Francine Shapiro Library - EMDR Bibliography Links
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1. Spuijbroek, P. (2013, April). A(S/l)S het samen kan: EMDR in de systeemtherapie [A (S / L) S together can: EMDR in the treatment system]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Bij het behandelen van kinderen met autisme wordt steeds meer een systemische aanpak gehanteerd. Daar waar het in de ouderbegeleiding vooral over psycho educatie en rouwverwerking gaat rond het autisme, staat in de gezinstherapie het systeem centraal en de samenwerking tussen de gezinsleden, rekening houdend met overeenkomsten en verschillen. Bij het gebruik van de EMDR binnen de gezinstherapie levert dit soms verrassende situaties op die op eigen wijze bijdragen aan veranderingen welke van te voren niet werden te voorzien.
In deze workshop worden een drietal casussen besproken waarbij (delen van) het gezin betrokken zijn. De aangemelde casussen zijn een jongen met laag zelfbeeld, een preverbaal trauma bij een geadopteerd meisje en een meisje dat dreigt zichzelf te beschadigen. Alle drie de kinderen zijn kinderen met ASS. Maar wat gebeurt er tijdens gecombineerde systeem-EMDR sessie?
In de presentatie neem ik deelnemers mee in woord en beeld en ga in gesprek.
When treating children with autism is becoming a systemic approach. Where in the parent guidance particularly on psychoeducation and bereavement goes around autism, family therapy is in the central system and the cooperation between family members, taking into account similarities and differences. With the use of EMDR in family therapy yields some surprising situations which in their own way contribute to changes which in advance were not providing.
In this workshop, three cases are discussed in which (parts of) the family involved. The notified cases are a boy with low self-esteem, a preverbal trauma in an adopted girl and a girl who threatens to harm himself. All three children are children with ASD. But what happens when combined system EMDR session?
In the presentation I take Participants in words and pictures and talk to them.
Keywords: Family Systems Therapy
Accuracy Verified: Yes
2. 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
3. O'Shea, K. (2008, June). Anger, imagination and EMDR – what EMDR has taught us about the importance of anger and how to facilitate its safe release. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.
Language: English
Format: Conference
Abstract:
Jaak Panksepp’s text, Affective Neuroscience (1998), informs us of the vast amount of neurological data available
to show that, like all mammals, anger is one of our basic affective circuits. Yet it is not identified as such in the
diagnostic manual, at least here in the States. Only the destructive outcomes of angry behaviors are included.
Guiding EMDR sessions over the past 17 years has given me the opportunity to observe the nondestructive
release of anger as a protective response to harmful (traumatic) experiences. Imagination appears to provide us
with an innate ability to acknowledge the degree of harm, and to experience, at a physical level, the capability to
protect ourselves and others, if anything similar recurs. Following that release, I consistently see what I call
“Compassion-with-Protection”, spontaneously expressed. Others call it “forgiveness”. Because of their
experiences with destructive anger and our cultural avoidance of anger, clients often have difficulty allowing
their angry feelings to be felt and released during EMDR work. Letting them know they have this capability can
enable them to “just notice what happens” during trauma reprocessing. This workshop will address, via
description and case examples, how EMDR has clarified the nature of anger. It will specify how EMDR clinicians
can support their clients in releasing anger non-destructively (by clearing the anger circuit during Preparation,
teaching them how the Imagination works - for self-use and during reprocessing, - and identifying the most
efficient targeting sequences), so they can update their systems to their current level of capability and fully
experience the “Compassion-with-Protection” that naturally follows.
Keywords: Anger Imagination
Accuracy Verified: Yes
4. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.
Keywords: Impulse Control Mindfulness Poster Self Harm
Accuracy Verified: Yes
5. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.
Language: English
Format: Conference
Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.
Accuracy Verified: Yes
6. Meijer, S. (2000). Casus 13 – Zoals mijn leven nu gaat mag het altijd blijven: Een borderlinecliente met ernstige PTSS en terbeschikkingstelling [Case 13 - My life should stay as it is now. A woman with borderline personality disorder and severe PTSD who had a forensic psychiatric criminal justice sentence]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 193-204). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_20.
Language: Dutch
Format: Book Section
Abstract:
Marion is een 28-jarige vrouw die eind 2003 een tbs krijgt opgelegd vanwege een poging tot brandstichting. Haar zus doet aangifte. Er zijn geen eerdere veroordelingen geweest, maar Marion heeft wel eerder brand gesticht. In 1996 sticht zij voor het eerst brand en zij merkt dat dit haar spanningen vermindert; ze wordt er rustig en zelfs vrolijk van. Er is sprake van een borderline persoonlijkheidsstoornis; deze wordt in 2000 vastgesteld gedurende een behandeling in een psychotherapeutische gemeenschap. Marion verbetert niet tijdens deze opname en breekt de behandeling tegen advies in af. In die periode is er sprake van ernstige automutilatie en suïcidaliteit. Er zijn diverse suïcidepogingen en rond 2002 neemt Marion een grote hoeveelheid pillen in. Daaropvolgend wordt Marion opgenomen. Na vijf maanden wordt de klinische behandeling afgerond met de boodschap: ‘We kunnen niets meer doen.’ De aangeboden poliklinische behandeling kon door Marion niet worden gevolgd omdat zij toen reeds was opgepakt.
Marion is a 28-year-old woman in late 2003 a TBS is imposed for an attempted arson. Her sister does return. There have been no previous convictions, but Marion does have been arson. In 1996 she established the first fire and they find that it reduces her stress, she is calm and even cheerful. There is a borderline personality disorder, which is set in 2000 during a treatment in a psychotherapeutic community. Marion does not improve during this recording and breaks off the treatment against advice. During that time, there is serious self-harm and suicidality. There are several suicide attempts and Marion around 2002, a large quantity of pills. Subsequently, Marion recorded. After five months, the clinical treatment has been completed with the message: "We can not do anything." The outpatient treatment offered by Marion could not be followed because they had already been arrested.
Keywords: Borderline Personality Disorder BPD Posttraumatic Stress Disorder PTSD Women
Accuracy Verified: Yes
7. 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
8. McLaughlin, D. F., McGowan, I. W., Paterson, M. C., & Miller, P. W. (2008, September). Cessation of deliberate self harm following eye movement desensitisation and reprocessing: A case report. Cases Journal, 1, 177-180. doi:10.1186/1757-1626-1-177.
Language: English
Format: Journal
Abstract:
We present a case report of an eighteen year old female patient presenting with a psychological trauma related complaint. Part of the manifestation of the complaint included acts of self cutting over a number of years. Following two sessions of Eye Movement Desensitization & Reprocessing with one of the authors (DM) her self cutting ceased. This is maintained at thirteen months follow up. We conclude that Eye Movement Desensitization & Reprocessing may be an effective treatment option in reducing repeat self harm where traumatic events are noted to be the precursor to deliberate self harm.[Author abstract]
Keywords: Self Harm
Accuracy Verified: Yes
9. 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
10. Paterson, M. C. (2008). Changing cognitive schemas through EMDR and ego state therapy. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 121-139). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Often clients require extensive preparatory work to ensure that they have the ego strength to allow them to experience EMDR. Failure to do this may result in harm to the client and litigation against the therapist. Ego strengthening is required where the client's personality is less than totally integrated, usually indicated by the presence of enduring irrational beliefs and behavior. Such beliefs exist despite extensive evidence to the contrary; for example, a man may believe he is worthless and a failure despite being in a stable marriage and also holding a college degree. Similarly, irrational beliefs often prevent clients from progressing in therapy due to the blocking action they exert on cognitive processing. This chapter examines maintenance fo irrational beliefs and behaviors and a case study that looks at a former police officer in Northern Ireland. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Schemas Ego State Therapy
Accuracy Verified: Yes
11. Jaberghaderi, N., Dolatabadi, S., & Zand, S. O. (2002, Winter). A comparison of eye movement desensitzation and reprocessing and stress inoculation training (SIT) for sexually abused girls. Advances in Cognitive Science, 3(4), 16-26.
Language: English
Format: Journal
Abstract:
Fourteen sexually abused girls aged 12-13, were randomly assigned to receive either EMDR or SIT. Participants and their parents completed Child Report of Post Traumatic Symptoms (CROPS), and Parent Report of Post Traumatic Symptoms (PROPS), pre and post treatment.
Results indicated that there was significant influence only on the PROPS. But there was a significant impact on both these instrument (CROPS & PROPS), with EMDR. In evaluating CROPS and PROPS, factor analysis with SIT illustrated that, externalizing and internalizing symptoms in PROPS and avoidance thoughts and behaviors in CROPS were treated. Further the results gathered from factor analysis with EMDR, showed that internalizing and somatic symptoms in PROPS and self harm, depression feelings and also somatic symptoms in CROPS improved as well. Clinical findings also suggested that EMDR and SIT did not have any significant differences in treating posttraumatic symptoms. Factor analysis found that, EMDR was more effective than SIT in treating somatic symptoms of sexually abused girls.
Keywords: Iran Sexual Abuse SIT Stress Inocculation Training
Accuracy Verified: Yes
12. 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
13. Stowasser, J., Brown, S., & Zabukovec, J. (2011, August). The crucible of trauma: Domestic violence, substance abuse, and the military. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Untreated trauma and PTSD are believed to underlie substance abuse (SA) and domestic violence (DV). Some military personnel attempt to manage their PTSD with the use of DV tactics and SA, causing harm to themselves and others. Workshop participants will be able to broadly define DV, the Cycle of Violence and The Apology, and adapt them for use with EMDR; screen for substance abuse, conceptualize cases and plan treatment; understand how military experience contributes to post-traumatic stress including DV and SA; and dovetail this knowledge into the EMDR Model as an integrated, phased, trauma treatment approach.
Keywords: Apology Cycle of Violence Domestic Violence Military Substance Abuse
Accuracy Verified: Yes
14. 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
15. Matthess, H., Vojtova, H., & Dellucci, H. (2012, March). EMDR and complex trauma. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation, Berlin, Germany.
Language: English
Format: Conference
Abstract:
EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult.
“By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308).
Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR?
Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering?
Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why?
This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings.
The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.
Keywords: Complex Trauma
Accuracy Verified: Yes
16. Ferrie, R. (2013, May). EMDR therapy and psychiatric medication. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Many clients who present for EMDR are medicated with psychiatric drugs. The question arises whether these
medications are helpful in the context of EMDR therapy or not. We as psychotherapists, by definition, are involved
in a dialogue about mental health with our clients; therefore, on the important subject of psychoactive medication
we have a responsibility to be informed ourselves and to share this information with our clients. This presentation
is intended to provide tools especially for the non-medical therapist to learn how to navigate the territory of
psychiatric drugs-use in a way that helps clients. Included in the presentation will be a discussion of individual
case studies of traumatized clients, who had first been treated with psychiatric medication and then sought EMDR
therapy; an examination of how psychiatric drugs help or hinder and how they compare to the EMDR therapy
approach; and evidence from the current literature which calls into question the assumption of mental disorders
being due to a chemical imbalance requiring life-long medication. The robustness of the EMDR protocol and how
helpful it has proven to be to clients who have dealt with being heavily medicated and suffering from attendant
side effects will be illustrated. Learning objectives:
• Critique the evidence-based literature on psychiatric medication and the now insupportable information, given
to clients and doctors, which excludes the findings of long-term harm caused by all classes of psychiatric
medication. Participants will be able to assess the importance of the few reliable long-term outcome studies
and compare the effectiveness of psychotherapy/EMDR with psychiatric drugs.
• Evaluate a series of cases studies of clients, previously traumatized, who were medicated with psychoactive
drugs when first seeking EMDR Therapy.
• Gain knowledge of the different available protocols designed to help clients to be safely weaned off
psychiatric medication.
• In the process of discussion, participants will compare their own and other participants’ experiences with
such medicated clients.
Keywords: Medication
Accuracy Verified: Yes
17. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming
the client’s capacity and resources. Practitioners must
screen for dissociation and use special procedures to safely
use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot
EMDR with dissociative clients within the phased
treatment model, for clients ranging from DDNOS to DID.
Assessment and stabilization are key to preparing clients
for trauma work. The workshop offers methods to increase
affect tolerance, establish a two-step containment habit, and
orient personalities to person place and time. Other topics
include: increasing tolerance of body sensation and affect,
and enhancing compassion for self and others, directly
working with introjects or other “monstrous” shame-laden
parts, essential to reducing internal conflict and resistance
to therapy. The workshop instructs in specific ego state
strategies and imagery to provide sufficient resources,
maintain an observing ego. Rooted in the hypnotic tradition,
stabilization methods to pace and fractionate the work
within EMDR while interspersing trauma work with sessions
that consolidate gains. The workshop also describes the
conference room method and means to trouble-shoot
stuck processing. Finally, the workshop describes the final
phases of therapy, skills building, integration and fusion.
Participants will be able to :
♦♦ explain why and when to assess every client for degree
of dissociation and choose an appropriate protocol.
♦♦ list six tactics for stabilizing clients, prior to doing
EMDR for dissociative clients, to increase rapport,
contain affect, orient to present circumstances,
reduce inner conflict, and build coping resources.
♦♦ structure EMDR sessions using imagery
and ego state interventions for pacing,
fractionating and trouble-shooting the work.
Keywords: Dissociation
Accuracy Verified: Yes
18. 杨善真 [Yang Zhen]. (2006). EMDR（眼动身心重建法）的研究探讨 [EMDR (Eye Movement mental and physical reconstruction of Law), a detailed study]. 嘉义大学辅导咨商学系研究所 [National Chiayi University, Counseling Institute, Chiayi, Taiwan].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
EMDR（眼動身心重建法）的研究探討
眼物质重建法（眼动脱敏和再加工）在过去10年来，作为一个新兴的心理治疗方法，并正成为越来越受欢迎，并确保特别是对创伤后应激综合征的治疗，是新兴的治疗方法，根据Greewald回想起来，一个文献研究指出，“它已被用于治疗许多人的选择”（由约翰库萨克和斯帕茨，1999年报价），因为传统的治疗心理咨询技术的使用往往需要耗费时间，对于一些不长的治疗或治疗病人的具有时间限制并不适用，而且还描述伤痛的经历，以repeat简单动作usually只会使病情恶化，最后连药物也无效，所以今天非常受欢迎并EMDR可应用于其他精神疾病，如：恐惧，疼痛疾病，性虐待的创伤，手术后感情伤害，而且由于其方法和结果仍在广泛讨论，因此对EMDR in treatment和谐促进more 。
Eye physical reconstruction method (Eye Movement Desensitization and Reprocessing) for the last 10 years, emerging as a psychological treatment method, and are becoming increasingly popular, and sure, especially for the treatment of post-traumatic stress syndrome is emerging treatment techniques, according to Greewald In retrospect, a study of the literature pointed out that "it has been used as treatment for many people a choice" (a quote from Cusack & Spates, 1999), because the use of traditional healing counseling psychology techniques often require time-consuming, for some not long for treatment or for treatment of patients has its time limits do not apply, but also describing the traumatic experience to repeat simple movements usually only make the patient's condition worsened and finally even the drugs are also ineffective, so very popular today and be EMDR be applied to other mental diseases, such as: fear, pain diseases, sexual abuse trauma, post-operative emotional harm, and because of its methods and results are still being widely discussed, so the promotion of EMDR in treatment more harmony.
Accuracy Verified: Yes
19. Jones, K. R. (2006, June). EMDR: Warning on safe use. Therapy Today, 17(5), 23.
Language: English
Format: Magazine
Abstract:
For EMDR to be used safely, I strongly agree with the position emphasised during training with the EMDR Institute, that this is an adjunct technique which should only be integrated into existing and appropriate professional practice. Furthermore, practitioners should be qualified to carry out an effective mental health assessment, to screen potential clients for contraindicative effects (eg dissociation or psychosis) prior to treatment, as well as being competent to deal with adverse effects such as strong abreactions. Given the potential for harm with techniques such as EMDR, I believe that it is essential for practitioners to have a 'practising certificate' before offering this approach to clients, rather than simply undertaking 'some training' as noted by the author.
Keywords: Letter
Accuracy Verified: Yes
20. Seliga, M. (2009, Fall). Empirically supported treatment interventions for clients with posttraumatic stress disorder and comorbid borderline personality disorder: A critical review. Praxis, 9, 61-69.
Language: English
Format: Journal
Abstract:
The overall stigma- and gender-related controversies
that surround the diagnosis of Borderline Personality
Disorder (BPD) present a unique ethical mandate to the
practitioner. The relationship between trauma and the
BPD diagnosis strengthens the need for carefully
designed treatment interventions in order to secure the
benefits of trauma-focused work, while minimizing the
risk of undue regression. The complexity and risk of
harm introduced by a diagnosis of comorbid BPD and
PTSD urges the need for clarification of optimal
treatment interventions to guide practitioners. The use
of adjunctive treatment modalities alongside traumafocused
interventions emerges as an empirically
supported technique in the treatment of severely
comorbid patients.
Keywords: Borderline Personality Disorder Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
21. Ernst, E. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder, Reply. Acta Psychiatrica Scandinavica, 110(2), 159. doi:10.1111/j.1600-0047.2004.00369.x.
Language: English
Format: Journal
Abstract:
Reply by the current author to the comments made by E.M. Corrigan and J. Jennett (see record 2004-16054-010) on the original article (see record 2003-05653-002). They describe a 29-year-old woman with an obsessive compulsive disorder relapse following ingestion of herbal products containing ephedra alkaloids. This case report highlights a number of points which can be important for psychiatric practice: our patients often see herbal remedies as risk-free additions to their conventional treatments; in reality, however, they can contain powerful ingredients with potential to harm. One may love or hate complementary medicine, but vis-à-vis its popularity with our patients it seems an ethical imperative to know the essentials about it. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Comment Ephedra alkaloids Letter Obsessive Compulsive Disorder OCD Relapse Reply
Accuracy Verified: Yes
22. Senior, J. (2001, July). Eye movement desensitization and reprocessing: A matter for serious consideration?. the Psychologist, 14(7), 361-363.
Language: English
Format: Magazine
Abstract:
This short article sets out to promote thought as to whether treatments that are ineffectually proven might be doing more harm than good. It suggests that branching out into usage of EMDR with conditions other than PTSD may be dangerous until more research points to how it actually works. Moreover, I want to encourage serious consideration of whether or not eye movements play a part in the treatment's success. [Text. p. 361]
Keywords: Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
23. 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
24. Lohr, J. M., Devilly, G., Lilienfeld, S. O., & Olatunji, B. O. (2006). First do no harm, and then do some good: Science and professional responsibility in the response to disaster and trauma. the Behavior Therapist, 29, 131-135.
Language: English
Format: Newsletter
Abstract:
Qualitative reviews and meta-analyses of peer-reviewed EMDR outcome studies have
consistently found that there is overwhelming evidence that eye movements are neither a
necessary nor useful component of the general clinical protocol (e.g., Devilly, 2002; Lohr,
Lilienfeld, Tolin, & Herbert, 1999; Davidson & Parker, 2001); there is strong and consistent
evidence that EMDR is better than no treatment and ineffective treatments, but no more effective
than other treatments that use some aspect of exposure therapy (Devilly, 2002; McNally, 1999);
and there is growing evidence that a cognitive-behavioral treatment including exposure is
superior to EMDR for long-term effectiveness (Devilly & Spence, 1999; Taylor, Thodarson,
Maxfield, & Fedoroff, 2003). In sum, “what is effective in EMDR is not new, and what is new is[not effective” (McNally, 1999, p. 619.[Excerpt]
Keywords: Skeptic
Accuracy Verified: Yes
25. Cahill, S., Foa, E., Rothbaum, B., & Resnick, P. (2004, November). First do no harm: Worsening or improvement after prolonged exposure. In A. Maercker & G. Berthold (Chairs), Beyond RCT research: Evaluating cmmon and new treatment components. Symposium conducted at the 20th International Society of Traumatic Stress Studies Conference, New Orleans, LA .
Language: English
Format: Conference
Abstract:
During the past years, PTSD treatment competencies raised tremendously
due to the development and evaluation in randomized controlled trials.
Exposure and cognitive restructuring techniques are basics of a variety of
effective psychotherapies. Our symposium discusses challenges, possible
shortcomings, implications, and new applications of efficacious techniques
(e.g., using the internet).
First do no harm: Worsening or improvement after
prolonged exposure: Despite a substantial body of research accumulated over the 15 years indicating
that exposure therapy programs are highly effective in reducing
PTSD symptom severity and associated anxiety and depression across a
wide range of trauma populations, few therapists utilize this treatment. One
reason offered by therapists for not providing this treatment is their concern
that exposure therapy may result in symptom worsening among individuals
with PTSD (Becker et al., 2003). The purpose of this study was to
investigate the frequency of symptoms worsening and symptom improvement
following Prolonged Exposure (PE), one particular exposure therapy
protocol developed for use in the treatment of PTSD, across five separate
treatment studies (Foa et al., 1991, 1999, in preparation; Resick et al., 2002;
Rothbaum et al., in preparation) and to compare it with other forms of cognitive
behavior therapy (stress inoculation training, cognitive processing
therapy, EMDR) and waitlist controls. Preliminary results based on two of
the five studies (Foa et al., 1999; in preparation) found worsening of PTSD
symptom in less than 1% of participants completing active treatment (N =
162) and 8% of participants completing waitlist (N = 39). PTSD symptom
improvement was found in 90% of participants completing cognitive behavior
therapy (N = 149) compared to 36% participants completing waitlist.
Keywords: Prolonged Exposure Symposium
Accuracy Verified: Yes
26. 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
27. Oppenheim, H-J. (2010, April). Het snijden moet stoppen, een uitweg uit de "stabilisatie-versus behandeling paradox 'in een DIS patiënt [The cutting must stop an escape from the" Stabilization versus treatment paradox' in a patient CIS]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
In deze presentatie zal ik, ook met behulp van video clips, bespreken het proces van de patiënt met een trauma CIS in acuut gevaar. Er was ernstige zelfbeschadiging dat elke volledig buiten het bewustzijn van de patiënt heeft plaatsgevonden. In termen van structurele dissociatie model (onder anderen), Onno van der Hart, is er agressieve acties van een emotionele deel van de persoonlijkheid (EP) die hebben gereageerd op deze ernstige en gewelddadige herbeleving van een vroege jeugd trauma.
Aangezien de levensbedreigende zelfbeschadiging vormen begon te nemen werd gesneden zo spoedig gestaakt. Het was echter duidelijk dat in deze omstandigheden, te kijken naar het dagelijks leven schijnbaar normaal functioneren van de persoonlijkheid (ONP) trauma niet kon dragen.
Patiënt en therapeut zijn gevangen in deze situatie in een vertrouwde paradox: om het trauma te verwerken moet stabiel genoeg zijn, maar de stabiliteit is nodig om het trauma te verwerken.
In deze presentatie, een uitweg uit deze paradox zien. Na intensieve voorbereiding, met inbegrip van de bescherming van bepaalde onderdelen persoonlijkheid, contacten en onderhandelingen met een levensbedreigende deel en andere delen, met behulp van EMDR trauma kan optreden met alleen die delen dat het trauma kan verwerken.
De (b) lijkt het erop dat actieve trauma EMDR met behulp van in deels bewust mogelijke niveau.
Deelnemers zullen leren:
a. hoe te werken uit de structuurfondsen Dissociatie Model;
b. het belang van een actieve houding van de therapeut, als regisseur, wanneer het in contact en werken met verschillende delen van de persoonlijkheid, om het gewenste doel te bereiken.
c. dat trauma een deel mogelijk bij het ontbreken van gericht op het dagelijks leven van de persoonlijkheid.
In this presentation I will, also using video clips, discuss the process of trauma patient with a CIS in acute danger. There was serious self-harm that each completely outside the consciousness of the patient occurred. In terms of structural dissociation model (among others), Onno van der Hart, there is aggressive actions of an emotional part of the personality (EP) that responded to this serious and violent reworking of an early childhood trauma.
Since the life-threatening self-harm forms began to take was cut as soon as discontinued. However, it was clear that in these circumstances, looking at daily life seemingly normal functioning of the personality (ONP) trauma could not bear.
Patient and therapist are caught in this situation in a familiar paradox: to process the trauma must be stable enough, but the stability is needed to process the trauma.
In this presentation, an escape from this paradox shown. After intensive preparation, including in safeguarding certain personality parts, contact and negotiations with life threatening part and other parts, using EMDR trauma could occur with only those parts that could handle the trauma.
The (b) it seems that active trauma using EMDR in partly conscious level possible.
Participants will learn:
a. how to work from the Structural Dissociation Model;
b. the importance of an active attitude of the therapist, as a film director, when in contact and working with different parts of the personality, to achieve the desired goal.
c. that trauma to a part as possible in the absence of focused on the daily lives of the personality
Keywords: Cutting, Stabilization, Treatment
Accuracy Verified: Yes
28. 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
29. Snyder, M. (1996, December). Intimate partners: A context for the intensification and healing of emotional pain. Women and Therapy, 19(3), 79-92. doi:10.1300/J015v19n03_08.
Language: English
Format: Journal
Abstract:
A case of a lesbian couple is presented in which one partner experienced early sexual abuse and the other a series of major losses (beginning with the death of her mother) in early childhood. The first partner developed an alcohol addiction and the second a high level of emotional lability and some practices of self-harm. Both partners developed dissociative patterns. The couple is now in a committed relationship and have continued in therapy for the last 9 months, with sessions gradually becoming less frequent. The therapeutic work has included the "externalization" of the problem(s), some individual work within the couple session using Eye Movement Desensitization and Reprocessing (EMDR), and a strong emphasis on the development of empathic skill through the technique of "becoming" the other person. The case reveals the way in which a primary relationship often surfaces intense unresolved feelings and dysfunctional relationship practices, and also the way in which emotional commitment and a structure for the couple becoming therapeutic agents to each other allows for a deep level of healing. The couple comments on their relationship process and the therapeutic process as part of the article. [Author Abstract]
Keywords: Adults Americans Case Report Child Abuse Family Therapy Females Homosexuals Incest Interpersonal Interaction Psychiatric Disorders Rape Survivors
Accuracy Verified: Yes
30. Calof, D. (1994, March). Managing self-harm. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Self-Harm
Accuracy Verified: Yes
31. 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
32. Iracane-Blanco, M. (2010, June). Research to evaluate the therapeutic effectiveness of an EMDR treatment versus debriefing for victims of workplace accidents. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The objective of this study is to evaluate the therapeutic effectiveness of an EMDR treatment set-up (R-TEP protocol) within an early healthcare scheme for victims of workplace accidents, while taking into consideration such variables as institutional recognition and the availability of psychological debriefing services (inspired by Mitchell's model). The research procedure consists of first creating a program including referenced organisations (businesses, police force, hospitals...) from different French regions. Efforts will be made
to raise resource people's (management, occupational health staff) awareness of PTSD prevention and of the role played by institutional recognition in the psychological recovery process. A regional network of EMDR therapists trained in debriefing (will be set up to work in partnership with the healthcare network for first line interventions following workplace accidents involving one or several workers. Participants will be recruited within these organisations. They the will all have been confronted with a single critical incident at work (accidental bodily harm of physical origin, physical aggression...) and meet DSM-IV Acute Stress Disorder criteria at the time of the therapy session. The research program will test, evaluate, and compare the effectiveness of a single therapeutic intervention taking place between Day 0 and Day 8 after exposure to a workplace accident BS do for 2 groups of 20 workers (men and women) who present the clinical signs of acute stress disorder. G1: control group - no access or refusal of care to be. G2: group with a debriefing session. G3: group with an EMDR session. In order to evaluate treatment effects on health and adaptive behavior in workers, participants will complete standardized self-evaluation scales (IESR PCLS Hamilton) before and after treatment. Another questionnaire will be completed by the therapists. Expected results: Significant decrease of symptoms and improvement of scores on measures after a single EMDR session. Greater effectiveness of EMDR compared to psychological debriefing. Eye Learning objectives: Participants will learn the advantages of promoting early interventions for victims of workplace accidents with the adapted EMDR protocol in order to prevent incapacitating PTSD and to facilitate an early return to autonomy for the worker. EMDR therapists will have a raised awareness of public health prevention initiatives, combining training and information within social and professional networks and occupational health services.
Keywords: Debriefing Research, Symposium Workplace Accidents
Accuracy Verified: Yes
33. Schleyer, M. A. (2000, July). The trauma client's experience of eye movement desensitization and reprocessing: A heuristic analysis. Union Institute and University, Cincinnati, OH. AAT 9958854 .
Language: English
Format: Dissertation/Thesis
Abstract:
Traumatic stress and its impact on the individual, family and society have been described in the literature for over one hundred years. Controversy exists regarding etiology, determinants and therapeutic intervention for traumatic stress. There is limited research regarding the comparative value of treatment of trauma. In 1989 Eye Movement Desensitization and Reprocessing (EMDR) emerged as a therapeutic intervention for traumatic stress. Studies have shown the benefits of EMDR to be equal to or superior to those of other therapies in the treatment of PTSD. To date, the value of EMDR has been measured primarily by the decrease or amelioration of symptoms. Limited research has focused on the client's experience of EMDR and life changes after EMDR. The specific aim of this study was to: (a) generate a description of the personal experience of the EMDR process, (b) identify whether life changes had occurred after EMDR, and (c) if any life changes had occurred describe the changes and the nature of these changes.Data were collected via unstructured interviews with seven individuals who had experienced some form of trauma, and who had experienced EMDR as a therapeutic intervention for trauma. Van Manen's and Heidegger's interpretive processes were used to guide the method of data analysis. The shared meanings identified were: (a) Set-up for Harm, (b) Being Stuck, (c) Willing to Risk in Spite of..., (d) Release, (e) Movement and (f) Ongoing Movement. The participants all described childhood events of being put in harm's way. As adults participants felt frustrated with their inability to change personal and relational alienation which resulted from the childhood events. However, in spite of incredulity and fears, risking the experience of EMDR was primarily dependent on trust in the therapist. All experienced emotional, cognitive and physical release in response to the EMDR experience which allowed participants to move forward with their lives. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(1-B), Jul 2000, pp. 549.
Keywords: Adults Americans Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
34. Turner, S. (2008, June). “A human rights framework in trauma work". Keynote presented at the annual mmeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Some people survive trauma only to find themselves continuing to live in
very real danger of further deliberate harm. This happens, for example, on
a large scale where the state uses repressive violence against communities
and at a personal level in many types of intra-familial violence, but there
are many other illustrations. One of the first steps that we often make as
therapists is to clarify that the traumatic experience has come to an end
and that the survivor is ready, and feels safe enough, to deal with the
emotional components of their past experiences. Victims of violence may
come from disadvantaged or minority groups in society and it is often
insufficient to rely only on the goodwill of the majority population to
achieve this sense of safety. It is essential that there should be human
rights policies with the force of law to protect vulnerable people and allow
them to achieve justice and a sense of efficacy. This year is the 60th
anniversary of the Universal Declaration of Human Rights, an inspirational
document prepared after the Second World War, and yet, unfortunately,
human rights abuses remain all too common. The interplay between the
legal framework of human rights and the therapeutic framework of clinical
practice is not always straightforward to negotiate. Problems may occur,
for example, for refugees who escape from persecution but whose legal
cases in their new country of asylum take years to settle, children
experiencing continuing abuse but who are too afraid to talk, adult rape
survivors who feel too ashamed to disclose and who would expect a
prosecution to fail anyway. An ethical framework for our practice is
required which fully takes into account the therapeutic needs of the
survivor; their legal right to justice, protection and acknowledgment of
harm done; and their personal wishes.
Keywords: Keynote
Accuracy Verified: Yes