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1. 菊池安希子 [Kikuchi Akiko] (2008年6月). 統合失調症へのEMDRの適用 菊池安希子 [Application of EMDR for schizophrenia]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 317-324] .

Language: Japanese

Format: Journal

Keywords: Schizophrenia  

Accuracy Verified: Yes

2. Miller, P. W., McDougall, I., O'Rawe, B., & Kirk, R. T. (2007, June). A case series detailing phenomenology, EMDR protocol and clinical outcome of EMDR in severe depression with psychosis, delusional dysmorphobia and schizophrenia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The author will by means of oral presentation of clinical case material from patients seen as outpatients; didactic teaching and 'question and answer' explore the efficacy demonstrated by EMDR in a series of patients with disorders including ‘depression, severe with psychosis'; delusional dysmorphophobia and schizophrenia.
There will be detailed description and presentation of case studies. The author will present and discuss clinical cases seen by them and another colleague where EMDR has been used in patients preventing to their facility with ‘depression, severe with psychosis;' delusional dysmorphophobia and schizophrenia.
The author will explore the phenomenology of the case material and discuss how it potentially relates, diagnostically, to the utility of EMDR in such cases. Particular mention will be made of the role EMDR had within the overall treatment plan of these cases and discussion of potential indicators that will aid appropriate targeting of cases for EMDR will be made.
A detailed description of how to apply EMDR protocol in monosymptomatic delusional disorder, including delusional dysmorphophobia will be given. This will include discussion of the use of Floatback; explore the use of affect bridge and the possible role of the unconscious or repressed material in the development of psychotic phenomena.
As patient with psychotic phenomena are often on one if not several psychoactive medications, the author will discuss the impact of EMDR on drug therapy in this group of patients with: schizophrenia, depression, severe with psychosis and delusional dysmorphophobia, illustrating the points from the case material. They will also look at the possible effect of medication on the efficacy of EMDR in this client group.

Keywords: Delusional Dysmorphobia  Depression  Personality Disorders  Phobias  Psychosis  Schizophrenia  

Accuracy Verified: Yes

3. Richards, L. D. (1999, June). A case study in the application of EMDR for paranoid schizophrenia. EMDRIA Newsletter, 4(2), 11, 16, 30-31.

Language: English

Format: Newsletter

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has shown dramatic effect in dealing with various types of trauma, with the definition of trauma encompassing much more than catastrophic occurrences or events. How a person reacts to trauma is equally broad in it display, manifestations, and consequences for every individual. This a a story of Anna, and her life as it is affected by trauma and mental illness. It testifies to the power of EMDR and, even more importantly, to the capacity of the individual to achieve inner healing.

Keywords: Paranoid Schizophrenia  

Accuracy Verified: Yes

4. Schultz, E. A. (1993, Spring). A case study:  Paradox and EMDR with paranoid schizophrenia. EMDR Network Newsletter, 3(1), 11-13.

Language: English

Format: Newsletter

Abstract:
The client, a 34 year-old woman diagnosed with paranoid schizophrenia was first hospitalized at age 19. She took hard drugs for about one year at age 24, with the result that she became more paranoid. I started to treat her in June of 1993 and saw her for a total of 13 sessions during the next six months. In January of 1993, I began EMDR, using weekly one-and-one-half-hour sessions. After two sessions, the therapy was temporarily interrupted by a severe paranoid episode which made her feel hopeless. I have not used EMDR with her six times, and two more sessions remain.

Keywords: Paranoid Schizophrenia  

Accuracy Verified: Yes

5. Miller, P., McGowan, I., McLaughlin, D., & Paterson, M. (2010, April). Cessation of symptoms associated with dissociative schizophrenia following EMDR. Presentation at 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: Background: Despite over a 100 years experience with schizophrenia it is still only a minority of individuals who make a full recovery. Schizophrenia is a severe enduring mental illness (SMI) and the weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide.
Aim: The aim of the presentation is to highlight the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia. Using a case study approach we will demonstrate the effectiveness of EMDR in relieving the symptoms of dissociative schizophrenia.
Case Study: In Patient ‘M’ using an EMDR paradigm integration was achieved using only outpatient therapy – 12 sessions, over the course of one year. Medication was used initially but made no impact on the psychotic phenomena; even when used within normally efficacious levels and duration. Naltrexone was used to help manage dissociation (Frewen & Lanius, 2006) and to facilitate Patient ‘M’ in engaging in EMDR. Patient ‘M’ is now nearly three years symptom free and medication free.
Conclusion: EMDR is effective in symptoms associated with dissociative symptoms.
Learning Outcomes By the end of the session participants will be able to; Gain an greater understanding of the clinical presentation of dissociative schizophrenia Discuss the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia

Keywords: Dissociative Schizophrenia  

Accuracy Verified: Yes

6. Millar, P. (2010, March). EMDR & psychosis. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Psychotic phenomena are one of the most challenging clinical presentations to treat, the most severe form being schizophrenia and poor outcome schizoaffective disorder. Schizophrenia is a severe enduring mental illness (SMI) and is characterised by core disturbances of thinking, perceptions and the emotions. It is accepted as having a heavy burden, with significant effects on the patient, their families and carers and it is one of the most costly illnesses worldwide. The weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide (Rossler, Salize et al. 2005). Despite more than 100 years of experience of the disease it is still only a minority of individuals who make a full recovery. This workshop aims to give further insight into the role of EMDR in the treatment of schizophrenia - as defined by the genetic epidemiological work by Professor K Kendler (Kendler, Spitzer et al. 1989; Kendler, McGuire et al. 1993; Kendler, Maguire et al. 1993). It follows up a series of three patients with psychosis treated with EMDR one of whom met strict criteria for schizophrenia. All 3 are now over 2 years post-EMDR. Of specific note the man who presented with schizophrenia remains free of medication and symptoms. The workshop will discuss the role of EMDR in the treatment of psychosis, including schizophrenia and discuss case selection and protocol development in this area of practice.

Keywords: Psychosis  Schizoaffective Disorder  Schizophrenia  

Accuracy Verified: Yes

7. Roques, J. (2008, Mai). EMDR - Une révolution et un changement de paradigme thérapeutiques [EMDR – A therapeutic revolution and paradigm shift]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
La présentation comporte trois volets. Le premier volet présente le fondement neurologique de l’EMDR qui est centré sur les réseaux neuronaux de la mémoire - ce qui permet une compréhension nouvelle des phénomènes dissociatifs et qui fait ressortir le potentiel du traitement en EMDR. Le deuxième volet aborde les applications de ce cadre théorique à l’ensemble des manifestations pathologiques : traumatismes simples et complexes, intoxications psychiques, épisodes psychotiques brefs et même certains cas de début de schizophrénie. Le troisième volet démontre à quel point l’EMDR bouleverse notre compréhension de la pathologie et de son traitement et de ce fait, constitue un véritable changement de paradigme thérapeutique. Cette compréhension nouvelle des phénomènes neuropsychologiques sous-jacents, telle que soulevée par l’EMDR, permet de distinguer ce qui est utile de ce qui ne l’est pas dans la plupart des psychothérapies.

This opening workshop will focus on three axes : 1) The neurological basis of EMDR that focuses on the memory’s neural networks – which in turn allow a fresh understanding of dissociative phenomena and shows the potential of EMDR treatment. 2) The application of this theoretical understanding to the various expressions of psychopathology: simple versus complex PTSD – psychic poisoning – brief psychotic episodes- even certain cases of early schizophrenia. 3) As a conclusion, how EMDR shook up our understanding of pathology and its treatment, and how it provided the impetus toward a genuine paradigm shift. This new understanding of the underlying psychoneurologic phenomena brought on by EMDR helps us to determine what may be useful or not in the various psychotherapies.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociation  

Accuracy Verified: Yes

8. Miller, P. (2011, August). EMDR and the ICONN protocol for schizophrenia – “Things can only get better”. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Schizophrenia is challenging to treat and has a heavy burden with life expectancy being reduced by 10 years, mostly through suicide. The genetic epidemiological work of Professor K Kendler has informed a rigorous phenotype for schizophrenia. However, after over 100 years of experience only a minority make a full recovery. The ICONN protocol for EMDR has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.

Keywords: ICONN Protocol  Schizophrenia  

Accuracy Verified: Yes

9. Kim, D. (2010, July). EMDR for the treatment of schizophrenia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Despite standard treatment with antipsychotic medication, many individuals with schizophrenia continue to suffer from significant residual symptoms and functional disabilities. Thus, psychosocial treatment for this difficult-to-treat disorder is warranted. Given the high prevalence of trauma in this population, role of life events, and stressful treatment-related adversities, EMDR is suggested to have an important place in the treatment and management of schizophrenia. This presentation will first provide the background of using EMDR for this population, then, procedural considerations. Finally, two case reports and results of a randomized clinical trial done with acute phase schizophrenia will be demonstrated.

Keywords: Schizophrenia  

Accuracy Verified: Yes

10. Garza, J. (1995). EMDR for through disorder clients. EMDR Network Newsletter, 5(1), 5-6.

Language: English

Format: Newsletter

Abstract:
I have found that EMDR is a useful therapy in the treatment of persons with a major mental illness. The people with whom I have been work ing have been diagnosed with Paranoid Schizophrenia, Personality Disorder NOS, Bipolar Mixed, SchizoaEective Disorder, Borderline, Personality Disorder, Panic Disorder, Agoraphobia, and Dysthymic Disorder. All of these people have been der physically and/or sexually abused. Although we can treat thought and mood disorders with medication, the emotional memories of the trauma remain and can exacerbate the illness.

Keywords: Major Mental Illness  

Accuracy Verified: Yes

11. van den Berg, D. P. G. (2011, August-September). EMDR in patients with psychotic disorders and PTSD: A pilot study. In PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Introduction: Mueser at al. (2008) showed that a treatment program that was predominantly based on cognitive restructuring was effective and safe in treating PTSD in patients with Serious Mental Illness. However, only 15.7% of the participants in this study had a psychotic disorder. Frueh et al. (2009) conducted a pilot study into PTSD treatment in patients with schizophrenia and schizoaffective disorders (n=20). At three month follow-up twelve out of thirteen completers no longer met criteria for PTSD. Treatment caused no adverse events. Unfortunately psychosis measures were not included in this study. A third therapy with strong empirical support for its efficacy in treating PTSD is Eye Movement Desensitization and Reprocessing (EMDR, Bisson et al., 2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler & Wagner, 2006). In this presentation the results of a feasibility trial (n=27) of EMDR in patients with psychosis and comorbid PTSD will be presented. Method: An open pilot trial of EMDR in treating PTSD symptoms in participants with a diagnosis of schizophrenia or an other psychotic disorder. Participants were all outpatients from community mental health centres in the Netherlands. After referral to the study patients were screened for PTSD with the Clinician Administered PTSD Scale (CAPS, Blake et al., 1990). If PTSD was diagnosed baseline measurements were performed after which an informed consent was obtained. Treatment consisted of a maximum of six weekly EMDR sessions, after which post measurements were taken. Results: EMDR was effective in alleviating PTSD symptoms. Out of the 25 completers, only 7 still met criteria for PTSD at post measurement. Treatment did not result in adverse events. In fact, other symptoms, such as delusions, auditory verbal hallucinations, anxiety and depression decreased significantly, e.g. only four out of the nine participants that reported voices at baseline still reported voices at end of treatment. Conclusions: The preliminary conclusion is that treating PTSD in patients suffering from psychosis with EMDR is feasible, is safe and has a positive influence on other symptoms.

Keywords: Pilot Study  Postraumatic Stress Disorder  PTSD  Psychotic Disorders  Symposium  

Accuracy Verified: Yes

12. Miller, P. (2010, September/October). EMDR treatment of psychotic disorders, including schizophrenia: A case series. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Psychotic phenomena are challenging to treat; the most severe being schizophrenia, which has a heavy burden: life expectancy being reduced by 10 years, mostly through suicide. After over 100 years of experience only a minority make a full recovery. This workshop will examine the role of EMDR in the treatment of schizophrenia - as defined by the genetic epidemiological work of Professor Kenneth Kendler - and follows three patients treated with EMDR; one met strict criteria for schizophrenia and remains in recovery after 3 years. The workshop will discuss case selection and protocol development.

Keywords: Psychotic Disorders  Schizophrenia  

Accuracy Verified: Yes

13. Miller, P. (2011, August). EMDR treatment of psychotic disorders, including schizophrenia: Using the ICONN protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Psychotic phenomena are challenging to treat. The most severe psychosis is schizophrenia, which has a heavy burden and reduced life expectancy through physical illness and suicide. Psychotherapy in psychosis is experiencing a renaissance and this workshop will discuss case selection and the application of the ICONN protocol for EMDR with psychosis. The ICONN protocol has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.

Keywords: ICONN Protocol  Psychosis  Psychotic Disorders  Schizophrenia  

Accuracy Verified: Yes

14. Kim, D. (2004, June). EMDR with schizophrenia. Presentation at Annual Summer Conference of KEMDR, Hanyang University, Seoul, Korea.

Language: Korean

Format: Conference

Keywords: Schizophrenia  

Accuracy Verified: Yes

15. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003.

Language: English

Format: Journal

Abstract:
This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]

Keywords: Cognitive Therapy  Literature Review  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

16. Fowler, K. B. (2007, January). The first symptoms of psychosis. Schizophrenia Bulletin, 33(1), 16-18. doi:10.1093/schbul/sbj025.

Language: English

Format: Journal

Abstract:
Episodes of significant depression have been a part of my life for as long as I can recall, but psychosis was unknown to me until I was in my mid-thirties, months after the birth of my second child. At first, all I recognized were the emerging symptoms of postpartum depression in the weeks after the birth: a familiar scenario, since it had also occurred with my first child. My doctor immediately prescribed 50mg of Prozac daily. I took the medication, felt much better, and continued to breastfeed my second daughter with no apparent problems. In fact, for about four months I felt better than I had in years. My therapist, an LCSW, was thrilled with my progress. She had been treating me with a technique called Eye Movement Desensitization and Reprocessing (EMDR). The therapy worked. In this article I present essays. These essays are my recollections of some of the new, and very foreign, moments in the beginning of that process, as my mind gradually turned from sane to psychotic. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: First Symptoms  Psychosis  Postpartum Depression  Schizophrenia  Symptoms  

Accuracy Verified: Yes

17. Rogers, M. (2001, January 24). Healing through the windows of the soul. Sante Fe, NM:  The Sante Fe New Mexican, E-3.

Language: English

Format: Newspaper

Abstract:
The therapy technique, called eye-movement desensitization and reprocessing, is an innovative method of therapy for anyone who has experienced a trauma of any kind, Stark said. EMDR can be used to treat victims of sexual abuse, domestic violence, criminal violence, combat and natural disasters. It has even been used to treat people with personality disorders, such as schizophrenia.

Keywords: General  Overview  Sante Fe  

Accuracy Verified: Yes

18. Wernimont, T. (2004, September). Integrating EMDR into the treatment of brain injury. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Brain injury is the often overlooked result of abuse, accidents, sports injury, seizure disorder, tumors/surgery, and toxic exposure/overdose. Symptoms from brian injury are often attributed to other causes, including depression, addiction, and even schizophrenia impeding treatment. There will be practical suggestions regarding: 1) assessment for symptoms of brain injury in your population; 2) applying EMDR approach within a comprehensive treatment plan; and 3) how to use strategies to treat symptoms of dysregulation and to reinforce skills. In addition, the cognitive, emotional, behavioral, and social effects of brain injury will be addressed.

Keywords: Brain Injury  

Accuracy Verified: Yes

19. Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005, February). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162(2), 214-227. doi:10.1176/appi.ajp.162.2.214.

Language: English

Format: Journal

Abstract:
Objective: The authors present a multidimensional meta-analysis of studies published between 1980 and 2003 on psychotherapy for PTSD. Method: Data on variables not previously meta-analyzed such as inclusion and exclusion criteria and rates, recovery and improvement rates, and follow-up data were examined. Results: Results suggest that psychotherapy for PTSD leads to a large initial improvement from baseline. More than half of patients who complete treatment with various forms of cognitive behavior therapy or eye movement desensitization and reprocessing improve. Reporting of metrics other than effect size provides a somewhat more nuanced account of outcome and generalizability. Conclusions: The majority of patients treated with psychotherapy for PTSD in randomized trials recover or improve, rendering these approaches some of the most effective psychosocial treatments devised to date. Several caveats, however, are important in applying these findings to patients treated in the community. Exclusion criteria and failure to address polysymptomatic presentations render generalizability to the population of PTSD patients indeterminate. The majority of patients posttreatment continue to have substantial residual symptoms, and follow-up data beyond very brief intervals have been largely absent. Future research intended to generalize to patients in practice should avoid exclusion criteria other than those a sensible clinician would impose in practice (e.g., schizophrenia), should avoid wait-list and other relatively inert control conditions, and should follow patients through at least 2 years. [Author Abstract]
Erratum in American Journal of Psychiatry 2005, Apr, 162(4), 832 and 2006, Feb, 163(2), 330

Keywords: Cognitive Therapy  Meta Analysis  Posttraumatic Stress Disorder  Psychotherapy  PTSD  Treatment  Treatment Effectiveness  

Accuracy Verified: Yes

20. Baiano, M., Bellani, M., Rambardelli, G., Perlini, C., Umit, T., Cerini, R., Balestrieri, M., Tansella, M., & Brambilla, P. (2007, October). P.1.e.007 Decreased cerebellar blood volume in schizophrenia: A perfusion weighted imaging study. European Neuropsychopharmacology, 17(Supplement 4), S284-S285. doi:10.1016/S0924-977X(07)70397-8.

Language: English

Format: Journal

Abstract:
No abstract available.

Keywords: Cerebellar Blood Volume  Schizophrenia  

Accuracy Verified: Yes

21. Kim, D., Choi, J., Kim, S. H., Oh, D. H., Park, S.C., Lee, S. H. (2010, May). A pilot study of brief eye movement desensitization and reprossessing (EMDR) for treatment of acute phase schizophrenia. Korean Journal of Biological Psychiatry, 17(2), 94-102.

Language: English

Format: Journal

Abstract:
Objectives: Eye movement desensitization and reprocessing(EMDR) is a novel, time-limited psychotherapy originally developed for treatment of psychological trauma. The effectiveness of this therapy has been validated only for posttraumatic stress disorder; however, EMDR is often applied to other psychiatric illnesses, including other anxiety disorders and depression. This pilot study tested the efficacy of EMDR added to the routine treatment for individuals with acute stage schizophrenia. Methods: This study was conducted in the acute psychiatric care unit of a university-affiliated training hospital. Inpatients diagnosed with schizophrenia were randomly assigned to either three sessions of EMDR, three sessions of progressive muscle relaxation(PMR) therapy, or only treatment as usual(TAU). All the participants received concurrent typical treatments(TAU), including psychotropic medication, individual supportive psychotherapy and group activities in the psychiatric ward. The Positive and Negative Syndrome Scale(PANSS), the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were administered by a clinical psychologist who was blinded to the patients' group assignment. Results: Forty-five patients enrolled and forty patients(89%) completed the post-treatment evaluation. There were no between-group differences in the withdrawal rates of patients during the treatment or at the three-month follow-up session. All three groups improved significantly across each of the symptomatic domains including schizophrenia, anxiety, and depressive symptoms. However, a repeated measures ANOVA revealed no significant differences among the groups over time. Effect size for change in total PANSS scores was also similar across treatment conditions, but effect size for negative symptoms was large for EMDR(0.60 for EMDR, 0.39 for PMR and 0.21 for TAU only). Conclusion: These findings supported the use of EMDR in treating the acute stage of schizophrenia but the results failed to confirm the effectiveness of the treatment over the two control conditions in three sessions. Further studies with longer courses of treatment, more focused target dimensions of treatment, and a sample of outpatients are necessary.

Keywords: Schizophrenia  

Accuracy Verified: Yes

22. Kim, D. (2003, October). Randomized clinical trial of EMDR for schizophrenia:  Preliminary findings. Presentation at the Annual Conference of the Korean Neuropsychiatric Association, Seoul, Korea.

Language: Korean

Format: Conference

Keywords: Random Clinical Trial  RCT  Schizophrenia  

Accuracy Verified: Yes

23. Moskowitz, A. (2012, June). Trauma, dissociation and psychosis [Trauma, disociación y psicosis]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
What is the relationship between trauma, dissociation and psychosis? In this talk, I will discuss links between the historical concept of schizophrenia and dissociation, the meaning of ‘psychosis’, and interpretations of psychotic symptoms from a trauma/dissociation perspective. It is proposed that auditory verbal hallucinations or ‘voices’ are dissociative in nature, and that other psychotic symptoms may be related to traumatic experiences in a variety of ways.

¿Cuál es la relación entre trauma, disociación y psicosis? En esta charla se abordarán los puntos de conexión entre el concepto histórico de esquizofrenia y disociación, el significado de ‘psicosis’ y las interpretaciones de los síntomas psicóticos desde una perspectiva de trauma/disociación. Se propone que las alucinaciones auditivas verbales o ‘voces’ son de naturaleza disociativa y que otros síntomas psicóticos pueden estar relacionados de distintas maneras con experiencias traumáticas.

Keywords: Dissociation  Psychosis  Trauma  

Accuracy Verified: Yes

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

Language: Italian

Format: Journal

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

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

Keywords: Posttraumatic Stress Disorder  PTSD  Psychosis  Schizophrenia  Trauma  

Accuracy Verified: Yes