Language: English

Format: Conference

Abstract: This workshop initially will review the 8 phase EMDR protocol for implementation with severely traumatized and dissociative children and provide advanced skills utilizing the EMDR protocol with this population. The 8 phase EMDR protocol will be described. Therapeutic challenges for therapists in implementing this protocol with young children with complex trauma will be explored with recommendations for clinicians on how to provide efficacious treatment to children. Each phase of the protocol will be discussed identifying specific goals and specialized interventions presented with linguistic sensitivity to maintain adherence to the EMDR protocol with young children. Client History and Treatment Planning Phase, and the Preparation Phase of the EMDR Protocol will be detailed. The assessment of dissociation in young children will include recommendations for specific assessment tools. Stabilization skills for helping children address the phobic response to reprocessing traumatic events with mastery and resourcing while learning self-soothing and calming techniques will be demonstrated. Innovative and creative interventions integrating play and art therapy will be presented with child friendly language using the protocol sequence for effective treatment with children. In addition, adjustments to the EMDR protocol through the trauma processing phases, including integration, will be described and demonstrated with case presentations and videos. Creatively maneuvering these phases with children who display dissociative symptoms will be explored with recommendations for the successful implementation of the protocol throughout the healing process

Keywords: Case Conceptualization  Children  Dissociation  Stabilization  Trauma  

Accuracy Verified: Yes

182. Arabia, E., Manca, M. L., & Solomon, R. M. (2011). EMDR for survivors of life-threatening cardiac events: Results of a pilot study. Journal of EMDR Practice and Research, 5(1), 2-13. doi:10.1891/1933-3196.5.1.2.

Language: English

Format: Journal

Abstract:
This pilot study evaluated the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating posttraumatic stress disorder (PTSD) symptoms and concomitant depressive and anxiety symptoms in survivors of life-threatening cardiac events. Forty-two patients undergoing cardiac rehabilitation who (a) qualified for the PTSD criterion “A” in relation to a cardiac event and (b) presented clinically significant PTSD symptoms were randomized to a 4-week treatment of EMDR or imaginal exposure (IE). Data were gathered on PTSD, anxiety, and depressive symptoms at pretreatment, posttreatment, and 6-month follow-up. EMDR was effective in reducing PTSD, depressive, and anxiety symptoms and performed significantly better than IE for all variables. These findings provide preliminary support for EMDR as an effective treatment for the symptoms of PTSD, depression, and anxiety that can follow a life-threatening cardiac event.

Keywords: Anxiety  Cardiovascular Disease  Depression  Posttraumatic Stress Disorder  PTSD  Rehabilitation  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Schizophrenia  

Accuracy Verified: Yes

184. Fizel, D., Shapiro, F., Borderson, G., & Frank-NcNeil, J. (1997). EMDR for trauma (eye movement desensitization and reprocessing). Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is an approach that combines elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although eye movement stimulation has garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions which are organized into eight phases of therapy. EMDR is based on the assumption that specific experiences from the past continue to guide the client's responses in the present. To influence such experiences from the past, EMDR draws on an information processing model of behavior. Disturbing trauma-related information is believed to be held in the patient's nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information so that what is useful from the experience can be learned; stored appropriately, cognitively and affectively; and made available for behavioral guidance in the future. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. The goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable. [Videorecording : DVD video 1 videodisc (53 min.) : sd., col. ; 4 3/4 in.]

Keywords: Trauma  

Accuracy Verified: Yes

185. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?

Keywords: Client  Francine Shapiro  Male  

Accuracy Verified: Yes

186. Hofmann, A. (2010, July). EMDR for treating depression. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that may have part of their origins in stressfull memories. One of these disorders is chronic depression. Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems. Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma specific treatments like EMDR with depressive patients with trauma history. The presenter will report the status of research on the subject and on a current controlled study underway to explore the use of EMDR in depressive patients.

Keywords: Depression  

Accuracy Verified: Yes

187. Peterson, G. (2002). EMDR for women who experience traumatic events. Journal of Clinical Psychiatry, 63(11), 1047-1048. Author reply 1048..

Language: English

Format: Journal

Abstract:
Comments on an article by E. B. Foa and G. P. Street,"Women and Traumatic Events, Journal of Clinical Psychiatry, Vol 62(Suppl 17), 2001. Special issue: Understanding posttraumatic stress disorder, pp. 29-34 regarding psychotherapeutic interventions for women with PTSD. It is noted that Foa and Street describe other psychotherapy procedures, but do not mention eye movement desensitization and reprocessing (EMDR). Peterson cites that in Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies [ISTSS] , 2 psychotherapy treatments for PTSD are listed as having been shown to be effective: exposure therapy and EMDR. SIT is reported to have had 2 well-controlled studies published on the treatment of PTSD. Both SIT studies were with female sexual assault victims. It is concluded that given that EMDR has been established as effective in the ISTSS guidelines, it may be important for the reader to know that this form of therapy may be applied when confronting the issues addressed in this article. A comment by Foa follows. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Females  Letter  Posttraumatic Stress Disorder  PTSD  Rape  

Accuracy Verified: Yes

188. Peterson, G. & Foa, A. (2002, November). EMDR for women who experience traumatic events [4] (multiple letters). Journal of Clinical Psychiatry, 63(11), 1047-1048.

Language: English

Format: Journal

Abstract:
It is noted that Foa and Street describe other psychotherapy procedures, but do not mention eye movement desensitization and reprocessing #EMDR#. Peterson cites that in Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies [ISTSS] , 2 psychotherapy treatments for PTSD are listed as having been shown to be effective: exposure therapy and EMDR. SIT is reported to have had 2 well-controlled studies published on the treatment of PTSD. Both SIT studies were with female sexual assault victims. It is concluded that given that EMDR has been established as effective in the ISTSS guidelines, it may be important for the reader to know that this form of therapy may be applied when confronting the issues addressed in this article. A comment by Foa follows. #PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Females  Letter  Posttraumatic Stress Disorder  PTSD  Rape  Reply  

Accuracy Verified: Yes

189. Quinn, G. (2013, June). EMDR immediate emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure (ERP) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war.
In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, and modified by Elan Shapio and Brurit Laub in R-TEP will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment.
A practicum will follow on ERP.
Learning objectives: Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP; To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions; To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities; How to utilize the Recent Events Protocol in the face of ongoing danger; To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment

Keywords: Disaster  Emergency Response Procedure  ERP  Extreme Stress  Silent Terror  

Accuracy Verified: Yes

190. Hase, M. (2001, May). EMDR in a critical incident in Germany (prison riot). Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
The prison system serves, among many others, one important goal: to separate those members of society, who are dangerous to others, from the more peaceful and law-abiding majority. As a consequence one could assume that the inmates of a prison from a, subgroup of human beings, distinct by their aggressive potential. Though this is not true for all of the prisoners, it may be true for many of them. It is a well known fact, at least in Germany, that procedures for controlling the safety in a prison, can't eliminate criminal behaviour or dealing with drugs in a prison. One could assume, that even if an adequate standard of safety is upheld, a prison would be a dangerous place to work in and that prison staff would be at a considerable risk of being traumatised at work. In the prison system in Lower Saxony, Germany, between 5 and 10 recently traumatised staff are invited to participate in a group consultation each year. The number of unrecorded cases is certainly much higher. In contrast there is not much literature about traumatisation of prison staff. On the other hand prison staff are regarded as a population often reluctant to engage in psychotherapy and leaving psychotherapy prematurely, without a significant treatment effect. On 13th of August 1999 a prisoner attacked prison staff at Uelzen prison in Lower Saxony, Germany. The perpetrator killed two members of staff, wounded two others severely and committed suicide immediately afterwards. More members of staff suffered from the psychological effects of the violence. The Critical Incident Team within the Ministry of Justice provided intensive care and counselling. 15 members of staff were identified as a high risk group to develop PTSD. 10 members of staff began psychotherapy. 7 qualified for a diagnosis of PTSD, 3 for related diagnoses, according to ICD-10 criteria None of them left therapy prematurely. One member of staff suffered from the effects of a civil war situation experienced 15 years before, with a late onset PTSD triggered by vicarious traumatisation. Only one remains out of work, but does not qualify for a diagnosis of PTSD at present. Three are still in therapy. 7 patents ended therapy with a complete recovery. EMDR was applied to great extent in 9 of the 10 cases. EMDR was tolerated well and proved to be fast and efficient. Treatment effects seem to last over time. Setting the focus on the trauma and using EMDR as a specific psychotherapeutic method seems to provide an accepted strategy with significant gains for this population.

Keywords: Critical Incident  Prison  Recent Events  Riot  

Accuracy Verified: Yes

191. Amann, B. (2012, June). EMDR in bipolar disorder: Results of a randomized, controlled pilot study [EMDR en el Trastorno Bipolar: Resultados de una muestra aleatoria, estudio piloto controlado]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
There is increasing evidence about bipolar patients are more exposed than general population to negative life events and PTSD. This has consequences on the illness course being associated with more relapses and subsyndromal symptoms within affective episodes. We conducted the first controlled, randomized study of EMDR versus treatment as usual in 20 bipolar, subsyndromal traumatized bipolar patients. 11 Patients received between 15 and 20 sessions of EMDR, the follow-up was up to 6 months in both groups. Our hypothesis was that patients in the EMDR group would be more stable in their mood, would show less affective relapses, improvement in cognition/functioning, and quality of life, when compared with the control group. We present the first data of the evaluation after three months of intervention.

Existe una creciente evidencia acerca de que los pacientes bipolares están más expuestos que la población general a eventos vitales negativos y TEPT. Esto tiene consecuencias en el curso de la enfermedad con más recaídas y síntomas subsindrómicos dentro de los episodios afectivos. Hemos realizado el primer estudio con aleatorización controlada de EMDR versus el tratamiento estándar en 20 bipolares subsindrómicos, con traumatización. 11 pacientes recibieron entre 15 y 20 sesiones de EMDR, el seguimiento fue durante 6 meses en ambos grupos. Nuestra hipótesis fue que los pacientes en el grupo EMDR tendrían una mejor estabilización de su ánimo, menos propensos a las recaídas, y mejorarían su funcionamiento cognitivo, y calidad de vida, cuando los comprásemos con el grupo control.

Keywords: Bipolar Disorder  Pilot Study  

Accuracy Verified: Yes

192. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.

Keywords: Combat  Controlled Study  

Accuracy Verified: Yes

193. Poon, Wai-Ling, M. (2012). EMDR in competition with fate: A case study in a Chinese woman with multiple traumas. Case Reports in Psychiatry, 2012, 1-4. doi:10.1155/2012/827187.

Language: English

Format: Journal

Abstract:
This paper described the application of eye movement desensitization reprocessing (EMDR) for addressing the posttraumatic stress disorder (PTSD) symptoms in a Chinese woman who had experienced multiple traumas in her childhood. EMDR is an integrative therapeutic intervention that uses a standardized eight-phase approach to treatment. It is also a proven, effective, and efficient treatment for trauma. In this client with multiple traumas, the etiological event that lay the foundation of her dysfunctional responses was reprocessed first. The successful resolution of this event allowed the positive treatment effects to transfer to other traumatic events of a similar theme. This case also illustrates the importance of identifying a culturally appropriate positive cognition (PC) in contributing to the success of the treatment.

Keywords: Case Study  China  Trauma  Woman  

Accuracy Verified: Yes

194. Hofmann, A., & Solomon, R. (2009). EMDR in der behandlung akut traumatisierter [EMDR in the treatment of acutely traumatized]. In A. Hofmann, N. Galley, & R. A. Solomon, EMDR – Therapie psychotraumatischer Belastungssyndrome, 2 Tabellen, (4., unveränd. Aufl.) (pp 107-114 ) Stuttgart: Georg Thieme Verlag KG.

Language: German

Format: Book Section

Abstract:
Mit den zunehmenden Erfahrungen und Forschungsergebnissen im Bereich psychotraumatischer Reaktionen gelangte in den Jahren nach der Entwicklung der Konzepte über die chronischen traumatischen Störungen auch der Bereich der akuten Traumatisierungen in das Blickfeld systematischer Studien und Interventionsversuche. So wurden zunehmend diagnostische und therapeutische Konzepte entwickelt, in denen versucht wird, Opfern von z. B. krimineller Gewalt, schweren Unfällen oder kritischen Zwischenfällen im polizeilich/militärischen Bereich bereits kurz nach den traumatischen Ereignissen hilfreich zur Seite zu stehen und – wenn möglich – sogar die Entwicklung schwerer Störungen zu verhindern. Als günstig erwies sich dabei, dass sich die Mehrzahl der Opfer akuter Traumatisierungen innerhalb einer Zeit von mehreren Wochen bis Monaten ohne äußeres therapeutisches Eingreifen spontan erholen und das Ereignis seelisch bewältigen können (Rothbaum u. Foa 1993). Als problematisch zeigte sich aber einerseits die Vielfalt möglicher Symptome direkt nach einem traumatischen Ereignis, andererseits der zunehmende Übergang in eine posttraumatische Symptomatik (aber auch andere) bei einer meist kleineren Gruppe der Traumatisierten (Orner u. Schnyder 2003). Forscherische und therapeutische Bemühungen versuchen derzeit, die Gruppe der Traumaopfer, die ein erhöhtes Risiko haben könnten, später eine posttraumatische Störung zu entwickeln, zu identifizieren und ihnen – wenn möglich – schon frühzeitig gezielt Hilfe zukommen zu lassen. Auf der anderen Seite wird so versucht, die Traumaopfer, bei denen eine Bewältigung des traumatischen Ereignisses ohne spezifische therapeutische Hilfe erwartet werden kann, nicht unnötig zu pathologisieren, ihnen aber ausreichend Unterstützung und Hilfe zu gewähren, sodass sie den Verarbeitungsvorgang ohne äußere Irritationen abschließen können (Fischer et al. 1998). Diese diagnostischen und therapeutischen Forschungen sind derzeit noch in vollem Gange, gesicherte Forschungsergebnisse liegen bisher nur in wenigen Bereichen der Behandlung akuter Traumatisierungen vor (Barre u. Biesold 2002, Orner u. Schnyder 2003, Yehuda 1998). Dennoch liegen bereits Modellrechnungen der Kostenträger vor, die belegen, dass frühe, fundierte Interventionsansätze bei akut Traumatisierten (z. B. Überfallopfern) erhebliche Kosteneinsparungen der Kostenträger bewirken (Wiessmann 2002). Angesichts der großen Zahl der täglich bei schweren Unfällen oder Verbrechen akut traumatisierten Menschen, die derzeit mit einer Vielzahl empirisch wenig validierter Konzepte behandelt werden müssen, wird der hohe Handlungsdruck einerseits, die Einschränkung vieler der folgenden Anhaltspunkte für therapeutische Intervention andererseits, deutlich. Auch Hinweise und Empfehlungen bezüglich eines Einsatzes der EMDR-Methode bei diesen Patienten sollten mit diesen Einschränkungen verstanden werden. Auch wenn es einige erste Hinweise auf einen erfolgversprechenden Einsatz der EMDR-Methode bei akut Traumatisierten gibt, so sollte eine Therapie mittels EMDR in einen umfassenden, z. B. dynamisch-behavioralen, Behandlungsplan dieser Patienten eingebettet werden (Bisson 2003, McNally u. Solomon 1999). Weiterhin sollte der systematische Einsatz der EMDR-Methode derzeit – wenn irgend möglich – an hohen Qualitätsstandards orientiert und forschungsmäßig evaluiert werden, um die Nutzen-Risiko-Abwägung bezüglich bestimmter Patientengruppen sowie den optimalen Einsatzzeitpunkt konfrontierender Verfahren systematisch verbessern zu können.

With increasing experience and research results in the field of psycho-traumatic Responses came in the years after the development of concepts about the chronic traumatic disorders, the area of acute trauma in the field of view systematic studies and intervention trials. Thus, more diagnostic and therapeutic concepts developed in which attempts are is, for example, victims of criminal violence, serious accidents or critical incidents the police / military shortly after the traumatic events to help Page is available and - if possible - even the to prevent development of severe disorders. Proved to be favorable, that the Most of the victims of acute trauma in a period of several weeks to months without an external therapeutic intervention spontaneously recover and cope with the emotional event can (Rothbaum and Foa 1993). One problem was but one part of the Variety of possible symptoms immediately after a traumatic event, on the other hand, the increasing Transition to a post-traumatic symptoms (And others) usually at a smaller group of traumatized (and Orner Schnyder 2003). Research and therapeutic efforts currently trying the group of trauma victims, an increased risk could later to develop post-traumatic disorder to identify them and - if possible - early to be targeted to come help. On the other hand, will attempt to Trauma victims, where a managing traumatic event without specific therapeutic Assistance can be expected not unnecessarily pathologization them but enough to provide support and assistance so that they the processing operation without external irritation can conclude (Fischer et al. 1998). These diagnostic and therapeutic research are still in full swing, secured Research results are presently available in few areas of acute trauma and before (Barre and Biesold 2002, Orner Schnyder 2003, Yehuda 1998). Nevertheless, there are already Model calculations of the cost modes, in the Demonstrating that early, in-depth intervention approaches in acute trauma (such as assault victims) significant cost savings for payers cause (Wiesmann 2002). Given the high volume of daily at serious accidents or crimes acutely traumatized People currently with a variety empirically validated concepts treated less must be the high pressure to act one hand, the restriction of many of the following Indications for therapeutic intervention on the other, significantly. Also advice and recommendations regarding of using the EMDR method in these patients should understand these limitations be. Although there are some initial indications a promising application of EMDR method in acutely traumatized people are so should be a therapy using EMDR in a comprehensive, such as dynamically-behavioral, treatment plan these patients are embedded (Bisson 2003, McNally and Solomon 1999). Furthermore, should be the systematic use of the EMDR method now - if possible - to high Quality standards and research-oriented terms is assessed to the benefit / risk ratio with respect to specific patient groups and the optimal use time of confrontational Method to improve systematically.

Keywords: Trauma  

Accuracy Verified: Yes

195. Zobel, M. (2006). EMDR in der behandlung von suchtpatienten mit posttraumatischer belas tungsstörung [EMDR in the treatment of addicted patients with post-traumatic stress disorder]. In Schriftenreihe des Fachverbandes Sucht, e.V. Band 29 "’Integrierte Versorgung’: Chancen und Risiken für die Suchtrehabilitation" Beiträge des 18. Heidelberger Kongresses 2005, Geesthacht: Neuland..

Language: English

Format: Other

Abstract:
Die Wahrscheinlichkeit, dass wir im Laufe unseres Lebens einem oder mehreren traumatisierenden Ereignissen ausgesetzt sind, ist relativ hoch: Die Lebenszeitprävalenzen von traumatischen Ereignissen und einer posttraumatischen Belastungsstörung betragen in internationalen epidemiologischen Studien für Frauen 17,7 – 74,2 Prozent (PTBS: 1,3 - 12,3 Prozent) und für Männer 25,2 - 81,3 Prozent (PTBS: 0,4 - 6,0 Prozent) (Kuhn, 2004). Menschen mit Suchtproblemen berichten dabei überzufällig häufig von Gewalt- und Missbrauchserfahrungen in Kindheit, Jugend und im Erwachsenenalter. In vielen Fällen kann ein Zusammenhang zwischen dem traumatischen Ereignis, der Entwicklung einer posttraumatischen Belastungsstörung und Alkoholmissbrauch und –abhängigkeit abgeleitet werden (Perkonigg et al., 2000; Zobel, 2006). Bei Vorliegen einer PTBS íst das Risiko einer Suchterkrankung oder anderer komorbider Störungen um das 4-5fache erhöht (Breslau, 2002).

The probability that we are in the course of our lives one or more traumatic events are exposed, is relatively high: the lifetime prevalence of traumatic events and posttraumatic stress disorder be in international epidemiological studies for women from 17.7 to 74.2 Percent (PTSD: 1.3 - 12.3 percent) for men and from 25.2 to 81.3 percent (PTSD: 0.4 - 6.0 percent) (Kuhn, 2004). People with addiction problems to report here than chance often violence and abuse experiences in childhood, adolescence and adulthood. In many cases, a connection between the traumatic Event, the development of post traumatic stress disorder and alcohol abuse and are derived dependence (Perkonigg et al., 2000; Zobel, 2006). In the event of a PTSD is a risk of addiction or other comorbid disorders at the 4-5-fold increased (Breslau, 2002).

Keywords: Addictions  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

196. Bohm, K. (2009, Februar-Mai). EMDR in der behandlung von zwangsstörungen [Use of EMDR in the treatment of obsessive-compulsive disorders]. EMDRIA Deutschland e.V. Rundbrief, 18, 31-35.

Language: German

Format: Newsletter

Abstract:
In der Therapie von Zwangsstörungen mit den herkömmlichen Methoden der Verhaltenstherapie kommt es immer wieder zu Problemen innerhalb der Behandlung: 1. therapieresistente Fälle trotz Expositionen lege artis 2. Emotionsarbeit häufig problematisch 3. Expositionen sind anstrengend, belastend, für manche Patienten zu schwierig

In the treatment of OCD with the conventional methods of Behavior therapy, it always comes back to problems within the treatment: 1. therapy-resistant cases, despite exposure lege artis 2. Emotion work is often problematic 3. Exposures are demanding, stressful, too difficult for some patients

Keywords: Obsessive Compulsive Disorder  OCD  

Accuracy Verified: Yes

197. Cohen, A., & Lahad, M. (1999). EMDR in hospital intervention. In O. Ayalon, M. Lahad, A. Cohen (Ed.), Community stress prevention, v.3 (pp. 14-20). Kiriat Shmona: Community Stress Prevention Centre.

Language: English

Format: Book Section

Abstract:
The therapeutic effectiveness of EMDR has been wel1 documented since 1989, but the technique is far from reaching its optimal utilisation in the clinical and psychological world. I wish to present a case in which the improvement on the part of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in theoretical training sessions were brought home most strongly and many more priceless pieces of advice for people who wish to be of assistance to someone who has been involved in a traumatic incident were made so clearly apparent. [Text, p. 14]

Keywords: Adults  Case Report  Females  Medical Procedures  Multiple Traumatic Events  Phobia  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

198. Beer, R., & Bronner, M. B. (2010). EMDR in paediatrics and rehabilitation: An effective tool for reduction of stress reactions?. Developmental Neurorehabilitation, 13(5), 307-309. doi:10.3109/17518423.2010.502914.

Language: English

Format: Journal

Abstract:
Having to cope with life-threatening injury or illness can be very stressful for children and their parents. In medical settings children—and parents—can be traumatized by various events both before and during hospitalization as well as during the rehabilitation-phase. Although most children and parents display remarkable resilience over time, stress levels can remain extremely high for a part of these children and parents throughout the entire hospital period and thereafter, culminating in various stress reactions. These reactions can be summarized in a framework of Pediatric Medical Traumatic Stress (PMTS). However, several evidence-based interventions are available presently. One of these evidence-based treatment interventions is Eye Movement Desensitization and Reprocessing (EMDR). Clinical efficiency of EMDR for children has been demonstrated by a recent meta-analysis and other studies. Application of EMDR should be taken into consideration whenever there is suffering from PMTS reactions—particularly intrusive memories, flashbacks, nightmares, anxiety and guilt feelings—or when these reactions interfere with either the recovery process or acceptance of a new situation. Integrated trauma-informed practice together with validated screening tools could be beneficial to families and possibly minimize or even prevent long-term PMTS reactions after life-threatening injury or illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Editorial  Pediatrics  Rehabilitation  Stress Reduction  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Pilot Study  Postraumatic Stress Disorder  PTSD  Psychotic Disorders  Symposium  

Accuracy Verified: Yes

200. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR en psicosis y trastorno mental severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Interactions between trauma and biology, dissociation and psychosis are complex. Some cases could be more biologically based, and traumatic events may trigger a psychotic episode or contribute to the low-response to usual interventions. But traumatic experiences could also influence neurodevelopment and brain structure. In some cases past adverse events may be a main factor in the development of psychotic psychopathology. The treatment of psychotic disorders with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the relative contribution of these different factors from clinical results. The empirical research about the application of EMDR will be also reviewed. A relevant point for EMDR therapy in psychotic disorders is the complex relationship between dissociation and psychosis. Patients presenting with the belief of being controlled by an external force, intrusive thoughts and hallucinatory voices that comment on one's thoughts or actions or that have a conversation with other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but can often be best understood and approached as dissociative symptoms. These patients can be treated with EMDR, but the procedures present relevant modifications in relation with the standard EMDR procedure for PTSD. In this workshop we will briefly describe how EMDR can be applied in different examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.

Las interacciones entre trauma y biología, disociación y psicosis son complejas. Algunos casos pueden estar más basados en el ámbito biológico, y los eventos traumáticos pueden ser disparadores de un episodio psicótico o contribuir a la baja respuesta ante las intervenciones usuales. Pero las experiencias traumáticas pueden también influenciar el neurodesarrollo y la estructura cerebral. En Algunos casos eventos adversos del pasado pueden ser el principal factor para desarrollar psicosis o una psicopatología. El tratamiento de los trastornos psicóticos con un terapia orientada al trauma como el EMDR nos ayudan a evaluar la contribución relativa de distintos factores a los resultados clínicos. La investigación empírica acerca de la aplicación del EMDR también será revisada. Un punto relevante de la Terapia EMDR en trastornos psicóticos es el resultado complejo de la relación entre disociación y psicosis. Los pacientes que presentan creencias de control por fuerzas externas, pensamientos intrusivos y voces alucinatorias que comentan las acciones o pensamientos o tienen una conversación con otras voces alucinatorias, normalmente son diagnosticadas como esquizofrenia y psicosis pero en algunas ocasiones estarían mejor entendidas desde un enfoque que las considerara síntomas disociativos. Estos pacientes pueden ser tratados con EMDR, pero los procedimientos presentan modificaciones referentes al procedimiento estándar de EMDR para el TEPT.

Keywords: Psychosis  Severe Mental Disorders  

Accuracy Verified: Yes

201. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect in one's appearance (American Psychiatric Association (APA), 1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT) (Williams et al.. 2006). CBT interventions which are most often described in the literature are exposure and response prevention (ERP) and cognitive techniques. These interventions successfully weaken the catastrophic expectations of the patients. However, they do not affect the negative valence of patients' appearance. This negative meaning is not inborn but acquired during life through association with distressful or even traumatic events. Patients with BDD often report stressful events as the starting point of their complaints (Buhlmann et al., 2007) as well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004). Processing of these unprocessed memories might free the way to the development of a more positive meaning of their appearance. Indeed, case series have been described in which EMDR has been successfully applied in the treatment of BDD (Brown et al , 1997). In the first part of this workshop background information will be presented which might help identifying BDD patients who might profit from EMDR and planning subsequent EMDR treatment. In the second part of the workshop we share our experiences treating BDD patients with EMDR. Clinical issues will be analysed using videotaped cases of patients for illustration. The goal of this workshop is to increase knowledge and understanding of the use of EMDR in the treatment for BDD. American Psychiatric Association (APA) (1994). Diagnostic and statistical manual of mental disorders. (4th ed.) Washington DC. American Psychiatric Association. Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body dysmorphic disorder: Seven cases treated with eye movement desensitization and reprocessing. Behavioural and Cognitive Psychotherapy. 25(2), 203-207 Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007). Perceived teasing experiences in body dysmorphic disorder. Body Image. 4, 381-385. Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004). Spontaneously occurring images and early memories in people with body dysmorphic disorder Memory, 12, 428-436. Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta- analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder. Behaviour Research and Therapy. 44, 99-111.

Keywords: Body Dysmorphic Disorder  

Accuracy Verified: Yes

202. Hofmann, A. (2013, June). EMDR in the treatment of Depression. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma-specific treatments like EMDR with depressive patients.
The presenter will report the status of research on the subject, and will talk about possible EMDR strategies that have shown to be useful in depressive patients.
Learning objectives: Understanding the relationship of trauma and depression; Creating a treatment plan for depressive patients following the AIP model; and Find strategies to deal with relapsing and chronic depression

Keywords: Depression  Research  

Accuracy Verified: Yes

203. Jarero, I., Artigas, L., Montero, M., & Lopez-Lena, L. (2008). The EMDR integrative group treatment protocol: Application with child victims of a mass disaster. Journal of EMDR Practice and Research, 2(2), 97-105. doi:10.1891/1933-3196.2.2.97.

Language: English

Format: Journal

Abstract:
The EMDR Integrative Group Treatment protocol (EMDR-IGTP) has been used in different parts of the world since 1998 with both adults and children after natural or man-made disasters. This protocol combines the eight standard EMDR treatment phases with a group therapy model, thus providing more extensive reach than the individual application of EMDR. In this study the EMDR-IGTP was used with 16 bereaved children after a human provoked disaster in the Mexican State of Coahuila in 2006. Results showed a significant decrease in scores on the Child's Reaction to Traumatic Events Scale that was maintained at 3-month follow-up. Although controlled research is needed to establish the efficacy of this intervention, preliminary results suggest that EMDR-IGTP may be an effective means of providing treatment to large groups of people impacted by large-scale critical incidents (e.g., human-provoked disasters, terrorism, natural disasters. [Author Abstract]

Keywords: Children  Death of Parent  Explosions  Females  Group Psychotherapy  Group Treatment  Human-Provoked Disaster  Industrial Accidents  Latin American  Males  Mexicans  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Survivors  School Age Children  Treatment Effectiveness  

Accuracy Verified: Yes

204. Jarero, I., Artigas, L., & Hartung, J. (2006). EMDR integrative group treatment protocol:  A postdisaster trauma intervention for children and adults. Traumatology, 12(2), 121-129. doi: 10.1177/1534765606294561.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is recognized as an effective and efficient treatment for trauma-related issues. This article describes an integrated EMDR and group treatment for children and adults traumatized by natural disasters in several Latin American countries. This protocol combines the eight standard EMDR treatment phases with a group therapy model. The hypothesis is that the resulting hybrid offers more extensive reach than did the original EMDR model, which was intended for use with individuals, and takes treatment efficacy and efficiency well beyond that expected from traditional group process. To illustrate the application of the model, one formally measured field study and nine pilot projects are described. The promising results of this intervention suggest that EMDR is an effective means of providing treatment to large groups of people impacted by large-scale traumatic events (e.g., natural disasters). Controlled research is needed to clarify this issue.

Keywords: Children  Latin America  Natural Disaster  Posttraumatic Stress Disorder  PSTD  Trauma  

Accuracy Verified: Yes

205. Artigas, L., Jarero, I., Alcala, N., & Cano, T. L. (2009). The EMDR intregrative group treatment protocol (IGTP). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 279-288). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The effectiveness of EMDR with trauma survivors has been widely reported. Studies support the use of EMDR in the treatment of symptoms caused by trauma in children and adolescents, and they have evaluated the usefulness of EMDR following disaster events Group therapy is a well-proven form of treatment for traumatized children and adolescents. The EMDR Integrative Group Treatment Protocol (IGTP) combines the Standard EMDR treatment Phases 1 through 8 with a Group Therapy model. Designed initially for work with children, the EMDR-IGTP has also been found suitable for group work with adults. The EMDR Integrative Treatment Protocol Script is provided. (PsycINFO Database Record (c) 2009 APA, all rights reserved)

Keywords: Adolescents  Children  Disaster  EMDR Integrative Group Treatment Protocol  Group Therapy  Trauma  Trauma Survivors  

Accuracy Verified: Yes

206. Maxfield, L. (2009). EMDR milestones: The first 20 years. Journal of EMDR Practice and Research, 3(4), 211-216. doi:10.1891/1933-3196.3.4.211.

Language: English

Format: Journal

Abstract:
This article provides an overview of significant milestones in EMDR history over the first 20 years. A chronological outline lists key events, documenting important publications, conferences, and humanitarian efforts. This is followed by a list of countries in which EMDR currently has an active presence.

Keywords: History  

Accuracy Verified: Yes

207. Amato, M. (2008, Novembre). EMDR nel servizio screening post-partum [EMDR in the post-partum screening service]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’attività è stata svolta presso l’U.O. di ginecologia-ostetricia di Lamezia Terme nella quale è stato attivato uno Screening sulla “Depressione in gravidanza e nel puerperio” che ha come obiettivo primario di individuare i soggetti vulnerabili alla depressione o PN- PTSD e di rilevare i fattori di rischio: vulnerabilità e/o scatenanti e i fattori protettivi. La gravidanza e il parto sono eventi fisiologici che segnano un periodo determinato del ciclo di vita di una donna. Sono eventi che attivano vissuti emotivi intensi e predispongono la donna ad una eccessiva sensibilità e vulnerabilità. In questo periodo la donna contatta e fa proprie una serie di processi identificativi assunti nell’infanzia che possono, se non bene rielaborati, bloccare il comportamento responsivo della futura madre con comportamenti non idonei e convizioni target inadeguate. Anche la presenza di eventi di vita stressanti possono sovraccaricare la donna a livello emotivo tale da strutturare comportamenti poco adattivi da provocare serie difficoltà nella gestione del bambino. Nel sistematizzare tale screening si è adoperato il metodo EMDR sia nell’ambito dell’assessment nella raccolta delle informazioni dal punto degli aspetti diagnostici con riferimenti alla mappa dei traumi, che nella cura nell’uso dei tices, taping, posto al sicuro in soggetti particolarmente vulnerabili. Tale metodologia si è dimostata efficace in quanto: • individua in brevissimo tempo il target delle difficoltà con i possibili traumi, • attiva i fattori di protezione con istallazione delle risorse positive, • desensibilizza e fluidifica gli stati emotivi intensi, • velocizza la risoluzione dei comportamenti disadattavi in comportamenti adattivi adeguati al maternage, al ben-essere della donna e della genitorialità.

The activity was held at the U. O. gynecology-obstetrics Lamezia Terme in which it was activated a screening on "Depression in pregnancy and childbirth" which has as main objective to identify those vulnerable to depression or PN-PTSD and to detect risk factors: vulnerability and / and protective factors or triggers. Pregnancy and childbirth are physiological events that mark a given period of the life cycle of a woman. They are events that trigger intense emotional experiences and predispose women to an excessive sensitivity and vulnerability. During this time she makes contact, and their identification processes undertaken a series of childhood that can, if not well elaborated, lock the responsive behavior of the mother with inappropriate behavior and inappropriate convictions target. The presence of stressful life events can overload the woman on an emotional level that structuring behavior just to cause serious problems in adaptive management of the child. In systematizing this screening method was used in EMDR is of the Assessment in collecting information from the diagnostic aspects with reference to the map of trauma care in the use of which tices, taping, safe place particularly in subjects vulnerable. This methodology is effective because it can show: • identify the target in the shortest time possible difficulty with trauma, • active protection factors with installation of positive resources, • desensitizes and liquify the intense emotional states, • speeds up the resolution of maladaptive behavior in adaptive behaviors adapted to mothering, the well-being of women and parenting.

Keywords: Post-Partum Depression  

Accuracy Verified: Yes

208. Jackson, J. (2002, April 8). EMDR offers new treatment for trauma. Nursing Spectrum -- New England Edition, 6(2), 17.

Language: English

Format: Magazine

Abstract:
His therapist felt that Jack could be helped by a relatively new therapy, Eye Movement Desensitization and Reprocessing (EMDR). EMDR was originated in 1987 and has become a recognized means of helping those dealing with the effects of traumatic events. EMDR-centered therapy allows the mind to heal from psychological trauma in much the same way that the body heals from physical trauma. If an infection or foreign body interferes with physical healing, medical treatment can allow the normal healing process to continue. EMDR works to unblock emotional trauma so that the mind's natural healing process can continue. (Excerpt)

Keywords: Practice  Theory  

Accuracy Verified: Yes

209. Purandare, M., Bhagwagar, H., & Tank, P. (2010, July). EMDR on children affected by the earthquake. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Efficacy of EMDR on Children Affected by Earthquake: The aim of the study was to investigate the efficacy of EMDR as an intervention technique for trauma victims. A sample of 50 students, studying in 10th grade, age ranging from 14 to 16 years were selected. The Impact of Event Scale (IES) was administered to measure the intensity of trauma experienced. A pre-post test research design was used in the study. The results were in the predicted direction. EMDR was found to be effective in reducing avoidance, intrusion and hyper arousal as well as overall impact of trauma. “Group EMDR With Earthquake Survivors” The current study is an attempt to understand the impact of a specific traumatic events and its expression in children i.e. the earthquake that occurred in Gujarat, Western India in January 2001. This study was a part of the therapy work conducted with the survivors of the earthquake by the group of 40 practitioners from Mumbai and was over 4 months. The paper will present the following aspects: 1. The symptoms seen among the children depicting PTSD as per DSM IV criteria. Signs of Hyper-arousal, Avoidance and Intrusion were clearly seen especially in children 2. The process used. This was a modified version of the standard 8 phase protocol appropriate for use with group work. Butterfly hugs were used as BLS. Stages of EMDR for this group: 3. Observations and a few unique experiences These include blocking of trauma image, difficulty in safe place visualizing, difficulty in distancing and using creative techniques for soothing and relaxation. 4. Impact of the EMDR intervention with this group More than 16000 children from about 30 schools were seen. based on observations and reports by teachers during the follow up showed reduction in anxiety, reports of life resembling pre-earthquake, improved attention and concentration, better sleeping patterns and lowering of somatic complaints. Impact and expression of trauma in children exposed to the earthquake: The current study is an attempt to understand the impact of a specific traumatic event and its expression in children i.e. the earthquake that occurred in Gujarat, western India in January 2001. The Butterfly hug technique for bilateral stimulation was used following 8 steps of EMDR. Drawings of children were used as their expressions during different phases of EMDR. Drawings during “ Assessment phase” depicted feelings of insecurity, a sense of vacuum and emptiness, low energy levels, a desire for contact and help, feelings of guilt, poor body image, hypersensitivity was noticed almost universally and even during therapy. Drawings, following the processing and installation phases indicated the facial expression changed to a smile. Tears which were present in almost all drawings were not noted Positive cognitions were reflected in terms of the growth and freshness e.g. the newly growing grass. In spite of the various symptoms of post traumatic stress disorder, no gross disintegration of personality had been noted.

Keywords: Children  Earthquake  

Accuracy Verified: Yes

210. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Peterson and Seligman (1984) developed a theory based on the psychological characteristic of optimism. They discovered that a more pessimistic explanatory style is correlated with a deeper depression. The most optimistic explanatory style for a bad event is external, specific and temporary. For a good event the explanatory style is reverse. The pessimistic explanatory style evaluates the causes of bad and good events in the opposite way. Seligman and al (1990) administrated the Attribution Style Questionnaire (ASQ) to swimmers. After negative feedback, optimistic swimmers swim significantly faster compared to pessimistic swimmers. Goldwurm and al. 23 (2006) showed the efficacy of an optimism training proposed by Seligman. Andrew Leeds worked in 1997 on a new protocol known as Resource Development and Installation (RDI). This protocol has been reported to be useful in ego strengthening and stabilization. RDI protocol comes from EMDR that has been extensively researched and proven effective for the treatment of trauma even on athletes (Graham, 2004). An expansion of the basic EMDR protocol, called “EMDR Peak Performance protocol” has been developed by Lendl & Foster (1997) for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced by creative and performing artists, and for competition preparation and psychological recovery from injury in athletes. This orientation leads us to go on with a nonpathologizing view developing optimistic client’s potential with the elaboration of this new protocol that we call: the EMDR optimism protocol (Laizeau and Nousse 2008). It has been developed on the basis of a study lead on rugbymen and swimmers. The aim of our study was to show that this EMDR optimism protocol can easily improve athletic performance.

Keywords: Optimism Protocol  

Accuracy Verified: Yes

211. Montes-Berges, B., Aranda, M., Castillo-Mayén, M. del R. (2011). EMDR Para el tratamiento de estrés postraumático en casos de violencia de género [EMDR for treatment of PTSD in cases of domestic violence]. Universidad de Jaén, Jaén, Spain.

Language: English

Format: Dissertation/Thesis

Abstract:
Introducción: La violencia de género es uno de los problemas sociales más graves de nuestra sociedad tanto por su prevalencia (en el pasado año 2010 fueron asesinadas 74 mujeres, y se estima que alrededor del 11.1% de las mujeres andaluzas son maltratadas), como por las consecuencias psicológicas que conlleva en las víctimas. Objetivos: En el Gabinete de Psicología de la Universidad de Jaén, atendemos a las mujeres (alumnas, PAS o PDI o familiares de éstos) que han sido o aún son víctimas de violencia de género, con el objetivo prioritario de que superen las situaciones traumáticas y que estén preparadas emocional y cognitivamente para llevar una vida plena con el desarrollo máximo de sus capacidades. Durante la evaluación, entre otras escalas, las usuarias contestan al cuestionario sobre Síndrome de Estrés Postraumático (Echeburúa, Corral, Amor, Zubizarreta y Sarasúa, 1997), pues los episodios de violencia psicológica, sexual y física extrema que la mayoría de ellas viven, ocasionan en el 100% de los casos este síndrome de manera crónica y acusada. Metodología: Para tratar este síndrome se acomete el entrenamiento en técnicas de respiración y relajación y posteriormente el tratamiento con EMDR. Esta técnica consiste en el procesamiento de los sucesos que quedaron bloqueados por el miedo sentido en el momento en que ocurrieron, mediante la movilización de los ojos de manera simultánea a la escucha del episodio, tratando nuevamente de revivirlo. Aplicamos esta técnica con 5 pacientes. Resultados: En todos los casos las usuarias superaban la situación en 4 o 5 sesiones de 5 minutos cada una, de manera que posteriormente, informaron de que la situación ya no les producía tristeza ni dolor, y que la habían aceptado. Discusión: Estos resultados sugieren que esta técnica es eficaz y rápida en la intervención de sucesos traumáticos de violencia de género, por lo que resulta altamente recomendable para estos casos.

Introduction: Gender violence is one of the most serious social problems our society because of its prevalence (in the past year 2010 were killed 74 women, and it is estimated that about 11.1% of women are battered Andalusian), as for the psychological consequences on the victims involved. Objectives: In the Cabinet of Psychology, University of Jaén, we look at women (students, PAS or PDI or their relatives) who have been or still are victims of domestic violence, with priority objective of exceeding trauma and who are prepared emotionally and cognitively to lead a full life with the maximum development of their capabilities. During the assessment, including scales, users answer the questionnaire on PTSD (Echeburúa, Corral, Love, Zubizarreta and Sarasua, 1997), because episodes of psychological, physical and sexual extreme than most living, result in 100% of cases this syndrome chronically and charged. Methodology: To treat this syndrome is undertaken the training in breathing and relaxation techniques and subsequent treatment with EMDR. This technique consists in processing events that were blocked sense of fear at the time they occurred, by mobilizing the eyes simultaneously listening to the episode, trying to revive him again. We apply this technique in 5 patients. Results: In all cases the user exceeded the 4 or 5 position in 5-minute sessions each, so that subsequently reported that the situation no longer produce sadness or pain, and that the had accepted. Discussion: These results suggest that this technique is effective and fast intervention in the traumatic events of violence, so it is highly recommended for these cases.

Keywords: Domestic Violence  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

212. Maccarrone, B., & De Divitiis, A. M. (2008, Novembre). EMDR per eventi recenti - Un modello e un nuovo protocollo [EMDR to recent events - a model and a new]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Il ricordo di un trauma recente differisce da quello di un trauma avvenuto in un passato più distante, poiché è ancora frammentato e disorganizzato e quindi non si è ancora integrato all’interno di un evento coerente, pertanto potrebbe non essere ancora generalizzato e rappresentato da un’immagine. Questo è il motivo per cui per il trattamento terapeutico di eventi traumatici avvenuti da alcune settimane, o forse anche da pochi mesi, sarà necessario ricorrere ad un protocollo specifico che pur preservando l’integrità delle 8 fasi del protocollo EMDR standard, sia in grado di approcciare l’evento all’interno di un resoconto. In questo lavoro verrà descritto un protocollo, elaborato da Elan Shapiro e Brurit Laub per il trattamento dell’Episodio Traumatico Recente ( Recent Traumatic Episodi Protocol ; R-TEP), il quale approccia l’evento in termini di episodio intero (definito come il periodo che va dall’evento traumatico ad oggi) ed introduce una strategia per la scelta del target, da loro denominata “Google Search”. L’ipotesi è che l’assimilazione e l’integrazione dell’informazione traumatica avvenga ristabilendo la regolazione adattiva dell’attenzione; le relazioni parte/tutto si muovono attraverso catene associative nella direzione della differenziazione e integrazione puntando al completamento, nel senso dell’integrazione armonica delle esperienze negative e positive. L’elaborazione si muove da un ristretto focus sull’immagine (livello percettivo), ad un più ampio focus sull’evento /episodio (livello esperienziale), sino ad un focus esteso riferito al tema/identità (livello di significato). Il completamento dell’elaborazione di un trauma recente potrà prevenire lo sviluppo di un PTSD, ristabilendo l’Elaborazione Adattiva dell’Informazione (AIP).

The memory of a recent trauma differs from that of a trauma occurred in a past more distant it is still fragmented and disorganized and therefore not yet integrated in a event consistent, so it may not yet be generalized and represented by an image. That is why for the treatment of traumatic events that occurred some weeks, or maybe even a few months, you must use a specific protocol that even preserving the integrity of the 8 phases of EMDR standard protocol, is able to approach the event within a report.
In this paper we describe a protocol, developed by Elan Shapiro and Laub Brurit for Traumatic handling of the episode recently (Traumatic Recent Episodes Protocol, R-TEP) which approaches the event in terms of the whole episode (defined as the period from event traumatic present) and introduces a strategy for choosing the target, which they called "Google Search. The hypothesis is that the assimilation and integration of information occurs traumatic adaptive re-establishing control of attention, relations part/whole move through associative chains in the direction of differentiation and integration aiming at completion, harmonious integration in the sense of positive and negative experiences. Processing moves by a narrow focus on the image (perceptual level), to a broader focus on the event/episode (experiential level), up to an expanded focus refers to theme / identity (level of meaning).
Completing the development of a recent trauma may prevent the development of PTSD, restoring the Adaptive Information Processing (AIP).

Keywords: Recent Events Protocol  

Accuracy Verified: Yes

213. Jarero, I., Artigas, L., & Luber, M. (2011). The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context. Journal of EMDR Practice and Research, 5(3), 82-94. doi:10.1891/1933-3196.5.3.82.

Language: English

Format: Journal

Abstract:
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.

Keywords: Critical Incidents  Disaster Mental Health  Early EMDR Intervention  Natural Disaster  Posttraumatic Stress Disorder  PTSD  Recent Events  

Accuracy Verified: Yes

214. Jarero, I., & Uribe, S. (2011). The EMDR Protocol for recent critical incidents: Brief report of an application in a human massacre situation. Journal of EMDR Practice and Research, 5(4), 156-165. doi:10.1891/1933-3196.5.4.156.

Language: English

Format: Journal

Abstract:
This ongoing field study was conducted subsequent to the discovery of clandestine graves with 218 bodies recovered in the Mexican state of Durango in April 2011. A preliminary psychometric assessment was conducted with the 60 State Attorney General employees who were working with the corpses to establish a triage criterion and provide baseline measures. The Impact of Event Scale (IES) and the short posttraumatic stress disorder (PTSD) rating interview were administered, and the 32 individuals whose scores indicated moderate-to-severe posttraumatic stress and PTSD symptoms were treated with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI). Participants were assigned to two groups: immediate treatment (severe scores) and waitlist/delayed treatment (moderate scores). Each individual client session lasted between 90 and 120 minutes. Results showed that one session of EMDR-PRECI produced significant improvement on self-report measures of posttraumatic stress and PTSD symptoms for both the immediate treatment and waitlist/delayed treatment groups. This study provides preliminary evidence in support of the protocol's efficacy in a natural setting of a human massacre situation to a group of traumatized adults working under extreme stressors. More controlled research is recommended to evaluate further the protocol's efficacy.

Keywords: Human Massacre  PRECI  Posttraumatic Stress Disorder  Protocol for Recent Critical Incidents  PTSD  Recent Events  

Accuracy Verified: Yes

215. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50.

Language: English

Format: Journal

Abstract:
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to 32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued to work with the recovered corpses and were continually exposed to horrific emotional stressors, with ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention, reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in a human massacre situation. It appears that the treatment may have helped to prevent the development of chronic PTSD and to increase psychological and emotional resilience.

Keywords: Human Massacre  PRECI  Posttraumatic Stress Disorder  Protocol for Recent Critical Incidents  PTSD  Recent Events  

Accuracy Verified: Yes

216. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel.

Language: English

Format: Journal

Abstract: When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means. The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.

Keywords: ER  Recent Events  Wards  

Accuracy Verified: Yes

217. de Roos, C. & Veenstra, S. (2008, Februar/Juni). EMDR schmerzprotokoll (für aktuelle schmerzen) [EMDR (for current pain) pain protocol]. EMDRIA Deutschland e.V. Rundbrief, 15, 12-18.

Language: German

Format: Newsletter

Abstract:
Erinnerungen an traumatische Ereignisse oder schmerzbezogene Erinnerungen, die gegenwärtig noch negative Affekte hervorrufen und eine dysfunktionale Bedeutung haben, kann man zuvor mit Hilfe des Standardprotokolls prozessieren. Dieses EMDR Schmerzprotokoll wurde für aktuelle Schmerzen als Zielsymptom entwickelt. Die Zielsetzung dieses Schmerzprotokolls besteht in der Reduktion aktueller Schmerzen.

Memories of traumatic events or pain-related memories, currently still cause negative emotions and have a dysfunctional importance before one can litigate with the standard protocol. The EMDR Pain protocol was developed for current pain as a target symptom. The objective Minutes of this pain is the reduction of current pain.

Keywords: Current Pain  Pain Protocol  

Accuracy Verified: Yes

218. Sadatun, T. I. (2008, June). EMDR therapy for tsunami & armed conflicts survivors in Nanggroe Aceh Darussalam, Indonesia. Poster presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The Indonesian Province of Nanggroe Aceh Darusalam (NAD) is a region which is facing a unique set of problems, among which is the protracted internal conflict, exacerbated by the tsunami on December 26, 2004. These events have generated a widespread impact on the lives of the communities. One of the most crucial issues to be addressed aside from legal, security, social and economic problems is the matter of health, including mental health. In regards to mental health issues, comprehensive steps have been formulated into various mental health care programs. One of the most needed programs is establishment of an educational system rooted in Indonesia for the treatment of the posttraumatic stress syndrome (PTSD) of victims of crises and catastrophes through the implementation of specific methods of treatment with a focus on the introduction of EMDR. With great support from BMZ- TDH-Germany, HAP-Germany and Trauma Aid, capacity building on EMDR training has been developed. Even though EMDR is highly effective as trauma healing therapy it is also a complex treatment to be addressed in this specific population like in the province of NAD. Further than time constrain, limited numbers of trauma therapist available and high numbers of severe cases that urgently need to be treated, complexities also arises from cultural and religious aspects. The society in NAD is marked by decade long isolation, violent conflicts for political self-determination and the strict interpretation of the Islam. The Sharia (doctrine of the Islam including moral and judicial duties) was introduced as part of the laws. Due to this condition, for the time being stabilization technique in EMDR is the most common technique that can be of widely used. In this presentation, varieties of stabilization technique that have been used in this population will be addressed. More specifically, as culturally adjustable method in therapy, this presentation will also introduce several culturally acceptable stabilization techniques such as combining religious rituals (chanting, reciting) as personal resource with stabilization technique. These techniques might be useful for other population with similar culture and religion.

Keywords: Armed Conflicts  Nanggroe Aceh Darussalam, Indonesia  Poster  Survivors  Tsunami  

Accuracy Verified: Yes

219. Withers, D.  (2001). EMDR therapy in the group setting. The Children’s Group Association Newsletter.

Language: English

Format: Newsletter

Abstract:
I had been doing EMDR with children for a number of years for trauma and resultant anxiety, depression, sleep disorders, nightmares, hair pulling and a variety of symptoms, with excellent results. EMDR, or Eye Movement Desensitization and Reprocessing, is a powerful tool that seems to have a direct on the way the brain functions, reducing the disturbance of traumatic events and allowing the client to see them in a new and less distressing way. Researchers worldwide publishing in prestigious journals have shown its efficacy. Having a background in dance and movement therapy, I had previously developed an innovation, EMDR Bilateral Movement Therapy groups, for women with body image issues who are in 3rd stage trauma recovery. (Presented at the 1999 EMDRIA Conference). It was during a conversation with an EMDR trained child psychiatrist about these groups that I realized what a natural application they would have with ADHD children.

Keywords: ADHD  Attention Deficit Hyperactivity Disorder  Children  

Accuracy Verified: Yes

220. Oren, U., & Solomon, R. (2012). EMDR therapy: An overview of its development and mechanisms of action. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 197-203. doi:10.1016/j.erap.2012.08.005.

Language: English

Format: Journal

Abstract:
Introduction: This article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice. Elements of the literature: An overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy. Discussion: EMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges. Conclusion: EMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.

Keywords: Development  Mechanisms of Action  

Accuracy Verified: Yes

221. Knipe, J. (2012, June). EMDR toolbox [La Caja de herramientas en EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than seventeen published trials to be effective in the treatment of PTSD (Maxfield & Hyer, 2002). However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over long periods of time. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions. Dr. Knipe will present methods for identifying and treating specific dissociative symptoms with accompanying evidence from available research or case studies. He will offer EMDR “tools” that can be used to make the healing power of EMDR more available to clients who are avoidant, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. He will discuss the primary characteristics of clients with Complex PTSD, including problems with disrupted attachment and inappropriate psychological defenses. He will illustrate how to identify various Ego-­‐States and work with these within the Adaptive Information Processing Therapy Approach. Time will be available for participants to discuss difficult EMDR cases.

EMDR ha tenido un profundo efecto sobre la vida de muchos clientes y ha demostrado en más de diecisiete ensayos publicados, ser eficaz para el tratamiento del TEPT (Maxfield & Hyer, 2002). Sin embargo, la definición del DSM IV del TEPT está centrada en el incidente traumático único, mientras que en muchos de los clientes que buscan el alivio a través de la terapia su historial traumático incluye episodios traumáticos repetidos o que se extienden a lo largo de períodos prolongados de tiempo. Se ha propuesto el término TEPT complejo (Herman, 1992, van der Kolk, 2005) para describir un patrón de efectos negativos derivados una situación de estrés prolongado e intenso que ha aparecido principalmente en la infancia. Este taller estará centrado en describir el marco teórico y las “herramientas” terapéuticas específicas que pueden ser necesarias para proporcionar , dentro del modelo de procesamiento adaptativo de la información de EMDR, una terapia eficaz a los individuos que sufran de un cuadro de TEPT complejo. Los conceptos importantes y las intervenciones concretas que se realizan serán ejemplificadas mediante ejemplos en vídeo y mediante transcripciones de sesiones de terapia. El Dr. Knipe presentará diversos métodos que permitan identificar y tratar los síntomas disociativos específicos, los cuales irán acompañado de la evidencia de que se dispone procedente de la investigación existente o de los estudios de casos. Ofrecerá, además, aquellas “herramientas”de EMDR que pueden ser empleadas para que el poder sanador del EMDR esté más disponible para aquellos clientes con comportamientos evitativos y/o que son extremadamente sensibles a experimentar abreacciones disociativas, vergüenza crónica o conceptos idealizados de sí mismos o de los demás no realistas. Comentará también cuales son las características principales de los pacientes que padecen de TEPT complejo, entre los que se incluyen los vínculos afectivos perturbados y los mecanismos de defensa psicológica inadecuados. Ilustrará, igualmente, cómo poder identificar los diversos estados del ego que se producen y cómo trabajar con ellos en el marco del procesamiento adaptativo de la información. Se dispondrá de un tiempo adicional para comentar con los participantes los casos difíciles que se presenten con EMDR.

Keywords: EMDR Toolbox  

Accuracy Verified: Yes

222. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over many years. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD, C-PSTD  Dissociative Personality Structure  Psychological Defenses  Toolbox  

Accuracy Verified: Yes

223. de Roos, C., & de Jongh, A. (2008). EMDR treatment of children and adolescents with a choking phobia. Journal of EMDR Practice and Research, 2(3), 201-211. doi:10.1891/1933-3196.2.3.201.

Language: English

Format: Journal

Abstract:
Given the limited number of reported cases in literature, it might be concluded that it is rare to develop a choking phobia in childhood. However, it appears as though confusion in terminology and the time lapse between the onset of the disorder and treatment often results in the diagnosis being missed. In this article, we discuss a review of the clinical symptoms, differential diagnosis, comorbidity, etiology, and treatment options for choking phobia. We present a case series, describing the successful EMDR treatment of choking phobia for 4 children and adolescents, with positive outcomes achieved in 1 or 2 sessions. In addition, a detailed transcript is presented of a 15-year-old girl with a choking phobia related to an incident that occurred 5 years previously. The rapid elimination of symptoms in all 4 cases indicates that EMDR can be an effective treatment for choking phobias resulting from previous disturbing events. Randomized research on this promising intervention is strongly suggested.

Keywords: Adolescents  Children  Choking Phobia  Specific Phobia  

Accuracy Verified: Yes

224. Cvetek, R. (2008). EMDR treatment of distressful experiences that fail to meet the critieria for PTSD. Journal of EMDR Practice and Research, 2(1), 2-14. doi:10.1891/1933-3196.2.1.2.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is thought to successfully treat not only PTSD but also other psychiatric disorders and mental health problems inasmuch as these have experiential contributions. This randomized clinical trial investigated the effects of treatment of distressful experiences (or small "t" trauma) that fail to meet the criteria for PTSD. Three hours of a slightly adapted form of EMDR were compared to active listening (attentional placebo, also 3 hours) and wait list. Results with 90 participants showed that EMDR produced significantly lower scores on the Impact of Event Scale than active listening or wait list. EMDR also resulted in a significantly smaller increase on the State-Trait Anxiety Inventory (State subscale) after memory recall. Some limitations and implications of findings are discussed. [Author Abstract]

Keywords: Dysfunctionally Stored Stressful Experiences  Effectiveness  Life Experiences  Random Clinical Trial  RCT  Slovenes  Small “T” Trauma  Survivors  Treatment Effectiveness  Young Adults  

Accuracy Verified: Yes

225. Manon, M. (2007). EMDR Treatment of family abuse: Eye movement to "I" movement. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 95-110). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing Model  Child Abuse  Cognitive Processes  Early Memories  Family Abuse  Family Systems Perspective  Memories  

Accuracy Verified: Yes

226. Maxfield, L. (2008). EMDR treatment of recent events and community disasters. Journal of EMDR Practice and Research, 2(2), 74-78. doi:10.1891/1933-3196.2.2.74.

Language: English

Format: Journal

Abstract:
This special issue on eye movement desensitization and reprocessing (EMDR) treatment of recent events and community disasters gathers information on the application of EMDR in situations of extreme chaos, disaster, violence, and war. The authors provide a global perspective, writing from Israel, Palestine, the United Kingdom, Sri Lanka, the United States, Italy, and Mexico. They describe the effectiveness and utility of EMDR in treating severe distress subsequent to experiences of overwhelming terror, loss, and despair. This is a vital topic, suggesting the possibility of reducing exceptional emotional disturbance, helping restore function and stability to individuals and communities. The reports from these authors are encouraging and hopeful, stimulating thought and suggesting direction and guidance for future research. (Excerpt)

Keywords: Community Disasters  Recent Events  Treatment  

Accuracy Verified: Yes

227. Shapiro, E. (2009). EMDR treatment of recent trauma. Journal of EMDR Practice and Research, 3(3), 141-151. doi:10.1891/1933-3196.3.3.141 .

Language: English

Format: Journal

Abstract:
Although eye movement desensitization and reprocessing (EMDR) has demonstrated efficacy in treating chronic posttraumatic stress disorder and old trauma memories, EMDR treatment of recent traumatic events has not received adequate attention from EMDR researchers or clinicians. This article presents current thinking and findings about early psychological intervention following recent traumatic events and examines the status of early EMDR intervention (EEI) concepts and research. It is contended that this area has not developed sufficient awareness and definition among EMDR clinicians. Francine Shapiro's theoretical adaptive information-processing model predicts that dysfunctionally stored trauma memories underlie many current psychological disorders. Consequently, the assumption that memories of a recent traumatic event and its sequelae are not fully consolidated offers a unique role for EEI not only in reducing acute distress but also in preventing the sensitization and accumulation of trauma memories. A call is made for a more comprehensive approach to the field of EEI to promote interest and awareness among EMDR practitioners and to generate research.

Keywords: Acute Stress Disorder  ASD: Early EMDR Intervention  Early Psychological Intervention  EEI  Prevention of Posttraumatic Stress Disorder  Prevention of PTSD  Recent Trauma  

Accuracy Verified: Yes

228. Haour, F., Meignant, I., & De Beaurepaire, C. (2012, June). EMDR treatment of sexual traumas in a child offender [Tratamiento EMDR de traumas sexuales en un pedófilo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Child offenders have been abused 3 to 6 time more than controls during childhood and these figures are probably grossly underestimated. Most of them exhibit all or many symptoms of Post Traumatic Stress Disorders (PTSD) in association with anxiety-­‐depression-­‐addiction. TCC treatments are useful but with limited efficacy (Brooks-­‐ Gordon B et al, Journal of forensic Psychiatry and Pathology, 2006; 17:442-­‐466). The treatment by the EMDR approach of the traumatic memories should be beneficial to these patients. Previous work (Ricci RJ et al, Journal of forensic Psychiatry and Pathology, 2006; 17:538-­‐562) has provided preliminary results in child molesters. Clinical Case: A 40 years old male convicted and jailed for sexual abuse (pedophilia) at 33 years of age. He lives with a wife and a son (9 year old) and has a regular job. His medications are: antipsychotic, antidepressor, antiepileptic, anxiolytic and anti androgens. He sees regularly a psychologist but is submitted to anxious attacks and pedophilic desires. He usually needs to be hospitalized several weeks twice a year. Following assessment and psychological evaluation (DSM IV, PCLS, SOS, BECK 21, DES) and case conceptualisation, the traumatic events were desensitized and reprocessed through EMDR treatment: rape and sexual abuse by an older brother from 5 to 12, familial humiliations, rape under threat, at 11 year of age by an adult, accusation by a 13 years old partner at 33 years of age, prison, trial, etc. The themes of the first 8 EMDR sessions (first 3 months) were: helplessness/control, danger/ security, and will be exposed in details. The changes in the patient appreciation of himself and his symptoms were followed during this period. A sharp decline in the anxiety scores (Beck 21) and a rapid increase in the SOS (Schwartz outcome scale: quality of life) were observed. At the same time the pedophilic desires were disappearing. This allowed the psychiatrist to reduce the antiandrogenic treatments as well as antipsychotic, antiepileptic and antidepressor. Nine month after the beginning of therapy the patient was without antiandrogens. The SOS scores remained high but episodes of anxiety and depression were still present (9 to 12 months after beginning of EMDR treatment). In conclusion, desensitization of traumatic memories lied to a dramatic improvement of anxiety and changes in sexual desire in a man convicted for pedophilia.

Los abusadores sexuales han sido, durante la infancia, víctimas de abusos sexuales de 3 a 6 veces más que los controles y estos datos están lejos de aproximarse a un dato real. Muchos de ellos exhiben todos o muchos, síntomas del Trastorno de Estrés Post-­‐traumático (TEPT) en asociación con ansiedad, depresión o adicciones. Los tratamiento TCC son útiles pero de limitada eficacia. (Brooks-­‐ Gordon B et al, Journal of forensic Psychiatry and Pathology, 2006; 17:442-­‐466). El tratamiento a través de EMDR de los recuerdos traumáticos debería ser beneficioso para el paciente. En trabajos previos (Ricci RJ et al, Journal of forensic Psychiatry and Pathology, 2006; 17:538-­‐562) han mostrado resultados preliminares en pedófilos. Caso Clínico: Un convicto varón, 40 años, entró en la cárcel por abusos sexuales (Pedofilia) a la edad de 33 años. Vive con su mujer y su hijo (9 años de edad) y posee un trabajo estable. Su tratamiento farmacológico es: Antipsicóticos, antidepresivos, antiepilépticos, ansiolíticos y anti-­‐andrógenos. Muestra un patrón psicológico regular pero está supeditado a ataques de ansiedad y deseos pedófilos. Normalmente necesita ser hospitalizado durante varias semanas 2 veces al año. Siguiendo las tareas y la evaluación psicológica (DSM IV, PCLS, SOS, BECK 21, DES), conceptualización del caso, los eventos traumáticos donde se ha aplicado el tratamiento EMDR: Violación y abuso sexual por su hermano mayor desde los 5 hasta los 12 años, humillaciones familiares, violación bajo amenaza por un adulto a la edad de 11 años., acusación por un niño de 13 años, ingreso en prisión, juicio… Las temáticas en las primeras 8 sesiones de EMDR (los primeros 3 meses) fueron: Desesperanza/Control, peligro/ Seguridad, y serán expuestas en detalle. Se hizo un seguimiento de los cambios apreciados por el paciente y sus síntomas. Una fuerte bajada de las puntuaciones en ansiedad (Beck21) y un rápido aumento de la SOS (Schwartz outcome scale: quality of life) fueron observadas. Al mismo tiempo que los deseos pedófilos iban desapareciendo. Esto permitía al psiquiatra reducir los tratamiento antiandrogénicos, antiepilépticos, antidepresores y antipsicóticos. Nueve meses más tarde del comienzo del tratamiento el paciente abandonó los antiandrógenos. Las puntaciones del SOS seguían altas pero los episodios de ansiedad y depresión seguían presentes (de 9 a 12 meses después del tratamiento EMDR) En conclusión, desensibilizar recuerdos dramáticos ligados a una espectacular mejora de la ansiedad y cambios en el deseo sexual del convicto por pedofilia.

Keywords: Child Offenders  Sexual Trauma  

Accuracy Verified: Yes

229. Rost, C., Hofmann, A., & Wheeler, K. (2009). EMDR treatment of workplace trauma: A case series. Journal of EMDR Practice and Research, 3(2), 80-90. doi:10.1891/1933-3196.3.2.80.

Language: English

Format: Journal

Abstract:
Violence and aggression in the workplace is an increasing international concern. No studies have yet determined the most efficacious psychotherapeutic strategies to alleviate the consequences of workplace violence, and none have identified interventions that might fortify workers who are repeatedly exposed to danger. This case series describes the eye movement desensitization and reprocessing (EMDR) treatment of seven bank employees and one transportation worker who suffered repeated acute traumatization. The Impact of Events Scale, the Post-Traumatic Stress Syndrome 10-Questions Inventory, and the Beck Depression Inventory were used to measure changes in symptom severity. Results showed that EMDR effectively reduced symptoms and may provide a possible protective buffer in situations of ongoing workplace violence.

Keywords: Bank Robbery Trauma  Resilience  Workplace Violence  

Accuracy Verified: Yes

230. Shapiro, F. (2002). EMDR treatment: Overview and integration. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 27-55). Washington, DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
EMDR is not viewed as a panacea but rather as a comprehensive approach to be applied to experiential contributors of disorder and self-enhancement. The information-processing model that governs EMDR practice invites clinicians to view the overall client picture to identify the past events that contribute to the dysfunction, the present events that trigger disturbance, and the skills and internal resources that need to be incorporated for healthy and adaptive living in the future. The approach to the clinical picture is termed the adaptive information-processing model. It was previously termed the accelerated information-processing model because the rapid learning and transmutation of characteristics can take place without the time limitations accepted and imposed on the previous traditional therapies. [Text, p. 27]TOPICS TREATED: Eight phases of treatment (client history and planning; preparation; assessment; desensitization; installation; body scan; closure; re-evaluation); Adaptive information processing (mimicking spontaneous processing; case study); Future explorations

Keywords: Adults  Cognitive Therapy  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Stressors  Survivors  

Accuracy Verified: Yes

231. Wintersperger, S. (2008, September). EMDR und psychoanalyse [EMDR and psychoanalysis]. Pre-Congress am 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich.

Language: German

Format: Conference

Abstract:
EMDR wurde als ein Verfahren entwickelt, um belastende/traumatische Erinnerungen nachträglich zu verarbeiten/integrieren. Phase 4 des EMDR- Standardprotokolls, das sogenannte „Prozessieren“ hat hierbei eine zentrale Bedeutung, es ist ein spezifisches Kernstück in der EMDR-Behandlungstechnik. Es handelt sich dabei um eine gezielt in Gang gesetzte besondere Form des assoziativen „Denkens“, (das neurobiologisch gesprochen ein „subkortikales Denken“ ist), welches an das Freie Assoziieren in der Psychoanalyse erinnert.

EMDR was developed as a method to integrate process stressful / traumatic memories later /. Phase 4 of the EMDR standard protocol, the so-called "litigation" has a central role here, there is a specific key instrument in the EMDR treatment technology. This is a deliberately set in motion particular form of associative "thinking" (which is spoken a neurobiological "subcortical thinking"), which commemorates the free associating in psychoanalysis. Based on this observation I would make the attempt, on the one hand against the background Psychotraumatological concepts of integration and the other along the dimension of psychoanalytic concepts of insight and change illustrate this phenomenon. My working hypothesis is: The KH-views and treatment concepts of psychoanalysis and the neurobiological findings of psycho trauma are not incompatible in the focal point of change, he is now litigating or free association, faces some of the ways. As a conclusion I'm going to answer the question, can be combined if and under what conditions the EMDR treatment technique of psychoanalytic psychotherapy.

Keywords: Psychoanalysis  

Accuracy Verified: Yes

232. Chomin, L. A. (2009, February 22). EMDR unlocks traumatic events frozen in time. Observer & Eccentric, B8.

Language: English

Format: Newspaper

Abstract:
Complicated grief is one of traumatic events in which Eye Movement Desensitization and Reprocessing (EMDR) can be used to unlock and resolve disturbing events that remain frozen in time. Chaloux had been partying with a friend on Super Bowl Sunday and missed the call that his grandmother was dying. Family thought his presence might have strengthened her her will to live since the two were close. Chaloux's grandmother helped raise him.

Keywords: Complicated Grief  David Breeden  General  Overview  

Accuracy Verified: Yes

233. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India .

Language: English

Format: Conference

Abstract:
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization; speed 1 deals with desensitizing future fears; speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation. If they slow down, it is because they have good enough reasons, whether conscious or not. What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”

Keywords: Gearbox  

Accuracy Verified: Yes

234. Zobel, M. (2010, June). EMDR with alcohol addicted patients with comorbid PTSD in a treatment facility for alcoholism - experiences, outcome, perspectives. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Patients with alcohol addiction often report sexual abuse and neglect in childhood and/or other traumatic events during lifetime. In addiction treatment facilities symptoms of PTSD are frequently not treated, because there is no sufficient method. which could be completed within the addiction treatment period? The lecture will inform about an ongoing scientific project dealing with the question, if EMDR is an intervention, which is equal or superior to common multimodal stabilizing interventions. The project is supported by the Deutsche Rentenversicherung Bund. Patients with alcohol addiction and comorbid PTSD are divided into two groups: EMDR or multimodal therapy including stabilizing methods. Prevalence of PTSD-symptoms is measured before and after intervention and one year after treatment. Up to date nearly 90 Patients with alcohol addiction and PTSD have been treated. Data indicate, that both trauma treatments are effective but that EMDR leads to a significant larger decrease in trauma symptoms. The results of the one year after treatment evaluation are presented and discussed. Educational objectives: Addiction therapy in a treatment facility can be effectively combined with trauma therapy. EMDR is an effective method in the treatment of patients with alcohol addiction and comorbid PTSD. Most patients with alcohol addiction and PTSD show multiple trauma and need a prolonged period of treatment. What's new? There are only few studies in Germany, which have investigated the effects of EMDR in a sample of alcohol addicted patients. The presented study includes a follow up evaluation one year after treatment (currently in progress), which rarely is the case in research on EMDR-effectiveness.

Keywords: Alcoholism Treatment  Comorbid Posttraumatic Stress Disorder  Comorbid PTSD  Symposium  

Accuracy Verified: Yes

235. Amman, B. (2013, June). EMDR with bipolar disorder. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Research of the last decade suggests a decisive role of traumatic events on the onset and on the course of severe mental disease, especially affective disorders. The robustness of this data has been largely ignored by the psychiatric community, also due to a striking lack of trials designated to traumatized patients with severe mental disease. With this workshop we aim to create awareness on that issue by reviewing existing evidence of the impact of trauma on the patients’ life with severe mental disease. We also will show first controlled data of EMDR in instable, traumatized bipolar patients, with a focus on its effect on trauma and mood stabilization. Furthermore, we will present for the first time a Spanish Bipolar EMDR protocol as direct result of the above-mentioned study; to highlight practical details of this protocol, we also will discuss two cases of the study in an interactive way with the audience.
Learning objectives: Trauma in severe mental disorder is so far not adequately recognized and treated by therapists; Understanding the role of trauma in severe mental disorder, with a focus on bipolar disorder; Results of a first controlled pilot study of instable bipolar patients suggest that EMDR reduces effectively trauma symptoms and trauma load; and Results also suggest that EMDR stabilizes better the mood of subsyndromal, instable bipolar patients than a control group.

Keywords: Bipolar Disorder  

Accuracy Verified: Yes

236. Lovett, J. M. (1995, June). EMDR with Children: Eleven months to eleven years. Presentatioj at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
There are special considerations when treating children for critical incidents, anxiety, or other "EMDR amenable" conditions. Especially challenging for EMDR practitioners, young children may not be able to verbalize their thoughts, feelings, or beliefs children old enough to understand treatment options may choose to keep their symptoms rather than experience temporarily increased anxiety during treatment. Even cooperative children may not be able to identify a positive cognition because their life experience and/or cognitive development have not yet permitted resources for self-soothing or making sense of life changing events. Furthermore, children are dependent on an adult or family for their physical safety and emotional wellbeing. Although the child may be the "identified patient," the parents' own post-traumatic beliefs may be triggering the child's symptoms, and a successful outcome for the child may depend on the parents' reprocessing of traumatic material. Case studies will be presented to illustrate how the EMDR practitioner workmg with children can integrate EMDR techniques with play therapy, use "EMDR enhanced" games, choose an appropriate positive cognition for a young child, introduce creative interweaves to reach trauma resolution, and work with parents to separate their PTSD triggers from their child's behavior.

Keywords: Children  

Accuracy Verified: Yes

237. Glenn, S. (2011, March). EMDR with deaf clients. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol .

Language: English

Format: Conference

Abstract:
This presentation will outline the utilisation of EMDR with deaf clients exploring the challenges it presents for clinicians whilst exploring the potential for EMDR. Through the use of case examples this session will outline the ways in which EMDR needs to be adapted for this population Many clinicians struggle with Cognitive Behavioural Therapy (CBT) with d/Deaf clients due to some of the abstract ideas used and the heavy reliance on spoken language. Many people, both hearing and deaf find it difficult to think about thinking, and develop levels of insight into their emotions and behaviours simply by talking about them. Deaf people experience trauma and abuse at a much higher rate than hearing people, but there are few established therapies to help them. As Deaf people do not pick up all of the auditory stimuli it is likely that the trauma or difficult experiences that bring them to therapy may have been stored visually or kinaesthetically rather than linguistically. Trauma may also be caused by smaller events due to lack of information available to them. EMDR is an evidence based therapy that attempts to resolve emotional reactions to traumatic memories and their triggers. It does this through a combination of physical stimulation and the recollection and discussion of memories. As such, it seems ideally suited for use with people who are Deaf and have experienced trauma in their past. I describe how EMDR lends itself for successful use with Deaf clients and their families, giving two brief case examples where I used EMDR with Deaf children in British Sign Language.

Keywords: Children  Deafness  Hearing Impairment  

Accuracy Verified: Yes

238. Boèl, J. (1997). EMDR with trauma survivors in Mexico:  In the aftermath of Hurricane Paulina with the Mexican Association for crisis therapy in Acapulco. EMDR Humanitarian Assistance Programs.

Language: English

Format: Other

Abstract:
Hurricane Paulina ravaged Acapulco, Mexico, in October of 1997. Two weeks of torrential rains, floods and landslides followed. At least 2500 people died. In one poor neighbourhood on the banks of what had been an almost dry riverbed, 400 people were buried alive before they could escape or be rescued. Despite acts of incredible heroism which occurred during the hurricane and floods and in the following days, the initial rescue efforts were hampered by the lack of infrastructure for emergencies of such scale. The firemen worked alongside volunteers for 15 days taking only 'cat naps' in their trucks. They received no psychological debriefing from the horrors they witnessed until three months later, when Dr. Ignacio Jarero and I (as members of the Mexican Association for Crisis Therapy core team met to debrief with them. Some of the most stalwart rescuers with whom we spoke still had recurring images of partial corpses of children stuck in trees and bodies of pregnant women floating along the main streets of old Acapulco.

Keywords: Acapulco  Butterfly Hug  Children: Hurricane Pauline  Mexico  Recent Events  

Accuracy Verified: Yes

239. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades.

Language: Spanish

Format: Book

Abstract:
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas. Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.

During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.

Keywords: Dissociation  

Accuracy Verified: Yes

240. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain.

Language: Spanish

Format: Conference

Abstract:
El EMDR se ha desarrollado como una psicoterapia integrada que se ha utilizado a nivel mundial en la última década como tratamiento empíricamente validado para el trauma. A lo largo de este tiempo, se ha hecho evidente que es posible aliviar el sufrimiento, ayudar a parar el ciclo de la violencia y abordar los devastadores efectos de la transmisión generacional. Este acercamiento psicoterapéutico utiliza un protocolo de tratamiento para acceder a los sucesos vitales perturbadores, los disparadores actuales y las experiencias futuras proyectadas, y procesarlas con una resolución adaptativa (Shapiro, 2002). Se accede a todos los aspectos de la experiencia (imaginación, creencias, afecto y sensaciones corporales), mientras de forma simultánea se da estimulación dual de la atención, por movimientos oculares bilaterales, tonos o estimulación táctil. El procesamiento de las memorias perturbadoras indica un cambio simultáneo en la cognición, el afecto y las sensaciones físicas, dando como resultado una integración adaptativa de la experiencia. Este acercamiento integra elementos de distintas escuelas de psicoterapia, haciendo del EMDR aplicable a una enorme variedad de patologías y accesible a terapeutas de distintas orientaciones dentro de una serie de protocolos estandarizados (Van der Kolk, B., 1997). En esta presentación exponemos las líneas generales de este modelo psicoterapéutico a partir de la descripción del protocolo básico en EMDR que se estructura en ocho fases: 1) Recopilación sobre la historia del cliente; 2) preparación del cliente para el trabajo a realizar; 3) valorar todos los componentes de la diana de tratamiento 4) desensibilizar el material traumático objeto de la diana mediante la estimulación bilateral; 5) instalar la cognición positiva identificada; 6)revisar el cuerpo para localizar cualquier material residual sin resolver; 7) cierre de la sesión y 8) reevaluación del impacto del evento reprocesado.

EMDR has been developed as an integrated psychotherapy has used worldwide in the last decade as a treatment empirically validated for trauma. Throughout this time, it has become evident it is possible to alleviate suffering, help stop the cycle of violence and address the devastating effects of the generational transmission. This approach uses a psychotherapeutic treatment protocol accessing disruptive life events, current triggers and projected future experiences, and process them with a resolution Adaptive (Shapiro, 2002). Access to all aspects of the experience (Imagination, beliefs, affection and bodily sensations), while in simultaneously gives dual attention stimulation for movement bilateral eye tones or tactile stimulation. The processing of memories disturbing indicates a simultaneous change in cognition, affection and physical sensations, resulting adaptive integration experience. This approach integrates elements from different schools of psychotherapy, doing the EMDR applicable to a wide variety of pathologies therapists and accessible to different orientations within a range of standardized protocols (Van der Kolk, B., 1997). In this paper we present the outlines of this model psychotherapeutic from the description of the basic EMDR protocol which is divided into eight phases: 1) collection on the history of the client; 2) preparing the client for the work to be performed, 3) evaluate all components treatment of the target 4) desensitize traumatic material object of the target by bilateral stimulation; 5) install cognition positively identified; 6) reviewing the body to locate any residual material unresolved; 7) logoff and 8) reassessment of the impact of reprocessed event.

Keywords: Adaptive Information Processing  AIP  

Accuracy Verified: Yes

241. Johannesson, K. B. (2001, April). EMDR – psychotherapy in posttraumatic stress syndrome in young people. Swedish Council on Health Technology Assessment in Health Care (SBU), Stockholm, Sweden.

Language: English

Format: Other

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents. Patient Benefits, Risks, and Side Effects Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.

Keywords: Posttraumatic Stress Disoder  PTSD  Young People  

Accuracy Verified: Yes

242. Mevissen, L., & Lievegoed, L. (2012, June). EMDR, a healing pathway also for people with Autism? [Mevissen]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Autism is characterized by impairment in information processing, with direct consequences for the AIP in EMDR as a result. This core impairment in autism strongly influences attachment development, relation to and communication with others, sense of self, relation to the own body and thus to bodily senses, functioning of the sensory system (hypo or hyper), view on the world, development of cognitive schemata and development of the stress system. People with autism are easily traumatized, even by 'small-­‐small-­‐t events'. Often a single trauma leads to complex traumatization. Because PTSD symptoms mimic symptoms of autism, 'diagnostic overshadowing' is a frequently seen phenomenon. This is even more the case in clients with some form of intellectual disability. In this workshop several cases of people with autism treated with EMDR will be presented and discussed, with the use of abundant video material: cases in which treatment is influenced by the autism, as well as cases in which the diagnosis 'autism' no longer fits after treatment of PTSD symptoms, or the other way round when a client referred for PTSD shows up in the course of treatment as having an autism spectrum disorder. Autism has consequences for all phases of the 8 phase 3 pronged therapy model of EMDR. This workshop emphasizes on the creative implementation of the core principles of EMDR in the treatment of people with various autism spectrum disorders.

El autismo se caracteriza por un impedimento del procesamiento de la información y, por tanto, con consecuencias directas para el SPIA en EMDR. Este impedimento fundamental en el autismo incide fuertemente en el desarrollo del apego, las relaciones y la comunicación con terceros, sentido del yo, la relación para con el propio cuerpo y, por ende, con los sentidos corporales, el funcionamiento del sistema sensorial (hipo o hiper), con su visión del mundo, el desarrollo de esquemas cognitivos y con el desarrollo del sistema del estrés. Las personas con autismo sufren traumatización con facilidad, incluido como consecuencia de 'sucesos con t minúscula'. A menudo, un único trauma conduce a una traumatización compleja. Dado que los síntomas de TEPT imitan los síntomas del autismo, 'el eclipse diagnóstico' es un fenómeno frecuente, aún más entre clientes que sufren algún tipo de discapacidad intelectual. En este taller, se presentará y se hablara de varios casos de personas con autismo que han sido tratados con EMDR, sirviéndose de mucho material en vídeo: aquellos casos en los que el tratamiento se ve afectado por el autismo, así como aquellos en los que el diagnóstico de 'autismo' deja de ser apropiado tras el tratamiento de los síntomas de TEPT o viceversa cuando en el transcurso del tratamiento, resulta que un cliente derivado por TEPT presenta un trastorno del espectro autista. El autismo tiene consecuencias en todas las fases del modelo terapéutico de EMDR que consta de 8 fases que trabajan en tres contextos. Este taller resalta la implantación creativa de los principios fundamentales del EMDR en el tratamiento de personas que sufren trastornos del espectro autista.

Keywords: Autism  

Accuracy Verified: Yes

243. Slootstra, F. (2011). EMDR, het wonder van een zichzelf genezend brein [EMDR, the miracle of self-healing brain]. Maastricht: Shaker Media.

Language: Dutch

Format: Book

Abstract:
Inleiding in EMDR, een eenvoudige therapeutische behandelmethode die ingezet kan worden wanneer men blijvend last heeft van traumatische gebeurtenissen.

Introduction to EMDR, a simple therapeutic method that can be used when permanently suffer from traumatic events.

Keywords: Trauma  

Accuracy Verified: Yes

244. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations:  Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.

Keywords: 9/11  Disaster  Ego State Therapy  September 11th  Survivors  World Trade Center  WTC  

Accuracy Verified: Yes

245. Morris-Smith, J. (2002). EMDR: A case for pre-verbal memory?. In J. Morris-Smith, (Ed.), EMDR : Clinical applications with children, Occasional paper no. 19 (pp. 23-29) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
The use of EMDR with children aged 4 years and over who have been exposed to physical abuse, disasters and other traumatic incidents in their infancy and early childhood is beginning to reveal some interesting material. The characteristics of the play and behaviours of traumatized young children were described by Terr (1991). It is suggested that the use of EMDR as a treatment approach is indicative that long-term retention for pre-verbal traumatic events does occur for children traumatised in infancy and perhaps even in the womb. This presentation presents two cases treated by EMDR in which it appears that the children are accessing and processing experiences that occurred too early in development to be encoded with language. EMDR helps these children access and process very early traumatisation and in some cases they are then able to report on them verbally. It is hypothesized that the EMDR technique helps create a verbal narrative for the early memories, and that this allows the child to process and integrate their sensations, emotions and cognitions within a more coherent personal biography. The ability of EMDR to help a child to process and bring to resolution hitherto almost inaccessible infantile memories particularly those relating to abuse, has enormous implications for the child's ability to move on and form healthier attachments and more construction behaviour patterns. It suggests new avenues for research into infantile traumatic memories and their impact on the developing child.

Keywords: Memory  Occasional Paper  Pre-verbal  

Accuracy Verified: Yes

246. Eschenröder, C. T. (1997). EMDR: Eine neue methode zur verarbeitung traumatischer erinnerungen [EMDR: A new method for the processing of traumatic memories]. Tübingen, Germany: Dgvt-Verlag..

Language: German

Format: Book

Abstract:
Die von Francine Shapiro entwickelte innovative EMDR-Methode (Eye Movement Desensitization and Reprocessing/Augenbewegungs-Desensibilisierung und Neubearbeitung) hat in der Fachwelt großes Aufsehen erregt, so sehr grenzte sie an Zauberei. Ursprünglich für die Behandlung von Trauma-Opfern gedacht, erschließen sich mittlerweile weitere Anwendungsbereiche. Was ist davon zu halten? Dieser Frage wird im vorliegenden Band beantwortet, der über den aktuellen Stand des Wissens zur EMDR informiert und zahlreiche Anwendungsbeispiele aus unterschiedlichen Bereichen und psychotherapeutischen Schulen vorstellt. Es zeigt sich, daß EMDR vor allem bei der Verarbeitung vergangener belastender Erlebnisse in manchen Fällen in erstaunlich kurzer Zeit zu einem Abklingen negativer Emotionen sowie zu neuen Einsichten und spontanen Veränderungen von Vorstellungsbildern führt.

The innovative, developed by Francine Shapiro EMDR method (Eye Movement Desensitization and Reprocessing) / eye movement desensitization and revision in the professional world has a great sensation, much as it bordered on magic. Originally developed for the treatment of trauma victims intended to open up further application areas now. What should we make of it? This question is answered in this volume, which informs about the current state of knowledge on EMDR and presents numerous examples from different fields and schools of psychotherapy. It turns out that EMDR leads mainly to the processing of past stressful experiences, in some cases in a remarkably short time, a decay of negative emotions, leading to new insights and changes of spontaneous mental images.

Keywords: Practice  Theory  

Accuracy Verified: Yes

247. Quinn, G. (2013, May). EMDR: Immediate emergency treatment for manmade and natural disasters. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure is an adaptation of the Standard EMDR Protocol which was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma. Participants in this workshop will learn the Emergency Response Procedure and its application to treating clients immediately after a trauma. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder with survivors of the Tsunami in Thailand and with victims of terror and war. Learning Objectives: • Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP • To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other time of treatment when patients exhibit strong emotional reactions • To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities • To understand how to utilize the Recent Events Protocol in the face of ongoing danger • To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment

Keywords: Disasters  Emergency Treatment  

Accuracy Verified: Yes

248. Derksen, M. T., & Baeten, B. M. (2010, April). EMDR: Kijken met een diagnostische 'traumabril' in de ziekenhuispsychiatrie [EMDR: A diagnostic check with trauma glasses' in the psychiatric hospital]. Presentatie op het 38ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Maastricht, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Inhoud van de workshop: EMDR (eye movement desentization and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een (of meerdere) schokkende ervaring(en). Een deel van de getroffenen verwerkt deze ervaringen op eigen kracht, anderen ontwikkelen psychische klachten. Juist deze klachten in het hier en nu als gevolg van een schokkende gebeurtenis in het verleden maken de gebeurtenis tot een traumatische gebeurtenis. Een ogenschijnlijk eenvoudige medische ingreep kan leiden tot reactivering van eerdere traumatische ervaringen. De kern van deze workshop is het leren herkennen en vaststellen van de 'ontwrichtende ervaringen' die van blijvende invloed zijn op het functioneren van de patiënt. Verder wordt aandacht besteed aan het diagnostisch leren kijken met een 'traumabril' en het leren kennen van het indicatiegebied van emdr binnen de ziekenhuispsychiatrie. emdr is volgens internationale en nationale richtlijnen de behandeling van eerste keus bij PTSS. EMDR kan ook toegepast worden bij traumagerelateerde stoornissen die niet per se hoeven te voldoen aan de diagnose ptss, zoals bij angststoornissen, eetstoornissen, pijnstoornissen, somatoforme stoornissen, seksuele stoornissen en verslaving. De bijzondere kenmerken en effecten van emdr worden besproken. Gecontroleerde effectstudies laten zien dat EMDR even effectief of effectiever is dan de huidige meest effectieve therapievorm, de cognitieve gedragstherapie. EMDR-behandeling is bovendien sneller en minder belastend voor patiënten. Vorm: Presentatie, geïllustreerd met videobeelden, tijd voor vragen en een interactieve discussie. Leerdoelen: Na de workshop kunnen de deelnemers kijken met de diagnostische 'traumabril', hebben zij inzicht in het brede indicatiegebied van EMDR en hebben zij kennis van deze vorm van psychotherapie en de plaats van EMDR binnen de psychotherapie.

Contents of the workshop: EMDR (eye movement desentization and reprocessing) is an intensive form of psychotherapy for people to suffer from the effects of one (or more) shocking experience (s). Some of the affected processes these experiences on their own, others developed psychological problems. Precisely these problems in the here and now because of a shocking event in the past to make the event a traumatic event. A seemingly simple medical intervention can lead to reactivation of previous traumatic experiences. The core of this workshop is learning to recognize and identify the "disruptive experiences" of lasting impact on the functioning of the patient. Attention is paid to the diagnostic learning to look with an "eye trauma 'and getting to know the indication of EMDR in the psychiatry hospital. EMDR has been under international and national guidelines the treatment of choice for PTSD. EMDR can also be applied to trauma-related disorders that do not necessarily have to meet the PTSD diagnosis, such as anxiety disorders, eating disorders, pain disorders, somatoform disorders, sexual disorders and addictions. The particular characteristics and effects of EMDR are discussed. Controlled Impact studies show that EMDR is as effective or more effective than the current most effective form of therapy, cognitive behavioral therapy. EMDR treatment is faster and less stressful for patients. Methods: Presentation, illustrated with video, an interactive time for questions and discussion. Objective: After the workshop the participants can see the diagnostic trauma spectacles, they understand the broad indication in EMDR and have knowledge of this form of psychotherapy and the place of EMDR in psychotherapy.

Keywords: Hospital  

Accuracy Verified: Yes

249. Hanlon, P. (2012, November 1). EMDR: Research prompts acceptance. New England Psychologist. Retrieved from http://www.nepsy.com/articles/leading-stories/emdr-research-prompts-acceptance/ on 1/2/2012.

Language: English

Format: Newsletter

Abstract:
For skeptics, Wheeler points to the research. She indicates that more than 27 randomized clinical trials have shown EMDR to be effective for PTSD and adds that the American Psychiatric Association, the Veterans Administration Department of Defense (VA-DOD) and many other national and international practice guidelines have approved EMDR as a Level A treatment for this disorder. “A Kaiser Permanente study found that after six sessions, 100 percent with a single trauma and 77 percent with multiple trauma events no longer had PTSD,” she says. “This is a well researched treatment and compares favorably to other treatments for PTSD. It’s good to be skeptical, but people should read the research.”

Keywords: Kate Wheeler  Practice  Research  Theory  

Accuracy Verified: Yes

250. Bertolotti, G. (2008, June). EMDR: Should be appropriate in a rehabilitation multidisciplinary programme?. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Because EMDR is a powerful short-term therapy effective for confronting and overcoming stress, anxiety, and trauma which could be its role in an intensive rehabilitation multidisciplinary programme? As well-known PTSD is the most common diagnostic category used to describe symptoms arising from emotionally traumatic experience.This disorder presumes that the person experienced a traumatic event involving actual or threatened death or injury to themselves or others. Some research shows that EMDR is rapid, safe and effective in helping those who suffer from anxiety, distressing memories, nightmares, insomnia, as consequences from traumatic events. Several recent reviews have looked at the relationship between medical illness and subsequent PTSD. Moreover Spindler(2005) published a review with focal point on subjects after cardiovascular disease and mainly with a focus on prevalence rates, risk factors, and future. Should be possible catch a trauma event right through in-hospital and use the EMDR when appropriate? Hence how should be tailored an appropriate assessment procedures during the rehabilitation in-hospital? Anxiety (using a the STAI) and Depression (measured with Depression Questionnaire) with clinical cut-off score might be useful in screening and an adequately structured interview could complete in-hospital screening. In a more wide assessment screening a device for psychophysiological assessment measuring electrodermal activity and heart rate/pulse wave. An elevated cardiovascular and electrodermal activity during the interview should be an index for selecting a clinical simple of patients where carry out a deeper assessment in search for a trauma connect to the pre-rehabilitation period or older. The aforementioned could be a wished-for screen subjects with trauma events both at short or long term insurgence.

Keywords: Rehabilitation Multidisciplinarian Program  

Accuracy Verified: Yes

251. Derksen, M. T. H., & Baeten, B. M. (2011, April). EMDR: theorie en praktijk binnen de ziekenhuispsychiatrie [EMDR: Theory and practice within the psychiatric hospital]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Inhoud van de workshop: EMDR (eye movement desensitisation and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een (of meerdere) schokkende ervaring(EN). Over het effect van emdr is wetenschappelijk aangetoond dat het mogelijk is kwellende herbelevingen van vroegere gebeurtenissen kwijt te raken. emdr is, volgens (inter)nationale richtlijnen, de eerste keus bij behandeling van posttraumatische stressstoornis (PTSS). emdr maakt de in het geheugen opgeslagen traumatische ervaringen toegankelijk en activeert het natuurlijk verwerkingsproces zodat deze gebeurtenissen worden ontdaan van hun emotionele lading en een nieuwe betekenis krijgen. emdr kan ook toegepast worden bij traumagerelateerde stoornissen zoals bij angststoornissen, eetstoornissen, somatoforme stoornissen, seksuele stoornissen, verslaving en chronisch pijn. EMDR is een relatief nieuwe therapie, overigens alweer 20 jaar oud. Grondlegster is de Amerikaanse Francine Shapiro, die in 1989 een eerste versie van emdr beschreef. Door Shapiro zelf en later ook door andere therapeuten is het EMDRprotocol aangescherpt en verbeterd. Halverwege de jaren ’90 van de vorige eeuw introduceerden Ad de Jongh en Erik ten Broeke emdr in Nederland. De laatste jaren wordt er nauwelijks nog iets aan het basisprotocol veranderd of toegevoegd. De belangrijkste ontwikkelingen vinden plaats in de theorievorming en de toepassingsmogelijkheden. Hoe werkt EMDR, welke hersengebieden zijn erbij betrokken, wat is het werkzame mechanisme en bij welke stoornissen kan deze therapie worden toegepast. De kern van deze workshop is het leren kennen van recente verklaringsmodellen over de werking van emdr. De bijzondere kenmerken en effecten van EMDR en de verschillende toepassingsgebieden worden besproken. Vorm: Presentatie, geïllustreerd met videobeelden, tijd voor vragen en een interactieve discussie. Leerdoel: Na de workshop heeft de deelnemer zicht op de verschillende recente theoretische verklaringsmodellen van emdr en heeft hij kennis van het brede indicatiegebied van EMDR en de plaats van emdr binnen de psychotherapie.

Contents of the workshop: EMDR (Eye Movement Desensitisation and Reprocessing) is a intensive form of psychotherapy for people that to suffer the consequences of one (or more) shocking experience (S). On the effects of EMDR has been scientifically proven that it is possible agonizing reliving past losing events. EMDR is, according to (inter) national guidelines, The first choice of treatment for posttraumatic stress disorder (PTSD). EMDR allows the memory traumatic experiences accessible and activates the natural process so that events are stripped of their emotional charge and a new meaning. EMDR can also be applied in trauma-related disorders such as anxiety disorders, eating disorders, somatoform disorders, sexual disorders, addiction and chronic pain. EMDR is a relatively new therapy, however already 20 years old. Founder is the U.S. Francine Shapiro, who in 1989 first version of EMDR described. By Shapiro himself and later by other therapists is EMDRprotocol strengthened and improved. Mid-90s of the last century Ad de Jongh introduced and Erik ten Broeke EMDR in the Netherlands. In recent years there hardly anything to change the basic protocol or added. The main developments are place in the theory and application. How does EMDR, which brain areas are involved, what is the active mechanism and disorders which can therapy administered. The core of this workshop is to learn Declaration of recent models on the operation EMDR. The particular characteristics and EMDR and the effects of different application are discussed. Methods: Presentation, illustrated with video, time for questions and an interactive discussion. Objective: After the workshop, the participant view of the various recent theoretical explanatory models of EMDR and has broad knowledge of the indication area of ​​EMDR and the location of EMDR in psychotherapy.

Keywords: Practice  Psychiatric Hospital  Theory  

Accuracy Verified: Yes

252. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..

Language: Dutch

Format: Book

Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress. EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc. De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.

EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl

Keywords: Practice  Theory  

Accuracy Verified: Yes

253. Shapiro, F. (1996, Summer). EMDR:  Adaptive information processing. Independent Practitioner, 16(3), 142-146.

Language: English

Format: Journal

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) method defines the succesful treatment of pathology as a clinician-assisted "self-healing" process. Specifically, the individual reprocesses the dysfunctional information stored in the nervous system as a result of previous disturbing events. Congruent with the principles of mind/body psychology, there is an assumed interaction of psychological and physiological processes. The nature of the clinical disorder is defined on the basis of the type of experiences that have been dysfunctionally stored and which need to be effectively processes.

Keywords: Adaptive Information Processing  AIP  

Accuracy Verified: Yes

254. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be presented and followed by a practicum. [There are 2 PDF files.]

Keywords: Emergency Response Procedure  ERP  

Accuracy Verified: Yes

255. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland.

Language: English

Format: Conference

Abstract:
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.

Keywords: Katyushas, Man-Made Disasters  Terrorist Bombings  Tsunami  

Accuracy Verified: Yes

256. Quinn, G. (2007, June). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR is a well-established theory for Post Traumatic Stress Disorder (PTSD). EMDR has also been used effectively in the immediate period following trauma. The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual and developed to deal with victims of terror within hours of exposure to trauma, will be discussed and taught. Participants will learn how to respond to clients in the immediate aftermath of trauma utilizing Debriefing and ERP. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) and PTSD with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror in Jerusalem and those in bomb shelters during the last Lebanon war. In this presentation, the Recent Events Protocol will be reexamined with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol, used with large numbers of disaster victims needing simultaneous treatment, will be presented and followed by a practicum.

Keywords: Emergency EMDR  Man-Made Disasters  Natural Disasters  

Accuracy Verified: Yes

257. Werk, K. (1997, June). Emergency personnel, critical incidents and EMDR. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Critical Incident  Emergency Personnel  Recent Events  

Accuracy Verified: Yes

258. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., Macklin, M., Michaels, M. J., & Steketee, G. S. (1996, November-December). Emotional processing and outcome of imaginal flooding therapy in Vietnam veterans with chronic posttraumatic stress disorder. Comprehensive Psychiatry, 37(6), 409-418. doi:10.1016/S0010-440X(96)90025-5.

Language: English

Format: Journal

Abstract:
This study examined emotional processing and outcome in 20 Vietnam veterans with chronic posttraumatic stress disorder (PTSD) who underwent imaginal flooding therapy. Results supported the occurrence of emotional processing, as manifest in significant activation, within-session habituation, and partial across-session habituation of physiologic and self-reported process variables. The flooding therapy produced only modest overall improvement, which was statistically significant for avoidance symptomatology measured by the Impact of Events Scale (TOES) and number of intrusions per day recorded by the subject in a log. Symptomatic improvement appeared to generalize from a treated to an untreated experience. Heart rate activation during the first flooding session predicted a decrease in daily number of intrusive combat memories across the therapy. Otherwise, there was little association between extent of emotional processing and therapeutic outcome. The results provide limited support for the notion that mobilization of phychophysiologic arousal during exposure therapy predicts improvement. [Author Abstract]

Keywords: Emotional Processing  Flooding Therapy  Posttraumatic Stress Disorder  PTSD  Vietnam Veterans  

Accuracy Verified: Yes

259. Scharf, C., Berliner, K., Meyers, M., Schwartberg, N., & Weinshel, M. (2006, September). Enhancing couples therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract: Couples often have difficulties changing present day maladaptive patterns of interaction when they are triggered by past traumatic events and/or attachment traumas. This workshop will demonstrate ways in which EMDR can be incorporated into couples therapy in order to interrupt "stuck" cycles of interaction, decrease reactivity. and deepen connections. Our work is informed by a family systems perspective and attachment theory. There will be a theoretical discussion on how we use EMDR in couples work, as well as an experiential exercise illustrating these concepts. Clinician examples and videtape excepts from a year-long course of therapy will illustrate thc ongoing choices the therapist makes in incorporating EMDR in her work with a couple. We will also demonstrate how one partner's witnessing and the other's being witnessed during the processing enhances the healing of old wounds and opens up possibilities for new ways of relating.

Keywords: Couples Therapy  

Accuracy Verified: Yes

260. Moses, M. D. (2004, September). Enhancing couples therapy with EMDR:  A protocol. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Ontario Canada.

Language: English

Format: Conference

Abstract:
The model proposed in their workshop is an integration, elaboration and system for applying EMDR as an experiential technique within a conjoint (both partners present) couples therapy, focused an uncovering and processing triggers from previous traumatic events. The protocol is intended as a useful roo1 for applying EMDR lo lessen the intensity of interactional triggers. Done conjointly, there is n compassionate witnessing by each partner respectively. This mutual sharing around the traumas holds powerful potential far building mutual understanding, compassion and empathy in the relationship.

Keywords: Couples Therapy  

Accuracy Verified: Yes

261. Yehuda, R. (2012, October). Epigenetics: What does it explain about trauma survivors?. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA .

Language: English

Format: Conference

Abstract:
Most persons who develop PTSD in the aftermath of exposure recover from trauma-related symptoms, but remain at risk for a recrudescence of symptoms. This suggests that there are aspects of the response to high magnitude trauma that are long-lasting, despite variations in symptom intensity over time. Current bio-behavioral models of PTSD fall short of explaining the apparent paradox of an enduring response on the one hand and symptom change over time on the other. However, this phenomenon can potentially be explained by epigenetic mechanisms. Epigenetics (literally: “epi” meaning “in addition to” genetics) refers to a heritable change in the genome that can be induced by environmental events and does not involve an alteration of DNA sequence. Such modifications reflect enduring changes in the function of the DNA that are caused by environmental exposures. These changes can alter gene function influencing its biological activity. This presentation will discuss evidence for such changes in PTSD, and will explain how such mechanisms explain many of the salient features of PTSD, including individual variation in responses to events of similar intensity (e.g., combat exposures), and the relative permanence of biological and psychological alterations associated with the disorder. Current models of stress, or even gene-environment interactions, only partially address the influence of prior exposure(s) on PTSD vulnerability and the long-lasting biological and psychological effects of trauma exposure. In addition, epigenetic modifications can be transmitted intergenerationally, both through the maternal and paternal lines. The implications of such changes as PTSD vulnerability factors will also be discussed.

Keywords: Epigenetics  Plenary  Survivors  Trauma  

Accuracy Verified: Yes

262. Sandberg, A. (2010, March 26). Erasing memories: Next treatment for PTSD and other trauma-related disorders?. Psychiatric Times. Retrieved from http://www.bbc.co.uk/worldservice/news/2010/03/100325_erasing_memories_hs.shtml 4/10/2010.

Language: English

Format: Magazine

Abstract:
Neuroscientists are exploring ways to erase bad memories in patients who have experienced traumatic events. But, is it ethical to erase a memory or flashback and the feelings associated with that moment to alleviate suffering, or should clinicians focus on therapies such as CBT and EMDR (Eye Movement Desensitization and Reprocessing) to help patients cope with a trauma? Online article includes a link to a BBC Podcast.

Keywords: CBT  Cognitive Behavioral Therapy  Erasing Memories  Flashbacks  

Accuracy Verified: Yes

263. Tareen, M. S. (2010, July). The evaluation of an Urdu version of Impact of events scale - revised (UIES-R). Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Background: The study arose from an EMDR Humanitarian Assistance Programme training set up in response to the 2005 earthquake in Northern Pakistan. Part of this project set out to evaluate an Urdu version of IES-R. We wanted to evaluate the work done by newly trained EMDR Practitioners and there was paucity of measurement tools in Urdu language. We decided to translate IES-R and evaluate it. It will give us reliable scale to measure progress against treatment. The present study aims to present this Urdu version of the IES-R as a psychometrically sound instrument for both research and clinical use in its Urdu translation. Methods:Translation was completed in four stages. Two stages involved translation and two involved back translation. Recruitment for the evaluation took place at a Medical School in Abbotabad, and involved (N=118) participants. The inclusion criteria were that subjects must be fluent in both Urdu and English. Results: The results of Urdu and English versions of IES_R and GHQ were compared for Linguistic Equivalence, conceptual equivalence, and scale equivalence. All these measures showed no statistically significant differences. In conclusion the Urdu version of the IES-Revised can be used for clinical populations in Pakistan with evidence of good reliability and satisfactory validity. In developing EMDR research in Pakistan the utilisation of the U-IES-R will be an extremely useful addition.

Keywords: Impact of Events Scale - Revised  UIES  Urdi Version  

Accuracy Verified: Yes

264. Aubert-Khalfa, S., Roques, J., & Blin, O. (2008). Evidence of a decrease in heart rate and skin conductance responses in PTSD patients after a single EMDR session. Journal of EMDR Practice and Research, 2(1), 51-56. doi:10.1891/1933-3196.2.1.51.

Language: English

Format: Journal

Abstract:
Patients with PTSD demonstrate abnormal psychophysiological responses to stressful events. Given that eye movement desensitization and reprocessing (EMDR) therapy appears to be a treatment of choice for trauma victims, the aim of the present study was to determine if psychophysiological responses to stress decreased after a single EMDR session. 6 PTSD patients were treated by an EMDR therapist. Their psychophysiological responses (heart rate and skin conductance) were recorded before and after the EMDR session under two conditions: (a) in a relaxed state and (b) while visualizing their own traumatic event. At the end of the session, all patients had a significant reduction in their PTSD symptoms, which confirms previous results demonstrating the efficacy of the EMDR approach. Second, after only one EMDR session, heart rate and skin conductance during the trauma recall decreased significantly as compared to a relaxing state. [Author Abstract]

Keywords: Adults  Arousal  Clinical Trial  Electrodermal Activity  Empirical Study  French  Heart Rate  Posttraumatic Stress Disorder  Psychophysiology  PTSD  Quantitative Study Skin Conductance  Stressors  Survivors  Treatment  Treatment Effectiveness  

Accuracy Verified: Yes

265. Blore, D. C., Farrell, D., & Clifford, C. (2008, June). The experience of post traumatic growth amongst road traffic accidents victims who have completed EMDR treatment: A status report on research. Poster presented at the annual meeting of the EMDR Europe Conference, London, England.

Language: English

Format: Conference

Abstract:
According to Tedeschi & Calhoun (1995; 2004 and 2006), Post Traumatic Growth (PTG) consists of five ‘domains’: discovery of new possibilities in life; improvements in relating to others; an increased sense of personal strength; greater appreciation of life and spiritual changes. The first author’s experience of treating Road Traffic Accidents (RTA) victims with Eye Movement Desensitisation & Reprocessing (EMDR) suggests that the experience of PTG is far wider and more complicated than Tedeschi & Calhoun’s domains. This paper reports on the current status of a study whose aim is to identify PTG that may be occurring at any point from the immediate aftermath of an RTA through to completion of EMDR. The study so far consists of 11 interviews utilising an Interpretative Phenomenological Analysis (IPA) methodology. So far well over 50 PTG themes have emerged although only the first hermeneutical analysis has been completed on the interviews analysed so far, it is currently difficult, therefore, to establish the degree of ‘theme overlap’. However, new themes include growth ‘by proxy’ (growth in those who have come into contact with the participants, but who have not themselves been traumatised by the RTA); somewhat paradoxically, ‘pre-trauma growth’ apparently activated by a subsequent RTA; and a ‘cascade’ of growth attributed to events subsequent to the initial trauma (such as the EMDR and the EMDR therapist). Some implications of these themes are also discussed, particularly in relation to EMDR.

Keywords: Motor Vehicle Accidents  Poster  Posttraumatic Stress Disorder  PTSD  Victims  

Accuracy Verified: Yes

266. Bergmann, U. (2001, December). Experiences of EMDR treatment of World Trade Center survivors of September 11. EMDRIA Newsletter, 6(4), 33-34.

Language: English

Format: Newsletter

Abstract:
My experience in treating the survivors of the World Trade Center (WTC) disaster of September 11 has, to date, been comprised of three groups: those who witnessed the event from the adjacent streets of the Wall Street financial district; those who were in the World Trade Center, on the lower floors of the North Tower (first tower hit) and were able to escape rather quickly from the building; and those who were on the upper floors (75th to 50th), taking a lengthy time to get down the stairs and then witnessing the most horrific of events inside the WTC plaza and in the street, as the towers collapsed. To date, I have treated 21 survivors.

Keywords: 9/11  World Trade Center  WTC  

Accuracy Verified: Yes

267. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]

Keywords: Adults  Americans  Child Abuse  Complex PTSD  Defense Mechanisms  Depressive Disorders  Females  Life Experiences  Males  Neglect  Personality Disorders  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

268. Jumelet, C. (2011, April). Eye movement desensitisation and reprocessing (EMDR) bij kinderen met een verstandelijke beperking [Eye Movement Desensitisation and Reprocessing (EMDR) in children with intellectual disabilities]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract: Achtergrond: Eye movement desensitisation and reprocessing (EMDR) is een evidence-based behandelmethode voor zowel kinderen als volwassenen die blijvende psychische of lichamelijke klachten overhouden aan een of meer ingrijpende gebeurtenissen. Er is nog nauwelijks effectonderzoek verricht bij kinderen met een verstandelijke beperking (VB). Deze doelgroep heeft meer risico op traumatische ervaringen vanwege beperkte cognitieve en verbale vaardigheden en geringere draagkracht (Mevissen 2010). EMDR doet weinig beroep op verbale mogelijkheden, is een concrete en directieve methode en lijkt daarom in het bijzonder geschikt voor kinderen met een VB. Doel: emdr beschikbaar maken voor getraumatiseerde kinderen met een VB. Methoden: Bestaande EMDR-protocollen worden aangepast door elementen aan te brengen als: visualiseren middels pictogrammen; ouders meer betrekken, bijvoorbeeld door hen het verhaal te laten vertellen; effectevaluatie via ouders en belangrijke derden (leerkracht), meer herhaling en meer sessies. Resultaten: In een caseserie van 10 patiënten met een iq tussen 50-85 was er in 70% een goed resultaat. Alle patiënten maakten de behandeling af. Het aantal sessies varieerde tussen 2 en 10. Conclusie: emdr is een veelbelovende behandelmethode bij kinderen met een VB.
Background: Eye Movement Desensitisation and reprocessing (EMDR) is an evidence-based treatment for both children and adults that permanent mental or physical complaints about holding one or more major events. There is little outcome research performed in children with intellectual restriction (VB). This group has more risk limited due to traumatic experiences cognitive and verbal skills and lower capacity (Mevissen 2010). EMDR does little rely on verbal abilities, is a concrete and directive method and therefore seems particularly for children with a VB. Purpose: EMDR available to traumatized children with a VB. Methods: Existing EMDR protocols be modified by elements to as: visualization using icons; parents more involved, by for instance the story to tell, through impact assessment parents and significant others (teacher), more repetition and more sessions. Results: In a case series of 10 patients with an IQ between 50-85, there was 70% a good result. All the patients were treatment. The number of sessions varied between 2 and 10. Conclusion: EMDR is a promising treatment for children with VB.

Keywords: Children  Intellectual Disabilities  

Accuracy Verified: Yes

269. Mevissen-Renckens, L., & Lievegoed, R. (2009). Eye movement desensitisation and reprocessing (EMDR) A treatment method for trauma-related psychiatric disorders and psycho-social problems related to negative life events. Presentation at the 7th European Congress of Mental Health in Intellectual Disability, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
In the last two decades there is an increasing number of studies on the effects of trauma and life events in people with Intellectual Disabilities (ID). Behavioural problems and depressive symptoms are frequently reported. Post Traumatic Stress Disorder (PTSD) is a specifi c trauma-related anxiety disorder with high prevalence rates in the normal population and with disruptive effects on the patient’s everyday life. As in children, behavioural problems are supposed to be a common feature in people with ID who have been exposed to traumatic life events.
In regard to the general vulnerability of people with ID, PTSD is supposed to be considerably under diagnosed and under treated in this population. In the normal population Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR) are evidence based treatment methods for PTSD. Because of its highly nonverbal character EMDR seems to be a suitable treatment method for people with intellectual and developmental disabilities.
In this workshop the focus is on
• the recognition of symptoms related to psycho trauma or to sequences of negative life experiences, illustrated by a variety of case studies on people with ID.
• EMDR treatment in children and adults with a mild, moderate or severe ID, illustrated by video presentations. The participants get opportunities to experience some working mechanisms of EMDR by supervised practicing.

Keywords: Negative Life Events  Psychiatric Disorders  Psycho-Social Problems  

Accuracy Verified: No

270. Kitchiner, N. J., Bisson, J. I., & Robert, N. (2005, October). Eye movement desensitisation and reprocessing is now recommended as one of the first-line treatments for post-traumatic stress disorder. Mental Health Practice, 9(7), 19-22.

Language: English

Format: Magazine

Abstract:
Interest in the area of traumatic stress has grown considerably since post-traumatic stress disorder (PTSD) was first classified as a mental health condition in 1980 by the American Psychiatric Association (APA 1980). The current classification can be viewed in Box 1. There is now a well-established literature on the effects of traumatic experience following a range of traumatic events. The National Institute for Health and Clinical Excellence (NICE 2005) has reviewed the evidence base for the treatment of PTSD and recommended trauma-focused cognitive behavioural therapy (TFCBT) and EMDR as the two first-line treatments for PTSD.

Keywords: Posttraumatic Stress Disorder  Professional Training  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes

271. Shapiro, F. (1992, July). The eye movement desensitisation and reprocessing: A rapid treatment of anxiety-producing memories. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .

Language: English

Format: Conference

Abstract:
The presentation will introduce, discuss and demonstrate the Eye Movement Desensitization and Reprocessing (EMDR) procedure as treatment for anxiety and disturbing memories.

Keywords: Anxiety  Disturbing Life Events  

Accuracy Verified: Yes

272. Bruzzese, D., & Moore, M. (2006, April). Eye movement desensitization and reprocessing. Southwest Regional Behavioral Health Conference, Albuquerque, NM.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a complex, highly specialized therapy that combines several therapeutic methods— psychodynamic, cognitive, behavioral, etc.—with eye movements or other forms of rhythmical stimulation, such as hand taps or sounds. It involves recalling a stressful past event and “reprogramming” the memory in the light of a positive, self-chosen belief. EMDR has been shown to be effective in the treatment and relief of Post Traumatic Stress Disorder as well as trauma, depression, anxiety, grief, and other types of disorders listed in the DSM IV. Theories as to why EMDR works are still evolving. Learn about the EMDR treatment method, the benefits, drawbacks and research results.

Keywords: Practice  Theory  

Accuracy Verified: Yes

273. Fernandez, I. [2008]. Eye movement desensitization and reprocessing. Progetto TiAMA [Project TiAMA].

Language: Italian

Format: Other

Abstract:
EMDR è un acronimo per Eye Movement Desensitization and Reprocessing (Desensibilizzazione e Rielaborazione attraverso i Movimenti Oculari). E' un metodo clinico innovativo che ha aiutato con successo ormai più di un milione di individui reduci da eventi traumatici (abuso sessuale, violenza in famiglia, guerra, crimini) ma anche soggetti con altri disturbi psicologici (depressione, dipendenze, fobie e aspetti legati all'auto stima).

EMDR is an acronym for Eye Movement desensitization and reprocessing (desensitization and reprocessing eye movements). It 'an innovative clinical method that has already successfully helped over a million people emerging from traumatic events (sexual abuse, family violence, war crimes), but also those with other psychological disorders (depression, addictions, phobias and issues self esteem).

Keywords: Practice  Theory  

Accuracy Verified: Yes

274. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered. The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma. EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.

Keywords: Intervention Summary  

Accuracy Verified: Yes

275. de Jongh, A., & ten Broeke, E. (2010, January). Eye movement desensitization and reprocessing (EMDR). Bijblijven, 26(1), 15-20. doi:10.1007/s12414-010-0004-5 .

Language: Dutch

Format: Journal

Abstract:
EMDR is een geprotocolleerde, evidence-based behandelprocedure gericht op het ‘desensitiseren’ – verzwakken – van herinneringen aan beschadigende gebeurtenissen. Volgens de Multidisciplinaire richtlijn Angststoornissen uit 2003 is EMDR één van de twee meest in aanmerking komende psychologische interventies bij de posttraumatische stressstoornis (PTSS). Een belangrijk voordeel ten opzichte van andere behandelmethoden is de snelheid waarmee resultaten worden bereikt. Daarnaast ervaren veel patiënten en therapeuten EMDR als relatief weinig emotioneel belastend. Wij zullen de behandelaanpak illustreren aan de hand van twee casussen en informatie verschaffen over verwijzing, opleiding, beroepsvereniging en kwaliteitsbeleid.

EMDR is a manualized, evidence-based treatment procedure aimed at 'desensitisation' - weaken - memories of damaging events. According to the Anxiety Disorders Multidisciplinary guideline in 2003, EMDR is one of the two most appropriate psychological interventions for posttraumatic stress disorder (PTSD). An important advantage over other treatment methods is the speed of results. In addition, many patients experienced EMDR therapists and have relatively low emotionally stressful. We will illustrate the treatment approach using two case studies and information about referral, education, professional associations and quality.

Keywords: Practice  Theory  

Accuracy Verified: Yes

276. Mevissen, L. (2008). Eye movement desensitization and reprocessing (EMDR). Wetenschappelijk Tijdschrift Autisme, (3), 123-135.

Language: Dutch

Format: Journal

Abstract:
D. is altijd al bang geweest om alleen met het openbaar vervoer te reizen, vooral vanwege al die vreemde mensen die naar haar kijken. Sinds ze in een volle metro door een man is bedreigd durft ze niet meer zelfstandig met de metro naar haar werk. Moeder: “we zijn weer terug bij af”. Gebrek aan zelfrefectie, onvermogen om een therapeutische relatie aan te gaan, problemen in de communicatie, de angst dat klachten juist gaan toenemen met misschien wel decompensatie tot gevolg; het zijn veel gebruikte argumenten om af te zien van psychotherapie bij mensen met een ASS. Eye Movement Desensitization and Reprocessing (EMDR) is een vrij nieuwe behandelmethode met een sterk geprotocolleerde werkwijze die zich duidelijk onderscheidt van veel andere methoden die een beroep doen op vaardigheden waar mensen met een ASS per defnitie in tekort schieten. Zou EMDR perspectieven kunnen bieden als het gaat om psychotherapie bij cliënten met een ASS en comorbide stoornissen, die zijn ontstaan ten gevolge van ingrijpende gebeurtenissen?

D. is a normally gifted young adult woman with Asperger syndrome. She has always been afraid to be alone on public transport to travel, especially because of all those strange people who look at her. Since they are in a full subway is threatened by a man she dares not own the subway to her job. Mother: "We're back to square one". Lack zelfrefectie, inability to enter a therapeutic relationship, problems in communication, just the fear that complaints will increase by perhaps decompensation result, they are commonly used arguments to refrain from psychotherapy for people with ASD. Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new treatment with a strong protocolled method clearly differs from many other methods that rely on skills that people with ASD in a defnitie fail. EMDR perspectives might offer in terms of psychotherapy for clients with ASD and comorbid disorders that have arisen as a result of traumatic events?

Keywords: Asperger's  Autistic Spectrum Disorders  Stress Symptoms  

Accuracy Verified: Yes

277. Wilensky, M. (2006). Eye movement desensitization and reprocessing (EMDR) as a treatment for phantom limb pain. Journal of Brief Therapy, 5(1), 31-44.

Language: English

Format: Journal

Abstract:
Five consecutive cases of phantom limb pain were treated with EMDR. The time since the amputation ranged from one week to three years. Four of the five clients completed the prescribed treatment and reported that pain was completely eliminated, or reduced to a negligible level. The one client who stopped treatment chose to do so after reducing his pain by one half. The standard EMDR treatment protocol was used to target the accident that caused the amputation, and other related events. The five cases are described in detail. The treatment and theoretical implications are explored and recommendations are made for future research.

Keywords: Phantom Limb Pain  

Accuracy Verified: Yes

278. Cohen, S. (2000). Eye movement desensitization and reprocessing (EMDR): The making of a psychotherapy. McGill University (Canada). AAT MQ64135.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization Reprocessing (ENDR) therapy has burst upon the psychotherapeutic scene as a tirne-limited, cost-contained, and efficacious treatrnent for anxiety, stress, and psychological trauma. Although this therapy has been pronounced as revolutionary by its inventor, Franche Shapiro, it has distinct historicd precedents. The explanatory models of pathogenic memory and dissociation îheory, and the reiiance on mechanical inference for objectivity rnake EMDR therapy famiIiar and salieut. Notions of suggestion and hypnosis, aud the eye-movement component of therapy are presented as discontinuous with clinical and theoreticai practice, in order to fiee them h m the tainting associations of pseudo-science and quackery. By co~ect ingth e curent EMDR movement with the conceptual and practical history of traumatic memory, dissociation, and suggestion, 1 argue that EMDR is not revolutionary. It is a powerful technotogy of the self, nomaking and valourking certain ways of behaving and thinking. Shapiro's implicit assurnptions that psychological suffering is pathological, and that early traumatic events are indelibly encoded, stored and dissociated in the brain are problematized. A briefcornmentary on the mord, politicai, and psychotherapeutic implications of EMDR therapy is provided.

Keywords: Practice  Theory  

Accuracy Verified: Yes

279. Shapiro, F., & Maxfield, L. (2002, August). Eye movement desensitization and reprocessing (EMDR): Information processing in the treatment of trauma. Journal of Clinical Psychology, 58(8), 933-946. doi:10.1002/jclp.10068.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an efficacious and efficient treatment for PTSD. This article provides a brief overview of the findings of 20 controlled-outcome studies and describes Shapiro's Adaptive Information Processing model. This model posits that pathology results when distressing experiences are processed inadequately and hypothesizes that EMDR accelerates information processing, resulting in the adaptive resolution of traumatic memories. A detailed description of the eight phases of treatment highlights the procedures, assumptions, and clinical observations that currently guide EMDR clinical practice. A case study, with an in-session transcript, illustrates the application of EMDR to address the past events that have laid the groundwork for dysfunction, the present circumstances that elicit distress, and skills acquisition needed for adaptive functioning (Pilots).

Keywords: Clinical Case Study  Cognitive Processes  Empirical Study  Information Processing  Literature Review  Posttraumatic Stress Disorder  PTSD  Psychotherapeutic Processes  Treatment Process  

Accuracy Verified: Yes

280. Bae, H., Kim, D., & Park, Y. C. (2008). Eye movement desensitization and reprocessing for adolescent depression. Psychiatry Investigation, 5(1), 60-65.

Language: English

Format: Journal

Abstract:
While cognitive behavior therapy is considered to be the first-line therapy for adolescent depression, there are limited data on whether other psychotherapeutic techniques are also effective in treating adolescents with depression. This report suggests the potential application of eye movement desensitization and reprocessing (EMDR) for treatment of depressive disorder related, not to trauma, but to stressful life events. At present, EMDR has only been empirically validated for only trauma-related disorders such as posttraumatic stress disorder. Two teenagers with major depressive disorder (MDD) underwent three and seven sessions of EMDR aimed at memories of stressful life events. After treatment, their depressive symptoms decreased to the level of full remission, and the therapeutic gains were maintained after two and three months of follow up. The effectiveness of EMDR for depression is explained by the model of adaptive information processing. Given the powerful effects observed within a brief period of time, the authors suggest that further investigation of EMDR for depressive disorders is warranted.

Keywords: Adolescent  Case Report  Depression  Major Depressive Disorder  Psychotherapy  

Accuracy Verified: Yes

281. 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

282. Hudson, J., Chase, E., & Pope, H. (1998, January). Eye movement desensitization and reprocessing in eating disorders:  Caution against premature acceptance. International Journal of Eating Disorders, 23(1), 1-5.

Language: English

Format: Journal

Abstract:
Objective: Eye movement desensitization and reprocessing (EMDR) has been claimed effective in the treatment of a wide variety of psychiatric disorders, including eating disorders. An informal survey suggests that EMDR is now widely offered to patients with eating disorders. Before accepting a new therapy such as EMDR, one must determine that its benefits outweigh its adverse effects. This paper reviews the literature in an attempt to assess the benefits and risks of the use of EMDR in the treatment of eating disorders. Method: We reviewed the literature on the use of EMDR to treat eating disorders and other conditions. Results: Looking at the question of its benefits, we were unable to find any methodologically sound studies that have shown efficacy for EMDR in eating disorders, or, indeed, any psychiatric disorder. We were also unable to find a sound theoretical basis for expecting EMDR to be effective. In addition, EMDR may have adverse effects. First, EMDR is sometimes used in conjunction with efforts to "recover" memories of traumatic events. But "recovered memory" therapy may carry a risk of inducing potentially harmful false memories. Second, use of EMDR may prevent or delay other therapies of established efficacy for eating disorders, such as cognitive behavioral therapy and antidepressants. Discussion: In light of the findings of our review, the risk/benefit ratio of EMDR does not as yet encourage its widespread acceptance.

Keywords: Eating Disorders  Literature Review  

Accuracy Verified: Yes

283. Fernandez, I., & Faretta, E. (2007, February). Eye movement desensitization and reprocessing in the treatment of panic disorder with agoraphobia. Clinical Case Studies, 6(1), 44-63. doi: 10.1177/1534650105277220.

Language: English

Format: Journal

Abstract:
This article describes a comprehensive treatment of a case of panic disorder with agoraphobia. A thorough history taking revealed that experiential contributors had a pivotal role in the development of the condition. Therefore, eye movement desensitization and reprocessing (EMDR) was used to address early traumatic events as well as the present stimuli that caused disturbance and had maintained symptomatology for the past 12 years. Although the client's symptoms were resolved after 15 sessions, EMDR was also effective in addressing future behaviors and resolving anticipatory anxiety. During EMDR processing, the client demonstrated emotional and cognitive changes consistent with trauma resolution, insight, and personal growth. The client gradually enacted functional new behaviors spontaneously as treatment unfolded. The therapeutic process and the targets are described in detail. [Author Abstract]

Keywords: Adults  Agoraphobia  Case Report  Clinical Case StudyFemales  Italians  Panic Disorder  Phobia  Psychotherapeutic Processes  Stressors  Survivors  Trauma  

Accuracy Verified: Yes

284. Coleman, G. L. (1999, October). Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder: An investigational study of the eye movement component using a within-subject design. Chicago School of Professional Psychology, Chicago, IL. AAT 9926476.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy treatment procedure which combines imaginal exposure with eye movements and is reported to dramatically reduce negative symptoms associated with trauma related psychological disturbances and memories. The author reviewed and analyzed the current literature regarding EMDR, and conducted a within-subject design investigating the importance of the eye movement component in the EMDR treatment protocol by comparing the efficacy of an eye movement treatment condition, with two non-eye movement treatment conditions. The use of two different control conditions allowed comparisons of the eye movement condition (EMDR), which involved bilateral stimulation of the brain, with exposure to memory of the trauma without eye movements (Eye-Focus Desensitization), which served as a placebo, and exposure to memory of the trauma with a competing motor activity (Single Hand Tapping), which represented unilateral stimulation of the brain. This study also employed a delayed treatment condition to investigate the overall effectiveness of EMDR in treating PTSD. The subject was a 53-year-old Caucasian female who met DSM-IV criteria for PTSD. Dependent variables included a diagnostic instrument, which was the Structured Interview for Posttraumatic Stress Disorder (SI-PTSD); global instruments, which included the Beck Anxiety Inventory (BAI), Impact of Events Scale (IES), and Subjective Units of Distress scale (SUDs); process measures, which included the Subjective Units of Distress scale (SUDs) and Validity of Cognition (VOC) scale; and a self-report measure of overall improvement, which was the Image Desensitization Rating Scale (IDRS).Results demonstrated support for the superiority of an eye movement condition over that of both a no-eye movement condition (EFD), and a competing motor activity of single hand tapping (SHT) on process variables (SUDs and VOC), but not on weekly global measures (IES, BAI, and SUDs) in the single subject studied. Also, this study found support for the effectiveness of EMDR (delayed treatment phase) in reducing symptoms of anxiety, intrusiveness and avoidance, and subjective distress related to memory of trauma as measured by BAI, IES, and SUDs, and also in alleviating DSM-IV symptoms of Posttraumatic Stress Disorder for this subject. Experimental single-subject studies, as well as group designs, need to investigate possible neurological and theoretical explanations for the effectiveness of EMDR in future research. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1846.

Keywords: Avoidance  Case Report  Empirical Study  Females  Intrusive Thoughts  Middle Aged  PTSD  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

285. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187.

Language: English

Format: Dissertation/Thesis

Abstract:
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.

Keywords: Adjustment Disorder  Empirical Study  Exposure Therapy  Nonclinical Case Study  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

286. Puffer, M. K. (1995, May). Eye movement desensitization and reprocessing with children and adolescents experiencing traumatic memories. Walden University, Minneapolis, MN. AAT 9608112.

Language: English

Format: Dissertation/Thesis

Abstract:
This research project evaluated the effectiveness of using Eye Movement Desensitization and Reprocessing (EMDR) techniques on children and adolescents (N = 20) between the ages of 7 to 18, who were experiencing anxiety due to traumatic memories. EMDR therapeutic techniques were administered in one 90-minute therapy session to subjects in an experimental group (N = 10) and after a 30-day waiting period, EMDR was administered to subjects in a delayed treatment group (N = 10) to help substantiate the effectiveness of using EMDR with this population. The results of the study indicated a highly significant reduction in anxiety related to traumatic memories in both an experimental group and a delayed treatment group, as measured by the Subjective Units of Distress Scale (SUDS), the Impact of Events (IES) scale, and in the delayed treatment group using the Children's Manifest Anxiety Scale (CMAS) after treatment. There was a lack of significance in the reduction of anxiety in the experimental group, as measured by the Children's Manifest Anxiety Scale (CMAS). The results showed a significant difference in cognition, changing from negative to positive thinking, as measured by the Validity of Cognition (VoC) scale. The findings demonstrate that EMDR may help to measure, treat, and enhance the lives of children and adolescents experiencing anxiety from traumatic memories. It is recommended that future research focus on using standardized psychological tests to support the efficacy of using EMDR with children and adolescents. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(11-B), May 1996, pp. 6421.

Keywords: Adolescents  Children  Empirical Study  Trauma    

Accuracy Verified: Yes

287. Solomon, R. M., & Shapiro, F. (1997). Eye movement desensitization and reprocessing: A therapeutic tool for trauma and grief. In C. R. Figley; B. E. Bride; & N. Mazza (Eds.), Death and trauma: The traumatology of grieving (pp. 231-247). Washington, DC: Taylor and Francis.

Language: English

Format: Book Section

Abstract:
Eye movement desensitization and reprocessing (EMDR) is an integrative client-centered approach that is presently widely used in the treatment of trauma. Use of this method within a comprehensive treatment plan can significantly accelerate recovery from a recent traumatic event, hasten the working through of unresolved past events, and facilitate the client's incorporation of adaptive beliefs, emotions, and behaviors. Furthermore, treatment effects appear to be stable over time. [Text, p. 231]

Keywords: Bereavement  Efficacy  Emotional Trauma  Guilt  Grief  Posttraumatic Stress Disorder  PTSD  Survivors  Trauma Contagion  Treatment Effectiveness  

Accuracy Verified: Yes

288. Solomon, R. M., & Kaufman, T. E. (1994, March). Eye movement desensitization and reprocessing:  An effective addition to critical incident treatment protocols. Presentation at the 14th annual meeting of the Anxiety Disorders Association of America, Santa Monica, CA.

Language: English

Format: Conference

Keywords: Critical Incident  Recent Events  

Accuracy Verified: Yes

289. Feener, R. S. (2004). Eye movement desensitization and reprocessing:  A new method in the treatment of performance anxiety for singers. Florida State University, Tallahassee, FL. AAT 3156073.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events. The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma. EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety.

Keywords: Bilateral Brain Stimulation  Brain Stimulation  Cognitive Processes  Emotional Trauma  Eye Movements  Information Processing System  Mental Health  Musicians  Performance Anxiety  Posttraumatic Stress Disorder  PTSD  Singers  Stress  Syndromes  Trauma  

Accuracy Verified: Yes

290. Severe, N. D. (1998, July). Eye movement desensitization and reprocessing:  Treatment application to post-traumatic stress disorder in a latency-aged multi-traumatized child. California School of Professional Psychology, San Diego, CA. AAT 9820480.

Language: English

Format: Dissertation/Thesis

Abstract:
This document presents an individual case study focusing on the qualitative application of the Eye Movement Desensitization and Reprocessing (EMDR) treatment to PTSD in a latency-aged multi-traumatized child. Theoretical, empirical and clinical descriptions of PTSD and EMDR are presented in order to understand childhood psychological trauma and its treatment. Further, an explanation of childhood psychic trauma is presented to distinguish between single event trauma (Type I Trauma) and multiple exposure to psychologically overwhelming events (Type II Trauma) as defined by Lenore Terr. Child abuse and specifically sexual abuse is described as an example of a Type II trauma that is closely related to the development of post-traumatic symptoms and reactions. EMDR is selected as the main cognitive behavioral treatment to help reduce PTSD symptoms in an 11-year-old male who has witnessed and experienced numerous interpersonal stressor related traumatic events.A clinical review of the child's EMDR focused treatment is summarized in a total of twenty-five sessions that follow Shapiro's EMDR 8-Step Treatment Model. Qualitative changes to the standard adult EMDR protocol made by the treating therapist are presented to illustrate how EMDR can be modified and adapted to work with latency age children. The results of the study suggest that EMDR may be a useful adjunct to an overall treatment plan aimed at ameliorating the traumatic symptoms and developmental difficulties associated with PTSD in children. The author emphasizes the need for the clinician using EMDR with children and adults to constantly target and assess the impact of present stressors and their role in the maintenance of PTSD symptomatology. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0438.

Keywords: Case Report  Empirical Study  Male  Multiple Traumatic Events  Nonclinical Case Study  Posttrauamtic Stress Disorder  Preadolescents  PTSD  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

291. Lohr, J., Tolin, D., & Kleinknecht, R. (1995, June). Eye movement desensitization of medical phobias:  Two case studies. Journal of Behavior Therapy and Experimental Psychiatry, 26(2), 141-151. doi:10.1016/0005-7916(95)00011-N.

Language: English

Format: Journal

Abstract:
We treated two medical phobic subjects with eye movement desensitization (EMD). Using detailed images of fear-related events, the treatment design conformed to an additive, within-series phase change to examine enduring effects. Results indicated that both subjects' verbal reports of fear decreased substantially using the EMD procedure. There were no consistent changes in heart rate. Similarly, self-reported fear toward a simulated blood draw decreased, but heart rate and blood pressure did not. Data for a number of standardized measures of medical fear indicated posttreatment reduction for both subjects. Anecdotal reports of medical procedures revealed limited generalization of treatment effects.

Keywords: Medical Phobias  

Accuracy Verified: Yes

292. Shapiro, F. (1990, July). Eye movement desensitization procedure:  A new treatment for anxiety. The California Psychologist, 18-19.

Language: English

Format: Newsletter

Abstract:
The Eye Movement Desensitization (EMD) procedure is a recently developed rapid treatment for anxiety and traumatic memories. Although, according to the DSM-III, post-traumatic stress disorder (PTSD) develops from a "psychologically traumatic event that is generally outside thr ange orusual human experience," many people are affected. Symptoms include nightmares, flashbacks and intrusive thoughts based on inidents of combat, rape, incest, accidents and natural disasters such as the 1989 Lom Prieta earthquake. Clinical experience has demonstrated that one to four sessions iwth EMD are sufficient to produce cessation of trauma-related anxiety and pronounced symtomatology suffered by victims of such events.

Keywords: Anxiety  Commentary  Hypnotherapy  

Accuracy Verified: Yes

293. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.

Language: English

Format: Dissertation/Thesis

Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]

Keywords: Comorbidity  Drug Abuse  Prison Inmates  Psychiatric Disorders  Stressors  Survivors  Therapeutic Community  

Accuracy Verified: Yes

294. Bolen, D. W. (1999, August). Eye movement desensitization reprocessing for the treatment of anxiety in psychology internship applicants: An interrupted time series design. The Chicago School - School of Professional Psychology, Chicago, IL. AAT 9920131.

Language: English

Format: Dissertation/Thesis

Abstract:
This study used an interrupted time series design to study the effectiveness of Eye Movement Desensitization Processing (EMDR) on the anxiety levels of 17 psychology graduate student participants who were in the process of applying to psychology internship sites. Participants were screened for pathology using the Symptom Checklist - Revised. Anxiety was assessed four times using the State Trait Anxiety Scale, twice prior to and twice following treatment with EMDR. Additionally, in an attempt to the account for some of the error variance due to history, the Schedule of Recent Events was given twice during the study, once prior to the EMDR treatment and once along with the final administration of the State Trait Anxiety Scale. Additional information about the effects of EMDR on anxiety, were obtained by monitoring heart rate and blood pressure changes during EMDR treatment for half of the participants. A dependent t-test on pre- and post-EMDR State Trait Anxiety Scale data failed to yield significant results. Other analyses also showed no effect of treatment. However, visual inspection of the data suggested that EMDR may have been effective for some participants. The range and diversity of participant's responses to anxiety over the course of the study, the relatively small sample size and design factors that increased the error variance were discussed in relation to the insignificant results. It was suggested that specific personality traits (e.g. characterological anxiety) and attributes of the distressing target event (e.g. amount of affect evoked) may act as intervening variables in an individual's response to EMDR treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(2-B), Aug 1999, pp. 0819.

Keywords: Anxiety  Empirical Study  Interrupted Time Series Design  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

295. Miller, J. R. (1994, September-October). Eye movement desensitization reprocessing:  Application on the battlefield. Army Medical Department Journal, 33-36.

Language: English

Format: Journal

Abstract:
Battle fatigue is an exceptionally stressful condition that can be very difficult to treat. It is aprofessional opinion that recovery can be dramatically improved by the introduction of Eye Movement Desensitization Reprocessing ( EMDR). Eye Movement Desensitization Reprocessing, used in a far forward capacity during combat, can expedite the return to duty of soldiers who experience battle fatigue. More rigorous studies on the application of EMDR as a therapeutic intervention for combat stress and battle fatigue are suggested.

Keywords: Battlefield  Military  

Accuracy Verified: Yes

296. Spates, C. R., & Burnette, M. M. (1995, March). Eye movement desensitization: Three unusual cases. Journal of Behavior Therapy and Experimental Psychiatry, 26(1), 51-55. DOI:10.1016/0005-7916(95)00001-G.

Language: English

Format: Journal

Abstract:
Three complex cases are presented to document further the broad applicability of eye movement desensitization (EMD) for PTSD. In the first subject this disorder was combined with panic attacks; in the second, sexual dysfunction was an additional consequence of childhood sexual abuse; and in the third the causative situation directly resulted in profound impairment of occupational and social function. In all three cases treatment produced rapid resolution of symptoms and functional recovery. [Author Summary]

Keywords: Adults  Case Report  Child Abuse  Females  Incest  Males  Multiple Traumatic Events  Panic Disorder  Police Personnel  Posttraumatic Stress Disorder  PTSD  Sexual Dysfunctions  Survivors  Treatment Effectiveness  Wounds  

Accuracy Verified: Yes

297. Engelhard, I., van den Hout, M. A., Janssen, W. C., & van der Beek, J. (2010, May). Eye movements reduce vividness and emotionality of “flashforwards”. Behaviour Research and Therapy, 48(5), 442-447. doi:10.1016/j.brat.2010.01.003.

Language: English

Format: Journal

Abstract:
Earlier studies have shown that eye movements during retrieval of disturbing images about past events reduce their vividness and emotionality, which may be due to both tasks competing for working memory resources. This study examined whether eye movements reduce vividness and emotionality of visual distressing images about feared future events: "flashforwards". A non-clinical sample was asked to select two images of feared future events, which were self-rated for vividness and emotionality. These images were retrieved while making eye movements or without a concurrent secondary task, and then vividness and emotionality were rated again. Relative to the no-dual task condition, eye movements while thinking of future-oriented images resulted in decreased ratings of image vividness and emotional intensity. Apparently, eye movements reduce vividness and emotionality of visual images about past and future feared events. This is in line with a working memory account of the beneficial effects of eye movements, which predicts that any task that taxes working memory during retrieval of disturbing mental images will be beneficial.

Keywords: Anxiety  Cognitive Process  Eye Movements  Flashforwards  Posttraumatic Stress Disorder  PTSD  Visual Images  Working memory  

Accuracy Verified: Yes

298. Barrowcliff, A. L., Gray, N. S., Freeman, T. C. A., & MacCulloch, M. J. (2004, June). Eye-movements reduce the vividness, emotional valence and electrodermal arousal associated with negative autobiographical memories. Journal of Forensic Psychiatry and Psychology, 15(2), 325–345. doi:10.1080/14789940410001673042.

Language: English

Format: Journal

Abstract:
The aim of this study was to examine the effect of eyemovements on subjective and psychophysiological measures of arousal and distress associated with positive and negative autobiographical memories. These memories were ‘brought-to-mind’ whilst engaging in eye-movement or eyes-stationary conditions in a counterbalanced within subjects design, with pre and post eye-condition subjective ratings of emotional valence and image vividness. Participants also rated current symptomatology associated with negative memories using the Impact of Events Scale. Engagement in eye-movements compared to the eyes-stationary condition resulted in significant reductions on measures of vividness and emotional valence for both positive and negative autobiographical memories. Reductions in electrodermal arousal were only observed when engaging in eye-movements following elicitation of the negative memory. This effect was observed independently of symptom severity.

Keywords: Eye Movements  

Accuracy Verified: Yes

299. Keeler, G. (1994, May 30). The eyes have it:  Eye therapy offers hope for people haunted by traumatic events. Fresno, CA:  The Fresno Bee, Home, Life, G1.

Language: English

Format: Newspaper

Abstract:
Then marriage and family counselor Nancy Stark suggested Elaine try a new procedure called Eye Movement Desensitization and Reprocessing (EMDR).

Keywords: Fresno  General  Nancy Stark  Overview  

Accuracy Verified: Yes

300. Zampieri, M. A. J. (2007, Novembro). Família e co-dedependência [Family and co-dependency]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil .

Language: Portuguese

Format: Conference

Abstract:
Apresentação de aplicação do EMDR em terapia de casais, famílias e sistemas no tratamento em contextos que apresentem padrões de co-dependência. A autora se apóia na descrição de manifestações sistêmicas da co-dependência já publicada e demonstra como a intervenção com EMDR pode ser empregada individualmente e adaptada em grupo. Apresentam-se exemplos de casos em tratamento de abuso de substâncias na co-dependência familiar e na co-dependência sócio-institucional no acompanhamento de profissionais do Conselho Tutelar. Espera-se que ao término da atividade o participante formado em EMDR seja capaz de identificar manifestações da co-dependência, nomear tais princípios num plano de intervenção com uso do EMDR na família ou na instituição.

Submission of application of EMDR in couples therapy, family systems and the treatment in environments that present standards co-dependency. The author relies on the description systemic manifestations of codependency already published and demonstrates how the intervention EMDR can be used individually and adapted group. There are examples of cases of substance abuse treatment in family co-dependency and codependency socio-institutional follow-up professionals from the Guardianship Council. It is expected that the end of the activity the participant made in EMDR is able to identify events of co-dependency, appoint such principles in a intervention plan with the use of EMDR in the family or institution.

Keywords: Co-Dependency  Family  

Accuracy Verified: Yes

301. McNally, R. J., & Solomon, R. M. (1999, February). The FBI’s Critical Incident Stress Management program. FBI Law Enforcement Bulletin, 68(2), 20-26.

Language: English

Format: Newsletter

Abstract: Eye movement desensitization and reprocessing (EMDR) is a component of the FBI's integrated response to critical incidents. A therapeutic method that must be administered only by mental health professionals trained in the procedure, EMDR frequently accelerates the treatment of trauma. Reportedly, EMDR stimulates the brain's natural information-processing mechanisms, allowing the ÒfrozenÓ traumatic information to be processed normally and achieve integration. 8 Negative images often fade; negative emotions subside. Irrational thoughts give way to appropriate, adaptive thoughts and interpretations (e.g., I did the best I could...I survived and I am now safe...I can exercise control). With EMDR, an individual discards what is not useful (e.g., irrational thoughts, distressing emotions, intrusive images), retains what is useful, and learns from the event, as the following hypothetical example illustrates.

Keywords: Critical Incident Stress  FBI  Recent Events  

Accuracy Verified: Yes

302. Zampieri, M. J. (2012, Novembro). Fibromialgia e EMDR: Estudo de série de casos com seguimento [Fibromyalgia and EMDR: A case series study with follow-up]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Introdução: A fibromialgia caracteriza-se por dores frequentes, intensas e limitantes, interferindo em diferentes aspectos da vida, associando-se a baixa autoestima, e, muitas vezes à depressão. O diagnóstico e o tratamento da fibromialgia ainda constituem um desafio na área da saúde, muitas vezes redundando em frequentes frustrações. Por outro lado, o EMDR criado por Shapiro tem sido alvo de muitas pesquisas sobre tratamento de dor crônica. Nesse estudo objetivou-se averiguar a eficácia do EMDR como coadjuvante no tratamento da fibromialgia. Método: Estudo de seguimento de uma série de dois casos com diagnóstico de fibromialgia já em tratamento médico, a partir da inclusão do EMDR. As pacientes foram submetidas aos inventários de Beck e Escala de Impacto de Eventos, além de levantamento gráfico subjetivo de dor. Além disso, a cada encontro levantou-se os remédios prescritos pelo médico. O seguimento por 9 meses incluiu avaliações antes, intermeio, final e após a psicoterapia. Resultados: Os resultados mostraram-se satisfatórios, com declínio da dor e alteração significante nos itens averiguados. Conclusão: A psicoterapia com EMDR é um recurso valioso para o tratamento da fibromialgia, e apresenta resultados expressivos tanto sobre a dor como em aspectos comórbidos, tais como a depressão, ansiedade e desesperança, ampliando os recursos internos com repercussão positiva no enfrentamento diminuindo o impacto de eventos nos sujeitos estudados. Deve ser cogitado como coadjuvantes no tratamento da fibromialgia.

Introduction: Fibromyalgia is characterized by pain frequent, intense and disabling, interfering with different aspects of life and is associated with low self-esteem, and often depression. The diagnosis and treatment of fibromyalgia is still a challenge in healthcare, often in redounding frequent frustrations. On the other hand, created by Shapiro EMDR has been the subject of much research on the treatment of chronic pain. This study aimed to examine the efficacy of EMDR as an adjunct in the treatment of fibromyalgia. Methods: Follow-up study of a series of two cases already diagnosed with fibromyalgia in medical treatment, from the inclusion of EMDR. The patients were submitted to the Beck inventories and Impact of Events Scale, and graphic survey of subjective pain. Furthermore, each encounter rose medicines prescribed by a doctor. The follow-up evaluations included nine months before, intermeio, final and after psychotherapy. Results: The results were satisfactory, decreasing pain and significant changes in the items checked. Conclusion: Psychotherapy with EMDR is a valuable resource for the treatment of fibromyalgia, and presents significant results on both pain and comorbid aspects, such as depression, anxiety and hopelessness, expanding domestic resources with positive impact in reducing the impact coping events in the subjects studied. Should be contemplated as adjuncts in the treatment of fibromyalgia.

Keywords: Beck Depression Inventory  Case Study  Fibromyalgia  Tracking  

Accuracy Verified: Yes

303. Logie, R. (2012, October). Flash forwards. A special type of future template. Presentation at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
The “Flashforwards” procedure will explained as a sub category of the existing concept of the “Future Template”. Situations in which the use of Flashforwards might be appropriate will be explained. The use of Flashforwards for various disorders in which there is a fear of future events (eg phobia, PTSD, OCD) will be outlined together with case examples including video. Participants will work through the Assessment phase of the EMDR protocol for a future feared situation using their own material.

Keywords: Flash Forward  Future Template  

Accuracy Verified: Yes

304. Browning, C. (1999,September). Floatback and float forward:  Techniques for linking past, present and future. EMDRIA Newsletter, 4(3), 12, 34.

Language: English

Format: Newsletter

Abstract:
The standard EMDR protocol calls for targeting the past origins of a disturbance, present day triggers and creating templates for appropriate behavior in the future (Shapiro, 1995). Some clients, however, may have difficulty connecting their current problems to past events. Similarly, other clients may have difficulty creating positive future templates, especially if the client is anxious about trying new behavior. For these problems the Floatback and Float-forward Techniques, developed by the EMDR Institute Trainer, William Zangwill, Ph.D., are effective methods for linking past, present and future in a clinical setting and providing the therapist with tools for competently addressing both of these issues.

Keywords: Floatback  Float Forward  

Accuracy Verified: Yes

305. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.

Language: Spanish

Format: Conference

Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas. LA TÉCNICA DE FLOTAR HACIA ATRÁS Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia. Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente". Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual. Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica. El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas. Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas. LA TÉCNICA DE FLOTAR HACIA DELANTE Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR. Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones. Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?" Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral. Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares. Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura. A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.

EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues. THE ART OF FLOATING BACK Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently. To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. " Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material. It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique. The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations. In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses. THE ART OF FLOATING FORWARD While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR. To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions. Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?" Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation. If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements. Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe. To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.

Keywords: Floatback Technique  Float Foward Technique  

Accuracy Verified: Yes

306. Shapiro, E. (2009). Four elements exercise for stress management. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 73-79). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The rationale behind the creation of "The Four Elements Exercise for Stress Management" is to address the cumulative effect of external and internal triggers that occur over the course of the day. Since we know that people cope better with stress when they stay within their arousal "window of tolerance," ways to lower stress—especially when under stress—are essential. The heart of the exercise consists of four, brief, self-calming and self-control activities. The sequence of the four elements—Earth-Air-Water-Fire—is designed to follow the body up from the feet to the stomach and chest, to the throat and mouth, and up through the head. It begins with the ground to signify safety in the present reality and moves up to the imagination of recalled safety. By checking in with stress levels at random times throughout the day and also when stressful events are occurring, the exercise can aid in preventing the accumulation of stress and enables clients to stay within their window of tolerance. The modest goal is to reduce the stress level by 1 or 2 units each time the exercise is performed. The original conceptualization of the Four Elements Exercise was that the first three elements could be a preparation for the Safe Place (or other resource exercise such as the Resource Connection), especially when there is an ongoing emergency situation or when it is difficult to find a Safe Place. Often, the fourth element is introduced at the following meeting, as the first three elements are enough to remember and practice in the beginning for clients. Working on the Safe Place separately during the following session gives it more space and impact. It is advisable to follow up on how the client practiced the four elements at the beginning of the next session and to ask them to show you how they do it. If necessary, demonstrate it again at the beginning of the first few sessions. This is a way of checking for compliance and readiness for EMDR as well as present level of stress and sense of safety with you in the room. [PsycINFO Database]

Keywords: Four Elements Exercise  Protocol  Stress Management  

Accuracy Verified: Yes

307. Schofield, T. (1998, October). Francine Shapiro. The Family Journal, 6(4), 337-345. doi:10.1177/1066480798064016 .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) provides an eight-phase emotionally corrective experience described as a "learning catalyst" for reprocessing traumatic events. The originator of EMDR discusses the experiences that influenced her innovative approach. EMDR is discussed as a learning catalyst, and many misconceptions about the approach are addressed. (EMK) Note:The following two links are not-applicable for text-based browsers or screen-reading software.

Keywords: Counseling Techniques  Counseling Theories  Counselors  Eye Movements  Family Counseling  Misconceptions  

Accuracy Verified: Yes

308. Marler, M. (2005, September). Frank, E.R. Wrecked, a novel. Kliatt.

Language: English

Format: Novel(Book)

Abstract:
To quote the review of the hardcover in KLIATT, September 2005: Sixteen-year-old Anna kills her brother's girlfriend Cameron in a car crash after drinking at a party, but she was not drunk. Her best friend Ellen is also seriously injured. To make matters worse, Anna and her brother have an emotionally abusive father, a weak and distant mother, and this problem has driven a wedge into their relationship even before the trauma of the accident. This is a story of grief and the different ways people are changed by extreme events and how they heal. It is also the story of the power of friendship and the need for other people in our lives and suggests the necessity of forgiveness for the weakness of others. In addition, it explores the use of EMDR therapy to deal with post-traumatic stress disorder. Frank's use of language and her powerful flashbacks, accompanied by her insight into the human condition, make this novel rich and compelling, one whose images linger in the memory after the last page. Frank (author of America, Friction, and Life is Funny) allows her characters to speak for themselves. No authorial voice jumps in to make pronouncements. The characters chide, comfort, warn, and get angry at each other and ultimately their interactions are an essential part of the healing process. This novel's themes and execution make it an excellent read for all adolescents, though younger teens may not appreciate it as much as older teens because of its sophisticated imagery.

Keywords: Fiction  Novel  

Accuracy Verified: No

309. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR with people suffering from complex trauma often leads to difficulties regarding the treatment plan, but also during desensitization, reprocessing, with a risk of major destabilization, and treatment drop outs. Often, many targets, especially those coming from early childhood, are pre-­‐verbal in nature and stay therefore implicit. Should we then renounce in doing EMDR with these people? Is it possible to apply EMDR safely and without getting lost, adjusting to each person, so different from another, and their life events somewhat chaotic? The gearbox, through the metaphor of a journey by car, suggests a hierarchical processing structure to navigate through therapy with people suffering from complex trauma, which allows the therapist to adapt to the client, his/her life context, knowing what to do, and why. The result is a more self-­‐confident therapist, who is able to adapt to the client, being so more flexible and safe while doing EMDR. By integrating the current knowledge of EMDR for complex trauma, the gearbox is a dynamic and adaptive tool.

EMDR en personas que sufren trauma complejo a menudo conlleva dificultades respecto al plan terapéutico y también durante la desensibilización y reprocesamiento, con el riesgo de una desestabilización mayor y el abandono del tratamiento. Con frecuencia, muchos de los objetivos y, muy especialmente los que tienen su origen en la primera infancia, son preverbales y, por lo tanto, permanecen implícitos. ¿Deberíamos renunciar al uso de EMDR con estas personas? ¿Es posible aplicar EMDR de forma segura y sin perderse, adaptándose a cada persona, tan distintas unas de otras, así como a sus eventos de vida, algo caóticos? “Gearbox”, a través de una metáfora de un viaje en coche, sugiere una estructura jerárquica de procesamiento para navegar por la terapia con personas que sufre trauma complejo, lo que permite al terapeuta a adaptarse al cliente, el contexto de su vida, sabiendo qué hacer y por qué. El resultado es un terapeuta con más confianza en sí mismo, capaz de adaptarse al cliente, con mucho más flexibilidad y seguridad mientras utiliza EMDR. Al integrar los conocimientos actuales de EMDR en casos de trauma complejo, “la caja de cambios” es una herramienta dinámica y adaptativa.

Keywords: Gear Box  

Accuracy Verified: Yes

310. Cairella, C. (2012, June). Getting to the heart of the matter: Using EMDR effectively with couples [Llegando al corazón del problema: El empleo efectivo de EMDR con parejas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This presentation outlines how EMDR and Couple's Therapy can be integrated in the field of psychotherapy. The audience will learn how to conduct a couple's therapy session based on the 8 Phases of the EMDR protocol. During this presentation, video recordings will be provided to demonstrate how EMDR can be used in the couple's therapy setting when emotionally disruptive events, such as infidelity, attachment injuries or childhood trauma have negatively affected the relationship. Couples therapy examines the negative cycle that occurs within the relationship, helps to deepen the couple's awareness of both their internal experience and the experience of their partner, and to cultivate intimacy within the relationship. However, if the couple is unable to tolerate their own anxiety or the distress of their partner, their mid-brain can become emotionally charged, thus leading to further discord within the relationship. Based on the AIP model, if either one or both members of the relationship are being triggered by unresolved past traumatic events both parties can become activated. Since the initial perceptions, emotions and distorted thoughts are stored as they were experienced at the time of the event, the couple can get caught in an unending negative cycle that further exacerbates the anxiety and distress in the relationship. By integrating EMDR in Couple's Therapy we hypothesize that EMDR helps to both increase one’s ability to tolerate anxiety and decrease the intensity of past traumatic events and present day triggers, thus decreasing the level of distress in the relationship.

Esta presentación esboza cómo se puede integrar EMDR y la terapia de pareja en el campo de la psicoterapia. Los participantes aprenderán a llevar a cabo una sesión terapéutica de pareja sobre la base de las 8 fases del protocolo de EMDR. Durante esta presentación, se ofrecerán vídeos para demostrar cómo se puede utilizar EMDR en el contexto de una terapia de pareja cuando han afectado la relación de forma negativa eventos emocionalmente perturbadores, como la infidelidad, daños al apego o trauma infantil. La terapia de pareja examina el ciclo negativo que se da dentro de la relación, ayuda a profundizar la conciencia de la pareja tanto de su experiencia interna y la experiencia del otro miembro de la pareja y a cultivar la intimidad dentro de la relación. Sin embargo, si la pareja no es capaz de tolerar su propia ansiedad o el estrés de su pareja, se les puede quedar cargado el cerebro medio y así, provocar más discordia dentro de la relación. De acuerdo con el modelo AIP, si eventos traumáticos sin resolver “disparan” a un miembro de la relación o a ambos, pueden activarse ambas personas. Desde las primeras percepciones, se guardan las emociones y pensamientos distorsionados igual que se vivieron en el momento del suceso, la pareja puede acabar atrapada en un ciclo negativo sin fin que agudiza aún más la ansiedad y el estrés en la relación. Al integrar EMDR en la terapia de pareja, nuestra hipótesis es que EMDR contribuye tanto a aumentar la capacidad de la persona a tolerar la ansiedad, como a disminuir la intensidad de los sucesos traumáticos pasados y los desencadenantes actuales y así, reducir el nivel de estrés dentro de la relación.

Keywords: Couples  

Accuracy Verified: Yes

311. Korkmazlar-Oral, U., & Pamuk, S. (2002). Group EMDR with child survivors of the earthquake in Turkey. In J. Morris-Smith (Ed.), EMDR: clinical applications with children, Occasional paper No. 19 (pp. 47-50) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
This study was structured under emergency conditions to support and help children psychologically, just after the acute period of the earthquake that took place on 17 August 1999 in Turkey. EMDR, healing stories and artwork were administered to 16 children (10-11 years old) on a group basis in the tent city. Their symptoms were restlessness, not being able to stay alone, fear of the dark, fear of loud noises and anxiety. The children enjoyed the opportunity to express and reprocess their traumatic experiences with the help of EMDR and artwork, which became apparent when their SUDs level went down from 9/10 to 10.

Keywords: Children  Earthquakes  Occasional Paper  Recent Events  Survivors  

Accuracy Verified: Yes

312. Guner, O., Pamuk, S., & Dincer-Genc, N. (2006, June). A group intervention program for children living in the Maramara region of Turkey, three years after the earthquake. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Children  Earthquake  Marmara  Posttraumatic Stress Disorder  PTSD  Recent Events  Turkey  

Accuracy Verified: Yes

313. Connor, P. K. (2005). Guideline-based programs in the treatment of complex PTSD. Deakin University, Victoria, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The term “post-traumatic stress disorder” (PTSD) is a relatively new diagnostic label, being formally recognized in 1980 in the Diagnostic Statistical Manual for Psychiatric Illness – Third Edition (DSM-III) of the American Psychiatric Association (APA, 1980). Complex Post-Traumatic Stress Disorder (CP) is a more recently discussed, and newly-classified, phenomenon, initially discussed in the early 1990s (Herman, 1992a). Thus, as research into effective treatments for CP is sparse, the treatment of CP is the topic of this study, in which a guideline-based treatment program developed by the researcher for the treatment of CP is implemented and evaluated. Ten individuals participated in this study, undertaking individualized, guideline-based treatment programs spanning a period of six months. In providing background information relevant to this study, an explanation is provided regarding the nature of CP, and the reasons for its consideration as a separate phenomenon to PTSD. The adequacy of the PTSD formulation in enabling effective assessment and treatment of CP is also explored, with endorsement of previous researchers’ conclusions that the CP construct is more useful than the PTSD construct for assessing and treating survivors of long-term and multiple forms of abuse. The PTSD classification is restrictive, and not necessarily appropriate for certain forms of trauma (such as prolonged trauma, or multiple forms of trauma), as such trauma experiences may lead to specific effects that lay outside those formerly associated with PTSD. Such effects include alterations in affect regulation, consciousness, self-perception, interpersonal relationships, and in systems of meaning. Following discussion regarding the PTSD/CP classification, an examination of treatment methods currently used in the treatment of PTSD, and a review of treatment outcome studies, takes place. The adequacy of primary treatment methods in treating CP symptoms is then examined, with the conclusion that a range of treatment methods could potentially be useful in the treatment of CP symptoms. Individuals with a diagnosis of CP may benefit from the adoption of an eclectic approach, drawing on different treatment options for different symptoms, and constantly evaluating client progress and re-evaluating interventions. This review of treatment approaches is followed by details of an initial study undertaken to obtain feedback from individuals who had suffered long-term/multiple trauma and who had received treatment. Participants in this initial study were asked open-ended questions regarding the treatment approach they had experienced, the most useful aspect of the treatment, the least useful aspect, and other strategies/treatment approaches that may have been useful – but which were not used. The feedback obtained from these individuals was used to inform the development of treatment guidelines for use in the main study, as were recommendations made by Chu (1998). The predominant focus of the treatment guidelines was “ego strengthening”, a term coined by Chu (1998) to describe the “initial (sometimes lengthy) period of developing fundamental skills in maintaining supportive relationships, developing self-care strategies, coping with symptomatology, improving functioning, and establishing a positive self identity” (p.75). Using a case study approach, data are then presented relating to each of the ten individuals involved in the treatment program: details of his/her trauma experience(s)and the impact of the trauma (as perceived by each individual); details of each individual’s treatment program (as planned, and as implemented); post-treatment evaluation of the positive and negative aspects of the treatment program (from the therapist’s perspective); and details of the symptoms reported by the individual post-treatment, via psychometric assessment and also during interview. Analysis and discussion of the data relating to the ten participants in the study are the focal point of this study. The evaluation of the effectiveness of each individual’s treatment has been based predominantly on qualitative data, obtained from an analysis of language (discourse analysis) used by participants to describe their symptoms pre- and post-treatment. Both blatant and subtle changes in the language used by participants to describe themselves, their behaviour, and their relationships pre- and post-treatment have provided an insight into the possible changes that occurred as a result of the treatment program. The language used by participants has been a rich source of data, one that has enabled the researcher to obtain information that could not be obtained using psychometric assessment methods. Most of the participants in this study portrayed notable changes in many of the CP symptoms, including being more stable and having improved capacity to explore their early abuse. Although no direct cause-effect relationship between the participants’ treatment program and the improvements described can be established from this study, the participants’ perception that the program assisted them with their symptoms, and reported many aspects of “ego strengthening”, is of major importance. Such self-perception of strength and empowerment is important if an individual is going to be able to deal with past trauma experiences. In fact, abreactive work may have a greater chance of succeeding if those who have experienced long-term or multiple trauma are feeling more empowered, and more stable, as were the participants in this study (post-intervention). In concluding this study, recommendations have been made in regard to the use of guideline-based treatment programs in the responsible treatment of CP. Strengths and limitations of this study have also been highlighted, and recommendations have been made regarding possibilities for future research related to CP treatment. On the whole, this study has supported strongly other research that highlights the importance of focusing on “ego strengthening” in assisting those who have suffered long-term/multiple trauma experiences. Thus, a guideline-based program focusing on assisting sufferers of long-term trauma with some, or all, of the symptoms of CP, is recommended as an important first stage of any treatment of individuals who have experienced long-term/multiple trauma, allowing them to develop the emotional and psychological strength required to deal with past traumatic events. Clinicians who are treating patients whose history depicts long-term or multiple trauma experiences (either from their childhood, or at some stage in their adult life) need, therefore, to be mindful of assessing individuals for symptoms of CP – so that they can treat these symptoms prior to engaging in any work associated directly with the past traumatic experiences. [Author abstract]
D.H.Sc.(Psych.) thesis, School of Psychology.

Keywords: Posttraumatic Stress Disorder  Psychotherapy  Treatment  

Accuracy Verified: Yes

314. Courtois, C. (1997, January). Guidelines for the treatment of adults abused or possibly abused as children (with attention to issues of delayed/recovered memory). EMDRIA Newsletter, 2(3), 3-8.

Language: English

Format: Newsletter

Abstract:
These guidelines provide practicing clinicians with information regarding psychotherapy with adults who: 1) disclose an abuse history (physical, sexual, emotional) at the beginning of therapy, 2) do not disclose abuse despite having knowledge and memory about such events in their past; 3) report new (delayed or recovered) memories of abuse during the course of therapy; and/or 4) suspect past abuse, but have no clear memories of having been abused. The most common clinical scenario involves an individual who has retained memory for past abuse, but recalls additional events or details during therapy. The less common scenario is for an individual to have totally absent any memory of abuse and to later develop highly detailed memory. Practitioners should expect a range of memory presentations and must work to neither suggest nor suppress abuse-related issues that arise in the course of therapy.

Keywords: Abuse  Delayed Recovery Memory  

Accuracy Verified: Yes

315. Lui, L. (1996, July/August). Hand waving?  An unconventional for post-traumatic stress is put to the test. The Sciences, 36(4), 13.

Language: English

Format: Other

Abstract:
When Prometheus gave fire to the mortals, an angry Zeus chained him to Mount Causaus, where each day an eagle devoured his liver, and each night the liver grew back. Imagine for a moment that you must endure a variation of that Promethean hell. Instead of an eagle, your tormentor is a rapist, the murderer of your parents, a battlefield enemy who took away your legs and much more inside. For many people, the unbearable circumstances you are only imagining are real. The condition known as post-traumatic stress disorder (PTSD), forces it svictims to live the most traumatic events of their lives over and over again. Because the events are often wars, assaults or natural disasters, the persistence of memory alone would be difficult. But if you are a victim of PTSD, you may relive your tragic epiosde with such clarity that you can see the bloody bodies on the battlefield or smell the alcohol on your assailant's breath.

Keywords: Practice  Theory  

Accuracy Verified: Yes

316. Staff. (1996, November). Hawaiian schools offer EMDR to students traumatized by hurricane. Brown University Child & Adolescent Behavior Letter, 12(11), 5.

Language: English

Format: Newsletter

Abstract:
Reports on the Hawaiian school's giving of eye movement desensitization and reprocessing treatment (EMDR) to students traumatized by hurricane. Reasons for the recommendation of EMDR treatment; Statistic of students suffering from hurricane-related distress in Hawaii; Students' transformation after the treatment.[Academic Search Premier]

Keywords: Hawaii  Hurricane  Recent Events  Trauma  

Accuracy Verified: Yes

317. Jayatunge, R. M. (2011, May). Healing combat trauma in Sri Lanka via EMDR. LankaWeb. Retrieved from http://www.lankaweb.com/news/items/2011/05/10/healing-combat-trauma-in-sri-lanka-via-emdr/ on 5/10/2011.

Language: English

Format: Other

Abstract:
The Sri Lankan society is hugely affected by combat related stress as a result of the 30 year armed conflict. Combatants as well as a large number of civilians including members of the LTTE have undergone a tremendous amount of war related stress for the last 3 decades. There had been large military operations where the combatants were directly exposed to hostile battle conditions. Following these traumatic combat events a considerable number of soldiers became psychologically wounded. Deplorably Psychological wounds of the Eelam war were not addressed appropriately. As a result of the armed conflict in Sri Lanka a callous wave of PTSD, Depression, Somatization, and Adjustment Disorders etc has been generated. Many cases are not yet diagnosed entirely and following the late reactions of combat trauma the numbers would be high. To heal the war trauma in Sri Lanka an effective psychotherapeutic method was needed. In 2005 the EMDR HAP trained Sri Lankan mental health clinicians to use EMDR to deal with psychological trauma. EMDR was effectively used to treat Sri Lankan combatants. Many of the EMDR sessions were conducted under the supervision of the EMDR HAP facilitators. Following these treatment the Sri Lankan combatants with PTSD and Depression showed positive therapeutic outcome. Their psychological distress reduced significantly. This article reveals the efficacy of EMDR in the treatment of four combatants with PTSD and two with Depressive Disorder. After 5 to 8 sessions of EMDR most of the veterans became free of their disturbing symptoms and today living productive lives.

Keywords: Combat Trauma  Eelam War  Sri Lanka  Veterans  

Accuracy Verified: Yes

318. Hofmann, A. (2010, June). Healing depression by treating trauma?. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools for treating posttraumatic stress disorders. One of the lesser-known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders, which may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population during their lifetimes. Although many psychotherapeutic and pharmacologic interventions exist that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (around 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems. Research shows that there may be a link between traumatic events (such as abuse experience in childhood) and the later occurrence of a depressive disorder. Research also shows that patients with a traumatic childhood history respond differently to treatment than patients without such a history do.
However, there is no published systematic study that tries to explore the potential use of trauma-specific treatments, such as EMDR, with depressive patients with a trauma history.
The presenter will report on the status of research on this subject and on a current controlled study, which is exploring the use of EMDR in depressive patients.

Keywords: Depression  Keynote  Trauma  

Accuracy Verified: Yes

319. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley.

Language: English

Format: Book Section

Abstract:
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Adolescents  Children  

Accuracy Verified: Yes

320. Morris-Smith, J. (2006, March). Helping children and families recover: The role of EMDR therapy in the aftermath of disaster and traumatic events. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
Children are often caught up in traumatic situations which are be)cond their control and in which they experience overwhelming helplessness and a sense of abandonment. Their lives become severely disrupted ard may even change completely. Helping children understand their experiences whilst resolving their traumatic memories is fundamental to their future health and adaptation. Parents and carers take the primary role in re-establishing the children's sense of safety in the world. Enabling parents or carers to be a part of the EMDR therapy process and thus to develop insights into the child's understandings through the development of a shared narrative and attunement may also be key to the recovery of the children. This paper aims to look at how this can be achieved during EMDR therapy and will be illustrated by case examples and video clips.

Keywords: Children  Families  Disaster  Trauma  

Accuracy Verified: Yes

321. van der Zee, H., & Zaal, A. (2011, April). Het emotionele brein; EMDR & neuropsychologie [The emotional brain, EMDR & neuropsychology]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Het menselijk brein is bijzonder veerkrachtig. Als gevolg op een traumatische ervaring ontstaat er in het lichaam een keten aan reacties. De meeste van deze reacties zijn adaptief en gericht op een natuurlijke verwerking. Bij 10 tot 20 % van de mensen die een traumatische ervaring meemaken verloopt de verwerking pathologisch en ontstaat een post traumatische stress stoornis. Lichamelijke veranderingen als gevolg van langdurige stress of een genetische gevoeligheid kunnen hierbij een rol spelen. Bij de verwerking van emotionele gebeurtenissen en psychotrauma zijn verschillende hersenstructuren betrokken. In deze presentatie zal een toelichting worden gegeven op biologische factoren bij het ontstaan van psychotrauma en de rol van ‘ het emotionele brein’ bij traumaverwerking. Ook zal worden ingegaan op de wijze waarop bilaterale stimulatie deze processen mogelijk beïnvloed en hoe dit zich verhoudt tot vigerende verklaringsmodellen over de werkzaamheid van EMDR. Tot slot wordt een casus gepresenteerd waarbij EMDR is toegepast in een neuropsychologische behandeling en is er ruimte voor discussie over de toepassing van EMDR bij neuropsychologische problematiek.

The human brain is very resilient. Due to a traumatic experience develops in the body of a chain reaction. Most of these responses are adaptive and focused on a natural process. At 10 to 20% of people who experience a traumatic experience does the pathological process and creates a post-traumatic stress disorder. Physical changes resulting from prolonged stress or a genetic susceptibility may play a role. In the processing of emotional events and psychotrauma several brain structures involved. This presentation will be given an explanation on biological factors in the development of psychotrauma and the role of the emotional brain in trauma. It will also examine how these processes affect bilateral stimulation and how this relates to current models of explanation about the efficacy of EMDR. Finally, a case presented which EMDR was used in a neuropsychological treatment and there is room for discussion about the use of EMDR with neuropsychological problems.

Keywords: Neurobiology  Neuropsychology  

Accuracy Verified: Yes

322. Koppel, H. (2002, February). High-speed therapy. CPJ: Counselling & Psychotherapy Journal, 13(1), 20-21 .

Language: English

Format: Magazine

Abstract:

Keywords: Practice  Theory  

Accuracy Verified: Yes

323. Havelka, J. (2006). Hoe groot ben jij naast een brandweerman?' Traumaverwerkingmet EMDR als een episode in een kindertherapie [When you stand next to a fireman: Dealing with trauma using EMDR in therapy with children]. Tijdschrift Cliëntgerichte Psychotherapie, 44 (3), 191-208.

Language: Dutch

Format: Magazine

Abstract:
Dit artikel tracht te illustreren hoe traumaverwerking deel kan uitmaken van een langdurige individuele therapie. Wanneer één, of meerdere traumatische gebeurtenissen het therapieproces blokkeren, is het mogelijk een episode van traumaverwerking in therapie in te bouwen waarbij men - als aanvulling van de gesprekstherapie - gebruik kan maken van EMDR. Het eerste deel van dit artikel is een kort overzicht van de belangrijkste kenmerken van het PTSS-syndroom en er wordt uitvoerig ingegaan op de geschiedenis, theorie en praktijk van EMDR en meer specifiek het gebruik ervan bij kinderen. Vervolgens wordt de parallel getrokken tussen cliëntgerichte therapie, cognitieve gedragstherapie en traumaverwerking met EMDR. Het tweede deel van dit artikel is een casusbespreking van een 11-jarige jongen wiens moeder voor zijn ogen verbrand werd door gloeiende frituurolie, waarin het gebruik van EMDR bij kinderen wordt uitgewerkt.

This article tries to illustrate how trauma can be part of a long-term individual therapy. If one or more traumatic events of the therapy process to block, it is possible one episode of trauma therapy model using in one - an addition to the conversation therapy - may use EMDR. The first part of this article is a brief overview of the main characteristics of the PTSD syndrome, and a full explanation of the history, theory and practice of EMDR and more specifically its use in children. Then, the parallel between client-centered therapy, cognitive behavioral therapy and trauma with EMDR. The second part of this article is a case review of a 11-year-old boy whose mother before his eyes burned by hot cooking oil in which the use of EMDR in children is developed.

Keywords: Children  Therapy  Trauma  Treatment  

Accuracy Verified: Yes

324. Giamp, J. S. (2003). Honoring their voice: Eye movement desensitization and reprocessing through the eyes of inmates with developmental disabilities. Walden University, Minneapolis, MN. AAT 3119790.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) on inmates with developmental disabilities (DD) who were incarcerated in a special needs correctional facility in the southwestern United States. Cognitively, these inmates ranged from borderline intellectual functioning (BIF) to mild mental retardation (MMR), and all suffered from PTSD-like symptoms. A repeated measure pre- and postanalysis design with one sample group was utilized. The Emotional Problem Scales (EPS), Impact of Events Scales - 8 Items (IES-8), Validity of Cognition Scales (VOCS), and Subjective Units of Disturbance Scales (SUDS) were used to gather quantitative data on the 17 volunteer participants. Baseline and outcome data were collected by an independent assessor. The T-Test was incorporated to analyze the data and determine significance. Due to the small sample of convenience, the data were skewed, so the researcher also used the nonparametric Wilcoxon Signed Rank Test. Descriptive data on EMDR were collected and analyzed.As measured by the SUDS, IES-8, and VOCS, the statistical findings revealed self-reported reductions in levels of distress, avoidance, and intrusiveness of the traumatic memory, and an increase in self-esteem and the believability of positive cognitions about self and the event after the application of EMDR. However, the clinical scales from the Self-Report Inventory (SRI) of the EPS did not reveal any changes after the application of EMDR. Staff familiar with the study volunteers also reported a significant decrease in clinical pathology and an increase in prosocial behavior, as measured by the Behavior Rating Scale (BRS) of the EPS. Findings suggest that the utilization of EMDR with persons having developmental disabilities may have clinical utility. Thus, further research in this area is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 436.

Keywords: Americans  Empirical Study  Mentally Retarded  Posttraumatic Stress Disorder  Prison Inmates  PTSD  Quantitative Study  Self Esteem  Treatment Effectiveness  

Accuracy Verified: Yes

325. Xu, K. (2010, July). How to cope with suicide contagion events. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
As an exporter, I take part in the team to copy with the Foxconn suicide contagion events and give consultant to the company and government how to stop the copycat and suicide. I would like to share with participants the knowledge and experience of it. Which will benefit for the crisis intervene in the future.

Keywords: Suicide  

Accuracy Verified: Yes

326. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .

Language: English

Format: Conference

Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.

Focus of our intervention is the wellbeing of the rescuer. The study and research on this matter came and were carried out thanks to the activity done both during trainings and simulations of the Civil Protection than real emergencies. Our team work received contribution by some psychologists of OPP (Parma’s Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s emergency activities and can affect the rescuer both physically and psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough knowledge, are essential to give the best performance according to the complexity and urgency of the intervention. These skills can really contribute to the rescuer's wellbeing, because they can improve the self-efficiency perception. To effectively manage and train rescuers, it is furthermore important to consider and acknowledge the influence of interpersonal relationships on technical performances. It is, in fact, particularly important to recognize and support the typical relationships that can be created in a team with the same task and specialization, as well as in multidisciplinary teams, or teams belonging to different Institutions but operating in the same scenario.

In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency scenarios. To recreate scenarios of massive emergencies, different Civil Protection Associations, as well as First Aid volunteer associations and the local Institutions have been involved. In these simulations, most cases focus on improving technical performances. Lately psychologists have been asked to join the rescuers team. During these simulations, the role-play of emotional and psychological problems occurs thanks to the cooperation between emergency psychologists and the medical team. The introduction of the role and expertise of psychologists allowed to extend and strengthen the attention to cross support and care aspects for the psychological wellbeing of both victims and rescuers. The psychologist must therefore consider the “wellbeing” in all the emergency scenarios and contexts, as a sum of all the components that we talked about here and the ones we will describe during our intervention. He must first of all be aware of the complexity of each intervention in the field, and adopt a kind of approach aimed at creating and recovering wellbeing strategies, that can be used by himself as well. Strategies on how to build, recover and maintain the wellbeing identify stress as the first danger source the rescuer has to face in his training and emergency activity. When external events or stimuli are perceived as difficult to face compared with resources available at that moment, the individual gets stressed. When the person's efforts are not adaptive to the external requests and/or coherent with his performance expectations, he becomes vulnerable to emotional, behavioural, cognitive and physical reactions, which can be even very difficult to manage both in the short and/or in the medium-long term. This can happen when the sources of stress depend on the rescuer’s performance, and it can also happen in case of post traumatic stress, visible in different stages after the event. From the psychologist's specialist background and from the integration of this with the result of field experiences, the demand for a range of different tools to manage the different kinds of stress emerges, and these tools must be applicable both to the individual and to the group. This range is still improving, and the results of our observational activity from past and present experiences lead us to see the opportunity to carry on our research of tools of efficacy. During this speech we would like to underline that approaches like Stress Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow the technical appraisal and let the rescuers improve their stress management skills, and all that can lead to a decrease in the risk of PTSD. In past simulations of emergencies, we found out that the use of videotapes for the role plays is a tool that should be taken more into account. We think it is important to evaluate its potential for the rescuers' benefit, because it seems to be not only “a record of technical performances”, but also an observation and learning tool about the rescuer's own defence and adaptive strategies. In fact, during these simulations we found out that the rescuers' psychological and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us to focus more on the matter of mutual influence between technical performance and internal experience of stress. We understand that such acute stress episodes may occur during real life critical events but we can see how role playing and video recordings show that such acute stress episodes affected the simulators themselves even during the simulation. The videos show that even apparently “high immunity” simulators, who are considered 'immune' thanks to their comprehensive and strong experience, experienced acute stress, perhaps because of an incorrect selfevaluation of their own stress management skills. The interest in the use of videos as a training and reprocessing tool for rescuers led some of us to specialize in role playing recording, so as to carry out a more accurate and comprehensive study on those same videos and use them as a mirror of reality and better educational tool through a vicar experience or through “seeing oneself from within the experience” and in the interpersonal dynamics that took place in the scenario. Videotapes are a very known and widely used tool in other kinds of trainings, disciplines and therapies (i.e. Family Therapy and CBT). The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence that when someone observes the same action performed by another person, the neurons "mirrors" the behaviour of that person, as though the observer were itself acting. Thanks to these researchers it is now proven that this can happen thanks to the motor neurons in the pre-motor cortex. Therefore, we would like to underline the role of videos as very useful and versatile training tools, since they expose a situation in an unexpected realistic manner “as if” it were true and “as if” we were really experiencing that situation, with the consequent learning movements at the emotional, cognitive and behavioural level, at the stress management level, as well as at the level of team work dynamics. Visual imagination activates the same brain regions that are active during visual perception and motor imagination activates the same brain regions activated the movement is really happening. More importantly, it was possible for us to verify that the videos recorded by other operators were not focused on showing the important psychological aspects we mentioned for the goal of the trainings, thing that happened instead with the videos recorded by psychologists. We think therefore that the use of videotapes recorded by psychologists should be given more consideration in the trainings of rescuers. During this intervention we will devote part of the time to broadcasting two short videos; the first one shows the role playing of an intervention in an emergency context, and the second one shows a part of an EMDR session (Eye Movement Desensitization Reprocessing). We think it is important to recreate and protect rescuers wellbeing in the post-role playing and post emergency stages too. For years EMDR has been proven effective in improving the individual's coping skills and in reprocessing, wherever necessary, the post traumatic aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.

Keywords: Emergency Workers  Mirror Neuron and Stress Inoculation  Rescue-Working Activity  Risk Prevention and Management  

Accuracy Verified: Yes

327. Grainger, R. K. (1992, December). Hurricane Andrew response team. EMDR Network Newsletter, 2(2), 16-17.

Language: English

Format: Newsletter

Abstract:
On November 1, 1992, a three-person disaster response team of EMDR trained therapists, consisting of Nancy Walker, MFCC, from Sunnyvale, CA, and Bill Reid, LSW, and Bill Owens, LISW, Columbus, OH, paid their way to Miami for the privilege of working with disaster survivors and utilizing EMDR. This is report on the work of that team and related information about emergency disaster work.

Keywords: EMDR Volunteer Disaster Response Team  Florida Disaster Response Team  Hurricane Andrew  Recent Events  

Accuracy Verified: Yes

328. Mosquera, D., & Gonzalez, A. (2011, Settembre). I disturbi de personalita e l’EMDR [Personaity disorders and EMDR]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.

Language: Italian

Format: Conference

Abstract:
I pazienti con disturbi di personalità manifestano difficoltà nel loro funzionamento quotidiano; nella loro storia di vita in molti casi sono presenti eventi traumatici e relazioni primarie di attaccamento insicuro. In questo workshop ci focalizzeremo sui disturbi di personalità del gruppo B, in particolar modo sui borderline. Tenteremo di spiegare l’interrelazione dei criteri del DSM con eventi traumatici precoci. Comprendere questi aspetti è basilare per un’adeguata concettualizzazione del caso nella Fase 1 e pianificazione del trattamento di questi pazienti con EMDR. ... In questo workshop verranno approfondite anche le evidenze empiriche riguardo al trauma e ai disturbi di personalità e le pubblicazioni riguardanti l’EMDR e i Disturbi di Personalità. Un aspetto interessante di questo workshop è l’integrazione dell’esposizione teorica e la presentazione di video di casi clinici, al fine di comprendere meglio gli specifici aspetti della terapia con EMDR nei disturbi di personalità . Verranno esposti e spiegati la struttura generale della terapia dell’EMDR nei disturbi di personalità, gli interventi della fase di preparazione e le considerazioni riguardo al lavoro sul trauma con l’EMDR.

Patients with personality disorders, difficulties in their daily operation; in their life history in many cases there are traumatic events and the primary relationships of insecure attachment. In this workshop we will focus on personality disorders in group B, especially on the borderline. We will attempt to explain the interrelationship of the criteria of the DSM with traumatic events early. Understanding these aspects is fundamental for an adequate conceptualization of the case in Phase 1 and treatment planning of these patients with EMDR. ... This workshop will also discuss the empirical evidence about the trauma and personality disorders, and publications on EMDR and Personality Disorders. An interesting aspect of this workshop is the integration of theoretical exposure and presentation of video case studies, in order to better understand the specific aspects of EMDR therapy in personality disorders. Will be exhibited and explained the general structure of EMDR therapy in personality disorders, the operations of preparation and considerations about the work on trauma with EMDR.

Keywords: Personality Disorders  

Accuracy Verified: Yes

329. Fernandez, I. (2002, Dicembre). I disturbi post-traumatici da stress, fattori di rischio, aspetti diagnostici e trattamento con l'EMDR [The post-traumatic stress disorder factors of risk, diagnostic aspects and treatment with EMDR]. Rivista Scientifica di Psicologia, Sommario 01, 15-24.

Language: Italian

Format: Journal

Abstract:
In seguito a un evento traumatico (critico) il cervello potrebbe immagazzinare una parte delle intense emozioni che scaturiscono al momento del trauma per elaborarle in un secondo momento, quando lo stato di sopravvivenza è recuperato e lo shock superato. Questi eventi critici possono dar seguito ad un Disturbo Post traumatico da Stress (PTSD). L’autrice espone l’EMDR (Desensibilizzazione e Rielaborazione attraverso i Movimenti Oculari) come metodo per risolvere questi disturbi. L’EMDR agisce ad un livello neuropsicologico ed è basato sulla stimolazione alternata dei due emisferi attuata nel momento in cui il paziente sta richiamando l’esperienza traumatica. Le ricerche sperimentali hanno convalidato l’efficacia del trattamento, che viene ora utilizzato in molte istituzioni nell’area della psicologia dell’emergenza.

Following a traumatic event (critical) the brain may store some of the intense emotions that arise in time of trauma to elaborate later, when the rule of survival is recovered and the shock passed. These critical events can act on Disorder Post Traumatic Stress (PTSD). The author exposes EMDR (Desensitization and Reprocessing Eye movement) as a method to solve these problems. EMDR works with a neuropsychological level and is based on stimulation of AC two hemispheres implemented when the patient is recalling traumatic experience. The experimental studies have validated effectiveness of treatment, which is now used in many institutions in the area of emergency psychology.

Keywords: PTSD  Emergency Treatment  Therapy  

Accuracy Verified: Yes

330. Cowan, B. (2002, April 23). I felt the memory gush out. London, England: The Times, Features.

Language: English

Format: Newspaper

Abstract:
"After ten hours of EMDR, I had made the breakthrough I needed and I left the surgery in a state of euphoria. I haven't had a panic attack or nightmare since and now realise that they were the physical memory of the rapist crushing and suffocating me. Replaying events gave my brain another chance to process them. This time it got it right and emotionally, not just rationally, I now acknowledge that you can't control everything."

Keywords: General  London  Overview  

Accuracy Verified: Yes

331. Verardo, A. R. (2010, Settembre). Il contributo dell'EMDR negli eventi catastrofici che hanno coinvolto i minori [The contribution of EMDR in catastrophic events involving children]. In L. Ostacoli (Proponente) L'EMDR: Un Approccio psicoterapico a Ponte psiche TRA neurologia e, Simposio condotto presso XII Congresso Nazionale della Sezione di Psicologia Clinica e Dinamica, Torino, Italy.

Language: Italian

Format: Conference

Keywords: Catastrophic Events  Children  

Accuracy Verified: Yes

332. Klaus, P. (2005, September). The impact of childhood sexual abuse on childbearing:  EMDR and other therapeutic interventions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Childhood abuse memories can be activated at significant developmental periods or at stressful life events. Childbearing is especially vulnerable due perhaps to uncontrollable factors such as rapid changes in the woman's body, uncertainty and pain of labor, numerous invasive procedures, coping with medical professionals who are strangers with authority and power, and responsibility for a tiny, dependent infant. Participants will identify symptoms that may be exhibited during childbearing, recognize specific triggers that activate abuse memories and interfere with birth or parenting, and learn how to incorporate EMDR with specific interventions to help survivors reduce fears, minimize htrggers, promote healing and bonding.

Keywords: Child Bearing  Sexual Abuse  

Accuracy Verified: Yes

333. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.

Language: Italian

Format: Conference

Abstract:
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD). L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia. Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali. Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia. L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4). Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso). Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene. Bibliografia: 1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532. 2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30. 3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476. 4. Lindauer et al. (2005). Psychol Med ; 35 :1-11. 5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61. 6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019. 7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]

Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD). The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy. The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data. The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment. The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4). Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted). Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders. Bibliography: 1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532. 2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30. 3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476. 4. Lindauer et al. (2005). Psychol Med, 35 :1-11. 5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61. 6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019. 7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]

Keywords: Brain Functions  Neurobiology  

Accuracy Verified: Yes

334. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.

Keywords: Affect Tolerance  Poster  Self-Regulation  Social Functioning  

Accuracy Verified: Yes

335. Zangwill, W. (2001, November). In the aftermath of 9-11: Trauma and EMDR. EMDRNews.com, page 1, 3.

Language: English

Format: Newsletter

Abstract:
The events of September 11 continue to have a profound impact on us as a nation and as individuals. The pain and suffering of those victims who survived, the families and friends who lost loved ones, and the rescue workers who have had to rpeatedly face the horror of those events has been numerous. Yet, they are not the only ones who have suffered. Many in this country and around the world have been, and continue to be, traumatized by what happened even if they were not directly affected.

Keywords: 9/11  Trauma  

Accuracy Verified: Yes

336. Frustaci, A., Pozzi, G., Aurigemma, C., La Rosa, C., Lanza, G., Fernandez, I., & Ruggeri, G. (2006, Febbraio). Indicatori di cambiamento in pazienti con disturbi da eventi stressanti: Impiego della heart rate variability [Indicators of change in patients with disorders of stressful events: Use of heart rate variability]. Poster presentato al XI Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Introduzione: i pazienti traumatizzati presentano alterazioni sintomatiche quali intrusività, evitamento ed aumentato arousal, che ostacolerebbe la possibilità di elaborazione/integrazione delle tracce mnesiche, oltre ad esprimersi a livello periferico. Tecniche specifiche di trattamento sembrano promuovere l’elaborazione/integrazione delle memorie traumatiche, tra cui la Eye Movement Desensitization and Reprocessing (EMDR). Nella ricerca valutativa è quindi necessario affiancare alle scale psicologiche un appropriato indicatore biologico di attivazione neurovegetativa. La variabilità della frequenza cardiaca (Heart Rate Variability – HRV) esprime l’integrità funzionale del sistema neurovegetativo in risposta allo stress e può essere misurata nei domini di tempo o di frequenza. Lo studio della HRV è stato applicato in psichiatria ai disturbi d’ansia (panico, DOC, PTSD) e dell’umore (depressione unipolare) in ricerche trasversali (confronto con controlli sani) e longitudinali di trattamento farmacologico (triciclici, SSRIs) ma in pochi casi a trattamenti psicoterapici. Gli AA. valutano l’impiego della HRV come indicatore biologico nel trattamento psicoterapeutico di pazienti con Disturbo dell’adattamento erdurante da oltre un mese dopo l’esposizione ad eventi vitali stressanti (EVS). Metodi: sono stati reclutati 6 soggetti (M/F = 1/5, età 40,5 ± 11,0) esposti ad EVS ed avviati a ciclo di trattamento psicoterapico breve (4-6 sedute a cadenza settimanale) di tipo specifico (EMDR) o generico (colloqui supportivi). Costituivano criteri di esclusione: età < 18 o > 65 anni; comorbilità psichiatrica, neurologica e cardiologica; uso di farmaci interferenti. Le valutazioni psicopatologiche sono state eseguite al reclutamento (TBASE: colloquio anamnestico, MINI, Brief COPE), a inizio e fine ciclo di trattamento (TINI, TFINE: IES, SCL-90-R), a uno e tre mesi di follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Le registrazioni Holter sono state effettuate ad ogni intervallo valutativo coprendo: 60 min. attività libera, 10 min. tilt-test, 3-5 min. ascolto dell’evento traumatico, 30-45 min. seduta psicoterapica. Sono stati impiegati test statistici non parametrici per l’analisi delle correlazioni (Spearman) e delle differenze (Wilcoxon). Risultati preliminari: vengono valutate le correlazioni a TINI e le variazioni T90 vs. TINI. Sono significative le seguenti correlazioni: ansia fobica SCL e SDNN (dev. standard intervalli R-R) [r = + 0,9; p = ,037]; collera-ostilità SCL e SDNN [r = -0,95; p =.014]; depressione SCL e r-MSSD (radice media somma quadrati diff. R-R) [r = + 0,9; p = ,037]; sint. intrusivi IES e LF (basse frequenze) [r = -0,9; p = ,037]. Sono risultate statisticamente significative le seguenti variazioni: IES totale [Z = -1,99; p = ,046], sintomi intrusivi IES [Z = -2,21; p = ,027], sintomi di evitamento IES [Z = -1,99; p = ,046], ideazione paranoide SCL [Z = -2,21; p = ,027]; R-R, LF e LF/HF (rapporto basse/alte frequenze) durante ascolto evento [Z = -2,02; p = ,043]. Discussione: a livello basale gli indicatori HRV di distress vegetativo correlano positivamente con collera-ostilità e sintomi intrusivi, negativamente con ansia e depressione. Anche dopo tre mesi dalla fine del trattamento gli interventi psicoterapeutici tendono a ridurre i punteggi sintomatici, e migliorano il bilancio simpato-vagale durante il riascolto dell’evento traumatico.

Introduction: trauma patients have symptomatic changes such as intrusiveness, avoidance and increased arousal, which hampers the development / integration of memory traces, as well as speak at the peripheral level. Specific techniques of treatment seem to promote the formulation and integration of traumatic memories, including eye movement desensitization and reprocessing (EMDR). In evaluation research is therefore necessary to combine psychological scales appropriate indicator organic autonomic activation. The heart rate variability (Heart Rate Variability - HRV) expresses functional integrity of the autonomic nervous system in response stress and can be measured in time or frequency domains. The study of HRV has been applied in psychiatric disorders anxiety (panic, DOC, PTSD) and mood (unipolar depression) in cross-disciplinary (compared with healthy controls) and longitudinal drug treatment (tricyclic SSRIs), but in a few cases in psychotherapeutic treatment. The AA. evaluate the use of HRV as a biological indicator in the psychotherapeutic treatment of patients with adjustment disorder erdurante more than a month after exposure to stressful life events (EVS). Methods: 6 subjects were recruited (M / F = 1 / 5, age 40.5 ± 11.0) exposed to EVS and initiated treatment cycle psychotherapeutic short (4-6 sessions weekly) type specific (EMDR) or generic (hearing supported). Exclusion criteria were: age <18 or> 65 years, psychiatric comorbidity, neurological and cardiological, use of drugs interfering. Psychopathological assessments were performed at recruitment (TBASE: anamnestic interview, MINI, Brief COPE) at the beginning and end of treatment cycle (TINI, TFINE: IES, SCL-90-R) in a three-month follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Holter recordings were made at each interval evaluation covering: 60 min. free activity, 10 min. tilt-test, 3-5 min. listening to the traumatic event, 30-45 minutes. psychotherapy session. Were used nonparametric statistical tests for analysis correlations (Spearman) and differences (Wilcoxon). Preliminary results: the correlations are evaluated and changes TINI vs. T90. TINI. Significant correlations are the following: SCL phobic anxiety and SDNN (standard dev. RR intervals) [r = + 0.9, p =, 037]; anger-hostility SCL SDNN [r = -0.95, p =. 014]; SCL depression r-mssd (root mean square sum diff. RR) [r = + 0.9, p =, 037]; sint. IES intrusive and LF (low frequency) [r = -0.9, P =, 037]. Were statistically significant, the following changes: IES total [Z = -1.99, p =, 046], IES intrusive symptoms [Z = -2.21, p =, 027], symptoms of avoidance IES [Z = -1.99, p =, 046] , SCL paranoid [Z = -2.21, p =, 027], RR, LF and LF / HF ratio (low / high frequencies) while listening event [Z = -2.02, p =, 043]. Discussion: At baseline HRV indicators of distress correlated positively with growing anger-hostility, and intrusive symptoms, negatively with anxiety and depression. Even after three months of the end of psychotherapeutic treatment interventions aimed at reducing symptom scores and enhance sympathetic vagal balance during the playback of the traumatic event.

Keywords: Heart Rate Variability  Poster  Stress Disorders  

Accuracy Verified: Yes

337. Berson, C. (2008, September 19). Innovative trauma center opens in Newhallville. New Haven Independent, New Haven, CT.

Language: English

Format: Newspaper

Abstract:
Over the years, EMDR has been used to treat survivors of traumatic experiences ranging from death of a loved one to rape. EMDR clinicians have worked with survivors on an individual basis as well as with victims of large-scale events — from 9/11 to violence in the Middle East. Shapiro emphasized the importance of treating mental trauma; if gone untreated, it can breed further violence in the community.

Keywords: New Haven  Trauma Center  

Accuracy Verified: Yes

338. Diehle, J., Boer, F., & Lindauer, R. (2012, November). The intact research: Investigating treatments for adolescents and children after trauma – First results from a randomized controlled trial of TFCBT and EMDR. Symposium conducted at the 28th Annual Meeting of the ISTSS, Los Angeles, CA.

Language: English

Format: Conference

Abstract:
Every day, children are exposed to traumatic events. As a result, a significant subgroup of these children develops post-traumatic stress symptoms and co-morbid problems. Although Post-Traumatic Stress Disorder (PTSD) is a major problem in children and adolescents, European treatment outcome studies are still scarce in this population. The current study is a randomized controlled trial of the Trauma Focused Cognitive Behavioral Therapy (TF-CBT) protocol as designed by Cohen, Mannarino, and Deblinger; and the Dutch eye movement desensitization and reprocessing (EMDR) protocol for children (de Roos, Beer, de Jongh en ten Broeke). Up to now a direct comparison of these treatment protocols is lacking. Children between the age of 8 and 18 years with (partial) PTSD were randomly assigned to either 8 sessions TF-CBT or 8 sessions EMDR. In this presentation we will present first results from our trial. Treatment results will be presented on outcome measures including PTSD-symptoms, co-morbid symptoms and cognitions.

Keywords: Adolescents  Children  Randomized Control Trial RCT  Trauma  

Accuracy Verified: Yes

339. Heber, R., & Shapiro, S. (2002, June). Integrating EMDR with psychoanalytic constructs in dealing with open-ended trauma. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Recent acts of terrorism dictate re-examination of therapeutic srrategies when dealing wlth traumatic events without true closure and involving environmental stressors common to therapist and client. Thc participant will learn to 1) identify issues that arise open-ended and and shared events; 2) identify and address transference, counter-transference and subjective counter-transference; 3) the therapist's own triggers, responses, and needs for personal support; 4) utilize the client's narrative to identify past and current issues and client coping methods. Case illustrations will be included.

Keywords: Open-Ended Trauma  Psychoanalytic Constructs  

Accuracy Verified: Yes

340. Young, J., & Zangwill, W. (1995, June). Integrating schema-focused therapy & EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represent life long issues. The EMDR model eliciting infonmtion - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the information from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1) Cognitive Therapy for Personalitv Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813)366-7913; 2) Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy  

Accuracy Verified: Yes

341. Young, J., & Zangwill, W. M. (1996, June). Integrating schema-focused therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represen life long issues. The EMDR model eliciting information - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the infonmtion from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1)Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813) 366-7913 2)Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy  

Accuracy Verified: Yes

342. Keenan, L. (2010, June). The integration and progression of EMDR within a generic primary care mental health service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2007 the Department of Health (DoH. UK) published "Improving Access to Psychological Therapies" (IAPT). This meant that primary care mental health services (PCMHS) had to seriously consider the mode, method and efficacy of their service delivery. This paper will consider one such service, critically reflecting on the integration of EMDR as a mainstream therapeutic intervention. The service utilises therapists from various therapeutic paradigms, counselors, graduate workers, cognitive behavioural psychotherapists, cognitive analytical psychotherapists, clinical psychologists and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders, OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts, One EMDR Consultant/Facilitator, three accredited practitioners, three level three trained therapists and two clinicians at level two. This paper will present a brief history of the development of EMDR within the PCMHS, exploring how EMDR has been utilised not only in the treatment of PTSD (NIHCE 20051, but also in the treatment of other psychological pathologies. The paper will highlight the number of clients treated with EMDR (retrospectively over a twelve month period), the average number of sessions per client and the therapeutic outcomes as measured by the Patients Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et al 2006). The Dissociative Experience Scale is used when considering EMDR as an intervention strategy and the Impact of Events Scale- Revised (WEISS et al 2004) when appropriate. The paper will conclude with a brief analysis of qualitative data from clinicians as to the impact EMDR has had on their clinical practice. Learning Outcomes: By the conclusion of the presentation the participants will: 1. Be able to discuss the application of EMDR in the treatment of psychopathologies other than PTSD. 2. To consider the integration of EMDR with other psychotherapeutic paradigms. 3. To critical consider the treatment outcomes and in particular the cost effectiveness of EMDR as a psychotherapeutic tool in a generic primary care setting. 4. Be aware of the ethical and political considerations of integrating EMDR into a generic primary care mental health service. Innovation: This work is innovative as it focuses on how EMDR can be utilised within generic mental health services. It critically reflects on the phenomenology of integrating EMDR into a PCMHS and it has encouraged the training of other EMDR clinicians outside of the primary care mental health team.

Keywords: Generic Primary Care  Symposium  Training Issues  

Accuracy Verified: Yes

343. Lohr, J., Tolin, D., & Kleinknecht, R. (1996, January). An intensive design investigation of eye movement desensitization and reprocessing of claustrophobia. Journal of Anxiety Disorders, 10(1), 73-88. doi:10.1016/0887-6185(95)00036-4.

Language: English

Format: Journal

Abstract:
Two claustrophobic subjects were treated with eye movement desensitization and reprocessing (EMDR), a new treatment for induced anxiety disorders. Both subjects were interviewed to construct detailed images of fear-related events before treatment. The treatment followed a within-series phase-change design to examine the effects of eye movement added to the general treatment protocol. Both subjects' verbal reports of fear changed substantially when eye movements were added to the general treatment protocol. It was concluded that the addition of eye movement was necessary to reduce the aversiveness of some phobic imagery. No change in heart rate was observed for either subject. These results are discussed within the framework of the growing number of EMDR outcome studies (ScienceDirect).

Keywords: Claustrophia  

Accuracy Verified: Yes

344. Fernandez, I. (2008, Novembre). Interventi precoci con EMDR: Applicazione nei disturbi post-traumatici acuti con vittime di disastri collettivi [Early intervention with EMDR: Application in mass post-traumatic stress/acute disaster victims. Plenaria presentato le applicazioni cliniche di EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Questa relazione descrive l’applicazione dell’EMDR come trattamento precoce focalizzato sul trauma rivolto a bambini coinvolti in diastri collettivi (disastri naturali, incidenti e provocato in modo intenzionale dalla mano dell’uomo). Il trattamento con EMDR in tutti questi casi è stato parte di un intervento con questa popolazione ed è stato il trattamento di elezione di bambini in età scolastica che erano stati i più esposti a eventi traumatici. In molti di questi casi, 3 cicli di sedute di EMDR sono stati organizzati ad un mese, a tre mesi e ad un anno dall’evento critico. I bambini hanno avuto delle sedute individuali nella maggior parte dei casi dato che avevano avuto una grave traumatizzazione, unite al lutto, dove avevano vissuto una minaccia alla propria vita e la perdita di amici e fratelli. Il supporto psicologico e il trattamento EMDR sono stati forniti anche ai genitori, al personale scolastico e questo aspetto è stato di fondamentale importanza negli ultimi interventi per rafforzare e mantenere i risultati nei bambini. I risultati di questionari e delle interviste cliniche per valutare la sintomatologia post-traumatica prima e dopo il trattamento verranno descritti durante la presentazione insieme ai dati del follow-up. Il gruppo trattato dimostra un miglioramento significativo dopo il trattamento con EMDR. L’analisi statistica dei risultati sarà descritta in modo approfondito. Durante la relazione verranno sottolineati gli aspetti clinici dell’applicazione dell’EMDR con i bambini dopo un trauma recente particolarmente grave. Le reazioni post-traumatiche di questo gruppo in età evolutiva sono state valutate, misurate e hanno dato delle informazioni rilevanti per questo campo di applicazione. Il trattamento EMDR con i genitori e con altri adulti coinvolti nel disastro e che era a contatto con i bambini si è rivelato un intervento chiave per quanto riguarda la sintomatologia dei bambini. A conclusione verranno presentate delle linee guida e delle indicazioni per la strutturazione di interventi sulla base di questi studi sul campo.

This report describes the application of EMDR as early treatment focused on trauma facing children involved in mass disasters (natural disasters, accidents and pollution in intentionally by man). Treatment with EMDR in all these cases was part of an intervention with this population and was the treatment of choice for school-age children who were most exposed to events traumatic. In many of these cases, 3 cycles of EMDR sessions were held one month, three months and one year after the event critical. The children have had some individual sessions in most cases because they had severe trauma, united in mourning, where they had lived a threat to his life and the loss of friends and brothers. Psychological support and treatment EMDR was provided to parents, staff school and this aspect was of paramount importance in recent efforts to reinforce and keep the results in children. The results of questionnaires and clinical interviews to assess the symptoms post trauma before and after treatment will be described during the presentation along with the data of follow-up. The treated group demonstrated significant improvement after treatment with EMDR. The statistical analysis of results will be described in detail. The report will be highlighted during the clinical application of EMDR with children after a recent trauma particularly serious. Post-traumatic reactions of this growing age group were assessed, measured and have information relevant to this scope. EMDR treatment with parents and other adults involved in disaster and who was in contact with children has proved a key intervention regarding symptoms of children. A conclusion will discuss the guidelines and indications for the structuring of interventions based on these field studies.

Keywords: Early Intervention  Mass Disasters  Plenary  Recent Events  

Accuracy Verified: Yes

345. Karim, S. F. (2002-2003). Introducing EMDR: Its implications for clinical practice and research. Journal of the Faculty of Arts, The Dhaka University Studies, 59(1), 50 (2), & 60(1), 201-206.

Language: English

Format: Journal

Abstract:
EMDR is a complex, time efficient and powerful method of psychotherapy that integrates many of the most successful elements of a wide range of therapeutic approaches, even long-term Freudian analysis. The procedure involves having the client focus intensively on the traumatic memory while moving the eyes rapidly from side to side, by visually tracking the therapist's moving hand. This seems to render the traumatic memory accessible to the healing resources of the rest of the personality, where it may be worked through and integrated. In addition, it uses eye movements or other forms of rhythmical stimulation. such as taps or tones, in a way that seems to assist the brain's information-processing system to processed at a rapid rate. Special protocols may be used for a single traumatic event, current anxiety and behaviour, recent traumatic events, phobias, excessive grief, illness and somatic disorders and different forms of addictions. Protocols include the sequence of progressing on a particular target. EMDR as an integrative approach starts from the moment the client enters through the door. Although called Eye Movement Desensitisation and Reprocessing, directed eye movements (where the eye movement is given a direction by tracking with two fingers) is only one form of stimulation used as a part of its complete methodology. Other forms of stimulation include bilateral auditory stimulation and alternate hand tapping. It is an innovative clinical treatment for victims of trauma. Francine Shapiro introduced it in 1989 and a large number of clinicians worldwide have been trained in the method. Francine Shapiro defines "the goal of EMDR is to achieve the most profound and comprehensive treatment effects possible in the shortest period of time, while maintaining client stability with a balanced system" (Shapiro, 2001).

Keywords: Practice  Theory  

Accuracy Verified: Yes

346. Shapiro, E., & Laub, B. (2008, September). Introduction to the (revised) recent traumatic episode protocol (R-TEP): A newly applied conceptual perspective for early EMDR Intervention (EEI). Author.

Language: English

Format: Other

Abstract:
The Recent-Traumatic Episode Protocol (R-TEP) takes the wisdom of the Standard EMDR Protocol (Shapiro, 1995, 2001) and applies it in adapted form for recent events to provide a comprehensive approach to Early EMDR Intervention (EEI). The R-TEP thus presents an integrative protocol for EEI, which incorporates and extends existing procedures. It is a protocol that utilises both the EMD and EMDR protocols together with some elements of the Recent Event protocol within a newly conceived extended time perspective, termed here the "Traumatic Episode". The Traumatic Episode (or T-Episode) comprises multiple targets of disturbing images/ events/ other experiences, from the original incident until today, including disturbing thoughts about the future, which need to be processed. [Excerpt]

Keywords: Recent Events  Recent Traumatic Events  R-TEP  Protocol  

Accuracy Verified: Yes

347. Oglesby, C. A. (1999, September). An investigation of the effect of eye movement desensitization reprocessing on states of consciousness, anxiety, self-perception, and coach-perceived performance ratings of selected varsity collegiate athletes. Temple University, Philadelphia, PA. AAT 9921186.

Language: English

Format: Dissertation/Thesis

Abstract:
PTSD experts have recently pointed out that while traumatic events have been the core of cultural tales for centuries, it is highly unlikely today that any individual will avoid the direct experience of a traumatic event during a lifetime. The present study was an initial exploration of the effectiveness of an approach, designed for clinical issues of trauma, in sport; a nonclinical, field study environment marked by consistent high pressure to perform with excellence. The hypotheses of the study called for examination of pre and post treatment scores of control, EMDR, and placebo group subjects on five dependent variables: States of Consciousness During Movement Activity Inventory (SCMAI); State-trait Anxiety Inventory (STAI); Coach-Perceived Performance Rating (CPPR); Subjective Units of Distress Scale (SUDS); and Validity of Cognition Scale (VoC).Collegiate varsity athletes (N = 48) from the sports of field hockey, gymnastics, lacrosse, track and field, and volleyball were randomly assigned to one of three treatment groups. The control group completed the SCMAI and STAI with 3 to 4 weeks intervening. The placebo group completed the inventories and a week later met with a sport psychology consultant (researcher) for focus on the identified "worst moment in sport." The SUDS and VoC scores were collected during the session. After another week, the inventories were completed for the last time. The pattern for the eye movement desensitization reprocessing (EMDR) group was identical to the placebo group except the session followed a basic protocol for EMDR. The focus of the session was, again, the subjects, worst moment in sport. The results revealed no statistically significant pre to post changes in treatment group scores in regard to the SCMAI, STAI, and coach-perceived performance. Results significant p < .02 were found on the SUDS and VoC as the EMDR group reported more favorable gains that did the placebo group. Additionally, descriptive statistics, and qualitative protocol examples, were utilized to illustrate trends of potential individual benefit from the EMDR procedure. This research represented the first study of a potential line of research examining the efficacy of EMDR with athletes and, perhaps, with performers in various peak performance settings. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1292.

Keywords: Athletes  College Students  Effects  Empirical Study  Stressors  Survivors  Treatment Effects  

Accuracy Verified: Yes

348. Lytle, R. A. (1993). An investigation of the efficacy of eye-movement desensitization in the treatment of cognitive intrusions related to memories of a past stressful event. Pennsylvania State University. AAT 9334778.

Language: English

Format: Dissertation/Thesis

Abstract:
A novel clinical technique, referred to as "eye-movement desensitization," has recently been reported to rapidly achieve significant reductions in the frequency and intensity of the two primary symptoms of PTSD; cognitive intrusions and the behavioral and emotional avoidance of trauma related fear cues. The current study was intended to provide an experimentally controlled replication of this procedure. The 45 students with the highest scores on a self-report questionnaire were selected for participation in the study and randomly assigned to one of three treatment conditions. These conditions included "eye-movement desensitization," "eye-fixation desensitization," and a non-directive control condition.Sessions One and Three consisted of pretest and posttest assessment respectively, administered by questionnaire and behavioral measures of cognitive intrusions relating to the reported trauma. Session Two, consisted of immediate pretest and posttest assessment of information regarding subjective discomfort, perceived validity of adaptive cognitions, and vividness of images related to the reported trauma. The results of this experiment indicated that treatment-related pretest to posttest change was limited to (a) a relative reduction in cognitive intrusions for the eye-fixation group compared to the other treatment conditions, and (b) initial superiority of both desensitization techniques in immediately reducing subject distress, vividness of the initial image (and for eye-fixation, improved validity of an adaptive cognition) in comparison to the non-directive condition. The latter condition, however, then achieved equivalent gains by one-week follow-up. It was concluded that: (a) the relative efficacy of the eye-movement desensitization technique, was not supported in this non-clinical population, (b) to the degree that the outcomes resulting from the two desensitization conditions were at variance from those of the more traditional non-directive technique, those differences appear to have been predominantly transient in character, and (c) the induction of saccadic eye-movements did not demonstrably function as an active component of treatment within this experimental context. It was additionally concluded that further research will be required to satisfactorily resolve the discrepant findings of experimentation and case reports regarding the efficacy of this technique. Specific suggestions for further research were presented. [Truncated Author Abstract] [Pilots]

Keywords: Biologic Markers  College Students  Intrusive Thoughts  Negative Therapeutic Reaction  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  Witnesses  

Accuracy Verified: Yes

349. van Uitert-Levy, T. (2010, April). Is EMDR een alternatief voor de behandeling van trek in verslavende middelen? [Is EMDR cravings appetite for addictive substances?]. Verslaving, 6(1), 62-70. doi:10.1007/BF03089667.

Language: Dutch

Format: Journal

Abstract:
‘Eye movement desensitization and reprocessing’ (EMDR) is in de afgelopen twintig jaar een effectieve behandelingmethode gebleken voor posttraumatische stress-stoornis (PTSS; Bison, Ehlers, Mathews e.a., 2007). Doel van EMDR is het verwerken van de heftige emoties en hoge stress die gepaard gaan met de herinneringen aan schokkende gebeurtenissen (Shapiro, 2001).

Eye Movement Desensitization and Reprocessing (EMDR) in the last twenty years an effective treatment method proved to posttraumatic stress disorder (PTSD; Bison, Ehlers, Mathews et al, 2007). Goal of EMDR is processing the high stress and intense emotions associated with memories of shocking events (Shapiro, 2001).

Keywords: Addiction  Cravings  

Accuracy Verified: Yes

350. Lovett, J. M. (2000). Kleine wunder [Small wonders]. Paderborn: Junfermann.

Language: German

Format: Book

Abstract:
Traumatische Erlebnisse, wie sie bei Kindern häufig vorkommen, können die normale gesunde Entwicklung der Betreffenden, ihre Selbstachtung und das Zusammenleben ihrer Familien stark belasten. Eye Movement Desensitization and Reprocessing (EMDR) ist ein umfassender therapeutischer Ansatz, der Patienten in kurzer Zeit hilft, belastende Gedanken und Emotionen, die durch traumatische Erlebnisse entstanden sind, aufzulösen. Traumatisch wirken im allgemein akzeptierten Sinne Mißbrauchs- oder Mißhandlungserlebnisse, Naturkatastrophen und Gewalttätigkeit, doch können Kinder auch viel harmlosere Vorgänge als sehr bedrohlich erfahren. Ein Unfall auf dem Spielplatz, der Verlust eines sehr nahestehenden Menschen oder Probleme in der Schule schockieren ein Kind oft viel stärker als einen Erwachsenen. Außerdem können solche Vorfälle bewirken, daß sich ein Kind hilflos und machtlos fühlt, ängstlich wird und belastende Verhaltensprobleme entwickelt. Das Buch Kleine Wunder befaßt sich auf sehr ansprechende und eingehende Weise mit den Möglichkeiten therapeutischer EMDR-Arbeit mit Kindern. Das Buch wendet sich an Eltern, die sich Sorgen darum machen, wie ihre Kinder ein gewisses grundlegendes Vertrauen entwickeln können, außerdem an Erwachsene, die sich damit beschäftigen wollen, wie die Geschehnisse in ihrer Kindheit ihr Selbstbild geprägt haben, und an Therapeuten, die mehr über EMDR sowie auch darüber erfahren wollen, wie diese Methode auf die besonderen Bedürfnisse traumatisierter Kinder abgestimmt werden kann.

Traumatic experiences, such as occur frequently in children, can pollute the normal healthy development of the individuals themselves, their self-esteem and the coexistence of their families strong. Eye Movement Desensitization and Reprocessing (EMDR) is a comprehensive therapeutic approach that patients in a short time helps to resolve stressful thoughts and emotions that are caused by traumatic experiences. Traumatic effect in the generally accepted meaning abuse or maltreatment experiences, natural disasters and violence, but children can also learn much more harmless activities as very threatening. An accident on the playground, the loss of a very loved one or problems at school to shock a child often much stronger than an adult. Furthermore, such incidents have the effect that a child feels helpless and powerless, anxious and is developed incriminating behavior problems. Small wonder the book deals in a very appealing and detailed way with the possibilities of therapeutic EMDR work with children. This book is for parents who are worried about how their children can develop some basic trust, also for adults who want to deal with how the events have shaped her childhood her self-image, and therapists, the more about EMDR, and also about to learn how this method can be adapted to the special needs of traumatized children.

Keywords: Children  Stressors  Survivors  

Accuracy Verified: Yes

351. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana..

Language: Italian

Format: Dissertation/Thesis

Abstract:
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi. “E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929). Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6 consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche. Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione. Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione. Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza. L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD. 7 Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali. Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto. Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti. Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto. Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.

In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  SPR  Treatment Efficacy  

Accuracy Verified: Yes

352. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute. Tre gli elementi salienti offerti dalla ricerca: 1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni. 2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari. 3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente. Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce. Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico). A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali. Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa. Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione. Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio. E questo è un punto di forza notevole per l’EMDR. I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008). L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).

In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that -- relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a "Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008). EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).

Keywords: Body-Mind Interaction  PNEI  

Accuracy Verified: Yes

353. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. Nell’ambito del Workshop verranno approfondite le seguenti tematiche: • Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.

The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness. As part of the workshop will examine the following issues: • Differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysiological mechanisms in the onset of the disorder: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • psycho-diagnostic screening tools. • Work on the main strategies for assessment and intervention uro-gynecological and pharmacological • Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.

Keywords: Urogenital Pain  

Accuracy Verified: Yes

354. Roques, J. (2009). L'EMDR [EMDR]. Paris: InterEditions.

Language: French

Format: Book

Abstract:
Initiation à la méthode de traitement des traumatismes psychiques EMDR qui s'appuie sur la désensibilisation par le mouvement des yeux et le retraitement de l'information, en vue de la résolution des symptômes liés à des événements du passé. Présente les origines, les principes et fondements théoriques, les champs d'application, le déroulement d'une séance.

Introduction to the method of treating psychological trauma EMDR based on the movement desensitization and reprocessing eye information, for the resolution of symptoms related to events of the past. Presents the origins, principles and theoretical foundations, the scope, the unfolding of a meeting.

Keywords: Practice  Theory  

Accuracy Verified: Yes

355. Dellucci, H. (2010, Novembre). La boîte de vitesses - Naviguer de manière sécurisée dans la thérapie avec des personnes souffrant de traumatismes complexes [The gearbox - Navigate safely in therapy with people suffering complex trauma]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques.

Language: French

Format: Other

Abstract:
Travailler en EMDR avec des personnes souffrant de traumatismes complexes amène souvent à des difficultés concernant le plan de traitement, mais aussi la désensibilisation et le retraitement, avec un risque de déstabilisation majeure et une rupture du traitement. Souvent, de nombreuses cibles, surtout celles de la petite enfance sont de nature préverbale et restent de ce fait implicites. Devons-­‐nous pour autant renoncer à travailler en EMDR ? Est-­‐il possible de travailler en EMDR de manière sécurisée, en l’adaptant à chaque personne, et leurs événements de vie quelque peu chaotiques, sans se perdre ? La boîte à vitesses, proposant pour la thérapie la métaphore d’un voyage en voiture, à travers la thérapie avec des personnes ayant des traumatismes complexes, suggère une structure de traitement hiérarchisée, qui permet au thérapeute de s’adapter, tout en sachant ce qu’il fait et pourquoi. En cherchant à intégrer les connaissances actuelles de a thérapie EMDR avec des personnes ayant des trauma complexes, la boîte à vitesses constitue un outil de navigation adaptatif et dynamique.

EMDR work with people with complex trauma often leads to difficulties with the treatment plan, but also desensitization and reprocessing, with a risk of destabilization and a major termination of treatment. Often, many targets, especially those of small preverbal children are capable and are thus implied. Need - we giving up work in EMDR? --- Is it possible to work EMDR in a secure manner, adapting to each person and their life events somewhat chaotic, without getting lost? The gearbox, offering therapy for the metaphor of a road trip through therapy with people with complex trauma, suggesting a hierarchical processing structure, which allows the therapist to adapt, knowing what he is doing and why. In seeking to integrate current knowledge of a EMDR with people with complex trauma, the gearbox is a navigation tool for adaptive and dynamic.

Keywords: Gearbox  

Accuracy Verified: Yes

356. Maquieira, S., Aduriz, M. E., & Knopfler, C. (2008, Abril). La catastrofe y el trauma: Un model de abordaje con grupos acotados [Catastrophe and trauma: An approach with short terms]. Revista de Psicotrauma, 5(1), 28-39.

Language: Spanish

Format: Journal

Abstract:
Este documento se centra en un modelo de intervención para las catástrofes que utiliza grupo a corto plazo y el enfoque psicoterapéutico conocido como el método EMDR. Ayudar a una gran cantidad de personas es posible a través de este método de intervención terapéutica, que ha demostrado ser muy eficaz. Su objetivo es proporcionar ayuda emocional y para garantizar los eventos traumáticos son procesados correctamente, lo que impide el desarrollo de cualquier secuelas traumáticas. Requisitos para la planificación y excuting este tipo de intervención se describen. Conseptualisations metodológicos que subyacen a este enfoque, que tiene sus raíces en la salud mental en el modelo de desastres elaborado por Ignacio Jarero y Artigas Lucinca en México, se explicó. Algunos casos clínicos se presentan para ilustrar el nuevo tratamiento de experiencias perturbadoras y los resultados de la intervención. Esta intervención se consigue una reducción significativa de los síntomas, según lo confirmado por las mediciones con las escalas, así como las observaciones clínicas y de comportamiento. (Resumen del autor)

This paper focuses on an intervention model for catastrophes that uses short term groups and the psychotherapeutic approach known as EMDR. Assisting a large amount of people is possible through this therapeutic intervention method, which has proven to be highly effective. Its purpose is to provide emotional relief and to ensure traumatic events are correctly processed, thus preventing the development of any traumatic sequels. Requirements for planning and excuting this type of intervention are described. Methodological conseptualisations that underline this approach, which has its roots in mental health in disasters model developed by Ignacio Jarero and Lucinca Artigas in Mexico, are explained. Some clinical cases are presented to illustrate the reprocessing of disruptive experiences and the results of intervention. This intervention achieves significant symptom reduction, as confirmed by measurements with scales as well as clinical and behavior observations. (Author abstract)

Keywords: Crisis Intervention  Trauma  

Accuracy Verified: Yes

357. Lovett, J. M. (2000). La curacion del trauma infantil mediante DRMO ( EMDR) [Small wonders: Healing childhood trauma with EMDR]. Barcelona: Paidós Ibérica.

Language: Spanish

Format: Book

Abstract:
Un libro para padres y profesionales sobre el uso de la desensibilización y reprocesamiento del movimiento ocular en el tratamiento de los niños que sufren las consecuencias de eventos traumáticos.

A book for parents and professionals about the use of eye movement desensitization and reprocessing in treating children suffering the consequences of traumatic events.

Keywords: Children  Stressors  Survivors  

Accuracy Verified: Yes

358. Navas-Torrejano, D. S. (2011, Enereo-Junio). La desensibilización y reprocesamiento del movimiento (EMDR): El tratamiento para el trastorno de estrés postraumático [Eye movement desensitization and reprocessing (EMDR): Treatment for posttraumatic stress disorder]. Revista Ciencias Biomédicas, 2(1), 158-162.

Language: Spanish

Format: Journal

Abstract:
El trastorno de estrés postraumático está clasificado como uno de los trastornos deansiedad dado como una respuesta patológica a un evento estresante que supone unriesgo físico o psicológico. Corresponde a un problema de salud pública que causagran incapacidad y dificultades en el desarrollo biopsicosocial de la persona afectada.Actualmente se llevan a cabo diferentes métodos terapéuticos para el tratamiento dedicha patología, dentro de las mas estudiadas y con amplios resultados positivos seencuentra la terapia de reprocesamiento llamada Desensibilización y Reprocesamientopor medio de Movimiento Ocular (EMDR por sus siglas en inglés) basado en estimulaciónbilateral ocular, principalmente, que otorga al paciente la oportunidad de asimilar elevento traumático transformando su contenido emocional y brindando adaptación eintegración de la información y equilibrio físico y psicológico con respuestas adaptativasque permite el desarrollo e interacción normal con el entorno. Con la Técnica EMDR paraenfrentar el trastorno de estrés postraumatico, se alcanza que si bien el recuerdo está,ya no hiere.

Posttraumatic stress disorder is classified as an anxiety disorder characterized for apathological response to a stressful event that involves a physical or psychological risk.It is a public health problem that causes great disability and difficulties in biopsychosocialdevelopment of the patient. Currently, there are different therapeutic methods fortreating this disease; the most studied one with positive results is “eye movementdesensitization and reprocessing” (EMDR) based on bilateral visual stimulation, whichgives the patient an opportunity to assimilate the traumatic event, transforming itsemotional content and providing adaptation and integration of information and physicaland psychological balance with adaptive responses allowing normal development andinteraction with the environment. With EMDR to address post-traumatic stress disorderthe memory is there, but it does not hurt.