to early phases of treatment. A metaphor based guide to case
formulation will be presented and a decision-tree style flow chart will be offered to inform treatment planning
including determining client readiness for trauma processing. EMDR offers the potential for desensitizing the
trauma that often drives violent behaviour. Considerations in the identification, prioritization and sequencing of
targets for processing will be outlined. This will include use of the cycle of violence model for target
identification. Multiple clinical examples will be offered to illuminate points including video taped case material.
Accuracy Verified: Yes
171. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
Keywords: Bowen Theory Relationship Issues
Accuracy Verified: Yes
172. Rogers, S. M. (2008, June). EMDR and the treatment of combat trauma. Keynote at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
From the first days of its development, EMDR was applied to those suffering from the trauma of war.
As EMDR pioneers worked with this population, the unique features of resolving combat-related PTSD
rapidly became clear. These features included not only the complexity of the symptoms, issues, and
the involvement of other life experiences but included also the particular skills, knowledge, and
attitudes needed of the clinician. In the area of research, while the population of survivors with warrelated
PTSD steadily and unfortunately has grown, research has not kept pace. This has resulted not
only in deficits of the scientific support for EMDR but has contributed to challenges to the use of
EMDR with combat veterans.
Accuracy Verified: Yes
173. Levin, C. (1992, July). EMDR and the treatment of partners of survivors of sexual abuse. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
Although there are estimated to be millions of survivors of child sexual abuse, little has been said about the partners of these survivors and the extreme difficulties which they encounter. Awe believe that these partners are “vicarious” victims of child sexual abuse themselves. As the survivor begins to deal with the issues of his/her own sexual abuse, it catalyses experiences of guilt, shame, rage, feelings of dissociation, fear, sadness, resentment, etc. The victim’s feelings towards the family or origin and the perpetrator is both emotionally draining and reoccupying to the detriment of the current relationship. The partner may be blamed for lack of understanding and caring and, almost certainly, the quality of the sexual relationship changes for the worse. Often, as the victim bombards the partner with disparaging comments and temper tantrums, the partner may begin a process of emotionally distancing. The survivor experiences this distancing as a further injury and the relationship continues a downward spiral.
Keywords: Partners of Survivors
Accuracy Verified: Yes
174. Blore, D. C. (2002, September). EMDR and the workplace - helpful hints for the practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
Here we are in 2002, no less than 13 years on from Francine Shapiro's first publishetl
article on Eye Movement Desensitisation. Now called EMDR, the intervention came:son
despite those with agendas to the contrary. The author nears 10 years use of EMDR
himself and reflecting upon the cases seen, finds that over half of the 500+ EMDR cases
during that time have had significant connectionswith the workplace. It is the benefit of
experience that I wish to pass on here. Please forgive me for starting with some basic:
issues which are likely to be obvious to many and could be described as 'common sense'.
The problem is that 'common sense' could be described as 'not common enough' and in
any case, preparation - like preparation in EMDR - can and does play a major role in the
success or otherwise of any enterprise.
Accuracy Verified: Yes
175. 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
176. 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
177. Nickerson, M. (2007, September). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Assocation, Dallas, TX.
Language: English
Format: Conference
Abstract:
Much can be gained as the EMDR clinician develops sharper awareness of the dynamics of angry and violent “acting out” behavior. An AIP informed approach can aid in case formulation with these issues and lead to accelerated client gain. The cyclical nature of violence will be depicted, as well as other common characteristics in a spectrum of hostile behaviors, including perpetrator state and trait issues. The presentation will demonstrate ways in which EMDR processing can work in conjunction with widely used cognitive-behavioral interventions and, with careful target selection, offer opportunities for desensitization of the trauma that often drives them. Discussion will highlight advantages of an EMDR approach in minimizing problematic transferential issues with “resistant” clients. Theory and practice will be illuminated by a case presentation and clinical anecdotes. Graphic, user-friendly therapeutic tools will be offered. Implications for the use of this model in treating other cyclical “acting out” behaviors will be explored.
Accuracy Verified: Yes
178. 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
179. 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
180. 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
181. Lawrence, M. (1998, July). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) use the ego state bridge technique in order to have more complete knowledge of what issues and experiences may manifest during the EMDR processing; 2) use the ego state bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets; 3) work with a patient to formulate the patient's ego state system; 4) identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; and 6) identify and access appropriate resource ego states which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state.
Keywords: Ego State Bridge Ego State Therapy
Accuracy Verified: Yes
182. Lawrence, M. A. (1999, June). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to use the ego state
bridge technique in order to have more compete
knowledge of what issues and experiences may
manifest during the EMDR processing; 2) be able to use the ego stale bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets (e.g., when SUD level is not subsiding); 3) know how to work with a patient to formulate the patient’s ego state system; 4) be able to identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) be able to combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; 6) be able to identify and access appropriate resource ego state which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state; and 7) be able to use a variety of general and specific EMDR techniques and strategies more effectively by using ego state psychotherapy principles as a guiding metamodel.
Keywords: Ego State Bridge Ego State Therapy
Accuracy Verified: Yes
183. 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
184. Farrell, D. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction
with the University of Birmingham, commenced in Northern
Pakistan in the aftermath of the earthquake that occurred in
the region October 2005. Presently over 75 mental health workers
have now been trained in EMDR in August 2009 six of these
Pakistani mental health workers had successfully completed their
EMDR Facilitator training. As a means of evaluating their EMDR
training a Q Methodology was utilised. Q-Methodology allows
a researcher to explore a complex phenomenon from a subject's
point of view by using a distinct approach which rates the value
of 25 statements in order from least to most desirable. These
statements related to EMDR clinical practice, cultural application
of EMDR. EMDR research development, and their experiences of
their EMDR training. Results highlighted important issues around
their training experience, how cultural sensitivities play an important
part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
Keywords: HAP Project Q-Methodology Pakistan Poster
Accuracy Verified: No
185. Meijer, S. (2013, April). EMDR bij borderline problematiek: Hoe om te gaan met automutilatie en andere vormen van zelfdestructief gedrag [EMDR in borderline issues: How to deal with self-mutilation and other forms of self-destructive behavior]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Ernstig zelfdestructief gedrag wordt doorgaans gezien als een belemmering voor een behandeling gericht op het verwerken van trauma. Vaak is dit gedrag echter gerelateerd aan ptts symptomatologie en kan het behandelen daarvan met EMDR ook vermindering te weeg brengen in dit gedrag. Uiteraard is het dan wel van belang om goed inzicht te hebben hoe dit gedrag verband houdt met het trauma om te kunnen weten welke targets gekozen moeten worden. Deze lezing geeft inzicht hoe zelfdestructief gedrag begrepen kan worden, hoe het verband kan houden met trauma en hoe dit vervolgens behandeld kan worden. Ook wordt besproken hoe patiënten met ernstige vormen van dit gedrag voorbereid kunnen worden op de EMDR behandeling zonder verder te ontregelen.
Serious self-destructive behavior is usually seen as a barrier to treatment aimed at traumas. Often this behavior is related to pTTS symptomatology and can treat them with EMDR also bring about reduction in this behavior. Of course is it important to have good insight how this behavior is related to the trauma in order to know which targets should be chosen. This lecture gives an insight into how self-destructive behavior can be understood, how it may be related to trauma and how it then can be treated. It also discusses how patients with severe forms of this behavior can be prepared on the EMDR treatment without further disrupt.
Keywords: Borderline Symptoms Self-Destructive Behaviors
Accuracy Verified: Yes
186. Hees, R. (2008, Maart). EMDR bij craving: “Wanneer het verlangen verwoestend is" [EMDR in craving: "If the desire is devastating"]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
- Wat is craving (diverse aspecten)
- werkingsmechanisme EMDR bij craving (+ verwijzing wetenschappelijk onderzoek)
- Hase-protocol + Nederlandse aanpassing en varianten
- illustratie met voorbeelden en videomateriaal
- What is craving (various issues)
- Mechanism of craving in EMDR (+ reference research)
- Hase + Dutch adaptation and protocol variants
- Illustrative examples and video
Keywords: Craving
Accuracy Verified: Yes
187. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze lezing gaat over het implementeren van EMDR
in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep:
• Meervoudige persoonlijkheidsstoornissen
• Meervoudig ernstig getraumatiseerd
• Verslavingsproblematiek
• Specifieke psychiatrische problematiek
• Forensische problematiek
• Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren.
Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.
This lecture is about the implementation of EMDR
In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target:
• Multiple personality disorder
• Multiple severely traumatized
• Addiction Problems
• Specific psychiatric problems
• Forensic issues
• Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors.
Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.
Keywords: TBS System of Treatment
Accuracy Verified: Yes
188. 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
189. Hagen, H., & Baas, J. (2008, Maart). EMDR binnen de schematherapie voor persoonlijkheidsproblematiek van young enkele overwegingen [Schema therapy EMDR within the personality issues of young a few thoughts]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De laatste jaren is er veel vooruitgang geboekt in de behandeling van persoonlijkheidstoornissen van met name de borderline persoonlijkheidsstoornis (BPS) met Cognitieve Gedrags Therapie (CGT). Vooral de Schematherapie van Jeffrey Young gooit hoge ogen. Bij een hoog percentage van mensen met persoonlijkheidstoornissen en met name weer bij BPS is er sprake van traumatische gebeurtenissen in de voorgeschiedenis. EMDR gooit hoge ogen in de behandeling van de gevolgen van trauma’s. Een goede vraag is dan ook wat de plaats is van EMDR binnen de Schematherapie. Op deze vraag zullen wij ingaan tijdens onze presentatie.
Eerst presenteren we een simpel model hoe je naar persoonlijkheidstoornissen kunt kijken en uit welke componenten een behandeling meestal zal bestaan. Vervolgens kijken we wat EMDR te bieden heeft binnen de verschillende componenten.
Bij onze presentatie zullen we steeds praktische voorbeelden geven van succes en falen van EMDR binnen Schematherapie en bezien wat we daar uit kunnen leren.
De lezing is niet geschikt voor beginners. Kennis van Schema Focused Therapy wordt aanbevolen.
In recent years there has been much progress in the treatment of personality disorders, especially borderline personality disorder (BPD) and Cognitive Behavioral Therapy (CBT). Especially the Schema Therapy Jeffrey Young gets top marks. In a high percentage of people with personality disorders and BPD in particular, again there is a history of traumatic events. EMDR gets top marks in the treatment of the effects of trauma. A good question is what the site is within the Schema Therapy EMDR. On this question we will discuss during our presentation.
First we present a simple model of how personality disorders can look at and which components of treatment will usually exist. Then we see what EMDR has to offer within the various components.
In our presentation we will always offer practical examples of success and failure of Schema Therapy EMDR inside and see what we can learn from.
The lecture is not suitable for beginners. Schema Focused Therapy knowledge is recommended.
Keywords: Personality Disorder Schema Therapy
Accuracy Verified: Yes
190. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases.
The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of
protocols, targets and cognitions. Time will be allowed to discuss problem cases.
The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated
information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning
indicators fiom cognitions and the history taking of potential blocked responses.
A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and
cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma
with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of
the early environment to provide healthy models of self-other interaction.
Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources
present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies.
Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting
disturbing memories.
Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the
Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the
biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect
theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and
emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization
and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts
is a central problem in PTSD and other pervasive traumageric disorders.
Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry
Wildwind's speciality and conference presentations on working with chronic depression and personal communications with
Marguerite McCorkle.
Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental
issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to
a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.
Keywords: Case Formulations
Accuracy Verified: Yes
191. 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
192. 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
193. Dworkin, M. (2006, September). The EMDR clinician and the challenging client: How to improve relational responsiveness. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address
clinician issues with clients who are challenging to work with, both before and during an EMDR
session. Participants will develop greater awareness of these mornents and learn strategies to overcome
potentla1 moments of misattunements. These
strategies will include parts of the Procedural Steps
Outline in preparation for anticipated problems;
applied R/D/I strategies for compartmentalizing
activated clinician state dependent moments in
session; and using a variation of cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent
collaborative communication. "The Clinician Self
Awareness Questionnaire" will be introduced as a
method of enhancing these awarenesses.
Participants are invited to bring their most
challenging cases to work on.
Keywords: Challenging Client
Accuracy Verified: Yes
194. Freitag, W., & Swan, S. (2011, August). EMDR consultation: Comprehensive review and new directions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Consultation is vital to the proper training and professional development of EMDR therapist. Effective consultation can aid in the development of highly competent EMDR therapists, which is always the goal. Although the general goals of consultation may seems clear; the purpose, role and implementation of consultation at the differing credential levels have caused confusion for many EMDRIA Approved Consultants (AC). This workshop will provide both comprehensive reviews of clinical and administrative issues of the four types of consultation conducted by Approved Consultants. The clinical review includes, but is not limited to, the level of competency, skills and capabilities that should be demonstrated at each credential level. The administrative review will include organizational strategies for effective evaluation and record-keeping, as well as the formal documentation requirements of EMDRIA.
Keywords: Consultation
Accuracy Verified: Yes
195. 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
196. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia.
Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee.
Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.:
• Diagnosi descrittiva.
• DSM IV: chiarezza classificatoria.
• Multifattorialità dei disturbi dell'alimentazione.
• Integrazione dell’EMDR nel trattamento: quando e con quale paziente.
• Ricerca dei target significativi nella storia di vita del paziente.
• Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave
• La motivazione al cambiamento nei pazienti difficili.
• La relazione terapeutica.
• Intervento psicoeducazionale.
• Lavoro sui target del passato.
• Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali.
• Lavoro sui target del presente (gestione delle “emergenze”)
• Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento.
• Discussione di casi.
Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.
Keywords: Eating Disorders
Accuracy Verified: Yes
197. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het
vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van
de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model
zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd.
De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek.
De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo.
Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.
This presentation will be presented a conceptual model for
Finding the key traumatic experiences (targets) that form the basis of
the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model
will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment.
The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues.
The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination.
This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.
Keywords: Schema Focused Therapy
Accuracy Verified: Yes
198. Nofal, S. (2008). EMDR en temas de fertilidad e infertilidad [EMDR in issues of fertility and infertility]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 289-330). Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract:
No abstract available.
Keywords: Fertility Infertility
Accuracy Verified: Yes
199. 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)
Accuracy Verified: Yes
200. Farrell, D. (2010, March). EMDR Europe accreditation session. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Over the last number of years EMDR
Europe has developed a Competency Based Framework for EMDR clinicians seeking
accreditation as either an EMDR Europe Practitioner or Consultant. The rationale behind
this initiative is that EMDR Europe wanted to standardise the requirement for accreditation
across all member nations as part of EMDR Europe. These new competency frameworks
have made a significant contribution in achieving this. The need to enhance the
importance of accreditation within EMDR is extremely important in terms of treatment
fidelity, future research and development, and quality assurance.
The purpose of this session is twofold; firstly to explore the key attributes of each of these
EMDR Europe competencies based frameworks and explain how the accreditation process
works within EMDR UK & Ireland. Secondly, a question and answer aspect focussing upon
individual aspects to address people’s specific issues, concerns or queries EMDR clinicians
may have in relation to EMDR Europe accreditation either as a practitioner or consultant.
Keywords: Accreditation Competency-Based Framwork
Accuracy Verified: Yes
201. Farrell, D. (2010, March). EMDR Europe accreditation session. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Over the last number of years EMDR
Europe has developed a Competency Based Framework for EMDR clinicians seeking
accreditation as either an EMDR Europe Practitioner or Consultant. The rationale behind
this initiative is that EMDR Europe wanted to standardise the requirement for accreditation
across all member nations as part of EMDR Europe. These new competency frameworks
have made a significant contribution in achieving this. The need to enhance the
importance of accreditation within EMDR is extremely important in terms of treatment
fidelity, future research and development, and quality assurance.
The purpose of this session is twofold; firstly to explore the key attributes of each of these
EMDR Europe competencies based frameworks and explain how the accreditation process
works within EMDR UK & Ireland. Secondly, a question and answer aspect focussing upon
individual aspects to address people’s specific issues, concerns or queries EMDR clinicians
may have in relation to EMDR Europe accreditation either as a practitioner or consultant.
Keywords: Accreditation Competency-Based Framwork
Accuracy Verified: Yes
202. Greenwald, R., Soberman, G., Shelton, D., & Fisher, B. (2000, September). EMDR for conduct problems. Presentation at the International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify several significant contributing factors in the development and persistence of conduct problems; 2) describe several clinical applications of EMDR which are pertinent to the clinical issues presented by the conduct problem population; 3) discuss the findings of the study in which brief EMDR treatment was added to standard care for boys with conduct problems; 4) discuss the findings of the study in which the MASTR protocol was used with middle and high school students - also the preliminary findings of the MASTR study with incarcerated juveniles; and 5) discuss the findings of the study which "enhanced" EMDR was used with domestic violence offenders.
Keywords: Brief EMDR Treatment Conduct problems Domestic Violence Offenders Enhanced EMDR Incarcerated Juveniles MASTR Protocol
Accuracy Verified: Yes
203. Peterson, G. (2002). EMDR for women who experience traumatic events. Journal of Clinical Psychiatry, 63(11), 1047-1048. Author reply 1048..
Language: English
Format: Journal
Abstract:
Comments on an article by E. B. Foa and G. P. Street,"Women and Traumatic Events, Journal of Clinical Psychiatry, Vol 62(Suppl 17), 2001. Special issue: Understanding posttraumatic stress disorder, pp. 29-34 regarding psychotherapeutic interventions for women with PTSD. It is noted that Foa and Street describe other psychotherapy procedures, but do not mention eye movement desensitization and reprocessing (EMDR). Peterson cites that in Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies [ISTSS] , 2 psychotherapy treatments for PTSD are listed as having been shown to be effective: exposure therapy and EMDR. SIT is reported to have had 2 well-controlled studies published on the treatment of PTSD. Both SIT studies were with female sexual assault victims. It is concluded that given that EMDR has been established as effective in the ISTSS guidelines, it may be important for the reader to know that this form of therapy may be applied when confronting the issues addressed in this article. A comment by Foa follows. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Females Letter Posttraumatic Stress Disorder PTSD Rape
Accuracy Verified: Yes
204. Peterson, G. & Foa, A. (2002, November). EMDR for women who experience traumatic events [4] (multiple letters). Journal of Clinical Psychiatry, 63(11), 1047-1048.
Language: English
Format: Journal
Abstract:
It is noted that Foa and Street describe other psychotherapy procedures, but do not mention eye movement desensitization and reprocessing #EMDR#. Peterson cites that in Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies [ISTSS] , 2 psychotherapy treatments for PTSD are listed as having been shown to be effective: exposure therapy and EMDR. SIT is reported to have had 2 well-controlled studies published on the treatment of PTSD. Both SIT studies were with female sexual assault victims. It is concluded that given that EMDR has been established as effective in the ISTSS guidelines, it may be important for the reader to know that this form of therapy may be applied when confronting the issues addressed in this article. A comment by Foa follows. #PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Females Letter Posttraumatic Stress Disorder PTSD Rape Reply
Accuracy Verified: Yes
205. Blore, D. (2004, February). EMDR for workplace trauma. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
The Industrial use of EMDR requires an understanding of the subtleties of multi-relationship working, it is not just about clinical change, but about commerce, efficiency and secondary agendas - and there are frequently dilemmas....This paper aims to solve some of the issues that arise when an EMDR clinician leaves the relative 'protection' of the NHS and uses EMDR in the 'real world' of commerce and industry. As such, this paper extends some of the principles discussed in the original paper: 'EMDR and the Workplace...helpful hints for the practitioner. The author starts by pointing our that Industry is not psychologically minded and that others' perceptions and agendas may be at odds with 'purest clinical objectives.' When using EMDR, this means modifying and stressing certain parts of the basic EMDR protocol. The remainder of the paper goes through the EMDR phases and identifies each change.
Accuracy Verified: Yes
206. 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
207. Mehrotra, S. (2013, June). EMDR in Asia: Needs, challenges and way ahead. Keynote presented at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This paper tries to highlight the milestones of some of the Asian EMDR Associations and the evolution of EMDR Asia and the practices and challenges faced. Some of the issues are related to the parity of trainees’ qualifications with those from USA, Europe and within Asia. Similarly it impacts upon the training standards. Attention is also drawn to the cultural, language and economical diversity. The task ahead is to reinforce the uniformity of EMDR practice by developing accreditation procedures, standardization, training standards, contents and duration, selection criteria and requirements for the trainees and trainers, certification process, curriculum, linkages with associations, methods of supervision and consultation. UN agencies have a huge presence in Asia for developmental and relief work. UN agencies engaged in a wide range of the health spectrum could make a huge difference if they promoted the efficacy of EMDR for effective management of psychological health. This would include the use of EMDR not only for manmade and natural disasters, but also for other chronic and life threatening illnesses e.g. HIV, cancer and other psycho-social issues related to mental health.
Keywords: Asia Diversity Keynote
Accuracy Verified: Yes
208. 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
209. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131.
Language: English
Format: Journal
Abstract:
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.
Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing
Accuracy Verified: Yes
210. Browning, C. (2000, March). EMDR in the inner city: Paterson, New Jersey. EMDRIA Newsletter, 5(1), 26.
Language: English
Format: Newsletter
Abstract:
During my Level I training, I couldn’t
help thinking about a family I’d treated
several years earlier while working in
Paterson, New Jersey, a
socioeconomically impoverished inner
city. The family was a grandmother and
four young grandchildren who had
recently been placed in her custody.
Their mother and little sister had been
brutally slaughtered with a knife by their
father while they were home. The four
surviving children were suffering from
nightmares about the incident, grief and
loss issues, and fears that their father
would get out of jail and come after them.
One of the children, a five-year-old girl,
had developed elective mutism. She had
narrowly escaped the same fate as her
mother and sister. The little girl had been
an eyewitness to the murders and as she
fled from her father, she slipped on her
mother’s blood and was nearly caught
by him. As I listened and learned at Level
I, I wished that I’d known EMDR when
I was working in Paterson.
Keywords: Family Violence: HAP Training
Accuracy Verified: Yes
211. Silver, S. (2012, October). EMDR in the military: Trauma, attachment and families. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This workshop provides participants with information on the unique nature of military service, including sources of stress and trauma not commonly found in the civilian sector. The current operational environment of the Global War on Terror as well as experiences and issues of veterans of other eras are covered. Military-based trauma can be complex and therapeutic approaches often need to take this into account as well as the value systems of military personnel. While EMDR is highly effective with service members, “fine tuning” of the protocol is often useful. Family problems in attachment are addressed.
Keywords: Attachment Families, Military Trauma
Accuracy Verified: Yes
212. Hacker-Hughes, J. (2008, October). EMDR in the MOD. Presentation at the 1st annual EMDR Yorkshire Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
Workshop to explore the issues and practice of utilising EMDR within the MOD.
Keywords: MOD
Accuracy Verified: Yes
213. Klaff, F., & Dutton, P. (2000, September). EMDR in the playroom: Creative processing. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the necessity of eliciting material from children in indirect, projective ways; 2) understand the meaning of "creative processing" in the EMDR context as a method of both accessing and treating children's problems where direct methods may fail to produce desired outcome; 3) learn specific skills which apply the EMDR method through the medium of fantasy, play, story, metaphor, sensory experience, and enactment; 4) learn how to apply the creative process to separate elements of the standard EMDR protocol, and to make adjustments appropriate to the age and developmental stage of the individual child; 5) observe direct use of EMDR creative processing techniques via case material and videotaped therapy sessions; and 6) recognize the importance of integrating family systemic issues into use of the techniques, as well as embedding the method into a total contextual treatment of the child.
Keywords: Children Enactment Fantasy Metaphor Play Sensory Experience Storytelling
Accuracy Verified: Yes
214. 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
215. Fannin, J. L. (1998, July). EMDR in the treatment of anxiety as it pertains to work-related issues. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn the components to the Reality Model and how each component impacts a person's behavior; 2) understand how specific measurement instruments can distinguish one's thinking and behavioral styles and in turn lead to the identification of one or more negative cognitions to be used in the EMDR process; and 3) learn key stratregies to making the EMDR process more effective in turning new skills into productive habits for the clients' daily life.
Keywords: Anxiety Reality Model Work-Related Issues
Accuracy Verified: Yes
216. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic
and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect
in one's appearance (American Psychiatric Association (APA),
1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT)
(Williams et al.. 2006). CBT interventions which are most often
described in the literature are exposure and response prevention
(ERP) and cognitive techniques. These interventions successfully
weaken the catastrophic expectations of the patients.
However, they do not affect the negative valence of patients'
appearance. This negative meaning is not inborn but acquired
during life through association with distressful or even traumatic
events. Patients with BDD often report stressful events as the
starting point of their complaints (Buhlmann et al., 2007) as
well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004).
Processing of these unprocessed memories might free the way
to the development of a more positive meaning of their appearance.
Indeed, case series have been described in which EMDR
has been successfully applied in the treatment of BDD (Brown
et al , 1997). In the first part of this workshop background information
will be presented which might help identifying BDD
patients who might profit from EMDR and planning subsequent
EMDR treatment. In the second part of the workshop we share
our experiences treating BDD patients with EMDR. Clinical issues
will be analysed using videotaped cases of patients for illustration.
The goal of this workshop is to increase knowledge and
understanding of the use of EMDR in the treatment for BDD.
American Psychiatric Association (APA) (1994). Diagnostic and
statistical manual of mental disorders. (4th ed.) Washington
DC. American Psychiatric Association.
Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body
dysmorphic disorder: Seven cases treated with eye movement
desensitization and reprocessing. Behavioural and Cognitive
Psychotherapy. 25(2), 203-207
Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007).
Perceived teasing experiences in body dysmorphic disorder.
Body Image. 4, 381-385.
Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004).
Spontaneously occurring images and early memories in people
with body dysmorphic disorder Memory, 12, 428-436.
Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta-
analysis of psychological and pharmacological treatments for
Body Dysmorphic Disorder. Behaviour Research and Therapy.
44, 99-111.
Keywords: Body Dysmorphic Disorder
Accuracy Verified: Yes
217. Schneider, J., Hofmann, A., Rost, C., & Shapiro, F. (2008, January-February). EMDR in the treatment of chronic phantom limb pain: Theoretical implications, case study, and treatment guidelines. Pain Medicine, 9(1), 76-82. doi:10.1111/j.1526-4637.2007.00299.x.
Language: English
Format: Journal
Abstract:
Objective: Little research substantiates long-term gains in the treatment of phantom limb pain. This report describes and evaluates an eye movement desensitization and reprocessing (EMDR) treatment with extensive follow-up. Design: A case series of phantom limb pain patients. Setting. In-patient hospitalization and out-patient private practice. Patients: Case series of five patients with phantom limb pain ranging from 1 to 16 years. All patents were on extensive medication regimens prior to EMDR. Interventions: Three to 15 sessions of EMDR were used to treat the pain and the psychological ramifications. Outcome Measures: Patients were measured for continued use of medications, pain intensity/frequency, psychological trauma, and depression. Results: EMDR resulted in a significant decrease or elimination of phantom pain, reduction in depression and posttraumatic stress disorder (PTSD) symptoms to subclinical levels, and significant reduction or elimination of medications related to the phantom pain and nociceptive pain at long-term follow-up. Conclusions: The overview and long-term follow-up indicate that EMDR was successful in the treatment of both the phantom limb pain and the psychological consequences of amputation. The latter include issues of personal loss, grief, self-image, and social adjustment. These results suggest that (1) a significant aspect of phantom limb pain is the physiological memory storage of the nociceptive pain sensations experienced at the time of the event and (2) these memories can be successfully reprocessed. Further research is needed to explore the theoretical and treatment implications of this information-processing approach. [PubMed]
Keywords: Chronic Pain Empirical Study Follow-up Study Phantom Limb Pain Quantitative Study
Accuracy Verified: Yes
218. van Rood, Y. R., & de Roos, C. (2009). EMDR in the treatment of medically unexplained symptoms: A systematic review. Journal of EMDR Practice and Research, 3(4), 248-263. doi:10.1891/1933-3196.3.4.248.
Language: English
Format: Journal
Abstract:
This systematic review presents evidence for the effectiveness of eye movement desensitization and
reprocessing (EMDR) in the treatment of a diverse range of medically unexplained symptoms (MUS).
Theoretical underpinning, variations in interventions, methodological issues, and outcomes are
discussed, and implications for future research and clinical practice are presented. Considering the
limited number of reported case series and the lack of controlled studies, it might be concluded that
EMDR for MUS is only in its infancy. The preliminary results suggest that EMDR might be an effective
treatment for MUS and somatoform disorders, particularly when they are related to trauma. To date, the
results for phantom limb pain are the most promising.
Keywords: Adaptive Information Processing AIP Medically Unexplained Symptoms MUS Somatoform Disorders Systematic Review
Accuracy Verified: Yes
219. Richman, A. (2006, March). EMDR in the treatment of victims of torture. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
As trauma therapists we are increasingly encountering the challenges of using
EMDR cross-culturally with highly traumatised clients who are refugees from wartorn
countries and/or oppressive regimes. This presentation seeks to address
some of the issues to be taken into consideration and the difficulties in working
with the victims of systematic infliction of physical and/or psychological torture.
Use of EMDR with these highly traumatised individuals will be examined and
ways in which the basic EMDR protocol may need to be adapted to treat these
highly traumatised individuals will be examined.
Keywords: Victims of Torture
Accuracy Verified: Yes
220. Jarero, I., Artigas, L., & Hartung, J. (2006). EMDR integrative group treatment protocol: A postdisaster trauma intervention for children and adults. Traumatology, 12(2), 121-129. doi: 10.1177/1534765606294561.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is recognized as an effective and efficient treatment for trauma-related issues. This article describes an integrated EMDR and group treatment for children and adults traumatized by natural disasters in several Latin American countries. This protocol combines the eight standard EMDR treatment phases with a group therapy model. The hypothesis is that the resulting hybrid offers more extensive reach than did the original EMDR model, which was intended for use with individuals, and takes treatment efficacy and efficiency well beyond that expected from traditional group process. To illustrate the application of the model, one formally measured field study and nine pilot projects are described. The promising results of this intervention suggest that EMDR is an effective means of providing treatment to large groups of people impacted by large-scale traumatic events (e.g., natural disasters). Controlled research is needed to clarify this issue.
Keywords: Children Latin America Natural Disaster Posttraumatic Stress Disorder PSTD Trauma
Accuracy Verified: Yes
221. 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
222. Laliotis, D. (2007, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach that is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma, but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious, but nonetheless, a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.
Keywords: Masters Series
Accuracy Verified: Yes
223. Zangwill, W. (2004, September). EMDR master series– I. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Many therapists erroneously think of EMDR as the phase of treatment involving eye movements or other forms of bilateral stimulation. EMDR treatment begins the moment there is contact between client and clinician. From first contact, to target assessment, from bilateral stimulation to reevaluation, effective EMDR processing depends on a case formulation that enables the clinician to vary EMDR implementation depending on the client's underlying issues and maladaptive coping strategies. Using discussion, videotapes and live demonstration, this presentation will provide the EMDR clinician with an increased ability to recognize and target both the clients' painful memories and their underlying blocking beliefs. In every aspect of EMDR, from developing a therapeutic relationship to choosing targets, from obtaining negative and positive cognitions to developing cognitive interweaves, and even knowing when to restart bilateral stimulation, developing and using a conceptual framework will enable the EMDR clinician to provide much more effective treatment.
Keywords: Master Series
Accuracy Verified: Yes
224. 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
225. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.
Accuracy Verified: Yes
226. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co.
Language: English
Format: Book
Abstract:
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include:
A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter.
The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone.
Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology.
The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD.
Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD.
Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu.
Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.
Keywords: Depression, Eating Disorders, Performance
Accuracy Verified: Yes
227. 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
228. Zangwill, W., & Britt, V. (2006, September). The EMDR therapist as case consultant. Presentataion at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
As EMDR's reputation for powerful and effective
treatment grows, EMDR clinicians are
increasingly being asked to provide services as
consulting or adjunct therapists. These
consultations can be intensely productive and
stimulating if done properly; they can also be
counterproductive if not. This workshop will
provide the consulting therapist with specific
techniques for ethical and effective treatment of
the patient and guidelines for working with the
primary therapist. It will include: 1) setting
realistic goals with both the patient and the
primary therapist; 2) exploring the eight phases
of EMDR treatment from a consulting
perspective; 3) understanding the ethical issues
concerned with this type of treatment; 4) dealing
with treatment implications such as splitting and
transference; 5) how to avoid common pitfalls
such as judging the primary clinician's
performance; and 6) the satisfaction of developing
an ongolng productive, collegial relationships.
The workshop will provide a step-by-step
framework for consultation work, clear case
examples and didactic information woven into a
lively interactive format.
Keywords: Case Consultation
Accuracy Verified: Yes
229. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
Accuracy Verified: Yes
230. Sadatun, T. I. (2008, June). EMDR therapy for tsunami & armed conflicts survivors in Nanggroe Aceh Darussalam, Indonesia. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Indonesian Province of Nanggroe Aceh Darusalam (NAD) is a region which is facing a unique set of problems,
among which is the protracted internal conflict, exacerbated by the tsunami on December 26, 2004. These events
have generated a widespread impact on the lives of the communities. One of the most crucial issues to be
addressed aside from legal, security, social and economic problems is the matter of health, including mental
health. In regards to mental health issues, comprehensive steps have been formulated into various mental health
care programs. One of the most needed programs is establishment of an educational system rooted in Indonesia
for the treatment of the posttraumatic stress syndrome (PTSD) of victims of crises and catastrophes through the
implementation of specific methods of treatment with a focus on the introduction of EMDR. With great support
from BMZ- TDH-Germany, HAP-Germany and Trauma Aid, capacity building on EMDR training has been
developed. Even though EMDR is highly effective as trauma healing therapy it is also a complex treatment to be
addressed in this specific population like in the province of NAD. Further than time constrain, limited numbers of
trauma therapist available and high numbers of severe cases that urgently need to be treated, complexities also
arises from cultural and religious aspects. The society in NAD is marked by decade long isolation, violent conflicts
for political self-determination and the strict interpretation of the Islam. The Sharia (doctrine of the Islam
including moral and judicial duties) was introduced as part of the laws. Due to this condition, for the time being
stabilization technique in EMDR is the most common technique that can be of widely used. In this presentation,
varieties of stabilization technique that have been used in this population will be addressed. More specifically, as
culturally adjustable method in therapy, this presentation will also introduce several culturally acceptable
stabilization techniques such as combining religious rituals (chanting, reciting) as personal resource with
stabilization technique. These techniques might be useful for other population with similar culture and religion.
Keywords: Armed Conflicts Nanggroe Aceh Darussalam, Indonesia Poster Survivors Tsunami
Accuracy Verified: Yes
231. Withers, D. (2001). EMDR therapy in the group setting. The Children’s Group Association Newsletter.
Language: English
Format: Newsletter
Abstract:
I had been doing EMDR with children for a number of years for trauma and resultant anxiety, depression, sleep disorders, nightmares, hair pulling and a variety of symptoms, with excellent results. EMDR, or Eye Movement Desensitization and Reprocessing, is a powerful tool that seems to have a direct on the way the brain functions, reducing the disturbance of traumatic events and allowing the client to see them in a new and less distressing way. Researchers worldwide publishing in prestigious journals have shown its efficacy. Having a background in dance and movement therapy, I had previously developed an innovation, EMDR Bilateral Movement Therapy groups, for women with body image issues who are in 3rd stage trauma recovery. (Presented at the 1999 EMDRIA Conference). It was during a conversation with an EMDR trained child psychiatrist about these groups that I realized what a natural application they would have with ADHD children.
Keywords: ADHD Attention Deficit Hyperactivity Disorder Children
Accuracy Verified: Yes
232. Shapiro, F. (2012). EMDR therapy: An overview of current and future research. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 193-195. doi:10.1016/j.erap.2012.09.005.
Language: English
Format: Journal
Abstract:
Introduction:
EMDR therapy is an eight-phase treatment approach widely recognized as a frontline treatment for trauma. Research over the past decade has addressed the utility of the eye movements, mechanism of action and comparisons with other forms of therapy.
Literature and clinical findings:
More than two-dozen randomized controlled trials (RCT) demonstrate the positive effects of EMDR therapy with trauma victims. Comparisons with trauma-focused cognitive behavioral therapy (TF-CBT) indicate comparable effects sizes. Approximately 20 additional RCT evaluated the eye movement component of EMDR in isolation, without the rest of the therapy procedures. These studies document a variety of positive effects, including a rapid decrease in distress and reduced clarity of the targeted disturbing image when compared to exposure-only conditions.
Discussion:
Research findings indicate that EMDR therapy and TF-CBT are based on different mechanisms of action in that EMDR therapy does not necessitate daily homework, sustained arousal or detailed descriptions of the event, and appears to take fewer sessions. EMDR is guided by the adaptive information processing model, which posits a wide range of adverse life experiences as the basis of pathology.
Conclusions:
Research is suggested to further explore mechanisms of action and address issues of efficiency and treatment differences. Rigorous research is also needed to investigate additional clinical applications.
Keywords: Research
Accuracy Verified: Yes
233. 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
234. 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
235. 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
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
236. Forgash, C. (2009, August). An EMDR treatment approach to addressing health problems of complex trauma survivors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: In this workshop, the EMDR clinician will learn how to deal with the effects of trauma, PTSD, illness, and chronic pain often suffered by complex trauma clients. Participants will understand how these issues interfere with access to healthcare and successful treatment. This workshop will demonstrate how to help the client avoid retraumatization in healthcare settings, by teaching interventions within the preparation phase for management of dissociation and affective problems, as well as PTSD symptoms. Clinicians will learn how to develop connections between present health problems (chronic illness, pain) and earlier trauma, to develop specific EMDR targets for reprocessing. This workshop will emphasize skills development and future template work.
Keywords: Health Problems Trauma Survivors
Accuracy Verified: Yes
237. Culver-Turner, R., & Miller, M. S. (2012, October). EMDR treatment for a transgender woman: A single-case study. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
A single-case study illustrated how EMDR was utilized with a biological male who experienced female gender identity. The client presented with difficulty in decision-making and stress regarding the female gender identity expression and transition. As trauma and EMDR ressearch has indicated, the client needed to process through ealrier and recent traumatic memories in order to clarify gender expression and transitioning decisions (Richmond, Burnes & Carroll, 2012). Previous traumatic experiences included being the recipient of transgender discrimination and prejudice. Results indicated that EMDR can be a helpful tool for processing trauma and assist decision making regarding expressing gender identity and transitioning.
Keywords: Case Study Gender Identity Poster, Transgender Issues
Accuracy Verified: Yes
238. Konuk, A. (2010, June). EMDR treatment of chronic daily headache and migraine. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Chronic headache is a prevalent clinical problem
which affects negatively the majority of the population. The
most common type of headache is migraine and tension headache.
These can decrease the functioning and the quality of
life of people who suffer from headaches in different contexts
as work, family, school and social life. In addition, a lot of psychological
disorders such as depression and anxiety are seen or
occur in people who have headaches.
Purpose: The purpose of this study is to investigate the effectiveness
of EMDR (Eye Movement Desensitization and Reprocessing)
on Chronic Daily Headache and Migraine. Within this
framework there are three goals, one of which is to measure the
efficiency of EMDR treatment on chronic headache population.
The second one is to develop an EMDR Headache Protocol so
that the treatment is standardized and will be used, revised and
updated by researchers and clinicians in the future. The third
one IS to find an answer to the question: How long does it take
to treat a headache? That is, to determine the minimum and
maximum sessions necessary for the treatment.
Method: The study is carried out at Gaziosmanpa,sa Hospital
Neurology Department in Istanbul with 11 Turkish patients
who had suffered from chronic daily headache and migraine.
The sample of this study consisted of 9 women and 2 males.
Results: The results demonstrated that the frequency, the intensity
and the duration of headaches were reduced by using
EMDR Also it was shown that the number of emergency visits
and the amount of painkillers used were decreased. The study
will be explained in more detail and the results will be discussed
during the presentation.
Our learning objectives are:
1. to gain theoretical information about the rationale of using
EMDR in treatment of chronic headache and migraine
2. to gain empirical information about the efficacy of this treatment
and
3. to discuss the EMDR Headache Protocol as well as the number
of sessions necessary for the treatment.
In previous studies, EMDR has been found to be efficient in the
treatment of chronic pain. Nevertheless, there was a gap in the
literature regarding the efficacy of EMDR in the treatment of
chronic daily headache and migraine.
The novelties that are provided by this current study are
1. It may be an alternative treatment for chronic headache and
migraine in the future
2. although the research question needs further investigation, it is the first empirical study which examines the effectiveness
of this treatment.
Keywords: Headache Medical Issues Migraine Symposium
Accuracy Verified: Yes
239. Holmshaw, M. (2001, May). EMDR treatment of sexual dysfunction. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The prevalence of sexual dysfunction in women within primary care settings is often
estimated to be as high as 42% with vaginismus, pain with intercourse, anorgasmia and lack
of sexual desire being most commonly reported. Additionally, major clinical complaints
among women often centre on their dissatisfaction with such non-genital behaviours as
affection, communication, and non-genital touching, as well as issues of attraction and
passion. Despite this high prevalence of sexual disorders, and the use of psychotherapy and
sexual therapy in treatment the problems women experience,this is a frequently neglected
area of both research and development of new treatment tdchniques. In fact, referring to
vaginismus, some authors conclude the basic strategies and methods for assessing and
treating vaginismus were proposed by the early 20th Century and have not essentially
changed.
This paper discusses an alternative approach to treatment vaginismus and "sexual phobia" in
women. By way of case study material, the use of EMDR in combination with sensate focus
techniques with partner involvement, is discussed. In a significant number of cases, past
trauma and severe body image disturbances were detected. EMDR was successful not only in
resolving such trauma, but also in correcting distorted body image and enabling imaginary
exposure to appropriate sexual behaviour.
Keywords: Sexual Dysfunction
Accuracy Verified: Yes
240. 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
241. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India .
Language: English
Format: Conference
Abstract:
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization;
speed 1 deals with desensitizing future fears;
speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients
Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation.
If they slow down, it is because they have good enough reasons, whether conscious or not.
What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”
Keywords: Gearbox
Accuracy Verified: Yes
242. ter Heide, F. J. J., Mooren, T. M., Kleijn, W., de Jongh, A., & Kleber, R. J. (2011, August). EMDR versus stabilisation in traumatised asylum seekers and refugees: Results of a pilot study. European Journal of Psychotraumatology, 2, 5881. doi:10.3402/ejpt.v2i0.5881.
Language: English
Format: Journal
Abstract:
Background: Traumatised asylum seekers and refugees are clinically considered a complex population. Discussion exists on whether with this population treatment guidelines for post-traumatic stress disorder (PTSD) should be followed and Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT) or Eye Movement Desensitisation and Reprocessing (EMDR) should be applied, or whether a phased model starting with stabilisation is preferable. Some clinicians fear that trauma-focused interventions may lead to unmanageable distress or may be ineffective. While cognitive-behavioural interventions have been found to be effective with traumatised refugees, no studies concerning the efficacy of EMDR with this population have been conducted as yet. Objective: In preparation for a randomised trial comparing EMDR and stabilisation with traumatised refugees, a pilot study with 20 participants was conducted. The objective was to examine feasibility of participation in a randomised trial for this complex population and to examine acceptability and preliminary efficacy of EMDR. Design: Participants were randomly allocated to 11 sessions of either EMDR or stabilisation. Symptoms of PTSD (SCID-I, HTQ), depression and anxiety (HSCL-25), and quality of life (WHOQOL-BREF) were assessed at pre- and post-treatment and 3-month follow-up. Results: Participation of traumatised refugees in the study was found feasible, although issues associated with complex traumatisation led to a high pre-treatment attrition and challenges in assessments. Acceptability of EMDR was found equal to that of stabilisation with a high drop-out for both conditions. No participants dropped out of the EMDR condition because of unmanageable distress. While improvement for EMDR participants was small, EMDR was found to be no less efficacious than stabilisation. Different symptom courses between the two conditions, with EMDR showing some improvement and stabilisation showing some deterioration between pre-treatment and post-treatment, justify the conduct of a full trial. Conclusion: With some adaptations in study design, inclusion of a greater sample is justifiable to determine which treatment is more suitable for this complex population.
Keywords: Asylum Seekers Refugees Posttraumatic Stress Disoder PTSD TF-CBT Trauma-Focused Cognitive-Behavioural Therapy
Accuracy Verified: Yes
243. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques
Accuracy Verified: Yes
244. 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.
Accuracy Verified: Yes
245. Tinker, R. H., & Wilson, S. A. (2007, June). EMDR with children around the world: Sixteen years later. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The present workshop will be primarily practice oriented,
with the morning session focusing on Age-Related Protocols
with progressively younger children (down to age
one year), and the afternoon session focusing on the use
of EMDR in a group format with children traumatized by
war. We will present data on its effectiveness with two
groups of Ethnic Albanian refugee children held in a German
refugee camp. A group exercise will assist workshop
participants in understanding the protocol for group administration
of EMDR. Other research considerations will
be presented, related to successful and unsuccessful projects
with children. Also in the afternoon, we will target
the more severe disorders of childhood, such as multiply-traumatized
children and attachment disordered children.
We will give attention to issues related to
trauma-based diagnosis, the use of art with EMDR, and a
treatment model featuring short interventions throughout
the developmental years and how these affect developmental
trajectories. Throughout the workshop, we
will use videotapes to illustrate the issues that are most
salient, the importance of attunement and finer points of
technique
Keywords: Children
Accuracy Verified: Yes
246. 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
247. 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
248. Seubert, A. (2005). EMDR with clients with mental disability. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 293-311). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
Until recent times those with the dual diagnosis of mental retardation and mental health issues were deemed inappropriate candidates for counseling or psychotherapy. Dysfunctional behaviors and emotional displays generated by mood disorders, grief, or trauma were often written off as part of the mental disability, in what has come to be known as diagnostic overshadowing. Time, experience, and compassion have changed this. Counseling and psychotherapy have been shown to be "feasible and successful" with this population. Most effective are approaches that utilize and integrate concrete, experiential, and behavioral aspects of the treatment. The task and responsibility of the therapist is to follow the client's internal and interpersonal process as it reveals itself and find the ways, means, and language to facilitate this organic movement toward well-being. [Text, p. 293] [Pilots]
Keywords: Mentally Retarded Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
249. Hughes, J. H. (2006, March). EMDR with combat veterans. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
EMDR is a useful tool in the clinical armarnentarium for the treatment of
posttraumatic stress reactions in service personnel who have been involved in
armed conflict. Some of the issues involved in working with this client group will
be discussed and illustrated, where appropriate, with case material.
Outcome measures of the successful use of EMDR with this population will be
presented.
Keywords: Combat Veterans
Accuracy Verified: Yes
250. Anton, A. (1995). EMDR with couples. EMDR Network Newsletter, 5(3), 5-6.
Language: English
Format: Newsletter
Abstract:
It is generally held that EMDR is not
to be used with couples, and I agree
that it is not appropriate to do so when
the primary items being dealt with are
such issues as power, intimacy, trust,
communication, conflict, or control of
impulses and emotions. However, I
discovered recently that EMDR can be
used successfully and effectively with
couples in at least one particular type
of circumstance. The circumstance I
have in mind is that in which a couple
faces an external threat or severe loss
that creates a crisis atmosphere to
which each member of the couple is
reaching considerable anxiety and
extreme distress. However, rather
than allowing their relationship to
degenerate into mutual blaming and
fault-finding, the members of the
couplemaintain their bonding to each
other, continue to support each other,
and constitute a unified front in regard
to the threat or loss.
Keywords: Couples Couples Therapy
Accuracy Verified: Yes
251. Yule, W. (2004, February). EMDR with PTSD in children and adolescents: Overview and prospects. Keynote presented at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
As with many therapies, the evidence base for the effectiveness of EMDR with children and adolescents is much less established than that with adult clients suffering PTSD. Whilst there is sufficent evidence from open studies and case studies to justify its application, there is a real need for proper evaluation with the younger clinical groups. This paper will review
existing evidence, but will also raise issues of the implications for clinical practice of working with rapidly developing children. To what extent
can and should one takecognisance of th e developmental levels, both cognitive and emotional? How is or should EMDR technique be adapted for work with young children? The actual practices of Shapiro and Tinker vary dramatically, and this needs tbe confronted and understood. The conclusions are that EMDR has an important role In helping traumatized children, but we need to understand both children and EMDR
better in order to develop even more effective interventions.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
252. Mosquera, D. (2012, March). EMDR with trauma and narcissism [EMDR met trauma en narcisme]. Keynote resentatie op de 6e congres van de Vereniging EMDR Nederland, Arnghem, The Nederlands.
Language: English
Format: Conference
Abstract:
The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms, and when narcissistic features are described, they tend to be considered as characteristics of the abusive figure. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Although this picture describes some situations related to maltreatment and abuse, it can be simplistic and minimize or overlook internalization of some abuser features by victims (e.g., the presence of perpetrator-imitator parts in DID). Narcissistic features can be a cause and consequence of traumatization and can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization.
A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-centered profile.
A description of different profiles characterized by self-centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations.
To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.
Keywords: Narcissim
Accuracy Verified: Yes
253. Cooper, A. (1995, June). EMDR with victims of trauma: Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive
training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills.
It is uncertain what percentage follow through in this regard.
Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys).
Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR
has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With
correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and
awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and
treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the
mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of
what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive
way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals.
Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those
professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they
work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree
that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the
challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a
successful course of therapy and a disaster.
Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many
therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1
responses which arise and how they are communicated to the patient.
In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with
victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and
what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate
certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will
engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e.,
countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or
less effective usage of EMDR.
Keywords: Trauma
Accuracy Verified: Yes
254. Foster, S., Lendl, J., & Paulsen-Inobe, S. L. (2000, September). EMDR – Integrated coaching for effective leadership and innovative strategic visioning. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand and be able to describe the theoretical foundation for applying a trauma methodology to issues of optimal performance; 2) observe and practice effective techniques for positive resource installation for peak performance; and 3) be able to identify specific targets and negative and positive cognitions for enhancing leadership and increasing productivity using EMDR - integrating coaching.
Keywords: Coaching Performance Enhancement Resource Installation
Accuracy Verified: Yes
255. 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
256. 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
257. Grand, D. (2003, May). EMDR, creavitity and the brain. In E. Tizzabu and M. Jakobsen (Chairs), EMDR empowering. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
This paper addresses how creativity has been interwoven into the discovery and development of EMDR, how EMDR is an effective tool in unblocking and enhancing creativity and how our understanding of the brain enhances our knowledge in this area. Dr. Shapiro’s inspiration leading to her discovery and development EMDR are the underpinnings of EMDR and its interweave with creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR can be conceptualized as a co-creative process.
This paper also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of daily living of non-artists. The EMDR protocol can be used to target creative blocks as trauma is an integral part of these blocks. The EMDR future template is a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists.
[Author abstract]
Keywords: Brain Creativity Empowerment Symposium
Accuracy Verified: Yes
258. Yoeli, F., & Prattos, T. (2009). The EMDR-accelerated information resourcing (EMDR-AIR) protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 31-45). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The EMDR Accelerated Information Resourcing Protocol (EMDR-AIR Protocol®) is designed to accelerate the search for the resources necessary to resolve the client's current crisis or long-term issues. The idea evolved from the "Double-Hai" paradigm (Yoeli & Prattos, 2005), which is a short-term intervention for use with couples. The EMDR-AIR Protocol is designed to look for that learned generational reaction to trauma that the client is currently using to cope with the current situation while, at the same time, tapping into the historical strengths and resources that enabled survival. These resources are found through the rapid accessing of client history by using the Multi-Tiered Trans-Generational Genogram (MTTG). The MTTG is a format that brings life and new energy into your work with clients and into the life of your client. As the therapist and the client evolve the MTTG, the client teaches the therapist and himself about his richly textured history. Through the legacy of this history, the client gains clarity about his circumstances and an appreciation of life under the best and worst circumstances. Through the practitioner's interest and curiosity, the client learns the fascination that comes from viewing the dynamics of his family through the generations. The process creates a longer lasting effect, solidifying the results of the EMDR session [(PsycINFO Database Record (c) 2009 APA]
Keywords: Accelerated Information Resourcing AIR Protocol
Accuracy Verified: Yes
259. 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
260. Allen, G. J., Cónsole D. A., & Keller, M. W. (1998). EMDR: A closer look. New York: Guilford Press.
Language: English
Format: Video
Abstract:
This video provides an insightful view of Eye Movement Desensitization and Reprocessing (EMDR), probing both its widespread popularity and areas of controversy. Larry Beutler, prominent psychotherapy researcher, serves as commentator in a program that features Francine Shapiro, EMDR's originator, as well as others in the field. The video offers a demonstration of the eight-step EMDR protocol and explores a range of issues surrounding this unique therapy. The accompanying manual by Jon Allen and associates reviews the clinical protocol and available research and features a helpful patient education handout. (Video and Manual)
Keywords: Manual Practice Theory Video
Accuracy Verified: Yes
261. Nadler, W. (1996, January). EMDR: Rapid treatment of panic disorder. International Journal of Psychiatry, 2, 1-8.
Language: English
Format: Journal
Abstract:
This article describes Eye Movement Desensitization and Reprocessing (EMDR), a new treatment for Panic Disorder, and gives as an example of its application, details of a recent case which resulted in alleviation of panic attacks and a significant decrease in anticipatory anxiety within two sessions. The EMDR method also brought into consciousness a nexus of underlying issues and conflicts concerning loss, separation, anger and guilt. Implications for the treatment of panic are discussed within the context of the etiology of panic including the disparate ideas of Davanloo and Clark. EMDR may possess unique features that allow for a diverse array of treatment targets ranging from conditioned interoceptive sensations and catastrophic beliefs to repressed rage and grief. [Author abstract]
Keywords: Panic Disorders
Accuracy Verified: Yes
262. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference.
Language: English
Format: Conference
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is
now recommended as a front line treatment for trauma in the Practice Guidelines of American
Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is
an integrative psychotherapy that offers a new and distinct approach to personality
development and the treatment of pathology.
The clinical applications of EMDR with an information processing focus can be used as a general
model of psychotherapy addressing a full range of issues of everyday clinical practice, including
family therapy impasses. Increasingly, research evidence is showing that there’s a kind of
psychological change that can happen at the level of adaptive information processing, opening
up the possibility of powerful therapeutic effects that can exceed expectations both in the speed
and depth of their impact.
In this presentation, you’ll get an experience of the implicit and associational memory networks
that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll
learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but
also to personality disorders, depression, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
EMDR group protocols will be illustrated that have been used worldwide after both natural and
man-made disasters. It is believed that the treatment of trauma through networks of clinicians
can aid in breaking the cycle of violence worldwide.
Keywords: Webcast
Accuracy Verified: Yes
263. 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
264. Tufnell, G. (2002). EMDR: Working with the legal system. In J. Morris-Smith (2002) EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 37-41) London: The Association for Child Psychology and Psychiatry.
Language: English
Format: Book Section
Abstract:
This paper reviews the issues with which EMDR practitioners need to be familiar when working with EMDR in a legal context. It will cover issues relating to good practice in the legal context including consent, reliability of evidence and expert witness work. It will include comparisons of hypnosis, claims of false memory, and whether or not to use or withhold EMDR before court work. The paper will assume a basic knowledge of both the legal issues affecting the work of psychotherapists in general and the basics of EMDR practice and will focus mainly on questions specifically relating to the use of EMDR in legal case.
Accuracy Verified: Yes
265. Perkins, B., & Rouanzoin, C. C. (2002, June). EMDR: Clarifying points of confusion and providing information. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Confusion regarding EMDR has lead to the need for the education of clients and professionals alike. Participants will learn the theoretical, empirical, and historical issues regarding EMDR and 1) placebo effects; 2) exposure procedures; 3) the eye movement coponent; 4) treatment fidelity issues; 5) outcome studies; and 6) charges of "pseudoscience." This information can then be used to educate clients and other professionall regarding EMDR.
Accuracy Verified: Yes
266. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children
of different ages, including single traumas, multiple traumas, complex
disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop,
participants will be able to discuss and understand the above topics.
Keywords: Children War Refugees
Accuracy Verified: Yes
267. Rosenthal, D., & Little, K. (1999, June). EMDR: PTSD application case studies in a state inpatient forensic facility. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participant will be able: 1) describe the application of various test instruments in the appraisal of clinical EMDR response in a correctional inpatient population; 2) desribe at least two variations in EMDR treatment as applied to an inpatient correctional population; and 3) describe at least two clinical and ethical issues in the PSTD treatment of an offender-patient with concurrent psychosis.
Keywords: Correctional Population Inpatient Forensic Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
268. 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
269. Montgomery, R. W. (1993). An empirical investigation of eye movement desensitization. Georgia State University, Atlanta, GA. AAT 9409413.
Language: English
Format: Dissertation/Thesis
Abstract:
Recently, a series of studies have presented a highly unorthodox procedure, Eye Movement Desensitization (EMD), which involved the repeated exposure of a subject to their own disturbing memories while generating a series of saccadic eye movements. These reports are largely clinical case reports, therefore the technique has not been empirically validated. The current investigation determined if the simple saccadic eye movements (rhythmically tracking a stimulus) in conjunction with the repeated exposure decreased the intensity of disturbing memories experienced in PTSD or whether such decreases could be obtained through repeated exposure alone. Subject's self-reports and physiological information regarding the discomfort experienced during their disturbing memories were recorded prior to, during, and following treatment. Diagnostic procedures including a structured clinical interview were utilized in making diagnoses.A series of three multiple baseline across subjects single-case experimental designs were utilized. Results indicate that rates of distress were uniformly high during the intake/baseline. The initial control treatment condition, Shapiro's EMD treatment package minus the saccadic eye movements, was ineffective in altering these high levels of distress. Treatment of these 6 patients with the EMD protocol resulted in 5 of the 6 subjects showing clinically significant decreases in their self-reported levels of distress around their intrusive disturbing memories. Physiological data also reflected greater positive change during the EMD treatment for each subject. Overall, the EMD treatment protocol resulted in over a 70% decrease in self-reported distress across the 6 subjects investigated. This investigation of the use of EMD with non-combat PTSD subjects reflects the first investigation of EMD with this population utilizing single-case experimental methodology. The results were clear and dramatic. The treatment was effective with 5 of the 6 subjects and for that subject who reported no positive changes issues of secondary gain for continued disability were salient. Overall, this report represents an attempt to investigate EMD with a PTSD population utilizing a systematically replicated multiple baseline across subjects design. Further investigation, particularly focusing on treatment package dismantling, is therefore called for with EMD. [Author Abstract]
Keywords: Clinical Trial Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
270. Lohr, J., Kleinknecht, R., Tolin, D., & Barrett, R. (1995, December). The empirical status of the clinical application of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 285-302. doi:10.1016/0005-7916(95)00041-0.
Language: English
Format: Journal
Abstract:
The published reports of the clinical application of eye movement desensitization and reprocessing (EMDR) are reviewed in terms of empirical validity. Case studies, single-subject experiments and group design experiments on clinical problems are evaluated for the effectiveness of the protocol, component effects, comparative effects and treatment fidelity. Classification of disorders and measurement issues are addressed. The protocol frequently reduces verbal report and independent observer ratings of distress - strikingly in some instances. Psychophysiologic measures show little effect of treatment. There is little empirical evidence to indicate the effect of treatment on motoric or behavioral indices. Eye movements do not appear to be an essential component of treatment, and there have been no substantial comparisons with other treatments. No studies have adequately controlled for nonspecific (placebo) effects of treatment. Suggestions are made for applying improved methodological controls for future applications of EMDR to clinical disorders. [Author Summary]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
271. 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
272. Reyes, G., Elhai, J. D., & Ford, J. D. (2008, October). The encyclopedia of psychological trauma. Hoboken, NJ: John Wiley & Sons.
Language: English
Format: Book
Abstract:
Every major healthcare, social and behavioral science, education, and human services discipline and sub-specialty now includes trauma/posttraumatic stress disorder as a focal topic for researchers, educators, and practitioners. The Encyclopedia of Psychological Trauma is the only authoritative reference on the scientific evidence, clinical practice guidelines, and social issues addressed within the field of trauma and posttraumatic stress disorder. Edited by the leading experts in the field, mental health practitioners will turn to this resource for complete coverage of evidence-based and standard treatments and topics as well as controversial topics including EMDR, virtual reality therapy, and much more.
Keywords: Trauma
Accuracy Verified: Yes
273. Moses, M. D. (2007). Enhancing attachments: Conjoint couple therapy. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 146-166). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter addresses the integration of EMDR processing when working with couples in conjoint therapy, specifically targeting the problem of attachment issues. When precautions are taken, applying EMDR with couples produces the potential for a deepand mutually productive experience. EMDR’s uniquely rapid processing of interrelated attachment issues lessens the intensity of “triggers” and can free the couple from their long-standing impasses. Many couples struggle with over- or under-reactivity, generally referred to as “triggers”. These triggers are typically rooted in early attachment injuries, as well as injuries generated from the couple’s own relationship. While EMDR is most commonly used in individual treatment, it can also be bridged to the relationship system as a powerful and effective treatment modality for couples. The therapeutic effect of the partners witnessing each other’s EMDR processing work is often enormous. Done conjointly, each partner becomes increasingly more compassionate and understanding of the other. Ultimately, progress is hastened … enhancing the therapy, and allowing the couple to develop new and more fulfilling connections and attachments. In sequence, this chapter covers the following areas: attachment issues from a Family Systems perspective; therapeutic guidelines for EMDR usage with couples; identification of “small t” attachment triggers; indications and contraindications; a specific EMDR protocol for work with couples; two detailed couples case illustrations and treatments, focused on problems rooted in attachment issues; and finally, reflection and discussion of the advantages and benefits for integrating EMDR into work with couples.
Keywords: Attachment Attachment Behavior Conjoint Couple Therapy Conjoint Therapy Couples Couples Therapy Marriage Counseling
Accuracy Verified: Yes
274. Hartung, J. (2009). Enhancing postive emotion and performance with EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 339-375). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive quality, or hoping to fine-tune existing skills. The scripts accompany a model that has been taught in a number of countries to therapists, coaches, and human resource advisors. The model combines elements of coaching and psychotherapy. Coaches attend to a client's skills and deficits, look for solutions that are behavioral and strategic, and focus on the present and future while downplaying the past. Psychotherapists, on the other hand, attend to the client's internal experience: emotions, self-talk, beliefs, and other not-so-observable factors. The focus is largely on the past and present. It follows that the model will be most useful to persons who practice both coaching and psychotherapy. As a coach, the practitioner is familiar with the situation in which the client seeks to perform, whether the client hopes to run faster, lead more effectively, parent better, or study smarter. Competency issues for coaches have been detailed by Hays. As a psychotherapist, the practitioner—it will be assumed—will be comfortable using EMDR in the treatment of traumatic memories and other matters that interfere with the client's personal growth. This chapter provides appropriate scripts. [PsycINFO Database]
Keywords: Performance Positive Emotion Protocol
Accuracy Verified: Yes
275. Butler, K. (1993, November/December). The enigma of EMDR: Too good to be true?. Family Therapy Networker, 17(6), 19-31.
Language: English
Format: Magazine
Abstract:
Since 1987, when an unknown clinical psychology graduate student named Francine Shapiro discovered the technique while walking in a California park, more than 4,000 therapists in America, Israel and Australia have been trained in eye movement desensitization and reprocessing (EMDR), and it has captured the attention of respected therapists from widely divergent psychological traditions.This article discusses the effectiveness of such treatment, including clinical, research, professional and ethical issues. Emphasis is especially given to the importance of training therapists in its use. [Adapted from Text, p. 22]
Keywords: Professional Training
Accuracy Verified: Yes
276. Luber, M., & Shapiro, F. (2010). Entretien avec Francine Shapiro: Aperçu historique, questions actuelles et directions futures de l'EMDR [Interview with Francine Shapiro: Historical, current issues and future directions of EMDR]. Journal of EMDR Practice and Research, 4(2), 1E-17E. doi:10.1891/1933-3196.3.4.217.
Language: French
Format: Journal
Abstract:
Cet entretien avec Dr Francine Shapiro, inventrice et conceptrice de la thérapie EMDR (Eye Movement
Desensitization and Reprocessing : thérapie d’intégration neuro-émotionnelle par des stimulations bilatérales
alternées) apporte un aperçu de l’histoire et de l’évolution de l’EMDR depuis ses origines jusqu’aux
résultats actuels et à leur utilisation, ainsi que les directions futures pour la recherche et le développement
de la clinique. Dr Shapiro examine les traditions psychologiques qui ont guidé le développement
de l’EMDR et le modèle de l’information adaptative, ainsi que les implications pour les traitements
actuels. La logique qui sous-tend l’application de l’EMDR à un large éventail de troubles est envisagée,
tout comme son intégration avec d’autres approches thérapeutiques. Les sujets évoqués comprennent la
recherche sur le rôle des mouvements oculaires, l’utilisation de l’EMDR avec les vétérans de guerre, les
troubles somatoformes, les questions de l’attachement et les caractéristiques uniques de l’EMDR qui ont
permis son utilisation lors d’interventions de crise à travers le monde.
This interview with Dr. Francine Shapiro, inventor and developer of EMDR (Eye Movement Desensitization and Reprocessing: Integration Therapy Neuro-Emotional alternating bilateral stimulation) provides an overview of the history and evolution of EMDR from its origins to the present results and their use as well as future directions for research and development of the clinic. Dr. Shapiro examines the psychological traditions that have guided the development of EMDR and adaptive information model, and the implications for current treatments. The logic behind the application of EMDR to a wide range of disorders is considered, as its integration with other therapeutic approaches. Topics discussed include research on the role of eye movements, the use of EMDR with war veterans, somatoform disorders, issues of attachment and the unique features of EMDR which allowed its use in Response to crisis around the world.
Accuracy Verified: Yes
277. EMDR Professional Issue Committee (EPIC) (1991, August). EPIC: EMDR Professional Issues Committee. EMDR Network Newsletter, 1(1), 3.
Language: English
Format: Newsletter
Abstract:
It is a pleasure to announce the formation of the EMDR Professional Issues
Committee. The purpose is to provide a forum for the discussion of ethical and
professional concerns arising out of the use of EMDR.
Keywords: EMDR Professional Issues Committee EPIC
Accuracy Verified: Yes
278. Silver, S. (2009, August). Ethical issues for EMDR clinicians, consultants, trainers, and researchers. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR, as a psychotherapy, encounters numerous opportunities for issues of an ethical nature. But there are two additional areas that emphasize the need for a clear understanding of ethical conduct for EMDR clinicians, consultants, trainers, and researchers. The first area is the unique quality of EMDR work. Unlike other psychotherapies, to use an example, EMDR therapy may be conducted without the therapist knowing the specifics of the client’s particular experience. The second area is one that is extremely practical in its impact: though EMDR practitioners represent a variety of mental health disciplines, their professional organization, EMDRIA, largely has adopted the ethical code of the American Psychological Association, a code some may not have particular familiarity with. This workshop provides didactic instruction, case discussion, and small group exercises to explore the ethical issues relating to the use of EMDR.
Keywords: Ethics
Accuracy Verified: Yes
279. Reamer, F. G. (2004, September). Ethical issues in EMDR: Risk-management implications. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.
Language: English
Format: Conference
Abstract:
This workshop will provide participants with a comprehensive overview of ethical, malpractice, and risk-management issues encountered in EMDR. Using extensive case material, participants will learn how to handle complex practice-based ethical dilemmas, prevent professional malpractice, and avoid liablity. Emphasis will be on practical strategies designed to protect clients, professionals, and employers. Key topics will include the limits to clients' rights to confidentiality and self-determination, privileged communications, informed consent procedures, the use of high-risk treatment techniques, boundary issues and dual relationships, conflicts of interest, defamation of character, consultation and referral, supervision, termination of services, documentation, and the problem of impaired colleagues. Participants will be provided with a typology of compelling ethical dilemmas and "high risk" areas, and acquainted with practical decision-making strategies.
Keywords: Ethics Risk Management
Accuracy Verified: Yes
280. Tolin, D. E., Montgomery, R. W., Kleinknecht, R. A., & Lohr, J. M. (1995). An evaluation of eye movement desensitization and reprocessing (EMDR). In L. Vandecreek, S. Knapp, & T. L. Jackson (Eds.), Innovations in clinical practice: A source book V. 14, (pp. 423-437) Sarasosta, FL: Professional Resource Press.
Language: English
Format: Book Section
Abstract:
Review . . . the current methodological and professional issues surrounding Eye Movement Desensitization and Reprocessing (EMDR) /// description of the EMDR procedure / evaluation of current published research / professional evaluation (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Eye Movements Systematic Desensitization Therapy Treatment Effectiveness Evaluation
Accuracy Verified: Yes
281. Smyth, N. J. (2004, September). Evidence-based practice: Ethical and clinical issues for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
International and national movements toward evidence-based practice (EBP) in the treatment of health, mental health and substance abuse Problems are resulting in policy changes for therapists all over the world. This workshop will provide participants with an overview of the EBP movement and explore the ethical and clinical issues raised for EMDR practitioners.
Keywords: Clinical Issues Ethical Issues
Accuracy Verified: Yes
282. Schottenbauer, M. A. (2006). Expert therapists and practicing clinicians: Reported prototypical treatments of trauma. The Catholic University of America. AAT 3239353.
Language: English
Format: Dissertation/Thesis
Abstract:
PTSD is a frequent psychiatric response to a variety of extreme psychological stressors. While several effective treatments for PTSD such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been included on lists of empirically supported treatments, nonresponse rates to these treatments can be high. According to patient report, psychodynamic interventions are more common than CBT for PTSD in the community, yet only one randomized controlled trial has included a psychodynamic treatment for PTSD. This dissertation reviews the treatment dropout and non-response rates in studies of empirically supported treatments for PTSD. Next, a case for the value of psychodynamic treatment of PTSD is made, utilizing empirical research on links between the psychopathology of PTSD and psychodynamic concepts such as defenses and relationship patterns. Then, an empirical study was conducted to find out how psychodynamic and CBT therapists treat patients with PTSD, to discover commonalities and defining characteristics of treatment within each group of respondents, and to delineate the unique contributions of psychodynamic psychotherapy to the treatment of such patients.Therapists who identified themselves primarily with psychodynamic/psychoanalytic or cognitive-behavioral theoretical orientations were recruited online through professional organization listservs. They were randomly presented one of four case studies, describing variations on trauma. Participants then completed a Psychotherapy Process Q-Sort to describe quantitatively their ideal treatment of the given patient. Results indicated many similarities among clinicians of widely different perspectives. Among clinicians who indicated that their primary theoretical orientation was psychodynamic, three prototypical treatments were discovered, and among clinicians who indicated that their primary theoretical orientation was cognitive-behavioral, four prototypical treatments were found. Overall, the prototypes in the current study were correlated with, but not identical to, prototypes of PD, CBT, or interpersonal therapy (IPT) developed in previous studies based on experts' ratings. While the literature has suggested that clinicians who treat patients who have PTSD may make alterations in their techniques to address issues that are specific to PTSD, the current study provides some evidence that therapists are not aware of how their treatment for trauma is different from the theoretical approaches they endorse. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 67(10-B), 2007, pp. 6077.
Keywords: Cognitive Therapy Empirical Study Health Personnel Attitudes Mental Health Personnel Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Quantitative Study
Accuracy Verified: Yes
283. 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
284. Shapiro, F. (1992, July). Eye movement desensitisation and reprocessing: a 'synclectic' view of rapid treatment effects. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure allows the therapist to accelerate treatment of anxiety-based complaints and self-esteem issues associated with traumatic memories. Taped segments of treatment sessions will be used to illustrate the procedure and facets of the unifying theory discussed below.
Keywords: Anxiety Synclectic Treatment Effects Unifying Theory
Accuracy Verified: Yes
285. Montgomery, R. W., & Ayllon, T. (1994, September). Eye movement desensitization across subjects: Subjective and physiological measures of treatment efficacy. Journal of Behavior Therapy and Experimental Psychiatry, 25(3), 217-230. doi:10.1016/0005-7916(94)90022-1.
Language: English
Format: Journal
Abstract:
Eye movement desensitization (EMD) was investigated in an experimental multiple baseline across subjects design. Six subjects who met the diagnostic criteria for PTSD were included in the study. While the EMD technique advanced by Shapiro has been reported to be clinically effective, major methodological issues have been raised which remain to be addressed. One issue raised is whether exposure to the traumatic image is sufficient to account for the reported clinical effects of EMD or whether the addition of saccadic eye movements is central to the treatment. This study attempted to address this concern by comparing two EMD-based procedures: a Non-saccade phase (without the saccadic eye movements) which functioned as a control and a second that included saccadic eye movements. Dependent variables included self-report information (SUDs, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). The results showed no significant decreases in SUDs level with the EMD minus the saccadic eye movements procedure. However, five of the six subjects reported clinically significant decreases in their SUDs levels with the inclusion of the saccadic eye movements. This study appears to corroborate previous work employing single-case design as well as pre and postcomparisons. [Author Summary]
Keywords: Adults Americans Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
286. Fernandez, I. [2008]. Eye movement desensitization and reprocessing. Progetto TiAMA [Project TiAMA].
Language: Italian
Format: Other
Abstract:
EMDR è un acronimo per Eye Movement Desensitization and Reprocessing (Desensibilizzazione e Rielaborazione
attraverso i Movimenti Oculari). E' un metodo clinico innovativo che ha aiutato con successo ormai più di un milione di
individui reduci da eventi traumatici (abuso sessuale, violenza in famiglia, guerra, crimini) ma anche soggetti con altri
disturbi psicologici (depressione, dipendenze, fobie e aspetti legati all'auto stima).
EMDR is an acronym for Eye Movement desensitization and reprocessing (desensitization and reprocessing eye movements). It 'an innovative clinical method that has already successfully helped over a million people emerging from traumatic events (sexual abuse, family violence, war crimes), but also those with other psychological disorders (depression, addictions, phobias and issues self esteem).
Accuracy Verified: Yes
287. 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
288. 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
289. Fannin, J. L. (1998, February). Eye movement desensitization and reprocessing (EMDR) in the treatment of anxiety as it pertains to work-related issues. Walden University, Minneapolis, MN. AAT 9804439.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this study was to determine the effect Eye Movement Densitization and Reprocessing (EMDR) has as a treatment protocol on work-related stressors. Today's faster pace, the growing perception of job insecurity, greater demands on the job, and inability to juggle family and work responsibilities has left millions of Americans to experience the debilitating effects of anxiety and stress. Many people lack the knowledge, resources, and strategies to effectively deal with such problems. The issue of stressors in work-related situations is costly and negatively impacts many individuals, organizations, and families. EMDR was found to be both effective and efficient in removing or substantially decreasing anxiety associated with work-related stressors and increase the association to positive cognitions. The data indicated both statistical and clinical improvement in all four areas of measure: subjective units of disturbance (SUD), verification of cognition (VOC), emotional state, and trait anxiety, after EMDR had been administered to members of the experimental group. This study found no statistical significance with these measures as they pertain to the control group. The three null hypotheses were rejected. Several different measures were employed to evaluate the statistical significance of the data produced by this study. Process measures of the verification of cognition (VOC) and subjective units of disturbance (SUD) scales were evaluated through paired sample t-tests. Analysis of variance (ANOVA) was used to evaluate the state and trait anxiety measures. Interactional analysis tested the hypotheses for interaction using repeated measures ANOVA with method and time. Pearson's product moment correlation tested for the association between two variables. Further study is recommended in both the conceptual and theoretical foundations of the EMDR protocol. Such research could lead to more effective and cost-efficient therapy for a wide range of problems affecting the individual, family, and the organization. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(8-B), Feb 1998, pp. 4512.
Keywords: Anxiety Empirical Study Eye Movement Desensitization Therapy Occupational Stress Stress Management Treatment Outcome/Clinical Trial Workplace Stress
Accuracy Verified: Yes
290. Finley, P. A. (2002, April). Eye movement desensitization and reprocessing (EMDR) in the treatment of sex offenders. Walden University, Minneapolis, MN. AAT 3068413.
Language: English
Format: Dissertation/Thesis
Abstract:
Most sex offenders in treatment in the United States understand and adapt well to the predominantly cognitive/behavioral/relapse prevention (RP) aspects of their treatment. "No more victims" is the fundamental goal of sex offender treatment, and due to this focus on relapse prevention, most sex offenders do not adequately address their own emotional wounding from early trauma and victimization. This author believes these unresolved affective issues lead to the cognitive distortions and justifications that allow sex offenders to give themselves permission to offend in the first place. Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic intervention that assists in rapidly resolving troubling thoughts, feelings, and physical sensations. Incorporating EMDR into the current cognitive/behavioral/relapse prevention (RP) treatment model for sex offender treatment opens the possibility of reducing the reoffense rate in society. In this study, affective issues of adult male sex offenders (n = 27) were addressed, employing EMDR; this comprised the experimental treatment group. The experimental group received a pretest, three EMDR sessions, and a posttest over an average time of 3.8 months. The Multiphasic Sex Inventory (MSI) was the measure used for this research. The three scales on that test designed to measure for thinking errors were: the Cognitive Distortion and Immaturity (CDI Scale; the Justification (Ju) Scale; and the Treatment Attitudes (TA) Scale. Archived pretest/posttest scores of randomly selected and anonymous adult male sex offenders comprised the control group (n = 27). This group was tested on the MSI and MSI 2 before entering Module 4 and after finishing Module 5, representing 22.5 months of treatment pretest/posttest. All control and experimental group subjects took part in a mandated cognitive/behavioral/relapse prevention (RP) program. The independent two-sample t test was used to compare two means utilizing the rate of change between the experimental and control group. The results of the study indicate a statistically significant reduction in justifications for offender behavior in the experimental group on the Ju scale (p-value = 0.008). On the CDI and TA scale, the null hypotheses were supported. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4899.
Keywords: Empirical Study Male Sex Offenders Relapse Prevention Sex Offenders Sex Offenses Sex Offender Treatment Therapeutic Intervention
Accuracy Verified: Yes
291. Adler-Tapia, R., Settle, C., & Shapiro, F. (2012). Eye movement desensitization and reprocessing (EMDR) psychotherapy with children who have experienced sexual abuse and trauma . In P. Goodyear-Brown, (Ed.), Handbook of child sexual abuse: Identification, assessment, and treatment (pp. 229-250). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9781118094822.
Language: English
Format: Book Section
Abstract:
This book is a comprehensive guide to the identification, assessment, and treatment of child sexual abuse. The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, this volume combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, the authors explore a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain; The potential implications of early sexual victimization; Navigating the complexities of multidisciplinary teams; Forensic interviewing and clinical assessment; Treatment options for children who have traumagenic symptoms as a response to their sexual victimization; Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior; Secondary trauma and vicarious traumatization; and Cultural considerations and prevention efforts. Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse- not merely with state-of-the-art knowledge, but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
292. Luber, M. (2009). Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (Ed.). New York, NY: Springer Publishing Co.
Language: English
Format: Book
Abstract:
EMDR has become an important tool in the use of treating trauma. As therapists have worked with this methodology, EMDR has been used in many different areas of human suffering such as addictions, anxiety, pain, dissociative disorders, and many other issues.
Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols serves as a one-stop resource where therapists can access a wide range of protocols, including the past, present, and future templates, as well as any auxiliary information. The book sets forth a template for therapists and researchers to use so that the form of working in the EMDR idiom is consistent, valid, and reliable. Written in an easy-to-use manual style, the book is replete with detailed techniques, exercises, and scripts as developed by recognized EMDR experts.
Keywords: Scripted Protocols
Accuracy Verified: Yes
293. Luber, M. (2009). Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations. New York, NY: Springer Publishing Co.
Language: English
Format: Book
Abstract:
EMDR has become an important tool in the use of treating trauma. As therapists have worked with this methodology, EMDR has been used in many different areas of human suffering such as addictions, anxiety, pain, dissociative disorders, and many other issues.
Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols serves as an authoritative, one-stop resource where therapists can access the full protocols, including the past, present, and future templates, as well as any auxiliary information. The book sets forth a template for therapists and researchers to use so that the form of working in the EMDR idiom is consistent, valid, and reliable. Written in an easy-to-use manual style, the book is replete with detailed techniques, exercises, and scripts as developed by recognized EMDR experts.
Keywords: Scripted Protocols
Accuracy Verified: Yes
294. Shapiro, F. (1996, September). Eye movement desensitization and reprocessing (EMDR): Evaluation of controlled PTSD research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 209-218. doi:10.1016/S0005-7916(96)00029-8.
Language: English
Format: Journal
Abstract:
The complete controlled PTSD research on eye movement desensitization and reprocessing (EMDR) is placed within the context of other methods used in the treatment of PTSD. A number of studies are presented that support EMDR as an empirically validated method. However, in several studies, clinical standards have not always been integrated with rigorous scientific methdology. The suggested standards include fidelity checks for the method being tested, the use of appropriate psychometrics, and assessment of co-morbidity factors. At the same time, because of common misconceptions about the method, a variety of problematic issues are discussed. [Author Abstract]
Keywords: Adults European Americans Arousal Literature Review Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
295. Brenner, I. (2004). Eye movement desensitization and reprocessing (EMDR)?. In I. Brenner (Ed.), Psychic trauma: Dynamics, symptoms, and treatment(pp. 243-302) Lanham: Jason Aronson.
Language: English
Format: Book Section
Abstract: This book is about the psychoanalytically informed understanding, recognition, and treatment of severe psychological trauma. It goes beyond the limited notion of posttraumatic stress disorder (PTSD) and addresses the issues associated with problems ranging from physical and sexual abuse to genocidal persecution.
Keywords: Genocidal Persecution Physical Abuse Sexual Abuse
Accuracy Verified: Yes
296. 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
297. Balcom, D. (2000, December). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. Journal of Gay and Lesbian Social Services, 12(1/2), 75-89. doi:10.1300/J041v12n01_04 .
Language: English
Format: Journal
Abstract:
Gay men suffering from traumatic experiences can benefit from Eye Movement Desensitization and Reprocessing treatment (EMDR). In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. Through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. EMDR can also be useful for developing internal resources and for exploration of relevant themes for the client. Further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. [Author Abstract]
Keywords: Adults Emotional Trauma Gay Males Homosexuality Homosexuals Males Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
298. Balcom, D. (2001). Eye movement desensitization and reprocessing in the treatment of traumatized gay men. In J. Cassese (Ed.), Gay men and childhood sexual trauma: Integrating the shattered self (pp. 75-89). Binghamton, NY: Harrington Park Press/The Haworth Press.
Language: English
Format: Book Section
Abstract:
Describes the theory and practice of eye movement desensitization and reprocessing treatment (EMDR), presents a survey of its applications to traumatized gay male clients, and offers an illustrative case study to highlight the utility of EMDR. In the past decade the theory and practice of EMDR has expanded to address acute and chronic childhood and adult traumas, substance misuse or abuse, identity issues including shame and self-esteem, and health issues. The author suggests that gay men suffering from traumatic experiences can benefit from EMDR. It is noted that through a process of accelerated information processing, traumatic memories are desensitized and reprocessed, resulting in less distress for the client in the present and future. It is concluded that further attention is needed in exploring the use of EMDR for gay men traumatized by hate crimes, sexual issues resulting from traumatic experiences, and internalized homophobia. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adults Emotional Trauma Gay Males Homosexuality Homosexuals Males Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
299. Carlson, J., Chemtob, C., Rusnak, K., & Hedlund, N. (1996, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD. Psychotherapy, 33(1), 104-113. doi:10.1037/0033-3204.33.1.104.
Language: English
Format: Journal
Abstract:
4 Vietnam veterans diagnosed with PTSD were treated with 12 sessions of eye movement desensitization and reprocessing (EMDR), targeting their combat memories. An extensive multimodal assessment battery showed very substantial clinical improvement for 3 of the veterans along a number of psychological dimensions that characterize the disorder, but not along several physiological parameters. A fourth veteran showed only very modest changes. The results are discussed in terms of the importance of several issues, including numbers of treatment sessions and differential effects of treatment on cognitive-behavioral and physiological symptoms. [Author Abstract]
Keywords: African Americans Case Report European Americans Male Middle Aged Posttraumatic Stress Disorder Psychophysiology PTSD Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
300. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187.
Language: English
Format: Dissertation/Thesis
Abstract:
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.
Keywords: Adjustment Disorder Empirical Study Exposure Therapy Nonclinical Case Study Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
301. 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
302. 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
303. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]
Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
304. Lohr, J. M., Lilienfeld, S. O., Tolin D. F., & Herbert J. D. (1999, January-April). Eye movement desensitization and reprocessing: An analysis of specific versus nonspecific treatment factors. Journal of Anxiety Disorders, 13(1-2), 185-207. doi:10.1016/S0887-6185(98)00047-4.
Language: English
Format: Journal
Abstract:
Incremental validity and incremental efficacy have become important issues in the evaluation of psychological assessment and intervention procedures. Incremental validity in assessment is that shown by novel measures over and above established ones. Incremental efficacy is that shown by novel treatments over and above nonspecific and established treatment effects. In this paper, we critically examine the question of whether Eye Movement Desensitization and Reprocessing (EMDR) possesses efficacy above and beyond nonspecific treatment effects and components that are shared with well-established interventions. A review of recently published efficacy studies reveals that (a) the effects of EMDR are largely limited to verbal report indices, (b) eye movements and other movements appear to be unnecessary, and (c) reported effects are consistent with nonspecific treatment features. Examination of individual studies shows that control procedures for nonspecific features have been minimal. We analyze EMDR for nonspecific treatment features and suggest experimental controls to examine the incremental efficacy of EMDR. [Author Abstract]
Keywords: Literature Review Methodology Treatment Effectiveness
Accuracy Verified: Yes
305. Erwin, T. M. (2001). Eye movement desensitization and reprocessing: A critical analysis. Columbus, OH: Ohio University.
Language: English
Format: Dissertation/Thesis
Abstract:
Since Shapiro's introduction of Eye Movement Desensitization and Reprocessing (EMDR) in 1989, it has been a highly controversial therapeutic technique. Critical reviews of Shapiro's initial study have highlighted many methodological shortcomings in her work. And early empirical research that followed Shapiro's original study has been criticized for using small samples, using limited or nonrepresentative samples, or issues of treatment integrity. Research on EMDR has dramatically increased in both quantity and methodological rigor since the mid-1990s. Moreover, since its first appearance in the literature, EMDR has undergone a number of modifications. This article reviews key research conducted on EMDR since 1995 (using university students and war veterans), highlights issues of concern raised by researchers, and discusses the implications of these findings for the clinical counselor.
Keywords: Counseling Techniques Counseling Theories Criticism Evaluation Methods Eye Movements Research Problems Therapy
Accuracy Verified: Yes
306. Taylor, S. (2001, Augusto). Eye movement desensitization and reprocessing: Current debates and comparative efficacy. Psicoterapia Cognitiva e Comportamentale, 7(2), 169-178.
Language: English
Format: Journal
Abstract:
For over a decade, Eye Movement Desensitization and Reprocessing (EMDR) has been used to treat symptoms of PTSD. While EMDR advocates have been enthusiastic of this treatment, EMDR critics have raised several important concerns. This article examines claims presented in this journal by two comentators; one an EMDR critic and the other an EMDR advocate. One argues that dismantling studies that test the effects of bilateral stimulation will end the EMDR controversy. While such studies will provide useful information, such studies are incapable of resolving the controversy. This is because there are several contentious issues concerning EMDR. For clinicians treating PTSD, perhaps the most important question concerns the efficacy of EMDR compared to other therapies. This issue is not addressed in dismantling studies. The other commentator claims that EMDR is the treatment of choice for PTSD. While the literature suggests that EMDR is a useful intervention, the available data does not support their claim. EMDR appears to be no more effective than well-established behavioural and cognitive-behavioural therapies, and there is no consistent evidence that EMDR works more quickly than other therapies. There are currently no empirical guidelines for deciding whether the first choice of treatment should be EMDR or some other intervention, such as behvioural or cognitve-behavioural therapy. Patient preference and therapist expertise in one treatment versus another are important considerations. [Author Summary]
Keywords: Debates Eye Movements Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
307. 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
308. Feener, R. S. (2004). Eye movement desensitization and reprocessing: A new method in the treatment of performance anxiety for singers. Florida State University, Tallahassee, FL. AAT 3156073.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events.
The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma.
EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety.
Keywords: Bilateral Brain Stimulation Brain Stimulation Cognitive Processes Emotional Trauma Eye Movements Information Processing System Mental Health Musicians Performance Anxiety Posttraumatic Stress Disorder PTSD Singers Stress Syndromes Trauma
Accuracy Verified: Yes
309. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.
Language: English
Format: Dissertation/Thesis
Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]
Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community
Accuracy Verified: Yes
310. Pinker, S. (2002, June 25). The eyes may have it. Toronto, Ontario: The Globe and Mail, Health, R7.
Language: English
Format: Newspaper
Abstract:
When Sophie read about EMDR in the newspaper, she immediately felt the psychotherapy approach might help her. It was worth a try. She'd been in what she calls regular therapy for several years to resolve divorce issues and had already tried hypnosis and massage therapy, even training as a massage therapist in the process. Despite all this time, effort and money, the 39-year-old communications executive - who chose a pseudonym to protect her privacy - felt little relief from early traumatic memories that were not only distorting her present experiences, but were likely at the root of her failed marriage as well, she said.
Keywords: General Ontario Overview
Accuracy Verified: Yes
311. Wesselman, D. (2010, September/October). Facilitating the journey from fear to love: Using EMDR to treat insecure and disordered attachments in children and adults. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Participants will learn to identify the anxious core beliefs of adults and children and the unspoken bonding contract developed in early childhood. Participants will discover new tools for creating more secure attachments, including resource development exercises to strengthen adults’ capacity to nurture self and others, resource development for strengthening attachments between children and parents, and parenting techniques to help facilitate attachment in children. Participants will learn to adapt EMDR to help children with Reactive Attachment Disorder effectively resolve attachment traumas and remove obstacles to love. The presenter will share research data illustrating the impact of EMDR on attachment issues.
Keywords: Adults Attachment Children
Accuracy Verified: Yes
312. Wizansky, B. (2001, May). Fashioning EMDR targets with non co-operative Children: Tailoring the technique to the child. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Book Section
Abstract:
Utilising EMDR with non co-operative children presents a challenge to the therapist's
creativity and flexibility. Non co-operation may be based on any one of a number of issues,
such as generalised anxiety, strong need for control, fear of experiencing uncomfortable
emotions. This paper looks at several clinical manifestations of non co-operation in the
therapy room and discusses ways in which these reluctant children have been helped to
identify a target problem and process it.
Keywords: Children Non Co-operation
Accuracy Verified: Yes
313. Manfield, P. (1998). Filling the void: Resolution of a major depression. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 113-137). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
This case demonstrates the value of EMDR in rapidly resolving a major depression by processing a series of traumatic memories. The themes of loss, overwhelming helplessness, and inadequacy weave through each of these memories and tie them together. Major depression, Jane's primary diagnosis, is not one of the diagnoses typically thought of as responsive to EMDR. This case is particularly interesting because of the breadth of change Jane experienced as a result of processing these traumatic memories and the follow-up integrative work we did; the depression was relieved as well as a cluster of other issues that appeared to be more characterological. [Text, p. 113]
Keywords: Adults Americans Case Report Depressive Disorders Females Life Experiences Surgical Procedures Survivors Treatment Effectiveness
Accuracy Verified: Yes
314. Lohr, J., Tolin, D., & Lilienfeld, S. (2000, Summer). Final comments on Lipke's critique of Lohr, Tolin, and Lilienfeld (1998). the Behavior Therapist, 23(7), 145-147.
Language: English
Format: Newsletter
Abstract:
Responds to H. Lipke's critique of J. Lohr, D. Tolin, and S. Lilienfeld's study which reviews 17 studies on the effectiveness of eye movement desensitization and reprocessing (EMDR) and the conceptual analysis of its mechanisms of action. The authors address a number of issues from Lipke's critique, including the assertion that EMDR is more efficacious or effective than extant behavioral treatments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Behavior Therapy Emotional Trauma Memory Posttraumatic Stress Disorder PTSD Traumatic Memories
Accuracy Verified: Yes
315. Heller, F. (2000, September). Fire in the crucible. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify when EMDR is appropriate in the treatment of sexuality issues; 2) answer "when medications are being used, is it appropriate to integrate EMDR?"; 3) define isomorphic multisystmeic cognitive interweave; and 4) state two examples of isomorphic multisystemic cognitive interweave.
Keywords: Isomorphic Multisystemic Cognitive Interweave Sexuality Issues
Accuracy Verified: Yes
316. Browning, C. (1999,September). Floatback and float forward: Techniques for linking past, present and future. EMDRIA Newsletter, 4(3), 12, 34.
Language: English
Format: Newsletter
Abstract:
The standard EMDR protocol calls for targeting the past origins of a disturbance, present day triggers and creating templates for appropriate behavior in the future (Shapiro, 1995). Some clients, however, may have difficulty connecting their current problems to past events. Similarly, other clients may have difficulty creating positive future templates, especially if the client is anxious about trying new behavior. For these problems the Floatback and Float-forward Techniques, developed by the EMDR Institute Trainer, William Zangwill, Ph.D., are effective methods for linking past, present and future in a clinical setting and providing the therapist with tools for competently addressing both of these issues.
Keywords: Floatback Float Forward
Accuracy Verified: Yes
317. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.
Language: Spanish
Format: Conference
Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Keywords: Floatback Technique Float Foward Technique
Accuracy Verified: Yes
318. 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
319. Korkmazlar, U., Kurt, B., Bilgisin, G., & Atçeken, S. H. (2012, June). From child to family: Team work with EMDR [Del Niño a la Familia: Trabajo en Equipo EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This presentation will focus on why we need team work especially when we are working with children and how do we integrate
EMDR into our clinical work. We believe that when working with children, the teamwork and the cooperation with the family system are
crucial. Most of the time parents bring their children to therapy as identified patients and want us to fix them. However, in the first session we
realize that most of the child’s difficulties stem from unhealthy family system and parents’ conflicted relationship patterns. Most problems
arise from attachment and trust/ security issues. We observe that when children have difficulty choosing home as safe place; this is a first sign
that there are problems in the family system. Therefore, how we integrate the safe place exercise with play therapy, and the use of EMDR with
storytelling method will be explained. We believe that after a couple of sessions with children, it is very effective referring parents to individual
or couples therapy to work on their own relational and attachment issues to improve children’s mental health. We also mention how to use
EMDR for unresolved trauma and deficient family resources that have been carried from previous generations. The effects of parents’ own
attitudes and problems on children and their own inter-generational attachment issues are going to be explicated in detail including EMDR
therapy to resolve those unfinished business. All these topics above will be explained with case examples.
Esta presentación se centrará en por qué necesitamos trabajar en equipo, especialmente cuando trabajamos con niños y cómo
integramos EMDR dentro de nuestro trabajo clínico. Creemos que cuando trabajamos con niños, el trabajo en equipo y la cooperación con
el sistema familiar son cruciales. La mayor parte del tiempo, los padres traen a sus hijos a terapia como pacientes identificados y quieren que
los curemos. Sin embargo, en la primera sesión, nos damos cuenta de que la mayoría de las dificultades del niño provienen de un sistema
familiar poco sano y de las pautas relacionales conflictivas de los padres. La mayor parte de los problemas surgen de problemas de apego y
confianza / seguridad. Observamos que cuando los niños tienen dificultades escogiendo su hogar como lugar seguro, es una primera señal
de que existen problemas en el sistema familiar. Por tanto, explicaremos cómo integramos el ejercicio del lugar seguro dentro de la terapia
de juego y cómo usamos EMDR con el método cuentacuentos. Creemos que después de un par de sesiones con niños, es muy efectivo el
derivar a los padres a terapia individual o de pareja para trabajar en sus propios problemas relacionales y de apego para mejorar la salud
mental de los niños. También mencionamos cómo usar EMDR para el trauma no resuelto y para recursos familiares deficientes que han sido
pasados de generaciones anteriores. Se explicarán en detalle los efectos de las actitudes y problemas de los padres sobre los niños y sus
propios problemas intergeneracionales de apego, incluyendo la terapia EMDR para resolver esos temas incompletos. Todos los temas
anteriores serán explicados con ejemplos de casos.
Keywords: Children Family Team Work
Accuracy Verified: Yes
320. Adler-Tapia, R. (2006, September). From research to practice: What the research has taught us about training therapists to use EMDR with young children. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Our initial research study explored the therapist's ability to demonstrate fidelity to the EMDR protocol with young children. While data collection focused on documenting fidelity to the EMDR protocol, ancillary data emerged that identified skills and training that therapists needed in order to successfully implement the full EMDR protocol in the treatment of children. The preliminary content analysis of the data from the research group identified six major themes that impact treating children with the full EMDR protocol that include therapist issues, client issues, treatment issues, parent/home environment issues, clinical environment issues and therapist training issues. This presentation will review the findings from the research with focus on teaching specific skills for therapists to improve their practice of using EMDR with young children. Therapists need to understand the implication of attachment and attunement in the therapeutic relationship, the impact of parents and the home environment on the treatment, and learn skills to teach children emotional literacy in order to improve the efficacy of EMDR in the treatment of young children. This presentation will summarize the advanced skills that therapists working with young children will need after completing basic training in EMDR. With consultation focused on EMDR and additional training in using EMDR with young children, the research study has demonstrated that therapists trained in child development and play therapy can successfully implement the full eight phases of EMDR with children.
Keywords: Children
Accuracy Verified: Yes
321. van der Kolk, B. A. (2010, July). Frontiers of trauma treatment. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Trauma
Accuracy Verified: Yes
322. Edmond, T. (2005, September). The future of evidence in EMDR. Plenary presented at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Evidence based practice has gained increased attention in recent years, having
been advanced initially by the medical professions, encouraged by various
academic institutions, increasingly required by insurance companies, and
endorsed by many professional associations. Although this represents an
important movement towards improving the quality of care available to
clients, there are legitimate concerns about what constitutes evidence. In
the past 15 years, research on EMDR has proliferated and the methodological
rigor of that work has greatly improved. Yet skepticism ahout the effectiveness
of EMDR remains and much is still unknown about the parameters of this
innovative approach to psychotherapy. This presentation will provide a
description of evidence based practice as a backdrop for examining the
current state of EMDR research with recommendations for areas of research
that are needed, methodological issues that should be considered, and the
role of practitioners in the generation of that knowledge. Findings from a
mix-methods study evaluating the effectiveness of EMDR with adult female
survivors of childhood sexual abuse will be used as an example to critique the
limitations of the gold standard approach to generating evidence based practice
and to illustrate the importance of methodological diversity in the pursuit of
knowledge about the practice of psychotherapy.
Keywords: Evidence-Based Practice Gold Standard Plenary
Accuracy Verified: Yes
323. Lipke, H., Rogers, S., & Errebo, N. (2005, September). Getting past “You weren’t there”: EMDR and the combat veteran. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
The EMDR trauma protocol was based, in part, on Shapiro's early work with combat veterans. In a time of ongoing military conflicts, private practitioners may be encountering the challenges of working with returning veterans for the first time. Using a combination of case examples, videotapes, and research, the presenters will discuss common characteristics of combat veterans, countertransference and other therapist issues, and integration and modification of the EMDR protcol.
Keywords: Combat Countertransference Veteran
Accuracy Verified: Yes
324. Wilensky, M. (2010, April/May). Getting stuck: Navigating through the protocol. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
The focus of this workshop will be the Basic Eight Phase Protocol and most specifically the Three Prongedness (Past, Present, Future) of EMDR. When the Basic Protocol is followed diligently many problems disappear. The presenter will draw on his experience as a supervisor and trainer of EMDR clinicians to demonstrate strategies to deal with mini-impasses in therapy. Questions are welcomed about : how to formulate a treatment plan and find the touchstone memories, how to get well-formed Negative and Positive Cognitions, things to do when reprocessing is stuck, what to do when clients have difficulty identifying emotions, evaluating VOC and SUDs and generating an image with appropriate detail? How does the clinician react when the client "loops" and doesn't seem to progress? Issues of secondary traumatization and vicarious traumatization of the therapist. These and other common questions will be addressed,with ample time for examples and a possible practicum. If EMDR is a church, then the presenter is close to a fundamentalist. We all drift. Let's get back to Basics.
Keywords: Basic Protocol Three-Pronged Approach
Accuracy Verified: Yes
325. Leeds, A. M. (2012, November). Guía de protocolos estándar de EMDR para terapeutas, supervisores y consultores [A guide to the standard EMDR protocols for clinicians, supervisors, and consultants]. Bilbao ESPAÑA: Desclée De Brouwer.
Language: Spanish
Format: Book
Abstract:
Aprender a utilizar el EMDR con seguridad y eficacia requiere la integración de una amplia gama de conocimientos y competencias. Esta guía quiere ser una orientación para las cuestiones clínicas, profesionales y de gestión de riesgos con las que los profesionales del EMDR se encuentran a diario.
Siguiendo el modelo de las ocho fases de la EMDR, el libro propone una guía clara y detallada para la utilización de los protocolos convencionales de EMDR para el tratamiento del trastorno de estrés postraumático, fobias y ataques de pánico. También se incluyen pautas para la formulación de casos, la planificación del tratamiento y para preparar a los pacientes para el reprocesamiento con EMDR. Además, la guía también contiene muestras de contratos para supervisión y formularios para documentar los resúmenes de los casos y los resultados de los tratamientos, así como:
- gráficos, formularios, ilustraciones, tablas y árboles de decisión para guiar la planificación del tratamiento y la documentación.
- estudios de casos con trascripciones que ilustran los distintos protocolos y pautas para tomar decisiones informadas.
- cuestiones éticas de aplicación clínica, consulta, supervisión e investigación.
Gracias a las pautas de tratamiento claras y concisas sobre el uso clínico del EMDR, este libro es un recurso de incalculable valor para terapeutas en activo, supervisores, consultores y directores clínicos.
Learning to use EMDR safely and effectively requires the integration of a wide range of knowledge and skills. This guide is intended as a guide for clinical, professional and risk management with which EMDR practitioners encounter daily.
Modeled after the eight phases of EMDR, the book offers a clear and detailed guide to the use of EMDR protocols for treating PTSD, phobias and panic attacks. Also included are guidelines for case formulation, treatment planning and to prepare patients for reprocessing with EMDR. The guide also contains samples for monitoring contracts and forms to document summaries of cases and treatment outcomes, as well as:
- Charts, forms, illustrations, tables and decision trees to guide treatment planning and documentation.
- Case studies with transcripts illustrating the different protocols and guidelines to make informed decisions.
- Ethical issues in clinical application, consultation, supervision and research.
With treatment guidelines clear and concise on the clinical use of EMDR, this book is an invaluable resource for practicing therapists, supervisors, consultants and clinical directors.
Keywords: Prtactice Protocols Theory
Accuracy Verified: Yes
326. Hamblen, J. L., Schnurr, P. P., Rosenberg, A., & Eftekhari, A. (2009, June). A guide to the literature on psychotherapy for PTSD. Psychiatric Annals, 39(6), 348-354.
Language: English
Format: Journal
Abstract:
1. Identify empirically supported treatments for posttraumatic
stress disorder (PTSD).
2. Explain how methodological issues impact psychotherapy
trials.
3. Describe PTSD treatments for which there is growing
evidence.
Keywords: Posttraumatic Stress Disorder PTSD Treatments
Accuracy Verified: Yes
327. Leeds, A. M. (2009). A guide to the standard EMDR protocols for clinicians, supervisors, and consultants. New York, NY: Springer Publishing Co.
Language: English
Format: Book
Abstract:
This book serves as a resource for practicing clinicians, supervisors, clinic directors, and hospital administrators. Leeds provides clear, concise treatment guidelines on the clinical use of EMDR.
This book provides an orientation to the clinical, professional, and risk management issues. Leeds provides sample consultation agreements and forms for documenting treatment planning, case summaries, and treatment outcomes. These forms will be especially helpful for case managers and clinical supervisors in agencies and community health treatment centers.
Key features:
Includes charts, forms, illustrations, tables, and decision trees, presenting essential information clearly and concisely to guide treatment planning and documentation.
Presents case studies with transcripts illustrating the different protocols and presenting guidelines for informed decision making.
Outlines the stages of clinical skill development
Discusses ethical issues in clinical application, consultation, supervision, and research.
Keywords: Protocols
Accuracy Verified: Yes
328. Courtois, C. (1997, January). Guidelines for the treatment of adults abused or possibly abused as children (with attention to issues of delayed/recovered memory). EMDRIA Newsletter, 2(3), 3-8.
Language: English
Format: Newsletter
Abstract:
These guidelines provide practicing clinicians with information regarding psychotherapy with adults who: 1) disclose an abuse history (physical, sexual, emotional) at the beginning of therapy, 2) do not disclose abuse despite having knowledge and memory about such events in their past; 3) report new (delayed or recovered) memories of abuse during the course of therapy; and/or 4) suspect past abuse, but have no clear memories of having been abused. The most common clinical scenario involves an individual who has retained memory for past abuse, but recalls additional events or details during therapy. The less common scenario is for an individual to have totally absent any memory of abuse and to later develop highly detailed memory. Practitioners should expect a range of memory presentations and must work to neither suggest nor suppress abuse-related issues that arise in the course of therapy.
Keywords: Abuse Delayed Recovery Memory
Accuracy Verified: Yes
329. 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
330. 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
331. 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
332. 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
333. 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
334. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
Keywords: Attachment Behavior Psychotherapy Stressors Survivors
Accuracy Verified: Yes
335. Treadway, D. C. (2008, September). The heart of loving: A new model of couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Dr. Treadway’s new model of organizing couples therapy helps the clients design their own treatment plan. This workshop will show how couples choose whether to work on making changes in the here and now, focus on healing from the wounds of their past, or work through their trauma history from their family
FRIDAY
of origin. Once couples choose whether to focus on the present or the past, this model then has a variety of additional choices for a couple to explore. Couples might decide to work on communications or behavior changes, problem solving or sexual intimacy. And since many of the couples’ issues stem from trauma in their respective childhoods or earlier in their relationship, Dr. Treadway will demonstrate how he explores the healing possibilities of utilizing EMDR adjunctively or independently. This workshop will particularly address ways couples can learn to be intimate and sexual, despite their inevitable tensions and trauma history. Participants will learn practical techniques and exercises for helping couples talk honestly about their sexual preferences and differences, be more playful with each other, and design their own solutions to sexual impasses. Dr. Treadway will also explore how couples can rekindle romance and bring spirituality into their erotic life together.
Keywords: Couples Therapy
Accuracy Verified: Yes
336. Seubert, A. (2005, September). The heart with a door: EMDR with clients with mental disabilities. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Session video clips, as well as anecdotal reports on the progress of a series of
single case studies with clients with mental disabilities will be utilized to
demonstrate EMDR effectiveness with this population. This presentation
will emphasize the "phase model" aspects of trauma treatment and will
demonstrate where EMDR is effective within this model. Attention will also
be given to ways in which the basic EMDR protocol would need to be adapted
to meet the needs of these clients. Specific therapeutic issues common to this
population will be highlighted while employing an expanded definition of the
word "trauma."
Keywords: Mental Disabilities
Accuracy Verified: Yes
337. Ventouratou, D. (2012, June). Help the helpers with EMDR(For all EMDR professionals) [Ayudar a los formadores del EMDR (Especialmente para Supervisores)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Most
therapists
are
confronted
with
feelings
of
insufficiency,
helplessness
and
even
anger
if
a
therapy
is
not
successful.
Feelings
of
shame
often
prevent
the
therapist
to
come
in
contact
with
his
own
countertransference
during
a
supervision
session.
Supervisors
often
get
lost
in
analyzing
history
details
and
making
interpretations
or
offering
tools,
but
they
sometimes
fail
to
help
the
therapists
to
get
in
touch
with
their
own
feelings.
Therefore,
a
“stuck”
therapeutic
process
is
probably
followed
(or
actually
“mirrored”)
by
a
“stuck”
in
supervision
process.
In
this
workshop
we
will
demonstrate
how
we
can
utilize
the
EMDR-‐protocol
in
difficult
supervision
or
intervision
cases,
in
order
to
overcome
impasses
in
therapeutic
processes,
negative
emotions
or
beliefs,
matters
of
countertransference
and
secondary
traumatization
of
the
therapist.
Case
examples
will
show
how
utilizing
EMDR
in
supervision
can
lead
to
a
sudden
change
of
feelings
towards
the
client
and
to
a
deeper
understanding
of
his
attitude,
show
the
connection
to
the
therapists
blocking
issues,
and
therefore
re-‐enable
conscious
empathy.
The
presentation
of
a
specially
modified
EMDR
–
Supervision-‐
Protocol
and
case
examples
will
be
followed
by
a
live
demonstration.
The
workshop
is
addressed
to
all
clinicians
who
work
as
supervisors.
The
modified
EMDR-‐Supervision-‐Protocol
can
be
used
by
all
EMDR-‐Practitioners
(NOT
only
accredited
consultants!),
whereas
their
supervisors
do
not
necessarily
need
to
be
familiar
with
EMDR.
La
Mayoría
de
los
terapeutas
tienen
que
enfrentarse
con
sentimientos
de
insuficiencia,
frustración
e
incluso
ira
si
la
terapia
no
tiene
éxito.
Sentimientos
de
vergüenza
a
menudo
previenen
al
terapeuta
a
ponerse
en
contacto
con
su
propia
contratransferencia
durante
una
sesión
de
supervisión.
Los
supervisores
a
menudo
se
pierden
en
analizar
los
detalles
de
la
historia
y
hacer
sus
interpretaciones
u
ofrecer
herramientas
terapéuticas,
pero
en
muchos
casos,
fallan
en
ayudar
al
terapeuta
a
ponerse
en
contacto
con
sus
propios
sentimientos.
Por
eso
un
“atasco”
en
el
proceso
terapéutico
esta
probablemente
seguido
por
(o
“reflejado”)
por
un
“atasco”
en
el
proceso
de
supervisión.
En
este
taller
vamos
a
demostrar
cómo
podemos
utilizar
el
protocolo
EMDR
en
supervisiones
o
intervenciones
de
casos
difíciles,
con
el
fin
de
sobreponer
los
obstáculos
del
proceso
terapéutico,
las
emociones
negativas,
o
las
creencias
relacionadas
con
la
contratransferencia
y
secundariamente
la
traumatización
del
terapeuta
Casos
prácticos
mostrarán,
cómo
utilizando
el
EMDR,
en
la
supervisión
puede
promover
un
cambio
repentino
de
cara
al
cliente
y
de
un
más
profundo
entendimiento
de
sus
actitudes,
mostraremos
la
conexión
con
los
problemas
de
bloqueos
de
los
terapeutas,
y
por
tanto,
reactivar
la
empatía
consciente.
La
presentación
de
esta
modificación
especial
del
protocolo
EMDR
–
Supervisión-‐
Protocolo
y
ejemplos
de
casos
se
llevaran
a
cabo
con
demostraciones
en
directo.
Keywords: Burnout
Accuracy Verified: Yes
338. 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
339. McKay, L. (2006). Helping the helpers: Understanding, assessing, and treating humanitarian workers experiencing acute stress reactions. Pasadena, CA: Headington Institute.
Language: English
Format: Other
Abstract:
Where there is crisis or hardship, there are usually humanitarian workers. Hundreds of
thousands strong, they are usually employed by one of the many non-governmental
organizations (NGOs) currently operating worldwide. The diversity of roles that a
humanitarian worker can undertake is staggering. Some work specifically in aid and
disaster response. This can include famine relief, refugee aid, emergency relief after
natural disasters, or the provision of primary health care services. Other humanitarian
workers focus more generally on civil society and peace-building, human rights,
education, advocacy, economics, governmental and election monitoring, arms-control
and refugee, gender and/or children’s issues. All of these diverse roles and aims are
linked by a common end – service in the face of crisis and suffering worldwide.
Keywords: Acute Stress Reactions Helpers Humanitarian Workers Treatment
Accuracy Verified: Yes
340. Wilson, D. L. (1998, June). Heuristics. EMDRIA Newsletter, 3(2), 24-25.
Language: English
Format: Newsletter
Abstract:
Most of the published research on EMDR to date has focused on the “domain of verification” – many case studies on EMDR applied to different clinical issues, some reports on a series of cases, a few well controlled outcome studies, a very few component analyses (See Shapiro, 1995, 1996). This work in the domain of verification is necessary to corroborate clinical impressions and legitimize our work in the eyes of the academic and research community. However, in recent years this emphasis on the “domain of verification” seems to have overshadowed the exploration of the “domain of discovery.”
Keywords: Domain of Verfication Domain of Discovery Research
Accuracy Verified: Yes
341. 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
342. Luber, M., & Shapiro, F. (2009). Illness and somatic disorders protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 189-211). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
When the perpetrator is the client's own body, the Illness and Somatic Disorders Protocol can be used. It is important to note that this protocol addresses both psychological and physical factors related to somatic complaints. This is not a substitute for appropriate medical care but an adjunct to it. For many, addressing the psychological dimensions will cause partial or complete remission of the physical symptoms. When primarily organic processes are involved, the psychological issues may be exacerbating the physical conditions. While physical symptoms may not remit, the clinical emphasis is on improving the person's quality of life (Shapiro, 2001). This chapter presents a summary of the Illness and Somatic Disorders Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). The Illness and Somatic Disorders Protocol Script is provided. [PsycINFO Database]
Keywords: Illness Protocol Somatic Disorders
Accuracy Verified: Yes
343. Engel, L. (1998). Imaginary crimes: Resolving survivor guilt and writer's block. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, 1st ed. (pp. 138-163). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
A 45-year old female professor of creative writing complained of depression, obsessing about an ex-boyfriend, and a writing block. She is in ongoing but episodic treatment within the framework of a psychodymanic model, specifically Control Mastery Theory, utilizing EMDR as an exploratory tool and treatment method. Issues of survivor guilt toward her murdered sister, identification with her anxious, unhappy mother, and compliance with her critical and rejecting father were addressed and at least partially worked through in the first 11 sessions (reported here). Her depression has lifted, she has been able to write freely for the first time in ten years, and has stopped obsessing about her ex-boyfriend. The therapist was able to combine CMT and EMDR to create a rapid but deep exploration and amelioration of the client's major, longstanding life problems. [Text, p. 162]
Keywords: Adults Americans Case Report Cognitive Therapy Depressive Disorders Females Guilt Life Experiences Psychotherapeutic Processes Survivors
Accuracy Verified: Yes
344. Forgash, C. (2012, October). The impact of complex PTSD and attachment issues on personal health: An EMDR treatment approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR treatment will be presented as a successful model for dealing with the attachment deficits and health problems of trauma survivors. The development of an EMDR Treatment Plan to treat both health and attachment problems with a focus on a Health History and specific target selection is highlighted. Specialized techniques will be utilized in phases 1-3 to help the patient experience self soothing, develop emotional regulation, and to avoid re-traumatization in the health care setting. Phases 4-7 will emphasize specific work on past attachment ruptures as well as specific health issues. Skills development such as rehearsal will also be presented.
Keywords: Attachment Issues Complex Posttraumatic Stress Disorder Complex-PTSD C-PSTD Personal Health
Accuracy Verified: Yes
345. Adler-Tapia, R., Settle, C., & Onsager, D. (2004). The implications of including parents in EMDR sessions with children. Authors.
Language: English
Format: Publication
Abstract:
When considering these seven issues: Parent’s Mental Health Status/
Abusive Parent, Parent Expectations, Parent’s Treatment History, Parent’s Ability to Tolerate Affect, Attachment, Sharing Information, and Parent Co-Therapist, the authors consider the advantages and disadvantages of having the parents present during an EMDR treatment session.
Accuracy Verified: Yes
346. 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
347. Woodward, V. (2000, December). Incorporating EMDR and psychodrama into therapy. EMDRIA Newsletter, 5(Special Edition), 16-18.
Language: English
Format: Newsletter
Abstract:
The Mental Health Treatment Supervisor at the Danville Center for Adolescent Females where I worked previously is a secure, residential treatment program for girls between ages 14 and 18 who have been adjudicated by the courts. Residents are supervised at all times. There is almost continuous interaction with staff, except for brief periods when residents are expected to work on clinical issues in their rooms. Doors to rooms are always open during waking hours, with 15-minute checks performed. Residents deemed to be at risk of hurting themselves or others can be placed on one-to-one supervision. If a resident become physically aggressive or is threatening to herself or others, she can be restrained.
Keywords: Psychodrama
Accuracy Verified: Yes
348. 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
349. Leeds, A. (2006, September). Installation when treating complex posttraumatic stress syndromes. In Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes (A. Leeds. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD Consensus Model C-PTSD RDI Resource Development and Installation Treatment Criteria
Accuracy Verified: Yes
350. Marcus, S. (2005, September). Integrated EMDR headache treatment. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Ninety percent of the American public gets occasional headaches. An estimated fifty million Americans have severe re-occurring headaches. Up until now, the primary treatment for headaches has been pharmaceuticals. This workshop
seeks to familiarize you with a non-medication natural alternative for the treatment of headaches that utilizes EMDR. This workshop will employ lecture, demonstration and actual practice of the Integrated EMDR approach. The purpose of this teaching strategy is to prepare you for clinical practice. Objectives include understanding headache etiology, headache trigger
identification, threshold theory, training in the integrated EMDR prorocol used in Dr. Marcus' headache research, discussion of protocol utilization in clinical practice, informed consent, transference issues, and discussion of the role of provider when deploying this approach. This workshop is for advanced
EMDR practitioners but previous experience in headache treatment is not required.
Keywords: Headache
Accuracy Verified: Yes
351. 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
352. 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
353. 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
354. 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
355. 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
356. Forgash, C., & Knipe, J. (2008). Integrating EMDR and ego state treatment for clients with trauma disorders. In C. Forgash & M. Copeley (Eds), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 1-59) New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of EMDR (Eye Movement Desensitization and Reprocessing), ego state therapy, and dissociative disorder treatment methods. We believe that this model will enable therapists to extend the scope of treatment beyond trauma resolution to include the extensive life issues often faced by clients with complex disorders (Wachtel, 2002) and to have the opportunity to develop mastery and competence in treating these challenging clients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Egp State Therapy Dissociative Disorders Trauma
Accuracy Verified: Yes
357. Heber, R., Linnihan. C., Butler, P., Leighton, J., & Knipe, J. (2003, September). Integrating EMDR and psychoanalytic psychotherapies. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
The symposium will explore integration of EMDR into analytic framework and promote a dialogue among clinicians of various orientations. The chair will provide overview and panelists will present three cases representing somewhat different orientations. Issues addressed
will include reason for doing EMDR, timing, ways of introducing and incorporating EMDR, relational considerations, and challenges of identifying and dealing with such phenomena as transference,
countertransference, enactment or resistance. Discussant will provide additional perspective by reframing some analytic constructs in term of
the EMDR trauma-based, information processing model. Second part will consist of audience participation and discussion. Case materials are
invited. Clinicians from all perspectives (analytic, cognitive, etc.) are
encouraged to participate.
Keywords: Psychoanalytic Psychotherapies Symposium
Accuracy Verified: Yes
358. Cooke, L. J., & Grand, C. (2007, September). Integrating EMDR in the treatment of eating disorders. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This is a day-long program designed for the EMDR professional interested in enhancing their ability to conceptualize and provide effective EMDR treatment in working with the complexity of eating disorder symptoms. Paralleling phase-oriented treatment for trauma, this workshop will focus on stabilization skills utilizing state-to-state techniques with or without bilateral stimulation; working through underlying traumatic experiences utilizing the standard protocol; and future template work for integration of the psycho-biological changes. Current treatment approaches on attachment issues and emotion regulation, trauma’s impact on the brain and body, and affect management will be integrated throughout the program. Participants are invited to bring their most challenging cases to work on in practice sessions or during the case consultation segment of the program.
Keywords: Eating Disorders
Accuracy Verified: Yes
359. Laliotis, D. (1998, July). Integrating EMDR into a clinical practice. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) describe how they might modify their standard clinical assessment procedures in order to improve the linkage between evaluation and EMDR treatment; 2) report an enhanced level of confidence employing EMDR with client populations they are qualified to treat; and 3) report an improved understanding of issues relted to billing, informed consent, and managing referrals for EMDR.
Keywords: Clinical Integration
Accuracy Verified: Yes
360. 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
361. Grand, D. (1995, June). Integrating EMDR into the psychodynamic treatment process. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The discovery of EMDR (Eye Movement Desensitization and Reprocessing) has led to a structured treatment model conceptualized
in cognitive constructs (the three pronged approach). Based on the diagnostic and treatment situation, this may or may not, be easily
integrated into a psychodynamic (insight oriented) treatment approach. However, I have empirically found a dramatic, acceleration
and deepening of the psychodynamic treatment process with patients when flexibly utilizing EMDR in session. This presentation
will explore the different applications of EMDR incorporating Freudian, ego psychological, separation/individuation and self
psychological theories with practice wisdom derived from extensive case material. Attention will be given to the associative
process, screen memories, dream work, resistance, transference, countertransference and character analysis. The structural (id, ego
and superego) and topographical (unconscious, preconscious and conscious) models of the mind as well as the listening process will
be examined as they inform the use of EMDR. Particular focus will be devoted to how the cognitive interweave can be expanded
conceptually to incorporate the techniques of interpretation and mirroring. The anxieties, resistances and allegiance issues evoked in
the psychodynamically trained therapist, as they attempt to integrate EMDR into their practices will also be addressed.
Keywords: Psychodynamic
Accuracy Verified: Yes
362. Glang, C., & Penner, C. (1996, June). Integrating EMDR with marital and family systems therapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This presentation reflects our thoughts and clinical experiences regarding ways that EMDR can
broaden the therapeutic interplay between individual and systemic issues. We will discuss
iwmerous areas of consideration, along with case examples. A list of questions will be handed out,
which can help to guide therapists' thinking. We will also suggest ways to design cognitive
interweaves with a systemic focus.
Keywords: Family Therapy Marital Therapy
Accuracy Verified: Yes
363. Heber, R., & Shapiro, S. (2002, June). Integrating EMDR with psychoanalytic constructs in dealing with open-ended trauma. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Recent acts of terrorism dictate re-examination of therapeutic srrategies when dealing wlth traumatic events without true closure and involving environmental stressors common to therapist and client. Thc participant will learn to 1) identify issues that arise open-ended and and shared events; 2) identify and address transference, counter-transference and subjective counter-transference; 3) the therapist's own triggers, responses, and needs for personal
support; 4) utilize the client's narrative to identify past and current issues and
client coping methods. Case illustrations will be included.
Keywords: Open-Ended Trauma Psychoanalytic Constructs
Accuracy Verified: Yes
364. Zangwill, W. M. (2000, September). Integrating EMDR with sexual and relationship therapy. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase their knowledge of sexual and relationship problems; 2) increase their ability to accurately assess sexual and relationship problems; 3) increase their comfort in working with sexual issues; and 4) increase their effectiveness in working with sexual and relationship issues.
Keywords: Relationship Therapy Sexual Therapy
Accuracy Verified: Yes
365. Kiessling, R. (2005). Integrating resource development strategies into your EMDR practice. In R. Shapiro, (Ed.), EMDR solutions: Pathways to healing (pp. 57-87). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
As EMDR became more accepted within the psychotherapy community and more clinicians became trained, a greater number of clients with diagnoses other than PTSD were introduced to it. As a result, it became apparent that some of these more difficult, complex clients were not immediately ready for EMDR targeting and reprocessing. Many were either too unstable, had affect tolerance issues, or lacked the ego strengths to withstand the potential rigors of target desensitization. Others lacked needed coping skills, lacked the ability to recognize that they have the tools available to address their issues, or were fearful of addressing their traumatic experiences. Resource Development and Installation (RDI) strategies were developed and, over time, have been accepted within the EMDR community as valuable solutions for these challenging clients. [Text, p. 57]
Keywords: Life Experiences Psychotherapeutic Processes Survivors
Accuracy Verified: Yes
366. Young, J., & Zangwill, W. (1995, June). Integrating schema-focused therapy & EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the
theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an
extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated
throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous
to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various
strategies, especially EMDR.
This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema-
Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change
technique.
The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying
vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life
History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part
of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that
represent life long issues. The EMDR model eliciting infonmtion - asking the client about specific events and problems, then
obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as
soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very
effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears
to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc.
As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case
Conceptualization. This involves putting together the information from history taking, the schema questionnaire and the parent
questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and
recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR
exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of
cognitive interweave to use, etc.
Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR
broadens the scope of EMDR.
1) Cognitive Therapy for Personalitv Disorders: A Schema-Focused Approach. Revised Ed.
Professional Resource Press, Sarasota, FL, (813)366-7913; 2) Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.
Keywords: Schema-Focused Therapy
Accuracy Verified: Yes
367. Young, J., & Zangwill, W. M. (1996, June). Integrating schema-focused therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the
theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an
extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated
throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous
to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various
strategies, especially EMDR.
This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema-
Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change
technique.
The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying
vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life
History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part
of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that
represen life long issues. The EMDR model eliciting information - asking the client about specific events and problems, then
obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as
soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very
effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears
to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc.
As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case
Conceptualization. This involves putting together the infonmtion from history taking, the schema questionnaire and the parent
questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and
recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR
exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of
cognitive interweave to use, etc.
Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR
broadens the scope of EMDR.
1)Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Revised Ed.
Professional Resource Press, Sarasota, FL, (813) 366-7913
2)Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.
Keywords: Schema-Focused Therapy
Accuracy Verified: Yes
368. 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
369. Keenan, L. (2010, June). The integration and progression of EMDR within a generic primary care mental health service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In 2007 the Department of Health (DoH. UK) published
"Improving Access to Psychological Therapies" (IAPT). This meant
that primary care mental health services (PCMHS) had to seriously
consider the mode, method and efficacy of their service delivery.
This paper will consider one such service, critically reflecting on the
integration of EMDR as a mainstream therapeutic intervention.
The service utilises therapists from various therapeutic paradigms,
counselors, graduate workers, cognitive behavioural psychotherapists,
cognitive analytical psychotherapists, clinical psychologists
and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders,
OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts,
One EMDR Consultant/Facilitator, three accredited practitioners,
three level three trained therapists and two clinicians at level two.
This paper will present a brief history of the development of EMDR
within the PCMHS, exploring how EMDR has been utilised
not only in the treatment of PTSD (NIHCE 20051, but also in the
treatment of other psychological pathologies. The paper will highlight
the number of clients treated with EMDR (retrospectively
over a twelve month period), the average number of sessions per
client and the therapeutic outcomes as measured by the Patients
Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the
Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et
al 2006). The Dissociative Experience Scale is used when considering
EMDR as an intervention strategy and the Impact of Events
Scale- Revised (WEISS et al 2004) when appropriate. The paper
will conclude with a brief analysis of qualitative data from clinicians
as to the impact EMDR has had on their clinical practice.
Learning Outcomes:
By the conclusion of the presentation the participants will:
1. Be able to discuss the application of EMDR in the treatment
of psychopathologies other than PTSD.
2. To consider the integration of EMDR with other psychotherapeutic
paradigms.
3. To critical consider the treatment outcomes and in particular
the cost effectiveness of EMDR as a psychotherapeutic tool in a
generic primary care setting.
4. Be aware of the ethical and political considerations of integrating
EMDR into a generic primary care mental health service.
Innovation: This work is innovative as it focuses on how EMDR
can be utilised within generic mental health services. It critically
reflects on the phenomenology of integrating EMDR into
a PCMHS and it has encouraged the training of other EMDR
clinicians outside of the primary care mental health team.
Keywords: Generic Primary Care Symposium Training Issues
Accuracy Verified: Yes
370. Yordy, J. (2008, Mai). Intégration des techniques de gymnastique cérébrale et de psychologie énergétique afin d’améliorer le traitement EMDR avec les enfants et les adultes [Integrating brain gym & energy techniques to Enhance EMDR processing (for children and adults)]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Cet atelier regroupe à la fois des éléments de la théorie triunique du cerveau, la kinésiologie éducative et les développements récents sur le fonctionnement du cerveau. Le matériel présenté aidera le thérapeute EMDR à comprendre pourquoi le retraitement des traumas cesse ou bloque pendant les stimulations bilatérales avec
certains clients lorsqu’il cible du matériel traumatique. L’atelier aborde aussi l’évolution et le développement du cerveau et comment des informations sensorielles envahissantes peuvent déclencher des réactions primaires qui bloquent un fonctionnement adapté du cerveau. Une portion de la discussion portera sur la relation entre
les 3 vecteurs énergétiques du cerveau/corps et leur influence sur le retraitement des traumatismes. Enfin, cet atelier présente et offre des outils et stratégies que les cliniciens peuvent utiliser pour aider leurs clients à être
présents, équilibrés et intégrés au plan énergétique de façon à optimiser le travail avec l’EMDR.
Integrating Brain Gym and Energy Techniques to Enhance EMDR Processing is a presentation which
encompasses the Triune Brain Theory, Educational Kinesiology and recent research on Brain development and functioning. Information will be presented which will help EMDR trained therapists to understand why their clients stop processing while conducting bilateral stimulation for issues related to trauma. This workshop will look at evolutionary brain development and how overwhelming sensory information can trigger the brain into habitual “bottom up” processing which will block adaptive functioning. A discussion of the three energy vectors of the brain/body and their influence on trauma processing will also be correlated. The workshop will end with the sharing of practical, hands on tools which therapists can use to assist clients to become energetically present, balanced and to have integrated brain functioning for optimal EMDR processing.
Keywords: Brain Gym Energy Techniques
Accuracy Verified: Yes
371. Nutting, R. W. (2003, May). The integration of EMDR and body dialogue. Presentation at the annual meeting of the EMDR Europe Assocation, Rome, Italy.
Language: English
Format: Conference
Abstract:
This paper details the Body Dialogue process and the EMDR protocol for its use and presents two case studies that demonstrate this integrative technique. Recent studies show that trauma can profoundly affect the body. Many symptoms felt by individuals who have experienced trauma appear to be somatically based. Imprinted memories from 'big T' traumas and 'little t' traumas appear to have their origins sometimes decades before the body 'remembers'. When triggered by a present stimulus, these imprinted body memories recur and the body relives the past trauma. Most methods of trauma counselling and therapy address only the cognitive and emotional components of trauma, lacking the techniques that work directly with the physiological components of past traumatic incidents. The Body Dialogue technique (Stone J, Stone H, Stone S) offers a way to explore the psychological significance of sensations such as pain, motor impulses, muscular tension, trembling, breathing and heart rate. Since such somatic disturbances contain emotional and cognitive components, this dialogue process is able to identify and explore the deep psychological issues surrounding these imprinted body sensations and muscular reactions. The Body Dialogue process is integrated into the EMDR protocol (Shapiro, 2002) when the individual is confronted with body sensations. Having identified the issues (traumas) surrounding these sensations using the dialogue technique, the EMDR protocol is resumed. This enables the processing of the original trauma to occur as well as the instillation of a positive belief. During the therapeutic process using these two therapies, the therapist never has to touch the client.
Keywords: Body Dialogue
Accuracy Verified: Yes
372. Forgash, C. A. (2006, June). The integration of EMDR and ego state. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
This workshop, heterogeneous and complex disorders, including PTSD, is a highly complex set of diagnostics was traumatized patients focuses on integrating identity status and EMDR. These problems are usually the people who lived and stabilization to establish a therapeutic relationship to work with, management, heterogeneous resistance to influence symptoms and the need for large-scale preparation.
Availability to work with this self EMDR to integrate in the extended protocol, only the heterogeneous symptoms of PTSD and reach can be disposed much more comprehensive results.
Trauma, loss and the related disorders of the effects of empathy and understanding by working with an approach that meets with the patient and help resolve critical issues of our life plan and create.
Workshops open and clear theoretical base, technical innovation and EMDR and ego state work in the field of practical strategies and case presentations will take place.
With these workshops, participants will understand the following topics
1. Self status of the theory of information processing model can be associated with Apate
2. Foundations of the theory of self status
3. EMDR and the status of all Self reasons
4. Separation and stabilization strategies for specific disorders help to manage
5. Processing phase to be resolved in EMDR trauma provider of advanced techniques assemblies
Keywords: Ego State Therapy
Accuracy Verified: Yes
373. Dunne, T. (2010, June). Integration of EMDR into clinical practice: What therapists are saying. In Training issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
40% of Therapists trained in EMDR report difficulties
integrating EMDR into their clinical practice. This paper will report
on a qualitative study of Therapists who were interviewed
as part of my Doctoral research project at the University of
Middlesex, London. The paper will explore and report on the
types of difficulties which therapists are reporting and the reasons
why. It will explore ways forward to resolve these issues
including the implications for training, and the need for ongoing
clinical supervision post training.
Participants will learn of the difficulties in integration of EMDR
in clinical practice and the reasons why.
Participants will come away with a better understanding of the
professional and organizational difficulties involved in integration
Participants will also learn how to resolve these issues.
This study is unique because it is the first study undertaken with
Therapists trained in EMDR outside the USA and because the
qualitative nature of the study is counterbalanced with the findings
of quantitative data which make the findings more generalizable
and cross cultural in nature.
Keywords: Research Symposium Training Issues
Accuracy Verified: Yes
374. Holstein, B. (2008). The integration of focusing with EMDR and kabbala concepts. Presentation at the 10th International Focusing Conference, Spring Valley, New York.
Language: English
Format: Conference
Abstract:
This session will be a presentation of concepts and exercises from the Kabbala as applied to living forward in one's life through focusing and EMDR. Specific struggles, such as addictive eating, repeated relationship difficulties, and identity and esteem issues will be addressed. This workshop will include experiential exercises toward living the life you envision. 1.5 hrs. Bonnie Holstein, PsyD.
Keywords: Kabbala
Accuracy Verified: Yes
375. 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
376. Dworkin, M. (2003, June). Integrative approaches to EMDR: Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187. doi:10.1037/1053-0479.13.2.171.
Language: English
Format: Journal
Abstract:
EMDR represents an integrative model of psychotherapy at the theoretical level. During its 16-year history, it has created quite a controversy in academic psychology. Missing from these debates have been additional therapeutic elements that are necessary to propel productive thinking into ways of making greater use of the model. These elements—empathy, the intersubjective, and usage of the cognitive interweave in conjunction with transference and countertransference issues—are explored. This addition constitutes an assimilative approach to an ever-evolving model of resolving posttraumatic stress disorder.
Keywords: Empathy Intersubjective Cognitive Interweave Cognitive Processes Countertransference Integrative Model Integrative Psychotherapy Interpersonal Interaction Models Posttraumatic Stress Disorder Psychotherapy PTSD Transference Psychotherapeutic Transference Subjectivity
Accuracy Verified: Yes
377. Scagliotti, J. (2011). Interoceptive exposure therapy for combat veterans: A group treatment approach. University of Hartford, Hartford, CT.
Language: English
Format: Dissertation/Thesis
Abstract:
This paper explores the application of interoceptive exposure (IE) therapy to treat the arousal and avoidant symptoms in veterans with posttraumatic stress disorder (PTSD). The historical background of PTSD and the functional impact of the disorder in veterans from Vietnam and Operation Enduring Freedom/Operation Iraqi Freedom are discussed in the first chapter. Literature on romantic and family relationship impairment, employment challenges, decreased physical health and overall quality of life, and increased mental health issues in veterans of combat are presented. Following the introductory chapter is a brief description of the history of treatment for combat trauma and a detailed review of the most common treatments for PTSD in their application to the veteran population. Research on psychophysiological approaches to treatment, pharmacotherapy, and EMDR is discussed. The extensive literature on cognitive behavioral treatment approaches for combat trauma is reviewed. As noted, exposure therapy appears to be the treatment approach with the most scientific support. A relatively new form of exposure therapy known as IE, as well as the small but promising body of research on the potential to augment conventional long-term exposure therapy with IE, are also addressed here. A new treatment protocol proposed here is built upon the foundation of empirical support for cognitive behavioral therapy for PTSD. It is intended to incorporate trauma-informed best practices and exposure therapy tenets through the implementation of group based IE for individuals with combat-related PTSD. Outlines of the following two sections will provide detailed descriptions of the group design and the specific treatment modules, the first of which addresses therapeutic rationale and group composition, and the second lists the specific twelve treatment modules.
Keywords: Combat Veterans Interoceptive Exposure Therapy
Accuracy Verified: Yes
378. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol
can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic
implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses
the recovery process as follows:
At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards
of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation
of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR).
Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize
resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes
the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and
feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy
as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the
most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to
working with their core addiction issues, which have now become easier to treat by especially using Desensitization and
Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol
by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions.
Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of
the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Addiction Addictive Behavior Resourcefulness Resilience
Accuracy Verified: Yes
379. 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
380. Hembree, E., & Foa, E. (2003, April). Interventions for trauma-related emotional disturbances in adult victims of crime. Journal of Traumatic Stress, 16(2), 187-199. doi:10.1023/A:1022803408114.
Language: English
Format: Journal
Abstract:
This paper provides an overview of several treatment interventions for trauma-related disturbances in adult victims of crime. Following a brief discussion of mental health service utilization among crime victims, we describe interventions for acute and chronic reactions to trauma. We present some controlled studies of psychosocial treatments for PTSD that have gained empirical support and are recommended as first line interventions by expert consensus including exposure therapy, cognitive therapy, and stress inoculation training, followed by a brief summary of selected studies examining the efficacy of pharmacological treatment for PTSD. Finally, we discuss multicultural issues, factors associated with treatment outcome, and challenges we have encountered in treating crime victims. [Author Abstract]
Keywords: Adults Crime Literature Review Posttraumatic Stress Disorder PTSD Survivors Treatment Treatment Effectiveness
Accuracy Verified: Yes
381. Rutten, J. & Schlattmann, N. (2006). Interview met Renée Beer en Carlijn de Roos. Kinder- & Jeugdpsychotherapie, 33(3), 7-13.
Language: Dutch
Format: Journal
Abstract:
In een themanummer over EMDR mag een interview met Renée Beer en
Carlijn de Roos, de grondlegsters voor de toepassing bij kinderen en jeugdigen
in Nederland, niet ontbreken. Enerzijds omdat EMDR nog steeds veel vragen
oproept, anderzijds omdat wij hen aan het woord wilden laten over de wijze
waarop zij, in ons land, EMDR als behandelmethode voor kinderen en
jeugdigen tot ontwikkeling hebben gebracht.
Beiden bleken meteen enthousiast voor dit interview en wij raakten al snel
onder de indruk van het vele wat zij in korte tijd bereikt hebben.
Hoe zijn zij in aanraking gekomen met EMDR? Waren ze meteen enthousiast
of eerst nog wat sceptisch? Wat zijn de indicaties voor een EMDR behandeling
en wat de contra-indicaties? Welke EMDR behandelingen zullen ze nooit meer
vergeten? Voor welke problematiek vinden zij EMDR toepasbaar en wat zien
zij als de beperkingen van EMDR? Tegen welke misvattingen en vooroordelen
hebben ze moeten opboksen? Naast de antwoorden op deze vragen, wilden wij
tevens weten of EMDR al toegepast wordt ingeval van nationale rampen en of
Nederlandse EMDR therapeuten internationaal een rol spelen. Tenslotte
wilden we natuurlijk horen hoe zij tegen de toekomst met betrekking tot
EMDR aankijken.
In a special issue on EMDR may be an interview with Renee Beer and
Carlijn the Rose, the ground legs heaters for use in children and adolescents
in the Netherlands, not missing. Firstly, because EMDR still many questions
calls, and secondly because we wanted to let them have their say on the way
which they, in our country, EMDR as a treatment for children and
youth development have brought.
Both were immediately excited for this interview and we soon became
impressed by the many things they have achieved in a short time.
How did they come into contact with EMDR? They were immediately enthusiastic
or get a little skeptical? What are the indications for EMDR treatment
and what the contraindications? What EMDR treatments, they will never
password? For what issues they find EMDR applicable and see what
they see as the limitations of EMDR? At what misconceptions and prejudices
they have to compete? Besides the answers to these questions, we wanted
also know if EMDR is already applied in cases of national disasters and whether
Dutch EMDR therapists play an international role. finally
Of course we wanted to hear how they view the future with respect to
EMDR look.
Keywords: Carlijn de Roos Interview Renée Beer
Accuracy Verified: Yes
382. Thomson, S. S. (1993). An interview with Francine Shapiro, Ph.D., Part II. Treating Abuse Today, 3(3), 17-22.
Language: English
Format: Magazine
Abstract:
In this second installment of our interview Dr.
Shapiro discusses the clinical issues in the use of Eye Movement Desensitization and Reprocessing, the phenomenon of the EMDR movement, the mind/body relationship and her thoughts on the nature of EMDR.
Keywords: Francine Shapiro Interview
Accuracy Verified: Yes
383. Luber, M., & Shapiro, F. (2009). Interview with Francine Shapiro: Historical overview, present issues, and future directions of EMDR. Journal of EMDR Practice and Research, 3(4), 217-231. doi:10.1891/1933-3196.3.4.217.
Language: English
Format: Journal
Abstract:
This interview with Dr. Francine Shapiro, originator and developer of Eye Movement Desensitization and
Reprocessing (EMDR), provides an overview of the history and evolution of EMDR from its inception
to current findings and utilization, as well as future directions in research and clinical development.
Dr. Shapiro discusses the psychological traditions that informed the development of EMDR and the Adaptive
Information model, as well as the implications for current treatment. The rationale for the application
of EMDR to a wide range of disorders is discussed, as well as its integration with other therapeutic approaches.
Topics include research on the role of eye movements, the use of EMDR with combat veterans,
somatoform disorders, attachment issues, and the distinct features of EMDR that have allowed it to be
used for crisis intervention worldwide.
Dr. Francine Shapiro is the originator and developer of EMDR. She is a senior research fellow at the Mental Research Institute
(MRI) in Palo Alto, California, executive director of the EMDR Institute in Watsonville, California, and the founder and
president emeritus of the EMDR Humanitarian Assistance Program, a nonprofit organization that coordinates disaster
response and supports low fee training worldwide. She has written the primary text on EMDR: Eye Movement Desensitization
and Reprocessing: Basic Principles and Procedures (Guilford Press) and co-authored or edited four others: EMDR: The
Breakthrough Therapy for Overcoming Anxiety, Stress and Trauma (Basic Books), EMDR as an Integrative Psychotherapy Approach:
Experts of Diverse Orientations Explore the Paradigm Prism (American Psychological Association Books), Handbook of EMDR
and Family Therapy Processes (Wiley), and Short-Term Therapy for Long-Term Change. She has written and co-authored more
than 60 articles and chapters and is an invited speaker at psychology conferences all over the world. Dr. Shapiro is a recipient
of the American Psychological Association Division 56 Award for Outstanding Contributions to Practice in Trauma
Psychology, the Distinguished Scientific Achievement in Psychology Award presented by the California Psychological Association
and the International Sigmund Freud Award for Psychotherapy presented by the City of Vienna in conjunction
with the World Council of Psychotherapy. She was appointed one of the “Cadre of Experts” by the American Psychological
Association and Canadian Psychological Association Joint Initiative on Ethno-political Warfare. She has served as an
advisor to many trauma treatment and outreach organizations and journals. She has three awards bestowed in her honor.
Those given by the EMDR International Association and the EMDR-Ibero-American Association celebrate members of
the EMDR community who follow in her footsteps of creative thinking, service, and dedication to the standard of EMDR.
The EMDR Europe Association presents the Francine Shapiro EMDR-Europe Research Award in order to encourage
research in the field. In 2008, a comprehensive electronic resource for scholarly articles and other important references
related to EMDR and adaptive information processing was introduced and was named The Francine Shapiro Library in
honor of Dr. Shapiro (http://emdr.nku.edu/emdr_data.php).
Accuracy Verified: Yes
384. Treadway, D. C. (2008, September). Intimacy and healing: Utilizing EMDR in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many couples struggle with intimacy and sexuality issues, often, due to the harm done to one or both members of the couple by emotional and sexual abuse from their early childhoods. Dr. Treadway, who specializes in working with couples, will discuss how he utilizes adjunctive short term EMDR in his work with couples and their PTSD issues. Treadway will discuss both referring a member of a couple out for EMDR around their trauma issues so that they might have the privacy of a relationship with EMDR specialist, as well as the value of bringing an EMDR therapist into couples therapy as a consultation and piece of work with one or both members of the couple. Although not an EMDR practitioner himself, Dr. Treadway has profound respect for the therapeutic power of EMDR to clear significant trauma and help clients separate their past pain from their present lives and relationships. Dr. Treadway will also discuss how to integrate the deep healing work into the couple’s relationship in order to enhance their experience of a deep, compassionate, loving connection.
Keywords: Couples Therapy
Accuracy Verified: Yes
385. Lendl, J., & Foster, S. (2011, August). Intro to EMDR performance enhancement psychology: A twenty year update. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
While EMDR Performance Enhancement Psychology can address clinical issues such as performance anxiety, self-defeating beliefs, behavioral inhibitions, PTSD, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes; it can also be very useful with everyday non-pathological complaints such as procrastination, fear of failure, setbacks and life transitions. Lendl and Foster initiated EMDR-PEP in 1991. This workshop will be a twenty year update to the introduction of EMDR-PEP. There will be a brief history of EMDR-PEP, research, AIP theory, and useful performance skills that therapists can integrate into their work with clients. The workshop will include lecture, role playing demo with group practice and, hopefully, time for questions.
Keywords: Performance Enhancement Update
Accuracy Verified: Yes
386. 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
387. 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
388. Barach, P. (2000, September). Introduction to the diagnosis and treatment of dissociative disorders: Learning the ropes, avoiding the pitfalls. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
EMDR is not the focus of this program.
Participants will: 1) become acquainted with interview questions and diagnostic instruments that access for the presense of a dissociative disorder; 2) learn current thinking concerning the etiology of dissociative disorder; and 3) learn how to use therapeutic boundaries and pacing to structure a treatment plan for dissociative clients that helps maintain daily functionality; 4) understand the basic issues in the false memory/recovered memory controversy; and 5) understand some of the common traps and errors in the treatment of this population.
Keywords: Diagnostic Instruments Dissociation False Memory Interview Questions Pacing Recovered Memory Therapeutic Boundaries
Accuracy Verified: Yes
389. Kitchur, M. (2000, September). Introduction to the strategic developmental model for EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) employ a rapid strategic history-taking process with clients; 2) quickly formulate a developmentally-based hypothesis about the client; 3) quickly identify and prioritize EMDR targets; 4) employ strategic language that faciltiates engagement and minimizes resistance; and 5) provide clients and funders with clearer time-frames for resolution of therapeutic issues.
Keywords: History-Taking Strategic Developmental Model
Accuracy Verified: Yes
390. 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
391. Dunne, T., & Farrell, D. (2011). An investigation into clinicians' experiences of integrating EMDR into their clinical practice. Journal of EMDR Practice and Research, 5(4), 177-188. doi:10.1891/1933-3196.5.4.177.
Language: English
Format: Journal
Abstract:
This study was conducted in the United Kingdom at two major conferences to examine how therapists (N = 83) integrated eye movement desensitization reprocessing (EMDR) into their clinical practice. Data from a mixed methodology suggests that up to 40% of the sample experienced difficulties post-EMDR training. Results indicated that analytically trained and humanistic therapists experienced significantly more difficulties in integrating EMDR into the current clinical practice than integrative or cognitive behavioral clinicians. This study also ascertained that EMDR clinicians experienced workplace difficulties and challenges. Consideration is given to how the study findings may have implications for both the teaching and learning of EMDR and workplace issues.
Keywords: Dissemination of Empirically Supported Therapies Integration Psychtherapeutic Orientations
Accuracy Verified: Yes
392. Farrell, D. (2005, June). An investigation into participants’ experiences of EMDR training and the implications for future developments in the teaching and learning of EMDR. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
This study investigates the experiences of participants (N=103) who had
undertaken EMDR Level 1 or 2 training in Ireland. The audit ascertained
participant's core profession, main psychological treatment orientation,
present utilization of EMDR within current clinical practice, number of clients
treated, types of referral issues, average number of sessions, and provision
for clinical supervision. In addition participants provided feedback as to their
views on their EMDR training experience. EMDR trainings were criticised in
areas which included participant involvement, group practicum's,
competency and fitness to practice, clinical supervision, post training
professional development, and the lack of any systems of assessment of
either knowledge or application of EMDR. The findings were integrated into
the development of a university based EMDR training at Masters Degree
level with multiple modes of assessment.
Accuracy Verified: Yes
393. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA)
and Chi-Square tests to examine the relationships between Questionnaire items for
significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice
and integration issues. This qualititative data was content analyzed. No differences were
found between both groups on Biodata factors, years of experience as a Therapist or years
using EMDR which gives further confidence in the results when comparing both cohorts.
Results: Respondents endorsed two types of explanation as to why they believed EMDR
works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes
(77%) and Adaptive Information Processing (73%). This suggests that Therapists are not
just following Shapiro’s AIP model slavishly but are rather making up their own minds.
There were no significant differences between Analytic, CBT, Integrative and Humanistic
Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active
ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical
practice than Analytic or Humanist Therapists. This finding was supported by the results of
the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced
difficulties in integrating EMDR into their clinical practice, post training. The types of
difficulties identified included: Differences in theoretical beliefs, more active style of
EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational
issues and hostility from clinical colleagues, bullying, lack of supervision and support
post training.
Conclusions: The results of this study confirm findings from earlier studies regarding
Therapists’ beliefs about EMDR but also extend those finding internationally so that
previous findings can now be accepted as universal given that this present study
contained respondents from three other continents other than North America. This study
also found that up to 40% of Therapists trained in EMDR experienced significant
difficulties in integrating EMDR into their clinical practice post-training. Analytic and
Humanist Therapists reported the biggest difficulties which included conflict with the
Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist
confidence and lack of supervision and support, Organizational and Management issues of
opposition to EMDR and Therapist Bullying. The implications for EMDR training are
discussed and communicated to relevant EMDR Training Organizations.
Keywords: Poster Research Therapist's Beliefs
Accuracy Verified: Yes
394. Oglesby, C. A. (1999, September). An investigation of the effect of eye movement desensitization reprocessing on states of consciousness, anxiety, self-perception, and coach-perceived performance ratings of selected varsity collegiate athletes. Temple University, Philadelphia, PA. AAT 9921186.
Language: English
Format: Dissertation/Thesis
Abstract:
PTSD experts have recently pointed out that while traumatic events have been the core of cultural tales for centuries, it is highly unlikely today that any individual will avoid the direct experience of a traumatic event during a lifetime. The present study was an initial exploration of the effectiveness of an approach, designed for clinical issues of trauma, in sport; a nonclinical, field study environment marked by consistent high pressure to perform with excellence. The hypotheses of the study called for examination of pre and post treatment scores of control, EMDR, and placebo group subjects on five dependent variables: States of Consciousness During Movement Activity Inventory (SCMAI); State-trait Anxiety Inventory (STAI); Coach-Perceived Performance Rating (CPPR); Subjective Units of Distress Scale (SUDS); and Validity of Cognition Scale (VoC).Collegiate varsity athletes (N = 48) from the sports of field hockey, gymnastics, lacrosse, track and field, and volleyball were randomly assigned to one of three treatment groups. The control group completed the SCMAI and STAI with 3 to 4 weeks intervening. The placebo group completed the inventories and a week later met with a sport psychology consultant (researcher) for focus on the identified "worst moment in sport." The SUDS and VoC scores were collected during the session. After another week, the inventories were completed for the last time. The pattern for the eye movement desensitization reprocessing (EMDR) group was identical to the placebo group except the session followed a basic protocol for EMDR. The focus of the session was, again, the subjects, worst moment in sport. The results revealed no statistically significant pre to post changes in treatment group scores in regard to the SCMAI, STAI, and coach-perceived performance. Results significant p < .02 were found on the SUDS and VoC as the EMDR group reported more favorable gains that did the placebo group. Additionally, descriptive statistics, and qualitative protocol examples, were utilized to illustrate trends of potential individual benefit from the EMDR procedure. This research represented the first study of a potential line of research examining the efficacy of EMDR with athletes and, perhaps, with performers in various peak performance settings. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1292.
Keywords: Athletes College Students Effects Empirical Study Stressors Survivors Treatment Effects
Accuracy Verified: Yes
395. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp.
Language: English
Format: Book Section
Abstract:
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]
Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness
Accuracy Verified: Yes
396. Freitag, W. (2002, June). Is unresolved anger the problem?. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Unresolved anger, when not previously identified or prepared for, can halt EMDR processing in an instant. It is often at the root of or an integral part of the clinical picture for individuals suffering from anxiety disorders, depression and some personality disorders as well as Chronic Fatigue Syndrome and Fibromylgia. Because unresolved anger is not
often conscious and evident at first glance, it can be missed or not readily
addressed, prior to EMDR processing. Participants who attend this
workshop will 1) be better able to identify unresolved anger in their
clients with a variety of presenting complaints; 2) learn ways to prepare
and assess their client's readiness to do EMDR when dealing with unresolved
anger issues: and 3) learn effective cognitive interweaves to use when EMDR processing gets stuck.
Keywords: Anger Blocked Processing
Accuracy Verified: Yes
397. Farrell, D. (2011, March). Issues around EMDR Europe Accreditation for Practitioners & Consultants. In EMDR accreditation & clinical supervision. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This presentation will outline the essential elements of the EMDR Europe Competency
Based Frameworks for both Practitioners and Consultants and highlight the need for why
promoting accreditation is important in the future development of EMDR. It will also consider a
model for EMDR clinical supervision that utilises an EMDR personal development plan (EMDR-PDP)
so as to provide a structural framework for EMDR clinical supervision sessions.
Keywords: Accreditation
Accuracy Verified: Yes
398. Oras, R. (2002, May). Issues in the timing of treatment of refugee children. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Accuracy Verified: Yes
399. Bardot, E. (2009). L 'EMDR (Eye movement desensitization and reprocessing). In A. Deneux, F.-X. Poudat, & T. Servillat (Eds.) Les psychothérapies: Approche plurielle (pp. 375-386) Paris: Masson.
Language: French
Format: Book Section
Abstract:
Les pratiques psychothérapiques se sont multipliées au cours des dernières décennies. On dénombre actuellement dans le monde près de 400 types de psychothérapies. Cette diversité peut entretenir un flou croissant autour de ces approches avec un risque d'amalgame ou de repli sur telle ou telle référence exclusive. Afin d'éviter ce risque et d'orienter les étudiants et les thérapeutes, ce livre propose de présenter les principaux courants psychothérapiques : psychanalytique, cognitivo-comportemental, systémique et stratégique. Le lecteur sera sensibilisé pour chacun des courants à leur histoire, aux enjeux théoriques et psychopathologiques, à la spécificité de la clinique, à la question des indications. Des portraits de personnalités marquantes scandent la présentation de chaque courant, apportant un éclairage biographique. L'ambition est de saisir la pluralité des champs mais également leurs complémentarités car au-delà des spécificités théoriques et techniques, on identifie un certain nombre d'invariants et de facteurs communs au processus psychothérapique. Cet ouvrage espère ainsi contribuer à un mouvement de décloisonnement et de partage des richesses et ressorts des grands courants, dans un esprit d'exigence et de respect mutuel. Des thérapeutes d'horizons et de références différents seront ainsi sensibilisés à la diversité de ces courants et pourront mieux poser les indications d'autres approches que la leur.
Psychotherapeutic practices have proliferated in recent decades. There are currently around the world nearly 400 types of psychotherapy. This diversity can sustain a growing uncertainty around these approaches with a likelihood of confusion or retreat on any particular exclusive reference. To avoid this risk and to guide students and therapists, this book proposes to present the mainstream psychotherapy: psychoanalytic, cognitive-behavioral, systemic and strategic. The reader will be sensitized to each of their common history, theoretical issues and psychopathology, the specificity of the clinic, when asked for directions. Portraits of personalities punctuate the presentation of each course, providing lighting biography. The ambition is to capture the diversity of their fields but also complementary because beyond the specific theoretical and technical, it identifies a number of invariants and common factors in the psychotherapeutic process. This book hopes to contribute to a movement of deregulation and wealth sharing and springs from the mainstream, in a spirit of care and mutual respect. Therapists backgrounds and different references are well aware of the diversity of these streams and can better ask directions other than their own approaches.
Accuracy Verified: Yes
400. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute.
Tre gli elementi salienti offerti dalla ricerca:
1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni.
2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari.
3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente.
Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce.
Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle
interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico).
A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali.
Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa.
Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione.
Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio.
E questo è un punto di forza notevole per l’EMDR.
I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008).
L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).
In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems
complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment
able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that --
relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a
"Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of
neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008).
EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).
Keywords: Body-Mind Interaction PNEI
Accuracy Verified: Yes
401. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura.
A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica.
L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività.
Nell’ambito del Workshop verranno approfondite le seguenti tematiche:
• Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico.
• Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici.
• Ruolo dell’abuso sessuale.
• Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare.
• Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico.
• Strumenti di screening psicodiagnostico.
• Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche
• Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature.
Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy.
EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness.
As part of the workshop will examine the following issues:
• Differential diagnosis between different types of pain, uro-gynecology.
• Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events.
• Role of sexual abuse.
• psychophysiological mechanisms in the onset of the disorder: the role of muscle tension.
• Psychological characteristics of women with uro-gynecological pain.
• psycho-diagnostic screening tools.
• Work on the main strategies for assessment and intervention uro-gynecological and pharmacological
• Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.
Keywords: Urogenital Pain
Accuracy Verified: Yes
402. Selvini, M. (2011, Settember). L'Impatto delle terapie del trauma e dell'EMDR sul modello sistemico familiare-individuale [The impact of EMDR treatment of trauma and the family systems model-independent]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Uno dei limiti di fondo del modello sistemico classico (si veda La pragmatica della comunicazione di Watzlawick, 1967, o Paradosso e contro paradosso, 1975, fino agli epigoni post-moderni) è dato dal semi-annullamento della dimensione individuale (la famosa scatola nera), tra cui come ovvia conseguenza quella dell’elaborazione del trauma. Il movimento EMDR impatta così utilmente sui terapeuti sistemici nell’aiutarli a riscoprire/approfondire/integrare i temi dell’elaborazione/difesa della sofferenza e dei diversi tipi di personalità/funzionamento.
Le mie scuole da qualche anno stanno formando all’EMDR tutti i docenti e tutti gli allievi del quarto anno: perché solo circa un terzo dei formati al primo livello utilizza poi effettivamente questa tecnica? Lo stiamo studiando con incontri a piccolo gruppo subito dopo i tre giorni del primo livello, appare infatti chiaro che chi non utilizza subito la tecnica non lo farà più.
One of the limitations of the underlying classical system model (see The pragmatics of communication of Watzlawick, 1967, or Paradox and counter paradox, 1975, until the post-modern successors) is given by the semi-annulment of the individual dimension (the famous black box ), including the drawing as an obvious consequence of trauma. The movement thus usefully EMDR impacts on systemic therapists in helping them to discover / learn / integrate the development issues / defense of the suffering and the different personality types / functions.
My schools a few years being trained EMDR all teachers and all pupils in the fourth year, because only about one third of the formats on the first level then actually uses this technique? We're studying with small group meetings in the three days immediately after the first level, it seems clear that those not using the technique just will not do it anymore.
Keywords: Family Systems
Accuracy Verified: Yes
403. Rogers, S. (2003, August). Latest findings in EMDR process research and component analysis. Presentation at the 111th annual meeting of the American Psychological Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure and cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is best regarded as a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These finding have implications for clinicians who are interested in 'ease of use' as well as treatment outcome. They also have implications for the habituation model of anxiety reduction. This presentation provides a review of the results of group and single-case EMDR component analyses, methodological issues and suggestions for future research.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
404. Bruno, T. (2006, Maggio). Le emozioni dei terapeuti nel lavoro con persone vittime di traumi interpersonali [The emotions of therapists working with victims of interpersonal trauma]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.
Language: Italian
Format: Conference
Abstract:
Quando ascoltiamo storie di devastazione, terrore, impotenza e di tradimento della fiducia, come naturale conseguenza, le nostre sicurezze più profonde possono essere messe in crisi. Applicando l’EMDR, a volte, possiamo essere messi di fronte alla “realtà del trauma” inaspettatamente, senza parole: il/la paziente “torna là” rivive l’esperienza col corpo e noi assistiamo e “viviamo il suo trauma”. Le emozioni (paura, schifo, terrore, rabbia, senso di paralisi ecc.) possono irrompere nello spazio sicuro della stanza di terapia e sfidare il nostro senso di “invulnerabilità” e prevedibilità. Rispetto all’impatto del materiale traumatico sul terapeuta quando si trova come testimone di eventi terribili e delle loro conseguenze ci possono essere risposte quali senso di paralisi, paura, desideri sadici e di vendetta, fino a “violazioni del setting”. Nel lavoro sul trauma possiamo agire in un continuum che va da risposte di evitamento con sentimenti di rifiuto e rabbia verso risposte di iper identificazione con la vittima. Esiste un rapporto circolare fra aspetti controtransferali e traumatizzazione secondaria negli operatori. Possono emergere problemi esistenziali e spirituali, sentimenti aggressivi e di giudizio, orrore, rabbia, senso di vulnerabilità, dolore-pena e sintomi classici del Disturbo da Stress Post Traumatico. La conoscenza, la consapevolezza e la gestione di questo processo all’interno della relazione terapeutica è fondante rispetto alla riparazione del danno nelle vittime e alla salute mentale dei terapeuti. Nel corso della presentazione ci sarà una focalizzazione sugli aspetti del ciclo del controtranfert e della traumatizzazione secondaria nel terapeuta e si forniranno elementi di protezione per i terapeuti.
When we hear stories of devastation, terror, helplessness and betrayal of trust, as a natural result, our securities may be made deeper into crisis. Applying EMDR, sometimes, we may be confronted with the "reality of trauma" unexpectedly, without words, it/the patient "back there" relive the experience with the body and we are seeing and "live her trauma." Emotions (fear, disgust, fear, anger, sense of paralysis, etc.) can break into the safe space of the therapy room and challenge our sense of "invulnerability" and predictability. Compared to the impact of traumatic material when the therapist is as a witness to terrible events and their consequences there may be responses such as sense of paralysis, fear, desires and sadistic revenge, to "violations of the setting." In work on trauma, we can act on a continuum ranging from avoidance responses with feelings of rejection and anger responses of hyper identification with the victim. There is a circular relationship between trauma and countertransference issues in the secondary players. Existential and spiritual problems can arise, aggressive feelings and judgments, horror, anger, sense of vulnerability, pain and pain-classic symptoms of Post Traumatic Stress Disorder. Knowledge, awareness and management of this process within the relationship Therapeutic compliance is fundamental to repairing the damage in the victims and mental health therapists. During the presentation there will be a focus on aspects of the cycle controtranfert and secondary traumatization in the therapist and will give protection elements for therapists.
Keywords: Interpersonal Trauma
Accuracy Verified: Yes
405. Dunton, R. (1992, April). Learning issues and children. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Children Learning Difficulties
Accuracy Verified: Yes
406. Prattos, T. (2000, February 24). Letters to the Editor - David Blore's 2000 paper. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
"I would like to ask some questions concerning the protocol you have developed for the
miners. Do you differentiate it with people trapped under buildings? I've read your paper
quite carehlly and I know you mention it does, but I was wondering about the air flow.
That part is not very clear to me. What is it that happens with the air when a building
collapses? Do you mean that it feels different, or that the air flow changes direction at the
exact time that the collapse begins? In other words that the air one used to breath before
the collapse feels different than after the collapse? Also why is the amount of fluid
consumption important? Does it have to do with whether they had drunk water or coffee
before the collapse or if they were given fluids by the rescue teams? I guess it has to do
with establishing the feeling of thirst under the rubble or dehydration? My questions
might sound silly but I do have them. I'd appreciate your feedback on this. I do have in
mind the stories I've heard from the survivors. Horrendous experiences that I'm
concerned of where I start from. Their personal experiences, the loss of their friends, the
impact it had on their company. There are so many issues involved here."
Keywords: Earthquake Letter Underground Trauma Protocol UTP Victims Turkey
Accuracy Verified: Yes
407. Penzel, F., Ricciardi, J. & Baer, L., Hurley, J. D., Minichiello, W. E., & Ott, B. D. (1992, May). Letters to the editor: EMDR workshop: Disturbing issues?. the Behavior Therapist, 15(5), 110-111.
Language: English
Format: Newsletter
Abstract:
We are writing as behavior
therapists and researchers who returned
from the 25th Annual AABT
Convention with serious concerns
regarding a workshop we attended
on the use of "Eye Movement Desensitization
and Reprocessing (EMDR)."
A number of disturbing clinical, research,
professional, and ethical issues
were raised by the content and
materials presented.
Keywords: Letter
Accuracy Verified: Yes
408. Silver, S. M., & Rogers, S. (2002). Light in the heart of darkness: EMDR and the treatment of war and terrorism survivors (1st ed.). New York: Norton.
Language: English
Format: Book
Abstract:
Notes that the effects of war and terrorism can be long-lasting and discreet, emerging years later in different forms of psychological and physical strain in the body. In this work, the authors uncover how developments in Eye Movement Desensitization and Reprocessing (EMDR) can be successfully applied to the treatment of war and terrorism trauma. They address issues confronted by all clinicians attempting to respond to this particular type of trauma--the psychological aftermath of man's inhumanity to man. The authors focus on the application of EMDR to clients' traumatic experiences, covering a wide range of traumatic settings and survivors from school violence to "near-war" experiences, refugees, combat soldiers, children, and emergency service workers. They provide a review of the research on the use of EMDR, specific case studies to demonstrate their results as well as general suggestions for integrating EMDR into the therapeutic process. It is stated that this book can be used as a general reference for all practitioners looking to broaden their understanding and care of trauma patients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Survivors Terrorism Veterans War
Accuracy Verified: Yes
409. Errebo, N. (2007, January/February). Like a ghost: Using EMDR to revive a traumatized vet's marriage; Case commentary; Author's response. Psychotherapy Networker, 31(1) 73-79.
Language: English
Format: Magazine
Abstract:
Errebo presents a case study of an Iraq War veteran with PTSD whose marriage was saved due to Eye Movement Desensitization and Reprocessing (EMDR) therapy. The case is especially relevant, given the numbers of soldiers returning from Iraq and Afghanistan, and the numbers who are reported to have ongoing post-traumatic symptoms up to and including post-traumatic stress disorder (PTSD). Case Commentary by Christine Courtois; Response by Author.
Keywords: Marital Issues Veterans
Accuracy Verified: Yes
410. van der Kolk, B., Korn, D., Weir, J., & Rozelle, D. (2004, September). Looking beyond the data: Clinical lessons learned from an EMDR treatment outcome study. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
'Bridging the gap between research and clinical practice" is a euphemism frequently evoked and rarely accomplished The aim of this workshop is to present and discuss lessons learned during a four-year treatment outcome study that compared EMDR to Prozac and control conditions, looking beyond the data toward clinical implications and issues of effectiveness versus efficacy. Using a combination of lecture, handouts and videotapes the presenters will address issues around predictors of positive and negative treatment response including comorbid diagnosis, age of trauma onset, and treatment condition. Case conceptualization, selection and sequencing of targets in treatment planning, the role of therapeutic relationship, and using EMDR as a brief treatment intervention will also be explored.
Keywords: Treatment Outcome Study
Accuracy Verified: Yes
411. 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
412. 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
413. 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
414. 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
415. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .
Language: Italian
Format: Journal
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.
Keywords: Uro-Gynecological Syndromes
Accuracy Verified: Yes
416. Neunuebel, C. L. (2010, July). Making EMDR user friendly for Asians. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Making EMDR User Friendly For Asians:
1. Training Asians in EMDR
• Issues of confidentiality
• Fears of being judged by colleagues
• School systems in Asia being shame based
• Shame in speaking about personal issues
• Poor knowledge of own emotions
• Issues of fate and karma
• Need for Asian facilitators to be assertive with authority figures
• Hesitancy of Asian trainees to ask questions
• Western facilitators receive more compliance but need for Asian facilitators
• Need for translated material to be in colloquial language
• Need for Asian vignettes.
2. Practicing EMDR by Asian practitioners and for Asian clients:
• Problems with extremes – SUD’s and VOC,
• Clients struggle with emphasis on individual not family,
• Loss of face for practitioner to use manual,
• Most Asian clients have poor imaginative or visualization skills,
• Physical sensations are more available than emotions,
• Lack of anger at abusive family members and authority figures,
• Issues of ghosts and superstitions.
3. Supervision of Asian EMD, • Provide supervisees of own mistakes,
• Providing supervision in countries where there are no consultants or facilitators,
• Can provide Western supervisors-but best might be co-leading supervision with a local practitioner.
My material for this presentation has been developed over 13 years of using EMDR with Asian clients and from 10 years of
providing facilitation and supervision for EMDR trainees. Also my many years in Asia, speaking the languages and having
been partly raised by Chinese nannies, have given me an understanding of Asian values, family organization and taboos. I
would like this workshop to provide a springboard for discussions with the attendees in collecting other ides for making EMDR Asian friendly.
Keywords: Asians Practice Theory
Accuracy Verified: Yes
417. 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.
Accuracy Verified: Yes
418. Clinical Resource Efficiency Support Team of the Northern Ireland Department of Health, Social Services and Public Safety (CREST). (2003, June). The management of post traumatic stress disorder in adults. Belfast, Ireland: Department of Health, Social Services and Public Safety.
Language: English
Format: Publication
Abstract:
Of all the psychotherapies, EMDR and CBT were stated to be the treatments of choice for trauma victims.
Keywords: Treatment Guidelines
Accuracy Verified: Yes
419. 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
420. 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]
Accuracy Verified: Yes
421. 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
422. Litt, B. K. (2005, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical, and ethical issues in incorporating EMDR into work with couples. Integenerational pathogegenesis of ego fragmentation will be described. Indications ad containdications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced techniques for facilitating processing with "stuck" or difficult clients.
Keywords: Couples Therapy Ego State Therapy Integenerational Pathogegenesis of Ego Fragmentation
Accuracy Verified: Yes
423. Litt, B. K. (2004, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical and ethical issues in incorporating EMDR into work with couples. Intergenerational pathogogenesis of ego fragmentation will be described. Indications and contraindications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced techniques for facilitating information processing with “stuck” or difficult clients.
Keywords: Couples Therapy Ego State Therapy
Accuracy Verified: Yes
424. Litt, B. K. (2003, September). The marriage of EMDR and ego state therapy in couples therapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical and ethical issues in incorporating EMDR into work with couples. Integenerational pathogogenesis of ego fragmentation will also be described. Indications and contraindications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced technqiues for facilitating information processing with "stuck" or difficult clients.
Keywords: Couples Therapy Ego State Therapy Integenerational Pathogogenesis of Ego Fragmentation
Accuracy Verified: Yes
425. EMDR Sweden. (2002, Juni). Medlemsbladet. EMDR-Bladet: Medlemstidning för EMDR-Sverige, 4(2), 1-12.
Language: Swedish
Format: Newsletter
Abstract:
Table of Content: 1 Sommarbrev från vår
ordförande; 2 EMDR och vetenskap - en bektraktelse; 6 Årsmötet 2002; 7 EMDR vid olyckor i tunnelbanan; 9 Aktuellt kunskapsläge om behandlingen av PTSD, Från biologi till existentiella
aspekter; 11 Framtidens medlemsblad; 11 Internationellt;
12 Utbildningar, Konferens mm;
1. Summer letter from our President, 2 EMDR and science - a reflection; 6 Annual Meeting 2002; 7 EMDR for incidents in the subway;
9 Current knowledge on the treatment of PTSD, from biology to existential aspects; 11 Future issues of Medlemsblad newsletter; 11 International; 12 Training, Conferences
Keywords: Subway
Accuracy Verified: Yes
426. Perry, B. D. (1999). Memories of fears: How the brain stores and retrieves traumatic experiences. In J. Goodwin and R. Attias, Splintered reflections: Images of the body in trauma, (Eds.)(1st Ed.)(pp. 9-38). New York: Basic Books .
Language: English
Format: Book Section
Abstract:
In this chapter, Dr. Perry explores how the brain "stores and retrieves physiologic states, feelings, behaviors and thoughts from traumatic events", and illustrates these issues with several case examples of traumatized children and adolescents. Concluding sections focus on vulnerable children and the law, and on transgenerational memory in society and culture. Four figures and 59 references are included in this online version
Accuracy Verified: Yes
427. 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
428. Usita, A. L. (2012, April). Mental health providers' perspectives on youth trauma services: Usual care and evidence-based practices. University of Hawaii at Hilo. 1511570.
Language: English
Format: Dissertation/Thesis
Abstract:
Keywords: EBP Evidence-based practices
Accuracy Verified: Yes
429. Lee, C. W., & Cuijpers, P. (2012, November). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experiential Psychiatry, 44(2), 231-239. doi:10.1016/j.jbtep.2012.11.001.
Language: English
Format: Journal
Abstract:
Background and Objectives: Eye Movement Desensitisation and Reprocessing (EMDR) is now considered evidence based practice in the treatment of trauma symptoms. Yet in a previous meta-analysis, no significant effect was found for the eye movement component. However methodological issues with this study may have resulted in a type II error. The aim of this meta-analysis was to examine current published studies to test whether eye movements significantly affect the processing of distressing memories.
Method: A systematic review of the literature revealed two groups of studies. The first group comprised 15 clinical trials and compared the effects of EMDR therapy with eye movements to those of EMDR without the eye movements. The second group comprised 11 laboratory trials that investigated the effects of eye movements while thinking of a distressing memory versus the same procedure without the eye movements in a non-therapy context. The total number of participants was 849.
Results: The effect size for the additive effect of eye movements in EMDR treatment studies was moderate and significant (Cohen's d = 0.41). For the second group of laboratory studies the effect size was large and significant (d = 0.74). The strongest effect size difference was for vividness measures in the non-therapy studies (d = 0.91). The data indicated that treatment fidelity acted as a moderator variable on the effect of eye movements in the therapy studies.
Conclusions: Results were discussed in terms of current theories that suggest the processes involved in EMDR are different from other exposure based therapies.
Keywords: Meta-Analysis Review
Accuracy Verified: Yes
430. 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
431. 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
432. Sugawara Masakazu & Suzuki K (2004, July). Methodological and conceptual issues and tests - EMDR(Eye Movement Desensitisation and Reprocessing) and REM sleep. Poster presented at the Annual Meeting of the Australian Society for the Study of Brain Impairment (ASSBI) and the International Neuropsychological Society (INS), Brisbane, Australia.
Language: English
Format: Conference
Abstract: Desensitisation and Reprocessing) and REM sleep. [Background] Eye movement desensitization and reprocessing (EMDR) is a new innovative treatment with a high success rate for psychological disturbances rooted in traumatic memory. However, the neurophysiological mechanisms of EMDR have not yet been elucidated. Why is saccadic eye movement effective for the reprocessing of previously established conditioned reflex? [Aims] The present research analysed (i)the topographical changes of EEG (and ERP) and REM sleep after EMDR treatment, and (ii)the subjective units of emotional distress (SUDs) and VOC. [Methods] Subjects (13 males and 20 females) were assigned to three groups according to varied conditions (control, provocational, and EMDR), and engaged in sets of horizontal saccadic-eye movements lasting approximately 30 seconds per set. Topographical changes of EEG and ERP activities were recorded from 14 placements over frontal, central, parietal, temporal and occipital scalp locations in the international 10-20 system with linked mastoides (A1-A2). Electrodes were also placed on the lateral canthus and above the supercillium of the left eye in order to measure the electrooculographic and electromyographic responses. [Results and Conclusions] The statistical significance of topographical EEG differences and REM densities during the pre-0post EMDR treatment situations, were evaluated using an ANONA and Mann-Whitney U test. The neurophysiological and psychological data indicate that the density of eye movement during REM sleep increased after provocation and EMDR, and the left frontal activities might indicate a treatment efficacy. It supports the hypothesis is that REM sleep is intimately involved with the mechanisms of emotional and memory reprocessing.
Accuracy Verified: Yes
433. Rossi, E., Shapiro, F., & Siegel, D. (2009, December). Mind-body issues. Panel discussion at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Accuracy Verified: Yes
434. Siegel, I. (2012, October). Mindful awareness and the role of resonance within EMDR protocol. Presentation at the annual meeting of the EMDR International Association, Arlington, VA .
Language: English
Format: Conference
Abstract:
This workshop is experiential and informational, describing the use of tools of intuitive mindful skills and resonance within EMDR protocol. Theories and research will be presented reflecting the convergence of psychology, science, and spirituality. Relationship to brain integration and processing will be linked to tools of intuitive processes within expanded awareness and an interconnected field of energy and informational flow between therapist and client. Participants will identify internal feedback mechanisms through the use of guided imagery, leading to a nonlinear, moment to moment integrative therapy. Applications to the EMDR process and attachment issues will be discussed through case presentation.
Keywords: Mindful Awareness Protocol Resonance
Accuracy Verified: Yes
435. 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
436. 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
437. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Definition of client population:
Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of
emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner
experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their
condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are
exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful
or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their
perfectionism or their quiet devaluing of others.
View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style.
People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as
interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters,
however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people
is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either
superior and powerful or inferior and worthless; supportive and admiring or critical and attacking.
Difficulties in using EMDR:
Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not
feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They
resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect,
other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and
worthlessness and their confusion about who they are and what is truly meaningful and valuable to them.
Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral
approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and
object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts,
body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty
with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with
homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating
beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change.
In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more
traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of
segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object
splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in
treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most
confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited
experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or
painful past experiences.
Length of treatment:
I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established
relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically
for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying
with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting
relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires.
Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they
are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are
able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient
purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are
reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as
a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and
consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with
narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions:
The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions.
Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will
never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my
flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must
please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire
me. It is often helpful to narrow these cognitions down to make them manageable with EMDR
Treatment:
In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an
EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in
particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed
Among other things, these facilitate more effective copitive interweaves.
The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since
it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in
helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of
children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's
own response to situations he has witnessed in news media, TV, movies or theater.
A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients
and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to
differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with
and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the
patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the
client as supportive but nevertheless make hun or her aware of having wandered.
Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will
agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has
never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth
that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while
doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must,
however, retain her healthy perspective if the client is to learn to accept himself.
For more clinical information about treating disorders of the self:
1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York,
N. Y., 1990
2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992.
3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach,
Professional Resource Exchange, Inc., Sarasota, Florida, 1990.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
438. Perez-Marin, M., & Molero-Zafra, M. (2008, June). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: Fostering interactions in clinical settings [Intermediate workshop]. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Narrative family therapy is the study of individuals, systems and the research on origins, development and
transmission of values, as well as their meaning, and influence on social dynamics. Using tales we could
symbolically represent an entity, both individual and collective, and express a personal identification, a family tie,
a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is
a process to “get out” from the person any element or quality that is transformed in some with entity. In
psychotherapy, externalising is the use of language to convert problems that affect person or family on to
independent entity. This transformation allows people to fight against them or to view them from a new
perspective. Externalisation technique thorough the metaphoric use of tales as external representation of family
entity and individual’s worth inside the family system is applied in adoption cases. The objective here is to create
a link between the child history and the family history in order to cope with difficulties that children and families
find after adoption. We use tales inside the symbolic techniques that permits families work together with
meanings, individualism and cohesion within their members, and after adoption. We present some clinical cases
with families that have adopted a child. During the treatment we have combined EMDR and narrative family
therapy techniques in clinical interventions. Using them, we carried out an analysis of the therapeutic issues and
benefices of EMDR and narrative therapy in these family processes.
Keywords: Adoption Narrative Family Therapy
Accuracy Verified: Yes
439. Prado-Gasco, V. J., Perez-Marin, M., & Molero-Zafra, M. (2010, July). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: An intervention protocol. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia.
Language: English
Format: Conference
Abstract: From the model of Narrative family therapy we use tales that could symbolically represent in therapy settings a person or a legal entity, both individual and collective, and which expresses a personal identification, a family tie, a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is a process to “get out” from the person any element or quality that is transformed in some with entity (White, 1991; White y Epston, 1993). In psychotherapy, externalising is the use of language to convert problems that affect the person or family on to an independent entity. This transformation allows people to fight against them or to view them from a new perspective. Externalisation technique through the metaphoric use of tales as external representation of family entity and individual’s worth inside the family system is applied in children adoption cases. The objective here is not to fight against the external representation of the family. We use tales inside the symbolic techniques that permits families to work together with meanings, individualism and cohesion within their members, and after adoption. We present a therapeutic protocol that combined EMDR and narrative family therapy externalisation techniques. We expose in a format of clinical case report the therapeutic work with a family that have adopted a child who suffer of a simple phobia. Using the protocol we describe above we carried out an analysis of the therapeutic issues and benefices of EMDR and narrative therapy in these family processes. This protocol has been useful to manage the phobia symptoms and to improve the adoptive family identity and cohesion. The combined approach we describe could help adoptive families to understand and to interpret the meanings from the construction that family systems make of their own world and relieve psychological symptoms that children could present.
Keywords: Adoption Intervention Protocol Narrative Family Therapy Poster
Accuracy Verified: Yes
440. Uram, S. (2012, October). The neurobiology of trauma made simple. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This workshop explains the neurobiology of trauma in a simple, yet highly usable manner. Upon completion of this workshop, attendees should be able to readily apply this information for better formulating their clients’ issues and treatment planning. The topics include: 1) How does a normal nervous system operate? 2) What is Trauma? 3) What is the “bottom line” of chronic trauma syndromes (e.g., PTSD)? 4) How does childhood development factor into adult trauma symptoms? 5) Treatment.
Keywords: Neurobiology Trauma
Accuracy Verified: Yes
441. Gene-Cos, N. (2010, April). New ways of working with complex PTSD and head injury. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
I will begin by outlining the appropriate assessment procedures for complex cases, including bio-psychosocial factors within a multidisciplinary approach. This will be followed by the presentation of two clinical cases, the first of which is one of severe head injury (with severe language impediment) and severe PTSD. In this case I will describe the use of Sensorimotor Therapy and a modified EMDR protocol. The second case is of severe developmental trauma with forensic and substance misuse background, where the treatment used is Lifespan Integration. In both cases I will give a full picture of methods and of outcomes, including videos of the treatment. I will seek to offer delegates a hands-on understanding both of the assessment issues and of the therapies.
Learning Outcomes Learning how to assess complex PTSD cases within a multidisciplinary framework. Dealing with patients whose clinical presentation falls outside the remit of NICE PTSD guidelines. Delegates will be introduced to new therapeutic approaches including Sensorimotor Therapy, Lifespan Integration, and a modified protocol for EMDR with the above clinical cases.
Keywords: Head Injury Traumatic Brain Injury Posttraumatic Stress DIsorder PTSD
Accuracy Verified: Yes
442. Kadala, T. (2001, September 19). New website launched to assist Americans suffering from trauma. Hastingson-Hudson, N.Y., PR Newswire.
Language: English
Format: Other
Abstract:
Anticipating that millions of Americans have been traumatized by the recent terrorist attacks on the United States, a new website, EMDRnews.com has been launched providing information on the therapy commonly referred to as EMDR, (Eye Movement Desensitization and Reprocessing) for the public at large. Furnishing insight, information and education, the website will make a free 3-page monthly newsletter available, written in easy-to-understand laymen's terms. EMDR is particularly useful in treating trauma, anxiety, phobias, grief, and personality issues. The website/publication is a joint offering of ATC, Inc., an online publisher, Robert Buck, M.S.W., A.C.S.W. of Hastings-on-Hudson and NY City, and Victoria Britt of Bender/Britt Seminars, Montclair, NJ. Ms. Britt, in the forefront of the EMDR movement, stated "Never before have so many people been exposed to such trauma. EMDR will be available to facilitate the mind/body self-healing process needed in the months to come; we are inviting the public to learn how we can help," she concluded.
Keywords: Website EMDRNews.com
Accuracy Verified: Yes
443. Litt, B. (2009, August). Node isolation theory: The eye-zone differential technique. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD, dissociation, and attachment issues are easily hyper – or hypo-aroused and may dissociate or abreact. Moreover, many clients report complex or “undifferentiated” responses to targets, including multiple affects and negative cognitions, confusion, or ego-state conflict in which processing loops, is blocked, or is inefficient. Possibly, multiple nodes are being activated in the setup phase simultaneously. The proposed remedy is to isolate the node at the epicenter of the target trauma for a more focused desensitization experience. A series of “Node Isolation Strategies” are described that lead to safe, efficient processing of difficult material, while maintaining inter-session stability.
Keywords: Eye-Zone Differential Technique Node Isolation Theory
Accuracy Verified: Yes
444. Young, W. (1992, Winter). Observations on using EMDR with patients with a history of sadistic and ritual abuse. EMDR Network Newsletter, 2(3), 9-11 .
Language: English
Format: Newsletter
Abstract:
For some time, therapists have been struggling with the issues of ritual abuse as they have been working with patients having Multiple Personality Disorder. Recently, an number of therapists who have extensive experience working with ritual abuse, particularly with patients who have a Multiple Personalit Disorder, have put together protocols to be used in treating this disorder. In this section, I would like to point out some specific issues, and perhaps some cautions, in our thinking concerning EMDR until we gain some more information and data about its effective usages and recognized side effects.
Keywords: Ritual Abuse Sadistic Abuse
Accuracy Verified: Yes
445. Becker-Fritz, T., Donovan, L., Heiman, M., Packwood, S., Peterson, G., Peck, B., & Huss, B. (2005, September). Open forum to share clinical uses of EMDR with child/adolescent population. Open forum at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population as well as focus on clinical issues that can be treated effectively with EMDR. It can feel overwhleming for the clinican to be creative within their own practice without support for what they are doing, or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3 hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating children and adolescents. The first topic will address how the EMDR protocol may need to be adjusted to accommodate the needs or limitations for children and adolescents. The second topic will focus on what specific developmental considerations need to be considered when using EMDR with attachment disorders as well as identifying guidelines and strategies for including the family in the EMDR process with this population. The final topic will address 2 commonly seen diagnoses of AD/HD and anxiety addressing the possible negative cognitions, resource installations, and cognitive interweaves that can be used when treating children or adolescents with EMDR to resolve the trauma issues when having these disorders. The members of the panel are current chairs of the EMDRIA Chld/Adolescent SIG who will share their expertise with the audience.
Keywords: Adolescents ADHD Anxiety Attachment Disorders Children Attention Deficit Hyperacitivty Disorder Developmental Considerations Open Forum
Accuracy Verified: Yes
446. Becker-Fritz, T., Donovan, L., Heiman, M., Waldon, A., Peck, B., Siegel, M., & Packwood, S. (2007, September). Open forum to share clinical uses of EMDR with child/adolescent population. Open forum (Moderator, T. Becker-Fritz) presented at the annual EMDRIA Conference, Dallas, TX.
Language: English
Format: Conference
Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population, as well as focus on clinical issues that can be treated effectively with EMDR. It can feel overwhelming for the clinician to be creative within their own practice without support for what they are doing or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3 hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating children and adolescents. The first topic will address identifying the challenges that children and adolescents present and understand adjustments in the EMDR protocol to accommodate the needs or limitations. The second topic will demonstrate how and when a structured format can facilitate effective EMDR treatment with children. The final topic will identify the challenges of using standard EMDR protocols with adolescents and special issues to consider when preparing them. The members of the panel are the current and immediate past chairs of the EMDRIA Child/Adolescent SIG who will share their expertise with the audience. The program will be moderated by the Executive Chair, encouraging audience participation throughout the 3 hour program.
Keywords: Adolescents Children Open Forum
Accuracy Verified: Yes
447. Becker-Fritz, T., Carson, S., Donovan, L., Froning, M., Heiman, M., Peterson, G., & Packwood, B. (2003, September). Open forum to share clinical uses of EMDR with child/adolescent population - Facilitated by the EMDRIA Child/Adolescent Special Interest Group Chairs. Open formum presented at the annual EMDRIA Conference, Denver, CO.
Language: English
Format: Conference
Abstract:
Many clinicians who work with children and adolescents struggle with applying the basic protocol for EMDR for this population. It can feel
overwhelming for the clinician to be creative within their own practice without support for what they are doing, or suggestions on other strategies that may be more effective. This conversation hour session, lasting 3
hours, will provide a panel of professionals from different fields of expertise to lead a discussion of clinical applications of EMDR when treating chlldren and adolsecents. Topics that will be presented and followed with audience discussion include use of EMDR with the following: attachment disorders, children and adolescents in residential treatment, dissociative disorders, sexually reactive kids, children with AD/HD, and unresolved grief issues. The members of the panel are the current chairs of the Child/Adolescent SIG who will share their expertise with the audience.
Keywords: Adolescents Children Open Forum
Accuracy Verified: Yes
448. Koppel, H. (2005, Autumn/Winter). Opinion - Talking therapy and neuroscience - is there a convergence?. BNA British Neuroscience Association [BNA] Bulletin, a newsletter for members of the BNA, 52, 5-6.
Language: English
Format: Newsletter
Abstract:
Most of the effort that has been driving the increasing overlap between
talking therapy and neuroscience has come from work that is beginning
to understand the cytoarchitecture of the frontal cortex, on the one
hand, and techniques like neuroimaging on the other. Non scientists
seem to relate more easily to studies that involve humans engaged in
some kind of cerebral activity.
However, recently, therapists have begun to make what seems to be a
contribution to this overlap by developing new therapeutic techniques
for working with emotional or psychological issues; techniques that rely
less on words, suggesting that there is a neurobiological healing
process at work.
Keywords: Neurobiology
Accuracy Verified: Yes
449. 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
450. 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
451. Richard, D. (2005, November). Outlining the effectiveness of prolonged exposure treatment. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.
Language: English
Format: Conference
Abstract:
Prolonged exposure (PE) is an empirically validated treatment for PTSD.
However, there remain issues surrounding the optimal length of exposure
sessions, the efficacy of prolonged exposure vis-a-vis other behavioral (Foa et
al., 1999), cognitive (Resick et al., 2002), cognitive-behavioral (Feske &
Chambless, 1995), and EMDR (Ironson et al., 2002) interventions, whether
patterns of symptom change differ between PE and cognitive treatments
(Nishith, et al., 2002), and those variables that predict significant amounts of
variance in treatment outcome (Tarrier, Sommerfield, Pilgrim, & Faragher,
2000). In this presentation, I will discuss the theoretical basis of prolonged
exposure therapy, review the comparative outcome literature surrounding
prolonged exposure, and summarize empirical research findings with regard
to its efficacy and optimal use. Mechanisms of action involved in PE will be
discussed with an emphasis on providing a context for the subsequent
papers in the Poster.
Keywords: Poster Prolonged Exposure
Accuracy Verified: Yes
452. Flu, B. R. L. (2012). P-267 - Tap, tap tap the usefulllness of EMDR on kids on the autism spectrum. European Psychiatry, 27(Supplement 1), 1. doi:10.1016/S0924-9338(12)74434-6.
Language: English
Format: Journal
Abstract:
EMDR, Eye movement Reprocessing and Desensitisation is an amalgamated psychotherapy and brain activation intervention. This hyper-focussed therapy has shown its value beyond the treatment of trauma i.e. in a large number of mental health issues and developmental disorders.
In autism this method requires some adaptations as described below.
Aim:
To give an introductory of EMDR in autism children.
Objective:
To establish the usefulness of this treatment.
Methods:
The general method is after establishing a baseline of disturbance to work through the touchstone event or focus of the trauma/feared situation from image, feelings, self-judgment and bodily feelings. The preparation also consists of exploring the ability to work with imagery and understanding of feelings. Imagery is tailored to their special interest and at time bodily sensations and feelings are worked on together when no differentiation of these experiences exist 18 cases of the age of 9– 16 underwent the method. 11 had generalised but extreme anxiety issues, 5 had experienced bullying, 4 had aggression regulation problems, 1 had obsessive compulsive disorder, 1 had a spider phobia, one had a developing eating disorder. The level of
disturbance went down in all cases. One relapsed. Three needed visual augmentation for the visualisation. Three could not bear physical contact and therefore required self-tapping. 12 cases needed only one session for the focussed treatment. 9 displayed continual improvement over the next 4 weeks and 5 were treated further under conventional therapy.
Conclusion:
EMDR is a valuable therapy in autism children but requires specific modification.
Keywords: Autism Spectrum Children
Accuracy Verified: Yes
453. Farrell, D., & Keenan, P. (2007, June). Participant's experiences of EMDR training within the UK and Ireland. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This study investigated the experiences of several hundreds of participants who had undertaken EMDR training in the United Kingdom and Ireland over the last ten years. The research group was drawn from both the membership of the EMDR UK and I Approved Commercial Training. The research ascertained participant’s core profession, main psychological treatment orientation, present utilization of EMDR within current clinical practice, number of clients treated, types of referral issues, average number of sessions, and provision for clinical supervision. Participants were then asked to provide feedback as to their views on their EMDR training experience. Results demonstrated a significant proportion of practitioners integrated EMDR with Cognitive Behavioural Therapy more than any other paradigm. EMDR trainings were criticised in areas which included participant involvement, post training, professional development, and systems of assessment of knowledge and application of EMDR. The findings suggest a need to develop competency based curriculum training in EMDR. Arguments will be presented to support the need to teach EMDR within a wider clinical context.
Keywords: Ireland Training Treatment UK United Kingdom
Accuracy Verified: Yes
454. Farrell, D. (2010, June). Participant‘s experiences of EMDR training within the UK and Ireland. In Training Issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study investigated the experiences of participant's
experiences of EMDR training (N=484) undertaken in
the United Kingdom and Ireland over the last ten years from
various approved training providers. The research participants
were drawn from both the membership of the EMDR UK & Ireland
Association as well those who had undertaken EMDR Europe
or EMDRIA approved trainings. The research ascertained information, though the use of structured questionnaire, about
the nature of participant’s EMDR clinical in relation to client
populations, clinical practice of EMDR, and experiences of clinical
supervision. Participants also provided qualitative data regarding
their experiences of EMDR training.
The results raised many issues around the teaching and learning
of EMDR including areas such as paradigm integration, evidence
based versus practice based practice, clinical competency, confocal
supervision, post training development, accreditation, and the role
of the EMDR national association. The findings suggest a need to
develop a more comprehensive EMDR training curriculum.
Keywords: Ireland, Symposium Training Issues United Kingdom
Accuracy Verified: Yes
455. Foster, S., Lendl, J., & Parrett, B. (1995, June). Peak performance in the work place. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
In his book, Anxietv Disorders and Phobias, Aaron Beck, MD, wrote cogently about the so-called "evaluation anxieties." He
employed the metaphor of the tightrope walker to describe the constant worry about a possible "fall from grace" experienced
by the person troubled by concern about performing well in a variety of life situations. Beck divided these situations into
three categories: social situations; school and work settings; and what he called "transactions with the outside world,"
meaning instances of shopping and traveling.
The focus of this three-hour presentation is evaluation or performance anxiety (as it is more often termed) in the workplace
and applications of EMDR to removing blocks to optimal functioning at work. The theoretical contribution of Beck and his
colleagues will shape the presenters' information about why performance anxiety develops and who is likely to be vulnerable
to it. The rationale for this extension of the EMDR model will be grounded in the theoretical framework of cognitive
therapy.
The two presenters bring their considerable experience with EMDR (five+ years) and expertise in peak performance
consulting to participants in this session. From their background, they will derive the presentation's emphasis on EMDR
applications that are immediately useful to the participants.
To begin, the presenters will provide the aforementioned theoretical understanding of "evaluation anxiety" and its
manifestation as performance anxiety in the workplace. Approximately the first quarter of the presentation will be spent in
didactic material that describes specifically how performance anxiety interferes with optimal functioning at work across a
variety of occupations. Drs. Foster and Lendl will elaborate on two situations in which performance anxiety is especially
likely to occur in work-related situations: 1) during periods of rapid change; and 2) during the performance review process.
Having established this basis of understanding, the presenters will move on to describe the most commonly observed
psychological blocks that impede optimal performance in work settings: 1) external conflicts brought into work; 2) feeling
like an 'impostor' in one's position at work, 3) perfectionism as a barrier to performance; 4) past failures that operate as
anticipatory anxieties (for example, a client's worry that a past mistake or setback might recur in the future); 5)
discrimination on the basis of gender, race, ethnicity, sexual orientation, education or age.
Using actual transcripts and videotaped excerpts of their sessions, the presenters will demonstrate how their EMDR
interventions may be applied. The presenters will show participants how to assess their own current and prospective clients
for the psychological blocks that are interfering with work performance. Efficient ways to elicit negative and positive
cognition for these work-related issues will be precisely described. The expected course of the EMDR processing will be
illustrated using the presenters' cases which include a perfectionistic dentist, a high level executive after a layoff, a female
manager desiring a promotion who is grappling with a chauvinistic boss, and performing artists struggling with stage fright
and other barriers to their optimal performance.
The presenters will then share with participants the ways in which they assist their clients in reaching and maintaining
balance in their life- and work styles, in what the presenters call "Using EMDR to meet daily challenges with optimal
response." Specific strategies for integrating EMDR into broader-based interventions will be described for assisting clients
in: 1) increasing self-trust; 2) learning to capably manage crises; 3) increasing focus and attention at work; and 4) setting
priorities and using time effectively.
Lastly, Drs. Foster and Lend will demonstrate additional EMDR applications for assisting clients in attaining and
maintaining what the presenters call "Optimal Well-Being." Citing case material, the presenters will show participants the
means by which EMDR can be employed to speed recovery from illness and to decrease the rehabilitation time needed
following an injury.
Participants will be given the opportunity to rehears several of the applications described and to receive feedback fiom the
instructors.
Reference: Beck, A.T. (1985). Anxiety Disorders and Phobias, Basic Books, New York.
Keywords: Peak Performance Performance Enhancement
Accuracy Verified: Yes
456. Foster, S. (2002). Peak Performance – Parts 1- 4. EMDR Institute Listserv.
Language: English
Format: Other
Abstract:
Soon after I completed Level II, Ibegan to wonder if EMDR could be useld to
address issues other than trauma, depression and phobias. In the early days of the
EMDR Network, Francine suggested that special interest groups be formed. I founded
the Peak Performance Special Interest Group (SIG) in December of 1990. Several
newly trained practitioners attended the first SIG meeting and were intrigued by the
questions, "Could EMDR be used to alleviate performance anxiety?" and "Could a high
functioning person's sense of well-being and happiness be enhanced with EMDR?"
Keywords: Peak Performance
Accuracy Verified: Yes
457. Greenwald, R. (2006, May). The peanut butter and jelly problem: In search of a better EMDR training model. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/18/2008.
Language: English
Format: Other
Abstract:
The evolution of EMDR training is presented through the lens of the author’s personal experience. Current issues and concerns about EMDR training practices and outcomes are highlighted, particularly regarding trainees’ high dropout rate, inadequate case conceptualization and client preparation, and infrequent, inappropriate, or incorrect use of EMDR. Tentative solutions are proposed, along with a call for data to be gathered on outcomes of the various training approaches, to guide future policy re EMDR training models.[Author abstract]
Keywords: Training Model
Accuracy Verified: Yes
458. Greway, G. (2003). Personality change in trauma victims by the use of eye movement desensitization and reprocessing, resource development and installation, and emotional freedom techniques. Union Institute and Unversity, Cincinnati, OH. AAT 3088540.
Language: English
Format: Dissertation/Thesis
Abstract:
Personality change in victims of trauma has been demonstrated by key researchers in the field of trauma. This research explored this area further by studying if problem personality patterns can improve to healthier levels by processing trauma symptoms with new rapid trauma techniques. This research provides new information in trauma and personality, as well as offers links to possible new treatment methods. The hypothesis tested in this research was that significant change in problem personality patterns would occur in trauma subjects whose symptoms were processed through a multi-impact therapy that included Eye Movement Desensitization and Reprocessing (EMDR), building ego structure through Resource Installation and Development and reducing physiological stress through the use of Emotional Freedom Techniques, as compared to subjects in the control group who received talking therapy. A sample of ten female participants was selected that had traumatic backgrounds and posttraumatic symptoms. All subjects received the Millon Clinical Multiaxial Inventory III (MCMI III) as a pre and a post test, and the Personality Assessment Screener (PAS) throughout 14 weeks of treatment. The PAS provided a means to measure subjects through descriptive statistics and the MCMI III measured the three highest clinical personality scales and the changes that occurred after the treatment. Within the two groups, the results of the PAS showed that talking therapy may be extremely helpful for personality improvement for some individuals processing trauma issues, but not all. The MCMI III results showed that the multi-impact group appeared to be somewhat more stable, meaning that the multi-impact treatment appeared to aid improvement on all three personality scales. The talking treatment group showed improvement on the most problematic personality scale, minimal increase on the second highest personality scale, and the third highest personality scale became significantly worse as compared to the multi-impact treatment group. This confirmed the hypothesis that there would be significant change in clinical personality scores. This implies that the multi-impact treatment helped individuals in a more efficient manner, in that improvement on personality syndromes or disorders was global. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(4-B), 2003, pp. 1902.
Keywords: Emotional Freedom Techniques Emotional Trauma Emotions Freedom Empirical Study Personality Change Resource Development Resource Installation Trauma Victims
Accuracy Verified: Yes
459. Potter, A., & Wesselmann, D. (2009, August). Phase-based trauma treatment of adults with problems of trauma and attachment: DBT and EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as well as other complex psychiatric issues, have significant skill deficits in the area of emotion regulation and attachments. Phase-based trauma treatment (DBT followed by EMDR) assists clients in developing adequate emotion regulation skills and developing healthy interpersonal relationships during a preliminary phase of therapy prior to trauma processing. This presentation offers rationale and instruction for phase-based treatment with complex client populations. Case and video examples and the results of a small pilot project are utilized to illustrate topics presented.
Keywords: DBT Dialectical Behavior Therapy
Accuracy Verified: Yes
460. Potter, A. E. (2005, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Keywords: DBT Dialectical Behavior Therapy Stair
Accuracy Verified: Yes
461. Potter, A. E. (2006, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Keywords: DBT Dialectical Behavior Therapy Stair
Accuracy Verified: Yes
462. 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
463. 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
464. Farrell, D. P. (2004, September). Political elements of PTSD within former Royal Ulster Constabulary (RUC) Police Officers and its implications for effective psychological treatment. Presentation at the 34th annual Conference of the European Association for Behavioural and Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England.
Language: English
Format: Conference
Abstract:
This paper will explore some of the limitations of the Post Traumatic Stress Disorder Framework in accounting for the
myriad of psychological symptoms encountered by former Royal Ulster Constabulary (RUC) within the Northern
Ireland Province. Several case studies of ex RUC police will be used to highlight not only the legacy of multiple
trauma experiences, but also multiple re-traumatisation by both the RUC as an organisation and its individual
membership. Within the context of the war in Northern Ireland, Catholic RUC officers in particular experienced
discrimination that often maximised their exposure to additional traumas. This indicates a potential political dimension
to our conventional understanding of PTSD, which therefore has subsequent psychological treatment implications.
The Police Rehabilitation and Retraining Trust (PRRT) in Belfast offers a psychological therapy services for retired,
retiring and/ or medically discharged police officers. Predominant treatment involves a combination of Cognitive
Behavioural Therapy (CBT) and that of Eye Movement Desensitisation & Reprocessing (EMDR). However, because
of the ongoing security issues in Northern Ireland, particularly for this client group, there are several limitations within
treatment approaches particularly regarding the utilisation of exposure in vivo. In addition this client group is often
ostracised by both communities further reinforcing isolationism and social exclusion.
Keywords: Politics Royal Ulster Constabulary (RUC) Police Officers Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
465. Klaff, F. (2002, June). Portrait of a family: Fitting EMDR to the family and child. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
What is particularly unique is that this presenter has documented verbatim
scripts and filmed sessions of two families over a time span covering 8
years. It is possible from this data to track recurring themes and issues
and demonstrate how EMDR was helpful to the recipients over time.
Presented are practical and creative ways of incorporating parents into
treatment and viewing the treatment of the child in a broad context. It
demonstrates how to make actual systemic maneuvers during an EMDR session,
how to work with the individual on systemic family issues and how to follow up
EMDR sessions with further family work.
Keywords: Children
Accuracy Verified: Yes
466. 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
467. Cahill, P. C., Pontoski, K., & D’Olio, C. M. (2005, September). Posttraumatic stress disorder and acute stress disorder II: Considerations for treatment and prevention. Psychiatry, 2(9), 34-46.
Language: English
Format: Journal
Abstract:
Posttraumatic stress disorder is a common and often chronic and disabling anxiety disorder that can develop after exposure to highly stressful events characterized by actual or threatened harm to the self or others. This is the second of two invited articles summarizing the nature and treatment of PTSD and the associated condition of acute stress disorder (ASD). The present article reviews evidence for the efficacy of psychological and pharmacological treatments for PTSD and ASD. In summary, cognitive behavior therapy (CBT) has been found efficacious in the treatment of chronic PTSD as well as the treatment of ASD/prevention of PTSD. The selective serotonin reuptake inhibitors, sertraline, paroxetine, and fluoxetine, have been found efficacious in the treatment of chronic PTSD, with sertraline and paroxetine receiving the FDA indication for this condition. There is less evidence for efficacious medications in the treatment of ASD/prevention of PTSD. At present, hydrocortisone and propranolol show the greatest promise. Limitations of these treatments, including dropout and a significant number of patients showing no or only partial response, are discussed as well as issues related to selecting among efficacious treatments.
Keywords: ASD Acute Stress Disorder Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
468. Yu, B. H., & Dimsdale, J. (1999, September). Posttraumatic stress disorder in patients with burn injuries. Journal of Burn Care and Rehabilitation, 20(5), 426-433 [Discussion 422-425].
Language: English
Format: Journal
Abstract:
This article reviews the literature about the extent of posttraumatic stress disorder (PTSD) in patients with burns. PTSD is a relatively new diagnostic label, although the emotional effects of severe trauma have long been recognized. A burn injury-one of the most traumatic of all injuries--can be accompanied by serious psychological sequelae, including PTSD. Psychiatric symptoms may not be immediately apparent in patients with burns because the patients often develop PTSD many months after the injury. The reported prevalence rate of PTSD in patients with burns varies from 8% to 45%. The factors increasing these patients' risks include preburn affective disorder, delirium or severe pain during acute treatment, and less perceived social support. Psychosocial issues must be considered in the recovery or rehabilitation phase. Pharmacotherapy, psychodynamic psychotherapy, cognitive-behavioral therapy, and eye-movement desensitization and reprocessing may be helpful to the PTSD patient. Early detection and treatment of PTSD cannot only diminish the effects of this disabling disorder but can also help the rehabilitation of patients with this condition.
Keywords: Burn Injuries Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
469. Stramrood, C., Paarlberg, K. M., Vingerhoets, A. J., van den Berg, P. P., & van Pampus, M. G. (2012, March). Posttraumatic stress following childbirth: Diagnosis, treatment and prevention. Poster presented at the 70th annual scientific meeting of the American Psychomatic Society, Athens, Greece.
Language: English
Format: Conference
Abstract:
Background: What to do with women who experienced childbirth as so
traumatic that they keep having nightmares, flashbacks and problems
concentrating, who do not want to become pregnant again or demand a
cesarean section at the next delivery? One to two percent of women
suffers from posttraumatic stress disorder (PTSD) following childbirth,
which may affect mother-child bonding as well as future pregnancies.
Methods: Based on current knowledge from literature, including own
research, an overview will be presented of the prevalence, risk factors,
diagnosis and treatment of PTSD following childbirth. Results: PTSD
is an anxiety disorder affecting 1-2 percent of women after childbirth.
Risk factors include [a] obstetric complications and interventions
(emergency cesarean section, preterm birth), [b] history of psychiatric
problems or depression/anxiety during pregnancy, [c] psychosocial
factors (low coping skills, low social support). Furthermore, 50 percent
of women with PTSD following childbirth also suffers from
postpartum depression. When PTSD is suspected, clinicians can use the
self-report measure Traumatic Event Scale-B to quantify symptoms,
and refer to a psychiatrist/psychologist if necessary. Several studies
indicate that spontaneous remission of PTSD following childbirth is
uncommon. Possible negative consequences of the condition include
insecure attachment of the infant, impaired partner relationship,
avoiding future pregnancies and demanding a cesarean section in a
subsequent pregnancy. Although these possible adverse outcomes
justify treatment and prevention, effective interventions and prevention
strategies have not been adequately researched in this patient group.
International guidelines regarding PTSD in other (non-pregnant)
populations point to eye-movement desensitization and reprocessing
(EMDR) and cognitive behavioral therapy (CBT) as the most
promising treatments. Identification of women at risk, both during
pregnancy and postpartum, is key to early intervention and possible
prevention. Conclusions: Posttraumatic stress disorder following
childbirth is a serious condition affecting 1-2 percent of postpartum
women, with higher prevalence rates among women with complicated pregnancies/deliveries and those with a history of mental health issues.
Adequate identification of women at risk and those with clinical
symptoms is key to early intervention and eventually prevention.
Keywords: Childbirth
Accuracy Verified: Yes
470. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280.
Language: English
Format: Journal
Abstract:
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]
Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness
Accuracy Verified: Yes
471. Zimmermann, E. (2010, June). The potential of EMDR in gynaecology and obstetrics: Special application with infertile women. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The author of this presentation works as psychologist
and psychotherapist in a clinic in Fribourg/Switzerland in the
department of gynecology and obstetrics. Various applications
of EMDR are used, both in gynecologic and obstetrical outcomes.
A special patient population, namely infertile women
in search of becoming pregnant, are an important part of the
work. The purpose of this presentation is to show the special
approach that E. Zimmermann has developed by working with
infertile women. Infertile women - in opposition to sterile women
- are women with no apparent medical reason why they do
not become pregnant.
These infertile women often pass a particularly long and difficult
phase to get pregnant. They are always disappointed by
the repeated negative outcome of all their efforts to become
pregnant. This is a very difficult phase in the life of the couple
too, and not few couples separate during this phase. Especially
women feel unable being a mother and their self-esteem is very
low. This is why the author has developed a special application
of EMDR to this population. The aim is to cope with the difficulties
related to these different stages. Another purpose is
preparing a desired and possible pregnancy.
Women mostly have very different anamnesis, some also including
trauma. They have in particular a personal pregnancy
or non-pregnancy history, e.g. also abortion. In addition the
medical assistance utilized for getting pregnant is quite different
for every case. Lots of them end up by using fertilization techniques,
which have a low chance of success. This makes it rather difficult for EMDR to treat these women i
a standardized way. The author of this workshop has developed
a flow-chart providing an concept of applying EMDR at different
stages with different types of targets in order to compare
the outcomes.
By working with EMDR and infertile women, it appears that
they become pregnant quicker than what the statistics predict.
There are also women who become pregnant after working with EMDR before they start the fertility-program. This is why
the author prepares a research study to try to figure out if the
EMDR-process can have a positive impact on fertility.
Keywords: Female Issues Gynecology Infertility Obstetrics Symposium
Accuracy Verified: Yes
472. Gregoire, A. (2008, Mai). Pourquoi, quand et comment intégrer l’EMDR dans le processus thérapeutique [Why, when, and how to integrate EMDR in the therapeutic process]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Cette présentation explore les contributions spécifiques d’EMDR en tant que modèle d’analyse et de compréhension de la psychopathologie et en tant que technique thérapeutique. Quelles situations cliniques sont propices pour introduire l’EMDR, que le modèle soit intégré à l’intérieur du processus thérapeutique, ou encore, introduit par le biais d’une référence à un thérapeute EMDR pour une série de sessions ? Pourquoi introduire l’EMDR dans un processus thérapeutique? À quel moment l’EMDR est-il le plus approprié en tant que modèle ou comme technique? Enfin, quelle est la meilleure façon d’entreprendre un processus EMDR et quels sont les éléments cliniques pouvant servir de déclencheurs ou de préambule au protocole EMDR?
This presentation will explore the specific contributions of EMDR as model of analysis, interpretation of psychopathology and psychotherapeutic techniques within the context of the psychotherapy relationship. What
are the clinical situations in which EMDR can best be introduced either as integrated in the psychotherapy process or as we have observed, as involving a referral to an EMDR therapist for a series of sessions.
Why introduce EMDR into the psychotherapy process?,
When is an EMDR intervention most appropriate for its optimal use as model and as technique?, and
How can an EMDR process best be introduced? and what are the clinical issues which can be used as triggers and as preamble to the EMDR protocol?
Keywords: Psychotherapeutic Orientation
Accuracy Verified: Yes
473. Spierings, J. (2010, June). Power-interweaves: (Non-)cognitive interweaves for persistent guilt and other tenacious problems. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with severely damaged clients, the clinician
many times is faced with complex and challenging problems.
and staying out of the way during the desensitization phase
definitely not enough to get the SUD's down.
In this workshop a number of new types of interweaves will be
presented, developed to deal with clients who get severely stuck
during the desensitization phase, mostly in complex guilt-issues.
Many times standard cognitive interweaves are not enough to
unblock the EMDR processing, and the clinician has to be creative in order to help clients with these difficult issues. The more damaged the client, the more powerful interweaves are needed.
In this presentation new types of high-impact interweaves are introduced, involving non-cognitive aspects, e.g. visual, sensorimotor, symbolic, spiritual. Learning objectives:
1. Participants develop sensitivity to the dynamics underlying complex guilt-related problems.
2. Participants learn about the characteristics of high-impact interventions.
3. Participants learn to use their own creativity in developing new interweaves.
4. Participants add several powerful new interweaves to their of existing repertoire.
New in this presentation: These interweaves have not been described or presented before. They are applied within the standard EMDR-protocol, so they are an extension of existing principles and techniques.
Keywords: Cognitive Interweave Persistent Guilt Power Interweave
Accuracy Verified: Yes
474. Kleiner, S. A. (1999, June). The practice of EMDR – Fidelity to an evolving protocol: Survey results. Presentation at the annual meeting of the EMDR Internatonal Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Particpants will: 1) learn three characterstics of clinicians who participated in the survey; 2) identify three characteristics of EMDR clientele as identified by the survey; and 3) identify three fidelity issues related to the practice of EMDR.
Keywords: Fidelity Issues Survey Results
Accuracy Verified: Yes
475. Cohen, J. A., & the Work Group on Quality Issues (2010, April). Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child & Adolescent Psychitary, 49(4), 414-430. doi:10.1016/j.jaac.2009.12.020.
Language: English
Format: Journal
Abstract:
This Practice Parameter reviews the evidence from research and clinical experience and
highlights significant advances in the assessment and treatment of posttraumatic stress
disorder since the previous Parameter was published in 1998. It highlights the importance
of early identification of posttraumatic stress disorder, the importance of gathering
information from parents and children, and the assessment and treatment of comorbid
disorders. It presents evidence to support trauma-focused psychotherapy, medications,
and a combination of interventions in a multimodal approach.
Keywords: Adolescent Child Posttraumatic Stress Disorder Practice Parameter PTSD Treatment
Accuracy Verified: Yes
476. Nurse, R. (1996, Summer). Practice: Clinical notebook--Eye movement desensitization and reprocessing: A stealth-like approach to family of origin issues. The Family Psychologist, 12(3), 17-19.
Language: English
Format: Newsletter
Abstract:
This newsletter discusses Eye Movement Desensitization and Reprocessing (EMDR), an emerging psychotherapeutic method. Topics include: research on EMDR, a symposium on EMDR, the ethics of training with EMDR, the process of EMDR, training in EMDR, and a new resource article on EMDR.
Keywords: Psychotherapeutic Techniques
Accuracy Verified: Yes
477. 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
478. 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
479. Greenwald, R. (2002, September). A proposal to add a trauma training component to the standard EMDR training. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net/on 12/27/2008..
Language: English
Format: Other
Abstract:
I'm writing this as a contribution to the recent discussion regarding the possibility of
modifying the standards for EMDRIA-approved EMDR training. The Training and
Standards Committee's proposals generated a lot of discussion that was long overdue. I
believe that there needs to be more public discussion of these issues. I have published
papers on innovative approaches to training in 1997 (Greenwald, 1997; also Greenwald,
2002b), and I wish that more people would write about issues and approaches to EMDR
training.
Keywords: Training
Accuracy Verified: Yes
480. Luber, M. (2012). Protocol for excessive grief. Journal of EMDR Practice and Research, 6(3), 129-135. doi:10.1891/1933-3196.6.3.129.
Language: English
Format: Journal
Abstract:
“Protocol for Excessive Grief“ is excerpted from Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations illustrating a scripted protocol from one of Francine Shapiro's 6 basic protocols. “Scripting“ informs and reminds EMDR practitioners of the component parts, sequence, and language used to create effective outcomes, and also generates a template for practitioners and researchers to use for reliability and/or a common denominator so that the form of working with EMDR is consistent. This protocol includes 5 steps: process actual events, including the loved one's suffering or death; process any intrusive images that are occurring; process the nightmare images; process any stimuli/triggers associated with the grief experience; and address issues of personal responsibility, mortality, or previous unresolved losses. The future template is included This protocol addresses the many aspects of grief and mourning to assure the full processing of clients' concerns.
Keywords: Death Grief Intrusive Images Scripted Protocols Unresolved Loss
Accuracy Verified: Yes
481. 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
482. Jarero, I., Artigas, L., & Hartung, J. G. (2005, March). Protocolo grupal e integrativo con EMDR: Intervención post-catástrofe para niños y adultos [EMDR integrative group treatment: A postdisaster trauma intervention for children and adults]. Revista de Psicotrauma para Iberoamérica, 4(1), 22-29 .
Language: Spanish
Format: Journal
Abstract:
El Reprocesamiento y Desensibilización a través del Movimiento Ocular (EMDR) por sus siglas en inglés, es reconocido como un tratamiento efectivo y eficiente para tratar asuntos relacionados con trauma. Este artículo describe la aplicación de una intervención grupal con EMDR para niños y adultos traumatizados por desastres naturales en varios países de Latinoamérica. Para ejemplificar la aplicación del modelo, se describe un estudio de campo medido formalmente y nueve proyectos piloto. Los prometedores resultados de esta intervención grupal sugieren que el EMDR es un medio efectivo para dar tratamiento a grandes grupos de personas afectadas por eventos traumáticos en gran escala (desastres naturales, terrorismo). Es necesaria más investigación controlada sobre este tema.
EMDR has been accepted as an effective and efficient approach in the treatment of trauma related issues. A model is described for using an EMDR group intervention for children and adults traumatized by natural disasters in several Latin American countries. To exemplify the application of the model, one formally measured field study and nine pilot projects are described. The promising outcomes of this intervention suggest that EMDR is an effective means for providing treatment to large groups of survivors affected by large scale traumatic events (natural disasters, terrorism, etc.). Anyway, more controlled research about this issue is needed. [Author Abstract]
Keywords: Adolescents Adults Argentines Colombians Natural Disasters Group Psychotherapy Mexicans Nicaraguans Salvadorans School Age Children Survivors Trauma Venezuelans
Accuracy Verified: Yes
483. Bruck, N. R. V. (2007, March). A psicologia das emergências: Um estudo sobre angústia pública e o dramático cotidiano do trauma [The psychology of emergencies: A survey of public angst and dramatic daily life of trauma]. Pontifica Universidade Catolica Do Rio Grande Do Sul, Programa De Pos-Graduacao Em Psicologia Doutorado Em Psicologia, Porto Alegre.
Language: Portuguese
Format: Dissertation/Thesis
Abstract:
O assunto “trauma” vem adquirindo novos significados, considerando principalmente
acontecimentos sociais recentes, sejam eventos adversos, catástrofes, desastres,
sejam as situações-limite vividas pelas pessoas no cotidiano urbano. A psicologia
das emergências estuda o comportamento das pessoas nos acidentes e desastres
desde uma ação preventiva até o pós-trauma e, se for o caso, subsidia intervenções
de compreensão, apoio e superação do trauma às vítimas e profissionais do SAMU.
O assunto se estende às questões que vão desde a experiência pessoal do trauma
até os eventos adversos provocados por calamidades, sejam estas naturais e/ou
provocadas pelo homem. A psicologia das emergências é um tema de angústia
pública, sentimento difuso de mal-estar que se origina dos acontecimentos públicos
traumáticos, chamados estressores, tais como os acidentes de trânsito com vítima,
assim como os provenientes das demais situações limites de toda a violência
urbana. O trauma é uma experiência que explode a capacidade de suportar um
revés, traz a perda de sentido, desorganização corporal e paralisação da
consciência temporal, pode deixar marcas que influenciam a criatividade e a
motivação para a vida. Os objetivos nos primeiros auxílios psicológicos são de aliviar
as manifestações sintomáticas e o sofrimento, reduzindo os sentimentos de
anormalidade e de enfermidade. Um dos objetivos é a familiarização com temas
considerados complexos e muitas vezes distantes das discussões sobre trauma
psicológico, sendo que o problema da pesquisa é a compreensão da psicologia das
emergências e como colocá-la em prática. Os autores mais utilizados são Edgar
Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze e Michel Foucault, dentre
outros. São abordados os temas do não-reducionismo, da epistemologia de si
mesmo e da relação da Teoria das Representações Sociais com o EMDR
(dessensibilização e reprocessamento através de movimentos oculares). O método
desta pesquisa, com suporte na observação participante refere às questões da
complexidade, análise multirreferencial e de implicação. As técnicas mais utilizadas
foram entrevistas, grupos focais-“histórias significativas” e análise documental. É
indicado, como atitudes favoráveis pensar não a partir de algo, mas, sobretudo sobre
algo e que para mudar o modo de agir torna-se necessário modificar a imagem que
uma pessoa tenha de si próprio. Como conclusões da pesquisa, observou-se: que
as pessoas acidentadas trazem outros acontecimentos considerados difíceis junto
com o depoimento sobre o acidente, como situações de luto e de sofrimento com
familiares; que o estresse pós-traumático não é uma conseqüência inevitável do
trauma; que não há nenhuma orientação, ou rotina, nas missões de socorros e nos
documentos oficiais do SAMU sobre o tema psicologia das emergências. Também
são indicadas considerações finais sobre os temas da Síndrome de Burnout, sobre a
influência da instituição no cotidiano dos atendimentos, sobre a relação da clínica
com a psicologia social.
The subject of "trauma" has acquired new meanings, especially considering
recent social events, are adverse events, catastrophes, disasters,
are the extreme situations experienced by people in urban daily life. Psychology
emergencies studies the behavior of people in accidents and disasters
from preventive action to post-trauma and, if necessary, subsidize interventions
understanding, support and overcoming the trauma victim and professional SAMU.
The subject extends to issues ranging from the personal experience of trauma
to adverse events caused by disasters, whether natural and / or
manmade. The psychology of emergencies is a topic of anguish
public diffuse feeling of uneasiness that stems from public events
traumatic, called stressors, such as traffic accidents with victims,
as well as from the other extreme edge of all violence
urban. Trauma is an experience that explodes the ability to support a
setback, brings loss of meaning, and paralysis of body clutter
temporal awareness, can leave marks that influence creativity and
motivation for life. The goals in psychological first aid are to relieve
symptomatic manifestations and suffering, reducing feelings of
abnormality and disease. One goal is to become familiar with issues
as complex and often distant from the discussions on trauma
psychological, and the research problem is understanding the psychology of
emergencies and how to put it into practice. The authors are more used Edgar
Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze and Michel Foucault, among
others. Issues are addressed in the non-reductionism, the epistemology of self
and even the relationship of the Theory of Representations to EMDR
(Desensitization and reprocessing through eye movements). The method
this research, supported in participant observation matters relating to
complex, multi-referential analysis and implication. The most used techniques
were interviews, focus groups, "meaningful stories and documentary analysis. It
indicated as positive attitudes to think not from something, but mainly on
something and to change the mode of action becomes necessary to modify the image
a person has of himself. As the survey findings revealed the following: that
rugged people bring other events to be difficult with
with testimony about the accident, as situations of grief and suffering with
family, whereas the post-traumatic stress is not an inevitable consequence of
trauma, there is no guidance, or routine tasks in the relief and
SAMU official documents on the subject of psychology emergencies. Also
concluding remarks are given on the topics of the Burnout on the
influence the institution in the routine of care, about the relationship of clinical
with social psychology.
Keywords: Emergency Treatment Postrraumatic Stress Disorder PTSD Social Psychology Stress
Accuracy Verified: Yes
484. 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
485. Freeman, C. P. (2009, August). Psychological and drug therapies for posttraumatic stress disorder. Psychiatry, 8(8), 301-309. doi:10.1016/j.mppsy.2009.06.001.
Language: English
Format: Journal
Abstract:
Since the last edition of this review, there has been an impressive body of new evidence adding to our knowledge of psychological treatments. There have also been two new major reviews covering the complete range of available treatments: the second edition of the guidelines from the International Society for Traumatic Stress Studies (ISTSS) and the US Institute of Medicine's review. The National Institute for Clinical Excellence (NICE) guidelines were published before the last edition of this article, and there are currently no plans to revise them. However, the Australian guidelines build on the NICE guidelines, and provide the most comprehensive and user-friendly clinical guidance currently available. It is fascinating that such major and thorough reviews have arrived at different conclusions. The Institute of Medicine endorses trauma-focused cognitive behavioural therapy (TF-CBT) and prolonged exposure but not eye movement desensitization and reprocessing (EMDR) or drug treatment; NICE endorses TF-CBT and EMDR but not drugs; and the ISTSS guidelines, second edition, endorses drugs, EMDR, and TF-CBT. What is the bewildered therapist to do? Hopefully this review will clarify some of these issues. In truth, the discrepancy arises not because these learned and expert bodies have been perverse, negligent, or biased in their reviewing, but largely because they differ in what they have regarded as a clinically significant difference between two interventions as opposed to a statistical difference.
Keywords: BEP Brief Eclectic Psychotherapy Drug Therapies Drug Treatment Group Psychotherapy PE Prolonged Exposure Posttraumatic Stress Disorder Psychotherapy PTSD Trauma-Focused CBT Treatment
Accuracy Verified: Yes
486. Stallard, P. (2006, November). Psychological interventions for post-traumatic reactions in children and young people: A review of randomised controlled trials. Clinical Psychology Review, 26(7), 895-911. doi:10.1016/j.cpr.2005.09.005.
Language: English
Format: Journal
Abstract:
Children exposed to a wide range of traumatic events suffer significant post-traumatic reactions. Randomised controlled trials assessing the effectiveness of interventions with traumatised children are described, the limitations of the current literature base identified, and issues regarding the applicability of these findings and interventions to everyday clinical practice discussed. Methodological issues, variations in interventions, parental involvement, theoretical underpinning, and outcomes will be discussed and implications for future studies highlighted. [Author Abstract]
Keywords: Adolescents CBT Children Cognitive Behavior Therapy Cognitive Therapy Literature Review Methodology Parents Posttraumatic Reactions Posttraumatic Stress Disorder Preschool Age Children Psychotherapy PTSD Random Control Trials RCT School Age Children Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
487. Livanou, M. (2001, August). Psychological treatments for post-traumatic stress disorder: An overview. International Review of Psychiatry, 13(3), 181-188. doi.org/10.1080/09540260120074046.
Language: English
Format: Journal
Abstract:
There is a growing research literature on the psychological treatment of PTSD. This paper provides an overview and an evaluation of this research. The focus is mainly on cognitive-behavioural interventions, as they are the most widely studied and they have a sound evidence base. Other forms of psychological therapy are also considered. Some general issues pertaining to treatment efficacy are also discussed. [Author Abstract]
Keywords: Cognitive Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Effectiveness
Accuracy Verified: Yes
488. Rosen, G. M., & Davidson, G. C. (2003, July). Psychology should list empirically supported principles of change (ESPs) and not credentialed trademark therapies or other treatment packages. Behavior Modification, 27(3), 300-312. doi:10.1177/0145445503027003003.
Language: English
Format: Journal
Abstract:
Current systems for listing empirically supported therapies (ESTs) provide recognition to treatment packages, many of them proprietary and trademarked, without regard to the principles of change believed to account for their effectiveness. Our position is that any authoritative body representing the science and profession of psychology should work solely toward the identification of empirically supported principles of change (ESPs). As challenging as it is to take this approach, a system that lists ESPs will keep a focus on issues central to the science and practice of psychology while also insulating the profession from undue entrepreneurial influences.
Keywords: Behavior Principles Empirically Supported Therapy Treatment Outcome
Accuracy Verified: Yes
489. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123.
Language: English
Format: Journal
Abstract:
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]
Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
490. Rivas, C. (2013, May). Psychosomatic conditions and EMDR: Applying the basic protocol to complex situations. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
During this workshop, participants will be introduced to different models explaining how the mind can express
some issues through the body, and how the Adaptive Information Processing (AIP) model can be used as a
common ground to understand psychosomatic disorders. Using this rational, EMDR clinicians will learn how
to structure an intervention using the 8 steps of the basic protocol to address the seven common causes of
psychosomatic disorders. Clinical cases of angina, epilepsy, heartburn, irritable bowel and some skin conditions
will be presented as illustration.
Learning objectives:
• Describe 4 main models to understand the body-mind connection in psychotherapy
• Utilize the Adaptive Information Processing (AIP) model as a meta-model to compare specific models on the
body-mind connection
• Use the EMDR basic protocol to organize structured interventions to address the different layers regarding
psychosomatic conditions
Keywords: Mind-Body Connection Structural Interventions
Accuracy Verified: Yes
491. 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 desi


