Francine Shapiro Library ~ EMDR Bibliography

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1. محمد نريماني ، سوران رجبي [Narimani, M., & Rajabi, S.] (2009). مقايسه ي تأثير روش حساسيت زدايي توأم با حركات چشم و پردازش مجدد در درمان اختلال استرس (CBT) با درمان شناختي رفتاري (EMDR) [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy methods in the treatment of stress disorder]. Medical Science Journal of Islamic Azad University - Tehran Medical Branch, 19(4), 236-245.

Language: Persian

Format: Journal

Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويي، از روش هاي درماني حساسيت زدايي توأم با حركات چشم و استفاده مي شود. هدف اين (PTSD) در درمان اختلال استرس پس از ضربه (CBT) و شناختي- رفتاري (EMDR) پردازش مجدد در اختلال استرس است. CBT و EMDR مطالعه بررسي تفاوت تأثير دو روش درماني بستري در بيمارستان ايثار اردبيل يا ساكن در شهر اردبيل به PTSD روش بررسي:در اين مطالعه مورد شاهدي 51 رزمنده مبتلا به روش نمونه گيري تصادفي ساده انتخاب شدند و به صورت تصادفي به سه گروه تقسيم شدند.روش مطالعه، آزمايشي گسترش يافته و طرح تحقيق از نوع پيش آزمون پس آزمون چندگروهي بود. ابزارهاي مورد استفاده شامل آزمون خاطره هاي آزاردهنده، مقياس برآشفتگي ذهني، مقياس شناخت واره هاي مثبت و مقياس اضطراب و افسردگي بيمارستاني بود. باعث كاهش معني داري در متغيرهاي خاطره هاي آزاردهنده، اضطراب و افسردگي و CBT و EMDR يافتهها: روش هاي درماني CBT در مقايسه با EMDR برآشفتگي ذهني شد و ميزان اعتماد به شناخت واره ي مثبت به طور معني داري افزايش يافت. روش درماني رزمندگان ايراني مؤثرتر بود، با اين وجود هر دو روش در كاهش علايم اين اختلال مؤثر بودند. PTSD در كاهش علايم پيشنهاد مي شود به منظور پيشگيري و كاهش علائم اختلال ،PTSD در درمان CBT و EMDR نتيجهگيري: با توجه به اثر درماني استرس پس از سانحه جنگ در رزمندگان ايراني از روش هاي درماني فوق در مراكز درماني استفاده شود.

Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. Materials and methods: In this case-control study, 51 combatants with PTSD hospitalized in Isar Hospital of Ardabil province or were inhabited in Ardabil were randomly divided to three groups. The method was extended test method and study design was multi-group test-retest. Used tools included boring memories test, subjective units of distress or anxiety (SUD) scale, validity of cognitions (VOC) scale and hospital anxiety and depression scale. Results: EMDR and CBT significantly decreased boring memories, mental distress, anxiety and depression, and also increased positive cognition. Although both EMDR and CBT caused significant reduction of anxiety and depression, EMDR was superior to CBT in reduction of PTSD symptoms of Iranian combatants. Conclusion: Regarding efficacy of EMDR and CBT in the treatment of PTSD , it is suggested to prevent and decrease symptoms of post traumatic stress disorder (PTSD).

Keywords: Anxiety Depression CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PSTD Subjective Units of Distress SUD Validity of Cognition VOC

Accuracy Verified: Yes

2. 朱品潔 [Chu Pin-Chieh, & Zhu Pinjie]. (1999). 個人失落與EMDR之介入：個案研究 [EMDR of personal loss and intervention: A Case Study]Educational Psychology and Counseling]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan.

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究的目的是探索的眼動脫敏和再處理（EMDR）的干預治療結果與個人的損失。通過深入了解客戶的主觀經驗和在整個治療過程中不斷變化的課程，研究人員打算證明 EMDR的治療 efficaciously幫助客戶克服個人損失的創傷，重拾信心和活力。研究人員採訪了客戶端是誰願意分享他的生活和EMDR的治療經驗，通過一個半結構化的問卷。與客戶的許可，研究人員已經獲得了客戶的臨床記錄。有條不紊地綜合各種數據後，研究人員已開發出的情況下提出的生活經驗和客戶端的EMDR的治療干預的描述。研究者分析了廣義的數據，客戶端的適應性應對整個 EMDR的治療過程，並討論了從精神科醫生和其他輔導員干預的影響。（作者摘要）

The purpose of this study is to explore the treatment outcomes from the intervention of Eye Movement Desensitization and Reprocessing (EMDR) with personal loss. Through in-depth understanding of the client’s subjective experiences and changing courses throughout the entire therapeutic process, the researcher intends to prove that EMDR therapy has efficaciously helped the client overcome the trauma from personal loss and regain confidence and vitality. The researcher has interviewed a client who is willing to share his life and EMDR therapy experiences through a semi-structured questionnaire. With the client’s permission, the researcher has obtained the client’s clinical records. After methodically synthesizing the various data, the researcher has developed a case description presenting both the life experience and the intervention of EMDR therapy of the client. The researcher has analyzed the data, generalized the client’s adaptive coping processes throughout EMDR therapy and discussed the effects from the psychiatrist’s and other counselors’ interventions. (Author's abstract)

Keywords: Case Study Dissociation Personal Loss

Accuracy Verified: Yes

3. Wilson, S., Becker, L., & Tinker, R. H. (1995, June). 15-Month follow up of EMDR treatment for traumatic memory. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
We previously reported on the outcomes of a controlled study of eye movement desensitization and reprocessing (EMDR) effectiveness in the treatment of traumatic memory (Wilson, Tinker, & Becker, 1994; Wilson, Becker, & tinker, in press). In that study we found that three, 90-minute sessions of EMDR (Shapiro, 1995) "normalized the psychological functioning of the previously traumatized participants (g = 80) on all dependent measures. The present study is a 15-month follow up of those participants. I Method: The research design is shown in Table 1. Participants were randomly assigned to EMDR or to Delayed EMDR conditions. Pretreatment measurement occurred at measurement time TI. Participants in the EMDR condition received EMDR between T1 and T2; those in the Delayed EMDR condition received EMDR between T2 and T3. All participants were tested immediately following treatment and at 3 months following treatment (at T4). The 15 month, long-term follow up occurred at measurement time T5. An independent assessor collected all of the following dependent measures: Subjective Units of Disturbance Scale (SUDS; Wolpe, 1990), Impact of Events Scale (IES; Hmowitz, Wilner, & Alvarez, 1979), State/Trait Anxiety Inventory (STAI; Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983), and the Symptom Checklist (SCL-90-R, Derogatis, 1992). [Table 1. The Research Design, Treatment Condition, Measurement Time: T1 T2 T3 T4 T5; EMDR Treatment: 01 x 02 03 04; Delayed EMDR Treatment 01 02 x 03 04 05; Note: T = Time of measurement; 0 = Observation; X = Treatment administered.] II. Results: Two analyses were performed to assess the impact of EMDR treatment at the 15-month follow up. First, in order to assess the overall, long-term impact of EMDR, the 15-month follow-up scores were compared with the pretreatment scores. There was significant improvement on all nine measures at the 15-month follow up: The multivariate effect was significant (Wilk's Lambda =.11, p<.0005) as were all nine of the univariate effects (all p <.0005). Second, in order to assess whether the improvement shown immediately following EMDR treatment had been maintained over the following year the immediate posttreatment scores were compared with, the 15-month follow-up scores. The multivariate test was nonsignificant (Wilk's lambda=.74, p=.079), indicating the improvement shown immediately following EMDR was maintained 15 months later. The univariate analyses indicated additional improvement for the PTSD symptoms of intrusions (IES Intrusion: F(1,56)=7.71, p=307) and avoidance (IES avoidance: F_(1,56) -4.44, p=.040). None of the nine measures showed deterioration at the 15-month follow up. Prior to EMDR treatment 45% (g= 9) of the responders had been diagnosed as PTSD, at the 15-month follow up only 7% (g = 4) were diagnosed as PTSD (chi-squareo, N=61)= .72, p < .05). III. Responders Versus Nonresponders at the 15-Month Follow up.: At the time of writing this abstract, 75% of the participants (g=61) have responded to the 15-month follow up. In general, measures taken prior to treatment did not differentiate responders fiom nonresponders. Responding at the 15-month follow up was unrelated to age, gender, marital status or years of education, although the annual income of the responders (Mdn=21,500) was higher than that of the nonresponders (Mdn = 14,750, Mann-Whitney U=372.5, p=.017). Responding or not at 15 months was unrelated to the type of trauma experienced, whether or not the participants had been in therapy prior to EMDR treatment, or how long ago the trauma had occurred. It was also unrelated to the severity of the trauma as measured by the pretreatment scores on the nine dependent variables and to whether or not the participant met the PTSD diagnosis criteria prior to treatment. A multiple regression analysis used the immediate posttreatment and 90-day posttreatment scores to predict whether or not the participant responded at the 15-month follow up. Nonrespondents were more likely to be depressed at 90-days following treatment than were respondents (R square=.O8, B=-.16, Beta = -.28, F_L1,71)=5.99, p=.017). No other variables entered into the regression model. IV Discussiona and Conclusion, Tretement effects found immediately following EMDR treatment wer maintained or improved 15 months later and thee was a significant decrease in the number of participants diagnosed as PTSD at the 15 month follow up. The comparison of responders to nonresponders at the 15 month follow up showed that the nonresponders were more depressed than the responders, raising the possiblity that the present results may be favorably biased to some extent. The discussion will include the additional, subjective impressions of participants who did not respond to the follow up. Limitations of EMDR with this population will be discussed, including the influence of comorbidity, multiple traumas, retraumatization after treatment, and spontaneous recurrence of symptoms. V. References: 1) Derogatis, L. R. (1992). SCL-90: Administration Scoring and Procedures Manual II. Baltimore: Clinical Psychometric Research. 2) Horowitz, M. J., Wilmer, N. & Alverez, W. (1979). Impact of Event Scale: A Measure of Subjective Distress. Psychosomatic Medicine, 41, 209-218. 3) Shapiro, F. (1995), Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. 4) Speilberger, C. D., Gorsuch, R. L., Lushene, R. D., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory, Palo Alto: Consulting Psychologists Press. 5) Wilson, S. A., Tinker, R. A., & Becker, L. A. (1994, November). Efficacy of Eye Movement Desensitization and Reprocessing (EMDR)Treatment for Trauma Victims. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, Chicago, IL. 6) Wilson, S. A., Becker, L. A., & Tinker, R. A. (In press), EMDR, treatment for psychologically traumatized individuals, Journal of Consulting and Clinical Psychology.

Keywords: Follow-up Traumatic Memory

Accuracy Verified: Yes

4. Beccari, A. (2008). Abuso sessuale sui minori: Il sostegno alle giovani vittime [On child sexual abuse: Support for young victims]. Universita Degli Studi di Parma, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract: Il filo conduttore di questo report sarà il trauma. La prima parte sarà incentrata sulla definizione di trauma, sulle risposte adattive e su quelle patologiche di fronte ad un evento negativo e sulle variabili individuali e soggettive che determinano nell’individuo un vissuto traumatico. Quest’ultimo aspetto, infatti, sappiamo essere fondamentale per capire la differenza che intercorre tra le diverse reazioni (emotiva, cognitiva e comportamentale) delle persone che si trovano ad essere esposte anche al medesimo evento disturbante. La seconda sezione sarà invece dedicata al trauma dei bambini e alle diverse modalità di condurre un assessment adeguato. La terza parte si concentrerà, nello specifico, sul trauma da abuso sessuale: ne prenderà in considerazione la definizione, le conseguenze a breve e medio-lungo termine nonchè le possibilità di sostegno alle giovani vittime di abuso sessuale intra ed extra familiare. Inoltre verrà trattata una tecnica piuttosto recente dimostratasi efficace nel trattamento del Disturbo Post-traumatico da Stress negli adulti come nei bambini: l’EMDR (eye movement desensitization and reprocessing).

The theme of this report is trauma. The first part will focus on the definition of trauma, and those on adaptive responses pathological in the face of a negative event and the individual variables and subjective determine in the individual a traumatic experience. This latter aspect, in fact, we know be crucial to understand the difference between the different reactions (emotional, cognitive and behavioral) of persons who are to be presented on the same event disturbing. The second section will be devoted to the trauma of children and the different modes of conduct a proper assessment. The third part will focus specifically on the trauma of sexual abuse: it will take consider the definitions, the short-and medium-long term as well as the possibility of support for young victims of sexual abuse within and outside the family. also will be treated fairly new technique proved effective in treating the disorder Post-traumatic Stress in adults as in children: EMDR (eye movement desensitization and reprocessing).

Keywords: Children Sexual Abuse

Accuracy Verified: Yes

5. Litt, B. (2008). Advanced techniques in the use of EMDR to treat complex trauma. www.barrylittmft.com.

Language: English

Format: Other

Abstract:
Summary • Pathogenic family dynamics (relational configurations) are internalized as ego state conflicts • The resulting ego state system is a structured complementation of the loyalty system • The subjective sense of Self (and corresponding relational attitude) is adaptive to the original, formative context[Excerpt]

Keywords: Complex Trauma

Accuracy Verified: Yes

6. Kahveci, S., Erdogan, T., Karakus, D., Dogaroglu, S., Aydemir, S., Sen, G., Serpel, A., Kakan, N., & Ozgun S. (2010, June). Analyzing the effect of EMDR on pre-post menstrual disturbance. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Description of the study: Traumatic experiences may lead to body sensations. Some illnesses such as Migraine, ulcer and fibromyalgia which causes body disturbance have psychological roots. Steven Marcus also shows the relation between traumatic event and migraine in his studies. This study is inspired by the relationship between body disturbance related illnesses and traumatic experiences. In this study, physical and emotional disturbances experienced by women during the MDR menstrual cycle is studied by the use of EMDR. Participants in this study will receive a (max) 12 session EMDR treatment. All participants are going to fill a battery of tests consisting of Beck Depression Scale, STAI, Life Events Check List, Subjective Pain Level before and after the study and keep a diary of disturbance during the study. EMDR and the study: It is hypothesized that females who have more traumatic experiences related to menstrual cycle will experience disturbances during the menstrual cycle and after 12 first session of EMDR treatment there will be a decrease in reported disturbance levels. It is also hypothesized that the more negative cognitions a women has related to her gender/sexuality, the more disturbance she experiences. Learning objectives: Showing the way EMDR can be used in PMS and Dismenore Establishing the relationship between Pre- Post Menstrual Disturbances and negative & irrational beliefs related to gender identity. Enhancing the knowledge on the effect of previous negative life events on somatic sensations in the long term. Our study suggests that: Despite the fact that premenstrual Disturbances and Dismenore are quite common among the women, it is rarely studied by psychotherapists. In this study we reviewed the relevant literature and tried to show that these problems can be studied by using EMDR.

Keywords: Female Issues Pre Menstrual Post Menstrual Symposium

Accuracy Verified: Yes

7. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .

Language: English

Format: Dissertation/Thesis

Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.

Keywords: Narrative Therapy South Africa Transtheoretical Model

Accuracy Verified: Yes

8. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come : - la velocità di intervento; - l’ esigenza di applicare protocolli rapidi ed efficaci. La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia); l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici. Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali: -PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione). -disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie). Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate. Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.

Psychological intervention in the hospital has special features that meet certain characteristics such as: - The speed of intervention; - 'S need to implement protocols for rapid and effective. The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography); effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms. Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as: -PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) . -Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy). In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations. Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.

Keywords: Hospitals Treatment

Accuracy Verified: Yes

9. Greenwald, R. (1994, Winter). Applying eye movement desensitization and reprocessing (EMDR) to the treatment of traumatized children: Five case studies. Anxiety Disorders Practice Journal, 1(2), 83-97.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy method that appears to increase efficiency in treating traumatized psychological disturbance. Applications to child treatment were explored in five case studies of children suffering from post-traumatic symptoms several months after Hurricane Andrew. Subjects were treated with one or two EMDR sessions, until Subjective Units of Disturbance (SUDS) went to 0. Follow-up parent interviews at one and four weeks post-treatment found all subjects returning to pre-trauma levels of functioning, with additional improvement in some cases. Further study is recommended. [Author Abstract]

Keywords: Americans Females Hurricane Andrew (1992) Hurricanes Males School Age Children Survivors Treatment Effectiveness

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Attachment Repair Early Trauma Temporal Integration

Accuracy Verified: Yes

11. Maxwell, E. (1994). Beyond deficiency motivation: EMDR, peak experiences, and transcendence. EMDR Network Newsletter, 4(1), 6.

Language: English

Format: Newsletter

Abstract:
When I initially heard of EMDR, I was totally uninterested. I was happy with my repertoire of skills and simply could not be bothered. However, the reports of colleagues who had the training were so exceptional I thought it was time to have a look. I still was not prepared to waste my precious hours on a training, and my way around this was to experience EMDR myself. I had genuine difficulties isolating a problem since I was at a particularly fulfilling stage of my life; however, I finally settled on a minor irritation that I was having with one of my clients. That session, plus two others, moved me very rapidly to a decision to move into private practice, to implementing that decision, and to currently experiencing a life of ease, gentle pacing, and tranquility that I had no previous vision of being possible. In fact, there has been a total life style transformation. I now work only three days a week, have time to follow the joyous explorations of my toddler for hours, am writing a novel, and am experiencing considerable relaxation of the Puritan work ethic. The starting point had been a life style I had previously perceived as fulfilling and perfectly for me.

Keywords: General Overview

Accuracy Verified: Yes

12. Leuenberger, R. (2007, November). Beziehungen zwischen dem modell der ersten personal-existentiellen grundmotivation in der existenzanalyse und der EMDR-methode [Relationships between the model of the first personal-existential basic motivation in the existence and analysis of the EMDR method]. Alfried Längle, Internationale Gesellschaft für Logotherapie und Existenzanalyse, Wien, Austria.

Language: German

Format: Dissertation/Thesis

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)- Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einem PTBS (posttraumatische Belastungsstörung)) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

In this work we will show that during the due four years in a primary care medical practice with EMDR (Eye Movement Desensitization and Reprozessing) - Method for treating mental experience traumatized patients with PTSD (post traumatic Stress disorder)) on the common, partly hypothetical neurobiological explanations addition, the Existential analysis very much a psychological as well as philosophical May contribute to understanding this method. from the verbal expressions of patients before, during and after treatment may be concluded that by affected the deficits of the four basic motivations of Analysis, the existence of the first basic motivation most Meaning. Be the basis of 23 case histories the impact factors of EMDR with the terms the first basic existential analytical understandable motivation.

Keywords: Basic Motivation Existenital Analysis Method

Accuracy Verified: Yes

13. Anchisi, R., Guzzi, R., Fernandez, I., Giannantonio, M., & Ziveri, D. (2001, October). Biofeedback measures in EMDR treatment. In Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics, (pp 141-148). Palermo, Italy.

Language: English

Format: Conference

Abstract:
We compared the pre and post therapeutic treatment data using standard EMDR, using a lool such as biofeedback, capable of measuring certain physiologcail parameters in an objective way. The goal was to check variations in the physiological indices and subjective evaluations of well being and discomfort in the subjects. Some psychotherapists will select subjects using an initial telephone screening followed by a battery of suitable tests. Using such tools, subjects affected by PTSD without comorbidity will be chosen. Independent assessors will evaluate them again after six weeks (blind design). After this assessment, subjective data will be collected using the SUD scale and objective data will be collected using the SPR, Thermo, Heart Rate, EMG of the biofeedback channels. After exposure the subjects will be randomly assigned to an experimenta1 group, they will be going to meet in six sessions using the EMDR standard protocol and carried out by therapits recognized by the Association EMDR Italy; the other half of the sample will represent the control group in a waiting list. Once more, all the subjects will be exposed to the trauma, this time listening to the recording of their description of the traumatic event. The SUD and biofeedback values will be then measured again. The comparison of the data of the SUD scale with the data of the biofeedback channels, in particular the SPR channel, plus the evaluation of the group of independent clinicians using the above-mentioned tests, will provide the co-ordinates for an evaluation (both subjetive and physiological) of the clinical results of the EMDR therapy.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

14. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal: An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Events at birth are traumatic and create feelings of powerlessness when they are actually or appear life-threatening to self or loved ones, are sudden, change quickly from "normal" to dangerous without explanation, and when the situation appears overwhelming. There is no time to prepare, no way to plan an escape or to prevent something from happening. A number of events during labor or birth such as unplanned interventions, serious problems in the mother, physical damage, a sick infant, and separation from the baby can be classified as traumatic. Major trauma for a woman occurs in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how a woman is treated and how she perceives the experience, often causing humiliation and stigma. Trauma during the prenatal period can affect the parents' perception of the baby, their own self-concept, their relationship, and can impair bonding and attachment. Early trauma can have both immediate and long-range effects on the parents and the infant and may create later in the adult psychological and somatic conditions and a negative self-concept. Equally important is the history the parents bring to this event as well as the quality of their relationship. Birth is a magnet for unresolved issues to emerge. Clinicians will learn about the causes and effects of these early traumas as well as methods, including EMDR to uncover, resolve, and heal them.

Keywords: Birth Defects

Accuracy Verified: Yes

15. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients. Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging. Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40). Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44). In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.

Keywords: Alpha Rhythm Brain Imaging MEG Technique Posttraumatic Stress Disorder PTSD Research Symposium

Accuracy Verified: Yes

16. Haour, F. (2010, June). Brain source imaging using magnetoencephalography (MEG): Modifications in various rhythms during memory recall, in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Keywords: Magnetoencephalography MEG Memory Recall Posttraumatic Stress Disorder PTSD Research Rhythms Symposium

Accuracy Verified: Yes

17. Nijdam, M. J., Gersons, B. P. R., Reitsma, J. B., de Jongh, A., & Olff, M. (2012, March). Brief eclectic psychotherapy v. eye movement desensitisation and reprocessing therapy for post-traumatic stress disorder: Randomised controlled trial. British Journal of Psychiatry, 200(3), 224-231. doi:10.1192/bjp.bp.111.099234.

Language: English

Format: Journal

Abstract:
Background: Trauma-focused cognitive–behavioural therapy (CBT) and eye movement desensitisation and reprocessing therapy (EMDR) are efficacious treatments for post-traumatic stress disorder (PTSD), but few studies have directly compared them using well-powered designs and few have investigated response patterns. Aims: To compare the efficacy and response pattern of a traumafocused CBT modality, brief eclectic psychotherapy for PTSD, with EMDR (trial registration: ISRCTN64872147). Method: Out-patients with PTSD were randomly assigned to brief eclectic psychotherapy (n = 70) or EMDR (n = 70) and assessed at all sessions on self-reported PTSD (Impact of Event Scale – Revised). Other outcomes were clinician-rated PTSD, anxiety and depression. Results: Both treatments were equally effective in reducing PTSD symptom severity, but the response pattern indicated that EMDR led to a significantly sharper decline in PTSD symptoms than brief eclectic psychotherapy, with similar drop-out rates (EMDR: n = 20 (29%), brief eclectic psychotherapy: n = 25 (36%)). Other outcome measures confirmed this pattern of results. Conclusions: Although both treatments are effective, EMDR results in a faster recovery compared with the more gradual improvement with brief eclectic psychotherapy. Declaration of interest: A.d.J. teaches and supervises clinical psychologists and psychiatrists in psychological trauma and its treatment by means of seminars, workshops and conferences, for which the participants pay a fee. He is also director and shareholder of a trauma treatment unit. For both activities he has the formal permission of the executive board of the University of Amsterdam to which he is affiliated.

Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PSTD Randomized Controlled Trial

Accuracy Verified: Yes

18. Hettiarachchi, M. (2007). Brief intervention for post traumatic stress disorder with combined use of cognitive behaviour therapy and eye movement desensitisation reprocessing. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-5.

Language: English

Format: Journal

Abstract:
This case study is of a 23 year old female diagnosed with Post Traumatic Stress Disorder (PTSD) in Sri Lanka, six months following the Asian Tsunami of December 2004. The intervention was conducted in a village clinic on the southern coast of the country. Treatment involved the use of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation Reprocessing (EMDR). The Beck Anxiety Inventory (BAI) was used to monitor levels of anxiety. The Impact of Event Scale (IES) was administered to assess level of intrusion and avoidance (Horowitz, Wilner & Alvarez, 1979). Subjective Units of Distress Scores (SUDS) were obtained to assess level of distress and the Validity of Cognition Scale (VOC) used to assess accuracy of positive beliefs (Shapiro, 2001). A significant reduction in trauma symptoms, levels of distress, intrusion and avoidance were noted at post-treatment. Treatment gains were maintained at one month and nine month follow-up. The combined treatment protocol may be an effective brief intervention to use in situations that require rapid treatments to alleviate personal psychological distress in the aftermath of large scale disasters.

Keywords: Asian Tsunami Brief Intervention Clinical Case Study Cognitive Behavior Therapy Cognitive Therapy Emotional Trauma Natural Disasters Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

19. Greenwald, R. (2007, September). Case conceptualization and treatment planning for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Want to do more/better EMDR? Trauma-informed case foundation and treatment planning enable the therapist to systematically pursue treatment activities that help the client: a) understand why trauma resolution is important; b) have the motivation to do it; and c) develop the coping skills and affect tolerance for successful EMDR. Participants will practice structured methods to understand a client from a trauma perspective and to apply the trauma-informed treatment framework to one of their own cases. Data documenting these methods’ effectiveness will be presented, including reduced therapist distress, increased empathy and confidence, and improved behaviors with challenging clients.

Keywords: Case Conceptualization

Accuracy Verified: Yes

20. Monahan, K., & Forgash, C. (2012, March). Childhood sexual abuse and adult physical and dental health outcomes. In E. A. Kalfoğlu & R. Faikoglu (Eds.), Sexual Abuse - Breaking the Silence (pp. 137-152). Intechopen.

Language: English

Format: Book Section

Abstract:
Along the same lines, evidence-based assessment and interventions must be in line with the finding of how significant the subjective impressions of sexual assault are for incarcerated older adults in treatment. A promising intervention that is being piloted in the criminal justice system with younger age groups is Eye Movement Desensitization and Reprocessing (EMDR). EMDR specifically targets change in subjective units of distress among trauma survivors, particularly sexual abuse survivors, which in turn reduces post traumatic stress symptoms (Kitchiner, 2000). Moreover, previous research with incarcerated juvenile offenders shows that EMDR can work in reducing post traumatic stress reactivity resulting in less violent behavior and conduct problems among samples. Its utility for older adults, especially those with histories of sexual assault victimization and perpetration is perhaps a promising intervention. The use of evidence-based practices suggests that untreated trauma and grief are related to increased adult recidivism rates (Leach et al., 2008). Therefore, treating psychological distress and untreated symptoms effectively, which involves both screening and treatment that captures subjective experiences, may help to break the cycle of recidivism and in some case sexual offending. [Excerpt]

Keywords: Dental Health Physical Health

Accuracy Verified: Yes

21. Baker, N., & McBride, B. (1991, August). Clinical applications of EMDR in a law enforcement environment: Observations of the psychological service unit of the L.A. County Sheriff’s Department. Presentation at the Police Psychology (Division 18, Police & Public Safety Sub-section) Mini-Convention at the 99th annual meeting of the American Psychological Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
Crime victims, police officers, fire fighters, and field workers who are no longer disturbed by the aftereffects of violent assaults and/or the stressful nature of their work.

Keywords: Crime Victims Field Workers Fire Fighters Law Enforcement Police Officers

Accuracy Verified: Yes

22. Opdyke, D. C. (1995, May). Clinical efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of posttraumatic stress disorder. Georgia State University. AAT 9608510.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has gained notoriety as a brief treatment for PTSD. In EMDR, clients repeatedly bring up traumatic events in memory and visually track stimuli moving back and forth in front of them. Previous group studies of EMDR have had methodological problems, however. The present study attempted to (1) assess EMDR's effectiveness compared to an Eye Focus treatment controlling for eye movement; (2) compare both treatments to a wait-list control; and (3) rate therapist characteristics to check experimenter bias.20 participants suffering from PTSD were randomly assigned to either EMDR or Eye Focus (EF) treatments, and immediate treatment or wait-list conditions. After two 90-minute treatment sessions, outcomes were assessed on subjective measures of anxiety (SUDs) and cognitive beliefs (VOCs). The mean SUDs pre-post differences on matched pairs t-tests indicated significant reduction of disturbance for both the EMDR group, p < .001, and the Eye Focus group, p < .001. VOC ratings showed similar treatment gains. Two-factor analyses assessed changes across groups (2 administrations x 2 treatment groups) on two standardized measures, the Impact of Event Scale (IES) and the Modified PTSD Symptom Scale (MPSS). The IES showed a main effect for treatment F (2, 18) = 16.45, p < .001, while wait-list remained unchanged F (2, 18) = 1.09, p > .05. A significant interaction F (2, 18) = 6.69, p < .05 supported treatment efficacy. EMDR and EF participants improved equally on the IES, i.e., no differences for type of treatment, F (2, 18) = 0.54, p > .05. The MPSS also showed a main effect for treatment, F (2, 18) = 6.46, p < .05, with wait-list unchanged, F (2, 18) = 0.27, p > .05. This interaction was not significant, p =.10. Further, both EMDR and EF groups demonstrated improvement on the MPSS. Results suggest that (1) EMDR and Eye Focus are both effective in reducing some self-reported PTSD symptoms; (2) EMDR and Eye Focus scores improved significantly compared to wait-list; and (3) ratings of experimenter bias suggested that the EMDR and Eye Focus participants were treated equally by the therapist. Future comparison studies should use larger samples, independent assessors, and equally-trained independent therapists. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(11-B), May 1996, pp. 6402

Keywords: Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

23. Grygo, M. (2008). A clinical trial of motivation-adaptive skills-trauma resolution (MASTR) therapy with conduct disordered adolescent boys. University of Manitoba, Winnipeg, Manitoba Canada. AAT NR35998.

Language: English

Format: Dissertation/Thesis

Abstract:
Conduct disorder and other disruptive behaviours represent the most common form of child and adolescent psychopathology referred for treatment by parents and teachers. A number of studies conducted in university research centers have demonstrated meaningful treatment gains especially with preadolescents with conduct disorder. However, studies conducted with older adolescents, especially those with comorbid disorders, as well as studies conducted in community-based clinic settings have been mostly unsuccessful. With a few exceptions, the extant treatments have not made any special effort to address effects of traumatic experiences that research has demonstrated to be very prevalent among conduct disordered children and adolescents. Motivation-Adaptive Skills-Trauma Resolution (MASTR) therapy developed by Ricky Greenwald (2002a) has shown promising results in his open trial study. MASTR is a complex treatment approach which addresses several key areas crucial in treating adolescents with conduct disorder: development/enhancement of motivation for treatment, development/enhancement of anger management and problem solving skills, and treatment of past trauma effects. The present study evaluated the effectiveness of MASTR therapy with 10 adolescent boys with conduct disorder placed in a residential treatment facility. This study combined single subject and qualitative research methodologies to offer a detailed look into the implementation and evaluation of MASTR therapy in a residential treatment centre. Foremost, this study demonstrates the formidable problems of conducting treatment research with this population in this kind of setting. Results suggested that, when it can be sufficiently implemented, MASTR therapy may be an effective treatment method producing some meaningful changes in behaviour for some severely disturbed adolescents with conduct problem. The study also demonstrated that EMDR may be an effective treatment for reducing emotional distress associated with past trauma in adolescents with conduct disorder. Factors associated with the limited success of this treatment study are identified and discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International Section A: Humanities and Social Sciences. 69(1-A), 2008, pp. 109.

Keywords: Adolescent Boys Clinical Trial Conduct Disorder Empirical Study MASTR Motivation-Adaptive Skills-Trauma Resolution Therapy Quantitative Study

Accuracy Verified: Yes

24. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99. doi:10.1016/S0887-6185(98)00041-3 .

Language: English

Format: Journal

Abstract:
Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables (ScienceDirect).

Keywords: Adults Americans Empirical Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

25. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]

Keywords: Adults Arousal Child Abuse Exposure Therapy Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness

Accuracy Verified: Yes

26. Ironson, G., Freund, B., Strauss, J., & Williams, J. (2002, January). Comparison of two treatments for traumatic stress: A community-based study of EMDR and prolonged exposure. Journal of Clinical Psychology, 58(1), 113-128. doi:10.1002/jclp.1132.

Language: English

Format: Journal

Abstract:
This pilot study compared the efficacy of two treatments for PTSD: Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who completed at least one active session of treatment after three preparatory sessions. Results showed both approaches produced a significant reduction in PTSD and depression symptoms, which were maintained at three-month follow-up. Successful treatment was faster with EMDR as a larger number of people (7 of 10) had a 70% reduction in PTSD symptoms after three active sessions compared to 2 of 12 with PE. EMDR appeared to be better tolerated as the dropout rate was significantly lower in those randomized to EMDR versus PE (0 of 10 vs. 3 of 10). However all patients who remained in treatment with PE had a reduction in PTSD scores. Finally, Subjective Units of Distress (SUDS) ratings decreased significantly during the initial session of EMDR, but changed little during PE. Postsession SUDS were significantly lower for EMDR than for PE. Suggestions for future research are discussed. [Author Abstract]

Keywords: Empirical Study Meta Analysis Methodology Posttraumatic Stress Disorder Prolonged Exposure PTSD Random Clinical Trial RCT Treatment Effectiveness

Accuracy Verified: Yes

27. Bauman, W., & Melnyk, W. (1994, Mar). A controlled comparison of eye movements and finger tapping in the treatment of test anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 29-33. doi:10.1016/0005-7916(94)90060-4.

Language: English

Format: Journal

Abstract:
15 pairs of introductory statistics students, matched on initial test anxiety, were randomly assigned to eye movement desensitization (EMD) or control (finger tapping) conditions to test whether EMD effectively treats test anxiety and, if so, whether eye movement is the critical factor. Both groups had significant decreases in subjective units of disturbance during treatment, suggesting that another source of attenuation of elicited anxiety may be as effective as eye movement in reducing anxiety. There was a significant decrease in Test Anxiety Inventory Emotionality Scale scores from pretest to follow up for both groups, but mixed results on the Worry Scale and total anxiety scores. [Author Abstract]

Keywords: Adults Anxiety Disorders College Students EMD Life Experiences Survivor Treatment Effectiveness

Accuracy Verified: Yes

28. Marcus, S., Marquis, P., & Sakai, C. (1997, Fall). Controlled study of treatment of PTSD using EMDR in an HMO setting. Psychotherapy, 34(3), 307-315. doi:10.1037/h0087791.

Language: English

Format: Journal

Abstract:
67 individuals diagnosed with PTSD were randomly assigned to either Eye Movement Desensitization and Reprocessing (EMDR) treatment or Standard Care (SC) treatment. Participants were assessed pretreatment, after 3 sessions, and at the completion of treatment using the Symptom Checklist-90, Beck Depression Inventory, Impact of Events Scale, Modified PTSD Scale, Spielberger State-Trait Anxiety Inventory, and Subjective Units of Disturbance. In addition, an independent evaluator assessed participants using DSM-III-R criteria for PTSD including Global Assessment of Functioning at the 3 data points. The individuals in the EMDR treatment group showed significantly greater improvement with greater rapidity than those in the SC treatment group on measures of PTSD, depression, anxiety, and general symptoms. Participants who received EMDR treatment used fewer medication appointments for their psychological symptoms and needed fewer psychotherapy appointments. [Author Abstract]

Keywords: Adults Americans Empirical Study Managed Care Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

29. Greenwald, R. (1999, June). A crisis response approach for suicidal teens. Poster presented at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
In my current position as a clinical psychologist based on a hlgh school campus, I often have occasion to meet with adolescents who are suicidal, some having recently made suicidal gestures. Despite the complexity and variety of presenting issues, there is a set of more or less standardized steps to follow to ensure safety as well as appropriate follow-up. In this paper I present a case to illustrate how I have integrated EMDR. This approach to teen suicidality uses several elements of the motivation - anger - trauma therapy (MATT) approach for teens with conduct disorder, which has been described in detail elsewhere (Greenwald 1998, 1999, in press). In addition to the standard crisis interventions - letting the client talk out the problem, contracting for safety, implementing supports and restrictions as needed, and arranging follow-up - I have been using EMDR in various ways to enhance present safety as well as subsequent resiliency. For example: the Choices Have Consequences intervention (cited above, described below) helps the client to realize that self-harm leads to a poor outcome despite its initial appeal; the standard use of EMDR can help to reduce vulnerability to the type of stressor which led to the current crisis; and the Future Movies intervention (also cited above and described below) helps to create a more hopeful long-term perspective while enhancing coping skills.

Keywords: Adolescents Poster Suicide Teens

Accuracy Verified: Yes

30. Rassin, E., Muris, P., & Merckelbach, H. (1996). De pijndempende werking van eye movement desensitization and reprocessing (EMDR) is beperkt [The pain attenuation of EMDR is limited]. Directieve Therapie, 16(3), 274-284. doi:10.1007/BF03060149.

Language: Dutch

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd in 1989 door Shapiro geïntroduceerd als een therapeutische techniek voor Posttraumatische stress–stoornis (PTSS). Sindsdien hebben diverse EMDR–;therapeuten geopperd dat deze interventie ook toepasbaar is bij andere trauma–gerelateerde klachten. In een studie van Hekmat, Groth en Rogers (1994) is geclaimd dat EMDR effectief is bij de behandeling van pijn. In het onderhavige onderzoek is deze claim verder onderzocht. Daartoe werden 45 gezonde vrijwilligers onderworpen aan 8 elektrische prikkels. De proefpersonen werden verdeeld over 3 groepen: een groep die behandeld werd met EMDR, een groep die ter afleiding van de prikkels naar een cartoon keek, en een controlegroep waarbij geen verdere interventie werd uitgevoerd. Zowel fysiologische als subjectieve reacties op de pijnprikkels werden geregistreerd. Op geen enkele effectmaat werden verschillen tussen de drie groepen gevonden. In de discussie wordt dit resultaat in een breder perspectief geplaatst.

Eye Movement Desensitization and Reprocessing (EMDR) was introduced by Shapiro in 1989 as a therapeutic technique for posttraumatic stress disorder (PTSD). Since then several EMDR, therapists suggested that this intervention is also applicable to other trauma-related symptoms. In a study by Hekmat, Groth and Rogers (1994) has claimed that EMDR is effective in treating pain. In the present study further investigated this claim. For this purpose, 45 healthy volunteers subjected to 8 electrical stimuli. The subjects were divided into 3 groups: one group treated with EMDR, a group that as a distraction from the stimuli to a cartoon look, and a control group with no further intervention was performed. Both physiological and subjective responses to pain stimuli were recorded. In no effect size differences were found between the three groups. In the discussion, this results in a wider perspective.

Keywords: Pain Attenuation

Accuracy Verified: Yes

31. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and ethically utilize EMDR with clients. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations. Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006) delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic, and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than 1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A project like this is expensive. IRT received.

Keywords: Asia HAP Humanitarian Assistance Programs Trainings

Accuracy Verified: Yes

32. Leuenberger, R. (2008). Die EMDR - Methode und ihr bezug zurbersten grundmotivation [EMDR - the method and its relation to basic motivation]. Existenzanalyse, 25(1), 44-53.

Language: German

Format: Newsletter

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)-Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einer PTBS (posttraumatische Belastungsstörung) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

This thesis should demonstrate that existential analysis can make a substantial contribution to the psychological as well as philosophical understanding of the EMDR (Eye Movement Desensitization and Reprozessing) method of treating mentally traumatized patients with a PTSD (Posttraumatic Stress Disorder), and thus extends beyond the common, and to some degree hypothetical, neurobiological attempts at explaining this method. The study is based on the experiences collected over a period of four years in the practice of a general practitioner who used the EMDR method in the treatment of patients suffering from PTSD. According to the verbal statements of patients made before, during and after treatment, it can be concluded that of the relevant deficiencies in the areas of the four fundamental motivations of existential analysis, those having to do with the first fundamental motivation bear the most significance. On the basis of 23 medical histories the effective factors of the EMDR method will become understandable from an existential-analytic point of view by using the concepts of the first fundamental motivation.

Keywords: Existential Analysis: Fundamental Motivation Trauma

Accuracy Verified: Yes

33. van Dillen, L. (2013, June). Een beetje ruimte voor gevoel [A little room for feeling]. In Research track 2. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Tijdens deze presentatie wordt ingegaan op de werkgeheugentheorie als verklaring voor de effectiviteit van EMDR. Verschillende onderzoeken worden gepresenteerd die laten zien dat het belasten van het werkgeheugen zowel de subjectieve believing van negatieve emoties afzwakt, alsmede daadwerkelijke emotieresponsen in het brein. Verder blijkt werkgeheugenbelasting niet alleen negatieve gevoelens te onderdrukken, maar ook verlangens naar bijvoorbeeld eten of sex, waardoor impulsief gedrag gemakkelijker kan worden gereguleerd. Tenslotte zullen mogelijke beperkingen alsmede praktische toepassingen worden besproken.

During this presentation discusses the working memory theory as an explanation for the effectiveness of EMDR. Several studies are presented that show that taxing working memory both subjective believing negative emotions weaken and actual emotieresponsen in the brain. It also appears memory load not only to suppress negative feelings but also desires for food or sex, for example, making impulsive behavior can be controlled easily. Finally, potential limitations and practical applications are discussed.

Keywords: Research Taxing Working Memory

Accuracy Verified: No

34. van Dillen, L. . Een beetje ruimte voor gevoel [A little room for feeling]. In Research track 2. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Keywords: Research Taxing Working Memory

Accuracy Verified: No

35. van Dillen, L. . Een beetje ruimte voor gevoel [A little room for feeling]. In Research track 2. Presentation at the .

Language: English

Format: Conference

Keywords: Research Taxing Working Memory

Accuracy Verified: No

36. van Dillen, L. . Een beetje ruimte voor gevoel [A little room for feeling]. In Research track 2. Presentation at the .

Language: English

Format: Conference

Keywords: Research Taxing Working Memory

Accuracy Verified: No

37. Graham, L. B., & Robinson, E. M. (2007, Spring). Effect of EMDR on anxiety and swim times. Journal of Swimming Research, 17, 1-9.

Language: English

Format: Journal

Abstract:
This study investigated the effect of Eye Movement Desensitization and Reprocessing (EMDR) on swimmers who had experienced a traumatic swimming event. Measures of performance, anxiety, and self-perception in (N = 65) competitive college and high school swimmers were collected Swimmers were randomly assigned to one of three conditions; EMDR, imagery or no treatment. All participants took the State-Trait Anxiety Scale and performed a 100 yd freestyle swim pretreatment and posttreatment. The EMDR and imagery group had two additional anxiety measures: [heart rate and Subjective Units of Distress, (SUDS)] and one cognition scale the Validity of Cognition Scale. These two groups had three sessions of either EMDR or imagery. Trait anxiety scores did not differ among groups as expected but the EMDR group's state anxiety decreased compared to the no treatment group p = .002. Heart rate and SUDS decreased as a consequence of group, with EMDR showing a drop in rate p < .001. Swim times were not different for all the groups, but EMDR improved compared to the no treatment p = .043. The EMDR group endorsed greater coping beliefs than the imagery group p < .01. EMDR may provide coaches with an alternative to imagery to help the athlete who has a "mental block" (negative thoughts indicating inability to cope with the swimming event) secondary to a traumatic sport

Keywords: Anxiety Swimming

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

39. Nettz, S. L. (1995, August). Effects of a single session of EMDR, flooding, and a credible placebo treatment on traumatic memories in male veterans. Illinois Institute of Technology, Chicago, IL. AAT 9614404.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the effectiveness of a single session of three different treatments for traumatic memories. Subjects were 45 adult males, randomly assigned to Eye Movement Desensitization and Reprocessing (EMDR), Flooding, or Placebo therapy (Modified Avoidance Response Conditioning [ MARC]). Self-report and physiological measures were employed to measure treatment effectiveness. Subjects completed the following pre-treatment inventories: Michigan Alcohol Screening Test, Impact of Event Scale, State-Trait Anxiety Inventory, Questionnaire on Mental Imagery, and the Treatment Credibility Questionnaire. Post-treatment measures included self-report measures (Subjective Units of Distress [ SUDs] and Treatment Credibility Questionnaire) and physiological measures (heart rate, skin conductance, and skin temperature). Treatments were rated as equally credible before and after the session. Both EMDR and Flooding produced a significant decrease in the self-report of anxiety compared to the Placebo (MARC) group. Neither heart rate or skin conductance channels showed a significant change for any of the three groups during post-treatment assessment phases. However, skin temperature was significantly lower for the Flooding group compared to the MARC group during two post-treatment phases, suggesting that the Flooding group was more physiologically aroused than Placebo (MARC) subjects. Findings suggest that during Flooding, exposure to disturbing elements of a trauma is associated with physiological arousal, which in turn leads to lessening of subjective distress. However, a different mechanism may account for EMDR treatment effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(1-B), Jul 1996, pp. 0687

Keywords: Adults Emotional Trauma Empirical Study Evaluation Male Memory Military Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans

Accuracy Verified: Yes

40. Johnson, M. D. (1996, June). Effects of eye movement desensitization and reprocessing on test anxiety. Texas Woman's University, Denton, TX. AAT 9716578.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was introduced (Shapiro, 1989) as a treatment for traumatic memories. The necessity of eye movements or another activating stimuli in the treatment of test anxiety and the effectiveness of EMDR as a treatment for test anxiety is the focus of the present study. This study screened subjects for adequate study skills and the presence of test anxiety, and randomly assigned 45 subjects to one of three conditions: EMDR, EMDR with no activating stimuli (EMDR/NS; eyes closed), and a no treatment control group. The results of this study suggest that EMDR and EMDR/NS were equally effective in treating test anxiety and more effective than the control group as measured by the Achievement Anxiety Test, the Emotionality scale of the Test Anxiety Inventory (TAI), the Subjective Units of Disturbance scale, and the Validity of Cognition scale. Test performance and the Worry Scale of the TAI were not significantly impacted by the treatment groups. The inability of EMDR to impact the worry scale or the test performance of subjects in this study draws into question the usefulness of EMDR as a treatment of test anxiety. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(12-B), Jun 1997, pp. 7730.

Keywords: Empirical Study Test Anxiety

Accuracy Verified: Yes

41. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18(3), 148-158.

Language: English

Format: Journal

Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.

Keywords: Horitzontal Eye Movements

Accuracy Verified: Yes

42. Farkas, L. (2008, December). The effects of motivation-adaptive skills-trauma resolution (MASTR) - Eye movement desensitization and reprocessing (EMDR) on traumatized adolescents with conduct problems. Universite de Montreal, Canada. AAT NR55659.

Language: English

Format: Dissertation/Thesis

Abstract:
Objective.- This dissertation explored the effectiveness of a treatment package, Motivation-Adaptive Skills-Trauma Resolution (MASTR) in combination with Eye Movement Desensitization and Reprocessing (EMDR). This intervention was assessed in a sample of traumatized adolescents manifesting conduct problems (CPs) admitted to youth protective services. CP adolescents have been found to be particularly treatment-resistant and the treatments used with them often neglect to target the trauma that many of these youths have faced. Therefore, it seemed promising to implement a trauma-focused treatment with these youths that accounts for their resistance to treatment. MASTR-EMDR was studied with this population due to the favorable findings in the few studies assessing its use with high-risk populations. In addition to examining the effects of this treatment with CP youth exposed to various types of trauma, a particular focus was given to victims of sexual abuse (SA). This type of trauma seemed particularly suited for EMDR due to its circumscribed nature, which may be more easily worked through in this treatment that targets one trauma at a time.
Method.- Participants in the first study were 40 adolescents (ages 13-17) exhibiting CPs and exposed to trauma in youth protective services. A subsample (n = 30), consisting of victims of SA, was included in the second study. Participants in both studies were randomly assigned to MASTR-EMDR treatment or to a wait list condition where they were offered routine care. Self-report questionnaires and semi- structured interviews were administered to participants and one of their parents or caregivers by independent evaluators at three points in time: pre-treatment, post-treatment (12 weeks later) and follow-up (12 weeks after post-treatment). These measures evaluated trauma history, trauma-related sequelae, CPs, social competence and internalizing problems. The MASTR-EMDR sessions were administered once a week over a 12 week period, with each session lasting a maximum of 1.5 hours.
Results.- ANCOVAs and repeated measures ANCOVAs were used to assess treatment effects and the maintenance of gains at a 3-month follow-up. As predicted, MASTR-EMDR led to significant gains in outcome measures compared to routine treatment with both samples. In addition, gains were maintained at follow-up.
Conclusions.- This dissertation supports the use of MASTR-EMDR in populations exposed to general trauma and SA who exhibit CPs. This research was innovative in its implementation of a novel treatment-approach in youth protective services, where empirically-supported treatments are necessary and sometimes lacking. Therefore, the results have both clinical and scientific value and can help pave the way toward more trauma-focused treatments for CP youth, more evidence-based practices in youth protective services as well as enrich current understanding of the effects of this treatment approach.[Author Abstract]

Keywords: Conduct Problems Protective Services Psychotherapeutic Techniques Trauma Treatment Outcome Youth

Accuracy Verified: Yes

43. Schubert, S. (2010, July). The efficacy and psycho physiological correlates of dual-attention tasks in EMDR. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Methods: Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Results: Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Conclusion: These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention Poster Physiological Correlates

Accuracy Verified: Yes

44. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention Psychophysiological Correlates

Accuracy Verified: Yes

45. Schubert, S. J., Lee, C. W., & Drummond, P. D. (2011, January). The efficacy and psychophysiological correlates of dual-attention tasks in eye movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 25, 1-11. doi:10.1016/j.janxdis.2010.06.024.

Language: English

Format: Journal

Abstract:
This study aimed to investigate the psychophysiological correlates and the effectiveness of different dual-attention tasks used during eye movement desensitization and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single session of EMDR without eye movements, or EMDR that included eye movements of either varied or fixed rate of speed. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress than EMDR-without eye movements. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Findings indicate that the eye movement component in EMDR is beneficial, and is coupled with distinct psychophysiological changes that may aid in processing negative memories.

Keywords: Eye Movements Autobiographical Memory Psychophysiology Orienting Response

Accuracy Verified: Yes

46. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.

Language: English

Format: Dissertation/Thesis

Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347

Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

47. Jensen, J. A. (1992). Efficacy of eye movement desensitization and reprocessing as a treatment for PTSD symptoms of Vietnam combat veterans. University of Wisconsin, Madison, WI. AAT 9221917.

Language: English

Format: Dissertation/Thesis

Abstract:
The efficacy of eye movement desensitization and reprocessing (EMD/R) was compared with that of a control (no treatment) condition in the treatment of Vietnam combat veterans with postraumatic stress disorder. 27 volunteer subjects were randomly assigned to the EMD/R and control conditions, with 13 EMD/R and 12 control subjects completing the entire study. Two therapists trained in EMD/R, and three trained interviewer/testers contributed in running the study.Prior to random assignment, subjects indicated one PTSD-related goal for the study. They were also assessed on a measure of present PTSD symptoms, a measure of subjective anxiety, and a measure of belief in a positive cognition related to war trauma. They were then randomly assigned to conditions, with EMD/R subjects receiving three treatment sessions within a week. Approximately 17 days after the initial assessment, each subject was retested on the measures of PTSD symptoms, subjective anxiety, and of the desired positive cognition. At this time, goal attainment was also assessed, and another general PTSD instrument was given. Statistical analysis of both test-retest and posttest only measures indicated a general lack of effectiveness of EMD/R with the subjects in this study. While EMD/R was effective and statistically superior to the control condition in reducing in-session subjective anxiety, neither condition was effective in improving scores on the two PTSD symptom measures, in contributing to goal attainment, or in increasing subjects' beliefs in their stated desired positive cognition regarding war trauma. This study's lackluster results are in sharp contrast to the considerable success reported in Shapiro'soriginal EMD/R study incorporating few combat veterans. With certain procedural diversions acknowledged, this study's findings provide little support for widespread use of EMD/R as an intervention for Vietnam combat veterans' PTSD symptoms. Implications are that combat veterans with PTSD may comprise a population with distinctly chronic and disturbing symptomotology, and that the brief and novel EMD/R procedure may not be successful with such a population. [Author Abstract]

Keywords: Americans Males Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

48. Enright, M. B. (1995, August). The efficacy of eye movement desensitization and reprocessing in the treatment of test anxiety. University of Northern Colorado, Greeley, CO. AAT 9617465.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explores the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of test anxiety. Thirty-five college students who scored above the 50th percentile on test anxiety were randomly assigned to either a treatment or wait-list control group. Subjects received two 1 hour sessions of EMDR. After posttesting, the control group also received EMDR treatment. The treatment group had a significant reduction in Test Anxiety Inventory total score, emotionality scale score, worry scale score, and state anxiety as compared to the control group. After treatment, the control group matched the experimental group for significant reductions on all dependent measures. The subject group as a whole had significant reductions in subjective units of distress during treatment as well as a significant increase in the validity of positive self-statements. Reductions in anxiety measures were maintained at one month follow-up. The differential effect of EMDR on subjects based on gender and pretreatment level of trait anxiety was also examined. Subjects with high trait anxiety had a greater reduction in total test anxiety, emotionality, and worry on posttesting as compared to subjects with lower trait anxiety. Males and females were found to respond equally to the treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(2-B), Aug 1996, pp. 1436

Keywords: Anxiety Management College Students Empirical Study Test Anxiety Treatment of Test Anxiety Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

49. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]

Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness

Accuracy Verified: Yes

50. Lytle, R. A., Hazlett-Stevens, H., & Borkovec, T. D. (2002). Efficacy of eye movement desensitization in the treatment of cognitive intrusions related to a past stressful event. Journal of Anxiety Disorders, 16(3), 273-288. doi:10.1016/S0887-6185(02)00099-3.

Language: English

Format: Journal

Abstract:
Much of the Eye Movement Desensitization and Reprocessing (EMDR) efficacy research has been widely criticized, limiting scientific understanding of its therapeutic components. The present investigation of Eye Movement Desensitization (EMD) effectiveness included undergraduate students reporting current intrusive cognitions concerning a traumatic event. Forty-five participants received a single treatment session of either: (a) EMD, as described by Shapiro [J. Behav. Ther. Exp. Psychiatry 20 (1989b) 211], (b) an identical procedure which employed eye fixation on a stationary target, or (c) non-directive counseling. Standardized self-report, subjective rating, Daily Diary, and intrusive thought sampling measures were collected before and after treatment. Results indicated that participants in the eye fixation group reported marginally (p<.052) fewer cognitive intrusions than the non-directive group 1 week following treatment. No significant differences between the EMD and non-directive conditions or between the EMD and eye fixation conditions on this measure were found. During the treatment session, both desensitization groups were superior to the non-directive group in reducing reported vividness of the mental image of the original event. However, the non-directive group improved to the level of the two other groups by the following week. Rapid saccadic eye movements were therefore unrelated to immediate treatment effects for this sub-clinical sample, and non-directive treatment largely yielded eventual outcomes equivalent to the two desensitization conditions (Pilots).

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

Accuracy Verified: Yes

51. Renfrey, G. (1993). The efficacy of eye movement desensitization in the treatment of trauma related imagery and cognitions: A partial dismantling procedure. Western Michigan University, Kalamazoo MI. AAT 9412220.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the effects of eye movement desensitization (EMD) on post-traumatic sequelae, and attempted a partial dismantling of the procedure to determine the necessity of EMD's characteristic eye movements. 23 persons participated in three groups: (1) those receiving standard EMD, (2) those receiving a variant of EMD in which eye movements were engendered through a light tracking task, and (3) those receiving a variant of EMD in which fixed visual attention replaced eye movements. All participants had experienced traumata as defined by the DSM-III-R and were having intrusive symptoms of PTSD at pre-treatment. All but two met full DSM-III-R criteria for PTSD. Each received two to six treatment sessions.Dependent variables included heart rate changes, subjective units of distress ratings, validity of both initial and targeted trauma-related cognitions during trauma-related imagery, overall frequency and intensity scores on the Clinician Administered PTSD Scale, anxiety and depression T-scores on the Symptom Checklist (SCL-90-R), and scores on the Impact of Events Scale. Assessments were conducted at pre- and post-treatment and at a one- to three-month follow-up. All three interventions produced significant, positive changes in all dependant measures between pre- and post-treatments. Further, these changes were maintained at follow-up. No significant differences between groups were observed. These changes were of comparable magnitude to those reported elsewhere, but were brought about through a greater number of treatment sessions. It was concluded that EMD does bring about fairly rapid therapeutic changes in those post-traumatic sequelae measured, though not as efficiently as most previous reports have suggested. Further, it was concluded that the eye movements peculiar to EMD are not a necessary component of the procedure. The similarities and differences between the present findings and previous reports are discussed, as are the limitations and implications of the present study. Recommendations for future work are made. [Author Abstract]

Keywords: Clinical Trial Partial Dismantling Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

52. Sellers, J. L. (1997, October). Efficacy of the eye movement desensitization procedure as compared to accelerated massed desensitization in the treatment of test anxiety. California School of Professional Psychology, San Diego, CA. ATT 9729659.

Language: English

Format: Dissertation/Thesis

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure had been widely promoted as an effective anxiety reducing treatment, yet the methodology of many studies has not been adequate to clearly investigate the procedure (Lohr, Kleinknecht, Conley, Dal Cerro, Schmidt, & Sonntag, 1992) and comparison treatments have been inappropriately applied (Lohr, Kleinknecht, Tolin & Barrett, 1995). This study compared EMDR and Accelerated Massed Desensitization (AMD), which has been empirically supported as a short term intervention in the treatment of test anxiety. All participants were screened for participation and 38 were determined test anxious, according to the Test Anxiety Inventory (TAI; Spielberger, 1980). No subjects were involved in any form of relaxation training or taking any medications to reduce anxiety at the time of their participation. All participants were recruited from college and university classes in the Orange and San Bernardino counties and were paid $10 for their participation. Six therapists and the primary investigator conducted therapy sessions for both treatments. All therapists completed the EMDR training, completed relevant reading materials for the AMD procedure, and followed protocols for both procedures throughout the therapy sessions. Participants were randomly assigned to either the EMDR or AMD treatment condition and a therapist. Participants completed the state portion of the State-Trait Anxiety Inventory (STAI; Spielberger, 1983) and the Subjective Units of Distress scale (SUD; Wolpe, 1982) measures at pre and post treatment and at pre and post in-class exam. Participants received two sessions of treatment for each of the conditions. This study hypothesized that the EMDR treatment would significantly reduce anxiety as measured by the STAI and the SUD as compared to the AMD treatment. This study also hypothesized that EMDR would significantly reduce anxiety in both treatment and in vivo settings. Supplementary hypotheses predicted that the AMD treatment would reduce anxiety in both the treatment and in vivo settings. Results indicated that students in the AMD condition experienced more anxiety reduction than students in the EMDR condition. However, both treatments were effective in reducing anxiety in both the treatment and in vivo setting, as measured by the STAI and SUD scales. These results suggest that both treatments may be effective for reducing anxiety. However, the AMD treatment led to greater reductions in anxiety, as compared to the EMDR treatment. It is suggested that further research of the EMDR procedure include suitable comparison groups in order to assess its effectiveness and allow clinicians to choose appropriate treatments based on empirical support. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(4-B), Oct 1997, pp. 2139.

Keywords: College or University Students Identified As Test Anxious Efficacy of Eye Movement vs Accelerated Massed Desensitization for Treating Test Anxiety Psychotherapeutic Techniques Sellers Test Anxiety

Accuracy Verified: Yes

53. Leutner, S. (2008). Einheit von stabilisieren und prozessieren [Unit to stabilize and litigate]. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick (pp. 171-180). Paderborn: Junfermann.

Language: German

Format: Book Section

Keywords: Litigation

Accuracy Verified: Yes

54. Holmshaw, M. (2008, June). EMDR & CBT work equally well for psychological trauma – Why?. Presentation at the annual meeting of the EMDR Europe Association, London, UK.

Language: English

Format: Conference

Abstract:
The use of EMDR, CBT or a combination of the two, in managing psychological ill health following road Traffic Accidents (RTA): The Results and analysis of 1100 consecutive referrals. This paper determines the role of trauma-focused psychological treatment in the management of psychological ill health following road traffic accidents in the UK. RTA’s are the biggest cause of PTSD in this country. All consecutively referred patients with possible psychological ill-health following a RTA were offered a comprehensive psychological assessment by an established provider of trauma services in the UK. Those with significant psychological ill health were offered trauma-focused psychological treatment, EMDR and/or CBT, in line with NICE (National Institute for Health and Clinical Excellence) guidelines. During the psychological assessment a clinical diagnosis was made and a number of psychometric scores were used. These comprised 1 DSM IV criteria for PTSD and illness severity, 2 General Health Questionnaire, 3 Impact of Event Scale, 4 Hospital Anxiety and Depression Scale. Similar subjective and objective measurements were made after every fourth session of therapy and on discharge. The results offer a breakdown of diagnoses, the number of patients who proceeded to treatment and the type of treatment and outcome of such treatment. Of the 658 patients who proceeded to Trauma-focused psychological treatment, patients had either EMDR by itself (31%), CBT by itself (36%) or a Combination of EMDR and CBT (33%). Subjectively and objectively three out of four patients were completely relieved of their symptoms or were much better. There was no significant difference between CBT and EMDR in terms of treatment results. Closer analysis of the three subgroups revealed a number of variables which seemed to be associated with failure of EMDR treatment and failure of CBT treatment. These variables will be discussed against the background of the trauma focused CBT model of Clarke, D and Ehlers A, 2002. Recommendations will be made of ways to improve the outcome of EMDR Therapy and improving EMDR training.

Keywords: CBT Cognitive Behaviorial Therapy Trauma

Accuracy Verified: Yes

55. Sittig, K. J. (2008, September). EMDR and hypnotherapy: Integration of EMDR and hypnotherapy. An innovative, highly- efficient, resources – based method for PTSD - treatment [EMDR und hypnotherapie]. Preconference presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Treat the trauma without treating the trauma The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely. The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again! This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the SUR–scale, Subjective Units of Resources. The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work! Previous knowledge is not necessary.

Keywords: Hypnotherapy

Accuracy Verified: Yes

56. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK.

Language: English

Format: Conference

Abstract:
The information processing model has been described in many different ways and is potentially the underlying process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information processing model and conclude that although they may use different language to describe their theories, a unifying information processing model describes both paradigms. Human beings are meaning making machines (Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or internal process’s and this information goes through our filters where we delete, distort and generalise this information based on the rules created in our information processing unit (Fig 1). This information processing mechanism gives meaning to this filtered information and generates a response, this response interacts with this information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do; we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders. One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self and threatening information. Both EMDR and MCT describe an information management/processing system that organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to respond to a trauma memory Both therapies appear to change this system / process to something that is much more adaptive for the client, as if they change the master information management control programme that runs this system, in the same way a conductor influences the orchestra and the music they produce. Both models describe the same process, although they utilise different language to describe this change process. Perhaps a change of focus for the development of pychotherapy towards more process change models rather than content change interventions.

Keywords: Metacognitive Therapy Poster

Accuracy Verified: Yes

57. Greenwald, R. (2002). EMDR and trauma-focused treatment for conduct problems. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper No. 19 (pp. 15-21) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
Trauma is proposed as a key to understanding the development and persistence of conduct problems, in conjunction with other contributing factors. Preliminary research on child/adolescent trauma treatment indicates that such treatment can successfully reduce post-traumatic symptoms as well as conduct problem symptoms. Eye movement desensitization and reprocessing (EMDR) has shown particular promise. However, it can be difficult to secure treatment compliance for trauma-focused work with this challenging population. A more comprehensive treatment approach is suggested which addresses trauma-related issues of motivation, safety, and self-efficacy as a foundation form which to introduce EMDR. Reductions in post-traumatic stress, related symptoms, and problem behaviours along with improved school performance, indicate the value of further study of this type of treatment approach.

Keywords: Children Conduct Disorders Occasional Paper

Accuracy Verified: Yes

58. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical pain and living with chronic pain. Participants in this workshop will learn: (a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain; (b) a guided pain healing meditation; (c) an EMDR protocol for installing pain relief imagery and self-care techniques; (d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories; (e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating, drinking) and dependence on pain medication in this population. The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer will be presented. Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the "C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed. The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing will be discussed. The presentation will then cover (with clinical case examples): (1) Red flags and cautions to consider before proceeding with EMDR- (2) What to do and what not to do if the patient is dissociative; (3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with "secondary gains" minus primary losses; (4) Teaching the distinction between pain sensations and suffering; (5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy self-care behaviors; (6) How to directly address with the patient the application of "cognitive psychology" and imagery for pain reduction; (7) EMDR reprocessing of memories around the pain's origins; (8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences, internalized self-identifications, self-punitive tendencies and self-defeating behaviors; (9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient; (10) EMDR reprocessing of negative cognitions associated with depression and anxiety. (11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers; (12) Material that often comes up in using EMDR with pain patients; (13) Strategically restructuring patient "resistance" with coanitive interweave; (14) Managing narcotic and pain medication seeking behavior and substance abuse; (15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in this population; (16) Treating pain patients who also have PTSD. Videotaped case excerpts will be shown that illustrate important points covered. If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.

Keywords: Chronic Pain Pain Pain Management

Accuracy Verified: Yes

59. Kannan, L. (2010, July). EMDR as a tool in change management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In 2008-2009, many professionals and executives faced various organizational pressures ranging from pay slash, contrived performance appraisals, layoffs and work overload due to the recession which impacted many traumatically. It affected the morale, motivation and basic sense of security which was previously part of the work culture in Eastern countries especially in India. EMDR is an effective tool for organizations to manage dramatic change without adversely impacting the individual and consequently the organization. Participants will learn: 1. What constitutes work trauma both direct and vicarious and how to identify its impact, 2. The impact of such work trauma on the clinical and non clinical parameters affecting performance, efficiency and well being. 3. How to use EMDR efficiently with work trauma. 4. Adapting EMDR to the different setting where work trauma clients may present themselves in the Eastern context.

Keywords: Change Management

Accuracy Verified: Yes

60. van Els, H. (2008, Maart). EMDR bij allochtonen en bij ouderen: In proces krijgen én houden met contextuele aanpassingen [EMDR for immigrants and the elderly: In trial and to contextual adaptation]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Ouderen en allochtonen met PTSS zijn groepen patiënten die kunnen profiteren van behandeling met EMDR. Bied je echter, conform de multidisciplinaire richtlijn angststoornissen EMDR aan, dan stuit je op een aantal problemen. Voorbeelden daarvan zijn: geen eigen wens voor deze behandeling, sterke vermijding van het oprakelen van traumatische ervaringen, afzeggen en wegblijven, heftige lichamelijke ervaringen en afbreken van de sessie én taal als hindernis. In deze workshop worden ervaring besproken met ouderen (N=10; 62-82 jaar) en met een gevarieerde groep allochtonen (N=10) binnen een reguliere 2e lijns GGZ instelling. Allereerst worden enkele mislukkingen geanalyseerd. Het blijkt lastig te zijn om patiënt in de EMDR-procedure te krijgen en te houden. De rol van cultuur, van motivatie en committent en van taal wordt bekeken. Vervolgens worden aanpassingen getoond in: de voorbereiding, de uitleg en het te bereiken resultaat. Tevens wordt het belang aangegeven van het werken ‘als team’ met een vaste tolk. Alle inspanningen zijn gericht op het ‘gewoon’ uit kunnen voeren van EMDR.

Elderly and immigrants with PTSD groups of patients who may benefit from treatment with EMDR. However, your bid, according to the multidisciplinary guidelines for anxiety disorders EMDR, then you hit a number of problems. Examples include: no own desire for this treatment, avoiding the sharp rake of traumatic experiences, cancel and stay away, intense physical experiences and abort the session and language barrier. This workshop experience will be discussed with older people (N = 10, 62-82 years) and with a diverse group of immigrants (N = 10) in a regular second-line mental health institution. First, some failures analyzed. It seems difficult to be patient in the EMDR procedure to get and keep. The role of culture, motivation and Principals and language is viewed. Then adjustments shown in: the preparation, interpretation and results to be achieved. It also indicated the importance of working 'as a team "with a fixed interpretation. All efforts are aimed at 'ordinary' can perform EMDR.

Keywords: Anxiety Elderly Immigrants Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

61. ter Heide, J. J. (2011, August). EMDR bij getraumatiseerde vluchtelingen [EMDR with traumatized refugees]. Psychologie & Gezondheid, 39(3), 180-185. doi:10.1007/s12483-011-0036-2.

Language: Dutch

Format: Journal

Abstract:
While EMDR is treatment of choice for traumatized adults with PTSS, its efficacy has not been validated with traumatized refugees. As long as no evidence is available for EMDR with this population, EMDR with refugees should be informed by theoretical approaches to treatment of PTSS in adults. Four approaches are discussed: the phased approach that advocates stabilization before EMDR; the multimodal approach that advocates combining EMDR with other interventions; the trauma-focused approach that advocates offering EMDR to all adults with PTSS, including refugees and, the transcultural approach that advocates a culturally sensitive administration of EMDR. Several pilot studies on EMDR with traumatized refugees, randomized controlled trials of EMDR with multiply traumatized populations, and a trial of EMDR in a non-western setting may further inform EMDR-therapists working with traumatized refugees. Suggestions are made for combining the four approaches and scientific evidence in treatment planning and execution of EMDR with this population. The EMDR protocol itself prescribes several interventions for treating multiply traumatized patients, such as resource development and installation, clustering of traumatic experiences, and cognitive interweaves. Additionally, culturally sensitive interventions may enable the refugee to actively partake in the treatment process by increasing motivation for trauma processing, by diminishing language barriers, and by facilitating the formulation of culturally congruent meanings to trauma. The question remains whether EMDR, which offers an individualistic approach to trauma, is sufficiently suited to address the collective traumatization of victims of war and organized violence.

Keywords: Refugees Trauma

Accuracy Verified: Yes

62. Veenstra, A. C. (2006, Oktober). EMDR bij hardnekkige enuresis nocturna in de adolescentiefase [EMDR with persistent nocturnal enuresis in adolescence]. Tijdschrift voor Kinder- & Jeugdpsychotherapie, 33(3), 39-53.

Language: Dutch

Format: Journal

Abstract:
Er zijn diverse behandelmogelijkheden beschreven voor kinderen met enuresis nocturna (Azrin, 1974; van Londen, 1984; Hira Sing, 2004; Richtlijn Enuresis van de PAZ; NHG standaard Enuresis Nocturna). Ondanks deze behandelmogelijkheden is er een groep kinderen die tot in de adolescentiefase kampt met een zeer hardnekkige vorm van primaire enuresis nocturna. Epidemiologisch onderzoek wijst op een prevalentie van enuresis nocturna bij adolescenten van 1.2% (Nappo, 2002; Chiozza, 1998). De behandeling van deze groep wordt belemmerd door een fors gedaalde motivatie voor behandeling zowel als gevolg van de vele faalervaringen met eerdere behandelpogingen, als door een toegenomen negatief zelfbeeld en gebrek aan zelfvertrouwen. Dit artikel laat zien hoe EMDR (Eye Movement Desensitization and Reprocessing) op experimentele basis werd gebruikt bij enkele adolescenten met zeer hardnekkige enuresis nocturna. Het traumatiserende effect van langdurende enuresis nocturna wordt omschreven. Met een casus wordt geïllustreerd hoe EMDR wordt ingevlochten in de gedragstherapeutische behandeling. Ten slotte worden de bevindingen beschreven bij de adolescenten waar inmiddels ervaring mee is opgedaan.

There are several treatment choices for children with enuresis nocturnal (Azrin, 1974, London, 1984, Hira Sing, 2004, Directive Enuresis the PAZ, NHG standard nocturnal enuresis). Despite these treatment options, there is a group of children into adolescence faced with a very stubborn form of primary nocturnal enuresis. Epidemiological research indicates a prevalence of nocturnal enuresis in 1.2% of adolescents (Nappo, 2002; Chiozza, 1998). The treatment of This group is hindered by a sharp fall in motivation treatment both because of the many failures of previous experiences treatment attempts, and by an increased self-esteem and lack of confidence. This article shows how EMDR (Eye Movement Desensitization and Reprocessing) was used on an experimental basis in some adolescents very persistent nocturnal enuresis. The traumatic effects of long-term nocturnal enuresis is defined. With a case is illustrate how EMDR is interwoven in the behavioral treatment. Finally, the findings described in adolescents now that experience has been acquired.

Keywords: Children Enuresis

Accuracy Verified: Yes

63. Merckelbach, H., & Muris, P. (1995). EMDR bij spinnenfobie: Twee gevalsbeschrijvingen [EMDR with spider phobia: Two case reports]. Directieve Therapie, 15(2), 64-70. doi:10.1007/BF03060109.

Language: Dutch

Format: Journal

Abstract:
Nogal wat auteurs geven hoog op van de effecten die met Eye Movement Desensitization and Reprocessing (EMDR) te behalen zijn bij de behandeling van angststoornissen. Voor een aanzienlijk deel steunen deze loftuigingen op dubieuze casuïstiek, dat wil zeggen casuïstiek waarin de werking van EMDR wordt gedocumenteerd aan de hand van subjectieve en ongevalideerde uitkomstmaten. Dit artikel beschrijft twee spinnenfobische gevallen waarbij eerst EMDR en vervolgens exposure in vivo werd uitgevoerd. Behandelingseffecten werden geëvalueerd met zowel subjectieve als objectieve maten. De resultaten laten zien dat de gunstige effecten van EMDR zich vooral afspelen op het niveau van de subjectief gerapporteerde angst en veel minder spectaculair zijn wanneer het gaat om vermijdingsgedrag. Deze observatie stelt die EMDR–critici in het gelijk die beweren dat positieve zelfrapportage–maten na EMDR niet noodzakelijkerwijze hand in hand gaan met vergelijkbare gedragseffecten.

Quite a few authors give high on the effects of Eye Movement Desensitization and Reprocessing (EMDR) can be achieved in the treatment of anxiety disorders. For a significant part in supporting these loftuigingen dubious casuistry, ie case studies where the effect of EMDR is documented by means of subjective and non-validated outcome measures. This article describes two cases where spinnenfobische first EMDR and exposure in vivo was then performed. Treatment effects were evaluated with both subjective and objective measures. The results show that the beneficial effects of EMDR mainly play at the level of subjectively reported anxiety and much less spectacular when it comes to avoidance. This observation suggests that EMDR critics were right who claim that positive self-report measures after EMDR does not necessarily go hand in hand with similar behavioral effects.

Keywords: Case Study Spider Phobia

Accuracy Verified: Yes

64. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia. Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee. Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.: • Diagnosi descrittiva. • DSM IV: chiarezza classificatoria. • Multifattorialità dei disturbi dell'alimentazione. • Integrazione dell’EMDR nel trattamento: quando e con quale paziente. • Ricerca dei target significativi nella storia di vita del paziente. • Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave • La motivazione al cambiamento nei pazienti difficili. • La relazione terapeutica. • Intervento psicoeducazionale. • Lavoro sui target del passato. • Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali. • Lavoro sui target del presente (gestione delle “emergenze”) • Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento. • Discussione di casi.

Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.

Keywords: Eating Disorders

Accuracy Verified: Yes

65. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.

Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.

Keywords: Family Therapy Fibromyalgia

Accuracy Verified: Yes

66. Arnone, R., Orrico, A., D'Aquino, G., & Di Munzio, W. (2012, March-April). EMDR e terapia psicofarmacologica nel trattamento del disturbo da stress post-traumatico [EMDR and psychopharmacological therapy in the treatment of the post-traumatic stress disorder]. Rivista di Psichiatria, 47(Supplement 1), 8-11. doi:10.1708/1071.11732.

Language: Italian

Format: Journal

Abstract:
Questo studio si propone di valutare l’efficacia di due diversi trattamenti nella cura del disturbo da stress post-traumatico (PTSD): la terapia psicofarmacologica, attraverso l’utilizzo di serotoninergici, e l’EMDR. Metodo. Sono stati utilizzati due gruppi indipendenti ai quali venivano somministrati due trattamenti differenti: il trattamento con sertralina per il gruppo assegnato alla terapia psicofarmacologica; il trattamento con sedute monosettimanali di EMDR per l’altro gruppo. Per la valutazione dei sintomi del PTSD è stata utilizzata la Clinician-Administered PTSD Scale (CAPS). L’assegnazione dei soggetti ai due gruppi è stata randomizzata. Risultati. I risultati confermano precedenti studi riportati in letteratura, evidenziando l’efficacia sia dell’EMDR sia della sertralina nel migliorare la sintomatologia post-traumatica e i livelli di sofferenza soggettiva. Tuttavia il numero di soggetti che al termine della condizione sperimentale non rientrava più nei criteri diagnostici del PTSD è risultato nettamente superiore nel gruppo trattato con EMDR. Conclusioni. Data la differenza nei due gruppi, a favore di quello trattato con EMDR, del numero di soggetti che possono essere considerati responder e che, come tali, non soddisfano più i criteri del PTSD al termine della condizione sperimentale, possiamo affermare che l’ipotesi per cui l’EMDR è un trattamento più efficace rispetto al trattamento psicofarmacologico è stata confermata. Questo dato potrebbe stimolare ricerche future con campioni più numerosi che indaghino anche l’efficacia a lungo termine.

This study evaluates the efficacy of two different treatment for post-traumatic stress disorder (PTSD): the psychopharmacological therapy, with a SSRI drug, and EMDR. Method. Two indipendent groups have been administered two different treatments: the treatment with sertraline to the group for psychopharmacological therapy; the treatment with one-week sessions of EMDR to the other group. For the evaluation of the symptoms of PTSD has been used the Clinician-Administered PTSD Scale (CAPS). The inclusion of the subjects in the two groups has been absolutely random. Results. The results confirm previous studies available in literature, pointing out the efficacy of EMDR and of sertraline in improving the post-traumatic symptomatology and the levels of subjective sufference. But the number of subjects which at the end of the study didn't satisfy any more the criteria for PTSD has been absolutely greater in the group treated with EMDR. Conclusions. The study confirms the hypothesis of EMDR as a more efficacious treatment for PTSD compared to psychopharmacological therapy. This result could be a stimolous for further research with greater groups to investigate also the long term efficacy.

Keywords: CAPS Clinician-Administered PTSD Scale Efficiacy PTSD, Sertraline

Accuracy Verified: Yes

67. Kapoula, Z. (2010, April). EMDR effects on pursuit eye movements. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This study aimed to objectivize the quality of smooth pursuit eye movements in a standard laboratory task before and after Eye Movement Desensitization and Reprocessing (EMDR) session. EMDR was applied on subject’s autobiographic worries causing moderate distress. The EMDR session was complete in 5 out of 7 cases; distress measured by SUDS (Subjective Units of Disturbance scale) decreased to near zero value. Smooth pursuit eye movement was recorded by Eyelink II video system before and after EMDR. For these five subjects, pursuit eye movement improved after EMDR session, namely the number of CUS (Catch-up saccades) decreased and reciprocally, the gain of the smooth components of the pursuit increased. Such improvement of the smoothness of the pursuit presumably reflects better employment of visual attention needed to follow the target accurately. Perhaps EMDR reducing distress activates a cholinergic effect known to improve ocular pursuit. This approach is novel, Eye movement semiology is known to be a great tool for exploring brain function and plasticity. This preliminary study might be a starting point for further studies of other types of eye movements bringing together neuroscience and psychotherapy. Learning objectives: Learn the physiologic correlates of EMDR. During EMDR practice observation of the quality of eye movement (smooth and saccadic) can provide to the practitioner valuable, non-verbal feedback. EMDR can stimulate different types of research, including laboratory research.

Keywords: Eye Movements Research Symposium

Accuracy Verified: Yes

68. Kapoula, Z., Yang, Q., Bonnet, A., Bourtoire, P., & Sandretto, J. (2010, May). EMDR effects on pursuit eye movements. PLoS ONE, 5(5), 1-11, e10762. doi:10.1371/journal.pone.0010762.

Language: English

Format: Journal

Abstract:
This study aimed to objectivize the quality of smooth pursuit eye movements in a standard laboratory task before and after an Eye Movement Desensitization and Reprocessing (EMDR) session run on seven healthy volunteers. EMDR was applied on autobiographic worries causing moderate distress. The EMDR session was complete in 5 out of the 7 cases; distress measured by SUDS (Subjective Units of Discomfort Scale) decreased to a near zero value. Smooth pursuit eye movements were recorded by an Eyelink II video system before and after EMDR. For the five complete sessions, pursuit eye movement improved after their EMDR session. Notably, the number of saccade intrusions—catch-up saccades (CUS)—decreased and, reciprocally, there was an increase in the smooth components of the pursuit. Such an increase in the smoothness of the pursuit presumably reflects an improvement in the use of visual attention needed to follow the target accurately. Perhaps EMDR reduces distress thereby activating a cholinergic effect known to improve ocular pursuit.

Keywords: Eye Movements Mechanism of Action

Accuracy Verified: Yes

69. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd. De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek. De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo. Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.

This presentation will be presented a conceptual model for Finding the key traumatic experiences (targets) that form the basis of the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment. The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues. The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination. This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.

Keywords: Schema Focused Therapy

Accuracy Verified: Yes

70. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439.

Language: English

Format: Journal

Abstract: (The above link is to the English version of the German article.)
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition und Reaktionsverhinderung ist die am besten untersuchte und derzeit wirksamste Therapie bei Zwängen. 15–40% der Patienten können jedoch nicht von diesem Verfahren profitieren. Sie berichten Motivationsprobleme, brechen die Behandlung vorzeitig ab oder zeigen anhaltende Probleme in der Emotionsregulation. Der zusätzliche Einsatz der Therapiemethode «Eye Movement Desensitization and Reprocessing» (EMDR) zur Reduktion dieser Schwierigkeiten wird vorgestellt und beschrieben. Methode: Es werden drei Kasuistiken vorgestellt, die mittels deskriptiver Analysen ausgewertet werden. Hierbei wird auf das inhaltliche Vorgehen sowie die Therapiemotivation und Emotionsregulation im Therapieverlauf eingegangen. Ein Patient mit Kontrollzwängen erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen. Eine andere Patientin mit vorwiegend Zwangsgedanken wurde zuerst mit Expositionen und danach mit EMDR behandelt. Im dritten Fall wurden Expositionen und EMDR-Sitzungen abwechselnd durchgeführt. Ergebnisse: Die drei behandelten Patienten berichteten eine Reduktion der Zwänge um etwa 60%. EMDR wurde von allen drei Patienten als motivierend und hilfreich beschrieben. Die Arbeit an den Emotionen konnte durch EMDR angeregt und verstärkt werden. Eine deutliche Reduktion der Zwänge durch die Expositionen zeigte sich bei 2 Patienten, während diese im Zuge der EMDR-Sitzungen nur leicht abnahmen. Diskussion: EMDR könnte eine vielversprechende Augmentationsoption bei der Behandlung von Zwängen darstellen. Für eine bessere Beurteilung sind kontrollierte und randomisierte Studien erforderlich.

Introduction: Various studies have demonstrated that cognitive behavioural therapy with exposure response prevention is the most effective method to treat obsessive- compulsive disorders. However, 15–40% of patients do not respond to it; they cannot be motivated to undergo treatment, drop out, or experience persisting difficulties in regulating their emotions. In this article, EMDR is presented as an additional method for these specific problems. Method: Three case studies are reported and descriptively analysed. Special focus is placed on the patients’ motivation and on how they regulate their emotions. Different ways of applying EMDR in the course of psychological treatment are described as well. EMDR before confrontation therapy was applied in the first patient (checking behaviour); the second patient (compulsive thoughts) was first treated with confrontation therapy and then with EMDR; in the third patient, EMDR and confrontation therapy were applied alternately. Results: All three patients showed a reduction of symptoms by about 60%. They experienced EMDR as a useful and motivating method. Furthermore, they felt encouraged to deal with their emotions in additional psychological treatments. Confrontation therapy markedly reduced OCD symptoms in two of the patients. Discussion: EMDR could be a useful augmentation method in treating patients with OCD, but further controlled and randomised studies are required to validate this conclusion.

Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research

Accuracy Verified: Yes

71. Martin, A. J. (2004, Winter). EMDR in the treatment of PTSD: A restrospective of a patient and therapist. Stress Points, Newsletter for the Australasian Society for Traumatic Stress Studies, 15-16.

Language: English

Format: Newsletter

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a therapy often used in the treatment of PTSD. During EMDR the patient focuses on emotionally disturbing experiences while stimulus such as eye movement or finger-tapping. This dual (internal/external) focus is combined with frequent, briefsimultaneously focusing on an external periods of focusing on new associations as they arise. Throughout the therapy, the therapist methodically rates the patient’s SUDs (Subjective Units of Disturbance) on a scale of 0 - 10, (“0” being the lowest amount of stress the patient is presently experiencing about the target issue; “10” being the highest); and VoCs (Validity of Cognition) on a scale of 1 - 7, (“1” being the lowest amount of belief the patient holds in a specific positive statement about himself; “7” being the highest amount - ie: the positive statement is “completely true.”)

Keywords: Practice Theory

Accuracy Verified: Yes

72. Jarero, I., Amaya, C., Givaudan, M., & Miranda, A. (2013). EMDR individual protocol for paraprofessional use: A randomized controlled trial with first responders. Journal of EMDR Practice and Research, 7(2), 55-64. doi:10.1891/1933-3196.7.2.55.

Language: English

Format: Journal

Abstract:
The eye movement desensitization and reprocessing (EMDR) individual protocol for paraprofessional use in acute trauma situations (EMDR-PROPARA) is part of a project developed at the initiative of Dr. Francine Shapiro. This randomized clinical trial examined the effectiveness of the protocol administered by experienced EMDR therapists. There were 39 traumatized first responders on active duty randomly assigned to receive two 90-min sessions of either EMDR-PROPARA or of supportive counseling. Participants in the EMDR-PROPARA group showed benefits immediately after treatment, with their scores on the Short PTSD Rating Interview (SPRINT) showing further decreases at 3-month follow-up. In comparison, supportive counseling participants experienced a nonsignificant decrease after treatment and an increase in the SPRINT scores at the second follow-up. The significant difference between the two treatments provides preliminary support for EMDR-PROPARA's effectiveness in reducing severity of posttraumatic symptoms and subjective global improvement. More controlled research is recommended to evaluate further the efficacy of this intervention.

Keywords: Acute Trauma Early Psychological Intervention First Responders Peer Support

Accuracy Verified: Yes

73. Jarero, I., & Artigas, L. (2010). The EMDR integrative group treatment protocol: Application with adults during ongoing geopolitical crisis. Journal of EMDR Practice and Research, 4(4), 148-155. doi:10.1891/1933-3196.4.4.148.

Language: English

Format: Journal

Abstract:
The eye movement desensitization and reprocessing Integrative Group Treatment Protocol (EMDR-IGTP) has been used in its original format or with adaptations to meet the circumstances in numerous settings around the world for thousands of disaster survivors after natural or man-made incidents. In this study, the EMDR-IGTP was applied during three consecutive days to a group of 20 adults during ongoing geopolitical crisis in a Central American country in 2009. Results in this uncontrolled study showed significant decreases in scores on the Subjective Unit of Disturbance Scale and the Impact of Event Scale (IES). Changes on the IES were maintained at 14 weeks follow-up even though participants were still exposed to ongoing crisis. Controlled research is recommended to further evaluate the efficacy of this intervention.

Keywords: Group Treatment Human Provoked Disaster Geopolitical Crisis Posttraumatic Stress

Accuracy Verified: Yes

74. Terreri, L. (2008, ). EMDR nei pazienti con tossicodipendenza: integrazione tra protocollo standard e protocolli modificati [EMDR in drug dependent subjects: integration between standard and modified protocols]. Bollettino Sulle Dipendenze, 31(4), 215-224.

Language: Italian

Format: Newsletter

Abstract:
Riassunto, Alcuni autori (Shapiro F., Omaha J., Popky A.J., Hase M.), ipotizzano che il metodo EMDR (Eye Movement Desensitization and Reprocessing) possa essere utile ai pazienti tossicodipendenti sia per avere una migliore adattabilità e funzionalità del comportamento sia per allontanare il tempo delle ricadute. Tuttavia gli studi con l’EMDR applicato alle tossicodipendenze sono rari e in Italia pressoché assenti. L’autore, con l’intento di offrire un input per stimolare future ricerche, riassume il protocollo standard dell’EMDR, il protocollo DSRC sulla desensibilizzazione degli stimoli e la rielaborazione della compulsione e il protocollo DRDA sulla desensibilizzazione e rielaborazione del ricordo del disturbo d’astinenza. Nei soggetti che hanno effettuato i vari protocolli EMDR è stato possibile rilevare un risultato positivo a breve termine tramite i punteggi delle scale SUD (Subjective Units of Disturbance), VOC (Validity of Cognition), LOU (Level of Urge) e anche attraverso la valutazione di disegni effettuati prima e dopo la seduta EMDR.///

Shapiro F., Omaha J., Popky A. J., Hase M. et al. have speculated that Eye Movement Desensitization and Reprocessing (EMDR) could be useful in the treatment of drug addicted subjects, to reach better adjustment and behavioural functioning and/or to increase the time interval between relapses. Currently, studies reporting the use of EMDR with drug addicted patients are scarce and, in Italy, absent. The article, in order to offer an input to stimulate further research and increase its application, summarizes the EMDR method and considers the possibility for the use of the “Standard EMDR protocol”, the “Desensitization of Triggers and Urge Reprocessing” protocol and the “Withdrawal Disorder Memory Desensitization and Reprocessing” protocol within the Public Drug Abuse Departments. Subjects who underwent the various EMDR treatment protocols showed positive results in the short-term period, when tested with SUD (Subjective Units of Disturbance), VOC (Validity of Cognition) and LOU (Level of Urge)scales. Encouraging results were also obtained through the evaluation of drawings done by the subjects before and after the EMDR treatments.[Author Abstract]

Keywords: Affect Bridge Compulsion Trauma Withdrawal

Accuracy Verified: Yes

75. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997). EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001). Current practice is that UK personnel who are having significant difficulties in functioning after exposure to trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental, both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate this novel application of EMDR is planned. This presentation will introduce participants to the challenges of providing psychological treatment during military operations and the potential value of EMDR in this setting.

Keywords: Early Interventions Military

Accuracy Verified: Yes

76. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]

Keywords: Performance Enhancement Protocol

Accuracy Verified: Yes

77. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.

Keywords: Panel Discussion

Accuracy Verified: Yes

78. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co.

Language: English

Format: Book

Abstract:
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include: A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter. The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone. Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology. The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD. Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD. Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu. Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.

Keywords: Depression, Eating Disorders, Performance

Accuracy Verified: Yes

79. Jacobs, S., Rackowitz, M., Strack, M., & de Jongh, A. (2009). EMDR und biofeedback in der behandlung der posttraumatischen belastungsstorung - Erweiterung der evaluation des neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the treatment of post traumatic stress disorder - extension of the evaluation of the neuropsychological treatment program]. In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 51-81). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: In the year (2007) the manual of the neuropsychotherapeutic intervention program EMDR and biofeedback in the therapy of posttraumatic stress disorder by Jacobs and de Jong was published. The therapeutic concept based on new neuroscienctific findings, which declare a dissociation of implicit and explicit traumamemory as one reason for emergence a PTSD. On this background the treatment program integrates selective modules. The allocation of information carried out by an educational movie for patients, specific cognitive-behavioural intervention techniques, which are supplemented by biofeedback-supported Eye Movement Desensitisation and Reprocessing (EMDR). During the treatment the skin conductance (electrodermal activity), which is a stress parameter, is mesured. This program was already evaluated in the pilot-study. The patient pool could be enlarged, so that 28 patients were available for the evaluation. Additionally the educational movie was examined on efficiency. The total feedback was positive. After therapy-end the PTSD-symptomatology decreased consistently (demp=2.48), as well as the psychological stress in another problem areas (demp=1.30). Moreover the EMDR-method achieved objective a significant decrease of the autonomic arousal (demp=.79) and subjective an explicit reduction of the felt stress (demp=2.40), while growth of the coherence of a worked out positive cognition (demp=2.52). Three- and 12-month follow-up analysis could demonstrate the stability and sustainability of the changes. The intervention program EMDR and biofeedback was also proved to be efficient ( 19 sessions) and effective (demp=1.39) in the enlarged sample, with high

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

80. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b.

Language: German

Format: Journal

Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern bzw. zu hemmen und somit auch die Symptomatik der posttraumatischen Belastungsstörung abzubauen. Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv, verhaltenstherapeutischen Vorgehens das Modell von Ehlers und Clark, ebenso das EMDR-Verfahren von Shapiro. Das Biofeedbackverfahren nutzen die Autoren als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches Therapiekonzept und Behandlungsprotokoll vor. Es wird eingehend auf die Diagnostik (psychologische Testverfahren sowie Biofeedback eingegangen, ein wichtiger Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten zwischen den Sitzungen bekommen mit eingehenden Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien. Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll für EMDR. Gegen Ende des Bandes schließen sich Fallstudien aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen. Im Anhang gibt es Adressenverzeichnisse über den Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen. Zusammenfassend kann man sagen, dass der Band kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische Praxis in Bezug auf Traumabehandlungen erscheint. Das Buch richtet sich an Fachleute und ist für Laien eher weniger geeignet.

In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy, the EMDR method and biofeedback combined to the fear reaction Framework to reduce traumatic memories or to inhibit and thus the symptoms of reduce post-traumatic stress disorder. In the first part of the book, the authors detail to the theoretical background (neurophysiology, Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories. Here, they argued that the neuronal Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model by Ehlers and Clark, as well as the method of EMDR Shapiro. The biofeedback method, the authors use as a diagnostic tool for the subjective evaluation on the part of the patients also making objectively verifiable by measuring electrodermal activity (EDA). In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at all patients, and patients had a significant positive Detect symptom change the PTB have been. In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis ( Test procedures and biofeedback received an important Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises. The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded. The stabilization exercises are described practically (Safe Place, Safe), as well as the practical Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice. In the appendix, there are records of the address Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

81. Jacobs, A., & de-Jongh, S. (2007). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen: Ein neuropsychotherapeutisches behandlungsprogramm [EMDR and biofeedback in the treatment of post-traumatic stress disorders]. Göttingen, Germany: Hogrefe. ISBN: 9783801720391.

Language: German

Format: Book

Abstract:
Das Manual stellt ein neu entwickeltes, multimodales neuropsychotherapeutisches Therapieprogramm zur Behandlung der posttraumatischen Belastungsstörung (PTB) vor. Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören spezielle kognitiv-behaviorale Interventionstechniken, Biofeedback-gestütztes Eye Movement Desensitization and Reprocessing (EMDR) sowie die gezielte Bereitstellung von Informationen über die Störungszusammenhänge für den Patienten. Mittels Biofeedback wird die elektrodermale Aktivität der Patienten während der EMDR-Sitzungen als Indikator für die autonome Erregung aufgezeichnet. Die bei der Traumaexposition implizit ablaufenden Prozesse werden somit an Therapeut und Patient zurückgemeldet. Dadurch ist es möglich, zu kontrollieren, ob das Ausmaß der autonomen Erregung soweit gesenkt werden konnte, dass eine erfolgreiche Verarbeitung und Abspeicherung der traumatischen Erinnerungen im expliziten Gedächtnissystem möglich wird. Studien belegen die Wirksamkeit des Programms. So zeigen Ergebnisse eine deutliche Reduktion der PTB Symptomatik sowie eine starke Abnahme der autonomen Erregung und der subjektiven Belastung.

The manual presents a newly developed multi-modal neuropsychotherapeutisches therapy program for treatment of post traumatic stress disorder (PTSD before). Based on recent findings from the neurosciences that suggest that a dissociation between implicit and explicit memory of trauma is the main basis of the PTB, different modules were integrated into the treatment program. These include specific cognitive-behavioral intervention techniques, biofeedback-assisted Eye Movement Desensitization and Reprocessing (EMDR) and the targeted provision of information about the disorder correlations for the patient. Biofeedback is recorded, the electrodermal activity of patients during the EMDR sessions as an indicator of autonomic arousal. The case of trauma exposure implicit processes involved are therefore reported to the therapist and patient. This makes it possible to check whether the degree of autonomic arousal could be lowered so far that a successful processing and storage of traumatic memories is possible in the explicit memory system. Studies show the effectiveness of the program. Results nevertheless show a significant reduction of symptoms and PTB a strong decrease of the autonomous arousal and subjective burden.

Keywords: Biofeedback Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

82. Jacobs, S., & Strack, M. (2007, Mai). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen. Evaluation eines neuropsychotherapeutischen [EMDR and biofeedback therapy in post-traumatic stress disorder. Evaluation of a neuropsychology treatment program]. Symposium at the (R. Keller, Chair) Workshoptagung der European Society für traumatische Stress Studies (EWOTS), Hamburg, Deutschland.

Language: German

Format: Conference

Abstract:
Evaluiert wurde ein neu entwickeltes multimodales, neuropsychotherapeutisches Programm zur Behandlung der posttraumatischen Belastungsstörung (PTB). Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören neben der gezielten Bereitstellung von Informationen über die Störungszusammenhänge, ein Patientenedukationsfilm, spezielle kognitiv-behaviorale Interventionstechniken sowie Biofeedback gestütztes Eye Movement Desentization and Reprocessing (EMDR). Ziel der Anwendung des Biofeedback im Rahmen der EMDR-Sitzungen ist es zum einen, den PatientInnen implizite Prozesse während der Traumaexposition zurückzumelden, zum anderen wird anhand der Biofeedback-Aufzeichnung das Ausmaß der Übereinstimmung zwischen subjektivem Belastungsgrad durch die traumatische Erinnerung (SUD-Rating) und physiologisch messbarer Erregung überprüft. Als physiologischer Parameter wurde die elektrodermale Aktivität (Hautleitwert, EDA) erhoben.

Was evaluated a newly developed multi-modal, neuro psychotherapeutic Program for the treatment of post traumatic stress disorder (PTSD). Starting by recent findings from neuroscience, the point out that a dissociation between implicit Trauma and explicit memory the essential PTB is based on, were different modules integrated into the treatment program. These include next targeted provision of information on the disorder correlations, a Patientenedukationsfilm, specific cognitive-behavioral intervention techniques and biofeedback-assisted Eye Movement Desentization and Reprocessing (EMDR). The aim of the application of Biofeedback in the EMDR sessions is to one, the patients implicit processes during the Trauma exposure report back, on the other hand on the basis of biofeedback recording the extent of Agreement between subjective stress level by the traumatic memory (SUD rating) and measurable physiological arousal reviewed. As a physiological Parameters, the electrodermal activity (skin conductance, EDA) raised.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

83. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. VPP - Verhaltenstherapie & Psychosoziale Praxis, 39(4), 855-876.

Language: German

Format: Journal

Abstract:
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)

A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Biofeedback PTSD

Accuracy Verified: Yes

84. 小川栄一 , 青山慎史 , 東山正靖 , 谷好充 , 志和資朗 , 佐々木高伸 [Eiichi Ogawa, Shinji Aoyama, Masayasu Higashiyama, Yoshimitsu Tani, Shiro Shiwa, and Takanobu Sasaki] (2008年4月). EMDR(眼球運動による脱感作と再処理法)法の主観的安心感に及ぼす効果と脳波変化(一般発表,第35回日本バイオフィードバック学術総会抄録集) [EMDR (treatment of eye movement desensitization and reprocessing) effects for subjective sense of security and EEF changes(general presentation, Abstracts of the 35th Annual Meeting of Biofeedback Research)]. バイオフィードバック研究、35の日本学会（1）、72 [Biofeedback Research, 35(1), 72].

Language: Japanese

Format: Journal

Keywords: EEG Changes Safety

Accuracy Verified: Yes

85. O'Brien, J. M., & Abel, N. J. (2011). EMDR, addictions, and the stages of change: A road map for intervention. Journal of EMDR Practice and Research, 5(3), 121-130. doi:10.1891/1933-3196.5.3.121.

Language: English

Format: Journal

Abstract:
A growing body of literature indicates that eye movement desensitization and reprocessing (EMDR) can be useful in the treatment of addictions. When combined with traditional addictions treatment approaches, EMDR can enhance client stability, prevent relapse, and promote recovery. Clinical decision making about when and how to use EMDR techniques with clients who present with addictions is complicated. The purpose of this article is to explore the use of EMDR interventions with clients presenting various levels of awareness of their addiction as well as varied levels of motivation to change. The authors explore the Stages of Change and suggest appropriate pre-EMDR EMDR interventions at each stage.

Keywords: Addiction Stages of Change Trauma

Accuracy Verified: Yes

86. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124.

Language: English

Format: Journal

Abstract:
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]

Keywords: Adults Children Cross-Cultural Treatment Humanitarian Efforts Indian Ocean Tsunami Mental Health Personnel Personal Narrative Professional Training Sri Lanka Sri Lankans Survivors Treatment Effectiveness Tsunamis

Accuracy Verified: Yes

87. Hofmann, A. (1996). EMDR: Eine neue methode zur behandlung posttraumatischer belastungsstoerungen [Eye movement desensitization and reprocessing: A new treatment method for post-traumatic stress disorder]. Psychotherapeut, 41(6), 368-372. doi:10.1007/s002780050045.

Language: German

Format: Journal

Abstract:
8 stationäre Patienten mit chronischen PTSD wurden mit einem Durchschnitt von 4 Sitzungen der Augenbewegung Desensibilisierung und Wiederaufbereitung (EMDR) behandelt, eine neue Behandlungsmethode. Konkordant mit anderen Fallberichten und Studien, 7 der Patienten berichteten eine deutliche Entlastung von 17 schmerzhaften Erinnerungen verarbeitet, das war in der signifikanten Abnahme der Suds (subjektive Einheiten des Unbehagens, einer Skala von 0-10 dargestellt) von durchschnittlich 6,5 bis 0,9 nach der Behandlung mit EMDR (P <0,001). Dies wurde durch einen Rückgang in anderen Symptome und eine Verbesserung der negativen Selbst-bezogene Denken einher. 1 Patient zeigte keine Besserung. In einem Drittel der Erinnerungen verarbeitet werden, einen starken Anstieg der Suds (Rückblende) aufgetreten war und aufbereitet werden. Die positiven therapeutischen Wirkungen waren stabil 3 und 6 Monate nach der Behandlung, in 2 Fällen, berichtet nach einem Jahr zeigten anhaltende positive Ergebnisse. Keine negativen Ergebnisse der Behandlung berichtet wurden. Es wird vorgeschlagen, dass EMDR könnte ein nützliches Instrument bei der Behandlung von Patienten mit chronischer PTBS werden. Das Verfahren passte gut in einer psychodynamisch orientierten stationären Bereich. Diese Kombination schien zu helfen, speziell bei der Behandlung von Trauma-Patienten mit eingeschränkter Ich-Stärke. [Autor Zusammenfassung]

8 inpatients with chronic PTSD were treated with an average of 4 sessions of eye movement desensitization and reprocessing (EMDR), a new treatment method. Concordant with other case reports and studies, 7 of the patients reported a significant relief of 17 processed painful memories; this was shown in the significant decrease of SUDs (subjective units of discomfort, a 0-10 scale) from an average of 6.5 to 0.9 after treatment with EMDR (P < 0.001). This was paralleled by a decrease in other symptoms and an improvement in negative self-related thinking. 1 patient showed no improvement. In one third of the memories processed, a strong increase in SUDs (flashback) occurred and was reprocessed. The positive therapeutic effects were stable 3 and 6 months after treatment, In 2 cases, reports after a year showed persistent positive results. No negative results of the treatment were reported. It is suggested that EMDR could be a useful instrument in the treatment of patients with chronic PTSD. The procedure fitted well in a psychodynamically oriented inpatient setting. This combination seemed to help specifically in the treatment of trauma patients with impaired ego strength. [Author Summary]

Keywords: Adults Empirical Study Longitudinal Study Psychiatric Inpatients PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

88. Siano, J. (2008, April). Emergency intervention in art therapy with EMDR and somatic experiencing. Presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands .

Language: English

Format: Conference

Abstract:
The following presentation shows a model, which was built and applied with many different populations, children, aged people and adults, during the Lebanon War 2006 and after it. The purpose was prevention of PTSD and overcoming the difficult and painful period. Originally it was aimed at art therapists, psychologists, and other mental health staff – Jews and Arabs. They work with already traumatized children and youth in the shelled north of Israel, have to contain much pain and to be strong for others. They were close to break down, or already broke down. The same model served the presenter later in many cases of crisis, with groups and individuals. Especially it was adapted with some much dissociated clients, giving voice (visual representation) to the different sub – personalities. The model aims for (1) bridging between state of freezing or collapsing and functioning; (2) providing tools for self regulation and helping others to self regulate; and (3) strengthening the felt sense of well-being connected to resources within the person and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of resource; installation of resource; (3) drawing a deficiency picture, a picture which represents the disturbing part in one’s present life; (4) EM (eye movements) between both pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body – sensation, feeling and thought with SUDS. Learning objectives: 1. To demonstrate the impact of art in developing inner boundaries towards integration of ego states. 2. To legitimize extreme emotions and to understand that they are normal defenses to trauma. 3. To acquire tools for coping with trauma in the present.

Keywords: Art Therapy Emergency Intervention Somatic Experiencing

Accuracy Verified: Yes

89. Grainger, R., Levin, C., Allen-Byrd, L., Doctor, R., & Lee, H. (1997, October). An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster. Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473.

Language: English

Format: Journal

Abstract:
Controlled studies of treatments effective with victims of natural disasters are almost nonexistent. This is a small study conducted under difficult conditions to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in treating trauma related reactions following Hurricane Andrew. The results were positive in that EMDR produced significant improvement over wait list controls in perceived posttraumatic avoidance behaviors and thoughts as measured by changes in the Impact of Event Scale and significant improvement in subjective aversive reactions to representative experiences of the hurricane. These results suggest and support other studies that EMDR can be an effective therapeutic intervention for trauma reactions. [Author Abstract]

Keywords: Adults Americans Disaster Effects Empirical Study Hurricane Andrew (1992) Hurricanes Longitudinal Study Non-Randomized Study Survivors Treatment Effectiveness Trauma

Accuracy Verified: Yes

90. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology, Chicago, IL. AAT 9701975.

Language: English

Format: Dissertation/Thesis

Abstract:
The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.

Keywords: Adults Adult Child Abuse Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

91. Kroon, N., & Berendsen, S. (2005, November). Ervaringen met EMDR bij de opvang van humanitaire hulpverleners [Experiences in receiving with EMDR humanitarian aid workers]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Werken in het veld voor Artsen zonder Grenzen (AzG) is niet zonder risico. Hulpverleners kunnen geconfronteerd worden met aangrijpende situaties waneer zij met de noodlijdende bevolking werken, maar zij kunnen ook zelf traumatische situaties meemaken, bijv. wanneer een team onderweg wordt aangehouden door een gewapende bende. Deze lezing gaat over de bruikbaarheid van EMDR als methodiek in de opvang van humanitaire hulpverleners. Bij AzG worden hulpverleners in het veld opgevangen door de Psycho Social Care Unit (PSCU). De PSCU verzorgt de debriefing van de hulpverleners bij terugkeer in Nederland, maar ook in het veld wanneer hulpverleners betrokken zijn geweest bij een traumatische gebeurtenis. Deze lezing behandelt de mogelijkheden en beperkingen van EMDR binnen de methodiek van debriefing. Aan de hand van 4 casussen wordt ingegaan op de volgende vragen: In welke situaties is er aanleiding om EMDR toe te passen? Welke alternatieven zijn er? Wat levert het op en wat zijn de beperkingen? Tot slot wordt aandacht besteed aan de vraag in hoeverre EMDR past in de doelstellingen en werkwijze van debriefing.

This lecture is about the usefulness of EMDR as a methodology in the care of Humanitarian workers. By MSF aid workers in the field are captured by the Psychosocial Care Unit (PSCU). The PSCU Provides the debriefing of relief workers to return to the Netherlands, but also in the field where clause relief workers have been involved in a traumatic event. This lecture discusses the Possibilities and limitations of the methodology of EMDR Within debriefing. Based on four case studies examinées the following questions: In what is there reason to apply "Situations EMDR? What alternatives are there? What benefits and what are ITS Limitations? Finally, attention is paid to the question how EMDR fits the Objectives and methods of debriefing.

Keywords: Humanitarian Aird Workers Relief Workers

Accuracy Verified: Yes

92. Gracheck, K. A. (2010). Evaluating the efficacy of EMDR as an athletic performance enhancement intervention. The University of the Rockies, Colorado Springs, CO. 3433356.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is traditionally regarded as a treatment for trauma; however, recent literature suggested that EMDR is also a promising athletic performance enhancement intervention. Sport psychology literature cited the need for scientifically sound research investigating new performance enhancement interventions. This study answered that call and sought to determine the validity of theories speculating about the efficacy of EMDR in sport. An internationally competitive cyclist participated in a case study investigating the efficacy of a unique EMDR protocol designed specifically for sport. The protocol integrated Resource Development and Installation, typically conducted during Phase 8, into Phase 2. Quantitative and qualitative results demonstrated that EMDR had a positive impact on measurable performance outcomes, performance anxiety, self-esteem, and motivation.

Keywords: Athletes Performance Enhancement

Accuracy Verified: Yes

93. McCullough, L. (2002, December). Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: Research questions and speculations. Journal of Clinical Psychology, 58(12), 1531-1544. doi:10.1002/jclp.10103.

Language: English

Format: Journal

Abstract:
This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" responses and examined in relationship to (a) the number of EMDR sets, (b) patient Global Assessment of Functioning Rating (GAF) scores, and (c) raw change in Subjective Units of Distress (SUD) ratings of severity of traumatic memory and Validity of Cognition (VoC) ratings of positive cognitions before and after EMDR sessions. Further subcategorization and development of the broad categories of trauma and resolution were recommended and may be useful in shedding light on how change happens in EMDR. This study was exploratory and attempted only to identify possible variables for further study. However, the results show potential relationships among variables that merit further refinement and study. Research questions generated from this study are discussed. [Author Abstract]

Keywords: Effects Empirical Study Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Research Needs Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

94. Schlosser, F. J. (1993, Fall/Winter). Exposure/EMDR: Diagnostic use of feedback. EMDR Network Newsletter, 3(2), 7-10.

Language: English

Format: Newsletter

Abstract:
One of the tasks of psychotherapists is to attempt to reduce anxiety in their patients. They determine the level of this anxiety through patient reports, observations of body language, intuition, or results of projective and objective tests. They then gauge therapeutic effectiveness by the amount of anxiety reduction as indicated by these relatively subjective measures. Even behaviorists, who make much use of numbers in their evaluations, are not measuring anxiety but its effect on the client's behavior. It is my contention that subjective measures of anxiety are not appropriate scientific tools and, if we are to progress in the development of more effective techniques for removing or reducing anxiety, we must devise more objective and accurate techniques for measuring this state which we describe ourselves as "treating."

Keywords: Exposure Feedback

Accuracy Verified: Yes

95. Brown, S. H., Stowasser, J. E., & Shapiro, F. (2011). Eye movement desensitisation and reprocessing (EMDR): Mental health-substance use. In D. B. Cooper (Ed.), Intervention in Mental Health-Substance Use (pp. 165-193) United Kingdom: Radcliffe Publishing Ltd .

Language: English

Format: Book Section

Abstract:
Substance use disorders remain a persistent social and medical problem. According to a recent report,1 addiction is the number one health problem in the United States. The report notes that when one considers the direct costs of drug-induced health problems, deaths due to accidents, Human immunodeficiency virus (HIV), or drug-related acts of violent crime, there are ‘more deaths, illnesses and disabilities from substance abuse than from any other preventable health condition’.1 Most experts today agree that substance use disorders are a complex interaction between genetics, environment, and experience. ‘Substance dependence is not a failure of will or of strength of character, but a medical disorder that could affect any human being. Dependence is a chronic and relapsing disorder, often co-occurring with other physical and mental conditions’.2 The question remains - Why has it been that over the course of human history, where people and cultures have had access to alcohol and potent mind-altering substances, that only some become addicted while the rest are able to regulate their use? The drugs that people experiencing substance use disorders select are not chosen randomly, but are a result of an interaction between the psychopharmacologic action of the drug and the dominant painful feelings with which they struggle. Edward Khantzian, observed that opiates are often preferred because of their powerful numbing action on the affects of rage and aggression. Cocaine has its appeal because of its ability to relieve distress associated with depression. Although ill-fated, ‘addicts discover that the short-term effects of their drugs of choice help them cope with distressful subjective states and an external reality otherwise experienced as unmanageable or overwhelming’. Thus emerges a compelling hypothesis, which proposes that people use psychoactive substances in an attempt to control painful symptoms resulting from psychological trauma. This is referred to as ‘self-medication’. Some studies in the United States show that more than 50% of people with mental disorders also suffer from substance dependence compared to 6% of the general population.2 It is from our interest in providing integrated treatment for the complex interaction of genes, environment, trauma, and psychological pain as a driving force behind mental health-substance use disorders, that this chapter is written.

Keywords: Substance Abuse

Accuracy Verified: Yes

96. Montgomery, R. W., & Ayllon, T. (1994, March). Eye movement desensitization across images: A single case design. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 23-28. doi:10.1016/0005-7916(94)90059-0 .

Language: English

Format: Journal

Abstract:
The use of eye movement desensitization (EMD) was investigated in a multiple baseline across two images. The subject was diagnosed as suffering from PTSD and had suffered from two distinct traumas which continued to generate intrusive disturbing images. Dependent variables included self-report information (Subjective Units of Distress, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). Subjective and physiological data both demonstrated significant changes during the course of treatment which were maintained at a 2-month follow-up. This study represents the first investigation of EMD with multiple images within a single subject experimental design. Findings suggest that generalization across the images under investigation was not demonstrated. EMD treatment gains were clinically significant. However, the immediate and profound effects often cited in the literature were not demonstrated. [Author Summary]

Keywords: Americans Assault Case Report Females Longitudinal Study Middle Aged Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors

Accuracy Verified: Yes

97. Montgomery, R. W., & Ayllon, T. (1994, September). Eye movement desensitization across subjects: Subjective and physiological measures of treatment efficacy. Journal of Behavior Therapy and Experimental Psychiatry, 25(3), 217-230. doi:10.1016/0005-7916(94)90022-1.

Language: English

Format: Journal

Abstract:
Eye movement desensitization (EMD) was investigated in an experimental multiple baseline across subjects design. Six subjects who met the diagnostic criteria for PTSD were included in the study. While the EMD technique advanced by Shapiro has been reported to be clinically effective, major methodological issues have been raised which remain to be addressed. One issue raised is whether exposure to the traumatic image is sufficient to account for the reported clinical effects of EMD or whether the addition of saccadic eye movements is central to the treatment. This study attempted to address this concern by comparing two EMD-based procedures: a Non-saccade phase (without the saccadic eye movements) which functioned as a control and a second that included saccadic eye movements. Dependent variables included self-report information (SUDs, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). The results showed no significant decreases in SUDs level with the EMD minus the saccadic eye movements procedure. However, five of the six subjects reported clinically significant decreases in their SUDs levels with the inclusion of the saccadic eye movements. This study appears to corroborate previous work employing single-case design as well as pre and postcomparisons. [Author Summary]

Keywords: Adults Americans Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

98. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35.

Language: English

Format: Journal

Abstract:
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.

The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.

Keywords: Practice Theory

Accuracy Verified: Yes

99. Ali, M. W., & Rana, M. H. (2008, June). Eye movement desensitization and reprocessing (EMDR) in patients of PTSD following earthquake 2005, Pakistan. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective: The purpose of the study is to asses the usefulness of EMDR in patients of PTSD who survived the October 2005 earthquake in Pakistan. Background: On October the 8th an earthquake of 7.6 on rector scale struck Kashmir and Northwest of Pakistan leaving millions injured and more than 80,000 dead. A survey of the affected areas has shown a high prevalence of PTSD amongst the survivors. A selected series of patients with the diagnosis of PTSD from amongst the survivors is enrolled for EMDR at CTRPI. The study is based on their response to this intervention. Design and Settings: The study involves an ongoing compilation of clinical data and the study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health facility is the tertiary care referral point for patients from metal health relief units located allover in earthquake affected areas of Azad Kashmir and Northwest of Pakistan. Method: Earthquake survivors who develop psychosocial sequelae referred to CTRPI from Kashmir, who go on to fulfill the criteria of Post-traumatic Stress Disorder according to ICD-10 are registered for further studies and appropriate interventions. A select group who give informed consent for EMDR are then included for detailed evaluation and follow up. Sessions are conducted in eight phases from manuals by therapists who are trained till level 2 in the method. Pre- treatment assessment is done by an independent assessor for scores on Impact of Event Scale and Global Assessment of Functioning (GAF). The post treatment assessment is conducted 1 week after the treatment with the same procedures as at pretreatment. In session Scoring of subjective unit of distress is also recorded serially. According to the degree of improvement and severity of illness, sessions of EMDR are carried out with the duration of about 60 to 90 minutes each session and with a minimum of 6 sessions using the bilateral stimulation. The authors plan to compile their work with ten patients who fulfill the prerequisites of the study in process. Results: The work has been done so far on three clients which suggest that EMDR is effective in reducing the scores of IES back to normal and there is marked difference in the GAF level after the said intervention. It has a dramatic effect on 29 within-session SUD levels .Furthermore, at a qualitative level it is observed that involvement of other family members in the therapeutic process may improve treatment adherence. Conclusions: Ongoing results of this study tend to suggest that the EMDR is an effective intervention for patients of PTSD following a natural disaster like an earth quake. However, the results drawn cannot be generalized on account of their small count.

Keywords: Earthquake Pakistan Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

100. Fannin, J. L. (1998, February). Eye movement desensitization and reprocessing (EMDR) in the treatment of anxiety as it pertains to work-related issues. Walden University, Minneapolis, MN. AAT 9804439.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to determine the effect Eye Movement Densitization and Reprocessing (EMDR) has as a treatment protocol on work-related stressors. Today's faster pace, the growing perception of job insecurity, greater demands on the job, and inability to juggle family and work responsibilities has left millions of Americans to experience the debilitating effects of anxiety and stress. Many people lack the knowledge, resources, and strategies to effectively deal with such problems. The issue of stressors in work-related situations is costly and negatively impacts many individuals, organizations, and families. EMDR was found to be both effective and efficient in removing or substantially decreasing anxiety associated with work-related stressors and increase the association to positive cognitions. The data indicated both statistical and clinical improvement in all four areas of measure: subjective units of disturbance (SUD), verification of cognition (VOC), emotional state, and trait anxiety, after EMDR had been administered to members of the experimental group. This study found no statistical significance with these measures as they pertain to the control group. The three null hypotheses were rejected. Several different measures were employed to evaluate the statistical significance of the data produced by this study. Process measures of the verification of cognition (VOC) and subjective units of disturbance (SUD) scales were evaluated through paired sample t-tests. Analysis of variance (ANOVA) was used to evaluate the state and trait anxiety measures. Interactional analysis tested the hypotheses for interaction using repeated measures ANOVA with method and time. Pearson's product moment correlation tested for the association between two variables. Further study is recommended in both the conceptual and theoretical foundations of the EMDR protocol. Such research could lead to more effective and cost-efficient therapy for a wide range of problems affecting the individual, family, and the organization. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(8-B), Feb 1998, pp. 4512.

Keywords: Anxiety Empirical Study Eye Movement Desensitization Therapy Occupational Stress Stress Management Treatment Outcome/Clinical Trial Workplace Stress

Accuracy Verified: Yes

101. Deen, M. L., & Droogendijk, J. S. (2008, Juli). Eye movement desensitization and reprocessing (EMDR): Effect van therapeutinstructies op psychologische en fysiologische maten [Eye movement desensitization and reprocessing (EMDR): Effect of therapist instructions on psychological and physiological measures]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Op basis van eerder onderzoek door Lee en Drummond (2007) heeft dit onderzoek onderzocht de invloed van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen. De hypothese was dat afstand instructies, instructies ten opzichte van herbeleven, zou leiden tot een sterkere daling van subjectieve angst en nowness van het evenement. Bovendien was de verwachting dat de levendigheid van het evenement zou afnemen tijdens de sessie, ongeacht de instructies. In elke onder de sympathische en parasympathische activiteit van het zenuwstelsel wordt gemeten. Het was verondersteld dat de sympathische activiteit zou een sterkere daling in de afstand conditie moet beschikken in vergelijking met de toestand herbeleven. Een sterkere stijging werd verwacht voor de parasympathische activiteit in de afstand staat, in vergelijking met de toestand herbeleven. Bovendien, aan het begin van de zitting van de sympathische activiteit hoger zou zijn in het herbeleven conditie dan in de afstand voorwaarde dat, in tegenstelling tot de parasympathische activiteit. Het onderzoek is uitgevoerd door en onder universitaire studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement en Desensibilisatie Reprocessing (EMDR; Shapiro, 1989) protocol - werd gebruikt. De deelnemers (12 mannen en 24 vrouwen, gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van de geheugen was gedesensibiliseerd door een herbeleving of afstand instructies. De resultaten tonen geen verschil in doeltreffendheid (Suds, Nowness-Scale en levendigheid) tussen afstand en herbeleven voorwaarden. Er was ook geen significant verschil gevonden in het sympathische (PEP) en parasympathische (HR-en RMSSD) activiteit. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en het toevoegen van een controle conditie aan het onderzoek. [Auteur abstracte]

Based on previous research by Lee and Drummond (2007) this research has examined the influence of the type of therapist instructions (reliving and distancing) on the processing of distressing memories. It was hypothesized that distancing instructions, compared to reliving instructions, would cause a stronger decrease in subjective distress and nowness of the event. Furthermore it was expected that the vividness of the event would decrease during the session, regardless of the instructions. In every subject the sympathetic and parasympathetic activity of the nervous system is measured. It was supposed that the sympathetic activity would have a stronger decrease in the distancing condition compared to the reliving condition. A stronger increase was expected for the parasympathetic activity in the distancing condition, in comparison with the reliving condition. Moreover, at the beginning of the session the sympathetic activity would be higher in the reliving condition than in the distancing condition, in contrast to the parasympathetic activity. The research has been conducted by and among university students. A detailed protocol – based on the original Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989) protocol – was used. Participants (12 males and 24 females, mean age 22.4 year) were asked to recall a distressing memory, after which the content of the memory was desensitized by either reliving or distancing instructions. Results show no difference in effectiveness (SUDS, Nowness-Scale and Vividness) between reliving and distancing conditions. There was also no significant difference found in the sympathetic (PEP) and parasympathetic (HR and RMSSD) activity. Partly based on the used measures it can be concluded that the manipulation of the conditions failed. For future research it is recommended that the protocol be expanded and to add a control condition to the research. [Author abstract]

Keywords: Physiological Measures Psychological Measures Therapist's Instructions

Accuracy Verified: Yes

102. Servan-Schreiber, D., Schooler, J., Dew, M. A., Carter, C., & Bartone, P. (2006). Eye movement desensitization and reprocessing for posttraumatic stress disorder: A pilot blinded, randomized study of stimulation type. Psychotherapy and Psychosomatics, 75(5), 290-297. doi:10.1159/000093950.

Language: English

Format: Journal

Abstract:
Backgroound: Eye movement desensitization and reprocessing (EMDR) is becoming a recognized and accepted form of psychotherapy for posttraumatic stress disorder (PTSD). Yet, its mechanism of action remains unclear and much controversy exists about whether eye movements or other forms of bilateral kinesthetic stimulation contribute to its clinical effects beyond the exposure elements of the procedure. Methods: Twenty-one patients with single-event PTSD (average Impact of Event Scale score: 49.5) received three consecutive sessions of EMDR with three different types of auditory and kinesthetic stimulation (tones and vibrations): intermittent alternating right-left (as commonly used with the standard EMDR protocol), intermittent simultaneous bilateral, and continuous bilateral. Therapists were blinded to the type of stimulation they delivered, and stimulation type assignment was randomized and counterbalanced. Results: All three stimulation types resulted in clinically significant reductions of subjective units of distress (SUD). Yet, alternating stimulation resulted in faster reductions of SUD when only sessions starting with a new target memory were considered. Conclusions: There are clinically significant effects of the EMDR procedure that appear to be independent of the nature of the kinesthetic stimulation used. However, alternating stimulation may confer an additional benefit to the EMDR procedure that deserves attention in future studies.

Keywords: Bilateral Kinesthetic Stimulation Type Distress Empirical Study Posttraumatic Stress Disorder Psychotherapy PSTD Quantitative Study Stimulus Parameters Subjective Units of Distress SUD

Accuracy Verified: Yes

103. Cerone, M. R. (2000). Eye movement desensitization and reprocessing in the psychological treatment of combat-related guilt: A study of the effects of eye movements. Temple University, Philadelphia, PA. AAT 9990301.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to investigate the role of eye movements in eye movement desensitization and reprocessing (EMDR), and to test the efficacy of EMDR in the treatment of guilt associated with combat trauma. EMDR was compared to a non-eye movement (NEM) analog, which entailed the full EMDR procedure minus the eye movements. A single-case multiple component cross-over design across 7 participants was utilized.Participants were combat veterans who were receiving inpatient treatment for PTSD at the Coatesville Veterans Administration Medical Center. 4 participants were introduced first to the EMDR condition and 3 participants were introduced first to the NEM analog condition. Each participant was exposed to both conditions. Dependent measures included: (1) pre- and post-treatment scores on the Clinician Administered PTSD Scale for DSM-IV - One Week Symptom Status Version (CAPS-SX), Beck Depression Inventory (BDI), Impact of Event Scale (IES), and Trauma Related Guilt Inventory (TRGI), (2) self-monitoring data on the frequency and intensity of intrusive thoughts, disturbing dreams, and guilt, and (3) measures of participants' subjective level of distress within sessions and pre- and post-treatment using the Subjective Units of Distress Scale (SUDS). As measured by SUDS ratings, EMDR resulted in a greater decrease in dyphoric affect within-session than the NEM analog. EMDR also resulted in a significant decrease in mean SUDS ratings from pre- to post-treatment. EMDR resulted in significant decreases in combat-related PTSD symptomatology, as measured by pre- and post-treatment scores on the CAPS-SX, BDI, and IES. EMDR also resulted in significant decreases in mean pre- and post-treatment frequency of self-reported intrusive thoughts and mean pre- and post-treatment intensity of intrusive thoughts, disturbing dreams, and guilt. Additionally, EMDR resulted in a significant decrease in pre- and post-treatment scores on one scale and two subscales of the TRGI. No differences in the mean frequency and intensity of self- reported intrusive thoughts, disturbing dreams, and guilt were detected between EMDR and the NEM analog. Results of the present study support the role of eye movements in attaining treatment gains with EMDR. Additionally, this study supports the efficacy of EMDR in the treatment of combat-related guilt. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(10-B), Apr 2001, pp. 5555.

Keywords: Adults Americans Empirical Study Guilt Posttraumatic Stress Disorder PTSD Treatment Effectiveness War Veterans

Accuracy Verified: Yes

104. 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

105. Gosselin, P. W. (1994). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of eye movement and expectancy on the procedure's results. University of Massachusetts Amherst. AAT 9420630.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing, abbreviated EMDR, is a recently discovered technique acclaimed as a major breakthrough for the reduction of anxiety. Numerous anecdotal studies have been presented showing the efficacy of EMDR. There are currently no published studies investigating use of EMDR specifically for test anxiety. The purpose of this study was to use the EMDR technique to study its efficacy for test anxiety. This study also examined whether or not high and low expectancy conditions significantly affected scores on post-session anxiety ratings. In addition, the procedure was used with and without eye movement to see whether or not eye movement was a critical factor in eliciting positive change in anxiety ratings. A single session of approximately one hour was conducted individually with 41 subjects, college students reporting test anxiety. The subjects were randomly assigned to one of four conditions reflecting varying combinations of eye movement and expectancy conditions. A 2 x 2 analysis of variance was conducted for expectancy and eye movement factors on two dependent measures. These measures were Subjective Units of Disturbance Scale (SUDs) and the Test Anxiety Inventory (TAI). Results of the study show a significantly greater amount of reduction in the SUDs using the eye movement supporting the hypothesis that eye movement is critical to the efficacy of EMDR. No other statistically significant main effects or interactions were found with measuring the SUDs or TAI. However, it should be noted that all groups showed substantial reductions in post-treatment TAI scores. The expectancy conditions presented to subjects also had no measureably significant effects. There was anecdotal support of the power of the eye movement but no significant behavioral changes other than the reduction in SUDs. It was concluded that EMDR is worthy of further study with larger samples of the test anxious population. Further study may want to use EMDR in conjunction with other techniques and for more than one session.

Keywords: Test Anxiety

Accuracy Verified: Yes

106. Gosselin, P., & Matthews, W. (1995, December). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of expectancy and eye movement. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 331-337. doi:10.1016/0005-7916(95)00038-0.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a recently invented technique acclaimed as a major breakthrough for a range of anxiety-related symptoms. To determine the importance of the eye movement and expectancy variables, we conducted a one-hour session with 41 undergraduate subjects (11 males and 30 females) with test anxiety. A 2 (eye movement vs no eye movement) x 2 (high expectancy vs low expectancy) analysis of variance was performed on 3 dependent measures: (1) Subjective Units of Disturbance Scale (SUDs); (2) Validity of Cognition Scale (VOC); and (3) the Test Anxiety Inventory (TAI). The data indicate that all subjects, regardless of treatment condition, showed a significant decrease in anxiety on the TAI. Subjects in the eye-movement condition reported feeling less anxious (SUDs) than those in the no-eye-movement condition. We found no significant main effect or interactions for any of the dependent measures for expectancy. [Author Summary]

Keywords: Adults Americans College Students Experimental Stressors Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

107. 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

108. Edmond, T. E. (1998, August). Eye movement desensitization and reprocessing: Evaluating its effectiveness in reducing trauma symptoms in adult female survivors of childhood sexual abuse. University of Texas at Austin. AAT 9824929.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of the study was to evaluate, through the use of a randomized experimental design, the effectiveness of EMDR in reducing trauma symptoms in adult female survivors of childhood sexual abuse. No EMDR research to date has been exclusively comprised of adult survivors of childhood sexual abuse, a historically difficult treatment population. Additionally, while numerous clinical accounts of treatment with sexual abuse survivors have been published, controlled treatment research has rarely been done. Of the studies found that examine treatment efficacy exclusively with this population, none involved the use of random assignment.A sample of 60 adult female sexual abuse survivors were selected and randomly assigned to one of three groups: (1) individual EMDR treatment; (2) individual eclectic treatment; or (3) delayed treatment control group. The participating survivors' trauma symptoms were measured in pretests and posttests on standardized as well as subjective instruments that measured anxiety, posttraumatic stress, depression, negative beliefs about the sexual abuse, emotional distress and desired positive self beliefs. The survivors in the study assigned to the experimental or comparison treatment groups received six 90 minute individual sessions of either EMDR or eclectic therapy. The delayed treatment control group subjects were pretested, asked to delay treatment for six weeks, and after being post tested were assigned a therapist with which to work. Data analysis consisted primarily of multivariate and univariate analysis of variance. The posttest results indicated that EMDR was very effective in reducing the targeted trauma symptoms compared to the control group. Eclectic therapy at posttest was also found to be very effective, resulting in a lack of statistically significant differences between the experimental and comparison treatments. However, analysis conducted at the three month follow-up revealed that EMDR was significantly more effective than eclectic therapy at maintaining therapeutic gains. The results of this study suggest that while both EMDR and eclectic therapy, when applied as brief psychotherapy models of treatment for survivors, can produce significant alleviation of trauma symptoms, EMDR may provide more enduring resolution. These findings have important implications for both survivors and the service providers available to them. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 59(2-A), Aug 1998, pp. 0617.

Keywords: Adults Child Abuse Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

109. Zeper, R. S. (1996). Eye movement desensitization and reprocessing: A multiple baseline study. The Union Institute, Cincinnati, OH. AAT 9701084.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was developed in 1987 by Francine Shapiro, as a modality for relieving anxiety, traumatic memories, intrusive thoughts, and reprocessing negative self-beliefs to positive self-beliefs. One of the most common uses of EMDR in recent years has been the treatment of PTSD.This current study investigated the effects of EMDR across a sample of 3 sexually abused women diagnosed with PTSD using a multiple baseline design across subjects. The study specifically focused on whether or not intervention with EMDR effects traumatic memory and negative/irrational cognitions, decreases stress or changes levels of anxiety, depression and heart rate. The study intended to assess the efficacy of EMDR while simultaneously reduce human suffering and answer some of the more serious criticisms which have blurred confidence in EMDR outcome research. Specifically, the study controlled for a number of the criticisms in the literature predominantly through a confirmation of an accurate PTSD diagnosis and through the use of a multiple baseline design. The multiple baseline design was applied sequentially to the same problem across different but matched subjects sharing the same environmental conditions. Heart rate level and well-known psychometrics were used to obtain baseline, intervention and post-intervention measures. Psychometric scores reflecting levels of depression, anxiety, and subjective levels of the impact of distress regarding the trauma were assessed along with the levels of anxiety currently experienced about the trauma and subjective ratings regarding the acceptance of the preferred, self-generated positive cognition. The measures used in this study were an initial clinical interview, an Anxiety Disorders Interview Schedule for the DSM-IV, Beck Depression Inventory, Beck Anxiety Inventory, Wolpe's Subjective Unit of Disturbance Scale, Validity of Cognition, Impact of Event Scale and heart rate. The study reported descriptive statistics to analyze the multiple baseline study and to determine EMDR's clinical significance in treating PTSD. The effects of EMDR on the three PTSD subjects of this study demonstrated that meaningful changes occurred in several areas. Subjective disturbance and stress surrounding the traumatic memory decreased, positive self-cognitions increased, and both depression and anxiety levels decreased following EMDR treatment. No change in heart rate physiology occurred. All of the study's treatment measures were maintained at follow-up. The results of this study suggest that EMDR may be a powerful and effective intervention to reduce patient suffering in a relatively painless fashion. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5350.

Keywords: Adults Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

110. Marquis, P. A. (1994). Eye movement desensitization and reprocessing: Are the eye movements an effective component?. Pacific Graduate School of Psychology, Carpinteria, CA. AAT 9528198.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the effects of eye movements, as compared with eye stabilization and an attention control in reducing anxiety related to public speaking in a non-clinical sample. Nineteen subjects with public speaking anxiety identified their worst memory of speaking in public and either moved their eyes in cadence with the experimenter's fingers, fixated their eyes on the experimenter's fingers, or simply talked about negative experiences related to public speaking. Reduction in anxiety was measured by the Subjective Units of Disturbance scale (Wolpe, 1982) or the Personal Report of Confidence as a Speaker (Paul, 1966). Cognitive change was measured by the Validity of Cognition scale (Shapiro, 1989). Global symptoms were measured by the Symptom Checklist-90-Revised (SCL-90-R, Derogatis, 1983). Analysis of the data indicated that there was no significant difference between groups on any of the measures. This study did not explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), but rather the effects of eye movements alone. According to the results of the this study, eye movements are not sufficient to create the kind of changes seen in the EMDR literature. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2335.

Keywords: Behavioral Psychology Clinical Psychology Empirical Study Psychophysiology Public Speaking Speech Anxiety

Accuracy Verified: Yes

111. Friedberg, F. (2004, November). Eye movement desensitization in fibromyalgia: A pilot study. Complementary Therapies in Nursing and Midwifery, 10(4), 245-249. doi:10.1016/j.ctnm.2004.06.006.

Language: English

Format: Journal

Abstract:
The purpose of this study was to investigate the effectiveness of eye movement desensitization (EMD) for the relief of pain, fatigue and anxiety and depression in fibromyalgia patients. Six Caucasian female patients (mean age=43.2 yr) participated in two treatment sessions. Outcome assessments included the Fibromyalgia Impact Questionnaire, Fatigue Scale, Beck Anxiety Inventory, and Beck Depression Inventory. In-session process measures included thermal biofeedback monitoring and subjective units of discomfort ratings of pain, stress, and fatigue. Four out of six subjects were considered treatment responders. Thermal biofeedback monitoring revealed an average increase in hand temperature of 5.4 degrees indicating a relaxation effect. At treatment termination, average scores decreased on the measures of anxiety (28.6%), depression (29.9%), fibromyalgia impact (12.6%), and fatigue (11.5%). At the 3-month follow-up assessment, total reductions in average scores from pre-treatment baseline reflected further improvements on measures of anxiety (45.8%), depression (31.6%), fibromyalgia impact (19.2%), and fatigue (26.7%). Because EMD produced a somewhat automatic relaxation response with minimal patient participation, it may be especially useful when standard relaxation techniques fail.

Keywords: Fibromyalgia Pilot Study

Accuracy Verified: Yes

112. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.

Keywords: Eye Movements Mechanism of Action Neurobiology Poster Rorschach Test

Accuracy Verified: Yes

113. Arnold, A. (2004). Eye-movement desensitization and reprocessing and specific state anxiety in female gymnasts. Union Institute and University, Cincinnati, OH. AAT 3122853.

Language: English

Format: Dissertation/Thesis

Abstract:
Forty-two female gymnasts ages 10-16 participated in a study to determine the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) on state anxiety. Each subject identified excessive anxiety on a gymnastics element resulting from a fall, injury, observed fall, or debilitating repetitive thought process. Subjects were divided into random treatment and control groups. The treatment groups received up to 3 sessions of EMDR. Both process and outcome measures were analyzed using the Subjective Units of Disturbance scale, Validity of Cognitions scale, Sport Competition Anxiety Test, and Competitive Sport Anxiety Inventory-2. EMDR was found effective in reducing cognitive anxiety, somatic anxiety, and increasing self-confidence on the targeted element. Comparison over time from pretest to follow-up revealed no significant differences in trait anxiety for either the control or experimental group. Treatment effects of reduced cognitive anxiety, reduced somatic anxiety, and increased validity of positive cognitions were maintained for 90-days following EMDR treatment. Results indicated four processesing patterns facilitating trauma resolution: methodological, transitional object, unfinished business, and insight oriented processing. Recommendations for future research include the use of EMDR with physiological measures of state anxiety, and the replication of the four distinct processing styles found in this research. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(2-B), 2004, pp. 1020.

Keywords: Anxiety Empirical Study Female Gymnasts Quantitative Study

Accuracy Verified: Yes

114. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690

Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study Self Concept Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

115. 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

116. 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

117. 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

118. Imbroinise, F. (2008, June). The function of the EMDR approach as an anamnestic and therapeutic tool in paediatrics - psychosocial unit. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
652 children were treated during 2007 in our Paediatrics - psychosocial unit. The EMDR approach was a means to do the history taking and anamnesis and it was used as well as an intervention methodology for all pathologies and disturbances. Our clients received EMDR as inpatients in our war or as outpatients referred by the community paediatric services. Our therapeutical programme includes a detailed anamnesis done together with both parents or with caregivers if the child is very small or with the child himself if he’s able to provide the information. History taking with the EMDR approach is an unique opportunity for the family to focus on family life and its dynamics, and to analyse their unbalanced relational and affective patterns, which they are not always aware of. Subsequently a therapeutical programme is outlined where EMDR is presented as a treatment method to face and resolve the presenting complaints. This therapeutical approach facilitates the symptomatology resolution and is useful to develop a more aware vision of their own family dynamics. Another beneficial effect is to promote a greater psychophysical wellbeing for the client, providing a new meaning to the somatic disorder and helping the family to understand and manage their child’s problems in a more functional way. This poster describes all phases of the intervention and the disorders treated in our unit with EMDR. [There are three PDF files.]

Keywords: Anamnesis Children Pediatrics

Accuracy Verified: Yes

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

Language: English

Format: Book

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

Keywords: Attachment Behavior Psychotherapy Stressors Survivors

Accuracy Verified: Yes

120. Verstraaten, M. J., & van Vliet, E. (2009, Juni). Het werkzame mechanisme van eye movement desensitization and reprocessing (EMDR): Is dit het van een afstand bekijken of het herbeleven van een traumatische gebeurtenis? [The active mechanism of eye movement desensitization and reprocessing (EMDR): Is this the view from a distance or reliving a traumatic event?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek is een replicatie van de studie van Lee, Taylor en Drummond (2006) waarin de werkingsmechanismen beschrijft tijdens een desensibilisatie Eye Movement and Reprocessing (EMDR) behandeling. Deze studie onderzocht of er een relatie is tussen verbetering van de symptomen en de manier waarop de cliënt ziet de traumatische gebeurtenis, is dit vanuit een oogpunt van vrijstaande (afstand) of wanneer het trauma opnieuw wordt ervaren (herbeleving). De reacties van de 30 klanten tijdens een EMDR sessie, worden ingedeeld in vier categorieën volgens de classificatie van Lee et al.. (2006) (distantiëring, herbeleven, beïnvloeden en verbonden). Toegevoegd in dit onderzoek is de categorie onbeslist. De resultaten laten zien is er geen verschil in de antwoorden die tijdens een EMDR sessie en de vermindering van PTSS-symptomen (gemeten met de Nederlandse versie van de Impact of Event Scale) en van het verdriet (gemeten met de subjectieve Eenheden van Disturbance Scale). Alle reacties zijn gerelateerd aan een verbetering, ongeacht de categorie. Deze resultaten zijn niet in overeenstemming met de bevindingen van Lee et al.. (2006) die aantonen dat afstand-reacties zijn geassocieerd met een grotere vermindering van de symptomen dan herbeleven-reacties. Naast Lee et al.. (2006), de huidige studie is gebleken dat zowel de aard van het trauma (opzettelijk of niet opzettelijk) alsmede de negatieve cognitie van een cliënt (onmacht of eigenwaarde) niet zijn geassocieerd met een verbetering van de symptomen tijdens de EMDR behandeling. Toekomstig onderzoek kan bijdragen aan kennis over andere factoren die geassocieerd kan worden met de effectiviteit van EMDR.

This research is a replication of the study of Lee, Taylor and Drummond (2006) which describes the working mechanisms during an Eye Movement Desensitization and Reprocessing (EMDR) treatment. This study tested whether there is a relation between improvement in symptoms and the way the client sees the traumatic event; is this from a detached point of view (distancing) or when the trauma is re-experienced (reliving).The responses of 30 clients during an EMDR session, are classified into four categories according to the classification of Lee et al. (2006) (distancing, reliving, affect and associated). Added in this study is the category undecided. The results show there is no difference in the responses given during an EMDR session and the reduction of PTSD-symptoms (measured with the Dutch version of the Impact of Event Scale) and of the distress (measured with the Subjective Units of Disturbance Scale). All the responses are related to an improvement, regardless of the category. These results are not in line with the findings of Lee et al. (2006) that show distancing-reactions are associated with a greater reduction in symptoms than reliving-reactions. In addition to Lee et al. (2006), the current study found that both the nature of the trauma (intentional or not intentional) as well as the negative cognition of a client (powerlessness or self-esteem) are not associated with an improvement in symptoms during EMDR treatment. Future research may contribute to knowledge about other factors that may be associated with the effectiveness of EMDR.

Keywords: Distancing Reliving

Accuracy Verified: Yes

121. 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

122. 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

123. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.

Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.

Keywords: Infertility

Accuracy Verified: Yes

124. Peters, E., Wissing, M. P., & du Plessis, W. F. (2002, June). Implementation of EMD(R) with cancer patients: Research. Health SA Gesondheid, 7(2), 100-109.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR(R)), developed in 1987 and proved highly effective in treating psychological disturbances rooted in traumatic memories. It was hypothesised that EMDR(R) would enhance coping in patients traumatised by a cancer diagnosis and / or treatment, as indicated by their subjective responses and levels of depression, anxiety, satisfaction with life, positive-negative affect balance and sense of coherence. A descriptive multiple case-study method was implemented. Three cases were treated by EMDR(R) and three by a supportive method. Data collection was triangulised in terms of semi-structured interviews, quantitative measuring instruments and interviews by an external validator. Findings were consistently in favour of EMDR(R). The results confirmed EMDR(R)'s efficacy in terms of beneficial clinical outcomes on both objective and subjective measures of change.[Journal abstract]

Keywords: Cancer Enhancement of Well-Being Psycho-Oncology Psychotherapy Stress Reduction

Accuracy Verified: Yes

125. O'Malley, O. (2010, March). Integrating EMDR mindfulness & sensorimotic psychotherapy. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
The watch wait and wonder (www) approach to parental and infant mental health was developed in Toronto over the last 20 years. In the last few years a number of therapists have set up www clinics in the UK. We have been running a joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the only clinic to offer trauma focussed psychotherapy together with infant mental health in either the UK or Ireland. Over the last 12 months the service has developed as a combined clinic between Adult mental health and child & adolescent mental health services. The team comprises myself and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives referrals from the access and advice team or directly from the adult inpatient unit. Thelma Osborn practises as a specialist health visitor in primary care and is employed by the Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers referred with post natal depression. She has recently completed basic EMDR training (2008-9) I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma focussed psychotherapy in a new theoretical paradigm which I have termed integrated reprocessing therapy (IRT). I will outline the use of this approach where traumatic births and neonatal vulnerabilities are a key feature of the presentation Recommendations for the development of parent infant mental health and a tier 3 perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will be outlined.

Keywords: Watch Wait and Wonder Approach WWW Approach

Accuracy Verified: Yes

126. 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

127. Rossman, M. & Bresler, D. (1995, June). Interactive guided imagery and EMDR: Synergy and complementarity. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
I. What is Imagery? An image is a thought-form with sensory qualities. It is an internal representation of personal reality. Imagery is the natural, efficient way the human nervous system stores, processes and accesses information. Imagery is the major natural language of the unconscious II. What is Interactive Communication? There are three levels of interactive communication. (1) Non-interactive communication in which the client is a passive participant of suggestion and the guide sets the pacing and direction of the experience. (2) One way interactive communication in which the guide provides the direction but the client sets the pace (e.g. "let me know when you are feeling more comfortable and relaxed). (3) Two way interactive communication in which the client provides both the pace and the direction of the experience. There are many great advantages to working interactively. Greater client participation in the process leads to greater client empowerment, and with a greater sense of personal control, clients are able to progress more rapidly with less resistance to the change process. III. What is Interactive Guided Imagery"? - Interactive Guided Imagery is a therapeutic approach that quickly accesses and simultaneously utilizes the rich resources available from both the client's conscious and unconscious minds. It includes a set of techniques designed to enhance relaxation, reduce the effects of stress, modulate affect, increase motivation, expand creativity and problem solving abilities, resolve conflicts and the sequellae of trauma and facilitate action planning. IV. The Inner Advisor - The Inner Advisor is an internalized image that has the qualifies of wisdom and compassion. It can represent a crucial inner support system for clients dealing with PTSD. Participants are taught how to find their own Inner Advisors and to establish a dialogue that can lead to future inner exploration. The benefits and potential complications of working with Advisor figures are discussed. V. EMDR and Interactive Guided Imagery - (IGI) Drs. Bresler and Rossman discuss what Interactive Guided Imagery and EMDR have in common and how they differ. In particular, EMDR therapists are encouraged to utilize Conditioned Relaxation to enhance the clearing process during eye movements, and to recruit the assistance of the Inner Advisor to prevent or reduce flooding, traumatic insight, and/or regression panic. Conflict resolution techniques are also discussed.

Keywords: Guided Imagery

Accuracy Verified: Yes

128. Tarquinio, C., Schmitt, A., Tarquinio, P., Rydberg, J.-A., & Spitz, E. (2012, April-June). Intérêt de la psychothérapie « eye movement desensitization reprocessing » dans le cadre de la prise en charge de femmes victimes de viols conjugaux [Benefits of "eye movement desensitization and reprocessing" psychotherapy in the treatment of female victims of intimate partner rape]. Sexologies, 21(2), 92-99. doi:10.1016/j.sexol.2011.05.001.

Language: French

Format: Journal

Abstract:
L’objectif de cette étude est de mettre en évidence à partir du suivi de six femmes victimes de viols par leur conjoint, les effets de la thérapie « eye movement desensitization reprocessing », notamment en ce qui concerne la réduction des symptômes d’état de stress posttraumatique, d’anxiété et de dépression. Toutes ces femmes ont, en outre, fait l’objet d’une évaluation quantitative à partir d’échelles de mesure proposées avant la prise en charge ainsi qu’à l’issue de chacune des séances. Les échelles utilisées sont l’Hospital Anxiety and Depression scale, l’Impact Event Scale et un indicateur propre à la thérapie Eye Movement Desensitization Reprocessing, le Subject Unit of Distress. Les victimes ont également participé à deux entretiens plus qualitatifs avant et après la prise en charge, afin d’évaluer plus précisément la présence ou non de symptômes d’état de stress post-traumatique sur la base des indications fournies par le Manuel Diagnostic et Statistique des troubles mentaux (American Psychiatric Association [APA], 2004). Les résultats obtenus sont conformes à nos attentes et montrent une diminution significative et progressive des scores aux différentes échelles au fur et à mesure des séances. Ainsi, comme on le rencontre classiquement dans la littérature, une prise en charge par la thérapie Eye Movement Desensitization Reprocessing conduit les sujets à s’auto-évaluer comme étant de moins en moins perturbés au fur et à mesure que la psychothérapie progresse. Nous avons également pu observer une réduction importante des scores aux différentes échelles à l’issue des deux premières séances. Enfin, la prise en charge psychologique réalisée à partir de la thérapie « eye movement desensitization reprocessing » a conduit à une diminution notable du nombre de symptômes liés au diagnostic d’état de stress post-traumatique. Cette diminution s’est révélée homogène pour les trois critères pris en compte (critère B, C et D du American Psychiatric Association [APA], 2004).

The objective of this study is to demonstrate through monitoring of six women raped by their spouses, the effects of therapy "Eye Movement Desensitization reprocessing, "including with regard to reducing symptoms of posttraumatic stress state, anxiety and depression. All these women have also been a quantitative assessment based on measurement scales proposed by the management and at the end of each session. The scales used were the Hospital Anxiety and Depression Scale, the Impact Event Scale and an indicator specific therapy Eye Movement Desensitization Reprocessing, the Subject Unit of Distress. Victims have also participated in two interviews more qualitative before and after treatment to assess more accurately the presence or without symptoms of Posttraumatic Stress Disorder on the basis of information provided by the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association [APA], 2004). The results are consistent with our expectations and show a significant decrease and progressive scores at different levels as and when the sessions. Thus, as is typically found in the literature, supported by a therapy Eye Movement Desensitization Reprocessing leads individuals to assess themselves as less disturbed as and as psychotherapy progresses. We also observed a significant reduction in scores on different scales at the end the first two sessions. Finally, the psychological care made from the therapy "eye movement Desensitization Reprocessing" led to a significant reduction in the number of symptoms to diagnosis of posttraumatic stress disorder. This decrease has been consistent for the three criteria considered (criterion B, C and D of the American Psychiatric Association [APA], 2004).

Keywords: Anxiety Depression Females Marital Rape Partner Rape Victims Women

Accuracy Verified: Yes

129. Jensen, J. A. (1994, Spring). An investigation of eye movement desensitization and reprocessing (EMD/R) as a treatment for posttraumatic stress disorder (PTSD) symptoms of Vietnam combat veterans. Behavior Therapy, 25(2), 311-325. doi:10.1016/S0005-7894(05)80290-4.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMD/R) was investigated with 25 Vietnam combat veterans with PTSD, randomly assigned to EMD/R or a control condition. First, PTSD was assessed and subjects were assisted in developing a PTSD-related treatment goal. Subjective anxiety and a belief in a positive cognition related to war trauma were also assessed. Second, EMD/R subjects were then seen for one history-taking session and two treatment sessions. Approximately 17 days after the initial assessment, repeat assessments of PTSD symptomatology, goal attainment, subjective anxiety, and belief in desired positive cognitions were conducted. Overall, EMD/R showed little effectiveness in this study. Although effective in reducing in-session subjective anxiety, EMD/R was not effective in improving other PTSD symptoms, in contributing to goal attainment, or in increasing subjects' beliefs in their desired positive cognition. The results imply that EMD/R may not be successful in treating Vietnam combat veterans with PTSD. [Author Abstract]

Keywords: Americans Empirical Study Longitudinal Study Males Middle Aged PTSD Random Clinical Trial RCT Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

130. 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

131. 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

132. Shapiro, F. (2006, September). Know the why and how to choose your what: Some essentials of EMDR model and methodology. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract: P
aper 1 of 2: In its twenty-year history, EMDR has evolved a from a simple technique into an integrative psychotherapy approach with a theoretical model that emphasizes the brain's information processing system and memories of disturbing experiences as the basis of pathology. Process studies and qualitative analyses have identified distinct treatment effects (including a rapid reduction of subjective distress) that differentiate EMDR fiom other therapies. This workshop will explore some essential conceptual and procedural elements necessary to practice EMDR. A thorough understanding of the elements allows for both flexibility and comprehensive attention to the full clinical picture. The morning session is based upon sections of the trainer's training that Dr. Shapiro has conducted over the past fifteen years. The choice of afternoon sessions will be conducted by experts in various special interest areas that will continue the instruction through the presentation of detailed case examples and clinical supervision.

Keywords: Methodology

Accuracy Verified: Yes

133. 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

134. Rogers, S. (2002, June). Latest findings in EMDR process research and component analyses. In L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context (Panel Discussion, June 24) (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA .

Language: English

Format: Conference

Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure with cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is simply a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These findings have implications for clinicians who are interested in ‘ease of useEas well as treatment outcome. They also have implications for the habituation/extinction model of anxiety reduction. Limitations of the group design approach to the dismantling of psychotherapies will be discussed, along with the results of two recently completed studies.

Keywords: CBT Cognitive Behaviorial Therapy Component Analysis Process Research

Accuracy Verified: Yes

135. Rogers, S. (2003, August). Latest findings in EMDR process research and component analysis. Presentation at the 111th annual meeting of the American Psychological Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure and cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is best regarded as a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These finding have implications for clinicians who are interested in 'ease of use' as well as treatment outcome. They also have implications for the habituation model of anxiety reduction. This presentation provides a review of the results of group and single-case EMDR component analyses, methodological issues and suggestions for future research.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

136. Tofani, L. R., & Wheeler, K. (2012). Le protocole de l'épisode traumatique récent: Evaluation et analyse des résultats de trois études de cas [The protocol for recent traumatic episode: Evaluation and analysis of the results of three case studies]. Journal of EMDR Practice and Research, 6(4), 46E-63E. doi:10.1891/1933-3196.6.4.46.

Language: French

Format: Journal

Abstract:
Cet article évalue et illustre l’application du protocole de l’épisode traumatique récent (R-TEP : recenttraumatic episode protocol) avec trois clients différents : un enfant atteint d’une maladie chronique, une femme ayant subi une perte importante et un adolescent qui s’automutilait. Le R-TEP est une adaptation du protocole EMDR pour l’intervention EMDR précoce. Les séances sont présentées de manière détaillée afin de souligner les changements qui se produisent au niveau du traitement de l’information au cours de la thérapie. Des marqueurs observés identifiés ont permis d’analyser le déroulement du traitement, incluant la distanciation vis-à-vis du trauma ; la diminution des affects négatifs ou le changement des émotions rapportées ; l’accès à des informations plus adaptatives ; des changements au niveau de l’échelle des unités subjectives de perturbation (SUDS : Subjective Units of Disturbance scale) ; l’échelle de validité de la cognition (Validity of Cognition) et l’échelle révisée d’impact de l’événement (Impact of Event Scale––Revised) indiquant des modifications de la perception du souvenir traumatique. Tous les clients ont montré des gains thérapeutiques pré/post du R-TEP, avec des changements au niveau du comportement et du fonctionnement. Les soubassements du R-TEP sont envisagés à la lumière des observations rapportées. La contribution spécifique du protocole est soulignée en considération de ses composants procéduraux et des mécanismes de changement associés plausibles.

This article evaluates and illustrates the application of the protocol recent traumatic episode (R-PET: recenttraumatic episode protocol) with three different clients: a child with a chronic illness, woman who suffered a major loss and a teenager who automutilait. The R-TEP is an adaptation EMDR protocol for early EMDR intervention. The sessions are presented in detail to highlight the changes that occur in the processing of information during therapy. Observed identified markers were used to analyze the course of treatment, including distance vis-à-vis the trauma, decrease negative affect or change reported emotions; access to information more adaptive, changes at scale subjective units of disturbance (SUDS: Subjective Units of Disturbance Scale) scale validity of cognition (Validity of Cognition) and the revised scale of impact of the event (Impact of Event Scale - Revised) indicating changes in the perception of the traumatic memory. all customers have shown therapeutic gains pre / post R-TEP, with changes in behavior and functioning. The foundations of the R-TEP are considered in the light of reported sightings. The specific contribution of the protocol is emphasized in view of its procedural components and related plausible mechanisms of change.

Keywords: Evaluation of Results Mechanisms of Action Recent Trauma R-TEP

Accuracy Verified: Yes

137. Dunn, T. M., Schwartz, M., Hatfield, R. W., & Wiegele, M. (1996, September). Measuring effectiveness of eye movement desensitization and reprocessing (EMDR) in non-clinical anxiety: A multi-subject, yoked-control design. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 231-239. doi:10.1016/S0005-7916(96)00034-1.

Language: English

Format: Journal

Abstract:
28 subjects from a university's subject pool were paired on sex, age, severity, and type of stressful or traumatic incident. 1 subject in each pair was selected to receive EMDR; the experimental partner spent the same amount of time receiving a visual (non-movement) placebo. Subjective units of discomfort (SUD) scores and physiological measurements were taken prior to and following treatment. Analysis of physiological measurements and self-reported levels of stress were performed within and between each group. While the EMDR group showed significant reductions of stress, EMDR was no better than a placebo. This suggests EMDR's specific intervention involving eye movement may not be a necessary component of the treatment protocol. [Author Summary]

Keywords: Americans Arousal College Students Effects Empirical Study Stressors Survivors Treatment Effectiveness Young Adults

Accuracy Verified: Yes

138. Sugawara Masakazu & Suzuki K (2004, July). Methodological and conceptual issues and tests - EMDR(Eye Movement Desensitisation and Reprocessing) and REM sleep. Poster presented at the Annual Meeting of the Australian Society for the Study of Brain Impairment (ASSBI) and the International Neuropsychological Society (INS), Brisbane, Australia.

Language: English

Format: Conference

Abstract: Desensitisation and Reprocessing) and REM sleep. [Background] Eye movement desensitization and reprocessing (EMDR) is a new innovative treatment with a high success rate for psychological disturbances rooted in traumatic memory. However, the neurophysiological mechanisms of EMDR have not yet been elucidated. Why is saccadic eye movement effective for the reprocessing of previously established conditioned reflex? [Aims] The present research analysed (i)the topographical changes of EEG (and ERP) and REM sleep after EMDR treatment, and (ii)the subjective units of emotional distress (SUDs) and VOC. [Methods] Subjects (13 males and 20 females) were assigned to three groups according to varied conditions (control, provocational, and EMDR), and engaged in sets of horizontal saccadic-eye movements lasting approximately 30 seconds per set. Topographical changes of EEG and ERP activities were recorded from 14 placements over frontal, central, parietal, temporal and occipital scalp locations in the international 10-20 system with linked mastoides (A1-A2). Electrodes were also placed on the lateral canthus and above the supercillium of the left eye in order to measure the electrooculographic and electromyographic responses. [Results and Conclusions] The statistical significance of topographical EEG differences and REM densities during the pre-0post EMDR treatment situations, were evaluated using an ANONA and Mann-Whitney U test. The neurophysiological and psychological data indicate that the density of eye movement during REM sleep increased after provocation and EMDR, and the left frontal activities might indicate a treatment efficacy. It supports the hypothesis is that REM sleep is intimately involved with the mechanisms of emotional and memory reprocessing.

Keywords: Poster REM

Accuracy Verified: Yes

139. Cartoni, A., Gaudin, M., Astori, M. G., Mannatrizio, A., & Brunati, E. (2012, June). Mistakes to not repeat: When the child´s body talks of the mother´s traumatic past (case) [Errores a no repetir: Cuando el cuerpo del niño habla del pasado traumático de la madre (caso)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Following Siegel’s model (2005), the authors present a single case that undergone a therapeutic intervention with EMDR aimed to reprocess infantile traumatic memories reactivated in the parenting. A 4 year old child came to our Child Neuropsychiatric Unit because she presented a toe walking in absence of neurological signs. She undergone periodic physiatrist visits for one year without any symptoms regression. She was then seen from a Child Neuropsychiatrist and a Psychomotor Therapist who evaluated the importance of observations by a psychologist. Method: The psychologist observed a general anxiety state in the child characterized by perfectionism, inhibition and hypervigilance to the environment demand. The mother's life story was that of a child with an alcoholic father who she wished to save with her love and who died for cirrhosis. It was clear how the parenting experience reactivated infantile traumatic memories. It was proposed a treatment with EMDR. The child treatment was addressed to install resources and to reprocess stressing interactions with the mother. The mother treatment was aimed to reprocess infantile traumatic experience and to look at the present triggers in the interaction with the daughter who reactivated traumatic memories and cause emotion dysregulation. Results: The treatment brought to a resolution of the child symptoms and a reorganization of the interaction between the child and the mother. Conclusions: This single case report highlights the importance to understand well the psychological origin of somatic symptoms and gives an evidence of the efficacy of the treatment with EMDR following Siegel’s model.

Antecedente Teórico: La desensibilización y reprocesamiento por el movimiento ocular (EMDR) es una reconocida primera línea para el tratamiento del trauma psicológico. Sin embargo sus bases neurobiológicas no han sido descifradas todavía. Método: La electroencefalografía ha sido usada por primera vez para monitorizar completamente la activación neuronal durante sesiones enteras de EMDR incluyendo el guión autobiográfico. 10 Clientes con traumas psicológicos mayores fueron investigados durante la primera sesión de EMDR y durante la última después del procesamiento del trauma raíz. Las comparaciones entre los EEG de la última y primera sesión y las de EEG de los clientes en la primera sesión y 10 controles realizando el mismo procedimiento de EMDR fueron realizadas. Resultados: Durante ambos procesos, la escucha y la estimulación bilateral, el EEG mostró una actividad significativamente mayor en el córtex límbico prefontral (Brodmann Areas, BA 9-‐10) al principio comparadas con la última sesión de EMDR. La comparación opuesta muestra un cambio en la actividad fundamental entre las regiones corticales temporal, parietal y occipital (BAs 20, 21, 22, 37, 17, 18, 19) con lateralizaciones hacia la izquierda. La comparación entre los 10 clientes y los controles confirman la activación máxima de la corteza límbica en los clientes antes de procesar el trauma. Conclusiones: La metodología usada hizo posible visualizar la neuroimagen por primera vez de las activaciones cerebrales asociadas con las acciones terapéuticas que acontecen en el EMDR. Los hallazgos sugieren que el procesamiento cognitivo de los eventos traumáticos seguidos de una terapia EMDR exitosa apoyan la evidencia de un patrón neurobiológico diferenciado en las activaciones del cerebro durante la estimulación ocular bilateral asociados con una acumulación un experiencias emocionales negativas.

Keywords: Body

Accuracy Verified: Yes

140. Hauschild, S., & Vecchio, J. (2002, June). Modification of the RDI protocol for inpatient use. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
A recent pilot project was initiated in an inpatient adult psychiatric unit to enhance programming and provide interventions to individuals in crisis. The project added a group component to the existing RDI protocol. This presentation will summarize the recent pilot study and results. It will include a review of RDI procedures, and guidelines for assessing patients' needs and choosing appropriate RDI protocols. ParticipaNTs will leave the workshop with new tools that will enable them to evaluate the clinical needs of their inpatient populations and modify the RDI protocol to suit them. Participants will also discuss data collection and research methods.

Keywords: Inpatient RDI Resource Development & Installation

Accuracy Verified: Yes

141. Aubert-Khalfa, S., & Roques, J. (2007, Juin). Modifications des résponses psychophysiologiques au stress chez les patients PTSD aprés une seule séance d'EMDR [Modifications of psychophysiologcal response to stress in PTSD patients after a single EMDR session]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Patients atteints de SSPT démontrer anormale des réponses psychophysiologiques aux événements stressants. Ce dérèglement automatique est donc l'une des mesures objectives de stress post-traumatique qui pourrait également être utilisé pour évaluer les effets traitement du SSPT. Étant donné que la thérapie EMDR semble être un traitement de choix pour les victimes de traumatismes, l'objectif de l'étude était de vérifier que les réponses psychophysiologiques au stress a diminué après une séance EMDR unique. Six patients atteints du SSPT ont été traités par un thérapeute EMDR. Tout d'abord, au niveau clinique, à la fin de la session, les six patients ont eu une réduction très nette de leur niveau de perturbation subjective (SUD), leurs scores SSPT diminué (évaluée par le PLC-S), et leur auto-évaluation ( COV) est devenue positive, confirmant des études antérieures sur l'efficacité de l'EMDR. Deuxièmement, leurs réponses psychophysiologiques (rythme cardiaque, la conductance de la peau, le rythme respiratoire et la température de la peau) pendant un état de détente et tout en visualisant leur propre événement traumatique ont été enregistrées avant et après la session de l'EMDR. Malgré un nombre restreint de patients, après une seule séance EMDR, les réponses physiologiques à l'évocation de l'événement traumatique a diminué de manière significative. Cela comprenait la conductance de la peau, la fréquence cardiaque et la température de la peau. Ces résultats de l'étude préliminaire de confirmer l'efficacité du traitement EMDR sur le SSPT de la première session. Ils mettent également en évidence les effets thérapie EMDR sur le système nerveux autonome. Les changements psychophysiologiques enregistrés peuvent faire partie de mécanismes sous-jacents de traitement EMDR. D'autres études, y compris ces mesures seront donc nécessaires pour tester l'hypothèse.

PTSD patients demonstrate abnormal psychophysiological responses to stressful events. This automatic dysregulation is thus one of the objective measures of PTSD which could also be used to assess therapy effects on PTSD. Given that the EMDR therapy appears to be a treatment of choice for trauma victims, the aim of the study was to verify that the psychophysiological responses to stress decreased after a single EMDR session. Six PTSD patients have been treated by an EMDR therapist. First, at the clinical level, at the end of the session, all six patients had a very clear reduction of their subjective disturbance level (SUD), their PTSD scores diminished (as assessed by PLC-S), and their self-assessments (VOC) became positive, confirming previous studies on EMDR’s efficacy. Second, their psychophysiological responses (heart rate, skin conductance, respiration rate, and skin temperature) during a relaxing state and while visualizing their own traumatic event were recorded before and after the EMDR session. Despite small number of patients, after only one EMDR session, physiological responses to the evocation of the traumatic event decreased significantly. This included skin conductance, heart rate and skin temperature. These preliminary study results confirm the EMDR treatment efficiency on PTSD from the first session. They also highlight the EMDR therapy effects on the autonomic nervous system. The psychophysiological changes recorded may be part of the mechanisms underlying EMDR treatment. Further studies including these measures will therefore be necessary to test the hypothesis.

Keywords: Immersion Stress Posttraumatic Stress Disorder Psychophysiological Responses PTSD

Accuracy Verified: Yes

142. Larsen, W. (1992, December). Monitoring therapeutic change via dream content. EMDR Network Newsletter, 2(2), 20.

Language: English

Format: Newsletter

Abstract:
Many of my clients are combat veterans who have been experiencing their various PTSD symptomatology for 20 years or longer. Because of the extremely subjective nature of their experiences, and the fact that gains in reprocessing do not necessarily transfer into immediate behavioral changes, I have sought ways to document my clients' progress as treatment continues.

Keywords: Dreams Combat Veterans Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

143. Greenwald, R. (2002). Motivation-adaptive skills-trauma resolution (MASTR) therapy for adolescents with conduct problems: An open trial. In R. Greenwald (Ed.), Trauma and juvenile delinquency: Theory, research, and interventions, (pp. 237-261). Binghamton, NY: Haworth Maltreatment and Trauma Press/The Haworth Press.

Language: English

Format: Book Section

Abstract:
Published simultaneously as Journal of Agression, Maltreatment & Trauma, 6(10, (#11) 2002.

Keywords: Adolescents Americans Clinical Trial Cognitive Therapy Depressive Disorders Disruptive Behavior Disorders High School Students Individual Psychotherapy Junior High School Students Preadolescents School Based Treatment Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

144. Greenwald, R. (2002). Motivation-adaptive skills-trauma resolution (MASTR) therapy for adolescents with conduct problems: An open trial. Journal of Aggression, Maltreatment and Trauma, 6(1), 237-261. doi:10.1300/J146v06n01_12.

Language: English

Format: Journal

Abstract:
Trauma is proposed as a key to understanding the development and persistence of adolescent conduct problems, in conjunction with other contributing factors. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training (cognitive-behavioral therapy), and trauma resolution (eye movement desensitization and reprocessing). This paper reports on an open trial of six adolescents with school and conduct problems who received school-based Motivation-Adaptive Skills-Trauma Resolution (MASTR) treatment. Reductions in post-traumatic stress, related symptoms, and problem behaviors, along with improved school performance, indicate the value of further study of this treatment approach. [Author Summary]

Accuracy Verified: Yes

145. Greenwald, R. (2001, June). Motivational interviewing for offenders. Presentation at the annual meeting of EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Motivational Interviewing (MI) is a structured counseling approach designed to elicit motivation for change. Innovative component interventions involve the EMDR-based "Future Movies" intervention - to help the offender identify and invest in personal goals - and Functional Behavioral Analysis - to help the offender understand the relationship and the trauma history to the problem behaviors. Workshop participants will learn how to use Future Movies and Functional Behavioral Analysis within the MI approach, to mobilize offenders to engage in treatment activities, including EMDR, to interrupt and defuse the offense cycle. This approach is applicable to adolescents and adults with a variety of problem behaviors.

Keywords: Functional Behavioral Analysis Future Movies Motivational Interviewing Offenders

Accuracy Verified: Yes

146. van den Hout, M. A., Bartelski, N., & Engelhard, I. M. (2013, January). On EMDR: Eye movements during retrieval reduce subjective vividness and objective memory accessibility during future recall. Cognition and Emotion, 27(1),177-183 p. doi:10.1080/02699931.2012.691087.

Language: English

Format: Journal

Abstract:
In eye movement desensitization and reprocessing (EMDR), a treatment for post-traumatic stress disorder (PTSD), patients make eye movements (EM) during trauma recall. Earlier experimental studies found that EM during recall reduces memory vividness during future recalls, and this was taken as laboratory support for the underlying mechanism of EMDR. However, reduced vividness was assessed with self-reports that may be affected by demand characteristics. We tested whether recallEM also reduces memory vividness on a behavioural reaction time (RT) task. Undergraduates (N32) encoded two pictures, recalled them, and rated their vividness. In the EM group, one of the pictures was recalled again while making EM. In the no-EM group one of the pictures was recalled without EM. Then fragments from both the recalled and non-recalled pictures, and new fragments were presented and participants rated whether these were (or were not) seen before. Both pictures were rated again for vividness. In the EM group, self-rated vividness of the recalledEM picture decreased, relative to the non-recalled picture. In the no-EM group there was no difference between the recalled versus non-recalled picture. The RT task showed the same pattern. Reduction of memory vividness due to recallEM is also evident from non-self-report data.

Keywords: Memory Posttraumatic Stress Disorder PTSD Reaction Time Test

Accuracy Verified: Yes

147. Kahn, D. (2008, November). PAA: Positive affect activation, addition to/modification of phase 6 of the standard EMDR protocol. Israel EMDR. Retrieved from http://www.emdr.org.il/dls/eyes2body.swf on 8/12/2010.

Language: English

Format: Other

Abstract:
It is suggested that when we receive a clean body scan, before we continue on to closure, we elicit positive affect and body activation that may currently be associated with the target and install with BLS. Following this we would return to the standard protocol with closure. The rationale for this is presented along with the introduction of an additional scale of SUPAs – Subjective Units of Positive Activation.

Keywords: PAA Positive Affect Activation Shock Wave Flash

Accuracy Verified: Yes

148. Lilieblad, B. (2004, June). Pain, stress and quality of life. In EMDR, biology and the body (P. Lieberman, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Long time pain in the low back and neck is often difficult to diagnose and treat. We have known for a long time that patients’ personality and motivation are crucial for progress in treatment. Patients treated by physiotherapists in southern Stockholm were invited to 2 seminars on Pain, Stress, and Quality of Life. The patients were taught about pain in general, about stress and how to handle it, about body awareness and how to handle daily situations. During the seminars we collected data about the patients’ background, coping resources and quality of life. They also filled out the personal pain drawing test (PPD). They are offered individual counseling by a physiotherapist, an occupational therapist and 10 meetings with a psychologist.
114 patients participated in 17 seminars. The patients were followed up. Half of the group had decreased pain according to the PPD, even those who had not consulted the psychology. Around 50% had less treatment by physiotherapist, 24% had less sick leave. 57% had started relaxation and/or exercise body awareness. The 34 patients treated by the psychologist (mostly with EMDR) increased their emotional and spiritual/philosophic coping resource as well as their emotional quality of life.
Our experiences are that many pain patients suffer from psychosomatic disorders and that psychological staffs is an effective and necessary part of the multidisciplinary treatment in primary health care.

Keywords: Coping Holistic Treatment Pain Pain Drawing Quality of Life Psychosomatic Pain Stress Symposium

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Schizophrenia

Accuracy Verified: Yes

150. Ellis, T. L. (1999). Play therapy versus eye movement desensitization and reprocessing (EMDR): A comparative study examining the treatment effects with school-age children, Homan Elementary School, Fresno, California. California State University, Fresno. AAT 1401332.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the differences between play therapy and Eye Movement Desensitization and Reprocessing (EMDR) when applied to children. Eleven participants from Homan Elementary School, Fresno, California, participated in this study. The treatment consisted of four combinations of varied administrations of play therapy and EMDR. Dependent variables included the self-reporting instruments of the Trauma Reaction Indicators Child Questionnaire (TRICQ), the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition Scale (VOC), and the Global Feelings Self-Report Scale. Qualitative data included observed changes in behaviors on the educational risk assessment. No clinical significance was demonstrated on the self-report instruments; however, statistical significance was found on the qualitative data using the chi-square goodness-of-fit test on the posteducational risk assessment. Positive changes were reported in the qualitative analysis on the educational risk assessment.

Keywords: Counseling in Elementary Education Play Therapy

Accuracy Verified: Yes

151. Qain, M. (2010, July). Posttraumatic growth and its impact factos among earthquake victims in Sichuan. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
To investigate the posttraumatic growth and its impact factors in victims having experienced Wenchuan earthquake and living in community in one of the most severe disaster area. With the Impact of Event Scale- Revised (IES-R), Posttraumatic Growth Inventory (PTGI) and questions about the objective and subjective influences (e.g. economic loss, personal feelings) of the earthquake to the subjects, data were collected from 2403 victims living in a temporary community of Pengzhou, a severe disaster impacted area. 2106 valid questionnaire were analyzed for the related factors influencing posttraumatic growth. The age of subjects and PTSD symptoms could predict posttraumatic growth significantly. Both objective and subjective influence of the earthquake on victims contributed significantly to posttraumatic growth, whereas they became less or not significant when PTSD symptoms were accounted into the regression model. PTSD symptoms were the most important factor to predict posttraumatic growth; economic loss for individual experiencing the earthquake could also predict posttraumatic growth stably.

Keywords: Earthquake Sichaun Victims

Accuracy Verified: Yes

152. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora. L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini. IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati. Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.

The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more. The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men. IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared. So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.

Keywords: Cancer Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

153. Lehrer, P. M., Woolfolk, R. L., & Sime, W. E. (2007). Principles and practice of stress management. (3rd. ed.) New York, NY, US: Guilford Press.

Language: English

Format: Book

Abstract:
Recent years have seen significant advances in understanding psychosocial stress and its clinical management. Now in a thoroughly revised and expanded third edition, this comprehensive work reviews effective stress management techniques and their applications for treating psychological problems and enhancing physical health and performance. Bringing together recognized leaders in the field to present their respective approaches and demonstrate the nuts and bolts of intervention, the volume is structured for optimal use as a clinical reference and text. All chapters retained from the prior edition have been extensively rewritten, and many new chapters have been added. Part I examines conceptual foundations and describes basic mechanisms of stress and relaxation. Part II, the largest section, covers the full range of methods, including progressive relaxation, hypnosis, biofeedback, meditation, cognitive methods, and other therapies. Each tightly edited chapter: (1) Details the method's history, theoretical underpinnings, and evidence base; (2) Spells out assessment procedures and techniques; (3) Provides step-by-step implementation guidelines; (4) Considers common treatment obstacles and how to overcome them; (5) Discusses strategies for increasing patient motivation and adherence; and (6) Illustrates the method with an in-depth case example. New to the third edition are chapters on mindfulness meditation, neurofeedback, EMDR, breathing retraining, heart rate variability biofeedback, exercise therapy, and Qigong. Finally, Part III explores applications in mental health, behavioral medicine, and sport psychophysiology (another new topic in this edition), shedding light on which approaches are most suitable for particular problems. The concluding chapter reviews the clinical research literature and offers clear recommendations for improving outcomes. This timely, authoritative book is an indispensable resource for clinical and health psychologists, psychiatrists, social workers, counselors, nurses, and other professionals interested in learning and using stress management techniques. It will serve as a text in graduate-level courses in stress management, behavioral medicine, social work in health care, and related areas. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Stress Management

Accuracy Verified: Yes

154. Bruck, N. R. V. (2007, March). A psicologia das emergências: Um estudo sobre angústia pública e o dramático cotidiano do trauma [The psychology of emergencies: A survey of public angst and dramatic daily life of trauma]. Pontifica Universidade Catolica Do Rio Grande Do Sul, Programa De Pos-Graduacao Em Psicologia Doutorado Em Psicologia, Porto Alegre.

Language: Portuguese

Format: Dissertation/Thesis

Abstract:
O assunto “trauma” vem adquirindo novos significados, considerando principalmente acontecimentos sociais recentes, sejam eventos adversos, catástrofes, desastres, sejam as situações-limite vividas pelas pessoas no cotidiano urbano. A psicologia das emergências estuda o comportamento das pessoas nos acidentes e desastres desde uma ação preventiva até o pós-trauma e, se for o caso, subsidia intervenções de compreensão, apoio e superação do trauma às vítimas e profissionais do SAMU. O assunto se estende às questões que vão desde a experiência pessoal do trauma até os eventos adversos provocados por calamidades, sejam estas naturais e/ou provocadas pelo homem. A psicologia das emergências é um tema de angústia pública, sentimento difuso de mal-estar que se origina dos acontecimentos públicos traumáticos, chamados estressores, tais como os acidentes de trânsito com vítima, assim como os provenientes das demais situações limites de toda a violência urbana. O trauma é uma experiência que explode a capacidade de suportar um revés, traz a perda de sentido, desorganização corporal e paralisação da consciência temporal, pode deixar marcas que influenciam a criatividade e a motivação para a vida. Os objetivos nos primeiros auxílios psicológicos são de aliviar as manifestações sintomáticas e o sofrimento, reduzindo os sentimentos de anormalidade e de enfermidade. Um dos objetivos é a familiarização com temas considerados complexos e muitas vezes distantes das discussões sobre trauma psicológico, sendo que o problema da pesquisa é a compreensão da psicologia das emergências e como colocá-la em prática. Os autores mais utilizados são Edgar Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze e Michel Foucault, dentre outros. São abordados os temas do não-reducionismo, da epistemologia de si mesmo e da relação da Teoria das Representações Sociais com o EMDR (dessensibilização e reprocessamento através de movimentos oculares). O método desta pesquisa, com suporte na observação participante refere às questões da complexidade, análise multirreferencial e de implicação. As técnicas mais utilizadas foram entrevistas, grupos focais-“histórias significativas” e análise documental. É indicado, como atitudes favoráveis pensar não a partir de algo, mas, sobretudo sobre algo e que para mudar o modo de agir torna-se necessário modificar a imagem que uma pessoa tenha de si próprio. Como conclusões da pesquisa, observou-se: que as pessoas acidentadas trazem outros acontecimentos considerados difíceis junto com o depoimento sobre o acidente, como situações de luto e de sofrimento com familiares; que o estresse pós-traumático não é uma conseqüência inevitável do trauma; que não há nenhuma orientação, ou rotina, nas missões de socorros e nos documentos oficiais do SAMU sobre o tema psicologia das emergências. Também são indicadas considerações finais sobre os temas da Síndrome de Burnout, sobre a influência da instituição no cotidiano dos atendimentos, sobre a relação da clínica com a psicologia social.

The subject of "trauma" has acquired new meanings, especially considering recent social events, are adverse events, catastrophes, disasters, are the extreme situations experienced by people in urban daily life. Psychology emergencies studies the behavior of people in accidents and disasters from preventive action to post-trauma and, if necessary, subsidize interventions understanding, support and overcoming the trauma victim and professional SAMU. The subject extends to issues ranging from the personal experience of trauma to adverse events caused by disasters, whether natural and / or manmade. The psychology of emergencies is a topic of anguish public diffuse feeling of uneasiness that stems from public events traumatic, called stressors, such as traffic accidents with victims, as well as from the other extreme edge of all violence urban. Trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter temporal awareness, can leave marks that influence creativity and motivation for life. The goals in psychological first aid are to relieve symptomatic manifestations and suffering, reducing feelings of abnormality and disease. One goal is to become familiar with issues as complex and often distant from the discussions on trauma psychological, and the research problem is understanding the psychology of emergencies and how to put it into practice. The authors are more used Edgar Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze and Michel Foucault, among others. Issues are addressed in the non-reductionism, the epistemology of self and even the relationship of the Theory of Representations to EMDR (Desensitization and reprocessing through eye movements). The method this research, supported in participant observation matters relating to complex, multi-referential analysis and implication. The most used techniques were interviews, focus groups, "meaningful stories and documentary analysis. It indicated as positive attitudes to think not from something, but mainly on something and to change the mode of action becomes necessary to modify the image a person has of himself. As the survey findings revealed the following: that rugged people bring other events to be difficult with with testimony about the accident, as situations of grief and suffering with family, whereas the post-traumatic stress is not an inevitable consequence of trauma, there is no guidance, or routine tasks in the relief and SAMU official documents on the subject of psychology emergencies. Also concluding remarks are given on the topics of the Burnout on the influence the institution in the routine of care, about the relationship of clinical with social psychology.

Keywords: Emergency Treatment Postrraumatic Stress Disorder PTSD Social Psychology Stress

Accuracy Verified: Yes

155. Melbeck, H. H. (2003, May). PSTD-Unit: Trauma therapy with in-patients – A ward concept. Poster presented at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
Since there were only a very few specialised trauma therapists in the region in the beginning of the "PTSD-Unit", we had to treat all kinds of type-I and type-II trauma around, that is: victims of technical or natural disasters, of car accidents and accidents at work, especially the victims of bank robberies whose number has risen enormously in the area since the political change in 1989. Beside that we treated clients after they had learned the diagnosis of a life-threatening disease, for example a cancer - diagnosis, and people who were suffering from traumatic grief, because they were bereaved of their loved ones under particularly traumatic circumstances, for example after the explosion at Djerba last year.

Keywords: Poster Ward Concept

Accuracy Verified: Yes

156. Lamprecht, F., Sack, M., Lempa, W., & Eickhoff-Fels, S. (2001). Psychophysiological activation via trauma script in PTSD patients and matched healthy controls and its reversal after succesful treatment. Presentation at the annual meeting of the German Society for Psychotraumatology.

Language: English

Format: Conference

Abstract:
Purpose: It is well known that hyperarousal in PTSD patients leads to an increase in heart rate to trauma related stimuli. The purpose of this study was to see if this peripheral physiological activation in PTSD patients by a trauma script can be reversed by successful trauma treatment including EMDR (Eye Movement Desensitization and Reprocessing). Methods: 12 PTSD patients fulfilling DSM IV criteria with 52.6 mean level of the impact of event scale (IES) and 8.1 of the subjective unit of distress (SUD) were compared to 12 matched healthy controls (IES level 23, SUD level 4.8). Glued electrodes were placed according to published guidelines for electrophysiological research on thorax (ECG) and palmar skin of the left (non dominant) hand (SCL). Psychophysiological data (heart rate and skin conductance) were recorded continually and stored on a PC card during three conditions: neutral, relaxation and trauma script. In the patient group the procedure was repeated after finishing treatment. Results: The patient group and control group did not differ in the baseline heart rate, however, the stimulation by the trauma script in the PTSD patients was significant in the mean 15.6 (T-2.88) (p < 0.01) increase in heart rate and in the control group 1.6 not significant (the script here was derived from the worst life event). There was a wide variation in the patient group with three patients without any reaction. In those with a strong reaction after trauma script, successful treatment was accompanied by a decline in heart rate response after trauma script, which remained stable during 6 months follow-up. SCL data did not show any consistent relationship. Since this is an ongoing study with increasing numbers and further analysis, additional data will be given during presentation. A decline of the SUD level to 2.3 and within the IES-score to 21 at the three months follow-up measurement was also significant (p < 0.01).

Keywords: Posttraumatic Stress Disorder Psychophysiological Activation PSTD Trauma Script

Accuracy Verified: Yes

157. Sack, M., Hofmann, A., Wizelman, L., & Lempa, W. (2008). Psychophysiological changes during EMDR and treatment outcome. Journal of EMDR Practice and Research, 2(4), 239-246. doi:10.1891/1933-3196.2.4.239.

Language: English

Format: Journal

Abstract:
This study was designed to investigate the question of whether psychophysiological changes during EMDR sessions are related to subjective and objective reduction of PTSD symptoms. During-session changes in autonomic tone in relation to session-to-session changes of subjective stress, trauma-related symptoms, and psychophysiological reactions during a traumatic reminder were investigated in 10 patients suffering from single-trauma PTSD. Treatment duration followed each patient’s individual needs and ranged between 1 and 4 sessions, resulting in a total of 24 EMDR treatment sessions from which psychophysiological data were completely recorded. Treatment with EMDR was followed by a significant reduction of trauma-related symptoms, elimination of the PTSD diagnosis in 8 of the 10 participants, as well as by significantly reduced psychophysiological reactivity to an individualized trauma script. Psychophysiological dearousal in sessions correlated significantly with decrease in script-related reactions in heart rate and parasympathetic tone, and with changes in subjective disturbance. Our results indicate that information processing during EMDR is followed by during-session decrease in psychophysiological activity, reduced subjective disturbance and reduced stress reactivity to traumatic memory.

Keywords: Psychophysiological Assessment Treatment Outcome Working Mechanism

Accuracy Verified: Yes

158. Sack, M., Hofmann, A, Wizelman, L., & Lempa, W. (2007, June). Psychophysiological changes during EMDR - Are they related to treatment outcome?. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Objective: Dual attention stimulation seems to provoke orienting response like patterns of psychophysiological deactivation during “real-life” EMDR treatment sessions (Sack et al, in review). Objective of this study was to investigate the association of psych-physiological effects during dual attention stimulation with treatment outcome as measured by questionnaire and by psychophysiological reactions during presentations of an individualized trauma script.
Methods: A total of 24 EMDR treatment sessions from 10 patients with PTSD were monitored applying impedance Cardiography. The onset of every stimulation/exposure period was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (RMSSD), pre-ejection period (PEP) and respiration rate were examined. Heart rate reactivity during presentation of an audiotaped trauma script was measured at beginning of every session and additionally one week before the first session and one week after the last treatment session. Statistical correlations between both subjective (Impact of Event Scale, SUD) and objective (heart rate reactivity) measures of treatment outcome with psychophysiological changes during session (orienting response at beginning of stimulation, slope of HR) were computed.
Results: A significant reduction of trauma-related symptoms was noticed over the course of EMDR treatment: (IES one week pre: 61.2(SD 10.9), IES pre: 55.4(SD 19.0), IES post: 13.3(SD 12.2), F(2,27); 32.6, p < .001). Subjective distress during trauma script decreased significantly (SUD one week pre: 6.6(SD 1.4), SUD pre: 6.9(SD1.4), SUD post: 2.1(SD 1.7); F(2, 27); 31.5, p < .001). The statistical analysis of physiological variables is currently in process. Results will be presented at the conference.
Conclusions: The results of this study will allow further insights into the working mechanism of EMDR.
This study was co-sponsored by EMDREA and EMDRIA-Germany.

Keywords: Medical Treatment Outcome

Accuracy Verified: Yes

159. Calero, M., & Cutinella, L. (2012, June). Psychotraumatologic hospitalary unit for severe psychiatric patients and EMDR [Una unidad de psicotraumatología para el tratamiento con EMDR de pacientes psiquiátricos graves en un hospital público]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Psichotraumatology is a discipline that has had a rapid development in recent years and their knowledge has become indispensable for the treatment of severe psychiatric illness. In our country, Uruguay, South America, in a public psychiatric hospital unit, is being developed a clinic for treatment of patients with simple and complex PTSD with EMDR with promising results. We serve a population of very low-‐income patients. Some of them are hospitalized for crimes committed during psychiatric decompensation (theft, murder, violation) We will present the basics for creating such unit in a psychiatric treatment setting as well as our work with hospital inpatients and outpatients . EMDR turns out to be a first line psychotherapeutic approach for these patients.

La psicotraumatología es una disciplina que ha experimentado un desarrollo muy rápidos en los últimos años hasta el punto de que se ha hecho indispensable contar con conocimientos al respecto para el tratamiento de las enfermedades psiquiátricos graves. En nuestro país, Uruguay, Sudamérica se está desarrollando una clínica dentro de una unidad de psiquiatría perteneciente a un hospital público para el tratamiento de pacientes con TEPT simple y complejo con EMDR y con resultados prometedores. Servimos a una población de pacientes de rentas muy bajas. Algunos están hospitalizados por crímenes cometidos durante un episodio de descompensación psiquiátrica (robo, asesinato, violación). Presentaremos las consideraciones básicas para crear una unidad de estas características en el entorno terapéutico psiquiátrico junto con nuestro trabajo con pacientes ingresados y ambulatorios. Resulta que EMDR es un planteamiento psicoterapéutico de primera línea para estos pacientes.

Keywords: Psychotraumatologic Hospitalary Unit Severe Mental Disorders

Accuracy Verified: Yes

160. Calero, M. (2011, November). Psychotraumatologic unit for the treatment of severe psychiatric patients in a public hospital in Uruguay. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
In Uruguay, South America, in a public psychiatric hospital unit, a clinic has been developed for the treatment of patients with simple and complex PTSD with promising results. As an example, we can mention a patient with a diagnosis of brain injury with a poor outcome who turned out to have a severe dissociative disorder, and who had a favorable evolution with the right treatment. The population treated is very poor and heterogeneous. Some patients are hospitalized for crimes commited during psychiatric decompensation (theft, murder, rape). This paper will present the basics for creating such unit in a psychiatric treatment setting and describe the work with such difficult hospital inpatients and outpatients. In South American countries it is very hard to develop specific psychiatric care units in public hospitals because patients psychological problems also have serious social and economic problems. The theorical approach in the clinic is cognitive behavioral and EMDR, based on the fact that psychotraumatology is a discipline that has had a rapid development in recent years and its knowledge has become indispensable for the treatment of severe psychiatric illness.

Keywords: Psychotraumatologic Unit Posttraumatic Stress Disorder PTSD Public Hospitals Uruguay

Accuracy Verified: Yes

161. Kinowski, K. (2003). Put your best foot forward. Clinical practice manual. An EMDR-related protocol for empowerment using somatosensory and visual priming of resource experiences (2nd Ed.). Victoria, BC: Author.

Language: English

Format: Other

Abstract:
The theory and how-to of the protocol are contained in a 153 page manual, 8 ½" x 11". The second edition updates the database and includes a new chapter with case reports from other therapists. The manual's contents include: the full text protocol enough practical information so you can knowledgeably use it if you wish a simplified record form for the client's file two new ratings scales: Subjective Units of Body Safety( SUBS) and Rating of Confidence (RoC) theoretical discussion of midbrain areas that I think are activated by the process 13 tables of descriptive statistics, n= 40, 67 administrations of the protocol stills taken from video of therapy sessions (with client permission, faces obscured) colored illustrations of client imagery, key midbrain areas, and body diagrams summarizing different results a 3 page table summarizing each of the protocol's eight stages from four operational factors - therapist mode of activity, information processing, somatosensory processing, and conjectured neural activation more than 15 cases are described in whole or in part, 8 from other therapists

Keywords: Empowerment Protocol

Accuracy Verified: Yes

162. Farrell, D., & Keenan, P. (2010, July). A Q-Methodology evaluation of EMDR HAP facilitators training in Pakistan. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction with the University of Birmingham & Edge Hill University, commenced in Northern Pakistan in the aftermath of the earthquake. Presently over 75 mental health workers have now been trained in EMDR. In August 2009 six of these Pakistani mental health workers had successfully completed their EMDR Facilitator training. As a means of evaluating their EMDR training a Q Methodology was utilised. Q methodology provides a foundation for the systematic study of subjectivity, a person’s viewpoint, opinion, beliefs, and attitudes (Brown 1993). It is an inverted form of factor analysis which then considers discourse patterns. Typically, in a Q methodological study people are presented with a sample of statements about a topic called the Q-set. By Q sorting research participants give their subjective meaning to the statements, and by doing so reveal their subjective viewpoint (Smith 2001) or personal profile (Brouwer 1999). These individual rankings (or viewpoints) are then subjected to factor analysis to determine factor solution and interpretation. Results highlighted important issues around the facilitators training experience, how cultural sensitivities play an important part in the application of EMDR in Pakistan, and considered how EMDR trainings can be adapted and improved for the future.

Keywords: Facilitators Q-Methodology Evaluation Pakistan Poster

Accuracy Verified: Yes

163. Ross, R. J., Ball, W. A., Dinges, D. F., Kribbs, N. B., Morrison, A. R., Silver, S. M., & Mulvaney, F. D. (1994, February). Rapid eye movement sleep disturbance in posttraumatic stress disorder. Biological Psychiatry, 35(3), 195–202, doi:10.1016/0006-3223(94)91152-5.

Language: English

Format: Journal

Abstract:
The subjective sleep disturbance in posttraumatic stress disorder (PTSD), including the repetitive, stereotypical anxiety dream, suggests dysfunctional rapid eye movement (REM) sleep mechanisms. The polysomnograms of a group of physically healthy combat veterans with current PTSD were compared with those of an age-appropriate normal control group. Tonic and phasic REM sleep measures in the PTSD subjects were elevated on the second night of recorded sleep. Increased phasic REM sleep activity persisted in the PTSD group on the subsequent night. During the study, an anxiety dream occurred in a PTSD subject in REM sleep. The results are consistent with the view that a dysregulation of the REM sleep control system, particularly phasic event generation, may be involved in the pathogenesis of PTSD. The finding of a specific disturbance of sleep unique to PTSD may have significant implications for the design of effective treatments for PTSD.

Keywords: Eye Movement Posttraumatic Stress Disorder PTSD Sleep Disturbance

Accuracy Verified: Yes

164. Tofani, L. R., & Wheeler, K. (2011). The recent-traumatic episode protocol: Outcome evaluation and analysis of three case studies. Journal of EMDR Practice and Research, 5(3), 95-110. doi:10.1891/1933-3196.5.3.95.

Language: English

Format: Journal

Abstract:
This article evaluates and illustrates the application of the recent-traumatic episode protocol (R-TEP) with three diverse clients: a child with chronic illness, a woman with a significant loss, and an adolescent who self-harmed. The R-TEP is an adaptation of the Eye Movement Desensitization and Reprocessing (EMDR) protocol for early EMDR intervention. Sessions are presented in detail to highlight the shifts in information processing that occur during treatment. Observed markers used to analyze the flow of processing are identified, which include distancing from the trauma; reduction in negative affect or change in reported emotions; accessing more adaptive information; changes in the Subjective Units of Disturbance scale; and the Validity of Cognition scale and Impact of Event Scale--Revised indicating shifts in perception of the traumatic memory. Pre-post R-TEP treatment gains were noted for all clients, with changes in behavior and functioning. Theoretical underpinnings of the R-TEP are discussed with respect to the reported observations. The specific contribution of the protocol is highlighted, considering its procedural components and related plausible mechanisms of change.

Keywords: Mechanism of Action Outcome Evaluation Recent Evemts Recent Trauma R-TEP

Accuracy Verified: Yes

165. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]

Keywords: Physical Pain Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Reexperiencing Stressors Survivors

Accuracy Verified: Yes

166. Kim, D., Choi, J., & Park, Y. C. (2006, September). Reliability and validity of subjective units of disturbance scale (SUDS) in EMDR sessions. Poster presented at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Keywords: Poster SUD Scale

Accuracy Verified: Yes

167. Hogan, R. C. (2012, April). The resolution of grief by guided afterlife connections. Journal of Spirituality & Paranormal Studies, 35(2), 74-80.

Language: English

Format: Journal

Abstract:
The article presents a study on the effectiveness of grief counseling and post-death experiences in helping the bereaved. It states that 45 clients who had Guided Afterlife Connections experiences were enrolled in the study and Subjective Units of Distress scale (SUDS) and EMDR psychotherapy are used. Results showed that a rate of 10 in the SUDS scale shows that the memory is disturbing and a rate of zero means no disturbing effect.

Keywords: Afterlife Bereavement Death Grief Therapy Memory

Accuracy Verified: Yes

168. Hurley, E. C. (2010, November). A response to the meta-analysis by Albright & Thyer: What best serves our troops?. Behavioral Interventions, 25(4), 349-353. doi:10.1002/bin.314.

Language: English

Format: Journal

Abstract:
Comments on Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans? by David L. Albright and Bruce Thyer (see record 2010-02408-001). As an Army Chaplain and psychotherapist for 30 years, I have used a variety of psychotherapy modalities to treat soldiers and military families in various combat zones, as well as military installations in the United States. In this capacity I have found eye movement desensitization and reprocessing (EMDR) to be efficacious in the treatment of both trauma and life adjustment issues. In my present position as Director of Soldier Center, Clarksville, TN, I use EMDR on a daily basis to treat soldiers and veterans recovering from combat trauma. Based on my extensive experience in the successful application of EMDR, I am dismayed by the pre-suppositional bias against and potentially serious misrepresentations of EMDR that are evident in the Albright and Thyer article from the authors' very first mention of it. The authors have done a great disservice to clinicians, as well as to veterans, with their paper. In summary, the best way to serve our troops is to urge comparative research between EMDR and the extant cognitive behavioral therapy (CBT) treatments. Our men and women in uniform deserve the best treatment possible. EMDR has amply demonstrated its efficacy with multiple trauma populations and should not be minimized because of subjective biases and misinformation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Albright Letter Thyer Troops

Accuracy Verified: Yes

169. Lansing, K. (2013, September). The rite of return: Coming back from duty-induced PTSD. High Ground Press.

Language: English

Format: Book

Abstract:
The Rite of Return: Coming Back from Duty-Induced PTSD is written for men and women in law enforcement, first response, and the military who are struggling with duty-induced PTSD. In a field-guide format, it presents an overview of a proven treatment approach adapted specifically for this population. The book offers clear teaching on PTSD and its effects on the brain. It also provides practical training in containment techniques for increased control of symptoms and motivation for battling the tendency to isolate. The successful case outcomes described throughout the book give substantive hope for recovery from PTSD. The message throughout is that duty-induced PTSD cannot be resolved in isolation or by reading self-help books. The author’s depth of knowledge and scope of experience evident in every chapter draws the reader confidently into places where the clinical generalist cannot tread. Karen Lansing’s understanding of duty-induced PTSD goes beyond a simply clinical perspective. She has been trained in public order, ridden extensively on patrol, done 48-hour tours of duty with firefighters, and has resided and trained alongside special weapons teams on military bases. She has “kitted up” and been stuck into flashpoint sectors in “exotic places” with tactical advisors in troubled regions. The benefits emerging from that cross-pollination of disciplines are apparent in the author’s respect and understanding of the specific clinical needs of Warriors and Rescuers. It's seen in her identification of and clinical protocol for the treatment of a rare but deadly post-shooting symptom that she refers to as transitory shooter's apraxia. The benefits are also clearly seen in the clinical outcomes of those featured in this book. The Rite of Return presents a powerful argument that PTSD need not lead to an end of mission or tour of duty, or to a lifelong injury. Instead, case account after case account indicates that Lansing's treatment approach leads to quite the opposite: officers consistently emerging stronger. These outcomes are confirmed throughout the book by the testimony of SPECT brain images before and after treatment. Accompanying them are accounts of subjects after treatment responding successfully to incidents very similar to those that had culminated in their PTSD. These unsung heroes recovered, becoming more competent, more tactically skilled and more mentally resilient than they had been prior to its time-limited, but significant, intrusion into their lives. Reading between the lines of this book, it's apparent that careers and lives have been saved because of the author’s innovative approach. Her only regret is that so many have been lost to the devastation of untreated or ill-treated, duty-induced PTSD. The publication of The Rite of Return couldn’t be better timed.

Keywords: Containment Techniques Duty-Induced PTSD Military Posttraumatic Stress Disorder PTSD Transitory Shooter's Apraxia

Accuracy Verified: Yes

170. Direzkia, Y., & Syahriati, E. (2010, July). Safe place: An ambilvance?. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Conflict and tsunami events have left behind many traumatic experiences in people of Aceh. Many people in Aceh have lost their families, children after the tsunami are still experiencing separation anxiety, and many children have lost motivation to study, learn or play. Children are forced by circumstances to survive like an adult, whilst they still need protection and aegis of the parent. This leads to consequences like irritability, impulsivity and somatic symptoms. The treatment conducted by the practitioner especially for the children were the safe-place, resource activation and the protocol of EMDR. The safe-place technique is one of the most frequent techniques used for children. The safe-place technique is something like a gate to get into the children’s experience through the Tsunami or conflict events. Some of the children in orphanages who were treated by EMDR, specifically using the safe-place technique showed interesting findings. Some clients described the sea as a safe-place. This becomes an interesting experience because it is well known that the sea was a trigger for traumatic experiences related to the tsunami. However, it turns out that with children, the sea was also a source of power and made them feel safe. This would raises some questions in our mind, whether the phenomenon is an ambivalence, or is there something related to the culture or belief that the children have through their own life? It seems like an ambivalence, since on one hand the children suffered a disaster directly related to the sea (tsunami) and on the other hand they think that the sea is an integral part of their lives

Keywords: Safe Place

Accuracy Verified: Yes

171. Dodgson, P. W. (2007, June). Shame: The adaptive information processing model and introduction of the "protocol interweave" in EMDR with victims of torture, rape and organised violence. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Shame is often a key component of post-traumatic stress and one that can inhibit processing because the person concerned feels no compassion for the self that was shamed. Shame may lead to despising or hating that self so that allowing the self to grow, to recovered, feels almost impossible. Shame is experienced cognitively, emotionally, and somatically: in “brain, heart, and body.”
Shame may lead to blocked processing that does not respond to cognitive interweaves or other approaches such as changes in speed, modality and direction of bilateral stimulation, or “TICES’ strategies, changing aspects of images, cognitions or emotional and sensory interventions. Typically, Subjective Units of Distress scale scored stick at 4.
This paper will draw on clinical work with people who have experienced rape, torture and organized violence and explore ways of unlocking the inhibiting factors of shame, enabling the victim of personal violence to have compassion for themselves, and forgiveness. With compassion, a person can allow themself to recover, and processing the memories of the traumatic incident or incidents can move to adaptive resolution.
The paper will present case material using the adaptive information processing model as a helpful way of enabling clinets to normalize their mental, emotional and somatic reactions, to structure what often seems like a chaotic inner world and to address issues including shame.
This paper will propose a protocol for EMDR psychotherapy with people who have been victims of rape, torture, and organized violence and will introduce a “protocol interweave” for working with people for whom shame is a factor that impedes effective processing.
The “protocol interweave” focuses on the ‘self who has been shamed” and adapts the desensitization phase to enable the individual to process material associated with their thoughts, feelings, and sensations with regards to the self of whom they are ashamed and whom they may despise. The paper will also examine recent thinking about shame, compassion and forgiveness and reflect on similarities across psychotherapeutic modalities such as gestalt and cognitive behaviour therapy and the way in which EMDR is an integrative model that accommodates these.
The presentation will include PowerPoint and video clips of clinical consultations.

Keywords: Adaptive Information Processing AIP Organised Violence Protocol Interweave Rape Shame Torture

Accuracy Verified: Yes

172. Ray, P., & Page, A. (2002, November). A single session of hypnosis and eye movement desensitisation and reprocessing (EMDR) in the treatment of chronic pain. Australian Journal of Clinical and Experimental Hypnosis, 30(2), 170-178.

Language: English

Format: Journal

Abstract:
Hypnosis and eye movement desensitisation and reprocessing (EMDR) in the treatment of chronic pain were examined. In a randomised controlled trial, patients in a crossover design experienced one session of hypnotherapy and EMDR. Subjective pain within treatment sessions was assessed using the McGill Pain Questionnaire. Subjective pain between treatment sessions was assessed using a diary record of pain. Treatment brought about reductions in subjective pain with evidence for the superiority of hypnosis.

Keywords: Chronic Pain Empirical Study Hypnosis Hypnotherapy Multimodal Treatment Approach Treatment

Accuracy Verified: Yes

173. Rogers, S., Silver, S. M., Goss, J., Obenchain, J., Willis, A., & Whitney, R. L. (1999, January-April). A single session, group study of exposure and eye movement desensitization and reprocessing in treating posttraumatic stress disorder among Vietnam War veterans: Preliminary data. Journal of Anxiety Disorders, 13(1-2), 119-130. doi:10.1016/S0887-6185(98)00043-7.

Language: English

Format: Journal

Abstract:
This report summarizes data gathered thus far from an ongoing study. Two groups (total N = 12) of Vietnam War veterans diagnosed with Posttraumatic Stress Disorder (PTSD) received a single session of exposure or Eye Movement Desensitization and Reprocessing (EMDR) focusing on the veterans’ most distressing war experience. Group assignment was random, treatment providers were blind to assessment data, and the pre- and posttreatment assessor was blind to treatment assignment. Both groups showed improvement on the Impact of Event Scale. EMDR treatment resulted in greater positive changes in within-session Subjective Units of Discomfort levels and on self-monitored severity of intrusive recollection. A trend toward decreased heart rate reactivity was observed in both groups. Results must be considered carefully due to the small number of subjects used in the study. [Author Abstract]

Keywords: Americans Empirical Study Exposure Therapy Middle Aged Posttrraumatic Stress Disorder PTSD Random Clinical Trial RCT Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans Vietnam War

Accuracy Verified: Yes

174. DeYoung, R. R. (2009, July). A single-case design implementing eye-movement desensitization and reprocessing (EMDR) with an ex-cult member. Presentation at the International Cultic Studies Association Conference, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
This single-case study utilized a repeated-measures design with an ex-Jehovah’s Witness who was treated with EMDR over a two-month period. A brief background history and mental status, particularly relevant to a 37-year old female who was “disfellowshipped” by her entire support network and family after 28 years, served as a baseline for treatment. Symptoms relevant to the Post-Cult Trauma Syndrome, as defined by M. Thaler Singer (1979), are addressed via the Validity of Cognitions Scale (VOC) and the Subjective Units of Distress Scale (SUDS) used by practitioners of EMDR. In addition, the Beck Depression Inventory (BDI) and the Impact of Event Scale (IES) were implemented to further validate intervention results. All measures revealed significant improvement in symptoms following this brief, short-term treatment. Despite the fact EMDR is touted as one of the most effective interventions for trauma-related disorders, there are virtually no empirically based studies that explore the application of this type of therapy with individuals traumatized by cults. It is concluded that EMDR might serve as a standard therapeutic intervention in the treatment of individuals exiting from cults. Ramifications for future research are discussed. [Author abstract]

Keywords: Cults Ex-Cult Members Single Case Design

Accuracy Verified: Yes

175. Struik, A. (2011, Févrieri). Sleeping dogs: Stabilisation et EMDR pour enfants et adolescents avec traumatismes complexes [Sleeping dogs: Stabilizing and EMDR for children and adolescents with complex trauma]. Avc de l' UPC KULeuven, Campus Kortenberg, Belgium.

Language: Dutch

Format: Other

Abstract:
Stabiliser et traiter les enfants traumatisés et souvent dissociés peut être compliqué. En apparence, ils peuvent sembler fonctionner relativement bien. Leurs stratégies d'évitement paraissent efficaces et ils refusent de parler du trauma ou disent qu'ils l'ont oublié. Cela ne les perturbe plus. Mais le désir du thérapeute de laisser les chiens dormir tranquillement est une stratégie dangereuse. Sous cette apparence de bon fonctionnement extérieur l'enfant est terrifié, constamment en alerte et seul, incapable de trouver le réconfort. Cet enfant ne peut s'attacher et ce manque d'attachement sécure peut dévaster son développement futur. Cependant, ce n'est que par une anamnèse détaillée réalisée par les soignants et les instituteurs que ces problèmes souvent cachés peuvent être révélés. Arianne expliquera les principes de base de la dissociation et de la dissociation structurelle chez les enfants dans le but d'aider à les traiter. Dans ce workshop, elle fera une démonstration du "6 tests", un nouveau modèle unique de stabilisation pour enfants. La stabilisation inclut la motivation, la psycho-éducation, la création d'un lieu sûr, l'activation du système d'attachement, des outils d'auto-régulation, des changements cognitifs, etc . Le "6 tests" aide le thérapeute à décider si l'enfant a besoin de stabilisation supplémentaire et comment l'établir avant de commencer l'EMDR.

Stabilize and treat traumatized children and often dissociated can be complicated. Outwardly, they may appear to function relatively well. Their avoidance strategies seem effective and they refuse to talk about the trauma or say they have forgotten. That does not disturb more. But the therapist's desire to let the dogs sleep in peace is a dangerous strategy. Under the appearance of functioning outside the child is terrified, alone and constantly alert, unable to find comfort. This child can not concentrate and lack of secure attachment can devastate its future development. However, it is only through a detailed history completed by caregivers and teachers that these often hidden problems can be revealed. Arianne will explain the basic principles of unbundling and structural separation of children in order to help address them. In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, the exchange In this workshop she will demonstrate the "6 tests," a new model for stabilization of single children. Stabilization includes motivation, psycho-education, creating a safe place, the activation of attachment system, tools for self-regulation, cognitive changes, etc.. "6 test" helps the therapist to decide if the child requires additional stabilization and how to prepare before starting EMDR.

Keywords: Adults Children Complex Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Counter-transference Dissociative Disorders Transference

Accuracy Verified: Yes

177. Ricci, R. J., Clayton, C. A., & Shapiro, F. (2006, December). Some effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings. Journal of Forensic Psychiatry and Psychology, 17(4), 538-562. doi:10.1080/14789940601070431.

Language: English

Format: Journal

Abstract:
Ten child molesters with reported histories of childhood sexual abuse underwent eye movement desensitization and reprocessing (EMDR) trauma treatment as an adjunct to standard cognitive-behavioural therapy-relapse prevention (CBT-RP) group treatment. Trauma resolution produced significant pre/post changes on all relevant subscales of the Sexual Offender Treatment Rating Scale (SOTRS). One unanticipated benefit was a consistent and sustained decline in deviant sexual arousal compared to the control condition. As measured by the SOTRS, decrease in arousal was also correlated with a decrease in sexual thoughts, increased motivation for treatment, and increased victim empathy. Deviant arousal is strongly associated with sexual recidivism. Clinical observations support the notion that those sexual offenders with histories of childhood sexual abuse may be left with aberrant sexual arousal, which is one pathway to sexual offending. The adaptive information processing model offers an explanation of the decreased and sustained deviant arousal observed in this study. This preliminary evidence supports a call for further research into this phenomenon.

Keywords: Child Molester Childhood Sexual Abuse Emotional Trauma Empirical Study Eye Movements Pedophilia Phallometry Quantitative Study Sex Offenders Sexual Abuse Trauma Treatment Treatment

Accuracy Verified: Yes

178. Struik, A. L. (2010, June). Stabilization and EMDR treatment of young dissociative children, the use of the six tests, a stabilization model. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The stabilization and treatment of young dissociative children can be complicated. Providing the child with a safe environment and attachment figure is obviously the first step. But what's next? They can appear to function relatively well. Their avoidance strategies seem effective and they refuse to talk about trauma or say they forgot about it. It doesn't bother them anymore. But the temptation of the therapist to let sleeping dogs lie is a dangerous one. Underneath this apparently well-functioning outside the child is terrified, constantly alert, and lonely, unable to find comfort, This child cannot attach and this lack of safe attachment is devastating for future development. However, only detailed history taking from caregivers and schoolteachers will often reveals these otherwise often hidden problems. In this presentation 1 will demonstrate. The six tests, a new and unique stabilization model for children. The six tests help therapy is to decide whether a child needs further stabilization and how to establish this stabilization, before starting with EMDR. I will present some cases to illustrate this process and the use of stabilization techniques. The children need to learn self-regulation skills to reduce stress. Then we activate the attachment system, so they car, reduce stress by seeking comfort. In this way the need to dissociate reduces. By relating present problems to past experiences their motivation increases to look into their traumas and start EMDR, (but only on their request). Finally, I will discuss adjustments in the EMDR protocol for these dissociative children in order to keep them in the desensitization process and how to integrate the use of EMDR Into the complete phase-orientated treatment. Learning objectives: -The basic tenets of the six tests -The ability to critically consider whether a child needs further stabilization or can start EMDR. - Understanding which techniques to utilize for particular conditions, through case presentations and questions. New and unique: This model is an adjustment for children of The tree test (Spieling, 2008) for adults, which is unique and new. Up until now, many EMDR therapists don't treat these children, because they are afraid to destabilize them or don't know how to do it. With this model I hope they start to treat these children who need EMDR the most.

Keywords: Children Dissociation: Six Tests

Accuracy Verified: Yes

179. Shapiro, F. (1992, Winter). Stray thoughts: Memory retrieval. EMDR Network Newsletter, 2(3), 1-3.

Language: English

Format: Newsletter

Abstract:
It appears as though one of the heritages ofthe psychodynmc model is the belief in the need for "uncovering memories" as necessary prerequisites for "working themthrough." Consequently, it appears as though some EMDR-trained clinicians have decided to use a combination of EMDR and hypnosis for "memory retrieval." While hypnosis has been a highly successful and standard form of practice for many years, its interaction effects with EMDR have not been systematically investigated. Therefore, I would like to issue some additional words of caution in this regard, since each clinician is bound to approach issues of possible "repression" and "resistance" in ahighly subjective manner. The points are made below in order to highlight factors that might possibly have been forgotten or overlooked by some clinicians in the merging of variant models.

Keywords: Memory Retrieval Repression Resistance

Accuracy Verified: Yes

180. Wilson, S. A., Tinker, R. H., Becker, L. A., & Logan,C. R. (2001, July). Stress management with law enforcement personnel: A controlled outcome study of EMDR versus a traditional stress management program. International Journal of Stress Management, 8(3), 179-200. doi:10.1023/A:1011366408693.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been shown to be effective for treating PTSD, but its efficacy as a stress management tool for normal individuals in highly stressful occupations has not been demonstrated. 62 police officers were randomly assigned to either EMDR or a standard stress management program (SMP), each consisting of 6 hours of individualized contact. At completion, officers in the EMDR condition provided lower ratings on measures of PTSD symptoms, subjective distress, job stress, and anger; and higher marital satisfaction ratings than those in SMP. The effects of EMDR were maintained at the 6-month follow-up, indicating enduring gains from a relatively brief treatment regimen for this subclinical sample of officers who were experiencing some level of stress from their job. [Author Abstract]

Keywords: Adults Americans Controlled Outcome Study Empirical Study Police Personnel Posttrraumatic Stress Disorder PTSD Spouses Treatment Effectiveness

Accuracy Verified: Yes

181. Armstrong, R. (2011, March). The subjective experiences of children following EMDR for PTSD following a single incident trauma. In EMDR research. Symposium (Derek Farrell, Chair) conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This study explored the subjective experiences of children from 10 to 16 years who had completed an episode of Eye Movement Desensitization and Reprocessing (EMDR) therapy for the treatment of Post Traumatic Stress Disorder (PTSD) following a single traumatic incident. Interpretative phenomenological analysis (IPA) was used to elucidate the participants’ understanding of the effect of the EMDR therapy on their recovery from PTSD. Three super-ordinate themes are identified describing how the participants engaged in the therapy, were assisted to keep going and what they made of the EMDR process. Results suggest that difficulties in engaging in the therapy were overcome by a combination of desperation and determination to get better, support of family and friends, the credibility of the therapist and finding that they started to feel better after about two sessions. EMDR was perceived as a surprisingly effective therapy in the light of almost universal initial scepticism, and an approach that generally did not require a conscious effort by the participant to make it work.

Keywords: Children Interpretative Phenomenological Analysis IPA Single Incident Trauma Subjective Experiences Symposium

Accuracy Verified: Yes

182. Neider, L. A. (1992, December). Subjective unit of motivation. EMDR Network Newsletter, 2(2), 11.

Language: English

Format: Newsletter

Abstract:
During the course of clinical work, there are times when the VoC and SUDS scale do not provide the information needed in order to set the focus for clinical and EMDR work and/or to determine the probability of change in the client. The Subjective Unit Motivation (SUM) has been useful for ferreting out this therapeutic material.

Keywords: Subjective Unit Motivation SUM

Accuracy Verified: Yes

183. Newman, K. (2006, November). Synthesis of previous research on eye movement desensitization and reprocessing (EMDR). Psychology 203,Mary Baldwin College, Staunton,VA..

Language: English

Format: Other

Abstract:
In 1987, Professional School of Psychological Studies graduate student Francine Shapiro was on a walk in the park when she personally observed that randomized eye movements seemed to make disturbing thoughts less upsetting (Colwell, 2000). From this initial experience Shapiro created the therapy known as Eye Movement Desensitization (EMD), integrating rhythmic eye movements with “other treatment elements” (EMDR 2004). Shapiro investigated this phenomenon further in a controlled study on twenty-three subjects with traumatic memories and Post-Traumatic Stress Disorder (PTSD) symptoms. In the study, the subjects were first asked to rate their feelings of discomfort regarding a particular traumatic memory using the Subjective Units of Disturbance (SUDs) scale which uses a 0 – 10 rating system to express emotional distress. Subjects were also asked to think of a Positive Self-Statement (PSS) they would like to attach to the memory, erasing a negative one. The subjects then evaluated their confidence in the truth of the PSS on a scale from 1 - 7, where one was completely false, and seven were completely true. On average, before treatment the subjects reported a SUDs score of seven and expressed the validity of the PSS as four. After a single EMD session, subjects on average evaluated the memory as less than one on the SUDs scale, and the positive self-thought was receiving ratings above six. These results remained consistent three months later (Lipke & Botkin, 1992), leading Shapiro claim in her dissertation that “a single session of the procedure was sufficient to desensitize subjects” (EMDR, 2004). The publication of Shapiro’s dissertation came nine years after the American Psychiatric Association added Post-Traumatic Stress Disorder to the DSM-III in 1980 (Friedman, 2006), and EMD quickly became a popular PTSD treatment.

Keywords: Literature Review Research

Accuracy Verified: Yes

184. Araujo Souza, A. M. N. (2012, Novembro). Técnica grupal integrativa - MGI: Prevenção de TEPT–transtornos de estresse pós-traumático em grupos de crianças Vvítimas de catástrofe [Technical integrative group - MGI: Preventing PTSD disorders-posttraumatic stress in children groups Vvítimas disaster]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Objetivo: Analisar o uso do Protocolo Grupal Integrativo (MGI) com o EMDR (Método de Dessensibilização e Reprocessamento pelo Movimento dos Olhos), na prevenção do Transtorno de Estresse Pós-Traumático (TEPT), em crianças vítimas de catástrofe. Método: Aplicação do Protocolo Grupal Integrativo (MGI- EMDR) em 16 crianças no município de Anchieta-SC, vítimas de tornado. Trata-se de um protocolo de EMDR utilizado em grupos, frente às situações traumáticas e permite que as vítimas entrem em contato com o evento, expressem lembranças traumáticas e sentimentos através de desenhos. Após cada desenho, o grupo foi estimulado a dessensibilizar e reprocessar os sentimentos e imagens perturbadoras através de movimentos bilateralizados do cérebro, sendo esses movimentos oculares, táteis ou sonoros. A técnica de estimulação utilizada foi o “Abraço Borboleta”, técnica desenvolvida por Artigas (2000) que consiste em cruzar as mãos e tocar a região entre a clavícula e o ombro com os dedos (estimulação tátil). A Escala de Unidade Subjetiva de Perturbação (SUDS) foi utilizada para medir o nível de perturbação ao lembrar da catástrofe. Como passo final, foi feita uma checagem corporal para verificar se havia alguma tensão física residual e a instalação de uma crença positiva de futuro. Resultados: houve redução da Escala Subjetiva de Perturbação (SUDS) na maioria das crianças e a qualidade dos sentimentos das mesmas ao entrarem em contato com a situação do tornado – “medo, desespero, tristeza, angústia” – como consequência dos fatos passados, se transformaram ao ser reprocessados em um reconhecimento de que o perigo passou. Os sentimentos se transformaram em “feliz, alívio, muito feliz, alegre“. Conclusão: O uso do MGI com EMDR em situações de catástrofes facilita a expressão da lembrança traumática armazenada no cérebro de forma disfuncional.

Objective: To analyze the use of Group Integrative Protocol (MGI) to EMDR (Desensitization and Reprocessing Method for Eye Movement), the prevention of disorder Post Traumatic Stress Disorder (PTSD) in children victims of disaster. Method: Application Protocol Integrative Group (MGI-EMDR) in 16 children in the municipality of Anchieta-SC, tornado victims. It is a protocol used EMDR in groups, face the trauma and allows victims to contact the event, express traumatic memories and feelings through drawings. After each drawing, the group was encouraged to desensitize and reprocess disturbing images and feelings through movements bilateralizados the brain, and these eye movements, tactile or audible. The stimulation technique used was the "butterfly hug" technique developed by Artigas (2000) which is to cross your hands and touch the area between the collarbone and the shoulder with fingers (tactile stimulation). The Scale of Subjective Unit of Disturbance (SUDS) was used to measure the level of disturbance to remember the disaster. As a final step, we performed a body check to see if there was any residual physical tension and installation of a positive belief in the future. Results: decreased Subjective Disturbance Scale (SUDS) in most children and quality of the same feelings to get in touch with the situation of the tornado - "fear, despair, sadness, distress" - as a result of past events, became to be reprocessed in a recognition that the danger has passed. The feelings became "happy, relieved, happy, happy." Conclusion: The use of EMDR with MGI in disaster situations facilitates the expression of traumatic memories stored in the brain so dysfunctional.

Keywords: Children MGI - Integrative Group Protocol with EMDR Reprocessing Catastrophe

Accuracy Verified: Yes

185. Brandon, M., & Goldstein, A. T. (2007). Therapy update for women: The treatment of low libido in women using an integrated biopsychosocial approach. In A. F. Owens & M. S. Tepper (Eds.), Sexual health V. 4: State-of-the-art treatments and research (pp. 107-130). Westport, CT, US: Praeger Publishers/Greenwood Publishing Group.

Language: English

Format: Book Section

Abstract:
For men and women alike, libido represents a primary aspect of sexual health. In fact, low libido is the most frequently reported sexual concern among women. Women of all ages, ethnic backgrounds, and education levels report concerns about low desire. Regardless of whether a woman is actually diagnosed with hypoactive sexual desire disorder (HSDD), if she seeks help for the subjective experience of a decreased libido, practitioners must embrace a theoretical framework for her care. In this chapter, we explore a holistic, integrative, biopsychosocial model for such treatment. We will outline first why we believe the traditional treatment model involving a sole practitioner providing the majority of patient care does not optimally serve patients with low libido. Second, we will review some of the benefits for both patients and clinicians of practicing within a biopsychosocial treatment paradigm. Third, we will describe our particular framework for treating low libido in women. This integrated biopsychosocial treatment model addresses four quadrants of a woman's experience; namely, her physical, emotional, intellectual, and spiritual health, as they relate to her libido. Finally, we find eye movement desensitization and reprocessing (EMDR) to be a helpful therapeutic tool in these circumstances. EMDR utilizes repetitive eye movements to assist patients in exploring and processing difficult emotional material. It can be utilized for women with low libido in a variety of ways, including the exploration and redefinition of negative thinking patterns. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Biopsychosocial Approach Cognitive Techniques Female Sexual Dysfunction Holistic Health Inhibited Sexual Desire Low Libido Models Sex Drive Treatment Matching

Accuracy Verified: Yes

186. Siegel, D. J. (2001, June). Toward an interpersonal neurobiology of the developing mind. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Expanding on the overview provided in the plenary, this day-long workshop will offer an in-depth exploration of the interdisciplinary findings that are the foundation for an "interpersonal neurobiology" approach to understanding development, subjective-experience, and psychotherapy. The topics covered will include: mind, brain, and experience, memory, attachment, emotion, mental representation and neural asymmetry, state of mind, self-regulation, interpersonal connections, and neural integration. The weaving of these ideas with discussion of the psychotherapeutic process throughout the workshop will reveal the practical applicaitons of this neurobiological view of the development and trauma.

Keywords: Neurobiology

Accuracy Verified: Yes

187. Gimenez, A., Bonet, M. D., Gonzalez, L., & Santos, L. (2011, Julio). Tratamiento preventivo con EMDR del trastorno por estres postraumatico y el duelo patologico: caso clinico [Preventive treatment with EMDR of posttraumatic stress disorder and pathological grief: Case report]. En Casos clínicos: varios. Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España.

Language: Spanish

Format: Conference

Abstract:
Introducción: La desensibilización y reprocesamiento por movimientos oculares (EMDR) es un abordaje psicoterapéutico que acelera el tratamiento de diversas patologías fóbicas y traumáticas, especialmente del Trastorno por estrés postraumático (TEPT). En el abordaje de duelos traumáticos , derivados de una situación excepcionalmente impactante para el paciente, puede prevenir el desarrollo de un TEPT grave. Se pretende realizar una investigación sobre cómo una intervención temprana y breve con EMDR en un caso de síndrome por estrés agudo reactivo a duelo puede paliar los síntomas característicos del TEPT y complicaciones psicológicas del duelo. Permitiendo la elaboración temprana de la situación traumática para que no devenga patológica en el futuro. Material y métodos Paciente de 50 años diagnosticada de estrés agudo reactivo a duelo que acude a consulta de salud mental por muerte brusca de su pareja en una situación violenta y muy traumática. Método: 2 sesiones de EMDR en dos semanas (sesiones de 90 minutos). Instrumentos: Escala de gravedad del TEPT (Echeburúa), Escala de depresión de ZUNG y Escala de ansiedad‐estado (STAI). Resultados: Se observa mejoría significativa en Escala de gravedad del TEPT, con disminución en síntomas de reexperimentación, evitación y aumento de la activación. Se aprecia un leve incremento en síntomas ansioso‐ depresivos más característicos de un proceso de duelo normal. Conclusiones: Con el tratamiento con EMDR podemos reducir los síntomas del TEPT, así como la prevención de un duelo patológico. Que el paciente sea derivado tempranamente a la unidad de salud mental, y que se intervenga con esta herramienta, puede ser un recurso muy valioso, rápido y breve con unos beneficios importantes para su salud.

Introduction: Desensitization and reprocessing eye movement (EMDR) is a psychotherapeutic approach that accelerates the treatment of various diseases and phobic traumatic, especially posttraumatic stress disorder (PTSD). In dealing with traumatic grief, derived from an exceptionally impressive to the patient, can prevent the development of severe PTSD. It aims to conduct research on how early intervention and EMDR brief in a case of acute stress syndrome, reactive to grief may alleviate the characteristic symptoms of PTSD and psychological complications of grief. Allowing early development of the trauma accrues not to be pathological in the future. Material and methods: 50 year old patient diagnosed with acute stress reactive to grief that comes to mental health consultation sudden death of his partner in a violent situation and very traumatic. Method: 2 sessions of EMDR in two weeks (90 minute sessions). Instruments: Scale of severity of PTSD (Echeburúa), Scale for Depression Zung scale and state anxiety (STAI). Results: Observed significant improvement in PTSD severity scale, with a decrease in symptoms of reexperiencing, avoidance and increased arousal. It shows a slight increase in anxiety-depressive symptoms more characteristic of a grieving process normal. Conclusions: With EMDR therapy can reduce symptoms of PTSD and the prevention of pathological mourning. That the patient be referred to early mental health unit, and to intervene with this tool, you can be a resource very valuable, quick and short with significant benefits to your health.

Keywords: Pathological Grief Posttraumatic Stress Disorder Preventive Treatment PTSD Symposium

Accuracy Verified: Yes

188. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Treatment integration of traumatic memories vs. suppression of distress. Presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
This presentation will review a series of three studies that investigated the quality of traumatic memories in three subject populations, using the Traumatic Memory Inventory (TMI- van der Kolk & Fisler, 1996): 1) victims of interpersonal trauma, 2) victims of motor vehicle accidents, and 3) patients who experienced awareness during anesthesia. We then will present the results of the Memory component study from a large treatment outcome study comparing EMDR and fluoxetine for PTSD which showed that, following effective treatment with EMDR, the fragmentation of memory imprints was resolved, while treatment with fluoxetine did not alter the quality of traumatic memories, but suppressed subjective distress.

Keywords: Awareness During Anesthesia Fluoxetine Motor Vehicle Accidents Traumatic Memory Inventory

Accuracy Verified: Yes

189. Acierno, R., Tremont, G., Last, C., & Montgomery, D. (1994). Tripartite assessment of the efficacy of eye-movement desensitization in a multi-phobic patient. Journal of Anxiety Disorders, 8(3), 259-276. doi:10.1016/0887-6185(94)90007-8.

Language: English

Format: Journal

Abstract:
The relative efficacy of Eye-Movement Desensitization (EMD) and Eye-Focus Desensitization (i.e., a treatment procedure designed to control for the effects of eye movement) in treating multiple phobias was assessed along behavioral, cognitive, and physiological response channels in a single-subject, multiple-baseline design across fear areas. Continuous physiological measurements, rather than presession/post- session change scores, were employed to permit accurate, fine-grained analysis of each intervention's effects. Results indicated that EMD failed to produce clinically significant intra- and intersession improvements beyond those produced by the control procedure on all dependent measures. A second multiple-baseline design across fear areas was implemented with the same subject and employed in vivo exposure/reinforced practice in order to demonstrate the patient's potential responsiveness to treatment. This procedure produced dramatic improvement on behavioral and subjective measures, but not on physiological indices. Results from this single-case experiment did not support the effectiveness of EMD. [ScienceDirect]

Keywords: EMD Phobia

Accuracy Verified: Yes

190. Diegelmann, C., & Isermann, M. (2011, July). Trust: Activating positive emotions in patients facing cancer or death. Poster presented at the 2nd World Congress on Positive Psychology, Philadelphia PA..

Language: English

Format: Conference

Abstract:
Trust interventions focus on strengthening resilience and prevent clients from being flooded by uncontrollable ideas. They include working with imagination, metaphors, symbols and artwork and cognitions. Bilateral stimulation (BLS), an element of EMDR therapy is used for: 1) resource installation and anchoring, 2)reducing distress, 3) creating new chains of associations, 4) finding new perspectives. Trust interventions aim to: 1) bring the brain back from fear made into a a state of balance, 2) draw attention to concrete [new] experiences, 3) discover and strengthen subjective and objective resources in everyday life, 4) identify and, if required, change evaluation processes and attitudes.

Keywords: Cancer Positive Emotions Trust

Accuracy Verified: Yes

191. MacPhee, A. R., & Andrews, J. J. W. (2003, December). Twelve-year review of in vivo exposure: Treating specific phobias in children. Canadian Journal of School Psychology, 18(1/2). 183-201. doi:10.1177/082957350301800109.

Language: English

Format: Journal

Abstract:
This article reviews 15 studies using in vivo exposure to treat specific phobias in children. Six elements of research methods are considered: (a) participants clinically diagnosed; (b) subjective, behavioral, and physiological components of the fear reaction measured; (c) research design; (d) inclusion of a control group; (e) follow-up data collected; and, (f) necessity of including other treatments with in vivo exposure. The studies were obtained through a computerized search of PsycINFO and CISTI This investigation revealed that all six elements of research mc-,ethods examined inthis reieware in need ofimprovement. Suggestions for future research in this area are provided.

Keywords: Children In Vivo Phobias

Accuracy Verified: Yes

192. Wu Pei-Lu, Hsieh Hsin-Yi, Chu Pin-Cheih, & Huang Chao-Hui (2011, August). The use of EMDR to the middle-aged men in taiwan: A case study. Poster presented at the annual conference of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
The purpose of this study is to explore treatment outcomes of EMDR in Taiwan. Through in-depth understanding of clients' subjective experiences and changing courses throughout the therapeutic process, this study demonstrated how EMDR efficaciously helped clients overcome trauma and loss and regain confidence and vitality.

Keywords: Case Study Men Middle Age Poster Taiwan

Accuracy Verified: Yes

193. Kaya, F. (2010, June). The use of EMDR with professional actors. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
EMDR has been used and known to be effective in performance psychology area. Although there have been studies for performance enhancement with EMDR, specific studies regarding performance enhancement of actors are limited. In this presentation, a new study with EMDR for performance enhancement with professional actors will be proposed. 45 professional actors who were acting on stage and in front of the camera with a minimum 3 years of experience were the subjects of the current study. A survey was designed and used in order to evaluate the subjective performance level (SPL) before and after the end of the sessions. Due to the performance evaluation of the actor, two different protocols was used. The protocol for performance enhancement with EMDR was applied to 23 actors and the protocol for cracking performance blocks with EMDR was applied to 22 actors. The results of the survey suggest that both the protocols have affected the subjective performance level of the actors, and EMDR may be effective means of providing performance enhancement of professional actors. The case samples will be presented and the theoretical issues concerning the current study will be discussed.

Keywords: Professional Actors Symposium

Accuracy Verified: Yes

194. Tahir, K., Tareen, S., & Keenan, P. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in earthquake affected women: A series of cases of post traumatic stress in physically injured persons. Poster presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective Main objective is to study the therapeutic responses of EMDR on the survivors of earthquake North of Pakistan in Kashmir. This study is carried on the spinal injury patients of National Institute Rehabilitation Medicine (NIRM), which is a 160 bed hospital in Islamabad. It has a spinal injury unit which established after the earthquake in February 2006. All the female patients suffering from spinal injury earthquake were shifted here. Physically injured patients who also fulfilled the criteria of PTSD according ICD10 were offered the treatment with EMDR. Patients who consented were seen by EMDR practitioner(level 2). Sessions of EMDR as per protocol of 8 stages were carried out. The number of sessions varied according severity of illness and degree of improvement. EMDR practitioner was supervised by EMDR consultants through email and telephony. It is a part of ongoing EMDR training programme. Paper also discusses the problems while seeing patients and benefits of distance supervision. It also describe case study of 2 patients. Initially 15 patients consented for treatment. However 10 patients completed the sessions and showed improvements their symptoms. Their weeping and sleep problems settled. Their social and interpersonal functioning improved. Marked reduction is seen in level of distress. EMDR has proven to be an effective non pharmacological intervention in terms of PTSD in people suffering from co-morbid physical and psychological conditions earthquake. Data presented is only preliminary and based on a small number out of a large segment.

Keywords: Earthquake Poster Posttraumatic Stress Reprocessing

Accuracy Verified: Yes

195. Bermudez, J. S. (2002, January). The use of eye movement desensitization and reprocessing (EMDR) within a multi-modal treatment program for child victims of extrafamilial sexual abuse. Carlos Albizu University, Miami, FL. AAT 3057608.

Language: English

Format: Dissertation/Thesis

Abstract:
Sexual abuse has created multiple short and long term problems for many individuals in society today. It often occurs in childhood and the scars that are left can be permanent. Statistically, it occurs with far greater frequency than should be tolerated. However, it is frequently unreported and can be difficult to detect in a child that experiences this form of trauma. There is a significant need to help these children that have been victims of this crime. Extrafamilial sexual abuse in particular appears to occur with greater frequency than intrafamilial sexual abuse. Studies show that it has lasting effects on children. Two of the most common and consistent symptoms seen with these children are PTSD and sexualized behavior. Other symptoms that have been found with these children include: depression, anxiety, fear, and difficulty managing anger.Although there have been many program designs implemented for child sexual abuse victims, most do not properly assess the level of improvement through objective measures that show that the treatment was responsible for the observed change and not some other variable. Many different forms of treatment have been used to treat sexual abuse victims, such as different forms of traditional individual therapies, family therapy, group therapy, drama therapy, and art therapy. One innovative psychotherapeutic technique that has been used recently with these types of clients and those who have experienced other types of traumatic events is Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a relatively new form of treatment developed in 1987 by Francine Shapiro. There have been controlled research studies that have shown the efficacy of this technique. Although there are some researchers who are skeptical of the use of this technique and challenge its effectiveness, studies have nonetheless shown that it is an effective form of brief therapy with long-term effects. This proposed treatment program would be developed for children, aged 6-12 years, who have been victims of extrafamilial sexual abuse. It is designed to be short term, lasting 4 months, and EMDR will be utilized as the primary psychotherapeutic tool to assist the children in reprocessing their traumatic experience. Mental health services that would be provided include individual therapy consisting primarily of EMDR, group therapy for the child and the parents or caretakers provided separately, and family therapy that would include the parents, child, and siblings if deemed necessary. The children admitted to the program would meet criteria for a diagnosis of PTSD. They would also be given psychological measures in order to establish a baseline in terms of current symptoms such as depression and anxiety. The same measures would be administered again at the completion of treatment allowing for the measurement of any improvements. It is expected that children who complete the program would show a significant reduction or elimination of PTSD symptoms. This can be done more effectively by treating the family as a unit in dealing with such a traumatic experience. It is believed that this form of treatment would provide a valuable service to the community and further our understanding regarding the efficacy of EMDR. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(6-B), Jan 2002, pp. 3000.

Keywords: Brief Psychotherapy Child Abuse Empirical Study Family Therapy Posttraumatic Stress Disorder PTSD Rape School Age Children Survivors

Accuracy Verified: Yes

196. Scott, R. M. (2000). The use of eye movement desensitization and reprocessing in treating a public speaking anxiety/phobia for individuals of high, moderate, and low absorption ability. Saybrook Graduate School and Research Center, San Francisco, CA. AAT 3105575.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new and seemingly effective but controversial therapeutic treatment used primarily for Post-Traumatic Stress Disorder (PTSD) and related anxiety disorders such as phobias. In this study, EMDR was used to treat a public speaking anxiety or public speaking phobia. It was predicted that EMDR would be an effective treatment but that the efficacy would vary as a function of the absorption ability of the participants. 30 healthy male and female participants between the ages of 18 and 55 were categorized into 3 groups based on their being high (n = 10), moderate (n = 10), or low (n = 10) in absorption ability. Only participants who scored low on the Dissociative Experience Scale (DES) were included in the study. Participants received up to 3 sessions of EMDR and were measured on 9 different outcome variables. Significant decreases in Subjective Units of Distress Scale (SUDS) verbal ratings were found from baseline to the end of session 1 for all three groups (ps < .05); no other significant improvements were found after the first session (ps > .10). Confidence in verbal reports of positive cognitions (Validity of Cognition scale; VoC) increased equally over the course of treatment for all absorption groups. Between-group comparisons revealed no significant differences between the absorption groups at the end of treatment on their verbal reports of disturbance (SUDS) and positive cognitions (VoC) regarding past, ongoing, and future projected speaking events. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(9-B), 2004, pp. 4635.

Keywords: Anxiety Eye Movements Phobias Posttraumatic Stress Disorder PTSD Public Speaking Public Speaking Anxiety

Accuracy Verified: Yes

197. O'Malley, A. (2007, June). Using EMDR in unresolved neonatal trauma in a 13 year old and in a 7 year old whose father killed their mother. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: I am presenting the case of a 13-year-old boy who was referred because of uncontrolled rage evident in his relationship with peers in one incident he had a fellow pupil’s head under water until he was gasping for air.. He had shown little remorse towards the boy and described the incident as funny. The family had experienced a series of traumatic events. They were forced to evacuate their home when criminal gangs attempted to burn them out; his was to use the house for drug-related activity. Gang members had assaulted my patient and his mother in the street after going to the police. After meeting with the parents and brother and older sister, I had identified that on top of this recent trauma L had extreme hostility towards his mother who he described as “that woman.” My initial EMDR sessions were with L and his father. During processing of the trauma, my video will show bizarre movement including rolling his head back, hypotonic posture and behavior similar to an infant. This can be understood in relation to L’s early development. He was born at 33 weeks gestation and spends his first 6 weeks in a special care baby unit (CBU) in an incubator. My presentation will discuss the neurological consequences of early trauma and how a narrative approach using EMDR can help in recovery. This approach is based on the work of Dr. Joan Lovett. She is a California-based pediatrician who has developed a protocol for working with children who have experienced significant trauma following premature birth.
My second case is J, a 7-year-old boy who witnessed his father murder his mother approx 1 year ago. He was then held hostage by his father for 6 hours with the body of his mother lying in a pool of blood in the kitchen while the police negotiated with J’s father for his release. My first involvement with J was an in depth assessment of his emotional attachment and placement needs for the court. During this process, he developed frequent infantile rages and I advised the system of care around J on their management. At one stage, he had recurrent dreams about joining his mother in heaven and he was discovered attempting to strangle himself. I will discuss how I used the safe place protocol to alleviate his distress. I am now using EMDR directly with J. I use a variety of bilateral alternating stimuli. These include drumming, musical symbols, and a xylophone. I am able to get J to draw sequentially with each new drawing generated by J performing the “Butterfly hug.” I was inspired to use this technique after I attended a wonderful workshop facilitated by Michel Silvestre entitled “integrating family therapy and EMDR.” I hope to discuss in this presentation how EMDR can be combined with other therapeutic approached in a case of extreme trauma experienced by a 6-year-old boy who is now effectively orphaned as his father is in prison probably for the rest of his natural life. I will also allude to some of the techniques discussed by Dr. Atle Dyregrov at the 5th annual UK and Ireland conference in London in March last year. He presented in depth therapeutic work with a girl who suffered the trauma of her mother’s suicide. I will discuss some of the challenges presented by traumatic grief and how the EMDR protocol can be adapted for use in children.

Keywords: Children

Accuracy Verified: Yes

198. Friday, S. (2003). Using eye movement desensitization and reprocessing as an intervention for trauma and behavior symptom severity in attention deficit hyperactivity disorder. Capella University, Minneapolis, MN. AAT 3093820.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the intervention effects of Eye Movement Desensitization Reprocessing (EMDR) on the trauma and behavior symptom severity of 10 children, ages 8 to 11, diagnosed with Attention Deficit Hyperactive Disorder (ADHD). ADHD is a common childhood disorder with increasing prevalence rates that raise questions concerning overdiagnoses, misdiagnoses, and possible inadequate assessment of primary, comorbid, and differential diagnoses. Accurate assessments for ADHD and trauma-related attentional problems have important implications for diagnostic intervention and treatment planning. The purpose of this research was to investigate if a three-phased treatment intervention including EMDR, a therapy method proven effective in the reduction of PTSD, would show a reduction in the trauma and behavior symptom severity in children with ADHD and trauma symptoms. Evaluation of the efficacy of EMDR in the treatment of ADHD was examined using a multiple-component case study and a repeated measure design for evidence of trauma. Two of the three treatment phases were randomly adjusted from one to three sessions in length, with the intervention method, EMDR, remaining constant for a total of three sessions. Outcome measures were the Subjective Units of Disturbance Scale (SUDS), the Behavioral Assessment of Children Scales (BASC), (teacher and parent forms), and repeated assessments of trauma using the Lifetime Incidence of Traumatic Events Scales (LITE-P&S, parent and student forms), the Child and Parent Reports of Post-Traumatic Symptoms Scales (PROPS & CROPS), and the Problem Rating Scales (PRS). The results from quantitative analysis suggested that the intervention method incorporating EMDR affected a decrease in Externalizing and Internalizing behavior symptom severity and trauma symptom severity in the ADHD children that were studied. Qualitative data suggested that trauma and behavioral symptom severity decreased as a result of the intervention method incorporating EMDR. The results underscore the need for further research to distinguish between the symptom presentation of ADHD and comorbid trauma and behavioral symptoms. A continuous refining of the method of diagnosis and determination of the comorbid disorders is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(6-B), 2003, pp. 2901

Keywords: Comorbidity Disruptive Behavior Disorders Elementary School Students Posttraumatic Stress Disorder PTSD Empirical Study Quantitative Study School Age Children Stressors Treatment Effectiveness

Accuracy Verified: Yes

199. Forgash, C. A. (1997, July). Utilizing EMDR consultation in a concurrent treatment model. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
Psychotherapy treatment with sexual abuse survivors is often lengthy and complex. For therapists and patients alike, intrusive and dissociative aspects of Post Traumatic Stress symptoms in combination with self injurious behavior, mood disorders and current problems produce a variety of treatment difficulties. These range from dealing with destabilization, dissociative episodes and crisis intervention to more typical treatment impasses and resistances. These difficulties and resistances to theraputic work may involve a range of fears of exposure, violating early taboos against "telling", sequelae to revelations, and overwhelming shame and concern about rejection by the therapist. Other patient concerns are of being flooded by feelings and memories; or of dissociating in such a way as to remain "lost" to themselves. Stuck, immobilized and frozen in this state. the patient may have a sense of "pseudosafety" in the familiarity of these feelings. At the same time, as the symptoms persist with small or no reduction in levels of distress, patients may experience high levels of frustration. increased feelings of defeat, depression and anxiety. Loss of motivation and belief in the efficacy of therapy often follows. At such times, the therapist may wish to consider EMDR as an adjunctive course of treatment to resolve problems such as the above.

Keywords: Concurrent Treatment Model Consultation

Accuracy Verified: Yes

200. Kim, E., Bae, H., & Park, Y. C. (2008). Validity of the subjective units of disturbance scale in EMDR. Journal of EMDR Practice and Research, 2(1), 57-62. doi:10.1891/1933-3196.2.1.57.

Language: English

Format: Journal

Abstract:
To test the psychometric properties of the Subjective Units of Disturbance Scale (SUDS), this study analyzed the data from 61 patients treated with EMDR. The pretreatment self-reported questionnaires, the in-session records of EMDR, and the Clinical Global Impression-Change (CGI-C) scale at the termination of EMDR were reviewed. The initial score of the SUDS at the first session was significantly correlated with the patient's level of depression, the state anxiety, and distress from the impact of events. The final score of the SUDS at the first session was significantly correlated with the CGI-C score at termination. Consequently, this study confirmed that the SUDS in EMDR sessions has good psychometric properties. [Author Abstract]

Keywords: Adults Koreans Self Report Instruments Stressors Subjective Units of Disturbance SUDS Survivors Validity

Accuracy Verified: Yes

201. Kemp M., Drummond P., & McDermott B. (2010, January). A wait-list controlled pilot study of eye movement desensitization and reprocessing (EMDR) for children with post-traumatic stress disorder (PTSD) symptoms from motor vehicle accidents. Clinical Child Psychology and Psychiatry, 15(1), 5-25. doi:10.1177/1359104509339086.

Language: English

Format: Journal

Abstract:
The present study investigated the efficacy of four EMDR sessions in comparison to a six-week wait-list control condition in the treatment of 27 children (aged 6 to 12 years) suffering from persistent PTSD symptoms after a motor vehicle accident. An effect for EMDR was identified on primary outcome and process measures including the Child Post-Traumatic Stress - Reaction Index, clinician rated diagnostic criteria for PTSD, Subjective Units of Disturbance and Validity of Cognition scales. All participants initially met two or more PTSD criteria. After EMDR treatment, this decreased to 25% in the EMDR group but remained at 100% in the wait-list group. Parent ratings of their child's PTSD symptoms showed no improvement, nor did a range of non-trauma child self-report and parent-reported symptoms. Treatment gains were maintained at three and 12 month follow-up. These findings support the use of EMDR for treating symptoms of PTSD in children, although further replication and comparison studies are required.

Keywords: Childhood Controlled Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

202. O'Malley, A. (2010, March). The watch wait and wonder. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland .

Language: English

Format: Conference

Keywords: Practice Theory

Accuracy Verified: Yes

203. Hummel, H., & Matthess, H. (2005, June). What to teach beside EMDR in trauma-centered psychotherapy. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
The objective of this workshop is to encourage the participants to develop and carry out a comprehensive course for diagnostics and treatment of trauma-related disorders.
The trauma-curricula in Schaffhausen and Sinzig were created independently as training courses for psycho-traumatology. They are taken as examples to clarify basic ideas on how to organize curricular-structured seminars in the field of psycho-traumatology and trauma-therapy. The EMDR-trainings are very well established as basic for trauma confrontation therapy but "around EMDR" there is much more to teach that can only be learnt over a longer period of time.
The curricular structure as a means to teach the knowledge and skills improves the motivation of colleagues to attend the seminars. Consensus, cooperation, and mutual recognition between other institutes and international organizations in the field of psycho-traumatology committed to a general draft makes the acceptance even stronger.
There is consensus about the knowledge of anamnesis, diagnostics, treatment planning, stabilization techniques, and the working through of traumatic material. In both curricula more than one method for trauma confrontation is taught. The more tools and skills the therapist is able to use the easier it is to find the appropriate method for each client. So therapists can avoid what is meant by the proverb: "if you only have a hammer you will treat everything like a nail" (Maslow).
The first evaluation of the participants in both curricula in Schaffhausen and Sinzig will be presented including questions about relevance. satisfaction with structure and content as well as suggestions for improvement.

Keywords: Symposium Teaching

Accuracy Verified: Yes

204. Lazrove, S. (1997, January). When is 0 not equal to 0?. EMDRIA Newsletter, 2(3), 28-29.

Language: English

Format: Newsletter

Abstract:
EMDR protocols rely heavily on the SUDs and VoC as both process and outcome measures. It is my impression that these scales are much less global in assessing the patient’s mental state than generally assumed and that clinicians needs to be aware of the limitations of these ratings.

Keywords: Subjective Units of Distress SUD

Accuracy Verified: Yes

205. Mills, S. (1998). Worst case scenarios: Client fantasies during and after traumatic experiences using EMDR therapy. Trauma Response, 32.

Language: English

Format: Magazine

Abstract:
Standard EMDR (Eye Movement Desensitization and Reprocessing) technique consists of repeatedly pairing recollections of the uauma with sets of eye movements. until patients' subjective levels of distress (SUDS) are dissipated for each and every aspect of the trauma. Once major elements of the event are desensitized, minor elements which were "overshadowed" or "crowded out" by the major elements of the event may surface. It is necessary to ensure that all associations and details of the trauma are recounted and desensitized by the therapist's use of EMDR.

Keywords: Fantasies Practice Theory

Accuracy Verified: Yes

206. Besser, L. (2005, June). The “Sarajevo-EMDR-protokoll” [The "Sarajevo EMDR protocol"]. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: Dutch

Format: Conference

Abstract:
Resource-georiënteerde groep EMDR in een Trauma-en EMDR-opleiding groep van inheemse helpers, die zelf te lijden van de oorlog in Bosnië-trauma-Herzigowina. De presentatie toont een succesvolle en indrukwekkende experiment van de EMDR-groep behandeling (22 volwassen helpers) na een nieuwe installatie ontwikkeld ressource protocoll door Lutz-Ulrich Besser, EMDRIA Trainer voor EMDR met kinderen, in verband met de EMDR-trauma-expositie en "4 vierkante verf -techniek ". Het experiment is reeds uitgevoerd in het jaar 2000 als een onderzoeks-en project te helpen door Robert H. Tinker Wilson en Sandra met de oorlog getraumatiseerde kinderen uit Kosovo wonen in een vluchtelingenkamp in Duitsland. Het zal niet alleen de techniek aan te tonen met foto's en "SUC-Werten" (subjectieve eenheden van comfort), maar toont ook de processieweg zoals de zaken er van negatieve naar positieve ontwikkeling in beelden, cognities, emoties en lichamelijke gevoelens. De "Sarajevo-Protocoll" en dat de mogelijkheid van EMDR behandeling in groepen zal zeer binnenkort het voorwerp uitmaken van een wetenschappelijke studie, georganiseerd door de ZPTN (Zentrum für Psychotraumatologie und Traumatherapie Niedersachsen), LMU München / Kinderklinik im Dr von Haunerschen Kinderspital en de stichting "Wings of Hope" Deutschland.

Resource oriented group-EMDR in a Trauma- and EMDR-Training group of native helpers who suffered themselves from war-trauma in Bosnia-Herzigowina. The presentation shows a successful and impressive experiment of EMDR group treatment (22 adult helpers) after a new developed ressource installation protocoll by Lutz-Ulrich Besser, EMDRIA Trainer for EMDR with children, in connection with EMDR-Trauma-Exposition and “4 square paint-technique”. The experiment has already been carried out in the year 2000 as a research- and help project by Robert H. Tinker and Sandra Wilson with war traumatised children from Kosovo living in a refugee camp in Germany. It will not only demonstrate the technique with pictures and “SUC-Werten”(subjective units of comfort) but also show the processional way as things develop from negative to positive in pictures, cognitions, emotions and physical feelings. The “Sarajevo-Protocoll” and with that the possibility of EMDR treatment in groups will be very shortly the subject of a scientific study organised by the ZPTN (Zentrum für Psychotraumatologie und Traumatherapie Niedersachsen), LMU München / Kinderklinik im Dr. von Haunerschen Kinderspital and the foundation “Wings of Hope” Deutschland.

Keywords: Protocol Sarajevo

Accuracy Verified: Yes