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1. Zangwill, W. (1995, June). Beyond the basics:  Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used, the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach, Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework. Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a person has experienced and the way in which they have interpreted, experienced and stored them that is most important in determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's own idiosyncratic set of vulnerabilities, his/her schemas or life themes. One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press, Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives, Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are stored. (Use 'Types of Fruit' metaphor here.) Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and the client to be aware of these issues. Also, it can be very helpfull in your couples work. Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable. How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned once again. Might this interpretation allow both of them to respond in ways helpful to the relationship? With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the usefulness of the conceptualization you did or the problems you ran into when you didn't. Case # 1 Case discussion. Case presentations and discussion by participants.

Keywords: Conceptual Issues  

Accuracy Verified: Yes


2. Schurmans, K. (2007). A clinical vignette: EMDR treatment of choking phobia. Journal of EMDR Practice and Research, 1(2), 118-121. doi:10.1891/1933-3196.1.2.118.

Language: English

Format: Journal

Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes the treatment of a woman who developed a severe choking phobia following an allergic reaction to a herbal beverage. She was hospitalized on several occasions because of her resultant inability to consume food and liquids. She received four years of various types of treatment for this phobia, including eating disorder treatment, brief psychodynamic therapy, cognitive behavioral therapy, and psychopharmacological treatment. None were successful in eliminating the disorder. Then when Mary received a course of EMDR treatment, addressing childhood etiological events, there was complete remission of the choking phobia and elimination of all related behaviors. [Author Abstract]

Keywords: Adults  Anaphylactic Shock  Case Report  CBT  Child Abuse  Choking Phobia  Cognitive Behaviorial Therapy  Eating Disorders  Females  Phobia  Spouse Abuse  Survivors  

Accuracy Verified: Yes


3. Capps, F. (2006, January). Combining eye movement desensitization and reprocessing with Gestalt techniques in couples counseling. Family Journal, 14(1), 49-58. doi:10.1177/1066480705282055.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is gaining acceptance as efficacious treatment for PTSD for individuals but not for couples. This article reports three case studies of couples in which EMDR is combined with Gestalt therapy in a single session to resolve relational trauma effects, increase empathy and awareness in the supportive partner, and deepen intimacy within the couple. Case studies are described, and implications for research and clinical applications are discussed. [Author Abstract]

Keywords: Adults  Americans  Couples Therapy  Family Therapy  Gestalt Therapy  Nonclinical Case Study  Qualitative Study  Perpetrators  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Spouse Abuse  Survivors  Trauma  

Accuracy Verified: Yes


4. Becich, H. A. (1995). The effect of varying the rate of the eye movements in eye movement desensitization reprocessing (EMDR) with battered women. California School of Professional Psychology, Los Angeles, CA. AAT 9531596.

Language: English

Format: Dissertation/Thesis

Abstract:
The rapid saccades used in eye movement desensitization reprocessing (EMDR) have been reputed to be critical to its efficacy. To evaluate this hypothesis, the rate of the eye movements was varied in this study. Subjects included 27 battered women who were rated PTSD-positive by a modified version of the Symptom Checklist (MSC). Participants were randomly assigned to one of three groups: EMDR Fast, EMDR Slow or Control.Prior to treatment, subjects completed the Revised Impact of Events Scale (IES). Treatment involved one experimental session lasting up to 90 minutes. Dependent variables included the Subjective Units of Distress (SUDs) (derived from the Subjective Units of Disturbance Scale), the Validity of Cognition (VOC) and the Vividness of Traumatic Image (VTI) Scales as well as the Intrusion subscales of the MSC and the IES. At post-treatment one week later, subjects again provided responses to the five dependent variables and, for ethical reasons, were provided another session of treatment at the EMDR Fast rate if their SUDs were 2 or greater. Results of the mixed, two factor analyses indicated no differences between the groups. Hence, the outcomes showed that the rapid eye movements did not provide a differential treatment effect as hypothesized. All groups experienced improvement on the SUDs and VTI Scales and the MSC Intrusion subscale, supporting occurrence of an exposure effect. This investigation was the first controlled EMDR study conducted with battered women, as well as the first experiment on this procedure using a clinical population in which the rate of the eye movements was varied. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(5-B), Nov 1995, pp. 2854

Keywords: Adults  Americans  Battery  Empirical Study  Follow-up Study  Females  Posttraumatic Stress DIsorder  PTSD  Spouse Abuse  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


5. Stapleton, J. A., Taylor, S., & Asmundson, G. J. G. (2007, Spring). Efficacy of various treatments for PTSD in battered women: Case studies. Journal of Cognitive Psychotherapy, 21(1), 91-102. doi:10.1891/088983907780493287.

Language: English

Format: Journal

Abstract:
Spousal abuse and other forms of domestic violence can lead to PTSD. Little is known about how to best treat this form of PTSD. The current case series, based on data collected as part of a larger clinical trial, was designed to evaluate the effectiveness of exposure therapy, Eye Movement Desensitization and Reprocessing (EMDR), or relaxation therapy. 3 women with battered-spouse-related PTSD were assigned to one of these treatments. The patient receiving exposure responded well to treatment and no longer met the criteria for PTSD at post-treatment or at 3-month follow-up. The battered women in the other two conditions continued to meet the criteria for PTSD at post-treatment and at follow-up. The patterns of treatment response were similar to those experienced by individuals with other forms of PTSD (N = 42) examined in the larger trial. The results of these case studies encourage further studies of exposure therapy for battered-spouse-related PTSD. [Author Abstract]

Keywords: Adults  Battered Women  Canadians  Exposure Therapy  Domestic Violence  Empirical Study  Females  Follow-Up Study  Posttraumatic Stress Disorder  PSTD  Quantitative Study  Relaxation Training  Spouse Abuse  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


6. Carpenter, M. N. (1999). Eye movement desensitization and reprocessing in battered women: Alleviation of post-traumatic stress disorder. California State University - Fullerton, Fullerton, CA. AAT 1394355.

Language: English

Format: Dissertation/Thesis

Abstract:
This study assessed the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating battered women. 5 battered women who received EMDR treatment experienced a significant reduction from pre to posttest (approximately 45 days) in post traumatic stress (t = 3.68, p < .05), state anxiety (t = 5.86, p < .05), trait anxiety (t = 6.14, p < .05) and depression (t = 5.60, p < .05). Battered women (N = 5) who completed the same shelter program but did not undergo EMDR treatment also showed reduced PTSD (t = 4.50, p < .05), state anxiety (t = 3.28, p < .05), and depression (t = 6.03, p < .05). The average reduction for the shelter + EMDR subjects on the four independent measures was as follows: Impact of Events: 27.8, STAI Y-1: 30.2, STAI Y-2: 21.8 and Beck: 16.8. Scores for the shelter-only subjects were reduced on all four measures but to a far lesser extent: Impact of Events: 16.8, STAI Y-1: 15, STAI Y-2: 2.6 and Beck: 8.8. Results appear to support the efficacy of both EMDR with battered women and the shelter program itself. [Author Abstract]

Keywords: Adults  Anxiety Disorders  Battery  Depressive  Disorders  Females  Posttraumatic Stress Disorder  PTSD  Shelter Residents  Spouse Abuse  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Book

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

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

Accuracy Verified: Yes


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

Language: English

Format: Book

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

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

Accuracy Verified: Yes


9. Burrone, T. I. M. (2008, Novembre). L'uso dell"EMDR nella terapia coppia [The use of EMDR in couples therapy]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
La trasversalità dell’uso dell’EMDR e la sua utilità, si conferma anche nell’approccio sistemico e nella terapia di coppia. In particolare il modello descritto da Mark D. Moses è stato evidenziato secondo le modalità che si presentano di seguito. Il presente lavoro intende dimostrare nell’esperienza clinica l’utilità dell’uso del modello che si sostanzia nel seguente modo: Assesment approfondito della problematica di coppia e delle rispettive famiglie d’origine, con particolar riguardo ai modelli d’attaccamento di ogni partner, e come questi si riproducono all’interno della coppia. Somministrazione dell’EMDR a turni alternati ai membri della coppia con presenza in seduta dell’altro coniuge. Psicoeducazione e coping dei coniugi sulle modalità d’ascolto reciproco durante gli interventi di EMDR. Saranno presentati esempi clinici con la modalità di lavoro sopradescritta.

The transversality use EMDR and its usefulness is confirmed in the approach and systemic couples therapy. In particular, the model described by Mark D. Moses was shown in that manner are presented below. This paper aims to demonstrate clinical usefulness in the experience of the use of the model is substantiated as follows: Thorough assesment of the problem as a couple and their families of origin, particularly with regard to patterns of attachment of each partner, and how they reproduce within the couple. EMDR administration in alternate years to the couple sitting in there with the other spouse. Psychoeducation and coping of spouses on how listening to each other while performing EMDR. Clinical examples will be presented with the working method described above.

Keywords: Couples Therapy  

Accuracy Verified: Yes


10. Hurley, E. C. (2012 February 19). Married to a veteran: When memories of past interrupt the present. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1284627.html?ref=healthy-living on 2/19/2012.

Language: English

Format: Other

Abstract:
Incorporating an evidence-based model of psychotherapy such as Eye Movement Desensitization and Reprocessing (EMDR) helps resolves the reactivity. It assists both parties in reclaiming their lives. Recently, after completing treatment, a veteran said to me "I am home now!" In a follow-up session his spouse noted the amount of fun they regained in their marriage now that memories from the past had been resolved. Dr. Shapiro's book can give you a good overview of how EMDR can help. Individual veterans and a military couple volunteered to share their stores to help others. In addition, the book describes self-help techniques in detail as well as relationship advice. It also gives guidelines to decide if memory processing is a good choice for you. [Excerpt]

Keywords: Blog  Posttraumatic Stress Disorder  PTSD  Veterans  War  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


12. Colosetti, S., & Thyer, B. A. (2000, October). The relative effectiveness of EMDR versus relaxation training with battered women prisoners. Behavior Modification, 24(5), 719-739. doi:10.1177/0145445500245006.

Language: English

Format: Journal

Abstract:
5 women prisoners with a history of being battered and who met the DSM-IV criteria for PTSD were assessed (A phase) and provided with structured relaxation training (RT) (B phase, or placebo treatment), followed by eye movement desensitization and reprocessing (EMDR) therapy (C phase). Using the Beck Anxiety Inventory and the Impact of Events Scale's avoidance behavior and intrusive thoughts subscales as outcome measures, RT alone did not result in any clinical improvements. The subsequent provision of EMDR did not improve upon this lack of success with 4 of the 5 participants; 1 did improve on anxiety and intrusive thoughts. The apparent ineffectiveness of EMDR with these participants may be attributed to several explanations. Foremost perhaps is the hypothesis that EMDR is not sufficient to ameliorate the effects of chronic abuse. [Author Abstract]

Keywords: Adults  African American  Anxiety Disorders  Avoidance  Battery  Drug Abuse  Effectiveness  Empirical Study  European Americans  Females  Intrusive Thoughts  Quantitative Study  Posttraumatic Stress Disorder  Prison Inmates  PTSD  Rape  Relaxation Therapy  Survivors  Treatment Outcome/Clinical Trial  Treatment Spouse Abuse  

Accuracy Verified: Yes


13. Figley, C. R. (1999). Traumatology of grieving: Conceptual, theoretical, and treatment foundations. Philadelphia, PA: Brunner/Mazel.

Language: English

Format: Book

Abstract:
Conceptualizing death and trauma: a preliminary endeavor; Empirical perspectives on contextualizing death and trauma; Factors associated with effective loss accommodation; Intersections of grief and trauma: family members' reactions to homicide; Duty-related deaths and police spouse survivors: group support effects; Emotional dissociation, self-deception, and adaptation to loss; Bereavement after homicide: its assessment and treatment; The treatment of PTSD through grief work and forgiveness; Relieving the naumatic aspects of death with naumatic incident resolution and EMDR; Death-related treatment applications for the elderly; Safety reconnaissance for grieving trauma survivors. [Pilots]

Keywords: Bereavement  Effects  Survivors  Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


14. Kleinknecht, R., & Morgan, M. (1992, March). Treatment of posttraumatic stress disorder with eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 23(1), 43-49. doi:10.1016/0005-7916(92)90024-D.

Language: English

Format: Journal

Abstract:
This case report describes the successful treatment of a PTSD using eye movement desensitization (EMD). The client, a 40-year-old male, presented with an 8-years history of PTSD following an incident in which he was shot with a hand gun and left dying. Using EMD treatment, this trauma was quickly densensitized. Two earlier traumas with similar themes then emerged and they too were desensitized. Test results, taken pre-treatment and posttreatment, along with the client's verbatim account of cognitive and behavioral changes 8 months later, converged to document the successful treatment outcome. [Author Abstract]

Keywords: Adults  Assault  Case Report  Death of Spouse  European Americans  Males  Motor Traffic Accidents  Posttraumatic Stress Disorder  Predisposition  PTSD  Survivors  

Accuracy Verified: Yes


15. Hyer, L. (1996). Use of EMDR in a "dementing" PTSD survivor. Clinical Gerontologist, 16(1), 70-73. doi:10.1300/J018v16n01_06.

Language: English

Format: Journal

Abstract:
Presents a case study of a 72-yr-old woman with dementia to examine the usefulness of eye movement desensitization and reprocessing (EMDR) in treating posttraumatic stress disorder (PTSD) in "dementing" elderly. EDMR is a therapeutic tool in which clients are made to reexperience and cognitively reprocess their trauma in imagination, moving their eyes simultaneously. It is reported to be a good instrument in treating younger survivors of trauma, however, a few studies support its use in elderly. The S experienced a series of traumatizing events. Test results showed that the S had symptoms of PTSD, depression, anxiety, and borderline dementia. After 3 sessions of EDMR, significant improvement was seen in the S, who was ready to start and lead a normal life. It is suggested that EDMR allows the client to participate in the past as currently real, and to evaluate the unfolding of the process from an observer perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Aged  Americans  Case Report  Cognitive Disorders  Death of Spouse  Elder Abuse  Empirical Study  Females  Psychiatric Inpatients  PTSD  Rape  Survivors  

Accuracy Verified: Yes


16. Barton, S. (2013, February 8). When talking about how your spouse cheated on you makes you feel worse. The Atlantic. Retrieved from http://www.theatlantic.com/sexes/archive/2013/02/when-talking-about-how-your-spouse-cheated-on-you-makes-you-feel-worse/272892/ on 3/12/2013.

Language: English

Format: Other

Abstract:
I had never heard of it when my therapist first suggested it to me last year as a possibility for moving beyond a past relationship issue that I had failed to resolve with other therapists using various approaches. In many ways, EMDR is drastically different from any other therapy I'd ever tried or learned about, and the novelty of it made me curious and gave me hope. [Excerpt]

Keywords: Cheating  Infidelity  

Accuracy Verified: Yes


17. Scheiner, Z. (2002). When to seek EMDR treatment. EMDRNews.com.

Language: English

Format: Newsletter

Abstract:
You've experienced a loss - your parent died, your child died, your spouse died. You went through the funeral and the official mourning period. You've had family members and fiiends by your side. The casseroles appeared every morning; the invitations to chat came regularly. Everyone encouraged you to feel your feelings, to be sad, to be angry, to be whatever you happened to be.

Keywords: Practice  Theory  

Accuracy Verified: Yes