Francine Shapiro Library - EMDR Bibliography Links

 

 

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1. O'Shea, M. K. (2003, September). Accessing and repairing preverbal trauma/neglect. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Numerous methods have attempted to repair distress remaining from very early trauma (especially adoption) or neglect, but most have been difficult, cumbersome, even traumatic. The presenter will describe and demonstrate a direct, simple, safe and incredibly effective EMDR extension, which is based on our current scientific knowledge of early brain development. Participants will (1) learn how to be able to adapt the Basic EMDR protocol when treating preverbal experiences with infants, children, adolescents and adults; (2) what language to use when accessing and repairing preverbal experiences: (3) be able to use "imaginative interweaves" to stimulate release of trapped energy and fully learn from the experience; (4) learn to use the 3 R's (Review, Release, Repair) to ensure that reprocessing of preverbal material is complete.

Keywords: Adoption  Neglect  Preverbal Trauma  

Accuracy Verified: Yes

2. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998). The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice Learning Objectives: Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps. Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp. Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.

Keywords: Attachment Repair  Early Trauma  Temporal Integration  

Accuracy Verified: Yes

3. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as healers.

Keywords: ARM  Attachment Repair Model  Positive Parts and Hurting Parts (PP-HP) Meetings Protocol  

Accuracy Verified: Yes

4. Cummings, P. (2004, September). The attachment repair model (ARM) – One year later. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is one comprehensive fix after all else fails within the basic EMDR Model. The importance of neurological functioning, at an ego state level, must be repaired before the processing of traumatic event work is sustainable. Within various descriptions of the ARM, the basic EMDR protocol is expanded into a secondary goal of sustained neurological integration at a traumatic event(s) level. Learning about the ARM will peek a therapist’s thinking about their larger role as an emotionally attuned healer versus the more established role of facilitator of trapped life experience(s).

Keywords: Attachment Repair Model  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Attachment, Eating Disorders  Ego States  

Accuracy Verified: Yes

6. Seubert, A. (2010, April/May). The case of mistaken identity: EMDR, ego states and attachment in the treatment of eating disorders. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
In this workshop the presenter explores the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach described employs an EMDR phase model, with expanded evaluation and preparation phases. The extended preparation discussed includes a 4-step method of teaching emotional competence, an introduction to body awareness, and the use of ego state therapy with the disordered part(s). Processing typically requires attachment repair, as well as the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning.

Keywords: Attachment  Eating Disorders  Ego States  

Accuracy Verified: Yes

7. ten Broeke, E. (2009). Casus 11 – ‘Ze moeten me niet… en dat is terecht’: Zelfbeeldreparatie bij een sociaal angstige jonge vrouw [Case 11 - “They do not like me ... and rightly so": Self-image repair in a a socially anxious young woman.]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 169-178). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_17.

Language: Dutch

Format: Book Section

Abstract:
Suzanne is 30 jaar als ze zich aanmeldt voor behandeling van al lang bestaande en zich steeds verder uitbreidende angst en onzekerheid in het contactmet mensen. Het is niet de eerste keer dat zij behandeling zoekt. Een aantal jaren eerder werd zij behandeld met een min of meer geprotocolleerde cognitieve gedragstherapie binnen een Riagg. De resultaten vielen echter tegen en hoewel zij een aantal zinvolle gedragsveranderingen doorvoerde en zich had getraind in een meer realistische manier van denken, staakte zij teleurgesteld de behandeling. Niet in het minst omdat de behandelaar geen mogelijkheden zag de behandeling aan te passen aan het specifieke van Suzannes klachten. Nu zoekt Suzanne opnieuw hulp. Ze heeft via-via gehoord dat EMDR – in combinatie met cognitieve gedragstherapie – vaak goede resultaten geeft bij (sociale) angst.

Suzanne is 30 years when they register for treatment of longstanding and ever expanding contactmet fear and insecurity in people. It is not the first time they seeking treatment. A few years earlier she was treated with a more or less within a manualized cognitive behavioral Mental Health. The results were, however, opposed and even though they had implemented a number of meaningful changes in behavior and had trained in a more realistic way of thinking, disappointed they stopped the treatment. Not least because the therapist saw no possibility of treatment to suit the specific complaints of Suzanne. Now looking for help again Suzanne. She has heard through-via EMDR - in combination with cognitive behavioral therapy - often with good results (social) anxiety.

Keywords: Self-Image  Social Anxiety  Women  

Accuracy Verified: Yes

8. Dworkin, M. (2005, June). Clinical strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This workshop will address clinician issues with clients who are challenging to work with. These strategies will include parts of the Procedural Steps Outline in preparation for anticipated problems; applied R/D/1 strategies for compartmentalizing activated clinician state dependent moments; and variations of cognitive interweaves designed to repair moments of misattunement, returning both parties to a co-regulated states so that trauma processing may proceed.

Keywords: Challenging Client  

Accuracy Verified: Yes

9. Stowasser, J. E. (2007). EMDR and family therapy in the treatment of domestic violence. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 243-261). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
Domestic violence (DV) has been defined as a pattern of verbal and physical behavior intended to control another person in an existing, former, or desired intimate relationship (Walker, 1979). Although DV is not confined to heterosexual unions or to males as abusers, this chapter focuses on heterosexual males as offenders because 85% of DV is directed by men toward women (Rennison & Welchans, 2000). This chapter discusses integrating Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) and Therapy of Social Action (TSA) in the treatment of couples with domestic violence issues. A case example is then presented. The concluding discussion asserts that TSA and EMDR appear to be a powerful combination for the treatment of DV. When used with carefully selected couples, EMDR and TSA can repair the damage caused to the victims, strengthen relationships, inhibit abuser and victim tendencies in children, eliminate posttraumatic stress disorder (PTSD), increase personal responsibility, develop nonviolent conflict resolution skills, and increase empathy for self and others. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Domestic Violence  Family Therapy  Integrative Psychotherapy  Therapy of Social Action  

Accuracy Verified: Yes

10. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
A history of failed or disappointing relationships is a primary symptom for many clients. Bowen Theory is a family systems model that offers a conceptual roadmap for working with individuals, as well as families on enhancing the capacity to be a Self, while staying in healthy connection to others. The theory helps guide clear thinking about how the emotional system works within a multigenerational frame and offers concepts that predict human relational behavior over time. Yet, as we know, intellectual understanding can only bring us so far without the kind of whole brain integration that can be so swiftly brought about with EMDR treatment. By integrating the Adaptive Information Processing Model and the EMDR approach with Bowen Theory, this treatment model facilitates a client learning to have a whole new experience in their significant relationships. This workshop will provide a basic overview of Bowen Theory. An integrative model using Bowen Theory and EMDR will then be described, followed by an in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of EMDR targets causing high levels of reactivity involving closeness to others, coaching to re-work and repair significant relationships in the family of origin, and finally the targeting of present day triggers in a newly forming relationship.

Keywords: Bowen Theory  Relationship Issues  

Accuracy Verified: Yes

11. ten Broeke, E. (2005, November). EMDR bij zelfbeeldbeschadigingen [EMDR and negative self-image]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
(Een) negatief zelfbeeld is geen aparte DSM-IV classificatie. Niettemin zal er weinig discussie bestaan ten aanzien van de veronderstelling dat (een) negatief zelfbeeld een wezenlijke rol speelt bij veel psychopathologie. Voorbeelden zijn: depressie, PTSS, complexe PTSS, eetstoornissen, sociale angst, persoonlijkheidspathologie. In deze voordracht zal worden besproken hoe EMDR een rol kan spelen bij het 'repareren' van een beschadigd zelfbeeld. Hiertoe wordt geschetst hoe een negatief zelfbeeld kan worden geconceptualiseerd, hoe dit past in het EMDR-model (men spreekt momenteel van 'rechtsom') en op welke wijze EMDR concreet kan worden ingezet bij zelfbeeld-reparatie. Tot slot komen eventuele complicaties en oplossingen aan bod, alsmede voorzorgsmaatregelen om deze complicaties te voorkomen. Dit alles wordt geïllustreerd aan de hand van één of meer specifieke stoornissen. Er wordt naar gestreefd dat (enige) tijd overblijft voor vragen en korte (eigen) casuïstiek.

(A) negative self-image is not a separate DSM-IV classification. Nevertheless, there is little discussion regarding the assumption that (a) negative self-image an essential role in psychopathology. Examples include: depression, PTSD, complex PTSD, eating disorders, social anxiety, personality pathology. In this lecture will discuss how EMDR can play a role in the "repair" a damaged self-image. End outlines how self-esteem can be conceptualized, how it fits into the EMDR model (one speaks now of 'right') and how EMDR can actually be used for self-repair. Lastly, complications and solutions to bid and precautions to prevent complications. All this is illustrated by one or more specific disorders. It aims to (some) time for questions and short (own) casuistry.

Keywords: Self-Esteem  

Accuracy Verified: Yes

12. Aduriz, E. (2012, June). EMDR en niños con trastornos disociativos [EMDR in children with dissociative disorders]. En Preconferencia 2: Niños, traumatización grave y EMDR [In Pre-conference 2: Children, severe traumatization and EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
Dr. Aduriz will show the importance of establishing a predictable and trusting relationship between the child and her adoptive parents so that the child can repair the severe early wounds inflicted on her by the relationship with her biological mother. She will also focus on how to help the adoptive parents attain more confidence in their parental role.

María Elena Aduriz, expondrá a través del caso de una niña cuya traumatización es consecuencia directa de un apego desorganizado a una madre esquizofrénica, inestable y suicida, la importancia de articular intervenciones terapéuticas con EMDR con la niña y con los padres adoptivos. Señalará la importancia de establecer un vínculo predecible y confiable entre ellos para que la niña pueda reparar las heridas tempranas y severas producto del vínculo con su madre biológica, y para que los padres sean capaces de generar mayor confianza en su función parental.

Keywords: Attachment Disruptions  Children  

Accuracy Verified: Yes

13. Korn, D. (2008, September). EMDR Master Series - I. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This workshop will address the challenges of working with clients raised in invalidating environments marked by deprivation and neglect. With significant disruptions in attachment (caregivers who were unpredictable, rejecting, frightening or frightened) and without the experience of a secure base from which to explore the world, such individuals often fail to develop a sense of object constancy and permanence and the capacity for reflection and metacognition. They lack self-compassion, self-confidence, and the capacity to self-regulate. They are often plagued by a profound sense of aloneness, shame, and self-hatred, denying their needs or convinced that their needs can never be met. Together, we will examine the ways in which EMDR can be utilized to promote the development of a secure, coherent sense of self. Protocol adaptations and cognitive interweaves to address feelings and beliefs associated with invisibility, unworthiness, and core badness will be highlighted. Cases will be presented with accompanying videotape segments, highlighting EMDR developmental repair strategies.

Keywords: Masters Series  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

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

Accuracy Verified: Yes

15. Karpel, M. A. (2006, September). EMDR:  Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
EMDR constitutes a valuable tool for couples therapists when one or both partners are stuck in repetitive, reactive cycles. This workshop describes the circumstances in which EMDR is most likely to be helpful in couples therapy. It examines the benefits of EMDR through the lens of the repetition compulsion, with pariicular emphasis on common - and often intractable - impasses in in the treatment of couples. The origins of the repetition compulsion in early failures of attunement are described, as in the re-enactment of these experiences in the adult couples relationship. Working with EMDR is nested within the context of a resource-based approach to couples therapy, emphasizing how emotional reactivity and defensive withdrawal impede the expression of empathy, trustworthiness, intimacy and repair in the couples relationship. Different formats for conducting EMDR (separately with one partner; separately with both partners; conjointly with both partners; or adjunctively with another therapist) are presented, along with indicators, advantages and disadvantages of each format. Special considerations (such as when to introduce EMDR, balancing alliances, sequencing sessions and instructions to an observing partner) and modifications of the standard protocol when EMDR is used in the context of couples treatment are also clarified. Finally, circumstances in which EMDR is unlikely to be helpful or in which it is contraindicated are examined.

Keywords: Couples Therapy  Repetition Compulsion  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Complex Trauma  Ego State Therapy  Somasensory  

Accuracy Verified: Yes

17. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.

Keywords: Complex Trauma  Personality Disorders  Re-Scripting  

Accuracy Verified: Yes

18. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]

Keywords: Attachment Behavior  Psychotherapy  Stressors  Survivors  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Attachment Repair Orientation  Relational Trauma  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Keywords: Attachment Repair  Relational Trauma  

Accuracy Verified: Yes

21. Aduriz, M. E., Rozas, G., & Loyacono, I. (2010, 29-1 Octubre/Noviembre). Ligando - Creando lazos en el vinculo madre - hijo [EMDR: Como poder reparar el vínculo entre madre e hijo [EMDR: How to repair the bond between mother and son]. Mini curso en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Keywords: Bond  Relationships  Mother  Son  

Accuracy Verified: Yes

22. Herbert, C. (2005, June). Neither good nor bad, just perfect as you are!  Facilitating emergence of the self. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Clients with traumatic childhood experiences and subsequent diagnoses of Personality Disorder, hold self-identities that may have had adaptive, survival enhancing functions during their upbringing, but may now be hindering and even damaging. As babies their needs for secure attachment and nurturing may have been compromised and as children they may not have experienced unconditional love and acceptance of themselves. As adults, they may carry internalized self-images about either being intrinsically 'bad' or having to be especially 'good' in order to be accepted, valued and loved by others. Subsequently, their Behaviour and their relationships with others are determined by a distorted view of themselves, often causing them to lead lives that involve great compromise and further suffering. They may struggle with their capacity to regulate affect (Siegel, 1999: Shore, 1994, 1996). experiencing little self-control over their various fluctuating mood states. The aim of this workshop is to introduce clinical techniques, involving the interweave between EMDR and Schema-focused, cognitive approaches, which help clients build a more secure and 6nctionally positive sense of Self with healthy mechanisms of affect regulation. Based on current research, clinical practice and Herbert's (2002, 2003) therapeutic framework for working with complex trauma, this workshop will focus especially on two therapeutic ingredients for this work. One is the quality of the therapeutic relationship as a necessary transitory phase for healthy dependency in the client and the second is 'inner child' work as a method to help clients modify and re-script their distorted images of self and repair ruptures in their attachment relationships.

Keywords: Emergence of Self  

Accuracy Verified: Yes

23. Bergmann, U. (2012). Neurobiological foundations for EMDR practice. New York, NY: Springer Publishing Company.

Language: English

Format: Book

Abstract:
This volume introduces the most current research about the neural underpinnings of consciousness and EMDR (eye movement desensitization and reprocessing) in regard to attachment traumatic stress and dissociation. It is the first book to comprehensively integrate new findings in information processing, consciousness, traumatic disorders of information processing, chronic trauma and autoimmune compromises, and EMDR's underlying mechanisms of action. The text examines online/wakeful information processing, including sensation, perception, somatosensory integration, cognition, memory, language and motricity, and off-line/sleep information processing, such as slow wave sleep and cognitive memorial processing, as well as REM/dream sleep and its function in emotional memory processing. The volume also addresses disorders of consciousness, including coma, anesthesia, and other neurological disorders, particularly disorders of Type 1 PTSD, complex PTSD/dissociative disorders, and personality disorders. It delves into chronic trauma and autoimmune function, especially in regard to diseases of unknown origin, and examines them from the perspective of autoimmune compromises resulting from the unusual neuroendocrine profile of PTSD sufferers. The final section integrates all material to illustrate the ability of EMDR's bilateral neural stimulation to impact, mediate, and change the functioning of neural circuitry, thereby facilitating repair in the linking and binding of neural networks.

Keywords: Neurobiology  

Accuracy Verified: Yes

24. Bergmann, U. (2008). The neurobiology of EMDR: Exploring the thalamus and neural integration. Journal of EMDR Practice and Research, 2(4), 300-314. doi:10.1891/1933-3196.2.4.300.

Language: English

Format: Journal

Abstract:
Recent neuroimaging studies on posttraumatic stress disorder (PTSD) have revealed a consistent decrease in thalamic activity, relative to non-PTSD controls. Empirical studies of the past decade have shown the thalamus to be centrally involved in the integration of perceptual, somatosensory, memorial, and cognitive processes (thalamo-cortical-temporal binding). A theoretical model is proposed to suggest that one underlying mechanism of EMDR stimulation (dual-attention stimulation/bilateral stimulation [DAS/BLS] ) is thalamic activation, specifi cally of the ventrolateral and central-lateral nuclei. It is hypothesized that this may facilitate the repair and integration of somatosensory, memorial, cognitive, frontal lobe and synchronized hemispheric functions that are disrupted in PTSD.

Keywords: 40-Hz Gamma-Band Activity (GBA)  Neural Oscillation  Thalamo-Cortical-Temporal Binding  Thalamus    

Accuracy Verified: Yes

25. Bergmann, U. (2008, June). The neurobiology of EMDR: Recent findings and insights. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Prior presentations focused on EMDR’s ability to activate REM-sleep systems and to mediate frontal lobe activation. New research on the Thalamus and thalamo-cortical-temporal-binding and Somato-sensory integration will be introduced. Accordingly, new speculations will be offered regarding EMDR’s ability to reset/repair the impairment in thalamic functioning that is inherent in PTSD. This presentation will, also, introduce more recent research, contrasting thalamic impairment in Type 1 PTSD vs. Complex PTSD. In addition, new findings regarding the formation, content and storage of memory and its impairment, in PTSD, will be explored vis-à-vis EMDR's ability to make repairs, in this area.

Keywords: Neurobiology  

Accuracy Verified: Yes

26. Bergmann, U. (2009, June). Neurobiology of information processing. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract: Given that EMDR originated as an empirically driven method, there has been a persistent need for a more defined theoretical and neurobiological model of EMDR's reported robust effects. This presentation will synthesize the existing research on information processing, as well as memorial, perceptual, cognitive and somatosensorial integration. Specific attention will be given to recent empirical findings, involving the hippocampus and thalamus in information processing and integration. EMDR’s DAS/BLS will be shown to activate REM-systems, as well as areas of the thalamus and frontal lobes, reduced in activation by PTSD, thereby allowing for the repair of perceptual, cognitive, memorial, somatosensory and inter-hemispheric functioning.

Keywords: Neurobiology  

Accuracy Verified: Yes

27. Bergmann, U. (2009, August). The neurobiology of information processing and EMDR: Recent findings and insights. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Given that EMDR originated as an empirically driven method, there has been a persistent need for a more defined theoretical and neurobiological model of EMDR's reported robust effects. This presentation will synthesize the existing research on information processing, as well as memorial, perceptual, cognitive and somatosensorial integration. Specific attention will be given to recent empirical findings, involving the hippocampus and thalamus in information processing and integration. EMDR’s DAS/BLS will be shown to activate REM-systems, as well as areas of the thalamus and frontal lobes, reduced in activation by PTSD, thereby allowing for the repair of perceptual, cognitive, memorial, somatosensory and inter-hemispheric functioning.

Keywords: Neurobiology  

Accuracy Verified: Yes

28. Lanius, U., & Paulsen, S. L. (2010, September/October). Part II - Towards an embodied self: The treatment of traumatic dissociation. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop synthesizes neurobiology, EMDR, and elements from ego state, somatic, and attachment therapies. 1) Prior to EMDR: a) somatic interventions for affect and soma tolerance, b) hypnotic containment, c) ego state maneuvers to decrease, d) resetting affective circuits, and e) planning fractionation. 2) During EMDR: a) temporal integrationism or fractionating by time segments from conception to repair attachment b) accelerating processing with somatic, ego state, imaginal, and information channel interweaves, and c) decelerating processing by further fractionating by channel. Please note: Part I (Session 332) and Part II (Session 432) each stand alone without prerequisite and are designed to complement each other. You do NOT have to take Part I to take Part II.

Keywords: Embodied Self  Traumatic Dissociation  

Accuracy Verified: Yes

29. Bergmann, U. (2003, September). Personality disorders as variants of dissociative phenomena:  Treatment with an integration of EMDR and ego state work in the repair of the self. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.

Keywords: Dissociation  Ego State Therapy  Personality Disorders  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Neglect  Trauma  

Accuracy Verified: Yes

31. Giovannozzi, G. (2012, June). Regulated eye contact activation and installation protocol [Regulación de la activación del contacto ocular y protocolo de instalación]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Porges’ polyvagal theory provides a plausible explanation for the covariation between psychiatric and behavioral disorders and the atypical regulation of the Autonomic Nervous System (ANS). Porges himself associated this phenomenon with the failed maturation of the ventrovagal circuit, as well as with the child’s failure to learn the ability to modulate the so-­‐called “vagal break” which keeps the heart-­‐rate low and inhibits the influence of the SNS, allowing the modulation of the facial and head muscles and, therefore, the social engagement function, often impaired in psychiatric pathologies. From a psychotherapy standpoint, Porges’ finding that the maturation of the ventrovagal circuit and of its associated braking function occurs ontogenetically later than that of other ANS branches (last months of pregnancy and first year of life) and that a good relation with the caregiver is essential for its development is of significant importance. In this dyad – with the cortical-­‐bulbar pathway, sufficiently myelinated at birth, regulating face and head muscles and allowing signals exchange with the caregiver – children learn to confront their internal states and the environment as well as regulate their emotions, regulating an adaptive neuroception with the consequent possibility of a good social involvement. This focus on the first year of life and the caregiver – child dyad, in terms of time and place for the construction of biologically based behaviors common to all human beings, paves the way, as anticipated by Porges himself, for new possible intervention models in psychotherapy directly acting on the missed or impaired steps in this first phase of the psycho-­‐physiological development process, without disregarding its psychobiological quality. Clinical Application Since I believe that the inter-­‐brain perspective is the most efficient not only for the etiological explanation but especially for the restoration of relational impairments occurred during brain-­‐brain interactions, I chose eye contact (EC), because, according to several scholars, it is a privileged communication channel, in particular between mother and child. Several scholars agree that all forms of psychopathology share a failure in emotional regulation, which can be mostly traced back to the failure in the child-­‐ caregiver adaptive tuning and therefore to the impairment of their inter-­‐brain communication. An intervention on the EC shifts the therapy focus on this dysregulation to restore its functions. The EMDR AIP approach relies on the brain adaptive processing ability. EMDR has proved, in appropriate conditions (good therapeutic alliance, client stabilization, compliance with the EMDR protocol), our brain can repair traumatic injuries, i.e., reacquire and use information dysfunctionally stored after a trauma. Successful use of EMDR on target not directly traceable to a traumatic event (e.g., defenses, chronic pain, etc.) allows for the possibility to use this processing tool in increasingly broad fields and refines its resources. Thanks to its three-­‐pronged approach to dysfunctionally stored information in the brain (EMDR works on the cognitive, emotional and somatic level), the inter-­‐brain quality of its scope (the therapeutic alliance is part of the healing process) and for its focus on the present (EMDR works on the present, i.e., on the current and active components of the pathogenetic memory, bypassing all mediations and interpretation), EMDR seemed the most appropriate therapeutic tool to intervene on the EC dysregulation found in several psychiatric pathologies. Conclusion An EMDR protocol for the exploration and modulation of the EC is proposed. This protocol proved particularly useful with depressed or severely dissociative clients. After making clients aware of their difficulty in maintaining the EC, they are retrained to use this contact first on objects, then on animals (excellent mediators of a primitive form of social contact) until they are able to achieve eye contact with the therapist. During this training, clients are encouraged to become aware of their body sensations, emotions and beliefs, and the positive ones are installed with BLS. Memories of relational situations where clients identify an impaired EC are identified and these are targeted with the standard protocol. The focus then shifts to present and future situations. The regulation purpose of this protocol affects the application mode: interventions must never be dysregulating, therapists must proceed slowly. Clients must be rigorously kept within their window of tolerance, must be trained to recognize it and able of staying within its boundaries with respect to the microregulation of the EC.

La teoría polivagal de Porges proporciona una explicación plausible para la covariación entre los trastornos psiquiátricos comportamentales y la regulación atípica del sistema nervioso autónomo (ANS). El propio Porgues asoció este fenómeno con el fallo de maduración del circuito ventrovagal, por tanto el niño falla al aprender una habilidad también llamada “bloqueo vagal”, que mantiene la tasa cardiaca baja e inhibe la influencia del SNS, permitiendo la modulación de los músculos faciales y la cabeza, y por tanto, la función optima del compromiso social, a menudo emparejada con patologías psiquíatricas. Partiendo desde un punto de vista psicoterapéutico, Porges encontró que la maduración del circuito ventrovagal y su asociación con la función de frenado ocurre ontogenéticamente después que otras ramas del sistema nervioso autónomo (Los últimos meses del embarazo y los primeros años de vida) y que una buena relación con el cuidador es esencial para su desarrollo es significativamente importante. En esta línea – con vía córtico-­‐bulbar, lo suficientemente mielinizada en el nacimiento, regulando los músculos de la cara y la cabeza y permitiendo señales de intercambio con el cuidador-­‐ Los niños aprenden a estar cómodos con sus estados internos y con un ambiente que también regula sus emociones, regular una neurorecepción con la consecuente posibilidad de una buena integración social. Centrándonos en el primer año de vida del niño y el cuidador – La pareja de niños, en términos de tiempo y lugar para la construcción biológica fundamentada y basada en todos los seres humanos, allana el camino, como anticipó Porges, para nuevos modelos de intervención en psicoterapia, actuando directamente con el paso perdido o afectado de esta primera fase del proceso de desarrollo psicofisiológico, sin tener en cuenta su calidad psicobiológica. Aplicación Clínica. Desde que creó que la perspectiva del cerebro interior, continúa siendo la más eficiente no solo para desarrollar explicaciones etiológicas, también para la restauración de los desajustes relacionados ocurridos durante las interacciones cerebro-­‐cerebro. Escogí contacto visual (ECE), porque, de acuerdo con numerosos investigadores, es un privilegiado canal de comunicación, particularmente eficaz entre una madre y su hijo. Numerosos profesionales afirman que todas las formas de psicopatología comparten una fallo en la regulación emocional, que solo puede crear un error en el la comunicación interna del cerebro. Esta intervención en el EC modifica la terapia y la centra en la desregulación y la restauración de funciones. El enfoque EMDR SPIA está basado en la habilidad de procesamiento de la información relevante, EMDR ha sido probado en condiciones idóneas (buena alianza terapéutica, estabilización de la queja del cliente disgustado con el EMDR.).

Keywords: Installation Protocol  Regulated Eye Contact Activation  

Accuracy Verified: Yes

32. Dworkin, M., & Errebo, N. (2010). Rupture and repair in the EMDR client/clinician relationship: Now moments and moments of meeting. Journal of EMDR Practice and Research, 4(3), 113-123. doi:10.1891/1933-3196.4.3.113.

Language: English

Format: Journal

Abstract:
This article proposes that eye movement desensitization and reprocessing (EMDR) would be strengthened by being conceptualized as a two-person therapy; that is, a therapy that employs dialogue between clinician and client about the resonance, attunement, and intention of their relationship. Current research on the mirror neuron system provides a hypothetical neurological underpinning to this proposal. Detailed clinical examples illustrate rupture (Now Moments) and subsequent repair (Moments of Meeting) of the therapeutic relationship in the Eight Phases of EMDR. The high potential for relationship rupture during EMDR therapy is discussed. Suggestions are made for improving EMDR practice, training, and consultation by attending to the intersubjective experience between client and clinician, especially when working with clients who have experienced repeated and pervasive disappointments in love and work.

Keywords: Integrative Therapy  Now Moments  Moments of Meeting  Therapeutic Relationship  

Accuracy Verified: Yes

33. Dworkin, M., & Errebo, N. (2011). Rupture et réparation dans la relation patient/thérapeute EMDR: Moments urgents et moments de rencontre [Rupture and repair in the EMDR client/clinician relationship: Now moments and moments of meeting]. Journal of EMDR Practice and Research, 5(4), E74-E85. doi:10.1891/1933-3196.5.4.E74.

Language: French

Format: Journal

Abstract:
Cet article avance l’idée qu’il serait avantageux de conceptualiser l’EMDR (désensibilisation et retraitement par les mouvements oculaires) comme une thérapie à deux personnes, c’est-à-dire une thérapie qui emploie le dialogue entre le thérapeute et le patient autour de la résonance, de l’accordage mutuel et de l’objectif de leur relation. Les recherches en cours sur le système des neurones-miroirs fournissent une possible base neurologique à cette proposition. Des exemples cliniques détaillés illustrent la rupture (moments urgents) et la réparation subséquente (moments de rencontre) de la relation thérapeutique au cours des huit phases EMDR. Nous exposons le risque élevé de rupture de la relation au cours de la thérapie EMDR. Nous faisons des propositions pour améliorer la pratique, la formation et les consultations d’EMDR en prêtant attention à l’expérience intersubjective entre le patient et le thérapeute, en particulier dans le travail avec des patients qui ont vécu des déceptions répétées et généralisées dans leurs relations amoureuses ou professionnelles.

This article proposes that eye movement desensitization and reprocessing (EMDR) would be strengthened by being conceptualized as a two-person therapy; that is, a therapy that employs dialogue between clinician and client about the resonance, attunement, and intention of their relationship. Current research on the mirror neuron system provides a hypothetical neurological underpinning to this proposal. Detailed clinical examples illustrate rupture (Now Moments) and subsequent repair (Moments of Meeting) of the therapeutic relationship in the Eight Phases of EMDR. The high potential for relationship rupture during EMDR therapy is discussed. Suggestions are made for improving EMDR practice, training, and consultation by attending to the intersubjective experience between client and clinician, especially when working with clients who have experienced repeated and pervasive disappointments in love and work.

Keywords: Integrative Therapy  Now Moments  Moments of Meeting  Therapeutic Relationship  

Accuracy Verified: Yes

34. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in EMDR with dissociative clients and teach solutions. Procedural modifications have been the focus in dealing with pathological dissociation in EMDR treatment. Separately, transference and counter-transference with dissociative patients have been written about extensively by experts in the dissociation field. Research findings about the effects of mirror neurons and embedded simulation on the inter-subjective field of patient and therapist have also been published. Strategies for dealing with these transference and counter-transference in EMDR treatment have received little attention even though this population has intense transference, and can activate intense counter-transference. These issues may begin during an evaluation of the presenting problems. Strategies for identifying and using transference to enhance dual awareness during history taking will be demonstrated. An elongated preparation phase to develop enough trust and stabilization before exploring traumatic memories can limit induced transference. Different parts of a dissociative patient may have different kinds of transferences. These transferences may cause the patient to withdraw, cling or attack; affecting the therapist’s abilities to stay attuned and focused on the work in different phases of EMDR. Strategies of attunement to the activated part of the client will be demonstrated in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and different (transferential) parts may activate dissociative parts of the therapist. Strategies to somatically identify and use these counter-transferential activations in the therapist will be taught through body based awarenesses. R/D/I strategies can be used to limit countertransference to remain grounded and attuned. Transference and counter-transference during the assessment phase will be identified and solutions presented. During the Desensitization phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions will be discussed as unacknowledged dissociative moments with indications for inducing transference, counter-transference, or both. Decisions need be made collaboratively whether to process or contain these events. Understanding and dealing with dilemmas of dissociative enactments are crucial to keeping the healing process going. These inter-subjective issues may be most intense during the first four phases, but some problems may continue into Installation and the Body Scan. Problems and solutions during Incomplete Closure and the Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist may become activated as well. Solutions to these issues that occur during different phases will be taught so that participants will leave the workshop with additional strategies to use with their dissociative patients. Attunement to dissociative parts, identifying transference and counter-transference binds; The Clinician Self Awareness Questionnaire ; Compartmentalization; use of self soothing skills; using Relational, Empathic, and Transferential Interweaves; identifying moments of projective identification and enactments, and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective strategies . Case examples and awareness exercises will used throughout the workshop to facilitate intellectual and experiential learning.

Keywords: Counter-transference  Dissociative Disorders  Transference  

Accuracy Verified: Yes

35. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .

Keywords: Countertransference  Transference  

Accuracy Verified: Yes

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

Language: English

Format: Newsletter

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

Keywords: Strategic Developmental Model  

Accuracy Verified: Yes

37. Gambuzza, C. A. (2010, June). Supervision, EMDR and ego state therapy. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
The aim of this paper is to illustrate a self-reparation model within the framework of a supervision conducted my me. a therapy plan was defined for my colleague whose patent’s traumatic experience brought to light her own unresolved traumatic material. This innovative approach is not limited to the parallel therapy involving both patient and therapist, but is an intervention model. a syncletic approach integrating the standard EMDR protocol and other contributions: the attachment theory. Freud's and Bion's 'dream-work', A, van der Kolk's and 0,van der Hart's dissociative disorders treatment, Forgash's and Knipe's Ego States Therapy, A. Shore's affection regulation and self-repair therapy, Eigen's vision of damaged bonds. Maternal abandonment was the common traumatic event. The patient's mother abandoned him at birth in hospital, where he remained for a year before being institutionalized and then adopted. My colleague was abandoned by her mother when she was one year old. The transition from supervision to EMDR was facilitated by the vast dream material produced by my colleague; her dreams represented targets for EMDR. According to Eigen, dream-work addresses the damage inflicted on the self, thus the traumas experienced, and plays a major role in digesting the impact of events and in metabolizing emotions: through the dreams we try to make the indigestible digestible. Dream-work constantly reveals states of the self: dreams evolve within damaged bonds and express the psyche's attempts to undo the damage or to get the best from it. EMDR shares the same objectives and tools same as dreams. At an operational level, EMDR made it possible to analyze the dream material and to integrate the dissociated dream material related to the traumatic, catastrophic abandonment induced damage. The Ego States Therapy allowed my colleague to talk with her dissociated Ego States, to negotiate with the States a higher behavioural model, and to free her Ego States held hostage by others. At the end of this journey, a dream expresses Ego States integration. Work on the future using EMDR is concluded with these thoughts "I want to thank you because the supervision, albeit not therapy, was an important experience that opened up a new space for me: the space of perspective. The beam of light crossing the two sheaves in the dream gives a meaning to the supervision, supervision has created a third dimension in me: the dream within the dream. It is the vehicle, the skill to perceive this dialogue space, intersubjective and intrasubjective, where things change. It alleviates the feeling of being impotent. The dialectical position enables me to speak. I am very grateful for that." My colleague's dreams were incorporated in a dream network and indicate the phases of EMDR induced mental digestion. My colleague has rebuilt herself in a supervision scenario. This study demonstrates the effectiveness of EMDR in hitherto unthought-of areas, i.e., within the framework of supervision.

Keywords: Ego State Therapy  Supervision  

Accuracy Verified: Yes

38. Gomez, A. (2010, September/October). Treating children with pervasive emotion dysregulation EMDR and adjunctive approaches. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This presentation will provide theoretical and practical step-by-step strategies to assist clinicians working with children with severe dysregulation of the affective system such as: children exhibiting insecure patterns of attachment, complex trauma and dissociation. A broader perspective is presented by integrating concepts from the AIP model, attachment theory, affect regulation theory, and interpersonal neurobiology. An overview of how to incorporate other approaches such as play therapy, ego state therapy, theraplay activities and somatic intervention, while maintaining adherence to the protocol, will be addressed. How to use interweaves that can help complete defensive responses, repair the attachment system and integrate dissociated material will be presented.

Keywords: Children  Adjunctive Approaches  Pervasive Emotion Dysregulation  

Accuracy Verified: Yes

39. Seubert, A. (2010, September/October). The unforgiven: EMDR, ego state therapy, attachment repair and forgiveness in the treatment of eating disorders. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop will explore the presence of dissociation in clients with eating disorders, particularly anorexia nervosa. The approach employs an EMDR phase model, expanding the evaluation and preparation phases. Preparation presents a 4-step method of teaching emotional competence, attachment repair strategies, as well as the use of ego state therapy. Processing requires the ability to titrate released disturbance and re-stabilize after EMDR application to touchstone events. Self-forgiveness emerges as internal “parts” develop mutual compassion and support. Video clips, case studies and case reviews will reinforce learning.

Keywords: Attachment Repair  Eating Disorders  Ego State Therapy  Forgiveness  

Accuracy Verified: Yes

40. van Nuys, D. (2007, November 17). Using Hypnosis and EMDR to Repair Broken Maternal-Infant Bonds, David Van Nuys, Ph.D., aka “Dr. Dave” interviews Tony Madrid, Ph.D.. Shrink Rap Radio #119.

Language: English

Format: Audio

Keywords: Hypsosis  Maternal-Infant Bonds  

Accuracy Verified: Yes

41. Coppens, L., & and van Kregten, C. (2013, APril). Zorgen voor getraumatiseerde kinderen: Een training voor opvoeders [Caring for traumatized children: A training for educators]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Veel van de kinderen die in hun vroege kinderjaren herhaaldelijk zijn blootgesteld aan traumatische ervaringen, worden uit huis geplaatst. De gevolgen van de traumatisering zijn meestal ernstig en vergaand doordat het de organisatie van de in ontwikkeling zijnde hersenen negatief beinvloedt. Voor herstel van complex trauma is individuele traumagerichte therapie niet genoeg. Kinderen hebben heel veel nieuwe (herstellende) ervaringen nodig om weer vertrouwen te krijgen in zichzelf, de ander en de wereld om hen heen. De thuissituatie biedt hiertoe de beste mogelijkheden mits de opvoeders goed af kunnen stemmen op wat het kind nodig heeft. De training ‘Zorgen voor getraumatiseerde kinderen’ biedt opvoeders en begeleiders onmisbare informatie over de effecten van traumatisering op het dagelijks functioneren van hun kind en de relatie die zij als belangrijke volwassene met hun kind ontwikkelen. (Pleeg-)ouders en andere belangrijke volwassenen in het leven van het kind kunnen hierdoor meer doen aan het herstel van hun kind en raken minder snel uitgeput, wat de kans op (nog) een uithuisplaatsing verkleint. De training is gebaseerd op recente wetenschappelijke inzichten die op een overzichtelijke en concrete manier zijn verwerkt in o.a. powerpoint dia’s, casusbeschrijvingen en oefeningen. De training is oorspronkelijk ontwikkeld door de National Child Traumatic Stress Network (NCTSN). Leony Coppens en Carina van Kregten hebben de training bewerkt en vertaald voor de Nederlandse situatie. In de workshop is aandacht voor de eerste ervaringen met de training in het veld. Daarnaast wordt er ingegaan op achtergronden bij de onderwerpen die in de training aan bod komen en kunnen deelnemers aan de workshop ervaring opdoen met de oefeningen uit de training.

Many of the children in their early childhood repeatedly exposed to traumatic experiences, are from their homes. The effects of trauma are usually severe and largely because the organization of the developing brains negative influences. For repair of complex trauma trauma-focused individual therapy is not enough. Children have lots of new (healing) experience needed to regain confidence in themselves, others and the world around them. The home must establish best opportunities provided educators tightly to vote on what the child needs. The training 'Caring for traumatized children "provides educators and counselors indispensable information about the effects of trauma on the daily functioning of their child and the relationship which they consider important to their adult child development. (Foster-) parents and other significant adults in the life of the child can therefore do more to restore their child and become less exhausted, the chance of (still) a placement reduces. The training is based on recent scientific insights in a clear and concrete way to digest in PowerPoint slides, case studies and exercises. The training was originally developed by the National Child Traumatic Stress Network (NCTSN). Leony Coppens and Carina of Kregten have the training edited and translated for the Dutch situation. During the workshop's focus on the first experiences with the training in the field. In addition, examine the background to the topics covered in the training are discussed and participants in the workshop experience with the exercises from the workout.

Keywords: Children  Trauma  Training  

Accuracy Verified: Yes

42. ten Broeke, E., & Meijer, S. (2010, April). “Zelfbeeld-reparatie”: Een project in fasen ["Self-repair": A project in phases]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract: Zelfbeeldproblematiek of negatief zelfbeeld speelt een rol bij verschillende vormen van psychopathologie. Het is in zeker opzicht een transdiagnostische categorie. In de DSM-IV is ‘negatief zelfbeeld’ echter niet opgenomen, hetgeen er onder andere toe heeft geleid dat er geen duidelijke richtlijnen, laat staan specifieke protocollen bestaan voor de ‘reparatie’ van een negatief zelfbeeld. Dat stelt de behandelaar voor de vraag hoe de herstelwerkzaamheden mogelijk het beste zouden kunnen worden aangepakt. In deze workshop wordt een in de praktijk vaak effectief gebleken ‘gefaseerde’ werkwijze gepresenteerd. Daarbij zijn drie elementen te onderscheiden die vaak maar niet altijd in enige mate deel uitmaken van de behandeling. Hoewel de inzet van EMDR de nodige aandacht zal krijgen, heeft de workshop uitdrukkelijk als insteek dat in verreweg de meeste gevallen ‘EMDR-alleen’ tekort zal schieten om te komen tot reparatie van het zelfbeeld. De in de praktijk vaak noodzakelijke ‘andere’ interventies en methoden worden daarom eveneens besproken en in een kader geplaatst.

Zelfbeeldproblematiek or negative self-image plays a role in various forms of psychopathology. It is in one sense a trans diagnostic category. In the DSM-IV 'negative self-image' is not included, which, inter alia, has no clear guidelines, let alone specific protocols exist for the "repair" of a negative self-image. This enables the practitioner to how the repair may be the best that could be addressed. This workshop is a proven effective in practice often "staged" approach presented. There are three distinct elements which are often but not always to some extent part of the treatment. Although the use of EMDR will receive due attention, the workshop approach explicitly that the vast majority of cases "EMDR-only 'will fail to achieve the self-repair. The practice often necessary 'other' interventions and methods are therefore also discussed in a framework.

Keywords: Self-Repair  

Accuracy Verified: Yes