Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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1. Qian Ge (2009). 汶川震后心理危机的早期干预:文献综述与评价 [Early mental crisis intervention to post-disaster in Wenchuan Earthquake: Literature review and evaluation]. 兰州学刊 2009年第03期.

Language: Chinese

Format: Journal

Abstract:
四）眼动脱敏再加工技术（Eye Movement Desensitizationand Reprocessing，EMDR）EMDR是一种可以在短短数次晤谈之后，便可在不用药物的情形下，有效减轻心理创伤程度及重建希望和信心的治疗方法。其治疗程序包括了八个阶段，具体见表4：表4眼动脱敏再加工技

(Fourthly, EMDR is a treatment which can effectively alleviate the psychological trauma and rebuild hope and confidence after a short period of time for treatment without medication. The treatment procedure includes eight stages, which are shown in details in the table.)

Keywords: Crisis Intervention Literature Review: Wenchuan Earthquake

Accuracy Verified: Yes

2. シャピロ、フランシーヌ [Shapiro, Francine]. (2004). 眼球運動脱感作と再処理：基本的な考え方、プロトコル、および手順 [Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures]. 大阪：Niheisha [Ōsaka: Niheisha].

Language: Japanese

Format: Book

Abstract:
"この雑誌は、この本の初版（1996年世＃4頁99〜100）の主要な貢献として賞賛した。この新しい版は大幅に拡大され、更新された、反対の一部の研究者は、EMDRしなければならなかったことは多くを解決。結果は恐怖症の治療に有用な補助ステップバイステップの歴史的、理論的、実用的な導入され、心的外傷後ストレス障害を投稿してください。"-初版臨床老年学者称賛、"この実用的な本が重要であるの決定的なプレゼンテーションとしてEMDR法....臨床医は、その詳細な説明をお迎えいたします....いくつかの事例や五注釈転写物はきれいにし、メソッドの機微を示していますセラピストのクライアントは、ロールを中心に"-現代心理学は"書き込みは一般的には明らかである具体的な手順とサンプルのフレーズを説明するために典型的なケースのイラストでバランスのガイドラインは....利点の説明は特別な注意が、可能性のある副作用の説明で全体のバランスが期待されるセラピストによって使用されるように、困難な集団が発生したと手続きバリエーションは必要ありません。"- プライベート実践心理の"非常に数年間で、EMDRも進められている数多くの追加のアプリケーションとの（心的外傷後ストレス障害のための最も広く研究治療に奇妙な音新技術から成長してきた)....数最近のではなく、説得力のある研究が正当かつ強力な治療法としてEMDR確立している"-専門心理学-レビュー

"This journal praised the first edition of this book (1996 XVI #4, pp. 99-100) as a major contribution. This new edition is greatly expanded and updated, addressing many of the objections that some researchers have had to EMDR. The result is a step-by-step historical, theoretical, practical introduction to a useful adjunct for the treatment of phobia and post traumatic stress disorder."--Clinical Gerontologist PRAISE FOR THE FIRST EDITION "This pragmatic book is important as the definitive presentation of the EMDR method....Clinicians will welcome its detailed explanation....Several case examples and five annotated transcripts nicely illustrate subtleties in the method and the therapist's client-centered role."--Contemporary Psychology "The writing is clear with general guidelines balanced by exemplary case illustrations to illustrate specific procedures and sample phrases to be used by the therapist....The description of the benefits to be expected is balanced throughout by descriptions of the special precautions, possible side effects, difficult populations encountered and procedural variations needed."--Psychotherapy in Private Practice "In a very few years, EMDR has grown from a bizarre sounding new technique to the most extensively researched treatment for PTSD (with numerous additional applications also being pursued)....A number of recent, rather convincing studies have established EMDR as a legitimate and powerful treatment."--Professional Psychology -- Review

Keywords: Practice Theory

Accuracy Verified: Yes

3. スペイツ C.リチャードコッチエレン I. [Spates, C. R., and Koch, E. I.] (2003). 眼球運動脱感作と再処理(Reprocessing)から表出(Exposure)セラピーまで : 共通するメカニズムへの証拠に対する再考と概観 [From eye movement desensitization and reprocessing to exposure therapy: A review of the evidence for shared mechanisms]. 行动分析学研究18（2）、62から76 [Japanese Journal of Behavior Analysis, 18(2), 62-76].

Language: Japanese

Format: Journal

Abstract:
心的外傷後ストレス障害は、（心的外傷後ストレス障害）のすべての文化と生涯を通じて人々に影響を与える条件である。診断実践心的外傷後ストレス障害の導入以来、多くの研究は、疫学、病態生理、心理的、生理的メカニズムだけでなく、その治療に対処しています。障害の行動製剤は、分野の研究をリードの間に浸透して、効果的な治療につながるなど、暴露療法するヒューリスティックを証明されています。眼球運動脱感作は、サービス（EMD/ R）の再処理は、この定式化から出発すると主張している最近開発された介入は、その有効性の実証的な支持を受けています。本記事では、眼球運動脱感作と再処理の行動策定を支持する証拠をレビューし、それが暴露療法と行動の一般的なメカニズムを共有していることを示唆している。以上の研究関心は心的外傷後ストレス障害より寛容と、クライアントと実務に受け入れられるのレンダリング露出ベースの治療法の検討方法に与えられるべきである。

Posttraumatic stress disorder (PTSD) is a condition that affects people in all cultures and throughout the lifespan. Since the introduction of posttraumatic stress disorder into diagnostic practice, a great deal of research has addressed its epidemiology, pathophysiology, and psychological and physiological mechanisms, as well as its treatment. A behavioral formulation of the disorder has prevailed among leading researchers in the field, and has proved heuristic in leading to efficacious treatments, e.g., exposure therapy. Eye movement desensitization and reprocessing (EMD/R), a recently developed intervention that claims to be a departure from this formulation, has received empirical support for its efficacy. The present article reviews the evidence supporting a behavioral formulation of eye movement desensitization and reprocessing, and suggests that it shares common mechanisms of action with exposure therapy. Greater research attention should be given to examining ways of rendering exposure-based therapies for posttraumatic stress disorder more tolerant and acceptable to clients and practitioners. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

4. Shapiro, F. (2009, August). A 20 year update of EMDR clinical applications: What is the depth and scope of treatment?. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
In 1989, the seminal randomized controlled study on EMD appeared in the Journal of Traumatic Stress. However, by the time the first trainings began in the US in 1990, the principles now known as the Adaptive Information Processing model were guiding the development of the procedures and protocols, which in 1991, were officially renamed EMDR. All participants in these early trainings and in the years following were introduced to the hypothesis that most pathology emerges from unprocessed memories of earlier life experiences (AKA “small t trauma”) and that targeting and processing these experiences could provide the basis of efficient and effective treatment outcomes. These predictions have been supported in the widespread use of EMDR. Consequently, we have much to learn from examining these treatment effects, starting with the first published report in 1991 of the elimination of a delusional state, through the myriad applications that have been reported to date. This presentation will review a variety of these clinical reports and explore their implications for current and future EMDR practice.

Keywords: Plenary

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Adoption Neglect Preverbal Trauma

Accuracy Verified: Yes

6. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.

Keywords: Model Poster Preverbal Trauma Theory

Accuracy Verified: Yes

7. Bjick, S. (2001, January-April). Accessing the power in the patient with hypnosis and EMDR, Eye movement desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 203-216. doi:10.1080/00029157.2001.10404277.

Language: English

Format: Journal

Abstract:
Both Ernest Rossi's ideodynamic accessing model of hypnosis and EMDR are intended to access information stored in the mind-body system. In this paper the author is suggesting that treatment effectiveness can be enhanced by combining these particular models. The similarities and the uniqueness of each method, both theoretically and in terms of the different protocols, are compared to provide a rationale for combining them. Verbatim examples from clinical cases are presented to demonstrate exactly how these models can be usefully combined in clinical practice. [Author Abstract]

Keywords: Hypnotherapy Review Treatment Effectiveness

Accuracy Verified: Yes

8. Dunne, T., & Farrell, D. (2009, March). Accredited, brand-named psychotherapies and the standard of evidence: A reply to Davidson. Clinical Psychology Forum, 195, 3-4.

Language: English

Format: Journal

Abstract:
Prof Davidson also trots out that old chestnut of McNally’s (1996 a & b) regarding EMDR to wit: “What is new is not effective and what is effective is not new”. This has been effectively rebutted by Perkins & Rouanzoin (2002) who convincingly, even for the most rabid of sceptics, demonstrated that McNally, in dismissing EMDR as just another variant of systematic desensitisation, failed to notice that, unlike EMDR, systematic desensitisation is not particularly helpful in the treatment of PTSD. Perkins & Rouanzoin also showed how McNally misreported data to support his contentions regarding EMDR whiles simultaneously excluding or ignoring Van Etten & Taylor’s (1998) meta-analysis. Van Etten & Taylor concluded that EMDR is not simply a variant of imaginal exposure, a conclusion which contradicts McNally’s argument but is omitted by him. [Excerpt]

Keywords: Letter Standard of Evidence

Accuracy Verified: Yes

9. Carbonell, J. L. (2008). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Traumatic incident reduction: Research and results (2nd ed.) (pp. 65-73). Ann Arbor, Michigan: Loving Healing Press.

Language: English

Format: Book Section

Abstract:
In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This methodology guides the examination but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated, and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Text, p. 65] [Pilot]

Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

10. Carbonell, J. (2005). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Beyond trauma: Conservations in trauma incident reduction (2nd ed.) (pp. 116-124). Ann Arbor, Michigan: Loving Healing Press .

Language: English

Format: Book Section

Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

11. Bergmann, U. (2011, August). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
What exactly happens on a neuroendocrine level in acute, chronic and complex PTSD? Is there a relationship between this unusual neuroendocrine profile and a number of medical disorders of unknown origin which, often, do not respond to traditional symptomatic medical treatment? This seminar will review and examine the results of extensive neuroendocrine research relative to these trauma-induced disorders. The data from these research bases will be integrated with neuroendocrine research findings regarding autoimmune compromises associated with chronic trauma. Anomalous conditions, such as Fibromyalgia, Chronic Fatigue Syndrome, Reflex Sympathetic Dystrophy (RSD), Systemic Lupus Erythematosis, Hashimoto’s Thyroiditis, Sjogren’s Syndrome, and Rheumatoid Arthritis will be examined. This presentation will illustrate the neuroendocrine and causal relationship between the various forms of PTSD and these medical disorders. Accordingly, the implications for treatment will be examined.

Keywords: Acute PTSD Chronic PTSD Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Medically-Unexplained Sysmptoms Neuroendocrinology

Accuracy Verified: Yes

12. Bergmann, U. (2012, October). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Keywords: Acute PTSD Chronic PTSD Complex PTSD Medically Unexplained Symptoms Neuroendocrinology

Accuracy Verified: Yes

13. Spierings, J. J. (2005, June). Adapting EMDR to work effectively with clients from other cultures. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Intercultural competence is the ability to expand your EMDR skills to other cultures. It has both an attitude aspect and a technical aspect : a different style of relating and communicating with your client, and different things to ask and explore.
This workshop offers a systematic way to understand this type of differences, it offers also very practical do's and don'ts, and tips and tricks to overcome difficulties.
The participants will learn intercultural competence in the development of resources and the building up of affect tolerance, making use of the healing rituals, objects and symbols of their clients own culture.

Keywords: Culture

Accuracy Verified: Yes

14. Schubert, S., & Lee, C. W. (2009). Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 3(3), 117-132. doi:10.1891/1933-3196.3.3.117.

Language: English

Format: Journal

Abstract:
This article provides an overview of selective issues relating to adult posttraumatic stress disorder (PTSD) and its treatment with eye movement desensitization and reprocessing (EMDR). The article begins by providing a historical overview of PTSD, and debates about the etiology and definition of PTSD are discussed. The most predominant theories of PTSD are summarized by highlighting how they have evolved from traditional behavioral accounts based on the assumption that PTSD is an anxiety disorder to theories that now incorporate information-processing models. This article then examines the development of EMDR and the corresponding body of research that clearly demonstrates its efficacy for the treatment for adult PTSD. The underlying mechanisms of EMDR are discussed, with a focus on the importance of the eye movement component and how the therapeutic processes in EMDR differ from those of traditional exposure therapy. Finally, the adaptive information-processing (AIP) model that underlies EMDR is outlined, and evidence for the model is summarized. The article concludes by suggesting future research based on questions raised about PTSD and its treatment with EMDR when the AIP model is compared to other information-based theories of PTSD.

Keywords: Adult Mechanism of Action Review Posttraumatic Stress Disorder PTSD Theory

Accuracy Verified: Yes

15. Giannantonio, M., Guzzi, R., Fernandez, I., & Ziveri, D. (2003, May). Advances in EMDR research – Qualitative analysis of EMDR – Efficacy for PTSD. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
Research on the efficacy of EMDR as a treatment for PTSD has concentrated its focus mostly on the measurement of quantitative variables. This approach facilitates the application of effective procedures of statistical analysis and the comparison of EMDR efficacy with other treatments. Conversely, important information is not reported like the different levels of efficacy in relation to individual characteristics. During this presentation, through the thorough discussion of 3 experimental cases treated with EMDR, we will review how different analysis tools (clinical interviews, biofeedback measures, tests, self-report, etc.) show evidence of different features of EMDR efficacy. The positive results achieved with EMDR treatment with these three subjects will be compared through biofeedback measures and self-administered tests.

Keywords: Efficacy Qualitative Analysis

Accuracy Verified: Yes

16. Colelli, G. (2003, September). After the World Trade Center disaster – Use of EMDR recent events protocol. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
The Recent Events Protocol was used extensively in the treatment of World Trade Center survivors, first responders and recovery workers. In this workshop we will review the Recent Events Protocol and discuss the utilization in treating Post Traumatic Stress Disorder (PTSD). The workshop will describe when it is appropriate to modify the Recent Events Protocol. Clinical examples for civilian and non-civilian personnel will be presented. Specific techniques will be described on how to reprocess PTSD symptoms in 5 sessions or less even when the client has significant previous traumatic memories. The contrast in using the protocol for PTSD symptoms as compared to grief will be discussed.

Keywords: 9/11 Recent Events September 11th World Trade Center WTC

Accuracy Verified: Yes

17. Seidler, G. H. (2002). Aktuelle therapieansätze in der psychotraumatologie [Psychotraumatology: Recent therapy approaches]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 48(1), 6-27.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Heutige Therapieansätze in der Psychotraumatologie Zentrum rund um das Problem der effektiven Zugang zu spezifischen Trauma-Symptome: Einbrüche; affektive Abstumpfung und Vermeidungsverhalten, Übererregung. Unter seinem Lager aus dem deutschen und amerikanischen Leitlinien PTSD-Therapie, skizziert der Artikel die wichtigsten Therapiemethoden und bewertet sie im Hinblick auf die relevanten Qualitätskriterien. EMDR, kognitiv-behavioralen Ansätzen, modifizierte psychodynamische Methoden und Trauma-adaptierten stationären Psychotherapie können so lange empfohlen werden, da sie in Verbindung mit stabilisierenden Elemente-Therapie eingesetzt werden. Normalerweise sind weitere therapeutische Interventionen auch notwendig, Zeichnung auf traditionelle Methoden für die Integration des Traumas in den Patienten-Biographie. [Abstract Autor]

Present-day therapy approaches in psychotraumatology center around the problem of effective access to specific trauma symptoms: intrusions; affective blunting and avoidance behaviors; hyperarousal. Taking its bearings from the German and American PTSD therapy guidelines, the article outlines the most important therapy methods and assesses them in terms of relevant quality criteria. EMDR, cognitive/behavioral approaches, modified psychodynamic methods, and trauma-adapted inpatient psychotherapy can be recommended as long as they are used in conjunction with stabilizing therapy elements. Normally, further therapeutic interventions are also necessary, drawing on traditional methods for integrating the trauma into the patient's biography. [Author Abstract]

Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Review Stressors Survivors

Accuracy Verified: Yes

18. Sinici, F., Erden, H. G., & Yurttas, Y. (2009, October). Akut stres bozuklu¤unda bir müdahale tekni¤inin uygulanabilirli¤i: Göz hareketleri ile duyars›zlaflt›rma ve yeniden ‹flleme (EMDR) [Applicability of an intervention technique in acute stress disorder: Eye movement desensitization and reprocessing (EMDR)]. Yeni Symposium Journal, 47(4), 178-186.

Language: Turkish

Format: Journal

Abstract:
Akut stres bozukluğu, Türkiye'de giderek artan ve kişinin hayat kalitesini oldukça bozabilen bir sorundur. Bu konuyla ilgili olarak yapılan çalışmalarda hangi tedavi şeklinin daha yararlı olduğu konusunda kesin bir karara varılamamıştır. Göz Hareketleri ile Duyarsızlaştırma ve Yeniden İşleme [Eye Movement Desensitization and Reprocessing: EMDR] tekniği, travmatik anıların birkaç uygulama oturumunda çözümlenebileceğini ifâde eden bir yaklaşımdır. EMDR oturumlarında hastadan yaşadığı bir travma sahnesi hayâl etmesini, olumsuz benlik imajı, travma ile ilgili olumsuz duyguları ve beden duyumlarını aklında tutması istenmektedir. Hastaya çift taraflı uyarı verilmektedir [gözün sağa sola hareketi, sağ ve sol kulağa verilen ses veya sağ ve sol ele verilen titreşim vb.]. Daha sonra danışana ortaya çıkan görüntü, duygu ve fiziksel duyumları anlatmaktadır. Bu tekrarlanan işlemler hastadaki olumsuz düşünce ve duygular duyarsızlaşıncaya kadar devam etmektedir. Olumsuz duygu ve düşüncelerin yerini olumlu duygu ve düşünceler almaktadır. Bu çalışmanın amacı hastaların hayat kalitelerini bozan ve travma sonrasındaki ilk 4 hafta içinde aşırı korku, çaresizlik veya duygusal tepkisizlikle beraber, diğer belirtilerin de görülebildiği akut stres bozukluğunun tedavisinde yeni bir yöntem olan ve 2 yıldır aktif olarak uyguladığımız göz hareketleri ile duyarsızlaştırma ve yeniden işleme [EMDR] tekniği konusunda yazılmış literatür bilgilerini gözden geçirerek bu konuda son yaklaşımların ortaya konulmasını sağlamaktır. Bununla birlikte EMDR tekniğinin yaygınlaştırılarak faâl olarak kullanılması hem hastalar hem de uygulayıcılar açısından büyük yararlar sağlayacağı düşünülmektedir.

Acute stress disorder is a syndrome that significantly disturbs the quality of life and has been increasingly observed in Turkey. Although there are many studies on this subject, there is no consensus about the best treatment choice. Eye Movements Desensitization and Reprocessing [EMDR] technique is a novel approach that helps to resolve traumatic memories in a few sessions. In EMDR sessions, patients are asked to think about the trauma scene that has occurred and keep the negative self image and negative feelings about the trauma and bodily feelings in mind. Bilateral stimulation is presented to the patient [right and left movement of the eye, sound to right and left ear and vibration to right and left hand etc]. Later arising images express the feelings and physical sensations. This procedure is repeated until desensitization to negative thought and feelings are achieved. Negative thought and feelings are replaced by positive thought and feelings. Purpose of this study is to review the studies in literature and describe the up-to-date approaches about EMDR technique which is a novel method in treatment of acute stress disorder that disturbs patient quality of life and presents with excessive fear, desperation, emotional desensitization and other symptoms within 4 weeks following the trauma and we have been using this treatment method frequently for more then 2 years. Nevertheless widespread and effective use of EMDR will provide considerable benefit for both patients and the performers.

Keywords: Acute Stress Disorder ASD: Behavior Therapy Emotional Disorder Eye Movement Fear Human Memory Disorder Psychologic Assessment Quality of Life Review Stimulation

Accuracy Verified: Yes

19. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).

Language: English

Format: Publication

Abstract:
Findings by SBU Alert, Version: 1,
METHOD AND TARGET GROUP: EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS: Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS: There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE: There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months. Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions. *This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject. This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES: 1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33. 2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press. 3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000. 4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57. 5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999. 6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27. 7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996. 8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239. 9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44. 10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995. 11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623. 12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press. 13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999. 14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33. 15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113. 16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144. 17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056. 18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils. The complete report is available in Swedish only.

Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD

Accuracy Verified: Yes

20. Rogers, S. (1998). An alternative interpretation of “intensive” PTSD treatment failures. Journal of Traumatic Stress, 11(4), 769-775. doi:10.1023/A:1024401601800.

Language: English

Format: Journal

Abstract:
An evaluation of program failures in the treatment of combat-related posttraumatic stress disorder has led some reviewers to conclude that the focus of treatment should be shifted away from combat trauma and directed toward other problems. A more detailed examination of these programs reveals that they rarely involve the systematic use of the most soundly-validated PTSD treatment, trauma-focused therapy.

Keywords: Exposure Outcome Treatment Program

Accuracy Verified: Yes

21. Oglesby, C. (1995). Alternative strategies for dealing with trauma and trauma in sport. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology (AAASP), New Orleans, LA.

Language: English

Format: Conference

Abstract:
Building upon the theory and research of Wolpe's Systematic Desensitization, a new approach has been developed for reintegrating trawmrtic events and holds promise for work with athletes at a variety of skill levels. Eye Movement Desensitization Reprocessing (EMDR) is a brief intervention which enhances the individual's own in order to become perceived as insunnountable obstacles to the athlete's progress. This presentation will provide a brief overview of Shapiro's EMDR approach and describe the technique in genera1 terms. Qualification necessary to use the approach will be described as well as ways to network with EMDR-trained professionals. Two case studies of the use of this technique with athletes will be presented.

Keywords: Sports Trauma

Accuracy Verified: Yes

22. Mestanza, R. (2007). Aplicación de terapia cognitivo conductual individual, grupal y EMDR, en adolescentes de 11 a 13 anos con altos nivelesde ansiedad del 8º ano de educación básica de la red educativia Helena Cortes Bedoya, en la ciudad de Quito, ano lectivo 2006-2007 [Application of individual and group cognitive behavioral EMDR therapy to 11 to 13 year old adolescents with high levels of anxiety in the 8th year of the Helena Cortes Bedoya educational network, City of Quito School Year 2006-2007]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El presente trabajo de investigación tuvo como objetivo general, verificar si la Terapia Cognitivo-Conductual individual, grupal y EMDR disminuyen la ansiedad en adolescentes de 11 a 13 años del 8º año de Educación Básica de la Red Educativa Helena Cortes Bedoya, Sector Carapungo de la ciudad de Quito, en el año lectivo 2006-2007. Se tomó como referencia que la Terapia Cognitivo-Conductual , es el conjunto de técnicas terapéuticas que han resultado del empleo sistemático del método experimental en la Psicología y demás disciplinas afines, empleados con el propósito de modificar pensamientos y conductas desadaptativas . En tanto que EMDR consiste en la Desensibilización y Reprocesamiento por medio del Movimiento Ocular u otras estimulaciones bi-hemisféricas especialmente para trabajar sobre recuerdos traumáticos. La investigación a realizarse fue de tipo explicativo con diseño cuasi- experimental con un grupo de sujetos estimado del 30 al 50 % del total de la población de adolescentes evaluados con el test ISRA-J. Con ISRAJ (Inventario de Situaciones y Respuestas de Ansiedad – Jóvenes ) se evaluó a 70 estudiantes de 8º Año de Educación Básica obteniendo 14 con alto nivel de ansiedad, a los cuales se les invitó a participar en el taller “ Jóvenes en Aprendizaje” durante 12 sesiones. Al grupo se realizó la evaluación pre y post tratamiento, para verificar si la Terapia Cognitivo Conductual individual y en grupo + EMDR, son efectivos para bajar niveles de ansiedad y considerando el género saber que grupo fue beneficiado en mayor medida. Verificada su efectividad, el programa anteriormente señalado, se aplicará para bajar niveles de ansiedad a todos los adolescentes que luego de ser evaluados con el test ISRAJ obtenga un puntaje directo de 51 a 75, con indicación de tratamiento necesario y de 76 a 100 con necesidad de terapia urgente.

The present research aimed generally verify whether cognitive behavioral therapy individual, group and EMDR decrease anxiety in adolescents 11 to 13 years of Grade 8 Basic Education Educational Network Helena Cortes Bedoya, Sector Carapungo of Quito, in the academic year 2006-2007. The reference used was that cognitive behavioral therapy, is the set of therapeutic techniques that have resulted from the systematic use of the experimental method in psychology and other disciplines, employees with the aim of changing maladaptive thoughts and behaviors. While EMDR is Desensitization and Reprocessing Eye Movement or other bi-hemispheric stimulation specifically to work on traumatic memories. The research was carried out explanatory type quasi-experimental design with a group of subjects estimated 30 to 50% of the total population of adolescents assessed with the ISRA-J test. With ISRAJ (Inventory of Situations and Responses of Anxiety - Young) was assessed 70 students from Year 8 Basic Education getting 14 with high anxiety, to which were invited to participate in the workshop "Young People in Learning" for 12 sessions. The group evaluation was performed before and after treatment, to verify if the individual and Cognitive Behavioral Therapy + EMDR group, are effective in lowering anxiety levels and considering the genre know that group was benefited most. Verified its effectiveness, the program noted above will apply to lower levels of anxiety to all adolescents be evaluated after the test will score ISRAJ live 51 to 75, indicating the necessary treatment and from 76 to 100 with need Urgent therapy.

Keywords: Adolescents Helena Cortes Bedoya Educational Network Group Behavioral Therapy Quito

Accuracy Verified: Yes

23. 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

24. Callipo, N. (2007-2008). Applicazioni del pensiero controfattuale negli esiti post-traumatici [Applications of counterfactual thinking in post-traumatic events]. Università degli Studi di Trieste, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract:
Applicazione del pensiero controfattuale negli esiti post-traumatici 1. Introduzione. Il pensiero controfattuale è un processo che esprime la capacità di riflettere e modificare gli scenari di situazioni da cui sarebbero potuti conseguire esiti differenti dalla realtà. Nella quotidianità è comune che un sentimento di rammarico – il regret - venga provato a seguito di una discrepanza tra i risultati attesi e la realtà. La ricerca e l’esperienza condivisa dicono che, rilevare le differenze tra ciò che avremmo voluto e ciò che abbiamo ottenuto, ci aiuta a pianificare azioni più efficaci nel futuro. Tuttavia, in condizioni di elevato stress, come quello provato dopo un evento indesiderato e traumatico, possono fare irruzione nella coscienza pensieri nella forma “Se solo non fossi stato così…”, oppure “Se solo non avessi fatto” o “Se avessi fatto qualcosa per evitare tutto ciò”; nel tentativo di annullare (undoing) idealmente le conseguenze dell’accaduto. Questi pensieri controfattuali possono sortire l’effetto di amplificare emozioni e sentimenti come il biasimo, la rabbia, la vergogna e il senso di colpa. L’attitudine alla generazione automatica, indiscriminata e non finalizzata all’azione, di domande e affermazioni ricorsive, può condensarsi in un particolare stile di pensiero – la ruminazione – che sottende sensazioni di disagio diffuse e invalidanti, come gli stati depressivi, ansiosi ed ossessivi. La prima parte di questo lavoro è occupato da una rassegna sulle ricerche che, inizialmente, pongono il pensiero controfattuale nel quadro delle più generali abilità di problem-solving; successivamente, la prospettiva funzionale, riesce a farne risaltare il versante adattivo, rilevante ai fini della regolazione degli stati affettivi e, più in generale, del mantenimento della salute mentale. Nella seconda parte viene discusso il ruolo del pensiero controfattuale, in relazione al suo versante disfunzionale , con particolare riguardo agli esiti post-traumatici. Nella terza parte vengono analizzati i modelli di elaborazione delle informazioni che riconoscono un ruolo al pensiero controfattuale nella regolazione dell’umore, citando alcuni paradigmi psicoterapeutici, tra cui l’Eye Movement Desensitization and Reprocessing (EMDR), ideato da Francine Shapiro. Per verificare l’applicazione del pensiero controfattuale nel trattamento degli esiti post-traumatici sono stati riportati due esempi: uno tratto dalla letteratura sull’EMDR e un caso di disturbo ansioso-depressivo, in trattamento con psicoterapia a orientamento cognitivo.

Application of counterfactual thinking in a post-traumatic results. Introduction. The counterfactual thinking is a process that expresses the ability to reflect and change scenarios of situations that could have been large gains different from reality. In everyday life it is common that a feeling of regret - the regret - should be tried as a result of a discrepancy between expected results and reality. The research says that shared experience, point out the differences between what we wanted and what we have achieved, helps us to plan more effective actions in the future. However, under conditions of high stress, such as that experienced after a traumatic event and unwanted, they can break into the conscious thoughts in the form "If only I had not been so ..." or "If only I had not done" or "If I had done something to avoid anything "in an attempt to cancel (undoing) the ideal of what the consequences. These counterfactual thoughts may have the effect of amplifying emotions and feelings such as blame, anger, shame and guilt. The ability to generate automatic, indiscriminate and not action-oriented questions and statements recursive, it can condense into a particular style of thinking - rumination - that underlies feelings of discomfort common and disabling, such as depression, anxiety and obsessive . The first part of this work is occupied by a review of the research that initially pose the counterfactual thinking in the context of more general skills of problem-solving, since then the functional perspective, can bring out the side adaptive, relevant to the regulation of affective states and, more generally, of maintaining mental health. The second part discussed the role of counterfactual thinking, in relation to its dysfunctional side, especially with regard to post-traumatic results. In the third part analyzes the patterns of information processing that recognize a role in regulating mood counterfactual thinking, citing some psychotherapeutic paradigms, including eye movement desensitization and reprocessing (EMDR), developed by Francine Shapiro. To test the application of counterfactual thinking in the treatment of post-traumatic results were two examples: one taken from the literature on EMDR and a case of anxiety-depressive disorder, treatment with cognitive-oriented psychotherapy.

Keywords: Counterfactual Thinking Informational Processing

Accuracy Verified: Yes

25. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.

Language: English

Format: Other

Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages. Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light. This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level. The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks. The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.

Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors

Accuracy Verified: Yes

26. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163. doi:10.1037/0735-7028.28.2.153 .

Language: English

Format: Journal

Abstract:
The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]

Keywords: Literature Review Methodology Professional Criticism Posttraumatic Stress Disorder PTSD Research Needs Treatment Effectiveness

Accuracy Verified: Yes

27. Scurfield, R. M., & Wilson, J. P. (2003, April). Ask not for whom the bell tolls: Controversy in post–traumatic stress disorder treatment outcome findings for war veterans. Trauma, Violence, and Abuse, 4(2), 112-126. doi:10.1177/1524838002250763 .

Language: English

Format: Journal

Abstract:
This article reviews and analyzes two national studies of the efficacy of treatment for war veterans suffering from post–traumatic stress disorder (PTSD). Acareful analysis of the studies conducted by the Department of Veterans Affairs (DVA) Northeast Program Evaluation Center (NEPEC) reveals conceptual, methodological, and design flaws in the research, which reports minimal treatment efficacy for PTSD. Based on this limited, if not biased, data, the results were used for policy purposes to dismantle inpatient PTSD hospital units and trauma-focus treatments. Acritique is offered as a review to suggest how future studies might be conducted, designed, and evaluated, including the need for independent, “outside” peer reviews inasmuch as the issue of treatment outcomes generalizes to many nonmilitary populations.[Sagepub]

Keywords: DVA Outcome Policy PTSD Research Therapy Treatment Vietnam Veterans

Accuracy Verified: Yes

28. O’Rawe, B. (2005, June). Assessing dissociation in the visually impaired. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This case discussion focuses on a traumatically blinded man. Treatment involved stabilisation using ego-state work with bilateral stimulation, followed by trauma processing work using EMDR. The aim of this paper is to assess his response to this approach, and to review the suitability of standard diagnostic tools used in screening: in porticular the applicability of Dissociation Scales -The Dissociative Experience Scale (DES) and The Dissociative Disorders Interview Schedule (DDIS], in people suffering from blindness

Keywords: Dissociation Poster Visual Impairment

Accuracy Verified: Yes

29. O'Rawe, B. (2005, June). Assessing dissociation in the visually impaired. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This case discussion focuses on a traumatically blinded man. Treatment involved stabilisation using ego-state work with bilateral stimulation, followed by trauma precessing using EMDR. The aim of this paper is to assess his response to this approach, and to review the stability of standard diagnostic tools used in screening; in particluar the applicability of Dissociation Scales - The Dissociative Experience Scale (DES) and the Dissociative Disorders Interview Schedule (DDIS), in people suffering from blindness.

Keywords: Dissociation Visually Impaired

Accuracy Verified: Yes

30. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
While most research on PTSD has studied subjects exposed to single trauma, in clinical practice the vast majority of treatment seeking patients have histories of multiple traumas, usually interpersonal, abuse. This gives rise to complex clinical pictures, of which PTSD is just one dimension. The Trauma Center in Boston is a large, multidisciplinary, developmentally focused Clinic which specializes in the treatment of traumatized children and adults. Our clinic uses a developmentally based assessment tool which helps in the staging of appropriate treatment interventions. Special emphasis is placed on providing patients with skills to deal with complex trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource installation, SIT, and body-oriented methods, in which patients are taught skills to increase their internal locus of control. We will review the rationale for various psychopharmacological interventions and the role of groups to enhance the capacity for mutual relationships. All treatment occurs on the foundation of continuity of care with one individual therapist who follows the patient’s progress,explores life issues, helps deal with re-enactment behaviors, and does trauma-specific treatment, such as EMDR or CBT for alleviation of trauma-specific symptoms. This conference will explore these issues in depth and discuss in detail the staging and applications of various treatment techniques in clinical practice.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD

Accuracy Verified: Yes

31. Gros, D. F., & Antony, M. (2006, August). The assessment and treatment of specific phobias: A review. Current Psychiatry Reports, 8(4), 298-303.

Language: English

Format: Journal

Abstract:
Specific phobia is one of the most common and easily treated mental disorders. In this review, empirically supported assessment and treatment procedures for specific phobia are discussed. Exposure-based treatments in particular are highlighted given their demonstrated effectiveness for this condition. The format and characteristics of exposure-based treatment and predictors of treatment response are outlined to provide recommendations for maximizing outcome. In addition, several other treatments for specific phobia are reviewed and critiqued, including cognitive therapy, virtual reality, eye movement desensitization and reprocessing, applied tension, and pharmacologic treatments. The review concludes with a discussion of future directions for research.

Keywords: Phobias

Accuracy Verified: Yes

32. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648. doi:10.1080/00048670701449161.

Language: English

Format: Journal

Abstract:
Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]

Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment

Accuracy Verified: Yes

33. Australian Centre for Posttraumatic Mental Health (2007, February). Australian Guidelines for the treatment of Adults with Acute Stress disorder and posttraumatic stress disorder. Melbourne, Victoria: ACPMH.

Language: English

Format: Other

Abstract:
The Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]

Keywords: Treatment Guidelines

Accuracy Verified: Yes

34. Zangwill, W. (1996, June). The basics and beyond: Conceptual issues and advances in using EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This workshop is designed to review the basics of using EMDR and discuss the importance of developing a conceptual framework in which to view the patient and hidher life experiences.

Keywords: Conceptual Issues

Accuracy Verified: Yes

35. Lendl, J. (2004, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the conference but don't know where to start? Have you had a submission rejected? Are you bored with the conference offerings? Then this is the workshop for you. We will review the call for papers application, the use of the EMDRIA definition for EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions

Accuracy Verified: Yes

36. Lendl, J. (2006, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don't know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Papers application, the use of the EMDRIA definition for EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions

Accuracy Verified: Yes

37. Lendl, J. (2005, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don't know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Papers application, the use of the EMDRlA definition of EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and sample application will be provided as a model.

Keywords: Conference Submissions

Accuracy Verified: Yes

38. Lendl, J. (2008, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don’t know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Presentations application, the use of the EMDRIA definition of EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample.

Keywords: Conference Submissions

Accuracy Verified: Yes

39. Lendl, J. (2007, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don’t know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Papers application, the use of the EMDRIA definition for EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions

Accuracy Verified: Yes

40. Lendl, J. (2009, August). Basics for EMDRIA conference Submissions. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Are you interested in presenting at the EMDRIA Conference but don’t know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Presentations application, the use of the EMDRIA Definition of EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The EMDRIA Conference program review process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions

Accuracy Verified: Yes

41. Lendl, J. (2010, September/October). Basics for EMDRIA conference submissions. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Keywords: Conference Submissions

Accuracy Verified: Yes

42. Lendl, J. (2011, August). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Keywords: Conference Submissions

Accuracy Verified: Yes

43. Lendl, J. (2012, October). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Keywords: Conference Submissions

Accuracy Verified: Yes

44. von Knorring, L., Thelander, S., & Pettersson, A. (2005, November 21-27). Behandling av angestsyndrom. En systematisklitteraturaversikt. SBUs sammanfattning och slutsatser [Treatment of anxiety syndrome: A systematic literature review. Summary and conclusions by the SBU]. Lakartidningen , 102(47), 3561-3562, 3565-3566, 3569.

Language: Swedish

Format: Journal

Abstract:
En rapport från det svenska rådet för medicinsk utvärdering (SBU) har gått igenom, klassificeras och utvärderas den vetenskapliga litteraturen om behandling av panik-syndrom, specifika fobier, social fobi, tvångssyndrom syndrom (OCD), generaliserat ångestsyndrom (GAD) och posttraumatiskt stressyndrom (PTSD). Översynen ingår behandling av barn, ungdomar och vuxna. Rapportens slutsats är att det finns effektiv behandling tillgänglig för alla ångest syndrom. Men i allmänhet, är effekten ofta måttliga och symtomen återkommer när behandlingen perioden avbryts. För vuxna, stödjer vetenskapliga bevis användning av paroxetin och sertralin för alla syndrom utom specifika fobier. För övriga SSRI-preparat Det finns också bevis för användning av Fluoxetin i OCD och PTSD, för fluvoxamin i social fobi och tvångssyndrom och för escitalopram i social fobi. Andra antidepressiva läkemedel med ett starkt vetenskapligt stöd är venlafaxin i social fobi och GAD, imipramin i panik syndrom och chlomipramine i panik syndrom och tvångssyndrom. Bland de psykologiska behandlingar, det finns vetenskapliga bevis för kognitiv beteendeterapi (KBT) för behandling av panik-syndrom, specifika fobier, social fobi, PTSD och GAD. Exponering, med eller utan andra psykoterapeutiska interventioner har vetenskapligt stöd för effekt vid paniksyndrom (både i termer av antalet panikattacker och agorafobi för), specifika fobier, tvångssyndrom och PTSD. Användning av ögonrörelser desensibilisering och upparbetning (EMDR) har vetenskapligt stöd för behandling av PTSD.

A report by the Swedish Council on Technology Assessment in Health Care (SBU) has reviewed, classified and evaluated the scientific literature on treatment of panic syndrome, specific phobias, social phobia, obsessive-compulsive syndrome (OCD), generalized anxiety syndrome (GAD) and post-traumatic stress disorder (PTSD). The review included treatment of children, adolescents and adults. The report concludes that there is effective treatment available for all anxiety syndromes. However in general, the effect is often moderate and symptoms reappear when the treatment period is discontinued. For adults, scientific evidence supports the use of paroxetine and sertraline for all syndromes except specific phobias. For the other SSRI's there is also evidence for the use of fluoxetin in OCD and PTSD, for fluvoxamine in social phobia and OCD and for escitalopram in social phobia. Other antidepressant drugs with a strong scientific support is venlafaxin in social phobia and GAD, imipramin in panic syndrome and chlomipramine in panic syndrome and OCD. Among psychological treatments, there is scientific evidence for cognitive behavior therapy (CBT) for treatment of panic syndrome, specific phobias, social phobia, PTSD and GAD. Exposure, with or without other psychotherapeutic interventions, has scientific support for efficacy in panic disorder (both in terms of number of panic attacks and for agoraphobia), specific phobias, OCD and PTSD. Use of eye movement desensitization and reprocessing (EMDR) has scientific support for treatment of PTSD.

Keywords: Review

Accuracy Verified: Yes

45. Kraft, S., Schepker, R., Goldbeck, L., & Fegert, J. M. (2006). Behandlung der posttraumatischen belastungsstörung bei kindern und jugendlichen. Eine übersicht empirischer wirksamkeitsstudien [Treatment of posttraumatic stress disorder in children and adolescents -- A review of treatment outcome studies]. Nervenheilkunde: Zeitschrift für interdisziplinaere Fortbildung, 25(9), 709-716.

Language: German

Format: Journal

Abstract:
Basierend auf einer systematischen Literaturrecherche wird der aktuelle Stand des Wissens über die Wirksamkeit von pharmakologischen und psychotherapeutischen Behandlung der Posttraumatischen Belastungsstörung bei Kindern und Jugendlichen zusammengefasst und bewertet. Neunzehn kontrollierten randomisierten klinischen Studien wurden für die Psychotherapie gefunden, und keiner für die Pharmakotherapie. Die Wirksamkeit von kognitiver Verhaltenstherapie Programme erhärtet worden ist, mit der Teilnahme der Eltern oder Betreuer in die Behandlung zu sein scheint vorteilhaft. Es gibt vielversprechende Studien für Eye Movement Desensitizafion und die Wiederaufbereitung (EMDR) und für Multisystemische Familientherapie. Aufgrund der kleinen Fallzahlen und fehlenden Replikation, haben ihre Ergebnisse als vorläufig zu betrachten. Bis jetzt gibt es keine kontrollierten klinischen Studien zu pharmakologischen Therapien für traumatisierte Kinder und Jugendliche. Weitere Studien zu diesem zahlenmäßig relevant und zum Teil erheblich beeinträchtigt Gruppe sind, geltend gemacht werden. Untersuchungen zur differentiellen Indikation von verschiedenen Behandlungsansätze und über die Wirksamkeit von Kombinationstherapien, die Psychotherapie plus Pharmakotherapie, fehlen. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)

Based on a systematic literature search, the current state of knowledge on the efficacy of psychotherapeutic and pharmacologic treatment of posttraumatic stress disorders in children and adolescents is summarized and reviewed. Nineteen randomized controlled clinical trials were found for psychotherapy, and none for pharmacotherapy. The efficacy of cognitive behavioral treatment programs has been substantiated, with the participation of a parent or caretaker in the treatment seeming to be beneficial. There are promising studies for Eye Movement Desensitizafion and Reprocessing (EMDR) and for Multisystemic Family Therapy. However, because of small sample sizes and lacking replication, their results have to be regarded as provisional. Up to now, there are no controlled clinical trials on pharmacological treatments for traumatized children and adolescents. More studies on this numerically relevant and partly severely impaired group are to be claimed. Studies on differential indication of different treatment approaches and on the efficacy of combination treatments, as psychotherapy plus pharmacotherapy, are lacking. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adolescent Psychiatry Child Psychiatry Drug Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy Treatment Outcomes

Accuracy Verified: Yes

46. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201.

Language: German

Format: Journal

Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.

In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.

Keywords: Acute Stress Disorder Anxiety ASD Cardiology Depression ICD Shocks Internal Medicine Posttraumatic Stress Disorder PTSD Treatment Manual

Accuracy Verified: Yes

47. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.

Language: English

Format: Journal

Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.

Keywords: Nightmares Posttruamatic Stress Disorder PSTD

Accuracy Verified: Yes

48. Stein, D., Rousseau, C., & Lacroix, L. (2004, March). Between innovation and tradition: The paradoxical relationship between eye movement desensitization and reprocessing and altered states of consciousness. Transcultural Psychiatry, 41(1), 5-30. doi:10.1177/1363461504041351.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy to emerge in the West. Using both a case analysis and literature review we situate EMDR within the use of altered states of consciousness (ASCs) in psychological healing practices across times and cultures. We discuss EMDR's unique predicament as a therapy that draws upon techniques common to most therapeutic ASCs, while at the same time distancing itself from this tradition through its pseudoscientific language and technologic aesthetic. Our conclusion attempts to shed light on this paradox and raise questions for further study.

Keywords: Altered States of Consciousness Consciousness States Psychological Healing Review Transcultural Psychiatry

Accuracy Verified: Yes

49. Gaudiano, B. A. (2004, January 4). Beware of weird, wacky psychotherapy treatments. Salt Lake City, UT: The Deseret News, All, Viewpoint, AA08.

Language: English

Format: Newspaper

Abstract:
There's also a treatment for post-traumatic stress called Eye Movement Desensitization and Reprocessing. Similar to techniques used in other effective treatments for this condition, EMDR therapists ask clients to review the traumatic events repeatedly in their minds until their anxiety dissipates. What makes EMDR unique is that the therapist also moves index and middle fingers rapidly from left to right in front of the client, who is asked to visually track the movement while imagining the scene. But research shows that the eye movements appear to be completely superfluous, as people who are asked to keep their eyes still while recounting the events improve just as much as those who do the eye-wiggling.

Keywords: General Overview Salt Lake City

Accuracy Verified: Yes

50. Marich, J. (2012, April). Beyond client, clinician and method: Enhancing empathy in the practice of EMDR/Au delà du client, du clinicien et de la méthode : favoriser l'empathie dans la pratique de l'EMDR . Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
Even with her emphasis on fidelity to the protocols of EMDR, Shapiro acknowledges the importance of the therapeutic alliance. She described the execution of EMDR as an essential interaction between client, method, and clinician. This workshop encourages participants to take Shapiro’s thinking a step further. After attending this workshop, participants will be able explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy in treatment. After participating in a guided imagery exercise that is designed to foster empathy, participants will be able to identify with the experience of a new client presenting for and experiencing EMDR treatment. Finally, participants will be able to evaluate one’s own capacity for empathy within the therapeutic context and apply it to their own EMDR practice. Learning objectives: 1.To explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy and therapeutic alliance in treatment (regardless of specific method) 2.To identify with the experience of a new client presenting for and experiencing EMDR treatment 3.To evaluate one’s own capacity or empathy within the therapeutic context and apply it to their own EMDR practice

Keywords: Practice Theory

Accuracy Verified: Yes

51. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.

Language: English

Format: Dissertation/Thesis

Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!” While nearly eighty percent of people experience some form of anxiety when they are the center of attention, individuals who experience performance anxiety are severely distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance anxiety threatens to restrain an individual’s profession, goals, education, relationships or daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage fright in the world of the performing arts, in psychological literature it is rarely specified or considered a diagnosable mental health disorder. It is often clustered with specific phobias or social phobia. Indeed, performance anxiety is not an experience solely limited to actors, musicians, singers and dancers. It affects athletes, politicians, writers, students, professionals, leaders, and individuals in all walks of life. For this reason, it is essential that clinicians become educated in the etiology, symptoms, manifestations and therapeutic approaches of performance anxiety.

Keywords: Socia Phobia Performance Anxiety

Accuracy Verified: Yes

52. Keller, B., Stevens, L. C., Boyce, K., Lui, C., & Murray, J. (2011). Bilateral eye movements and EEG coherence during positive memories: Implications for PTSD and EMDR. Presentation at the American Psychological Association Conference, Washington, DC.

Language: English

Format: Conference

Abstract:
The purpose of this study was to investigate the role of bilateral eye movements in the processing of long-term emotional memories, especially as it pertains to the treatment method for PTSD known as EMDR. EMDR utilizes methods similar to cognitive therapy and exposure but also employs saccadic eye movements to facilitate the treatment. The saccadic eye movements are theorized by Shapiro and others to decrease emotional valence and vividness of episodic memories allowing for easier reprocessing. There remains some disagreement as to the actual role and importance of the saccadic eye movements as well as to the neurological effects of EMDR. This study used EEG power-spectral analysis and measures of interhemispheric coherence on 30 individuals who underwent one of three conditions while recalling positive episodic memories. The 3 conditions were (1) a solid black dot with no eye movement (control), (2) a low frequency color changing dot with no eye movement, and (3) a bilateral eye movement condition simulating EMDR. After a 5’ eyes-open baseline, participants experienced one of the three conditions while recalling a positive memory for five 1’ episodes. After each episode, each participant had 19-channel EEGs recorded while they stared ahead eyes opened. EEG data were noise artifacted, power spectral analyzed, and statistically analyzed for interhemispheric coherence differences between conditions for clusters of frontal pole (Fp), frontal (F), central (C), parietal (P), and occipital (O) electrodes. ANCOVA analysis of post-treatment coherence values, with baseline values as the covariate, across conditions showed significantly increased Low Beta (12-20Hz) activity in the Frontal region of the brain during the saccadic eye movements condition compared to the low frequency dot condition (p=.012). Also found were significantly increased Low Theta (4-6Hz) coherence values in the Parietal region of the brain in the low frequency dot condition compared to both the eye fixation (p=.017) and saccadic eye movement (p=.022) conditions. Self reports of memory clarity and vividness indicated significantly increased measures across all conditions. LORETA cortical localization analyses revealed Low Beta (12-20Hz) activation during the saccadic eye movements condition occurring primarily in Brodmanns Area 11 (BA11) and Brodmann Area 25 (BA25) and Low Theta (4-6Hz) activation during the low frequency dot condition focused in BA35 and BA36. LORETA neuroimages are presented. Cortical localizations of increased Low Beta interhemispheric coherence in BA11 (VentroMedial Frontal Cortex) and BA25 (Subgenual Anterior Cingulate Cortex) following bilateral eye movements during the recall of positive memories suggest a synchronization of information processing activities in parts of the frontal cortex involved in planning, reasoning, and decision making (11) and in verbal episodic memory retrieval (25). These functions are consistent with the assigned tasks of review of positive episodic memories in this study. Coincident with this pattern of cortical activation was an obtained increase in memory clarity and vividness during episodic memory retrieval. It is possible that the obtained effects on beta activity were an artifact of eye movements; however, the lack of significantly increased signal coherence at the Fp region and the removal of eye movement artifacts prior to data analysis reduce this possibility. These results provide support for an Interhemispheric Coherence Model as an explanation for the positive effects of Eye Movement Desensitization and Reprocessing of retrieved memories. Additionally, these outcomes suggest that it is the saccadic eye movements, not a repetition of a rhythmic stimulus, that elicits the changes in interhemispheric coherence, and possibly in emotional valence and vividness, highlighting the importance of saccadic eye movements in EMDR.

Keywords: Bilateral Stimulation EEG Coherence Eye Movements: Positive Memories Posttraumatic Stress Disorder PTSD

Accuracy Verified: No

53. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.

Language: English

Format: Journal

Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]

Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors

Accuracy Verified: Yes

54. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.

Language: English

Format: Journal

Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]

Keywords: Adolescents Attachment Brain Development Child Abuse Criminal Behavior Child Neglect Children Criminal Responsibility Forensic Evaluation Homicide Juvenile Offenders Literature Review Mitigating Factors Murder Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Sociopathy Survivors Trauma Violence

Accuracy Verified: Yes

55. Bush, Y. R. (1999, June). Bonding and attachment. Prescott College, AZ.

Language: English

Format: Dissertation/Thesis

Abstract:
This paper reviews the issues of major importance in the current study of bonding and attachment. Adopted children and children who have spent some of their childhood in foster care account for a disproportionate number of unattached children. A review of the history of literature relative to bonding and attachment from Freud to Bowlby and to present day experts is presented. The relatively new diagnosis of Reactive Attachment Disorder and the DSM IV diagnostic features are addressed. The treatment process, including the various accepted techniques that have been somewhat successful, is described. The newest technique, Eye Movement Desensitization and Reprocessing (EMDR), developed by Francine Shapiro, is being used to help children who have been diagnosed with Reactive Attachment Disorder. The technique is explained in this paper. Chapter six includes information regarding how to complete a family history and assessment and the outline for a more formal narrative report. This paper was written to explain bonding and attachment and its format was planned so that parts of it can be used as a teaching tool. The purpose of the paper is to gain knowledge and understanding in this field of study so that children will benefit. Assessing the level of bonding and attachment will assist the helping professional plan appropriate treatment for children and families.

Keywords: Adoption Attachment Bonding Children

Accuracy Verified: Yes

56. Watson, C., Davis, R., & Heimonen, T. (2010, September/October). Bridging the gap between clinical practice and research with EMDR. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a trauma treatment with origins date back to 1987 by its founder Francine Shapiro. EMDR is based on an information-processing model and is being used to treat traumatic symptoms. Clinicians in many types of clinical settings worldwide employ EMDR for a board range of treatment issues including grief, depression, anxiety, physical and sexual abuse. Although there is evidence that EMDR is effective in treatment of Posttraumatic Stress Disorder, more research needs to be done in clinical practice settings to contribute to the much needed research base about effective of EMDR with other issues.
Therapists working with trauma are often dealing with high caseloads and administrative requirements of the agencies that they work with. The clinicians involved in this research have observed that there have been some encouraging developments in their community which have served to build bridges for clinicians to increase their confidence in the world of research. In 2007, an intiative called Research Skills Development Program offering mentoring in research skills development was offered in association with Lakehead University and Northern Ontario School of Medicine, Ontario, Canada.
Completion of this 1-year program proved to be the first step in make the transition from clinician to researcher. From there, partnerships were formed within the agency and community. With the support of our agency, researchers were able to gain access to testing and computer software that made data collection and data anaylsis possible with least disruption to our clinical services.
The clinicians were encouraged by previous results from our first study in 2007 (n=6) to continue systematic data collection with more clients (n=6). Approval for this recent study was received by the Ethics Committee of St. Joseph's Care Group.

Keywords: Poster Practice Research Research Skills Development Program

Accuracy Verified: No

57. Laliotis, D. (2009, August). Building on the basics: An EMDR refresher course. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This course is for EMDR therapists who would like to deepen their understanding of EMDR principles, protocols and procedures. Whether you feel the need for a review because you haven’t been using EMDR recently or you would like to enhance your active EMDR practice, this course is for you. From the three-pronged approach to applications of resource installation and cognitive interweave, you will come away from this course more confident in your ability to integrate EMDR into your clinical practice. You will see videotapes of real cases and will have an opportunity to discuss, in depth, case conceptualization and treatment planning issues and how to incorporate the informational plateaus of responsibility, safety and choices throughout the course of treatment. We will also address the unique demands of being an EMDR therapist and how to successfully navigate the inherent challenges of a powerful and effective psychotherapy approach.

Keywords: Basics Refresher

Accuracy Verified: Yes

58. Gaudiano, B. A. (2004 January 4). Can be depressing. Monterey County, CA: The Monterey County Herald, Commentary, F1.

Language: English

Format: Newspaper

Keywords: General Monterey County Overview

Accuracy Verified: Yes

59. Leeds, A. M. (1995, October). Case formulation: Strategies and criteria for selection of negative and positive cognitions in EMDR, adapted and updated. Author.

Language: English

Format: Other

Abstract:
Originally a paper entitled "Case formulation: selecting positive and negative cognitions" at the Annual meeting of the EMDR Conference, Sunnyvale, CA March 1994, presented at the The process of selecting appropriate negative and positive cognitions can be a smoothly flowing preamble to an EMDR treatment session or it can be a complex search for an elusive quarry. In this paper, I will review the principles and rationale underlying the selection of cognitions in EMDR and will consider procedures to guide us safely past common problems. Most importantly, I will introduce the idea that the process of selecting cognitions can be greatly simplified and enriched when it is integrated into a case formulation approach.[1][Author abstract]

Keywords: Cognitions

Accuracy Verified: Yes

60. van Eijk, M (2009). Casus 21 – Het geheugen van het lichaam: Stigmata en lichaamsreacties bij vrouw met ernstig ziekenhuistrauma [Case 21 - The memory of the body: Stigmata and body responses in a woman with a severe trauma from her hospitalization]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 289-299). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_30 .

Language: Dutch

Format: Book Section

Abstract:
Karin is een 42-jarige, hoogopgeleide vrouw, werkzaam als zelfstandig gevestigd adviseur en samenwonend. Ze omschrijft zichzelf als een persoon die de neiging heeft veel te denken en overzicht te zoeken; als iemand die geleerd heeft omcontrole te vinden en te houden.

Karin is a 42-year-old, highly educated woman, working as an independent consultant based and living together. She describes herself as a person who tends to think a lot of searching and review, as someone who has learned to find and keep omcontrole.

Keywords: Body Response Hospitalization Stigmata Trauma Women

Accuracy Verified: Yes

61. Greenwald, R. (1999, June). Child trauma measures for research and practice. Poster presented at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
This is a practical guide to objectively scored measures of child/adolescent post-traumatic stress symptoms. It is geared to the field-based researcher and the practicing clinician, who must balance scientific value with the limitations inherent in clinical practice settings. This is not a comprehensive review, but rather a selective sampling of those instruments most likely to be usefbl in the above contexts. Additional information on child trauma assessment is available at www.childtrauma.com or by contacting the author.

Keywords: Children Poster Practice Research

Accuracy Verified: Yes

62. Zangwill, W., Kominksy, P., & Browning, C. (2003, September). Choosing the right EMDR for the right client at the right time: A systematic approach to more effective EMDR implementation. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Substantial variation exists in how, when, and with which clients' clinicians use EMDR. Some clinicians use EMDR early in their work with clients, others spend considerable time on affect management and resource development prior to using standard EMDR. Those in favor of more rapid implementation argue that for many clients' delays in starting EMDR is an unnecessary waste of time and resources. Other EMDR clinicians worry that clients may be harmed by undertaking EMDR processing without extensive prior stabilization. This workshop presents a systematic, comprehensive model to help EMDR clinicians best determine what factors to evaluate in deciding when and how to proceed.

Keywords: EMDR Implementation

Accuracy Verified: Yes

63. CIGNA HealthCare (2008, June 15). Cigna Healthcare Coverage Position: Eye movement desensitization and reprocessing. Revised June 15, 2008, .

Language: English

Format: Publication

Abstract:
Systematic reviews: Van Etten et al. (1998) conducted a meta-analysis of the literature regarding treatments for PTSD. The purpose of the study was to evaluate the relative efficacy of various treatments for PTSD. A total of 41 studies were included, that yielded sixty-one treatment outcome trials. Eleven studies were included that examined EMDR. The authors report that behavior therapy and EMDR were the most effective psychological therapies for PTSD, with the two being generally equally efficacious. The review noted that behavior therapy was significantly more effective than all treatments, on observer-rated total PTSD symptoms and no differences in comparative treatment efficacy were discernable between behavior therapy and EMDR across the specific symptom domains of PTSD. It was noted that effect sizes for these therapies were large relative to control conditions, indicating good treatment acceptance. It was also noted, however, that “despite its apparent efficacy, what works in EMDR and the mechanism for how it works remains unclear. That is, we know little about the active ingredients in EMDR and the mechanisms by which these ingredients result in decreased PTSD symptoms.” The literature is not conclusive regarding the role of eye-movement in this treatment.

Keywords: Practice Guidelines

Accuracy Verified: Yes

64. The Australian Psychological Society (2010, August). Clarification of evidence base for eye movement desensitisation and reprocessing (EMDR). InPsych Bulletin .

Language: English

Format: Magazine

Abstract:
In the June edition of InPsych, an article summarising a recent APS review of evidence-based psychological interventions for mental health disorders did not sufficiently highlight the high level of evidence for the effectiveness of Eye Movement Desensitisation and Reprocessing (EMDR) in the treatment of posttraumatic stress disorder (PTSD). In particular, a summary table of psychological interventions with the highest level of research evidence (according to National Health and Medical Research Council criteria) should have prominently presented EMDR for the treatment of PTSD in the body of the table. As EMDR had not been systematically included in the review of psychological interventions, a footnote to the table stated the high level of efficacy of EMDR for PTSD. This oversight has been corrected in the online version of the InPsych article (www.psychology.org.au/publications/inpsych/2010/june/murphy/#s3) and a summary of the research evidence for EMDR from 19 randomised controlled trials will be included in a revision of the full evidence-based psychological interventions review document.

Keywords: Evidence Base

Accuracy Verified: No

65. Figley, C. R., Carbonnell, J., Boscarino, J., & Chang, J. (1999, Summer). A clinical demonstration model for assessing the effectiveness of therapeutic interventions: An expanded clinical trials methodology. International Journal of Emergency Mental Health, 1(Part 3), 155-164 .

Language: English

Format: Journal

Abstract:
Both the evaluation of current treatment interventions and the innovation of new ones are vital to maintaining a viable clinical profession. In the field of psychology, however, often there are serious challenges facing these worthy endeavors. This article reviews several problems and limitations with evaluation of innovative psychotherapy treatments in clinical practice and suggests a strategy to overcome these. This approach, which we term the "Systematic Clinical Demonstration Methodology" (SCDM), combines the skills of clinicians with the rigors of clinical trials methods and permits concurrent clinical innovation and scientific evaluation. Here we suggest that the SCDM approach allows innovative practitioners to assist in the development and evaluation of promising clinical interventions by working closely with clinical trials researchers. This allows innovative clinicians to demonstrate new treatment approaches, while clinical researchers evaluate the effectiveness and safety of these interventions using clinical trials methods that incorporate qualitative data. We suggest that this approach can result in the development and evaluation of new treatment innovations more quickly and cost effectively than traditionally has been the case. In addition, some limitations commonly associated with clinical trials, such as not treating patients typically found in clinical practice, failing to treat patients with multiple disorders, or treating patients from different cultural or sociodemographic groups, can be more effectively addressed. Our experiences with using this method to evaluate different psychotherapy treatments for PTSD are presented as an example of this new approach. [Author Abstract]

Keywords: Brief Psychotherapy Methodology Neurolinguistic Programming NLP Outcomes Research Posttraumatic Stress Disorder PTSD Random Controlled Trials RCT Systematic Clinical Demonstration Methodology TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

66. EMDR Professional Issue Committee (EPIC) (1991). Clinical exchange - Eye movement desensitization and reprocessing (EMDR): Response and review. EMDR Institute, Pacific Grove, CA.

Language: English

Format: Other

Abstract:
We are writing in response to a commentary published in the Clinical Exchange column in the August, 1991. In particular, we are concerned about how the Eye Movement Desensitization and Reprocessing (EMDR) procedure was presented. In order to provide a balanced summary of the development, procedures, and current uses of EMDR, we are offering the following comments in order to clarify some of the confusion or misconceptions that may have arisen as a result of the aforementioned commentary.

Keywords: EMDR Professional Issue Committee EPIC Review

Accuracy Verified: Yes

67. Maxfield, L. (2003). Clinical implications and recommendations arising from EMDR research findings. Journal of Trauma Practice, 2(1), 61-81. doi:10.1300/J189v02n01_04.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a treatment approach found to be efficacious for trauma-related disorders. This article provides an overview of the EMDR treatment process and briefly describes treatment components. It reviews the current research investigating EMDR treatment of PTSD and research investigating the role of eye movements. The practical clinical implications arising from the findings are discussed. These include factors related to treatment provision, such as treatment fidelity, length of treatment, homework, and the use of eye movements. Also highlighted are client-related factors such as population, type of trauma, multiple traumas, symptom severity, comorbid disorders, and complex PTSD. Where possible, recommendations are made for clinical practice and comparisons are made with other types of treatments. [Author Abstract]

Keywords: Clinical Implications Compelx Posttraumatic Stress Disorder Complex PTSD C-PTSD Literature Review Posttraumatic Stress Disorder PTSD Research Stressors Survivors Treatment

Accuracy Verified: Yes

68. Rhoads, J., Pearman, T., & Rick, S. (2007, October). Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Archives of Psychiatric Nursing, 21(5), 249–256. doi:10.1016/j.apnu.2007.05.002.

Language: English

Format: Journal

Abstract:
It has been almost 2 years since Hurricane Katrina struck the Gulf Coast. These 2 years can be characterized by constant struggle and pain as the people try to reattain some semblance of life as they knew it before Katrina struck. Some have chosen to leave their ancestral homes, homes where they were raised and where they, in turn, raised their own families. Those who did leave are able, in some way, to reestablish some semblance of normality, but those who stayed showed manifestations of and dealt with psychological trauma. These manifestations include regression, inattentiveness, aggressiveness, somatic complaints, irritability, social withdrawal, nightmares, and crying. Longer lasting effects may include depression, anxiety, adjustment disorders, and interpersonal or academic difficulties. These postdisaster manifestations can linger or remain hidden until well after the traumatic event and could persist for years. This article presents issues about the effects of Katrina on the mental health of the people of New Orleans. It discusses the profile of posttraumatic stress disorder and presents evidence-based review of interventions the health care provider can implement to care for thosewho continue to suffer the effects of this horrific disaster.

Keywords: Hurricanes Intervention Katrina Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

69. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.

Language: English

Format: Journal

Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder (PTSD)? In this paper we review many of the current pharmacological and psychological interventions available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations. There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives), but there is no evidence that these treatments are less effective. Pharmacotherapy is promising (especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to conduct more randomized clinical trials research and effectiveness studies in military and Department of Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and propose several recommendations to help guide clinicians’ treatment selections.

Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD

Accuracy Verified: Yes

70. Staff. (2002, June). Clinician’s research digest. Review of special January issue on EMDR. American Psychological Association.

Language: English

Format: Magazine

Keywords: Practice Theory

Accuracy Verified: No

71. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.

Language: English

Format: Journal

Abstract:
Behavioral and cognitive psychotherapies are the most widely studied psychological interventions for anxiety disorders. In the present article, the results of ten years of meta-analytic studies on psychotherapies for the various anxiety disorders are reviewed and the relative effectiveness of cognitive and behavioral therapeutic methods is examined. Meta-analytic results support the effectiveness of combined cognitive and behavioral approaches for anxiety disorders. Pure behavioral therapies also are effective and appear to work as well as combined treatment for some disorders. Due to the small number of outcome studies involving pure cognitive treatments, reliable conclusions about the effectiveness of this approach cannot be offered. Additional theoretical and practical considerations are discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441, 2004.

Keywords: Anxiety GAD Generalized Anxiety Disorder Meta-Analysis Obsessive-Compulsive Disorder OCD Panic Disorder Social Phobia Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

72. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .

Language: English

Format: Journal

Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).

Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

73. Harvey, A.G., Bryant, R. A., & Tarrier, N. (2003, May). Cognitive behaviour therapy for posttraumatic stress disorder. Clinical Psychology Review, 23(3), 501-522. doi:10.1016/S0272-7358(03)00035-7 .

Language: English

Format: Journal

Abstract:
Following considerable empirical scrutiny, cognitive behaviour therapy (CBT) has proven to be a safe and effective treatment for posttraumatic stress disorder (PTSD). This article overviews the general principles of treatment and describes the components that comprise CBT for PTSD. We then move on to review the efficacy of CBT for the treatment of PTSD caused by various traumas, including assault, road traffic accident (RTA), combat, and terrorism. Recent advances in early intervention and in the treatment of disorders that are comorbid with PTSD are reviewed. Finally, future directions are discussed. In particular, it is proposed that randomised controlled trials (RCT) of CBT for PTSD must be conducted with enhanced methodological rigour and public health relevance. D 2003 Elsevier Science Ltd. All rights reserved.

Keywords: CBT Cognitive Behavioral Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

74. Ho, M. S. K., & Lee, C. W. (2012). Cognitive behaviour therapy versus eye movement desensitization and reprocessing for post-traumatic disorder: Is it all in the homework then?. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 253-260. doi:10.1016/j.erap.2012.08.001.

Language: English

Format: Journal

Abstract:
Introduction: Treatment of choice for post-traumatic stress disorder (PTSD) is either eye movement desensitization and reprocessing (EMDR) or trauma-focused cognitive behaviour therapy (TFCBT). Objective: The aim of the present meta-analysis was to determine whether there are any differences between these two treatments with respect to efficacy and efficiency in treating PTSD. Method: We performed a comprehensive literature search using several electronic search engines as well as manual searches of other review papers. Eight original studies involving 227 participants were identified in this manner. Results: There were no differences between EMDR and TFCBT on measures of PTSD. However, there was a significant advantage for EMDR over TFCBT in reducing depression (Hedge's g = 0.63). The analysis also indicated a difference in the prescribed homework between the treatments. Meta-regression analyses were conducted to examine the relationship between hours of homework and gains in depression and PTSD symptoms. Conclusion: These findings are discussed in terms of efficacy and cost-effectiveness and the use of homework in therapy.

Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

75. Brewin, C. R. (2001, April). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 39(4), 373-393. doi:10.1016/S0005-7967(00)00087-5.

Language: English

Format: Journal

Abstract:
Recent research in the areas of animal conditioning, the neural systems underlying emotion and memory, and the effect of fear on these systems is reviewed. This evidence points to an important distinction between hippocampally-dependent and non-hippocampally-dependent forms of memory that are differentially affected by extreme stress. The cognitive science perspective is related to a recent model of posttraumatic stress disorder, dual representation theory, that also posits separate memory systems underlying vivid reexperiencing versus ordinary autobiographical memories of trauma. This view is compared with other accounts in the literature of traumatic memory processes in PTSD, and the contrasting implications for therapy are discussed. 2001 Elsevier Science Ltd. All rights reserved.

Keywords: Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

76. Otto, M. W., Penava, S. J., Pollack, R. A., & Smoller, J. W. (1996). Cognitive-behavioral and pharmacologic perspectives on the treatment of posttraumatic stress disorder. In M. H. Pollack, M. W. Otto, & J. F. Rosenbaum (Eds.). Challenges in clinical practice: Pharmacologic and psychosocial strategies (pp. 219-260). New York: Guilford Press.

Language: English

Format: Book Section

Abstract:
The following sections consider biologic and cognitive-behavioral perspectives on PTSD and strategies for its treatment. Pharmacologic strategies examined to date have included treatment with beta-adrenergic blockers and alpha-adrenergic agonists, benzodiazepines, antikindling agents, mood stabilizers, and various antidepressants. Exposure-based treatments have been included in a number of approaches to the disorder, but have received the most direct attention in cognitive-behavioral conceptualizations. Each of these interventions has the potential to change one aspect or a constellation of PTSD symptoms, and must be evaluated relative to the number of symptom domains that each affects. [Text, p. 222]

Keywords: Behavior Therapy Cognitive Therapy Drug Therapy Literature Review Neurobiology Psychopharmacology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

77. Schilling, R. (2000, December). Combining EMDR with solution-focused interviewing. EMDRIA Newsletter, 5(Special Edition), 28-30.

Language: English

Format: Newsletter

Abstract:
In twenty-seven years of practice, two of the most powerful, systematic, counseling approaches I have used are solution-focused therapy (SFT) (Berg, 1996, de Shazer, 1991, Walter, 1992) and EMDR (Shapiro, 1995). Thanks to a suggestion on the EMDR discussion list a few years ago, I began to combine the two methods.

Keywords: SFT Solution-Focused Interviewing Solution-Focused Therapy

Accuracy Verified: Yes

78. Shapiro, F. (1992). Commentary on eye movement desensitization and reprocessing method: Response to Johnson’s review. The Milton H. Erickson Foundation Newsletter, 12(2), 6-7.

Language: English

Format: Newsletter

Abstract:
No abstract available.

Keywords: Letter

Accuracy Verified: Yes

79. Lipke, H. (1997, November-December). Commentary on the Bates et al. report on eye-movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 11(6), 599-602. doi:10.1016/S0887-6185(97)00044-3.

Language: English

Format: Journal

Abstract:
In their 1996 paper, Bates, McGlynn, Montgomery, and Mattke were critical of eye-movement desensitization and reprocessing (EMDR) as an effective method of behavior therapy. The present commentary challenges the Bates et al. review of the literature, and the implementation of EMDR used in reaching their conclusions. Evidence is offered to support the clinical use of EMDR.

Keywords: Commentary Female Spider Phobia

Accuracy Verified: Yes

80. Trickey, D. (2006). A comparative review of cognitive behavioural therapy (CBT) and eye movement desensitisation and processing (EMDR) for traumatised children and young people. Presentation at the Faculty for Children and Young People Annual Conference,London.

Language: English

Format: Conference

Abstract:
No abstract available.

Keywords: CBT Children Cognitive Behavior Therapy Young People

Accuracy Verified: Yes

81. Seidler, G. H., & Wagner, F. E. (2006, November). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi:10.1017/S0033291706007963.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive-behavioral therapy (CBT) are both widely used in the treatment of PTSD. There has, however, been debate regarding the advantages of one approach over the other. This study sought to determine whether there was any evidence that one treatment was superior to the other. Method: We performed a systematic review of the literature dating from 1989 to 2005 and identified 8 publications describing treatment outcomes of EMDR and CBT in active-active comparisons. 7 of these studies were investigated meta-analytically. Results: The superiority of one treatment over the other could not be demonstrated. Trauma-focused CBT and EMDR tend to be equally efficacious. Differences between the two forms of treatment are probably not of clinical significance. While the data indicate that moderator variables influence treatment efficacy, we argue that because of the small number of original studies, little benefit is to be gained from a closer examination of these variables. Further research is needed within the framework of randomized controlled trials. Conclusions: Our results suggest that in the treatment of PTSD, both therapy methods tend to be equally efficacious. We suggest that future research should not restrict its focus to the efficacy, effectiveness, and efficiency of these therapy methods but should also attempt to establish which trauma patients are more likely to benefit from one method or the other. What remains unclear is the contribution of the eye movement component in EMDR to treatment outcome. [Author Abstract]

Keywords: Adults Cognitive Therapy Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

82. Leeds, A. (2006, September). The consensus model. In criteria for assuring appropriate clinical use and avoiding misuse of resource development & installation when treating complex posttraumatic stress syndromes (A. Leeds). Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex PTSD Complex Posttraumatic Stress Disorder C-PSTD Consensus Model Resource Development & Installation RDI Treatment Criteria

Accuracy Verified: Yes

83. Heijmans, S. (2008, Januari). Controversie rondom EMDR, Een literatuuronderzoek naar de effectiviteit van EMDR [Controversy surrounding EMDR, a literature review on the effectiveness of EMDR]. Universiteit van Tilburg, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Over de effectiviteit van EMDR bestaat veel controversie. Deze thesis bevat een kritisch overzicht van de literatuur met betrekking tot de effectiviteit van EMDR. Er wordt gekeken naar de procedure die EMDR handhaaft en er worden mogelijke verklaringen gegeven voor de werking van EMDR. Vervolgens wordt de effectiviteit van EMDR onderzocht bij verschillende soorten aandoeningen en vergeleken met andere behandelingsvormen. Onderzoek laat zien dat EMDR effectief is bij de behandeling van PTSS. Ook bij fobieën is EMDR gedeeltelijk effectief. Hier wordt echter voornamelijk een afname geconstateerd op cognitief niveau en niet gedragsmatig. In vergelijking met cognitieve gedragstherapie lijkt EMDR evenredig effectief te zijn. Wanneer EMDR echter vergeleken wordt met exposure therapieën is het niet geheel duidelijk welke behandelingsvorm het meest effectief is. Exposure therapie is effectiever in de afname van herbeleving en vermijdingsgedrag, maar EMDR gaat efficiënter te werk. In de discussie worden vervolgens aanbevelingen gegeven voor toekomstig onderzoek.

There is a lot of controversy about the effectiveness of EMDR. This thesis consists of a critical overview of the literature concerning the effectiveness of EMDR. First this thesis will look at the procedure that EMDR maintains and possible explanations for how EMDR works will be given. Next the effectiveness of EMDR will be researched to see if it differs between the different diseases. EMDR will also be compared to other treatments. Research shows that EMDR is an effective treatment when treating PTSD. When treating phobias, EMDR is partly effective. The effectiveness here is mainly a decrease on a cognitive level and not a behavioural one. In comparison to CBT EMDR seems to be equally effective. But when we compare EMDR to exposure treatment it is not fully clear which treatment is the most effective. Exposure therapy is more effective when it comes to a decrease in reliving and avoidance, but EMDR has a greater efficiency. At last there will be given recommendations for future research.

Keywords: Literature Review

Accuracy Verified: Yes

84. Pagani, M., Högberg, G., Fernandez, I., & Siracusano, A. (2013). Correlates of EMDR therapy in functional and structural neuroimaging: A critical summary of recent findings. Journal of EMDR Practice and Research, 7(1), 29-38. doi:10.1891/1933-3196.7.1.29.

Language: English

Format: Journal

Abstract:
Neuroimaging investigations of the effects of psychotherapies treating posttraumatic stress disorder (PTSD), including eye movement desensitization and reprocessing (EMDR), have reported findings consistent with modifications in cerebral blood flow (CBF; single photon emission computed tomography [SPECT]), in neuronal volume and density (magnetic resonance imaging [MRI]), and more recently in brain electric signal (electroencephalography [EEG]). Additionally in the recent past, EMDR- related neurobiological changes were monitored by EEG during therapy itself and showed a shift of the maximal activation from emotional limbic to cortical cognitive brain regions. This was the first time in which neurobiological changes occurring during any psychotherapy session have been reported, making EMDR the first psychotherapy with a proven neurobiological effect. The purpose of this article was to review the results of functional and structural changes taking place at PTSD treatment and presented during the period of 1999–2012 by various research groups. The reported pathophysiological changes are presented by neuropsychological technique and implemented methodology and critically analyzed.

Keywords: EEG Limbic System MRI Neurobiology SPECT

Accuracy Verified: Yes

85. Leeds, A. (2006, September). Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Consensus Model RDI Resource Development and Installation Treatment Criteria

Accuracy Verified: Yes

86. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation

Accuracy Verified: Yes

87. Leeds, A. (2010, July). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients (1) and clinical situations (3) the use of RDI is indicated; for which patients and clinical situations (4) RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients (2) RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Posttraumatic Stress Disorder PTSD RDI Resource Development & Installation

Accuracy Verified: Yes

88. Feldner, M. T., Monson, C. M., & Friedman, M. J. (2007, January). A critical analysis of approaches to targeted PTSD prevention: Current status and theoretically derived future directions. Behavior Modification, 31(1), 80-116. doi:10.1177/0145445506295057.

Language: English

Format: Journal

Abstract:
Although efforts to prevent posttraumatic stress disorder (PTSD) have met with relatively limited success, theoretically driven preventive approaches with promising efficacy are emerging. The current article critically reviews investigations of PTSD prevention programs that target persons at risk for being exposed to a traumatic event or who have been exposed to a traumatic event. This review uniquely extends prior reviews in this area by using theories of PTSD to suggest future directions in the area of PTSD prevention. The authors first discuss the primary mechanisms of action believed to account for the failure for PTSD symptoms to remit among a substantial minority of traumatic event–exposed individuals. Second, empirical progress in PTSD prevention efforts is reviewed. Third, the authors consider how existing prevention programs target these mechanisms of action. Finally, the authors consider directions for future research in the area of targeted PTSD prevention.

Keywords: Posttraumatic Stress Disorder Prevention PTSD Risk Trauma

Accuracy Verified: Yes

89. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.

Language: English

Format: Journal

Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]

Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness

Accuracy Verified: Yes

90. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.

Language: English

Format: Journal

Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]

Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors

Accuracy Verified: Yes

91. Nowill, J. (2010, April). A critical review of the controversy surrounding eye movement desensitisation and reprocessing. Counselling Psychology Review, 25(1), 63-70.

Language: English

Format: Journal

Abstract:
The treatment eye movement, desensitization and reprocessing (EMDR) continues to court controversy despite its adoption by the National Institute for Health and Clinical Excellence (2005) as a preferred treatment for post-traumatic stress disorder. This article critically reviews the two issues at the heart of the controversy. First, is EMDR effective for unique reasons or is it a disguised treatment such as exposure therapy? Second, is evidence-based practice an appropriate framework within which to assess psychological therapies or are its criteria too narrow and inflexible? The article proposes practice-based evidence as a potential way forward in EMDR research and describes an appropriate model within an EMDR treatment framework.

Keywords: Review

Accuracy Verified: Yes

92. Spates, C. R., Waller, S., & Koch, E. I. (2000, Summer). A critique of Lohr et al's (1998) review of EMDR and Lipke's commentary: Of messages and messengers. the Behavior Therapist, 23(7), 148-154.

Language: English

Format: Newsletter

Abstract:
Our goals are as follows: (a) to propose what we believe is a reasonable context within which to evaluate data pertinent to EMDR; (b) to examine how the evidence fits within an evaluation of the more general treatment outcome literature on PTSD; (c) to suggest a constructive direction for future research. [Adapted from Text, p. 148] A comment on: Jeffrey M. Lohr, David F. Tolin, and Scott O. Lilienfeld, "Efficacy of eye movement desensitization and reprocessing: implications for behavior therapy", Behavior Therapy 29(1): 123-156 (Winter 1998) [20817] and Howard J. Lipke, "Comments on 'Thirty years of behavior therapy..." and the promise of the application of scientific principles", Behavior Therapist 22: 11-14 (1999).

Keywords: Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness

Accuracy Verified: Yes

93. Maxfield, L. (2007). Current status and future directions for EMDR research. Journal of EMDR Practice and Research, 1(1), 6-14. doi:10.1891/1933-3196.1.1.6.

Language: English

Format: Journal

Abstract:
This review provides the groundwork for a basic understanding of articles written about eye movement desensitization and reprocessing (EMDR), including a brief overview of theory and practice. It documents EMDR's established efficacy in the treatment of PTSD and specifies specific subsets of this population in need of further investigation. The article also provides a review of recent studies evaluating a range of EMDR's clinical applications and outlines new directions for research investigations and for developments in clinical practice. It concludes with an overview of current research evaluating pre- and post-neurobiological changes, and mechanisms of action. Specific recommendations for future areas of investigations are outlined, and rigorous evaluation is strongly encouraged. [Author Abstract]

Keywords: Efficacy Information Processing Literature Review Mechanism of Action Research Needs Review Treatment Effectiveness

Accuracy Verified: Yes

94. Spector, J., & Read, J. (1999, July). The current status of eye movement desensitization and reprocessing (EMDR). Clinical Psychology and Psychotherapy, 6(3), 165-174. doi:10.1002/(SICI)1099-0879(199907).

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing therapy (EMDR) has increasingly been proposed as an effective therapeutic procedure for post-traumatic stress disorder and other mental health problems. However, views on EMDR in the research literature have been polarized. Reasons for this are explored as is the nature and theoretical basis of EMDR. Fifteen controlled studies thus far published on EMDR and PTSD are reviewed, and it is concluded that (i) EMDR is an effective psychotherapy, (ii) EMDR's relative efficacy in comparison to behavioural exposure therapies has yet to be established, (iii) the role of eye movements and laterality in attentional focus remains controversial and (iv) a direct link between the theoretical basis of the therapy and observable psychological and neurobiological changes has yet to be established. [Wiley]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy

Accuracy Verified: Yes

95. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.

Language: English

Format: Journal

Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.

Keywords: Aggression Trauma Treatment

Accuracy Verified: Yes

96. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.

Language: English

Format: Book Section

Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]

Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization

Accuracy Verified: Yes

97. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.

The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

98. Marcela, L., & Lemus, G. (2008, December). Desensibilización y reprocesamiento con movimientos oculares [Eye movement desensitization and reprocessing]. Revista Colombiana de Psiquiatría, 37(Supplement 7). .

Language: Spanish

Format: Journal

Abstract:
Introducción: La técnica de desensibilización y reprocesamiento con movimientos oculares (EMDR, por sus iniciales en inglés) es un método terapéutico relativamente reciente que ha mostrado efi cacia en el tratamiento de diferentes entidades psiquiátricas y somáticas. Se postula que sus resultados se logran a través de cambios en el proceso de almacenamiento de recuerdos y en las respuestas físicas y emocionales relacionadas. Objetivo: Describir las características principales de la EMDR y sus aplicaciones. Método: Revisión de la literatura. Desarrollo y conclusiones: La EMDR es una técnica útil para el tratamiento de una gran variedad de trastornos psiquiátricos y somáticos. Se han descrito algunas reacciones adversas, lo cual resalta la importancia de elegir adecuadamente los pacientes candidatos a ser tratados con esta terapia.

Introduction: The Eye Movement Desensitization and Reprocessing technique (EMDR) is a relatively new treatment method that has shown to be effective in treating different psychiatric and somatic entities. It is postulated that its results are achieved through changes in the process of memory storing and in the related physical and emotional responses. Objective: To describe the main characteristics of EMDR and its applications. Method: Literature review. Development and conclusions: EMDR is a useful technique in the treatment of a large series of psychiatric and somatic disorders. Some adverse reactions have been described and this stresses the importance of selecting adequately those patients to be treated with this therapy.

Keywords: Desensitization Eye Movement Psychiatric Disorders

Accuracy Verified: Yes

99. Schubbe, O. (2000). Die wirksamkeit von EMDR: Zur behandlung posttraumatischer störungen [The effectiveness of EMDR]. Institut für Traumatherapie.

Language: German

Format: Other

Abstract:
Der steile Weg von EMDR zur wissenschaftlichen Anerkennung war von Anfang an von großer Begeisterung und heftigen wissenschaftlichen Kontroversen begleitet. Shapiros erste Berichte (1989a, 1989b) mit Darstellungen der Vorgehensschritte beschrieben bedeutsame Besserungen der Posttraumatischen Belastungsstörung (PTBS) nach einer einzigen Sitzung "Eye Movement Desensitization" (EMD). Auf dem Hintergrund, dass PTBS bis dahin als schwer behandelbar und die Behandlungsmethoden als langwierig, anstrengend und begrenzt wirksam galten (Solomon, Gerrity, & Muff, 1992), stieß EMDR zunächst auf skeptische Zurückhaltung. Zu diesem Zeitpunkt gab es nur noch eine weitere Wirksamkeitsstudie zur Therapie von PTBS, in der Peniston (1986) 45 Sitzungen Entspannung und Systematische Desensibilisierung plus Biofeedback mit einer Kontrollgruppe ohne Therapie verglichen und nur bei einzelnen Symptomen [Albträume, Muskelanspannung, Angst] von PTBS einen signifikanten Rückgang festgestellt hatte. Im Jahr der ersten Untersuchung von Francine Shapiro wurden noch drei weitere Untersuchungen zur Behandlung von PTBS veröffentlicht, von denen keine auch nur annähernd vergleichbare Behandlungserfolge berichten konnte.

The steep path of EMDR to the scientific recognition was accompanied by the beginning of great enthusiasm and fierce scientific controversies. Shapiro's first reports (1989a, 1989b) with descriptions of the action steps described significant improvement of post-traumatic stress disorder (PTSD) after a single session "Eye Movement Desensitization (EMD). On the background of PTSD until then treated as serious and the treatment methods were considered to be lengthy, exhausting, and have limited effect (Solomon, Gerrity, & Muff, 1992), EMDR struck first on skeptical restraint. At this time there was only one additional efficacy study for the treatment of PTSD, in the Peniston (1986) 45 meetings, relaxation and systematic desensitization plus biofeedback with a control group compared with no therapy and only in individual symptoms [nightmares, muscle tension, fear] of PTSD a significant decrease was noted. In the first investigation by Francine Shapiro, three other studies have been published for the treatment of PTSD, which was able to report not even close to comparable treatment results.

Keywords: Effectiveness Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

100. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.

Language: English

Format: Journal

Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.

Keywords: Anxiety Depression

Accuracy Verified: Yes

101. Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P. P., Turner, S., & Yule, W. (2010, March). Do all psychological treatments really work the same in posttraumatic stress disorder?. Clinical Psychology Review 30(2), 269–276. doi:10.1016/j.cpr.2009.12.001.

Language: English

Format: Journal

Abstract:
A recent meta-analysis by Benish, Imel, and Wampold (2008, Clinical Psychology Review, 28, 746-758) concluded that all bona fide treatments are equally effective in posttraumatic stress disorder (PTSD). In contrast, seven other meta-analyses or systematic reviews concluded that there is good evidence that trauma-focused psychological treatments (trauma-focused cognitive behavior therapy and eye movement desensitization and reprocessing) are effective in PTSD; but that treatments that do not focus on the patients' trauma memories or their meanings are either less effective or not yet sufficiently studied. International treatment guidelines therefore recommend trauma-focused psychological treatments as first-line treatments for PTSD. We examine possible reasons for the discrepant conclusions and argue that (1) the selection procedure of the available evidence used in Benish et al.'s (2008)meta-analysis introduces bias, and (2) the analysis and conclusions fail to take into account the need to demonstrate that treatments for PTSD are more effective than natural recovery. Furthermore, significant increases in effect sizes of trauma-focused cognitive behavior therapies over the past two decades contradict the conclusion that content of treatment does not matter. To advance understanding of the optimal treatment for PTSD, we recommend further research into the active mechanisms of therapeutic change, including treatment elements commonly considered to be non-specific. We also recommend transparency in reporting exclusions in meta-analyses and suggest that bona fide treatments should be defined on empirical and theoretical grounds rather than by judgments of the investigators' intent. Copyright © 2009 Elsevier Ltd. All rights reserved.

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

102. Hembree, E., Foa, E., Dorfan, N., Street, G., Kowalski, J., & Tu, X. (2003, December). Do patients drop out prematurely from exposure therapy for PTSD?. Journal of Traumatic Stress, 16(6), 555-562. doi:10.1023/B:JOTS.0000004078.93012.7d.

Language: English

Format: Journal

Abstract:
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic PTSD. Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitivebehavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Dropouts

Accuracy Verified: Yes

103. Albright, D. L., & Thyer, B. (2010, February). Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans?. Behavioral Interventions, 25(1), 1-19. doi:10.1002/bin.295.

Language: English

Format: Journal

Abstract:
Prior meta-analyses have suggested that eye-movement desensitization and reprocessing (EMDR) may be effective in alleviating the symptoms of post-traumatic stress disorder (PTSD). EMDR is now being recommended as a treatment for military combat veterans who suffer from PTSD. We provide a review of published outcome studies that appeared in print from 1987 - April, 2008 which examined the specific effects of EMDR on PTSD among military combat veterans. Studies were identified through electronic bibliographic databases, web sites, and manual searches of article reference lists. A total of six randomized controlled trials (RCTs) and three quasi-experimental studies met our inclusionary criteria and are reviewed. The evidence supporting the use of EMDR to treat combat veterans suffering from PTSD is sparse and equivocal, and does not rise to the threshold of labeling the therapy as an empirically supported treatment. It is premature to incorporate EMDR into routine care for veterans to alleviate combat-related PTSD. EMDR needs a considerably stronger evidentiary foundation which includes large-scale RCTs involving credible placebo controlled treatment conditions. Copyright © 2009 John Wiley & Sons, Ltd.

Keywords: Combat Veterans Military Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

104. Cahill, S. P., Carrigan, M. H., & Frueh, B. C. (1999, January-April). Does EMDR work? And if so, why?: A critical review of controlled outcome and dismantling research. Journal of Anxiety Disorders, 13(1-2), 5-33. doi:10.1016/S0887-6185(98)00039-5.

Language: English

Format: Journal

Abstract:
Research on Eye Movement Desensitization and Reprocessing therapy (EMDR) was reviewed to answer the questions “Does EMDR work?” and “If so, Why?” This first question was further subdivided on the basis of the control group: (a) no-treatment (or wait list control), (b) nonvalidated treatments, and (c) other validated treatments. The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety. Second, EMDR appears at least as effective or more effective than several nonvalidated treatments (e.g., relaxation, active listening) for posttraumatic stress reactions. Third, despite statements implying the contrary, no previously published study has directly compared EMDR with an independently validated treatment for posttraumatic stress disorder (e.g., therapist-directed flooding). In the treatment of simple phobia, participant modeling has been found to be more effective than EMDR. Fourth, our review of dismantling studies reveals there is no convincing evidence that eye movements significantly contribute to treatment outcome. Recommendations regarding further research directions are provided(ScienceDirect).

Keywords: Anxiety Disorders Literature Review PTSD Relaxation Therapy Treatment Effectiveness

Accuracy Verified: Yes

105. Molster, F. (1998). Door het oog uit het hart: Een literatuurstudie naar EMDR [Through the eye of the heart: A literature review on EMDR]. Universiteit van Amsterdam, Faculteit der Psychologie, Amsterdam, Nederlands.

Language: Dutch

Format: Dissertation/Thesis

Keywords: Literature Review

Accuracy Verified: Yes

106. Laliotis, D. (2009, March). Dreaming the future: Part 1 & Part 2 - Creating new possibilities with EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
EMDR is often used to help clients access and rewire neural pathways to integrate traumatic memories and relieve dissociation, hyperarousal, and numbing. But it can also help clients move toward a better future by mentally rehearsing aspects of more positive, fulfilling lives. In this workshop, we'll describe how to use EMDR to develop alternative neural pathways freeing clients from the fears and self-doubts that keep them from developing to their fullest potential. We'll review the brain circuitry involved in moving from an internal state of disconnection and helplessness to one of integration and empowerment. Then through lecture, discussion, and videotaped examples, you'll learn guidelines for using EMDR to help clients develop new internal maps, future scenarios, and a clear sense of how to get from their present state to their future self.

Keywords: Practice Theory

Accuracy Verified: Yes

107. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.

Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have been supported by a number of recent reviews although there have been increasing concerns about their safety. Recent guidance has been issued in the UK by the Regulatory Agency concerning the use of SSRI drugs in people of all ages, but especially in children and young adults. In a meta-analysis of the clinical trial literature for PTSD, following a rigorous bibliographic search, 26 RCTs meeting strict criteria were identified. Data on two hitherto unpublished trials of sertraline were available for inclusion. This review highlights the methodological issues involved in comparing drug trials and trials of psychological therapies. Nonetheless, meta-analysis demonstrates that drug treatments for PTSD are probably more disappointing than hitherto believed. Only five drugs emerged with recommendations for use. One of these has a reliable if modest effect (paroxetine). The other four are included on the basis of small single trial reports. Although there are clear indications for drug treatments, in general there should be an increasing emphasis on ensuring that trauma-focused psychological treatments (CBT and EMDR) are widely available, delivered by competent practitioners, and easily accessible in a timely fashion in primary and secondary care settings.

Keywords: Drug Treatment Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: No

108. Ravaglia, G. (2003). E.M.D.R. e percorso analitico [EMDR and path analysis]. Gianfranco Ravaglia.

Language: Italian

Format: Other

Abstract:
Le tesi sviluppate negli scritti di questo sito rinviano a vari indirizzi psicoterapeutici che convergono nel considerare i disturbi psicologici come esiti di atteggiamenti difensivi intenzionali, anziché come "effetti" di "cause" intrapsichiche o ambientali. Il cliente in analisi non è quindi considerato un malato da curare, ma un soggetto che ha costruito le sue difese e che per questo può anche cambiare. Il lavoro analitico verte sul chiarimento delle convinzioni irrazionali su cui si fonda la strategia difensiva della persona e sull'esplorazione dei vissuti profondi non integrati nell'infanzia perché sentiti in tale epoca come intollerabili. Il lavoro analitico si basa sull'idea che i sintomi, gli atteggiamenti difensivi ed anche molti atteggiamenti considerati normali costituiscano una risposta ragionevole nell'infanzia, ma irrazionale nella vita adulta, al dolore. Il bambino evita il dolore, mentre l'adulto può accettarlo perché dispone di risorse che nell'infanzia non aveva. Il lavoro analitico ha come obiettivo l’elaborazione delle esperienze dolorose attuali e dei vissuti dolorosi del passato. Non “cura” i disturbi psicologici, ma serve a renderli superflui; consente quindi alla persona in analisi non solo di "star meglio", ma di modificare l'atteggiamento complessivo nei confronti della sua esistenza. Dal 2000 ad oggi questo sito è cresciuto includendo ogni anno nuovi lavori. Per ogni saggio indico la data della prima pubblicazione; indico anche quella dell’ultima revisione solo nei casi in cui parti significative sono state aggiunte.

The arguments in the writings of this site refer to various addresses psychotherapy converge in considering the results of psychological disorders such as defensive intentional, rather than "effects" of "causes" intrapsychic or environmental. The customer analysis is therefore not considered a patient to be cured, but a person who has built his defenses and that this may also change. The analytical work focuses on clarifying the irrational beliefs underlying the defensive strategy of the person and the exploration of deep feelings are not integrated in childhood because at that time felt as intolerable. The analytical work is based on the symptoms, the defensive and many considered normal behavior in childhood constitute a reasonable response, but irrational in adult life, the pain. The child avoids the pain, while the adult can accept it because it has resources that childhood did not have. The analytical work has as objective the development of painful experiences of current and past painful experiences. Not cure psychological disorders, but serves to make them redundant; then allows the person in analysis not only of "getting better", but change the overall attitude towards its existence. Since 2000 this site has grown to include new works each year. For each test indicates the date of first publication, also indicates that the last review only in cases where significant parts have been added.

Keywords: Path Analysis

Accuracy Verified: Yes

109. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.

Language: English

Format: Journal

Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]

Keywords: Adaptive Information Processing Model AIP Cognitive Processes Crisis Intervention Early EMDR Intervention Emergency Room Patients Israel-Hezbollah War Israelis Prevention of PTSD Psychotherapeutic Processes PTSD Recent Events Survivors

Accuracy Verified: Yes

110. Temple, M. (2011, October). Eating disorders and EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
This workshop will focus on EMDR in eating disorders, particularly Anorexia Nervosa, commencing with a review of the evidence base particularly in relation to EMDR and perspective on aetiology / causations. The discussion will focus on physical risks and need for combined multi-disciplinary working for safe management with a specific focus on published EMDR work and the importance of the preparatory / resource phase. Target areas for using EMDR including identified trauma, attachment / abandonment issues, fear of need / emotion, specific experiences of the anorexia itself and symptom areas such as body image distortion will all be considered leading to a possible overall ‘EMDR and Eating Disorders’ model. (Author abstract)

Keywords: Eating Disorders

Accuracy Verified: Yes

111. Rosch. P. J. 1997, January-February) . Editorial comments: The treatment of posttraumatic stress disorder (PTSD). Psychosomatic Medicine, 59(1), 71 .

Language: English

Format: Journal

Abstract:
These letters criticize alleged omissions in a review of the literature on treatment of PTSD. [Pilots]

Keywords: Letter Posttraumatic Stress Disorder Professional Criticism PTSD Treatment

Accuracy Verified: Yes

112. Glover, H. (1997, January-February). Editorial comments: The treatment of posttraumatic stress disorder (PTSD). Psychosomatic Medicine, 59(1), 70-71.

Language: English

Format: Journal

Abstract:
These letters criticize alleged omissions in a review of the literature on treatment of PTSD. [Pilots]

Keywords: Letter Posttraumatic Stress Disorder Professional Criticism PTSD Treatment

Accuracy Verified: Yes

113. Maxfield, L. (2009). Editorial: Twenty years of EMDR. Journal of EMDR Practice and Research, 3(3), 115-116. doi:10.1891/1933-3196.3.3.115.

Language: English

Format: Journal

Abstract:

Keywords: Historical Review

Accuracy Verified: Yes

114. Cole, F. J. (1996, November). The effect of alpha theta brainwave production on self-efficacy in the treatment of substance abuse. California School of Professional Psychology, Fresno, CA. AAT 9734483.

Language: English

Format: Dissertation/Thesis

Abstract:
Two new brief treatments, Alpha Theta Brainwave Training (ATBT) and Eye Movement Desensitization and Reprocessing (EMDR) were compared to Systematic Muscle Relaxation (SMR) training during the treatment of 45 hospitalized veterans in the Chemical Dependency Treatment Program of the Fresno Department of Veteran Affairs Medical Center. Fifteen veterans were randomly assigned to three treatment groups, ATBT, EMDR, and SMR, to investigate whether these treatments affected self-efficacy, or confidence in the ability to resist the urge to drink. In behavioral change, self-efficacy levels are consistent predictors of short and long-term success. It was hypothesized that the greater the amount of time spent in theta brainwave frequency (4-8 Hz) during treatment, the greater the increase in self-efficacy. Brainwave activity, temperature, skin conductance and electromyographic levels were recorded during the treatment sessions. Measures of self-efficacy, self-efficacy expectancy, outcome expectancy, and level of overall physical and emotional symptoms were taken before and after treatment. Results indicated that all treatments increased self-efficacy and decreased overall physical and emotional symptoms in alcoholic subjects. Overall, there was no significant difference in the amount of time spent in theta brainwave frequency between groups, but results indicated that the treatments did produce a significant difference in the amount of time spent in theta brainwave frequency between the first and last treatment sessions in the groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2667.

Keywords: Brain Stimulation Drug Abuse Drug Rehabilitation Empirical Study Military Veterans Relaxation Therapy Self Efficacy Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

115. Smith, S. (2003, Spring). The effect of EMDR on the pathophysiology of PTSD. International Journal of Emergency Mental Health, 5(2), 85-91.

Language: English

Format: Journal

Abstract:
The process of understanding PTSD has been a long and difficult one. It is safe to say our understanding of this disorder is incomplete, and our exploration into its pathophysiology is fairly recent. As with any disorder of the brain, the complexities of PTSD are extensive and require integrating cognitive, functional, and chemical components. Given this complexity, it is no wonder that treating PTSD has also been a challenge. Treating a disorder whose components are not fully understood is similar to shooting in the dark. Some shots have hit their mark and some have missed. More than ten years after its conception, the question of whether Eye Movement Desensitization and Reprocessing (EMDR) is a hit or a miss is still debated. If understanding the pathophysiology of PTSD is still recent, understanding the possible physiology behind EMDR is just beginning. This paper will define PTSD, explain some aspects of its physiology, and present some hypotheses as to why EMDR may be a successful treatment for PTSD. [Author Abstract]

Keywords: Literature Review Posttraumtic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

116. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .

Language: English

Format: Journal

Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

117. Lothlorien (2010, December). The effectiveness of EMDR: A literature review. (Author) Online .

Language: English

Format: Dissertation/Thesis

Abstract:
This literature review has been conducted to study the effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) in treating trauma. Articles for this literature review were chosen using the Google Scholar database with OhioLink applying keywords such as EMDR, EMDR and trauma, and EMDR effectiveness. Articles were also found using the EMDR International Association website at http://emdria.org. Most articles were chosen due to their relevance to the research question. Other factors that were considered were the quality of the research, timeliness, the number of times an article was cited by others, and accessibility. . Of these ten articles, 2/10 (20%) were literature reviews, 2/10 (20%) were conceptual articles, and 6/10 (60%) were empirical studies. All of the empirical studies (6/6 or 100%) were quantitative. All empirical studies cited in the literature review (6/6 or 100%) used primary data based on observation. Five out of the six (83%) empirical studies used and experimental design. One out of six (17%) used a quasi-experimental design. In the six empirical studies, the mean sample size was 51. The smallest sample size was 22, and the largest sample size was 88. Based on the articles studied for this review, EMDR is found to be an effective treatment for trauma. It has also been found to work faster than other therapies. Some studies also showed it to be more easily tolerated by clients than other therapies. Major limitations to this review are the number of publications included, the fact that only articles available in full text form via OSU affiliates were selected, and time available for the literature review. Based on the conclusion that EMDR is an effective mode of treatment for trauma survivors, social workers conducting therapy with this population would benefit from learning the technique and incorporating it in their repertoire of therapies.

Keywords: Literature Review Research Methods Trauma

Accuracy Verified: Yes

118. Williams, C. J. (2001). The effectiveness of eye movement desensitization and reprocessing (EMDR) in the treatment of psychologically traumatized individuals: A literature review. University of Wisconsin - Stout.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this literature review was to investigate the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized individuals primarily diagnosed with Post Traumatic Stress Disorder (PTSD). In this investigation an overview of Eye Movement Desensitization and Reprocessing (EMDR) as well as other approaches in the treatment of traumatized individuals was explored. Included in this investigation is a critical review of controlled research and the use of EMDR. Finally, the information is summarized and recommendations are offered based upon information gathered.

Keywords: Literature Review Trauma

Accuracy Verified: Yes

119. Fleming, J. (2012). The effectiveness of eye movement desensitization and reprocessing in the treatment of traumatized children and youth. Journal of EMDR Practice and Research, 6(1), 16-26. doi:10.1891/1933-3196.6.1.16.

Language: English

Format: Journal

Abstract:
This article provides a summary of all the studies that have investigated eye movement desensitization and reprocessing (EMDR) treatment of traumatized children and adolescents. The effectiveness of the treatment is revealed in more than 15 studies. This article considers the differences between Type I and Type II traumas and specifically examines the effects of EMDR on traumatic stress experienced by children and youth following Type I and Type II traumas. There is a considerable body of research evaluating EMDR treatment of Type I traumas, showing strong evidence for its efficacy, but there are few studies that have specifically investigated EMDR treatment of Type II traumas. The effect of EMDR on various symptoms and problem areas is also examined. Recommendations are made for the clinical application of EMDR and for further research.

Keywords: Children Posttraumatic Stress Disorder PTSD Review Trauma Treatment

Accuracy Verified: Yes

120. Koch, E. (2005, November). Effectiveness of interrupted or “dosed” exposure procedures. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract: EMDR is also an empirically validated treatment for PTSD. However, several dismantling studies have demonstrated that portions of the treatment can be removed without a detrimental effect on treatment outcome. The one component that has not been investigated is the form of exposure utilized, i.e., interrupted or “dosed” exposure. An overview of the EMDR dismantling studies will be presented along with a review of those studies that directly compared the effectiveness of prolonged exposure and EMDR. This presentation will highlight the theoretical basis and empirical observations that dosed exposure may have advantages over prolonged or continuous exposure. The potential mechanisms of action involved in “dosed” exposure procedures will be discussed.

Keywords: Dosed Exposure Procedures Poster

Accuracy Verified: Yes

121. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.

Language: English

Format: Dissertation/Thesis

Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.

Keywords: Children Trauma

Accuracy Verified: Yes

122. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.

Language: Italian

Format: Dissertation/Thesis

Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it. Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000). L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998). Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico... Questi studi tuttavia commettono uno o più dei seguenti problemi: 1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995). 2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999). La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD. Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma. Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”. Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti. Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.

EnglishSpanishArabicAlpha EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD. Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it. The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000). EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998). Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology: ...... These studies, however, have committed one or more of the following problems: 1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995). 2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999). This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD. In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma. In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information." The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents. In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

123. Fleming, J. (2013). Efficacité de l’EMDR dans le traitement d’enfants et d’adolescents traumatisés [Effectiveness of EMDR in the treatment of traumatized children and adolescents]. Journal of EMDR Practice and Research, 6(1), 16–26. doi:10.1891/1933-3196.7.1.E12.

Language: French

Format: Journal

Abstract:
On trouvera ici un résumé de tous les articles qui ont étudié le traitement par l’EMDR d’enfants et d’adolescents traumatisés. L’efficacité du traitement est établie par plus de quinze études. Le présent article examine les effets de l’EMDR sur le stress traumatique d’enfants et d’adolescents après des traumas de type I et II. Si un nombre considérable d’études évaluent le traitement des traumas de type I par l’EMDR, apportant des preuves solides de son efficacité, rares sont celles qui ont investigué spécifiquement le traitement EMDR des traumas de type II. L’auteur examine aussi l’effet de l’EMDR sur divers symptômes et difficultés. Elle donne enfin des recommandations pour l’application clinique de l’EMDR, et pour des recherches futures.

This paper provides a summary of all items that have studied the EMDR treatment of children and adolescents traumatized. The effectiveness of treatment is determined by more than fifteen studies. this article examines the effects of EMDR on traumatic stress in children and adolescents after trauma Type I and II. If a considerable number of studies evaluating the treatment of type I trauma EMDR, providing strong evidence of its effectiveness, few have specifically investigated EMDR trauma treatment of type II. The author also examines the effect of EMDR on various symptoms and difficulties. She finally gives recommendations for the clinical application of EMDR and for future research.

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Trauma Treatment Review

Accuracy Verified: Yes

124. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models. Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach. Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT. The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress. This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement. The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented. Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

125. Kristjansdottir, H., Blondahl, M., Sigurosson, E., Sigurosson, J. F., & Salkovskis, P. M. (2011, August-September). Efficacy of cognitive behavioral therapy in the treatment of mood and anxiety disorders in adults - Review. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Introduction: Cognitive behavioural therapy (CBT) represents the form of psychotherapy which has the most research data to build on in the treatment of mental disorders for adults. Method: In this review we will introduce CBT and present the results of pertinent outcome research for mood and anxiety disorders. Efficacy at the end of the treatment will be discussed, as well as long term effectiveness and the efficacy of combined treatment with medication and CBT Results: The results of this review show that CBT is an effective treatment for mood and anxiety disorders; depression, dysthymnia, GAD, panic disorder, social phobia, OCD, PTSD and specific phobia. Results of follow-up studies also show that the efficacy of CBT lasts for a considerable time after the termination of treatment. CBT is more effective than other forms of psychotherapy except for behaviour activation and interpersonal therapy in treatment for depression and EMDR in treatment for PTSD. When CBT is compared with medication (SSRI) results reveal that CBT is as effective or more effective than medication. This is true except for the treatment of dysthymnia, especially when the long-term effects are considered. Results are contradictory regarding whether medication improves or reduces the efficacy of CBT, e.g., there are indications that the medication reduces the efficacy of CBT for some disorders, like panic disorder. Discussion: It is clear that CBT is an effective treatment for most common mental disorders. Side effects are almost never a problem and long-term success is a good. Further research is needed on combined treatment – CBT and medication. Conclusion: Numerous studies support the efficacy of CBT for common mood and anxiety disorders and its good long term effects.

Accuracy Verified: Yes

126. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.

Language: English

Format: Journal

Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]

Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

127. Easton, M. (2009). The efficacy of eye-movement desensitization and reprocessing (EMDR) in the treatment of sexual trauma: A review of the literature. Argosy University, Atlanta, GA.

Language: English

Format: Dissertation/Thesis

Abstract:

Keywords: Review Sexual Trauma Treatment

Accuracy Verified: Yes

128. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.

Language: Danish

Format: Dissertation/Thesis

Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet af flere internationalt anerkendte forskere. Derudover en betydelig stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv måde at behandle PTSD. I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske fejl og mangler i metoder til forskning og objektivitet. Som EMDR synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet, to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet, som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer, der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR, vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen rundes af med en bred debat og en efterfølgende konklusion. Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks negative og invaderende tanker og derfor EMDR kan anbefales som en mulig valg af behandling, og bekvemt som et supplement. At den teoretiske fundament af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.

This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The Cure of PTSD. Worldwide several national health organizations recommend EMDR as the treatment for clients suffering from PTSD, and this recommendation is supported by several internationally recognized academics. Additionally a considerable large number of researches have been published, showing that EMDR is an effective way of treating PTSD. At first, the preliminary question should be easy to answer, had it not been due to the cutting contrast found in several other published researches and articles claiming that EMDR is not effective and is next to being a fraud. This criticism indicates academic errors and deficiencies in methods of research and objectiveness. As EMDR seems to divide the academic societies into “who´s for and who´s against”, the preliminary question is not answerable at first. In approaching an answer to the question, two theoretical parts will be represented. In the first main part, the diagnosis of PTSD will be taken through. The diagnosis is rather new and contains a complexity, which is necessary to uncover, before presenting the theoretical foundation of EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD has replaced the concept of crisis in practice, whereas former separated diagnoses are included in PTSD today. As an example it has led to, mentally stable persons, who have been traumatized, are diagnosed with the same diagnosis as traumatized persons suffering from severe personality disorders. For example this constellation makes it difficult to research the efficiency of the therapies, as the same therapies can result differently according to which group of persons in question. Having taken the diagnosis of PTSD through, the second theoretical main part which is on EMDR, will be presented. At first, in this part, the theoretical foundation of EMDR will be presented to obtain a better perspective of the following criticism. The dissertation closes with a broad discussion and a subsequent conclusion. Among others, the dissertation concludes that EMDR works effectively on isolated symptoms of PTSD to quite some length. EMDR works effectively on flashbacks, negative and invading thoughts and therefore EMDR is recommendable as a possible choice of therapy, conveniently as a supplement. That the theoretical foundation of the effectiveness of EMDR should not be only a variant of cognitive exposure therapy is, however, very frail and lacks an independent evidence-based research.

Keywords: Literature Review

Accuracy Verified: Yes

129. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]

This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]

Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

130. Petterssonin, P. (2011). EMDR - Traumaattisista muistoista tulee tavallisia muistoja (Vanhemmille/huoltajille) [EMDR - Traumatic memories become ordinary memories (Parents/guardians)]. EMDR Kind en jeugd, the Netherlands [2 pages] .

Language: Finnish

Format: Journal

Abstract:
EMDR: n Hyva puoli on se toimii Etta Niine no peasti. peasti. Lapsi, jolla on ollut yksittäinen paha Lapsi, on ollut Jolla yksittäinen Paha kokemus, tarvitsee todennäköisesti vähemmän kokemus, tarvitsee todennäköisesti vähemmän terapiaistuntoja kuin lapsi, joka on kokenut pit terapiaistuntoja Kuin Lapsi, joka on pit kokenut käaikaista, järjestelmällistä uhkaa tai häirintää. käaikaista, järjestelmällistä uhkaa tai häirintää. Jälkimmäisissä tapauksissa EMDR:ää käytetään Jälkimmäisissä tapauksissa EMDR: AA käytetään tavallisesti osana laajempaa terapiaa. tavallisesti osana laajempaa terapiaa.

EMDR: The good side is it is no Etta Niine quickly. quickly. A child who has had a single bad child, has been Possessing a single bad experience, is likely to require less experience, is likely to require fewer therapy sessions than the child who has gone through long therapy sessions as a child who has experienced a long and expertise of Outokumpu, a systematic threat or harassment. expertise of Outokumpu, a systematic threat or harassment. In the latter cases, EMDR is used for the latter cases, EMDR AA is typically used as part of a broader therapy. usually as part of a broader therapy.

Keywords: Guardians Parents

Accuracy Verified: Yes

131. Shapiro, F. (2002, January). EMDR 12 years after its introduction: Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]

Keywords: Cognitive Processes Literature Review Posttraumtic Stress Disorder PTSD Research Needs

Accuracy Verified: Yes

132. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with more difficult clients so they too can benefit from EMDR. It is also helpful to know how to deal with blocked processing due to the interference of an ego-state. This workshop provides an overview of dissociation and a review of models to explain it. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical case material is used to illustrate learning points. Through demonstration and practice participants will learn how to access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see a video of a live case where EST is used effectively to moderate the malevolence displayed by two difficult ego states. Learning objectives  Understand the forms of dissociation  Understand the concept of ego state therapy.  Learn how to access ego states in a controlled way and effect therapeutic change.  Learn techniques to deal with difficult ego states.

Keywords: Dissociation Ego State Therapy Trauma

Accuracy Verified: Yes

133. Protinsky, H., Flemke, K., & Sparks, J. (2001, June). EMDR and emotionally oriented couples therapy. Contemporary Family Therapy, 23(2), 153-168. doi:10.1023/A:1011193518301.

Language: English

Format: Journal

Abstract:
When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples. [Springer]

Keywords: Empirical Study Family Therapy Literature Review Marital Problems Nonclinical Case Study Psychotherapeutic Processes Survivors Treatment Effectiveness

Accuracy Verified: Yes

134. McNeal, S. (2001, January-April). EMDR and hypnosis in the treatment of phobias. Eye movement and desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 263-274. doi:10.1080/00029157.2001.10404281.

Language: English

Format: Journal

Abstract:
Clinical hypnosis and EMDR have both been employed in the treatment of phobias. EMDR has been a controversial treatment method with the research showing mixed results concerning its efficacy. Many studies have shown the effectiveness of hypnosis in the treatment of phobias, but no studies have directly compared hypnosis to EMDR. This paper discusses each approach to treatment, with special emphasis on EMDR. Relevant research and current theories are reviewed along with questions raised and recommendations for future research. (ASCH)

Keywords: Hypnotherapy Phobias Review

Accuracy Verified: Yes

135. van Rood, Y., & de Roos, C. (2012, June). EMDR and medically unexplained physical symptoms (MUPS): Case conceptualisation and treatment [EMDR y los síntomas somáticos inexplicables por la medicina (MUPS): Conceptualización del caso y tratamiento]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Medically unexplained physical symptoms (MUPS) are symptoms for which adequate examination did not reveal sufficiently explanatory structural or other specified pathology. This includes patients with somatoform disorders such as conversion disorder, hypochondriasis, and pain disorder. But also patients with functional syndromes such as fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome and patients with specific physical symptoms such as pain, nausea, itch for which no medical cause has been detected. Empirical evidence suggests that traumatic experiences can play a role in the aetiology of MUPS and somatoform disorders (Roelofs & Spinhoven, 2007). Furthermore, unprocessed traumatic memories can play a role in the maintenance of MUPS (de Roos & van Rood, in press). Indeed,the results of a systematic review suggest that EMDR might be an effective treatment for MUPS and somatoform disorders, particularly when the somatic complaints are trauma related (van Rood & de Roos, 2009). Clinicians need to establish if the specific complaint of their patient is trauma related, whether the unprocessed trauma memory maintains the somatic symptom, and if so in what way. In this presentation the different ways are discussed in which trauma memories can be related to MUPS and how this may maintain the complaint; i.e. hinder recovery. The presentation will be illustrated with video fragments of the EMDR process in several patients with diverse somatic complaints.

Los síntomas somáticos médicamente inexplicables (MUPS), son síntomas para los cuales un adecuado examen no muestra una explicación estructural suficiente ni otra patología específica. Esto incluye pacientes con trastornos somatomorfos como el trastorno de conversión, hipocondría y trastorno por dolor. Pero también los pacientes con síndromes funcionales como la fibromialgia, síndrome de fatiga crónica, síndrome del colon irritable y pacientes con síntomas físicos específicos como dolor, náuseas, picores sin causa médica, fueron detectados. La evidencia empírica sugiere que las experiencias traumáticas pueden jugar un papel en la etiología del MUPS y los trastornos somatomorfos (Roelofs & Spinhoven, 2007). Es más, los recuerdos traumáticos sin procesar pueden jugar un papel en el mantenimiento del MUPS (de Roos & van Rood, in press). De hecho, los resultados de revisiones sistemáticas sugieren que el EMDR puede ser un tratamiento efectivo para MUPS y los trastornos somatomorfos, de manera específica cuando las quejas somáticas de los pacientes están relacionadas con un trauma. Los clínicos necesitan establecer si existen quejas específicas de sus pacientes relacionadas con el trauma o no. Si el trauma sin procesar mantiene los síntomas somáticos o no. En esta presentación diferentes caminos serán discutidos, en donde el trauma puede estar relacionado con el MUPS y cómo éste puede mantener la queja. La presentación será acompañada de fragmentos de vídeo para el procesamiento de EMDR en numerosos pacientes con diversas quejas somáticas.

Keywords: Medically Unexplained Physical Symptoms MUPS

Accuracy Verified: Yes

136. Spierings, J. (2013, June). EMDR and mourning. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Working with mourning clients can be difficult. To face the irrevocability of loss and to stand helpless and empty-handed as a therapist is a heavy burden. Sometimes it seems there is nothing we can do to help our clients. Yet there are many ways in which EMDR can contribute to help our clients to live a valuable life after a serious loss.
In this presentation the psychodynamics of complicated mourning are discussed. Treatment strategies and treatment techniques (both EMDR and combined techniques) are developed for specific patterns of complicated mourning (i.e. denied mourning, postponed mourning, chronic mourning, distorted mourning, traumatized mourning, somatized mourning).
Some non-EMDR techniques (rituals, Gestalt dialogue, writing assignments, imagination techniques) will be integrated into EMDR treatment. Also practical interventions to address resistance and affect regulation problems will be discussed.
Learning Objectives: What are the key aspects of using EMDR with issues of grief and mourning; Outline the core characteristics of stabilization and resourcing for this population; Review the range of cognitive interviews that have an application when evidence of blocked processing is apparent with this client group

Keywords: Grief Mourning Resourcing Stabilization

Accuracy Verified: Yes

137. Devilly, G. J. (1996, November). EMDR and PTSD: The score at half time. Psychotherapy in Australia, 3(1), 26-31.

Language: English

Format: Journal

Abstract:
The treatment of post traumatic stress disorder (PTSD) has been a hot topic of debate since it’s inclusion into the Diagnostic and Statistical Manual of Mental Disorders in the 1980’s. However, it was not until 1989, with the introduction of Eye Movement Desensitization and Reprocessing (EMDR), that this debate reached such lofty heights of vigour. The lack of any theoretical models as to why the EMDR process might work has not helped in gaining professional credence. It will be the purpose of this article to briefly review the reasons for this debate, give a short outline of the EMDR procedure and comment upon the current state of research.

Keywords: Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

138. Carvalho, E. R. (2013, May). EMDR and role therapy: Healing the folks who live inside. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Role Therapy will be presented as a comprehensive approach to the treatment of a wide spectrum of clients. Role therapy is presented as a “normalizing” approach to trauma and dissociation, treating clients’ inner roles as EMDR targets. Central to this approach is the conceptualization of self and one’s inner roles and counter-roles. Discussion will include how to use a developmental approach to assessment, and will review the identification, mapping and accessing of roles, as well as how to promote the use of role-specific EMDR targets, facilitating the enhancement of EMDR processing. Learning Objectives: • Participants will be able to discuss and implement the applications of Role Theory concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of clients. • Participants will be able to discuss and describe how to developmentally assess, identify, map and access client roles and how to treat roles with traditional EMDR protocols. • Participants will be prepared to utilize EMDR targeting clients’ inner roles to enhance the processing of clients’ issues and resolution of symptoms.

Keywords: Role Therapy

Accuracy Verified: Yes

139. Browning, S. (2008, October). EMDR and self soothing. Presentation at the 1st annual EMDR Autumn Workshop, York, UK.

Language: English

Format: Conference

Abstract:
A brief review of what is happening as a physiological neurobiological level and then looking at self soothing techniques to stabilise and strengthen client's resources to tolerate EMDR processing of the trauma. Mindfulness and other techniques demonstrated and explored in a group setting. Be prepared to try it yourself!

Keywords: Self Soothing

Accuracy Verified: Yes

140. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express themselves sexually. A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There will be a review of the psychological theories and the research about the origins of homosexuality. The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the "pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points where EMDR therapists can be sensitive to the presence of emotional issues related to being gay. Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning now applies to one's self. EMDR is effective in resolving this "internalized homophobia." "Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness, not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings. This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved, acceptance and valuing of self increases. Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out." EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are: gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay persons recruit young people, etc. The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching death, and (5) issues of "meaning" as life moves toward death. EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and "get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc. EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably. The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being present at the death of a client, and other issues that arise in HIVIAIDS care. The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.

Keywords: Gay Clients Homosexuality

Accuracy Verified: Yes

141. Nickerson, M. (2008, June). EMDR and the treatment for angry and violent behaviours. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
This workshop will assist the EMDR clinician to more effectively treat angry and violent behaviour. It will include an initial review of the prevalence, impact and dynamics of the problem. The common cyclical nature of violent acting out will be depicted as well as other characteristics in a spectrum of hostile behaviours including perpetrator state and trait issues. Current non-EMDR clinical approaches and the evolving field of domestic violence will be reviewed to aid the EMDR clinician in skilfully integrating into existing clinical contexts and to appreciate the unique capacities of EMDR. The primary focus of the workshop will be on special considerations in the successfully tailored use of the 8-Phase Treatment approach. Clients with problematic anger or violent behaviour present many challenges for the often undertrained clinician and commonly avoid, resist and manipulate treatment or drop out prematurely. Keys to successful clinical engagement, risk assessment and case formulation will be highlighted as critical to early phases of treatment. A metaphor based guide to case formulation will be presented and a decision-tree style flow chart will be offered to inform treatment planning including determining client readiness for trauma processing. EMDR offers the potential for desensitizing the trauma that often drives violent behaviour. Considerations in the identification, prioritization and sequencing of targets for processing will be outlined. This will include use of the cycle of violence model for target identification. Multiple clinical examples will be offered to illuminate points including video taped case material.

Keywords: Anger Violence

Accuracy Verified: Yes

142. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.

Language: English

Format: Journal

Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more complex cases has been less widely studied. This article examines the body of literature on the treatment of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research. Despite a still limited number of randomized controlled studies of any treatment for complex PTSD, trauma treatment experts have come to a general consensus that work with survivors of childhood abuse and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented EMDR model for working with these patients is presented, highlighting the role of resource development and installation (RDI) and other strategies that address the needs of patients with compromised affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD are offered along with suggestions for future investigations.

Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review

Accuracy Verified: Yes

143. Nickerson, M. (2008, September). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Assocation, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR offers unique potential in the treatment of clients with angry and violent behaviors. This workshop will include an initial review of the issue’s prevalence, common dynamics, and historic intervention strategies. The underaddressed role of trauma often driving these tendencies will be illuminated. Primary focus will be on the tailored implementation of the 8-Phase Treatment approach. Keys to successful clinical engagement, risk assessment and a metaphor based guide to case formulation will be highlighted. Considerations in the identification, prioritization and sequencing of targets for processing will be outlined. Clinical examples will be offered to illuminate points, including video taped case material.

Keywords: Angry Behaviors Violent Behaviors

Accuracy Verified: Yes

144. Wesselmann, D., Davidson, M., Armstrong, S., Schweitzer, C., Bruckner, D., & Potter, A. E. (2012). EMDR as a treatment for improving attachment status in adults and children. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 223-230. doi:10.1016/j.erap.2012.08.008.

Language: English

Format: Journal

Abstract:
Introduction: The purpose of the article is to examine the current literature regarding evidence for positive change in attachment status following Eye Movement Desensitization and Reprocessing (EMDR) therapy and to describe how an integrative EMDR and family therapy team model was implemented to improve attachment and symptoms in a child with a history of relational loss and trauma. Literature: The EMDR method is briefly described along with the theoretical model that guides the EMDR approach. As well, an overview of attachment theory is provided and its implication for conceptualizing symptoms related to a history of relational trauma. Finally, a literature review is provided regarding current preliminary evidence that EMDR can improve attachment status in children and adults. Clinical findings: A case study is described in which an EMDR and family therapy integrative model improved attachment status and symptoms in a child with a history attachment trauma. Conclusion: The case study and literature review provide preliminary evidence that EMDR may be a promising therapy in the treatment of disorders related to attachment trauma.

Keywords: Adult Attachment Interview Attachment Disorder Family Therapy Trauma

Accuracy Verified: Yes

145. Preston, J. (2000, September). EMDR as an approach to systems work. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) review basic tenants of systems theory and its application to family or couple therapy; 2) know several important aspects of using EMDR with couples and families, such as safety issues, selection of EMDR targets; and decisions about who should be present during sessions; 3) learn ways to apply systems thinking to work with individuals; and 4) review using EMDR in light of a systemic approach to individual work.

Keywords: Couple Therapy Family Therapy Safety Issues Systems Theory Targeting

Accuracy Verified: Yes

146. Lackie, B. (2004). EMDR as an early itervention in trauma and disaster mental health. Presentation at the annual meeting of the American Psychological Association, Honolulu, HI.

Language: English

Format: Conference

Abstract:
Summarizes a presentation discussing EMDR as an early intervention in trauma and disaster mental health. EMDR is one of the more effective preventative approaches to the effects of disaster and trauma which has emerged over the past ten years. This part of the presentation will review the research findings for effectiveness of this particular approach to reducing the risks of future PTSD, comparing and contrasting it to the alternative approaches presented by the panel. Please see the attached author submitted abstract for more detailed informatoin on EMDR.

Keywords: Disasters Intervention Mental Health Posttraumatic Stress Disorder Prevention Risk Factors Trauma Treatment Effectiveness Evaluation

Accuracy Verified: No

147. Mitchell, R. (2009, May). The EMDR basic protocol: A review and update. Keynote presented at the 2nd annual EMDR Autumn Workshop, Leeds, UK.

Language: English

Format: Conference

Abstract:
The eight-phase protocol is the bedrock of EMDR, however, the way it is taught has evolved over the years. We will review how EMDR is currently taught and highlight some of the common mistakes and misunderstandings made by clinicians. Attendance at the workshop will therefore make certain that all delegates can proceed to the other workshops during the day, 'armed' with the latest information.

Keywords: Basic Protocol Keynote Review Standard Protocol Update

Accuracy Verified: Yes

148. Lendl, J. (2007, September). EMDR basics part I: The touchstone event. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
One of the reasons EMDR is such a powerful treatment is the Adaptive Information Processing Model with its eight phase, three- prong protocol. The robustness of the treatment is not achieved if any part of the protocol is dismissed. Dr. Shapiro’s recent trainings have emphasized the need to work beyond present-day symptoms and triggers (prong #2) to find the underlying touchstone events (prong #1). Part I will review the AIP Model, suggest channels of association most likely linked to a touchstone event/node, review the eight phases, place the touchstone event into the context of the eight phases, show video simulations of the touchstone event including the affect scan and floatback techniques, and have a supervised practicum.

Keywords: Adaptive Processing Model Channels of Association Touchstone Event

Accuracy Verified: Yes

149. Lendl, J. (2007, September). EMDR basics part II: The positive template. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Requisite for the workshop is Part I. Part II will include a historical review of the Positive Template in psychotherapy and sport. Preliminary research suggests that the Positive Template is useful before the installation phase to help maintain skills between sessions, encourage new skills, and practice ways to handle resistance between sessions. Shapiro’s latest trainings emphasize the Future Template to address avoidance, adaptation and actualization as the third prong and installation and reevaluation phases. Simulation videos will demonstrate the decision making process and the use of resources in the Future Template and the End Session Positive (ESP) Template. There will be supervised practica utilizing the Positive Template to complete processing of the Part I Touchstone Event.

Keywords: Positive Template

Accuracy Verified: Yes

150. Lempa, W., Sack, M., & Lamprecht, F. (2005, September 24). EMDR bei akuter PTSD [EMDR for acute PTSD]. In A. Karl & W. Lempa, (Moderators), Symposium 2 Traumaspezifische Interventionen in Forschung und Praxis, Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, September 23-25 Dresden .

Language: German

Format: Conference

Abstract:
Anhand von klinischen und empirischen Daten wird die Anwendung von EMDR bei akuten Traumatisierungen aufgezeigt. Auf die Besonderheiten der Akutbehandlugn wird eingegangen und der therapeutische Prozess, auch anhand der Fragebogenwerte (IES, PTSS-10, SUD) veranschaulicht. Überlegungen zur Indikation, Durchführung und Kontraindikation für EMDR bei akuter PTSD werden vorgestellt. [Author abstract]

On the basis of clinical and empirical data, the use of EMDR is shown in acute trauma. The special features of Akutbehandlugn is discussed and the therapeutic process, including reference to the questionnaire values (IES, PTSS-10, SUD) illustrates. Review of indications, and contraindications for implementing EMDR with acute PTSD are presented. [Author abstract]

Keywords: Acute Stress Disorder ASD Symposium

Accuracy Verified: Yes

151. Schubbe, O. (2008, September). EMDR bei kindern [EMDR in the work with children]. Pre-Congress am 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich.

Language: German

Format: Conference

Abstract:
Der Workshop gibt einen kurzen systematischen Überblick über die Techniken, die speziell EMDR in der Psychotherapie mit Kindern und Jugendlichen eingesetzt. Alter angemessenen Formen der bilateralen Stimulation und der Aktualisierung der Ressourcen und ungelösten Erinnerungen werden erläutert. Kleine Gruppe Übungen sollen den Teilnehmern eine praktische Lernerfahrung. Bewerber für die EMDR-Seminare mit Oliver Schubbe in Linz oder Graz kann dieser Workshop als Schnupperkurs nutzen. Die Teilnehmer sollten bereit sein, die Rolle der ein Kind oder Jugendlicher Client innerhalb einer kleinen Gruppe zu spielen.

The workshop will give a brief systematic overview over the EMDR techniques specifically used in psychotherapy with children and adolescents. Age appropriate forms of bilateral stimulation and of the actualization of ressources and unresolved memories will be explained. Small group exercises are intended to give participants a practical learning experience. Applicants for the EMDR seminars with Oliver Schubbe at Linz or Graz can use this workshop as a taster course. Participants should be willing to play the role of a child or adolescent client within a small group.

Keywords: Children

Accuracy Verified: Yes

152. Forester, D. (2012, October). EMDR boot camp: An intensive refresher course. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
This is an EMDR skills refresher course designed for clinicians who have not had the ability to practice EMDR. This course is perfect for the clinician who took some time off following EMDR Basic Training or would like some hands on practice to build technical competence. Build confidence through a review of the AIP model, the 8 phases and 3 prong approach followed by a guided practicum experience to build your proficiency. With EMDR Boot Camp you will get a personal, hands on experience that will activate your Adaptive Information Processing and allow you to practice EMDR with confidence.

Keywords: Refresher Course

Accuracy Verified: Yes

153. Shapiro, F. (2007, November). EMDR clinical parameters and research findings: “What’s new and useful”. Master clinician series at the 23rd annual meeting of the International Society for Traumatic Stress, Baltimore MD.

Language: English

Format: Conference

Abstract:
Numerous controlled studies have indicated that EMDR´s effects on PTSD symptoms are comparable to those of trauma-focused CBT. However, EMDR does not require homework, sustained arousal, detailed verbalization of the index trauma, or prolonged exposure to the event. In this invited presentation, videotapes of an incest survivor and a disaster victim will demonstrate the EMDR treatment, and the de-arousal effects of the eye movements, which have been documented in numerous controlled laboratory studies. In addition, the clinical procedures of an EMDR group-protocol used subsequent to disasters and terrorist attacks will be illustrated. The presentation will review research findings, with long-term follow up, indicating that the resolution of etiological events can result in the successful treatment of conditions that have often been considered intractable. A recent study will be used to explore the clinical parameters of the EMDR treatment of child molesters, which has resulted in the sustained reduction of deviant arousal. Likewise, representative case examples from studies documenting the elimination/ reduction of phantom limb pain subsequent to EMDR processing will be presented to explore both the clinical and theoretical implications.

Keywords: De-arousal Effects of Eye Movement Group Protocol Master Series

Accuracy Verified: Yes

154. Lichti, J. (2005, September). The EMDR consultation process: Findings & fine-tuning the future. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will review the development of EMDR consultation in order to improve future consultation practices. The differences and similarities between therapy, consultation and consultation-of-consultation will be highlighted. The literature on effective clinical supervision/consultation will be reviewed. New research on the practices of North American Approved Consultants will be presented. Current activities and innovation in EMDR consultation will be critiqued using case examples. All this information will be used to identify the knowledge and skills needed for competent consultation. Participants will then analyze their own practices using all the above information and discuss in small groups how they plan to improve their consultation services.

Keywords: Consultation

Accuracy Verified: Yes

155. Freitag, W., & Swan, S. (2011, August). EMDR consultation: Comprehensive review and new directions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Consultation is vital to the proper training and professional development of EMDR therapist. Effective consultation can aid in the development of highly competent EMDR therapists, which is always the goal. Although the general goals of consultation may seems clear; the purpose, role and implementation of consultation at the differing credential levels have caused confusion for many EMDRIA Approved Consultants (AC). This workshop will provide both comprehensive reviews of clinical and administrative issues of the four types of consultation conducted by Approved Consultants. The clinical review includes, but is not limited to, the level of competency, skills and capabilities that should be demonstrated at each credential level. The administrative review will include organizational strategies for effective evaluation and record-keeping, as well as the formal documentation requirements of EMDRIA.

Keywords: Consultation

Accuracy Verified: Yes

156. Lichti, J. (2007, September). EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will review the context of EMDR consultation. The differences between therapy, consultation and consultation-of-consultation will be highlighted. The implications of the literature on clinical supervision/consultation will be reviewed. Examples of tools and resources for consultants will be presented. Research on the practices of EMDRIA Approved Consultants will be presented. Best Practices emerging from the literature and consultation practices research will be identified. Participants will analyze their own consultation practices using all the above information and discuss in small groups how they plan to improve their consultation services.

Keywords: Consultation

Accuracy Verified: Yes

157. Lichti, J. (2009, May). EMDR consultation: Using practice research to develop best practices. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
This workshop is for Approved Consultants, Consultants-in-training and those considering becoming ACs. We will review the context of EMDR consultation and identify the differences between therapy, consultation and consultation-of-consultation [Objective 1]. The implications of the supervision/consultation literature will be reviewed [Objective 2]. Tools, resources and recordings from actual consultations will be presented. Original research about EMDR consultation will be reviewed. Best Practices emerging from the literature and EMDR consultation research will be identified [Objective 3]. Participants will use all the above information to analyze their own consultation practices [Objective 4] and discuss with peers how to improve their consultation services [Objective 5].

Keywords: Consultation

Accuracy Verified: Yes

158. St. André, É. (2010, Avril/Mai). EMDR dans le traitement d’un trouble obsessif compulsif: Une étude de cas [EMDR in the treatment of obsessive compulsive disorder: A case study]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.

Language: French

Format: Conference

Abstract:
Le trouble obsessif compulsif (TOC) est un trouble anxieux généralement chronique se présentant avec des obsessions récurrentes tel des idées persistantes, des images mentales et des compulsions (suivant les obsessions) tel des actes physiques ou mentaux répétitifs. Dans cet atelier, le médecin fournira des indications cliniques sur son utilisation de l’EMDR dans le traitement d’un patient souffrant de TOC, et donnera quelques exemples tirés de la pratique d’autres cliniciens, en sus d’une révision des notions de base utiles à la compréhension du TOC (théorie neurobiologiques, épidémiologie, etc.). La présentatrice tentera de souligner ce qu’il y a d’unique dans l’utilisation de l’EMDR dans le traitement de l’OCD, les difficultés rencontrées et les solutions utilisées dans ce cas précis. Elle décrira l’utilisation de la méthode de traitement standard en 8 étapes dans un cas spécifique, et dans les modalités de temps (passé, présent, futur), Nous verrons l’identification des cibles de traitement, et la gestion des symptômes de TOC qui entravent le fonctionnement quotidien des patients affectés. Nous verrons aussi les défis proposés par cette population, en clinique. Les participants pourront utiliser certaines stratégies dans un exercice pratique. (Tous les niveaux)

Obsessive Compulsive Disorder (OCD) is an anxiety disorder typically presenting with chronic recurrent obsessions such persistent ideas, images and mental compulsions (as obsessions) as acts of physical or mental patterns. In this workshop, the doctor will provide information on clinical use of EMDR in treating a patient suffering from OCD, and provide some examples from the practice of other clinicians, in addition to a review of concepts useful background for understanding the TOC (theory neurobiology, epidemiology, etc..). The presenter will attempt to highlight what is unique in the use of EMDR in the treatment of OCD, the difficulties encountered and solutions used in this case. She will describe the use of the method of standard treatment in 8 steps in a specific case and in terms of time (past, present, future), we see the identification of treatment targets, and management of symptoms of OCD which hinder the daily operation of affected patients. We will also see the challenges offered by this population in clinical practice. Participants may use certain strategies in a practical exercise.

Keywords: Case Study Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

159. Aneiros, I., González, A., Laredo, M., Mosquera, D., Taboada, M. J., & Sánchez-Caballero, I. V. (2012, Setembro ). EMDR en el tratamiento de la depresión [EMDR in the treatment of depression]. Psicologia, 16, 22-36. Retrieved from http://www.psiquiatria.com/bibliopsiquis/handle/10401/5515 on 12/5/2012.

Language: Spanish

Format: Magazine

Abstract:
La depresión constituye actualmente uno de los problemas más acuciantes en el ámbito de la salud mental. Este artículo presenta una revisión bibliográfica en la que se refleja la eficacia de la terapia de Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR por sus siglas en inglés, Eye Movement Desensitization and Reprocessing) en el tratamiento de los trastornos depresivos. Aunque este enfoque psicoterapéutico surge inicialmente como una herramienta eficaz en el tratamiento de los trastornos de base traumática, existe cada vez mayor evidencia acerca de su efectividad en el tratamiento de la depresión, dada la relación existente entre la aparición de este trastorno y los acontecimientos vitales estresantes. Presentamos además una visión general de la terapia EMDR y sus ocho fases, y el modelo sobre el que se sustenta, el Modelo PAI (Procesamiento Adaptativo de la Información). El Modelo PAI explica las bases de la patología, predice éxitos en los resultados clínicos, y guía en la conceptualización de casos y los planes de tratamiento. En consonancia con otras teorías del aprendizaje, el modelo PAI propone la existencia de un sistema de procesamiento de la información capaz de integrar nuevas experiencias en las redes de memoria ya existentes. Esas redes de memoria constituyen las bases de la percepción, de las actitudes y del comportamiento. Las percepciones acerca de las situaciones actuales se conectan automáticamente con las redes de memoria asociadas.

At present, the Depression is one of the most pressing problems in the field of the mental health. This article presents a bibliography review where the EMDR (Eye Movement Desensitization and Reprocessing) approach shows efficacy in the Depressive Disorders. Although, this psychotherapy approach emerges, in the beginning as a efficiency tool in the treatment of the disorders with traumatic basis, its increasingly clear the evidence about of EMDR effectiveness in the Depression treatment, under the relationship between the inception of the disorder and vital stress events. We present an overview of the EMDR therapy, his eight phases and the AIP (Adaptative Information Processing) model is supported on. The AIP model explains the basis of pathology, predicts successful clinical outcomes, and guides case conceptualization and treatment procedures. Consistent with other learning theories, the AIP model posits the existence of an information processing system that assimilates new experiences into already existing memory networks. These memory networks are the basis of perception, attitudes, and behavior. Perceptions of current situations are automatically linked with associated memory networks.

Keywords: Adaptive Information Model AIP Model Depression PAI Model Stressful Events

Accuracy Verified: Yes

160. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .

Language: Spanish

Format: Journal

Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.

The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.

Keywords: Diet Disorder of Feeding Behavior Dissociation Trauma

Accuracy Verified: Yes

161. van Rood, Y., & de Roos, C. (2012, March). EMDR en somatisch onvoldoende verklaarde lichamelijke klachten (SOLK)[EMDR and Somatic insufficiently explained physical complaints (SOLK)]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Somatisch onvoldoende verklaarde lichamelijke klachten (SOLK) zijn lichamelijke klachten die niet - of niet geheel - verklaard worden door een bekende ziekte bijvoorbeeld chronische pijn, tinnitus, chronische vermoeidheid, conversie- of prikkelbare darm klachten. Wanneer de beperkingen als gevolg van de lichamelijke klachten aanzienlijk zijn en/of er sprake is van aanzienlijk lijden dan is er sprake van een somatoforme stoornis volgens de DSM-IV. Er zijn aanwijzingen dat traumatische ervaringen een rol kunnen spelen bij het ontstaan van SOLK en somatoforme stoornissen. Onverwerkte traumatische herinneringen kunnen daarnaast ook een rol spelen bij het in stand houden van SOLK (van Rood en de Roos, in druk). Uit een systematische review van de beschikbare studies blijkt dat EMDR een effectieve behandeling kan zijn voor SOLK als de lichamelijke klachten trauma gerelateerd zijn (van Rood en de Roos 2009). In deze workshop wordt aan de hand van een diagnostisch model voor SOLK (het gevolgenmodel) geïllustreerd welke rol traumatische herinneringen kunnen spelen bij het in stand houden van een SOLK en hoe dit zich verhoudt tot de rol van de andere in stand houdende gevolgen. Aansluitend zullen er drie tot vijf casussen van workshopdeelnemers centraal worden besproken. Hiervoor vragen we u om voor 1 maart 2012 een e-mail te sturen met een korte casus beschrijving en uw vragen naar yrvanrood@lumc.nl of cderoos@ggzkinderenenjeugd.nl o.v.v. VEN congres 2012 Uit de inzendingen zal een selectie worden gemaakt voor de workshop eventueel met videofragmenten wanneer de vraag betrekking heeft op toepassing van het EMDR protocol.

Somatic insufficiently explained physical complaints (SOLK) are physical symptoms that are not - or not entirely - be explained by a disease known as chronic pain, tinnitus, chronic fatigue, conversion or irritable bowel symptoms. When the limitations due to physical problems are significant and / or there is considerable suffering than there is a somatoform disorder according to DSM-IV. There is evidence that traumatic experiences may play a role in causing SOLK and somatoform disorders. Unprocessed traumatic memories can also play a role in the maintenance of SOLK (of Red and the Rose, in press). A systematic review of the available studies show that EMDR is an effective treatment for SOLK as physical trauma related symptoms (of the Red and Rose 2009). This workshop is based on a diagnostic model for SOLK (the consequence model) illustrated the role that traumatic memories can play in maintaining a SOLK and how this relates to the role of the other sustaining effects. Afterwards there will be three to five cases of central workshop participants are discussed. For this we ask you to 1 March 2012 e-mail with a brief case study and your questions or yrvanrood@lumc.nl cderoos@ggzkinderenenjeugd.nl stating VEN 2012 congress will be a selection from the submissions made for the workshop, possibly with video clips when the question relates to application of the EMDR.

Keywords: SOLK Somatic Insufficiently Explained Physical Complaints

Accuracy Verified: Yes

162. Kavakcı, Ö, Kaptanoğlu, E., Kuğu, N., & Doğan, ). (2010). EMDR fibromiyalji tedavisinde yeni bir seçenek olabilir mi? Olgu sunumu ve gözden geçirme [EMDR: A new choice of treatment in fibromyalgia? A review and report of a case presentation]. Klinik Psikiyatri Dergisi, 13(3), 143-151.

Language: Turkish

Format: Journal

Abstract:
Fibromiyalji Sendromu (FMS) etyolojisi belli olmayan yaygın vücut ağrıları, belirli anatomik bölgelerde hassasiyet, azalmış ağrı eşiği, uyku bozuklukları, yorgunluk ve sıklıkla psikolojik sıkıntı ile karakterize eklem dışı romatizmal bir hastalıktır. FMS'de psikiyatrik komorbidite yüksektir ve son zamanlarda FMS ve psikolojik travma ilişkisini gösteren yayınlar artmaktadır. Bu olgu sunumunun amacı psikolojik travmaya yönelik bir tedavinin FMS'nin belirtilerini yatıştırıp yatıştırmayacağını değerlendirmektir. Bu amaç doğrultusunda Fizik Tedavi ve Rehabilitasyon (FTR) kliniğinden ilaç tedavisine iyi yanıt vermemiş FMS tanısı konulan bir hastada önce travma yaşantısı olup olmadığı değerlendirilmiş, ardından saptanan travmalarına yönelik göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and Reprocessing) uygulanmıştır. Hasta; Beş yıldır şikâyetleri olan 34 yaşında, evli, kadın, ilaç kullanmıyor. Visuel Ağrı Skalasında (VAS) ağrı düzeyi 9-10, hassas nokta sayısı 15/18 olarak belirlendi. Beck Depresyon Ölçeği puanı (BDÖ) 22 ve Foa Travma Değerlendirme Ölçeği (TDÖ) puanı 41 olarak saptandı. EMDR tedavisi sonrasında; VAS 3, hassas nokta sayısı 11/18, TDÖ 6, BDÖ puanı 2 olarak bulundu. Hastanın 3 ve 6 aylık takipte iyilik halinin sürdüğü tespit edildi.Bu olgunun travmalarına yönelik tedavi uygulanması sonrasında hem psikiyatrik hem de somatik yakınmalarında belirgin düzelme görülmüş ve bu iyileşmenin olası mekanizmaları tartışılmıştır. FMS'li olgularda travmatik deneyimlerin aranması ve EMDR veya başka travma yönelimli yaklaşımların uygulanması olumlu sonuçlar verebilir.

Fibromyalgia syndrome (FMS) is a nonarticular rheumatic disease with unknown etiology and is characterized by widespread pain, increased tenderness in some anatomical regions, increased pain sensitivity, sleep disorders, fatigue and frequently by psychological distress. Psychiatric comorbidity is high in FMS and reports denoting to relationship of FMS and psychologial trauma have increased recently. We aimed to assess whether or not a treatment modality concerning trauma can alleviate symptoms of FMS. One of the FMS patients who was admitted to the outpatient department of Physical Medicine and Rehabilitation was randomly assigned to the present study. After that, assessed whether patients's traumatic experiences, and the Eye Movement Desensitization and Reprocessing (EMDR) therapy was performed to the patient. A thirty-four year old female married patient, had symptoms of FMS for five years. She was not on any medication. Intensity of her pain was identfied as 10 by visuel analog scale (VAS), tender point count was 15 out of 18 and the scores of Beck Depression Scale (BDS) and The Post Traumatic Diagnostic Scale (PDS) were 22 and 41, respectively. After the EMDR treatment VAS score was 3, tender point count was 11 and the scores of BDS and PDS were 2 and 6, respectively. The recovery was sustained at the 3rd and 6th months of follow up. In this case, we observed amelioration in both psychiatric and somatic symptoms of the patient after EMDR therapy and we discussed the possible mechanisms of this recovery. Searching for traumatic experiences and treating those traumas in FMS patients by EMDR or similar methods may result in favourable results.

Keywords: Fibromyalgia

Accuracy Verified: Yes

163. Waters, F. S., & Adler-Tapia, R. (2009, November). EMDR for children with trauma and dissociation: Case conceptualization from stabilization to integration. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .

Language: English

Format: Conference

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

Keywords: Case Conceptualization Children Dissociation Stabilization Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Depression

Accuracy Verified: Yes

165. Beer, R. (2006). EMDR in de behandeling van jongeren met een eetstoornis [EMDR in the treatment of adolescents with an eating disorder]. Kinder- & Jeugdpsychotherapie, 33(3), 54-64.

Language: Dutch

Format: Journal

Abstract:
Eetstoornissen zijn ernstige ziektebeelden met een grote kans op een chronisch beloop, hoge morbiditeitcijfers en veel co-morbiditeit (van Elburg & Rijken, 2004). In de DSM IV worden verschillende eetstoornissen onderscheiden: Anorexia Nervosa, Boulimia Nervosa en Eetstoornis Niet Anders Omschreven. Eetstoornissen komen meestal tot bloei tijdens de adolescentie. Bij Anorexia Nervosa ligt de piek van het ontstaan tussen veertien en achttien jaar, Boulimia Nervosa begint doorgaans pas na het zestiende jaar (Robbe e.a., 1999; Fleminger, 2002; Vandereyken & Noordenbos, 2002). Anorexia Nervosa (AN) heeft het hoogste mortaliteitspercentage van alle psychiatrische stoornissen en bij adolescenten staat het op de derde plaats in de rij van meest voorkomende stoornissen. Behandelingsresultaten zijn weinig bemoedigend (Vandereyken & Noordenbos, 2002). Voor AN is nog geen ‘evidence based’ behandeling voorhanden. Zie: National Institute of Clinical Excellence (2004) en de Multidisciplinaire Richtlijn Eetstoornissen (2006). Behandelaars zijn daarom nog steeds op zoek naar nieuwe invalshoeken. Op de afdeling jeugdpsychiatrie van het Universitair Medisch Centrum Utrecht is een zorgprogramma eetstoornissen ontwikkeld, waarmee jongeren met AN en met een Eetstoornis NAO worden behandeld door een multidisciplinair team2. Zie voor een beschrijving van dit programma: van Elburg & Rijken (2004). Tijdens mijn werkzaamheden voor deze afdeling (2000-2005) heb ik hieraan mogen bijdragen door het implementeren van cognitieve gedragstherapie en EMDR als potentiële onderdelen van een breed-spectrum behandeling. Een beschrijving van een protocol voor cognitieve gedragstherapie is in voorbereiding ( Beer & Tobias). In dit artikel wordt beschreven hoe EMDR kan worden ingezet bij de behandeling van jongeren met een eetstoornis. De hier beschreven experimentele status. De voorgestelde mogelijkheden zijn weliswaar uitgeprobeerd door meerdere psychotherapeuten, maar van systematische toetsing is nog geen sprake geweest. Een gedetailleerde beschrijving en theoretische onderbouwing van de voorgestelde toepassing van EMDR is eveneens in voorbereiding (Beer & Hornsveld). In dit artikel wordt besproken waarom (theoretisch kader), hoe (aangrijpingspunten) en wanneer (timing) EMDR kan worden ingezet. Na een aantal illustratieve behandelfragmenten wordt besproken waarom het juist voor jongeren een waardevolle module kan zijn in een multidisciplinaire behandeling (toegevoegde waarde). Afgesloten wordt met een conclusie.

Eating disorders are serious illnesses with a high risk of chronic course, high morbidity rates and many co-morbidity (Elburg & Rich, 2004). The DSM IV eating disorders several distinguished: Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not Otherwise Specified. Eating disorders usually come to fruition during adolescence. In Anorexia Nervosa is the peak of emergence between fourteen and eighteen, Bulimia Nervosa usually begins after the age of sixteen (Robbe et al, 1999; Fleminger, 2002; Vander Eyken & Noorden, 2002). Anorexia Nervosa (AN) has the highest mortality rate of all psychiatric disorders and among adolescents is on the third row of the most common disorders. Treatment results are very encouraging (Vander Eyken & Noorden, 2002). AN is no "evidence based treatment available. See: National Institute of Clinical Excellence (2004) and Multidisciplinary Directive Eating Disorders (2006). Clinicians are therefore still looking for new angles. The adolescent psychiatry department at the University Medical Center Utrecht is an eating disorder care program developed for young people with AN and with an ED-NOS treated by a multidisciplinary team2. For a description of this program from Elburg & Rich (2004). During my work on this section (2000-2005) I have this may contribute by implementing cognitive behavioral therapy and EMDR as potential components of a broad-spectrum treatment. A description of a protocol for CBT in preparation (Beer & Tobias). This article describes how EMDR can be used in the treatment of adolescents with eating disorders. The described experimental state. The options proposed are indeed tested by several therapists, but systematic review has not been a case. A detailed description and theoretical underpinning of the proposed use of EMDR is also in preparation (Beer & Horn Field). This article discusses why (theoretical framework), how (targets) and when (timing) EMDR can be used. After several treatments illustrative excerpts discuss why it is a valuable youth module in a multidisciplinary treatment (value added). Completed with a conclusion.

Keywords: Adolscents Eating Disorders

Accuracy Verified: Yes

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

Language: German

Format: Book Section

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

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

Keywords: Trauma

Accuracy Verified: Yes

167. Schubbe, O. (2000). EMDR in der therapie mit psychisch traumatisierten jugendlichen [EMDR in the treatment of the mentally traumatized young people]. Institut für Traumatherapie.

Language: German

Format: Other

Abstract:
Der erste Teil des Beitrags fasst den Stand der Forschung zu EMDR zusammen. Der zweite Teil beschreibt ein paar allgemeine Aspekte der Traumatherapie mit Jugendlichen und der dritte die Anwendung von EMDR bei Jugendlichen in Verbindung mit einer manualisierten Vorgehensweise nach Dr. Ricky Greenwald. EMDR ist keine neue Therapierichtung, sondern ein schulenergänzendes Zusatzverfahren; und so ist die hier vorgestellte Möglichkeit, EMDR bei Jugendlichen anzuwenden, nur eine von vielen, die sich allerdings bewährt hat.
Der steile Weg von EMDR zur wissenschaftlichen Anerkennung war von Anfang an von großer Begeisterung und heftigen wissenschaftlichen Kontroversen begleitet. Shapiros erste Berichte (1989a, 1989b) mit Darstellungen der Vorgehensschritte beschrieben bedeutsame Besserungen der Posttraumatischen Belastungsstörung (PTBS) nach einer einzigen Sitzung "Eye Movement Desensitization" (EMD). Auf dem Hintergrund, dass PTBS bis dahin als schwer behandelbar und die Behandlungsmethoden als langwierig, anstrengend und begrenzt wirksam galten (Solomon, Gerrity, & Muff, 1992), stieß EMDR zunächst auf skeptische Zurückhaltung. Zu diesem Zeitpunkt gab es nur noch eine weitere Wirksamkeitsstudie zur Therapie von PTBS, in der Peniston (1986) 45 Sitzungen Entspannung und Systematische Desensibilisierung plus Biofeedback mit einer Kontrollgruppe ohne Therapie verglichen und nur bei einzelnen Symptomen [Albträume, Muskelanspannung, Angst] von PTBS einen signifikanten Rückgang festgestellt hatte. Im Jahr der ersten Untersuchung von Francine Shapiro wurden noch drei weitere Untersuchungen zur Behandlung von PTBS veröffentlicht, von denen keine auch nur annähernd vergleichbare Behandlungserfolge berichten konnte.

The first part of the paper summarizes the state of research on EMDR. The second part describes some general aspects of trauma therapy with adolescents and the third is the use of EMDR among young people in conjunction with a manualized approach to Dr. Ricky Greenwald. EMDR therapy is not a new direction, but a schulenergänzendes additional procedures, and so is the opportunity presented here, EMDR applicable to young people, only one of many that has proven, however. The steep path of EMDR to the scientific recognition was accompanied by the beginning of great enthusiasm and fierce scientific controversies. Shapiro's first reports (1989a, 1989b) with descriptions of the action steps described significant improvement of post-traumatic stress disorder (PTSD) after a single session "Eye Movement Desensitization (EMD). On the background of PTSD until then treated as serious and the treatment methods were considered to be lengthy, exhausting, and have limited effect (Solomon, Gerrity, & Muff, 1992), EMDR struck first on skeptical restraint. At this time there was only one additional efficacy study for the treatment of PTSD, in the Peniston (1986) 45 meetings, relaxation and systematic desensitization plus biofeedback with a control group compared with no therapy and only in individual symptoms [nightmares, muscle tension, fear] of PTSD a significant decrease was noted. In the first investigation by Francine Shapiro, three other studies have been published for the treatment of PTSD, which was able to report not even close to comparable treatment results.

Keywords: Children Trauma

Accuracy Verified: Yes

168. Marich, J. N. (2009). EMDR in the addiction continuing care process: Case study of a cross-addicted female's treatment and recovery. Journal of EMDR Practice and Research, 3(2), 98-106. doi:10.1891/1933-3196.3.2.98.

Language: English

Format: Journal

Abstract:
There have been suggestions in the literature since 1994 that eye movement desensitization and reprocessing (EMDR) may serve as an effective adjunct to the addiction treatment process; however, follow-up research in this area has been limited. This case study of a cross-addicted female includes a case review illustrating how EMDR was used in the continuing care process and a semistructured phenomenological interview conducted at 6-month follow-up. Prior to this course of treatment, the participant was treated 12 times with traditional approaches but was unable to achieve more than 4 months of sobriety at any given time. Following EMDR, the participant reported 18 months of sobriety and important changes in functional life domains. The phenomenological interview revealed six critical themes about the addiction and recovery process that can offer insight to clinicians treating co-occurring addiction and trauma.

Keywords: Addiction Cross-Addiction Phenomenology Posttraumatic Stress Disorder PTSD Relapse Prevention

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Depression Research

Accuracy Verified: Yes

170. van Rood, Y. R., & de Roos, C. (2009). EMDR in the treatment of medically unexplained symptoms: A systematic review. Journal of EMDR Practice and Research, 3(4), 248-263. doi:10.1891/1933-3196.3.4.248.

Language: English

Format: Journal

Abstract:
This systematic review presents evidence for the effectiveness of eye movement desensitization and reprocessing (EMDR) in the treatment of a diverse range of medically unexplained symptoms (MUS). Theoretical underpinning, variations in interventions, methodological issues, and outcomes are discussed, and implications for future research and clinical practice are presented. Considering the limited number of reported case series and the lack of controlled studies, it might be concluded that EMDR for MUS is only in its infancy. The preliminary results suggest that EMDR might be an effective treatment for MUS and somatoform disorders, particularly when they are related to trauma. To date, the results for phantom limb pain are the most promising.

Keywords: Adaptive Information Processing AIP Medically Unexplained Symptoms MUS Somatoform Disorders Systematic Review

Accuracy Verified: Yes

171. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK.

Language: English

Format: Conference

Abstract:
This presentation seeks to address some of the challenges of using EMDR cross-culturally with highly traumatised clients who have been the victims of physical and/or psychological torture. The presentation will review characteristics of torture and how the helplessness experienced by victims physically and psychologically can help the therapist to case conceptualization and encourage adaptive learning with interweaves to assist the processing allowing adaptive linkage being made with dysfunctional memory storage. EMDR is very effective where trauma survivors present with somatisation, dissociation and frozen states but desensitization and reprocessing can only be embarked upon after adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic stabilization) will be covered and thereafter the basic EMDR protocol implemented with the client focusing on damage to the self and the spirit.

Keywords: Symposium Torture

Accuracy Verified: Yes

172. Richman, A. (2006, March). EMDR in the treatment of victims of torture. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
As trauma therapists we are increasingly encountering the challenges of using EMDR cross-culturally with highly traumatised clients who are refugees from wartorn countries and/or oppressive regimes. This presentation seeks to address some of the issues to be taken into consideration and the difficulties in working with the victims of systematic infliction of physical and/or psychological torture. Use of EMDR with these highly traumatised individuals will be examined and ways in which the basic EMDR protocol may need to be adapted to treat these highly traumatised individuals will be examined.

Keywords: Victims of Torture

Accuracy Verified: Yes

173. de Roos, C., & Veenstra, S. (2009). EMDR pain control for current pain. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 537-557). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
It is estimated that approximately 30% of the population world-wide suffer from chronic pain. In this workshop you will learn how to use EMDR in order to treat patients who have specific forms of chronic pain e.g. phantom limb pain, whiplash and chronic differentiation pain. Theoretical information, practical instructions with demonstration videos of illustrative cases and exercises or role-playing to practise yourself will all be utilised. You will be provided with enough information and skills in order to be confident to start treating pain patients in your own clinical practice.
This workshop will provide you with the following information:
•relevant neurobiological information about chronic pain in order to determine whether a specific type of pain can be treated using EMDR
•the empirical status of the application of EMDR on pain and a short review of current research and literature
•how to motivate this difficult patient group to try EMDR
•how to conceptualise a case for EMDR, the indications and contraindications
•how to choose suitable targets with pain patients
•the use of the EMDR protocol in its specific application to pain patients and how to work with pain itself as a target
•complications you can expect and how to deal with these.
Aims:
•identify clients with chronic pain for whom EMDR may be appropriate
•increase knowledge and understanding of the use of EMDR in the treatment of chronic pain
•apply EMDR in the treatment of patients with chronic pain.
Target group:
EMDR trained therapists working with patients with chronic pain.

Keywords: Current Pain Pain Control Protocol

Accuracy Verified: Yes

174. Hensley, B. J. (2009). An EMDR Primer: From practicum to practice. New York, NY: Springer Publishing Co.

Language: English

Format: Book

Abstract:
This book is intended to be a primer for use as a companion to Dr Francine Shapiro's textbook. It serves as a comprehensive review of the Adaptive Information Processing (AIP) Model and EMDR principles, protocols and procedures for the newly trained in EMDR and for experienced clinicians who want to review the principles.

Keywords: Practice Primer Theory

Accuracy Verified: Yes

175. Braithwaite, J. (1997, June). EMDR research and debate. EMDRIA Newsletter, 2(4), 17-18.

Language: English

Format: Newsletter

Abstract:
In recent months there have been two articles published in the Australian psychology media concerning EMDR – one by David Kavanagh appearing the The APS Bulletin (August, 1996) entitled “EMDR – Pseudoscientific Fad or Unique and Significant Advance?” and other by Grant Deville in Psychotherapy in Australia (1996) entitled “EMDR and PTSD, The Score at Half Time.” Both articles included a review of research on EMDR.

Keywords: Research

Accuracy Verified: Yes

176. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.

Keywords: Plenary Research

Accuracy Verified: Yes

177. Shapiro, F. (2000). EMDR ten years after its introduction: A review of past, present, and future directions. Mental Research Institute, Palo Alto, CA, 1-15.

Language: English

Format: Other

Abstract:
At the time a controlled study of Eye Movement Desensitization and Reprocessing (EMDR) was introduced in a peerreviewed journal (Shapiro, 1989a) as a method for treating post-traumatic stress disorder (PTSD) only one other controlled clinical outcome study of this disorder had been published (Peniston, 1986). The Peniston (1986) study compa.red 45 sessions of relaxation and biofeedback-assisted desensitization to a non-treatment control and reported significant differences in muscle tension and in unstandardized measures of nightmares and anxiety. In the same year as the Shapiro study, three other controlled PTSD studies were published (Brom, Kleber, & Defares, 1989; Cooper & Clum, 1989; Keane, Fairklank, Caddell, & Zimering, 1989). The Brom et al. (1989) study compared the results of psychodynamic therapy, hypnotherapy, and desensitization based on a mean of 16 sessions. Equivalent (small to moderate) clinical treatment effects were obtained with all three approaches in approximately 60% of the subjects as assessed by various measures. The Cooper and Clun? (1989) study compared flooding to standard VA care and reported small clinical effects after 6-14 sessions, with a 30% partiicipant drop-out rate. The Keane et al. (1989) study compared flooding to a wait-list control and reported small clinical effects after 14-16 sessions. In contrast to the preceding three studies, Shapiro (1989a) found very substantial treatment effects with EMDR (then called 'EMD") after only one session.

Keywords: Review

Accuracy Verified: Yes

178. Matthes, H., & Hofmann, A. (2012, June). EMDR therapy in different psychiatric diagnosis: A review of the scientific evidence. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
No abstract available.

Keywords: Review

Accuracy Verified: Yes

179. Matthes, H., & Hofmann, A. (2012, June). EMDR therapy in different psychiatric diagnosis: A review of the scientific evidence [Terapia con EMDR en varias enfermedades psiquiátricas: Una revisión de la evidencia científica]. Preconference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Abstract: Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that have part of their origins in dysfunctional implicit memory structures. Some of these disorders are complex trauma based disorders like dissociative disorders and some patients with symptoms of borderline disorder others are traumatized offenders, some forms of substance dependencies and depressive disorders. Many of these patients are challenging populations and some of the direct EMDR approaches may only be partly successful. In this workshop an overview of the new areas for the application of EMDR will be given and participants will hear where and how EMDR can be used in a treatment plan. Also the research status of these new approaches will be reported. If time permits cases can be discussed too.

Los estudios científicos de EMDR han comprobado que es una de las herramientas más efectivas en el tratamiento del trastorno por estrés postraumático. Una de las propiedades menos conocidas de EMDR es que también parece suponer un método de psicoterapia efectivo en varios trastornos que se originan parcialmente en estructuras disfuncionales de la memoria implícita. Algunos de estos trastornos son trastornos basados en el trauma complejo, como los trastornos disociativos y algunos casos de trastorno límite de la personalidad; también se pueden incluir agresores traumatizados, algunas formas de dependencias de sustancias y trastornos depresivos. Muchos de estos pacientes suponen poblaciones de especial dificultad y algunos de los abordajes directos con EMDR pueden tener un éxito únicamente parcial. Este taller ofrecerá una perspectiva global de las nuevas áreas de aplicación de EMDR y se les explicará a los participantes en qué casos y cómo se puede utilizar EMDR en un plan terapéutico. También se informará respecto al estado de la investigación de estos nuevos planteamientos. Si hay tiempo, también se podrán presentar algunos casos.

Keywords: Research

Accuracy Verified: Yes

180. Murray, K. (2010, September/October). EMDR to reduce fears of recurrence of breast cancer. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
How can we support women with breast cancer (BC) in their bio-psycho-social healing? Are fearsof recurrence inevitable or a re-experiencing of unresolved BC diagnosis and treatment experiences? Participants will identify traumatic stress symptoms in women with BC, and the impacton treatment, quality of life, and fears of recurrence; review the seven cancer treatment stages, and potential traumas, triggers, and EMDR interventions of each; describe phase two interventions to manage worry, develop healing imagery and promote coping and positive health behaviors; and explain how past-present-future targeting can address fears of recurrence. Expanded from 2008, this workshop draws on psycho-oncology literature, clinical observations, and one client’s EMDR journey from “coping” to “living”.

Keywords: Breast Cancer

Accuracy Verified: Yes

181. Murray, K. (2008, September). EMDR to reduce fears of recurrence of breast cancer - Including phantom breast pain. Presentation at the annual meeting of the EMDR International Assocation, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Distress and fears of recurrence following breast cancer treatment are viewed through the lens AIP. Through review of research and case presentation of one stage III client, participants will be able identify traumatic stress symptoms in women with breast cancer and the factors that predict distress; describe how intrusion, hyperarousal and avoidance can impact cancer treatment and quality of life, including fears of recurrence; apply research on the use of EMDR with phantom limb pain to the phantom sensations experienced by many women following mastectomy; and identify treatment considerations in the use of the eight phases of EMDR to improve quality of life and decrease fears of recurrence.

Keywords: Breast Cancer Phantom Breast Pain Phantom Pain

Accuracy Verified: Yes

182. Ralaus, D. (2005, June). EMDR training in a new country. In Psychotrauma and EMDR in China and Slovakia, Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Belgium, Brussels.

Language: English

Format: Conference

Abstract:
In Slovakia, as a country with socialist past, the problem of psychotraumatology was underestimated. Thanks to the Humanitarian Assistance Program-Europe (HAP], it was possible to bring the new knowledge and skills to this field. At the beginning there was the EMDR training in Germany for two psychiatrists from Slovakia, then the seminars and supervisions in Slovakia with mentors from HAP, which still continue. The result is 40 therapists with the training including Psychotraumatology in general and EMDR Level I and II.
This talk offers you the review of a history of bringing psychotraumatology and EMDR to our country, first results and feedback.

Keywords: China Psychotrauma Slovakia Symposium Training

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Adolescents Children Choking Phobia Specific Phobia

Accuracy Verified: Yes

184. Leeds, A. (2012). EMDR treatment of panic disorder and agoraphobia: Two model treatment plans. Journal of EMDR Practice and Research, 6(3), 110-119. doi:10.1891/1933-3196.6.3.110.

Language: English

Format: Journal

Abstract:
This article, condensed from Chapter 14 of A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants (Leeds, 2009), examines applying eye movement desensitization and reprocessing (EMDR) to treating individuals with panic disorder (PD) and PD with agoraphobia (PDA). The literature on effective treatments for PD and PDA is reviewed focusing on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Case reports and controlled studies of EMDR treatment of PD and PDA are examined for lessons to guide EMDR clinicians. Two model EMDR treatment plans are presented: one for cases of simple PD without agoraphobia or other co-occurring disorders and the other for cases of PDA or PD with co-occurring anxiety or Axis II disorders. A more extensive literature discussion, detailed treatment guidelines, and client education resources can be found in the original chapter.

Keywords: Agoraphobia CBT Cognitive Behavior Therapy Panic Pharmacotherapy Review

Accuracy Verified: Yes

185. Leeds, A. (2010, September/October). EMDR treatment of panic disorder with and without agoraphobia: Two model treatment plans. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This presentation will review strengths and limitations of treatments for PD and PDA with a focus on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Two EMDR treatment plans will be presented: a Model I plan for PD without agoraphobia or other co-occurring disorders, and a Model II plan for more complex cases of PDA or PD with co-occurring anxiety or Axis II disorders. Clinical examples and specific guidelines will be presented for identifying PD targets and for when to extend preparation phase work and postpone reprocessing of core attachment material in Model II cases.

Keywords: Agoraphobia Panic Disorder

Accuracy Verified: Yes

186. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.

Keywords: Road Traffic Incidents RTI Travel Phobia

Accuracy Verified: Yes

187. Rouanzoin, C. (2011, August). EMDR update and refresher course. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop is for any clinician who has received the Basic Training in EMDR through an EMDRIA-Approved Training. The workshop will review and update information on: AIP case conceptualization; the 8 phases of EMDR treatment; developing the Target Sequencing Plan; the three prongs of EMDR treatment; and the use of cognitive interweave for stuck processing. The participants will also have an opportunity to improve their skills in the use of Floatbacks and Affect Scans. A practicum experience will help further consolidate these concepts.

Keywords: Adaptive Information Processing AIP Case Conceptualization Refresher Update

Accuracy Verified: Yes

188. Shapiro, F. (2007, September). EMDR update: Theory, research, and practice. Keynote presented at the EMDR International Association annual conference, Dallas, TX.

Language: English

Format: Conference

Abstract:
New research continues to shed light on EMDR as a distinct psychotherapy approach. Dr. Shapiro will review several new studies and their implications for both theory and future clinical development. The Adaptive Information Processing model and research on underlying mechanisms will be used as a springboard to explore potential applications and ways to overcome a variety of clinical difficulties. Specific clinical cases will be used to illustrate the integration of EMDR with other orientations. Questions from conference participants will be taken in advance to address aspects of the model and methodology.

Keywords: Adaptive Processing Model AIP Keynote Research

Accuracy Verified: Yes

189. Shapiro, F. (2006, September). EMDR update: Theory, research, and practice. Plenary presented at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
As an integrative psychotherapy approach, EMDR brings together aspects of major psychotherapy orientations. Dr. Shapiro will review several cases with special attention to synthesiszing recommendations from these various models along with the latest EMDR research and clinical developments. The Adaptive Information Processing Model and research on underlying mechanisms will be used as a springboard to explore clinical applications, procedural modifications, and clinical limitations. Questions from conference participants will be taken in advance to address aspects of the model and methodology.

Keywords: Update

Accuracy Verified: Yes

190. Schubbe, O. (2008, September). EMDR with children: EMDR in work with children. Presentation at Pre-congress on EMDR at the European Congress of Hypnosis, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The workshop will give a brief systematic overview over the EMDR techniques specifically used in psychotherapy with children and adolescents. Age appropriate forms of bilateral stimulation and of the actualization of ressources and unresolved memories will be explained. Small group exercises are intended to give participants a practical learning experience. Applicants for the EMDR seminars with Oliver Schubbe at Linz or Graz can use this workshop as a taster course. Participants should be willing to play the role of a child or adolescent client within a small group.[Author abstract]

Keywords: Adolescents Children

Accuracy Verified: Yes

191. Servan-Schreiber, D. (2007, June). EMDR with life-threatening medical illness. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The relation between mind and body is more clearly understood than ever before. Stress reactions influence biological mechanisms such as immunity and inflammation that profoundly influence the course of medical conditions. PTSD is a predictor of ill-health. Powerlessness is associated with cancer progression. This presentation will review the mind-body connection in relation to severe illness, and the role of EMDR in helping patients facing lifethreatening diseases.

Keywords: Keynote Medical Illness

Accuracy Verified: Yes

192. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli. The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions. Learning objectives: This workshop will provide you with the following information: •a short review of current research and literature •the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations by working with flashforwards, future template and video check •ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.

Keywords: Dentophobia

Accuracy Verified: Yes

193. Yule, W. (2004, February). EMDR with PTSD in children and adolescents: Overview and prospects. Keynote presented at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
As with many therapies, the evidence base for the effectiveness of EMDR with children and adolescents is much less established than that with adult clients suffering PTSD. Whilst there is sufficent evidence from open studies and case studies to justify its application, there is a real need for proper evaluation with the younger clinical groups. This paper will review existing evidence, but will also raise issues of the implications for clinical practice of working with rapidly developing children. To what extent can and should one takecognisance of th e developmental levels, both cognitive and emotional? How is or should EMDR technique be adapted for work with young children? The actual practices of Shapiro and Tinker vary dramatically, and this needs tbe confronted and understood. The conclusions are that EMDR has an important role In helping traumatized children, but we need to understand both children and EMDR better in order to develop even more effective interventions.

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

194. Saul, J., Errebo, N., Boel, J., & Knope, J. (2005, September). EMDR, disaster, and emerging standards of psycho-social response. Panel presentation (R. Gelbach, Moderator) at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR volunteers usually working through Humanitarian Assistance Programs, have been responding to disasters worldwide for over ten years, beginning with Oklahoma City. During that period, major international relief organizations and leaders in psychosocial response to disaster have been generating new and explicit standards to guide interventions. This panel, consisting of EMDR activists ad independent experts on disaster relief, will review the emerging standards and how EMDR clinicians can relate to them.

Keywords: Disaster Relief Humanitarian Assistance

Accuracy Verified: Yes

195. Smucker, M. R. (2000, January). EMDR: A closer look. Journal of Cognitive Psychotherapy, 14(2), 206-208.

Language: English

Format: Journal

Abstract:
Since the 1980s, the diagnosis and treatment of PTSD has received increased attention from theorists and clinicians alike, resulting in a number of new treatment approaches. Among them, EMDR (eye-movement desensitization and reprocessing) has gained popularity in recent years, although it has been and continues to be shrouded in controversy. In addition to addressing specific criticisms levied against EMDR, this videotape and companion manual offer a brief overview of EMDR's eight-stage model and discuss its application for treating PTSD, anxiety, ...

Keywords: Review

Accuracy Verified: Yes

196. McCabe, S. (2004, September-October). EMDR: Implications of the use of reprocessing therapy in nursing practice. Perspectives in Psychiatric Care, 40(3), 104-113. doi:10.1111/j.1744-6163.2004.tb00003.x.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR). Purpose: To examine the available evidence base for EMDR treatment in psychiatric nursing practice. Sources: Evidenced-based research findings, published case and anecdotal reports, and primary source documents on the development of the treatment method. Conclusions: EMDR use remains controversial. Although it is safe, little is known regarding the mechanism of action of any therapeutic effect; more rigorous empirical establishment of efficacy is needed. [Author Abstract]

Keywords: Clinical Efficacy Literature Review Nursing Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

197. Dyregrov, A. (1993, Oktober). EMDR: Ny metode for traumebehandling [EMDR: A new method in the treatment of trauma]. Tidsskrift for Norsk Psykologforening, 30(10), 975-981.

Language: Norwegian

Format: Journal

Abstract:
Francine Shapiro 'metoden av "Eye Movement desensitivisering og gjenvinning" er beskrevet, illustrert med vellykket behandling av tre saker etter væpnet ran (to) og plutselig død. Rask reduksjon av påtrengende bilder fulgte behandlingen. En kritisk gjennomgang av litteraturen er foretatt, og ulike metodiske begrensninger i de eksisterende studiene er noted.Although det teoretiske grunnlaget er tvilsomt, og det er alvorlige metodologiske begrensninger i studiene som finnes, kliniske erfaringer med metoden viser svært gode resultater. Klinikere oppfordres til å oppsøke mer kunnskap om metoden, så vel som bruk systematiske metoder for å studere resultatene. [Forfatter sammendrag]

Francine Shapiro's method of "Eye Movement Desensitization and Reprocessing" is described, illustrated with the successful treatment of three cases following armed robbery (two) and sudden death. Rapid reduction of intrusive images followed the treatment. A critical review of the literature is undertaken, and different methodological limitations in the existing studies are noted.Although the theoretical foundation is questionable, and there are serious methodological limitations in the studies that exist, clinical experiences with the method indicate very favourable results. Clinicians are encouraged to seek out more knowledge about the method, as well as use systematic methods to study its results. [Author abstract]

Keywords: Bereavement Empirical Study Eye Movements Posttraumatic Stress Disorder PTSD Robbery Survivors Systematic Desensitization

Accuracy Verified: Yes

198. Sikes, C., & Sikes, V. (2003, September). EMDR: Why the controversy?. Traumatology, 9(3), 169-181. doi:10.1177/153476560300900304.

Language: English

Format: Journal

Abstract:
Eye-movement Desensitization and Reprocessing (EMDR) has been widely supported in the literature for its effectiveness in treating PTSD and a variety of other diagnoses and symptoms. The variable findings regarding whether its effects are for reasons unique to this treatment, however, have become the focus of extensive discussion and debate. The following article reviews the studies targeting this question, and proceeds to consider why these studies' findings, and other findings in the EMDR literature, vary so vastly. Implications of the EMDR controversy for the process of psychological research at large are considered. [Author Abstract]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

199. Greenwald, R. (2007, October). EMDR: Within a phase model of trauma-informed treatment. New York: Haworth Press. ix, 255 pp.

Language: English

Format: Book

Abstract:
Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the “Fairy Tale Model” as a way to understand and remember the essential phases of treatment and the tasks in each phase. This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill. In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework.

Keywords: Phase Model of Trauma-Informed Treatment

Accuracy Verified: Yes

200. Lee, C. (2006). EMDR: A review of outcome, process, and laboratory studies. Author.

Language: English

Format: Other

Abstract:
Objective: Previous reviews have been critical of eye movement desensitisation and reprocessing (EMDR). It has been claimed that EMDR lacked empirical support, contributed nothing new to existing treatments, that the eye movements were irrelevant and that its mechanism of action was unknown [1]. The specific claims were addressed in the light of recent studies.

Keywords: Research

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Rehabilitation Multidisciplinarian Program

Accuracy Verified: Yes

202. Spector, J. (2001, Aprile). EMDR: Sviluppi attuali e aggiornare recensione [EMDR: Current developments and review update]. Psicoterapia Cognitiva e Comportamentale, 7(1), 25.

Language: Italian

Format: Journal

Abstract:
Il presente lavoro esamina le evidenze empiriche a sostegno e contrarie all'EMDR inteso come metodologia terapeutica efficace per il trattamento del Disturbo Da Stress Post Traumatico. Vengono in particolar modo enfatizzati i seguenti aspetti: a) l'EMDR è stato spesso oggetto di forti critiche formulate con un linguaggio eccessivamente emotivo; b) l'EMDR comprende principi terapeutici efficaci e ben conosciuti come l'esposizione, la ristrutturazione cognitiva e le tecniche di auto-controllo; c) non ci sono sufficienti dati empirici per rifiutare o sostenere le basi teoriche dell'EMDR (compreso il ruolo dei movimenti oculari); d) l'EMDR è molto di più che una procedura di esposizione; f) l'EMDR è un trattamento efficace per il Disturbo da Stress Post Traumatico. Ciascuno di questi aspetti viene considerato in dettaglio e le tre ricerche più recenti sull'EMDR vengono attentamente analizzate e commentate.

This paper examines the empirical evidence in support and against all'EMDR understood as effective therapeutic approach for treating post-traumatic stress disorder. Are particularly emphasized the following aspects: a) EMDR has often been the subject of strong criticism in language too emotional, b) EMDR treatment principles include effective and well known as exposure, cognitive restructuring and techniques of self-control, c) there is insufficient empirical data to support or reject the theoretical EMDR (including the role of eye movements) d) EMDR is much more than a process of exposure, f) EMDR is an effective treatment for Post Traumatic Stress Disorder. Each of these aspects is considered in detail and the three most recent research on EMDR are carefully analyzed and commented.

Keywords: Literature Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

203. Stickgold, R. (2002, January). EMDR: A putative neurobiological mechanism of action. Journal of Clinical Psychology, 58(1), 61-75. doi:10.1002/jclp.1129.

Language: English

Format: Journal

Abstract:
Numerous studies have provided evidence for the efficacy of eye movement desensitization and reprocessing therapy (EMDR) in the treatment of PTSD, including recent studies showing it to be more efficient than therapist-directed flooding. But few theoretical explanations of how EMDR might work have been offered. Shapiro, in her original description of EMDR, proposed that its directed eye movements mimic the saccades of rapid eye movement sleep (REM), but provided no clear explanation of how such mimicry might lead to clinical improvment. We now revisit her original proposal and present a complete model for how EMDR could lead to specific improvement in PTSD and related conditions. We propose that the repetitive redirecting of attention in EMDR induces a neurobiological state, similar to that of REM sleep, which is optimally configured to support the cortical integration of traumatic memories into general semantic networks. We suggest that this integration can then lead to a reduction in the strength of hippocampally mediated episodic memories of the traumatic event as well as the memories' associated, amygdala-dependent, negative affect. Experimental data in support of this model are reviewed and possible tests of the model are suggested. [Author Abstract]

Keywords: Cognitive Processes Mechanism of Action Neurobiology Posttraumatic Stress Disorder Psychophysiology PTSD Review Sleep Behavior Treatment Effectiveness

Accuracy Verified: Yes

204. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 .

Language: English

Format: Journal

Abstract:
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).

Keywords: Lohr Point/Counterpoint

Accuracy Verified: Yes

205. Bergmann, U. (2010). EMDR’s neurobiological mechanisms of action: A survey of 20 years of searching. Journal of EMDR Practice and Research, 4(1), 22-42. doi:10.1891/1933-3196.4.1.22.

Language: English

Format: Journal

Abstract:
Historically, mechanisms of action have often been difficult to ascertain. Thus far, the definitive discovery of eye movement desensitization and reprocessing (EMDR)’s underlying mechanisms has been equally elusive. We review the neurobiological studies of EMDR, as well as the theoretically driven speculative models that have been posited to date. The speculative theoretically driven models are reviewed historically to illustrate their growth in neurobiological complexity and specificity. Alternatively, the neurobiological studies of EMDR are reviewed with regard to their object of investigation and categorized as follows: findings before and after EMDR therapy (neuroimaging and psychophysiological studies) and findings during the EMDR set (psychophysiological, neuroimaging, and qEEG studies).

Keywords: Neural Mechanisms Neurobiological Research Speculative Models

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami

Accuracy Verified: Yes

207. Thompson, M. M., Pasto, L., & McCreary, D. R. (2002, July). Empirical assessment of Lanius, et al.s’ “functional MRI of EMDR in peacekeepers,’ a review of the EMDR literature and an annotated bibiliography. Defence R&D Canada – Toronto, Technical Memorandum, DRDC Toronto.

Language: English

Format: Other

Abstract:
This report reviews a research proposal, the major objective of which is to assess the relation between PTSD (Post Traumatic Stress Disorder) and limbic, paralimbic, and prefrontal brain function as assessed with functional MRI (Magnetic Resonance Imaging), and to determine whether an Eye Movement Desensitization and Reprocessing (EMDR) intervention causes those structures to return to a normal mode of functioning. The proposed study secondarily explores the effectiveness of EMDR in reducing PTSD symptomatology. While the first and second objectives of the study may have scientific merit, the mandates of other funding agencies would appear to be more appropriate for investigations of basic neuroscience processes associated with brain functioning in PTSD (e.g., NSERC or CIHR). Importantly, a critical review of the EMDR research reveals that a great deal of controversy surrounds the effectiveness of this therapy. EMDR has not been shown to be more effective than presently validated PTSD exposure-based therapies, and the eye movement component of EMDR appears to provide no therapeutic benefit. Finally, there is a lack of clarity around specific items listed in the proposed budget. Given these concerns it is not recommended that this proposal be funded at this time.

Keywords: Bibliographies Canada Desensitizing' Magnetic Resonance Imaging Eye Movements Mental DIsorders MRI Medical Research Order Disorder Transofrmations Signs and Symptoms Stress (Physiology) Traumatic Shock

Accuracy Verified: Yes

208. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003.

Language: English

Format: Journal

Abstract:
This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]

Keywords: Cognitive Therapy Literature Review Meta Analysis Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

209. Lohr, J., Kleinknecht, R., Tolin, D., & Barrett, R. (1995, December). The empirical status of the clinical application of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 285-302. doi:10.1016/0005-7916(95)00041-0.

Language: English

Format: Journal

Abstract:
The published reports of the clinical application of eye movement desensitization and reprocessing (EMDR) are reviewed in terms of empirical validity. Case studies, single-subject experiments and group design experiments on clinical problems are evaluated for the effectiveness of the protocol, component effects, comparative effects and treatment fidelity. Classification of disorders and measurement issues are addressed. The protocol frequently reduces verbal report and independent observer ratings of distress - strikingly in some instances. Psychophysiologic measures show little effect of treatment. There is little empirical evidence to indicate the effect of treatment on motoric or behavioral indices. Eye movements do not appear to be an essential component of treatment, and there have been no substantial comparisons with other treatments. No studies have adequately controlled for nonspecific (placebo) effects of treatment. Suggestions are made for applying improved methodological controls for future applications of EMDR to clinical disorders. [Author Summary]

Keywords: Literature Review Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

210. DeRubeis, R., & Crits-Christoph, P. (1998, February). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting & Clinical Psychology, 66(1), 37-52. doi:10.1037/0022-006X.66.1.53 .

Language: English

Format: Journal

Abstract:
The experimental literature on individual and group psychological treatments for adult disorders is reviewed. For each of the 11 disorders or problems covered, treatments that fall into the following categories, as defined by D.L. Chambless and S. D. Hollon (1998), are identified: efficacious and specific, efficacious, and possibly efficacious. Behavioral and cognitive-behavioral treatments dominate the lists, especially in the anxiety disorders, with notable exceptions. Reasons for the hegemony of the behavioral and cognitive modalities are discussed, and some limitations of the empirically supported treatment concept are addressed. Continued research is recommended on Aptitude x Treatment interactions, cost-benefit ratios, and generalization of treatments to a variety of patient populations, therapists, and treatment settings.

Keywords: Review

Accuracy Verified: Yes

211. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635..

Language: English

Format: Journal

Abstract:
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]

Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT

Accuracy Verified: Yes

212. Spates, C. R. (2012). Empirically supported psychological treatments: EMDR. In J. G. Beck & D. M. SLoan (Eds.), The Oxford handbook of traumatic stress (pp. 449-462). New York, NY: Oxford University Press.

Language: English

Format: Book Section

Abstract:
In this chapter we review the empirical foundation for Eye Movement Desensitization and Reprocessing Therapy (EMDR) for posttraumatic stress disorder. We present a brief description of the therapy, critically review recent primary and meta-analytic investigations concerning its efficacy and effectiveness, offer a summary of recent primary investigations that addressed the mechanism of action for EMDR, and based on this overall review, we suggest limitations with recommendations for future research. Recent empirical investigations of the efficacy of EMDR have improved along a number of important dimensions, and these along with the few completed effectiveness trials, position this therapy among evidence-based frontline interventions for PTSD. What is less thoroughly researched, and thus less well understood, are putative models of its theoretical mechanism of action. In addition to continuing specific improvements in research concerning efficacy and effectiveness, we recommend more and higher quality empirical studies of its mechanism of action. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Practice Theory

Accuracy Verified: Yes

213. Seliga, M. (2009, Fall). Empirically supported treatment interventions for clients with posttraumatic stress disorder and comorbid borderline personality disorder: A critical review. Praxis, 9, 61-69.

Language: English

Format: Journal

Abstract:
The overall stigma- and gender-related controversies that surround the diagnosis of Borderline Personality Disorder (BPD) present a unique ethical mandate to the practitioner. The relationship between trauma and the BPD diagnosis strengthens the need for carefully designed treatment interventions in order to secure the benefits of trauma-focused work, while minimizing the risk of undue regression. The complexity and risk of harm introduced by a diagnosis of comorbid BPD and PTSD urges the need for clarification of optimal treatment interventions to guide practitioners. The use of adjunctive treatment modalities alongside traumafocused interventions emerges as an empirically supported technique in the treatment of severely comorbid patients.

Keywords: Borderline Personality Disorder Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

214. 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

215. Feinstein, D. (2008). Energy psychology: A review of the preliminary evidence. Psychotherapy, 45(2), 199-213. doi:10.1037/0033-3204.45.2.199.

Language: English

Format: Journal

Abstract:
Energy psychology utilizes imaginal and narrative-generated exposure, paired with interventions that reduce hyperarousal through acupressure and related techniques. According to practitioners, this leads to treatment outcomes that are more rapid, powerful, and precise than the strategies used in other exposure-based treatments such as relaxation or diaphragmatic breathing. The method has been exceedingly controversial. It relies on unfamiliar procedures adapted from non- Western cultures, posits unverified mechanisms of action, and early claims of unusual speed and therapeutic power ran far ahead of initial empirical support. This paper reviews a hierarchy of evidence regarding the efficacy of energy psychology, from anecdotal reports to randomized clinical trials. Although the evidence is still preliminary, energy psychology has reached the minimum threshold for being designated as an evidence-based treatment, with one form having met the APA Division 12 criteria as a “probably efficacious treatment” for specific phobias; another for maintaining weight loss. The limited scientific evidence, combined with extensive clinical reports, suggests that energy psychology holds promise as a rapid and potent treatment for a range of psychological conditions.

Keywords: Energy psychology

Accuracy Verified: Yes

216. deGraffenried, D. F. (2007, September). The enhanced safe place: A practitioner's guide to using multi sensory imaging to strengthen and augment the safe place. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Multi sensory imaging techniques can dramatically strengthen the client’s Safe Place images resulting in a higher degree of client satisfaction, stronger development of the Safe Place and more effective affect management. This presentation will use a PowerPoint presentation to review 10 techniques, provide examples for their effective application and demonstrate with them via a client video tape.

Keywords: Enhanced Safe Place

Accuracy Verified: Yes

217. Smithson, M. (2003, September). Enhancing somatic interventions in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
The somatic intervention is key to effective EMDR processing. It makes every possible use of EMDR more effective, whether it be trauma work, performance enhancement or resource development. How then, do we maximize the potentia1 for healing with EMDR through our somatic interventions? In this workshop, specific methods for enhancing somatic intervention will be presented. We will experience some of these methods and review cases where others have been used effectively. We will look at blending movement and creative modalities to flush out the wisdom in the body and enhance EMDR therapy.

Keywords: Somatic Complaints

Accuracy Verified: Yes

218. Corrigan, F. M., & Jennett, J. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder. Acta Psychiatrica Scandinavica, 110(2), 158. doi:10.1111/j.1600-0047.2004.00368.x.

Language: English

Format: Journal

Abstract:
Letter to the editor commenting on an article by E. Ernst (see record 2003-05653-002). We report the case of a patient who was effectively treated for severe obsessive compulsive disorder but relapsed briefly following ingestion of herbal products containing ephedra alkaloids that she bought to facilitate weight loss. The patient was a 29-year-old woman with a 10-year history of obsessive compulsive disorder who was referred for Eye Movement Desensitisation and Reprocessing (EMDR) when her condition had not responded to cognitive behavior therapy nor to various medications including Fluoxetine, Paroxetine, Clomipramine and Amitriptyline. Her score on the Dissociative Experiences Scale was low and there was nothing in the clinical history to suggest major dissociative disorder, so after preparation with mindfulness, relaxation and safe place imagery she proceeded to treatment with EMDR. Nine months later she reported a relapse into increased anxiety with a partial return to compulsive thoughts and behaviours after she had obtained a herbal health product sold to promote weight loss. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Comment Desensitization Ephedra Letter Luvoxamine Obsessive Compulsive Disorder OCD Plant Preparations Relapse Reply Review Serotonin Uptake Inhibitors

Accuracy Verified: Yes

219. Shapiro, F. (1996, September). Errors of context and review of eye movement desensitization and reprocessing research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 313-317. doi:10.1016/S0005-7916(96)00035-3 .

Language: English

Format: Journal

Abstract:
The development of eye movement desensitization and reprocessing (EMDR) has been marked by an emphasis on research, beginning with its introduction by a controlled study in 1989. However, misconceptions regarding the method abound. A recent inaccurate literature review demonstrates the need for more careful scrutiny. To date, 12 controlled studies have been completed in the area of PTSD, most of which support EMDR's efficacy. Nevertheless, a careful examination of a number of studies and of a recent literature review reveal the need for greater methodological rigor and higher clinical standards in both the research and research evaluation process. [Author Summary]

Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Scientific Research

Accuracy Verified: Yes

220. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.

Language: French

Format: Dissertation/Thesis

Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale (TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble. Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.

This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy (CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder. The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.

Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

221. Tolin, D. E., Montgomery, R. W., Kleinknecht, R. A., & Lohr, J. M. (1995). An evaluation of eye movement desensitization and reprocessing (EMDR). In L. Vandecreek, S. Knapp, & T. L. Jackson (Eds.), Innovations in clinical practice: A source book V. 14, (pp. 423-437) Sarasosta, FL: Professional Resource Press.

Language: English

Format: Book Section

Abstract:
Review . . . the current methodological and professional issues surrounding Eye Movement Desensitization and Reprocessing (EMDR) /// description of the EMDR procedure / evaluation of current published research / professional evaluation (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Eye Movements Systematic Desensitization Therapy Treatment Effectiveness Evaluation

Accuracy Verified: Yes

222. Adler-Tapia, R., & Settle, C. (2009). Evidence of the efficacy of EMDR with children and adolescents in individual psychotherapy: A review of the research published in peer-reviewed journals. Journal of EMDR Practice and Research, 3(4), 232-247. doi:10.1891/1933-3196.3.4.232.

Language: English

Format: Journal

Abstract:
Research on psychotherapy with children is generally underrepresented in the empirical literature. Currently, there are four randomized clinical trials (RCT) evaluating EMDR in individual psychotherapy with traumatized children—two for children diagnosed with PTSD and two for children presenting with symptoms of posttraumatic stress. Since the first case studies of EMDR with children were published in 1993, 19 studies were identified that met the inclusion criteria for this review. The gold standards identified by Foa and Meadows (1997) to assess the methodology of studies designed to treat trauma were applied to the research on EMDR with children. This analysis discusses the challenges to conducting research on psychotherapy with children including the debate regarding the assessment and diagnosis of PTSD in children. Recommendations for future studies designed with methodological rigor are suggested to investigate the efficacy of EMDR with children who have experienced trauma and other mental health symptoms and diagnoses.

Keywords: Adolescents Children Efficacy Review Trauma

Accuracy Verified: Yes

223. Cukor, J., Olden, M., Lee, F., & Difede, J. (2010, October). Evidence-based treatments for PTSD, new directions, and special challenges. Annals of the New York Academy of Sciences, 1208(1), 82-89. doi:10.1111/j.1749-6632.2010.05793.x.

Language: English

Format: Journal

Abstract:
This paper provides a current review of existing evidence-based treatments for posttraumatic stress disorder (PTSD), with a description of psychopharmacologic options, prolonged exposure therapy, cognitive processing therapy, and eye movement desensitization and reprocessing, especially as they pertain to military populations. It further offers a brief summary of promising treatments with a developing evidence base, encompassing both psychotherapy and pharmacotherapy. Finally, challenges to the treatment of PTSD are summarized and future directions suggested.

Keywords: Cognitive Processing Therapy CPT Evidence-Based Treatment Military PE Posttraumatic Stress Dsorder PTSD Prolonged Exposure Psychopharmacology

Accuracy Verified: Yes

224. Capps, F. (2005). The EXACT method: Resolution of substance abuse-related trauma in couples counseling utilizing eye movement desensitization and reprocessing (EMDR). Texas A&M University, Corpus Christi, TX. AAT 3173700.

Language: English

Format: Dissertation/Thesis

Abstract:
This study utilized single session EMDR (Shapiro, 1995, 2002) and the Experiential Approach to Couples Treatment (EXACT method) to target substance abuse related trauma in non-dependent partners (NDPs) of former substance abusers. Chemical dependent partners (CDPs) received simultaneous experiential treatment. Treatment effects and maintenance of treatment between experimental and wait-list control groups were examined for trauma reduction, commitment to sobriety, and emotional intimacy. Correlations among intimacy, emotional quality, between and commitment to sobriety were examined. Meta-analyses informed the literature review and described the gold standards (Foa & Meadows, 1997) which were used to rate controlled research. The Emogram (Priesmeyer, Knickerbocker, Comstock, & Mudge, 2001) was used for pre-posttest comparisons. This study met the gold standards at a rating of seven (RGS = 7.0). The sample consisted of 12 couples (N = 24) drawn from adult volunteers who met screening criteria. Data was analyzed using within subjects multivariate analyses of variance with repeated measures, and Pearson product-moment correlations. Trauma-related symptoms were significantly reduced for NDPs. Commitment to sobriety was measured by anxiety and depression symptoms which were significantly reduced for chemical dependent partners (CDPs). Trauma, anxiety, and depression reductions were maintained for all participants at follow-up. Maintenance of gains in commitment to sobriety and in emotional intimacy for CDPs failed to reject the null hypotheses. Measures of Self Disclosure, Love and Affection, and Personal Validation were significantly correlated, but were not significantly correlated to Trust or to Emotional Quality. No significant relationship was found between Emotional Quality and Commitment to Sobriety or between Emotional Quality and Emotional Intimacy for CDPs. Conclusions include that a single session of the treatment was efficacious for trauma, anxiety, and depression reduction and for increased commitment to sobriety and intimacy. Treatment gains for trauma, anxiety, and depression reduction were maintained. Commitment to sobriety and emotional intimacy gains tended to be maintained but were not significant. Intimacy measures tended to be related to each other, but relationships among other measures were not significant. Recommendations include larger sample sizes, additional variables of study, and lengthening follow-ups. Comparative treatment methods are recommended. Future research should include families. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International Section A: Humanities and Social Sciences. 66(4-A), 2005, pp. 1282.

Keywords: Counseling Couples Drug Abuse Emotional Trauma Empirical Study Quantitative Study

Accuracy Verified: Yes

225. Shapiro, F. (1998, July). Exploring the boundaries. Plenary presented at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) explore the interconnectedness of trauma and violence; 2) examine a variety of new therapeutic applications; and 3) review the integrated nature of the EMDR protocols.

Keywords: Plenary Trauma Violence

Accuracy Verified: Yes

226. Hollander, H. E. (2009, March 10). Eye closure, eye movements: ECEM for the treatment of panic and depersonalization disorders. Presentation at the 51st American Society of Clinical Hypnosis Annual Scientific Meeting, Boston, MA .

Language: English

Format: Conference

Abstract:
ECEM, a novel technique that integrates the eye movement component of EMDR within hypnosis, will be presented, with specific application to panic disorder and to depersonalization disorder, conceptualized as a subtype of panic disorder. The workshop will (1) provide a research review of neurophysiology and behavioral measures that support conceptualization of depersonalization disorder as a subtype of panic disorder; (2) discuss the use of ECEM (eye movements within hypnosis) to treat panic and depersonalization disorder; (3) describe specifi c procedures using ECEM to interrupt attacks of panic and depersonalization disorder; (4) describe how ECEM is used to reverse (up-regulate) feeling of unfamiliar self, sensory numbness, cognitive freezing, de-realization - core symptoms of depersonalization disorder; and (5) describe how ECEM is used to manage anticipatory anxiety associated with panic or depersonalization disorder, recognizing overlap and differences in hypnotic techniques and utilization of eye movements within hypnosis for each disorder. Participants should be familiar with, or planning to take courses in EMDR. The experiential component will include practice in managing dysfunctional breathing patterns, practice in utilization of self-generated eye movements within hypnosis to treat anticipatory anxiety-fear of panic or depersonalization episodes, and demonstration of hypnotic techniques to up-regulate core symptoms of depersonalization disorder. Upon completing this workshop, the participant should be able to: 1. Define three key characteristics of panic disorder and depersonalization; 2. Discuss ECEM and describe how ECEM is varied to treat one key similarity and one key diff erence that is required in the management of an episode of depersonalization disorder as distinct from panic disorder; and 3. Apply ECEM (hypnotic techniques and eye movements within hypnosis) to modify anticipatory anxiety that is a feature of both panic and depersonalization disorder.

Keywords: Depersonalization Disorders ECEM Eye CLosure Eye Movements Panic Disorders

Accuracy Verified: Yes

227. MacCulloch, M. J., & Feldman, P. (1996, November). Eye movement desensitisation treatment utilises the positive visceral element of the investigatory reflex to inhibit the memories of post-traumatic stress disorder: A theoretical analysis. British Journal of Psychiatry, 169(5), 571-579.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitisation and reprocessing (EMDR) has attracted controversy and has led to publications covering a wide range of psychological problems treated by EMDR, in particular, PTSD. There is growing clinical evidence of the effectiveness of EMDR, but a lack of a convincing theoretical basis to explain its rapid effect. Method: This paper argues that a combination of Pavlovian and Darwinian theory provide a theoretical explanation for the therapeutic effectiveness of EMDR. Results: We suggest that the investigatory component of the orienting reflex is an evolutionary development enabling organisms to assess their environment for both opportunities and threats. We propose that EMDR is rapidly effective because it is a clinical method of Pavlovian conditioning by which the positive visceral element of the investigatory reflex can be paired with clinically-induced noxious memories to remove their negative affect. Conclusion: Compared with established forms of treatment for PTSD, EMDR is rapid, with resulting clinical and economic benefits. Our suggested theoretical basis for EMDR has implications for further explanatory research and for developments in EMDR treatment. [Author Abstract]

Keywords: Conditioned Emotional Responses Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

228. Lee, C., Gavriel, H., & Richards, J. (1996, November). Eye movement desensitisation: Past research, complexities, and future directions. Australian Psychologist, 31(3), 168-173. doi:10.1080/00050069608260202.

Language: English

Format: Journal

Abstract:
This paper reviews the present state of knowledge about the efficacy of eye movement desensitisation and reprocessing (EMDR) as a treatment for traumatic memories, and draws on information-processing theory to identify basic problems with much of the research on this procedure. The general failure of this research to take into account the complexity and hypothesised theoretical underpinnings of EMDR is discussed, and suggestions are made for future research. Although EMDR has shown some promise as an effective intervention for PTSD, well controlled comparative outcome studies are required to establish its efficacy before investigation of its active therapeutic components should be undertaken. [Author Abstract]

Keywords: Emotional Trauma Literature Review

Accuracy Verified: Yes

229. Chemtob, C. M., Tolin, D. F., van der Kolk, B. A., & Pitman, R. K. (2000). Eye movement desensitization and reprocessing. In E. B. Foa, T. M. Keane, & M. J. Friedman (Eds.), Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (pp. 139-154, 333-335). New York: Guilford Press.

Language: English

Format: Book Section

Abstract:
Eye movement desensitization and reprocessing (EMDR), an emerging therapy for psychological trauma, has been in use for nearly a decade. Although it has stimulated strong interest and enthusiasm, EMDR has also received intense critical scrutiny. This chapter provides an overview of the history and theory of EMDR. Next, the ENDR procedure is summarized, followed by a review of the outcome literature. Dismantling studies of the contribution of eye movements to the efficacy of the EMDR procedure are then reviewed, followed by an overall rating reflecting the current knowledge of EMDR's efficacy, along with recommendations for its use. The chapter concludes with suggestions for further research. [Text, p 139] [Pilots]

Keywords: Literature Review Practice Guidelines Treatment Effectiveness

Accuracy Verified: Yes

230. Smith, P. A., & Yule, W. (1999). Eye movement desensitization and reprocessing. In W. Yule (Ed.), Post-traumatic stress disorders: concepts and therapy (pp. 267-284). Chichester, England: John Wiley & Sons.

Language: English

Format: Book Section

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is one of the most recent additions to the armoury of treatments for posttraumatic stress disorder (PTSD). This chapter briefly outlines the EMDR procedure, and reviews the growing number of outcome evaluation studies, before considering some of the recent theoretical explanations that have been offered. EMDR has been used with a variety of populations, and its use with children and adolescents is considered here. At the heart of EMDR is the notion that accelerated processing of disturbing material can be directly facilitated at a neurophysiological level using a variety of dual attention tasks. Accordingly, a by-product of resolution at the neurophysiological level is cognitive and emotional well-being. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adolescents Children Literature Review Psychotherapeutic Processes PTSD Research Needs Survivors Treatment Effectiveness

Accuracy Verified: Yes

231. Spates, C. R., Koch, E., Cusack, K., Pagoto, S., & Waller, S. (2009). Eye movement desensitization and reprocessing. In E. B. Foa, T. M. Keane, M. Terence, M. J. Friedman, & J. A. Cohen, (Eds) Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (2nd ed.) (pp. 279-305). New York: Guilford Press.

Language: English

Format: Book Section

Abstract:
This chapter critically summarizes state-of-the-art knowledge relevant to the use of eye movement desensitization and reprocessing (EMDR) treatment for traumatic stress. We review empirical evidence and pertinent meta-analyses since the first edition of this volume was published. Data pertaining to EMDR treatment of both adults and children are incorporated. We also examined the evidence for its bearing on "questions in need of further research" from the previous update to determine whether the recommended research questions have been addressed. Finally, we raise a number of questions for continuing research relevant to EMDR and, more generally, the treatment of posttraumatic stress disorder (PTSD), in which the evidence points to opportunities for emerging, empirically supported practice. In this chapter we address the empirical foundation of EMDR in terms of efficacy, comparative effectiveness, and durability. We also present evidence bearing on the conceptual framework, at least insofar as procedural components are concerned. (PsycINFO Database Record (c) 2009 APA, all rights reserved)

Keywords: Chronic Posttraumatic Stress Disorder Chronic PSTD Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Traumatic Stress Treatment Treatment Effectiveness

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Intervention Summary

Accuracy Verified: Yes

233. 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

234. Shapiro, F. (2001, April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Psicoterapia Cognitiva e Comportamentale, 7(1), 43-75.

Language: English

Format: Journal

Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single trauma victims no longer maintain the posttraumatic stress disorder (PTSD) diagnosis after the equivalent of 3 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. This article describes the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Anxiety Disorders Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs Review

Accuracy Verified: Yes

235. Shapiro, F. (1999, January-April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Journal of Anxiety Disorders, 13(1-2), 35-67. doi:10.1016/S0887-6185(98)00038-3.

Language: English

Format: Journal

Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single-trauma victims no longer maintain the posttraumatic stress disorder diagnosis after the equivalent of three 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. Unfortunately, some research has been conducted that has been severely hampered by insufficient treatment fidelity and lack of clinical validity. Consequently, this article will attempt to describe the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. [PubMed]

[Note: Erratum in Journal of Anxiety Disorders 13(6), 621, Nov-Dec 1999]

Keywords: Anxiety Disorders Literature Review Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs

Accuracy Verified: Yes

236. Boudewyns, P. A. & Hyer, L. A. (1996, October). Eye movement desensitization and reprocessing (EMDR) as treatment for post-traumatic stress disorder (PTSD). Clinical Psychology and Psychotherapy, 3(3), 185-195. doi:10.1002/(SICI)1099-0879(199609)3:3<185::AID-CPP101>3.0.CO;2-0.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing is a new and controversial cognitive-behavioural treatment technique that combines cognitive processing and exposure methodology to treat conditioned emotional responding and other trauma-related symptoms. EMDR is controversial in part due to initial excessive claims by its originator, Francine Shapiro, and also because of what many believe to be Shapiro's proprietary emphasis in controlling who may use the technique with patients. In this paper our aim is to take an objective look at the process and effectiveness of this technique. The purpose here is to (1) offer a brief objective review of the outcome literature to date on EMDR; (2) present a short summary of results of an 'early look' at an ongoing controlled study of this method that we are presently conducting; (3) speculate on the merits of this approach based on both scientific and clinical experience with EMDR and (4) offer a brief description of the evolved process of EMDR along with a commentary on that process. [Author Abstract]

Keywords: Adults Americans Posttraumatic Stress DIsorder PTSD Random Clinical Trial RCT Treatment Effectiveness Veterans

Accuracy Verified: Yes

237. Giannantonio, M. (2001, Augusto). Eye movement desensitization and reprocessing (EMDR) e psicoterapia del disturbo post-traumatico da stress: Considerazioni critiche e linee di tendenza [EMDR and PTSD psychotherapy: Critical evaluations and current trends]. Psicoterapia Cognitiva e Comportamentale, 7(1), 5-23.

Language: Italian

Format: Journal

Abstract:
L'Eye Movement Desensitization and Reprocessing (EMDR) è una forma di psicoterapia relativamente recente nota soprattutto per la sua discussa efficacia nella psicoterapia del Disturbo Post-Traumatico da Stress (PTSD), ma anche per l'accesa polemica che ruota attorno ad essa. Nel presente articolo viene valutata la più recente letteratura sull'efficacia dell'EMDR nella psicoterapia del PTSD, prestando una particolare attenzione alla comparazione con altre forme di psicoterapia ed alle critiche concettuali e metodologiche che sono state rivolte a questa metodica. Una review della letteratura porta con un ragionevole grado di certezza ad affermare l'efficacia dell'EMDR nella psicoterapia del PTSD. È invece necessaria ancora molta ricerca per dipanare le incertezze relative ai meccanismi specifici sui quali si basa l'efficacia dell'EMDR. Vengono infine accennate alcune attuali linee di tendenza nell'evoluzione dell'EMDR.

Eye Movement Desensitization and Reprocessing (EMDR) is a relatively recent model of psychotherapy known especially for its controversial effectiveness in PTSD psychotherapy, but also for the intense polemic centred on it. In the present article the most recent literature about effectiveness of EMDR in PTSD psychotherapy is evaluated, paying a particular attention to the comparison with other forms of psychotherapy and to the conceptual and methodological criticisms addressed to this psychotherapeutic approach. A review of literature leads to assert -- with a reasonable degree of certainty -- EMDR efficacy. On the contrary, extensive research is still required to dispel doubts concerning the specific mechanisms on which the efficacy of EMDR is based. Finally, some of the current trends in EMDR development are mentioned. [Author Summary]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

238. Marich, J. N. (2009, May). Eye movement desensitization and reprocessing (EMDR) in the addiction continuing care: A phenomenological study of women treated in early recovery. Capella University, Minneapolis, MN. UMI 3355347.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study is to explore: (a) the lived experiences of clients participating in Eye Movement Desensitization and Reprocessing (EMDR) treatment as part of their addiction continuing care, and (b) the impact of the EMDR experience on their lives as individuals recovering from addiction. A review of the critical literature was conducted to reveal a wealth of information concerning EMDR's efficacy with posttraumatic stress disorder (PTSD), suggestions for implementing EMDR into addiction treatment, and various ethical-clinical issues that continue to be addressed within the scope of EMDR treatment. Research on implementing EMDR as part of the overall addiction recovery process is minimal at present. In this study, ten women who received EMDR at a treatment program in the urban Midwest participated in a semi-standardized phenomenological interview to share their experiences with active addiction, treatment, EMDR, and recovery. Using Giorgi's Descriptive Phenomenological Psychological Method to analyze the data, four major thematic areas emerged: safety as an essential crucible of the EMDR experience, accessing the emotional core as vital to the recovery experience, lifestyle change, and using a combination of factors for successful treatment. All ten of the women who came forward through the established recruitment process expressed positive sentiments about their EMDR experiences, and in various degrees, they credited their EMDR treatment with being a crucial competent of their addiction continuing care processes. As a collective sample, the participants shared experiences about how EMDR altered their perspectives of self, others, and situations. These perspective shifts resulted in meaningful lifestyle changes that were critical to developing healthy, enduring recoveries.[Author abstract]

Keywords: Addiction Early Recovery Women

Accuracy Verified: Yes

239. Shapiro, F. (2002). Eye movement desensitization and reprocessing (EMDR): Historical context, recent research, and future directions. In L. Vandecreek, S. Knapp, & T. L. Jackson (Eds.), Innovations in clinical practice: A source book. V. 16, 1998 edition. (pp. 143-162) Sarasosta, FL: Professional Resource Press.

Language: English

Format: Book Section

Abstract:
I here only briefly review the 8 treatment phases of which EMDR (Eye Movement Desensitization and Reprocessing) is compromised. The remainder of this contribution reviews the current state of EMDR research and clinical practice. Specifically, I (a) explore the historical context in which EMDR is placed, (b) review the extant publications and emerging research on this method, (c) make some suggestions for clinicians who are offering or evaluating new innovations, and (d) describe some recent clinical applications of EMDR. The earlier controversy that swirled around EMDR appears symptomatic of a lamentable split between practicing therapists and researchers (usually academic) which has manifested itself in professional psychology in a variety of ways. Because of its visibility, EMDR may well prove a vehicle to help close this gap. Hopefully, the experience of offering EMDR to the field of psychology provides lessons that will prove useful to practicing clinicians and future innovators. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Disorders Future Directions History Research

Accuracy Verified: Yes

240. Karlsson, A. (2002). Eye movement desensitization and reprocessing (EMDR): En presentation och analys av metoden, samt redogörelse för svenska utövares upplevelser [Eye Movement desensitization and processing (EMDR): A presentation and analysis of the method, and explanation of Swedish practitioners' experiences]. Psykologexamensarbete, Stockholms Universersit Psyckologiska Institutionen. .

Language: Swedish

Format: Other

Abstract:
Posttraumatiskt stressyndrom är en komplex och mångdimensionell störning. Lyckligtvis finns det effektiva behandlingsmetoder. 1989 utvecklade Francine Shapiro metoden, sedermera namngiven, Eye Movement Desensitization and Reprocessing (EMDR), för behandling av traumatiska minnen. Det hävdas att mellan 84 – 100% som behandlats med EMDR inte längre uppfyller diagnoskriterierna för PTSD. Uppsatsens huvudsyfte är att göra en grundläggande granskning av EMDR och metodtillämpningen i Sverige. Datainsamling skedde genom litteraturgranskning, enkätundersökning samt intervjuer med EMDR-utbildade kliniker. Resultatet visar att EMDR är effektivare än ingen behandling alls eller icke-validerade behandlingsmetoder, såsom aktivt lyssnande. Det är däremot inte styrkt att EMDR är effektivare än KBT. Vidare antyder komponentstudier att ögonrörelsestimulering, eller alternativ bilateral stimulering, inte är nödvändig för att uppnå behandlingsframgångar. Samtliga intervjuade utövare upplever EMDR som ett värdefullt och verksamt verktyg i behandlingsarbetet. Diskussion förs kring resultaten från effektstudierna och nödvändigheten av fortsatt forskning.

Post-traumatic stress disorder is a complex, multidimensional disorder. Fortunately there are effective treatments. 1989 Developed Francine Shapiro method, later named, eye movement desensitization and Reprocessing (EMDR), for the treatment of traumatic memories. It is alleged that between 84 - 100% treated with EMDR are no longer meet diagnostic criteria for PTSD. The main purpose is to make a fundamental review of the EMDR method and application in Sweden. Using data obtained from literature review, survey and interviews with EMDR-trained clinicians. The results show that EMDR is more effective than no treatment or non-validated therapies, such as active listening. It is however not shown that EMDR is more effective than CBT. Further studies suggest component of eye movement stimulation, or alternative bilateral stimulation, it is not necessary to achieve treatment success. All interviewees experienced EMDR practitioners as a valuable and effective tool in the treatment process. Talk out of the result, from efficacy trials and the need for further research.

Keywords: Component Studies Impact Studies Posttraumatic Stress Disorder PTSD Swedish Practice Travel Experiences

Accuracy Verified: Yes

241. Story, T. (2004). Eye movement desensitization and reprocessing (EMDR): Impacting communication apprehension. Washington State University. AAT 3165135.

Language: English

Format: Dissertation/Thesis

Abstract:
This study was designed to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in reducing communication apprehension (CA) specifically public speaking apprehension (PSA). Literature on CA and available interventions is reviewed. An overview of the EMDR process is discussed. The study employs a pre/posttest experimental design. The independent variables involve four treatment conditions--EMDR, Systematic Desensitization (SD), placebo, and control. The dependent variables include the Personal Report of Communication Apprehension-trait public speaking subscale (PRCA-PSS) (McCroskey, 1997) and the State CA scale (STAI) (Spielberger, Gorsuch, and Lushene, 1970). These data indicated significant results in reduction of trait and state communication apprehension for both EMDR and SD interventions. EMDR and SD appear to be equally effective in reducing CA associated with public speaking. The implications of these findings are discussed in the final chapter of this dissertation.

Keywords: Speech Anxiety

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

243. Shapiro, F. (1996, September). Eye movement desensitization and reprocessing (EMDR): Evaluation of controlled PTSD research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 209-218. doi:10.1016/S0005-7916(96)00029-8.

Language: English

Format: Journal

Abstract:
The complete controlled PTSD research on eye movement desensitization and reprocessing (EMDR) is placed within the context of other methods used in the treatment of PTSD. A number of studies are presented that support EMDR as an empirically validated method. However, in several studies, clinical standards have not always been integrated with rigorous scientific methdology. The suggested standards include fidelity checks for the method being tested, the use of appropriate psychometrics, and assessment of co-morbidity factors. At the same time, because of common misconceptions about the method, a variety of problematic issues are discussed. [Author Abstract]

Keywords: Adults European Americans Arousal Literature Review Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

244. Greenwald, R. (1994, Spring). Eye movement desensitization and reprocessing (EMDR): An overview. Journal of Contemporary Psychotherapy, 24(1), 15-34. doi:10.1007/BF02306581.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy procedure which has been reported to dramatically increase efficiency in the treatment of psychological disturbances rooted in traumatic memories. Following a review of the research on EMDR's efficacy, clinical considerations are addressed, including the client's experience and the potential for negative effects or treatment failure. Finally, the role of EMDR in clinical practice is discussed. Initial reports are encouraging, and further research is recommended. Clinicians who choose to use EMDR are urged to obtain formal training. [Author Abstract]

Keywords: Treatment Effectiveness

Accuracy Verified: Yes

245. Field, A., & Cottrell, D. (2011, November). Eye movement desensitization and reprocessing as a therapeutic intervention for traumatized children and adolescents: A systematic review of the evidence for family therapists. Journal of Family Therapy, 33(4), 374-388. doi:10.1111/j.1467-6427.2011.00548.x.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy for post-traumatic symptoms of relevance to systemic therapists. The literature available on individual EMDR in traumatized children is reviewed in this article. A sample of eight studies was examined, consisting of three controlled trials, two uncontrolled studies and three case reports or series. The controlled trials compared EMDR with waiting list controls or cognitive behavioural therapy (CBT). The study samples were small and their methodological quality variable. In all the studies, the results suggested a positive effect for EMDR but did not appear superior to CBT. It is therefore possible that systemic interventions may be improved by the integration of EMDR and family therapy with children and adolescents.

Keywords: Adolescents Children Family and Systemic Therapy

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Eating Disorders Literature Review

Accuracy Verified: Yes

247. Shepherd. J., Stein, K., & Milne, R. (2000, July). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder: A review of an emerging therapy. Psychological Medicine, 30(4), 863-871.

Language: English

Format: Journal

Abstract:
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new form of psychotherapy for PTSD. We critically reviewed randomized controlled trials of EMDR. Methods: A wide range of electronic databases and reference lists of articles obtained were searched and relevant experts were consulted. Studies were critically appraised according to established criteria. Results: We found 16 published randomized controlled trials (RCTs) comparing EMDR with alternative psychotherapy treatments, variants of EMDR, and with delayed treatment groups. Studies were generally small (mean number of patients = 35) and of variable methodological quality, with only 5 reporting blinding of outcome assessors to treatment allocation, and in some cases with high loss to follow-up. In most cases EMDR was shown to be effective at reducing symptoms up to 3 months after treatment. In one case benefit was maintained up to 9 months and in another (uncontrolled) followup treatment effect was present at 15 months. 2 studies suggest that EMDR is as effective as exposure therapies, 3 claim greater effectiveness in comparison to relaxation training, and 3 claim superiority over delayed treatment groups. Of the studies examining specific treatment components, 2 found that treatment with eyes moving was more effective than eyes fixed, while 3 studies found the two procedures to be of equal effectiveness. CONCLUSION: The evidence in support of EMDR is of limited quality but results are encouraging for this inexpensive, simple therapy. Further research is warranted in larger samples with longer periods of follow-up. [Author Abstract]

Keywords: Health Care Costs Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

248. Feske, U. (1998, Summer). Eye movement desensitization and reprocessing treatment for posttraumatic stress disorder. Clinical Psychology, 5(2), 171-181. doi:10.1111/j.1468-2850.1998.tb00142.x.

Language: English

Format: Journal

Abstract:
A qualitative review of experimental and quasiexperimental outcome studies of eye movement desensitization and reprocessing (EMDR) treatment for persons with PTSD suggests that the treatment is effective for civilian but not combat PTSD. The current data indicate that additional research into EMDR's efficacy for PTSD is warranted. Further studies should include comparisons to placebo control procedures and existing validated treatments for PTSD, an adequate treatment dose, systematic efforts to establish and assess treatment integrity and quality, and long-term follow-up data. The therapeutic mechanisms underlying EMDR's observed benefits remain elusive. Whether the eye movement or some other type of stimulation is essential to EMDR's effects cannot be determined from the current data. [Author Abstract]

Accuracy Verified: Yes

249. Tye, J. A. (2001, August). Eye movement desensitization and reprocessing treatment for posttraumatic stress disorder and other psychological traumas: A decade of research in review. United States International University, San Diego, CA. AAT 3006172.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new complex treatment method that incorporates salient aspects of many of the major therapeutic modalities as a treatment for PTSD and other psychological trauma in a civilian population. One of the basic underlying principles is elucidated in the Accelerated Processing Model which posits the ability to access and process dysfunctional perceptions that were stored at the time of the traumatic event. These state-dependent perceptions are considered the primary cause of posttraumatic stress symptomatology.The purpose of this review was to investigate whether the EMDR method is an efficacious treatment for individuals diagnosed with PTSD, as reflected in a critical review of the literature from the initial study conducted in 1989 through 2000. The review included the history and background, development, and research to date of EMDR as a method of treatment for PTSD. A description was provided of the psychometric instruments utilized in the assessment; diagnosis; and measurement of the presence, absence, and level of severity of PTSD symptomatology, as described in the research literature of EMDR. Of special concern was the discrepancy between the diagnostic criteria and the presence, absence, and level of severity of PTSD symptomology as described in the treatment outcomes presented in the literature. Included were criteria for assessment instrument comparison, as well as the current limitations in assessment conformity and methodology which restrict the generalizability and assumptions about the way in which traumatic experiences manifest and influence treatment outcomes. [Author Abstract]

Keywords: Empirical Study Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

250. Tootell, E. (2004). Eye movement desensitization and reprocessing: A comprehensive literature review. Argosy University, San Francisco, CA. AAT 3118435.

Language: English

Format: Dissertation/Thesis

Abstract:
Since Francine Shapiro's first published paper on EMD therapy in 1989, there has been a tendency toward polarization in EMDR research. Those who tend to believe in the effectiveness of EMDR tend to find results which confirm their point of view. Those who have been very skeptical about the effectiveness of EMDR have tended to produce findings which validated their perspective also. The result of this has been years of back and forth research, without a great deal of moving forward by asking new questions based on previous findings. This literature review involved evaluating all available research on EMDR published in English as of March 1, 2002. Studies were categorized as contributing to knowledge about EMDR in general, or emphasizing specific aspects. Specific aspects were breadth of application, subjectivity of effects, EMDR's effect on intrusive PTSD symptoms, the necessity for eye movements, how EMDR works, if it does, and whether it produces lasting change.Findings included a probable effect from EMDR in treating traumatic memories. It has not been found equally effective in treating other kinds of anxiety or other psychological maladies. Subjectivity is an ongoing issue in EMDR research, yet there are several forms of data indicating an effect in a context in which subjectivity could not have been a significant factor. If EMDR works better for intrusive PTSD symptoms compared to others, the difference is minor. The necessity of eye movements has not been clarified, largely because of the use of alternate forms of bilateral brain stimulation as a control condition when these in fact may promote a similar process. EMDR appears to produce change that is as lasting as any other form of psychotherapy. The main conclusion is that there is a paucity of research including a variety of independent variables. The ongoing battle as to whether EMDR works or not has delayed thorough inquiry into for whom it works, compared to for whom it does not work. It is argued that the field, as well as the clinical population, would be well served if research could move in the direction of rectifying this situation. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 455.

Keywords: Literature Review Treatment Effectiveness

Accuracy Verified: Yes

251. Maxfield, L. (1999). Eye movement desensitization and reprocessing: An empirical review of the effectiveness of EMDR as a treatment for PTSD. Traumatology, 5(4), 1-17. doi:10.1177/153476569900500401 .

Language: English

Format: Journal

Abstract:
The level of evidence for EMDR is based upon 12 controlled studies that investigated the efficacy of EMDR treatment of participants with PTSD. The 7 civilian studies, with 1 exception, all found EMDR to be efficacious in the treatment of PTSD: EMDR was equivalent to cognitive behavioral therapy, and superior to other control conditions. 4 of the 5 studies with combat veterans addressed only one or two memories in this multiply traumatized population, and their findings were equivocal. The 1 combat veteran study which administered a longer course of treatment provides preliminary evidence that EMDR may be efficacious with that population. EMDR is a rapid treatment and appears to be well tolerated by clients, with effects being maintained at follow-up. [Author Abstract]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

252. Maxfield, L. (1999). Eye movement desensitization and reprocessing: A review of the efficacy of EMDR in the treatment of PTSD. Traumatology, 5(4), 1-17. doi:10.1177/153476569900500401.

Language: English

Format: Journal

Abstract:
The level of evidence for EMDR is based upon twelve controlled studies that investigated the efficacy of EMDR treatment of participants with posttraumatic stress disorder (PTSD). The seven civilian studies, with one exception, all found EMDR to be efficacious in the treatment of PTSD: EMDR was equivalent to cognitive behavioral therapy, and superior to other control conditions. Four of the five studies with combat veterans addressed only one or two memories in this multiply traumatized population, and their findings were equivocal. The one combat veteran study which administered a longer course of treatment provides preliminary evidence that EMDR may be efficacious with that population. EMDR is a rapid treatment and appears to be well tolerated by clients, with effects being maintained at follow-up.

Keywords: Review

Accuracy Verified: Yes

253. Lohr, J. M., Lilienfeld, S. O., Tolin D. F., & Herbert J. D. (1999, January-April). Eye movement desensitization and reprocessing: An analysis of specific versus nonspecific treatment factors. Journal of Anxiety Disorders, 13(1-2), 185-207. doi:10.1016/S0887-6185(98)00047-4.

Language: English

Format: Journal

Abstract:
Incremental validity and incremental efficacy have become important issues in the evaluation of psychological assessment and intervention procedures. Incremental validity in assessment is that shown by novel measures over and above established ones. Incremental efficacy is that shown by novel treatments over and above nonspecific and established treatment effects. In this paper, we critically examine the question of whether Eye Movement Desensitization and Reprocessing (EMDR) possesses efficacy above and beyond nonspecific treatment effects and components that are shared with well-established interventions. A review of recently published efficacy studies reveals that (a) the effects of EMDR are largely limited to verbal report indices, (b) eye movements and other movements appear to be unnecessary, and (c) reported effects are consistent with nonspecific treatment features. Examination of individual studies shows that control procedures for nonspecific features have been minimal. We analyze EMDR for nonspecific treatment features and suggest experimental controls to examine the incremental efficacy of EMDR. [Author Abstract]

Keywords: Literature Review Methodology Treatment Effectiveness

Accuracy Verified: Yes

254. Devilly, G. J. (2002, Fall-Winter). Eye movement desensitization and reprocessing: A chronology of its development and scientific standing. The Scientific Review of Mental Health Practice, 1(2), 113-138.

Language: English

Format: Journal

Abstract:
The development of eye movement desensitization and reprocessing (EMDR) has been hotly debated, with rhetoric often being posited as evidence either for or against the technique. This paper aims to provide a brief overview of the procedure, a critical review of the studies completed to date, a meta-analytic review of the available data, and a chronology of the evolution of EMDR over the past 10 years. Treatment-outcome studies were of such disparate quality-even studies meeting similar broad criteria-that combining their results in a meta-analysis was of very questionable value. Overall, an appraisal of the published research supported the following conclusions: (1) There is overwhelming evidence that eye movements are neither a necessary nor a useful addition to the procedure; (2) there is strong and consistent evidence that EMDR is better than no treatment, yet only as good as any other treatment that utilizes some aspect of exposure therapy; and (3) there is strong evidence that a full-exposure-based intervention package is superior to EMDR. There is also some evidence that "reprocessing" is likewise superfluous to EMDR and that the effects of EMDR dissipate over time. It is also concluded that the current debate cannot be entirely settled through scientific investigation due to the rapid and constant reshaping of what constitutes EMDR, the similarity to extant alternative methods, and the lack of a falsifiable theory underpinning the procedure. [Author abstract]

Keywords: Chronology Research Science

Accuracy Verified: Yes

255. Martin, P. M. (1997, March). Eye movement desensitization and reprocessing: A critical review. United States International University, San Diego, CA. AAT 9810369.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing, EMDR, is a new clinical treatment shown to be effective for victims of trauma. EMDR is a time efficient, comprehensive methodology backed by positive, controlled research, for the treatment of the disturbing experiences that underlie many pathologies. An eight phase treatment approach that includes using eye movements or other left-right stimulation, EMDR helps victims of trauma reprocess disturbing thoughts and memories. This project reviews research and development, discusses theoretical constructs and possible underlying mechanisms, and presents protocols and procedures for the treatment of adults and children with a range of complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(9-B), Mar 1998, pp. 5129.

Keywords: Emotional Trauma Literature Review Methodology Theories

Accuracy Verified: Yes

256. Lee, G., Beaton, R., & Ensign, J. (2003, June). Eye movement desensitization and reprocessing: A brief and effective treatment for stress. Journal of Psychosocial Nursing and Mental Health Services, 41(6), 22-31.

Language: English

Format: Journal

Abstract:
1. Eye movement desensitization and reprocessing (EMDR) is an integrative therapy that "unlocks" disturbing memories or beliefs and reprocessess them, in some way, so they are no longer as disabling. 2. EMDR can be used for any experientially based psychological problems and has proven especially effective for traumatic imagery associated with posttraumatic stress disorder. 3. A primary benefit of EMDR is its time efficiency, requiring as few as 3 to 5 hours of treatment. 4. Many potential mechanisms (i.e., cognitive, hypnotic, self-disclosure, biological) may account for the effectiveness of EMDR.

Keywords: Posttraumatic Stress Disorder PTSD Review Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

257. Kim, D. H., Kim, S.H., & Choi, J. H. (2002). Eye movement desensitization and reprocessing: Past, present, and future. Mental Health Research, 21, 155-166..

Language: Korean

Format: Newsletter

Abstract:
This review paper introduces EMDR, a new emerging psychotherapeutic approach for posttraumatic stress disorder: how it has been developed, how its typical session consists of, and what past researches on its effectiveness and mechanism tell us today. There is now a compelling evidence that EMDR may be effective and more over efficient for individuals with PTSD. However, its superiority to other established psychotherapy such as exposure therapy remain unceratin and presently suggested mechanisms of action is putative at most. Nonetheless, considering its cost-effectiveness and efficiency over other well-established treatment, future of EMDR is quite promising. Finally, suggestions for further research were made.

Keywords: Three-Pronged Approach

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

259. Johnson, L. (1992). Eye movement desensitization of post-traumatic stress syndrome. The Milton H. Erickson Foundation Newsletter, 12(2), 6-7.

Language: English

Format: Newsletter

Abstract:
The 4-part article included: Shapiro's response to Johnson's review, p. 6; Wolpe's Commententary on statements by Johnson and Shapiro, p. 6; and a Response by Johnson, p. 6-7.

(Clinic and reviewed Videotape of a program by Francine Shapiro at the 1990 Evolution of Psychotherapy Conference) Review of Wolpe's Video and Program

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

260. Greyber, L. R., Dulmus, C. N., & Cristalli, M. E. (2012, January). Eye movement desensitization reprocessing, posttraumatic stress disorder, and trauma: A review of randomized controlled trials with children and adolescents. Child and Adolescent Social Work Journal, 1-17. doi:10.1007/s10560-012-0266-0.

Language: English

Format: Journal

Abstract:
This article examines the methodological rigor of randomized controlled trials (RCTs) of eye movement desensitization reprocessing (EMDR) conducted specifically with children and adolescents who had a diagnosis of posttraumatic stress disorder and history of trauma. A thorough search for RCTs of EMDR with children and adolescents that were published between 1998 and 2010 was conducted utilizing several databases. A total of five studies were identified. Following an extensive review of the literature, it became apparent that the number of RCTs conducted with EMDR with children and adolescents was negligible, though initial results suggest that it is a promising practice. Although current EMDR studies have been conducted with children and adolescents, and have indicated that EMDR is a promising practice, the state of knowledge at this point is insufficient. EMDR tends to produce less positive results when compared to other trauma-focused interventions, although some research indicates the opposite.

Keywords: Children Adolescents Randomized Control Trials RCT Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

261. Herbert, J. D., & Mueser, K. T. (1992, September). Eye movement desensitization: A critique of the evidence. Journal of Behavior Therapy and Experimental Psychiatry, 23(3), 169-174. doi:10.1016/0005-7916(92)90033-F.

Language: English

Format: Journal

Abstract:
The scientific evidence supporting the efficacy of eye movement desensitization (EMD), a novel intervention for traumatic memories and related conditions, is reviewed. The sparse research conducted in this area has serious methodological flaws, precluding definite conclusions regarding the effectiveness of the procedure. Clinicians are cautioned against uncritically accepting the clinical efficacy of EMD. [Author Summary]

Keywords: Literature Review Treatment Effectiveness

Accuracy Verified: Yes

262. 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

263. Page, A., & Crino, R. (1993, June). Eye-movement desensitization: A simple treatment for post-traumatic stress disorder?. Australian & New Zealand Journal of Psychiatry, 27(2), 288-293.

Language: English

Format: Journal

Abstract:
Eye-movement desensitisation has been identified in a number of case studies to be an effective treatment for PTSD. A further case study reporting success is presented. The treatment appears rapid and may represent a potentially cost-effective treatment for PTSD. However, no treatment study to date has conformed to the ideal methodology of a double-blind placebo controlled trial and therefore its efficacy remains to be demonstrated. A minimal but stringent set of criteria for identification of treatment efficacy are outlined. The implications of eye-movement desensitisation being identified as an effective treatment for PTSD are discussed. [Author Abstract]

Keywords: Posttraumatic Stress Disorder PTSD Review Treatment Effectiveness

Accuracy Verified: Yes

264. Merckelbach, H., Hogervost, E., Kampman, M., & de Jongh, A. (1994, March). Eye-movement-desensitization heeft geen effect op emotionele reactiviteit van 'normale' proefpersonen [Eye movement desensitization has no effect on the emotional reactivity of normal test subjects]. Gedragstherapie, 27(1), 33-49.

Language: Dutch

Format: Magazine

Abstract:
Verschillende single-case studies hebben gesuggereerd dat posttraumatische stress-symptomen en andere angst-gerelateerde problemen kunnen succesvol worden behandeld met een sessie van de oogbeweging desensibilisatie (EMD). Twee experimenten werden uitgevoerd om te onderzoeken of EMD de emotionele reactie van de normale proefpersonen beïnvloedt. In het eerste experiment kregen de proefpersonen (N = 40) blijkt een aversieve dia. Vervolgens helft van de proefpersonen ondergingen EMD, terwijl ze repeteerden de dia informatie, en de andere helft onderging een controle-procedure (dwz de vinger te tikken), terwijl het verbeelden van de glijbaan. Voor en na de interventie (dat wil zeggen, EMD vs vinger te tikken), werden de hartslag en de self-report gegevens die zijn verkregen terwijl proefpersonen repeteerde de dia. Er werd geen bewijs gevonden dat EMD de emotionele impact van de aversieve dia verlaagd. Het tweede experiment werd uitgevoerd langs dezelfde lijnen. Echter, dit keer proefpersonen (N = 28) repeteerde een pijnlijke gebeurtenis die zij onlangs had ervaren. Verder werd een cognitieve 'opwerking' component toegevoegd aan de EMD procedure. Toch heeft geen bevindingen ondersteunen het idee dat EMD emotionele reactiviteit remt om een grotere mate dan de vinger te tikken. Tezamen zijn de resultaten van beide experimenten niet bemoedigend, ze suggereren dat placebo-effecten en de vraag naar kenmerken rekening kan worden gehouden voor het spectaculaire succes van EMD.

Several single-case studies have suggested that posttraumatic stress symptoms and other anxiety-related problems can be successfully treated with one session of eye movement desensitization (EMD). Two experiments were carried out to examine whether EMD affects the emotional response of normal subjects. In the first experiment, subjects (N = 40) were shown an aversive slide. Next, half of the subjects underwent EMD while they rehearsed the slide information, and the other half underwent a control procedure (i.e., finger tapping) while imagining the slide. Before and after the intervention (i.e., EMD vs. finger tapping), heart rate and self-report data were obtained while subjects rehearsed the slide. No evidence was found to suggest that EMD reduced the emotional impact of the aversive slide. The second experiment was conducted along similar lines. However, this time subjects (N = 28) rehearsed an embarrassing event that they had recently experienced. Furthermore, a cognitive 'reprocessing' component was added to the EMD procedure. Nevertheless, findings did not support the idea that EMD inhibits emotional reactivity to greater extent than finger tapping. Taken together, the results of both experiments are not encouraging; they suggest that placebo effects and demand characteristics may account for the spectacular success of EMD.

Keywords: Aversive Stimulation Emotional Responses Eye Movements Systematic Desensitization Therapy

Accuracy Verified: Yes

265. Rubin, A. (2004, June). Fallacies and deflections in debating the empirical support for EMDR in the treatment of PTSD: A reply to Maxfield, Lake, and Hyer. Traumatology, 10(2), 91-105. doi:10.1177/153476560601200101.

Language: English

Format: Journal

Abstract:
The Maxfield, Lake, and Hyer acerbic attack on my review is filled with fallacies and inaccurate and unwarranted accusations that deflect attention away from the main issue pertaining to the insufficient evidence base for current claims that EMDR is more effective than exposure therapies and is an empirically-supported treatment for children, combat PTSD, and multiple trauma PTSD. More research is needed before such claims can be called evidence-based. [Author Abstract]

Keywords: Letter Posttraumatic Stress Disorder Professional Criticism PTSD Reply Treatment Effectiveness

Accuracy Verified: Yes

266. Kim, K. I. (2003, January). Family violence: Psychiatric aspects. Journal of Korean Neuropsychiatric Association, 42(1), 5-13.

Language: English

Format: Journal

Abstract:
Objective: Psychiatrists have recently paid attention to family violence victims, possibly due to the increase of the case, difficulty in case finding and management, and unfavorable treatment outcome. In this review article, the author introduced knowledge and clinical guideline for desirable approach. Methods: This article was from review of articles and the author's 20 years clinical experience at the victim clinic. Results: Incidence of family violence in Korea is three fold higher than that of the United States and China. Batterers' personality and behavior pattern, their characteristic action of violence, victims' victimization process, victims' emotional and cognitive response, characteristics of victims' clinical behavior, desirable attitude of psychiatrists, and the 7 stage approach by the author were introduced. [KoreaMed]

Keywords: Batterers Domestic Violence Family Violence

Accuracy Verified: Yes

267. Brown, L. S. (2002). Feminist therapy and EMDR: theory meets practice. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 263-287). Washington: American Psychological Association.

Language: English

Format: Book Section

Abstract:
This chapter includes a review of certain core concepts of feminist therapy theory and an exploration of how EMDR can be integrated into feminist practice as a means of operationalizing that theory. Because feminist therapy is inherently technically eclectic, embracing interventions ranging from the psychodynamic to the most radically behavioral, the question to be addressed regarding EMDR as a feminist practice is whether its use in therapy supports feminist models of change. In feminist practice, that question is the boundary condition for inclusion of a strategy: Can its use promote feminist models and outcomes? Not every way of practicing therapy does this, and some strategies, particularly those that emphasize strategic approaches in which therapists intentionally use their power over the client, are per se problematic. However, EMDR seems to fall easily within the parameters of feminist practice and even in the hands of nonfeminist therapists advances the goals of feminist social and personal change that are at the core of feminist therapy models. In arguing that EMDR does support feminist strategies, this chapter explores the way feminist practice conceptualizes the notions of change and goodness of outcome. To some degree, these notions are very similar to those of nonfeminist therapies, and in other respects they are radically different. [Text, p. 266]

Keywords: Adults Feminist Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

268. Kim, D., & Kim, S. H. (2002, October). The first Korean experience of EMDR. A review of 15 cases. Poster presented at the annual meeting of the Korean Neuropsychiatric Association, Seoul, Korea.

Language: Korean

Format: Conference

Keywords: Case Study Korea Poster

Accuracy Verified: Yes

269. Abbott, G. (2005, September). Four methods of target identification and ordering for EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will present an important review of Phase One of EMDR treatment as it fits within the Adaptive Information Processing Model. The presenter will describe and analyze four strategies for identifying and ordering targets for EMDR rreatment. Strategies to be covered are I ) Francine Shapiro's standard method; 2) A time line method, 3) A Genogram method proposed by Maureen Kitchur in her Strategic Developmental Model and 4) A hypnotic method inspired by Milton Erickson's February Man cases. Analysis of the unique strengths and limitations of each approach will be made. Clinical choices will be outlined with respect to the use of each strategy in light of characteristics of the client, the clinician, and the clinical setting itself. Case examples will be presented. Handouts wlth guidelines for each method will be distributed. Participants will be invited to engage in imaginal exercises to further the exploration of these strategies.

Keywords: February Man Genogram Maureen Kitchur Milton Erickson Targeting Timeline

Accuracy Verified: Yes

270. Shapiro, S., & Abbott, G. (2004, September). Four methods of target selection for EMDR treatment. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Research indicates that adherence to all Eight Phases of EMDR correlates with improved therapeutic results. The Adaptive Information Processing Model contributes to our understanding of this finding. The focus of this workshop will be on the EMDR Phase One imperative of comprehensive evaluation and treatment planning prior to reprocessing. Participant will review 4 strategies for selecting and ordering targets for reprocessing: 1) Shapiro’s "ten most disturbing memories"; 2) A time line method: 3) Kitchur's genogram approach: and 4) hypnotic age-regression strategy inspired by Milton Erickson. The presenters will analyze each strategy, emphasizing its unique strengths, limitations, and vulnerabilities. Participants will engage in interactive exercises.

Keywords: Target Selection

Accuracy Verified: Yes

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

Language: English

Format: Novel(Book)

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

Keywords: Fiction Novel

Accuracy Verified: No

272. Adler-Tapia, R. (2006, September). From research to practice: What the research has taught us about training therapists to use EMDR with young children. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Our initial research study explored the therapist's ability to demonstrate fidelity to the EMDR protocol with young children. While data collection focused on documenting fidelity to the EMDR protocol, ancillary data emerged that identified skills and training that therapists needed in order to successfully implement the full EMDR protocol in the treatment of children. The preliminary content analysis of the data from the research group identified six major themes that impact treating children with the full EMDR protocol that include therapist issues, client issues, treatment issues, parent/home environment issues, clinical environment issues and therapist training issues. This presentation will review the findings from the research with focus on teaching specific skills for therapists to improve their practice of using EMDR with young children. Therapists need to understand the implication of attachment and attunement in the therapeutic relationship, the impact of parents and the home environment on the treatment, and learn skills to teach children emotional literacy in order to improve the efficacy of EMDR in the treatment of young children. This presentation will summarize the advanced skills that therapists working with young children will need after completing basic training in EMDR. With consultation focused on EMDR and additional training in using EMDR with young children, the research study has demonstrated that therapists trained in child development and play therapy can successfully implement the full eight phases of EMDR with children.

Keywords: Children

Accuracy Verified: Yes

273. Adler-Tapia, R., & Settle, C. (2010, September/October). From sandboxes to the classroom: EMDR for the treatment of trauma and dissociation in children. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Recognizing and treating symptoms of attachment trauma and dissociation are imperative clinical skills for effective treatment throughout the eight Phases of the EMDR Protocol with clients of any age. The presentation will review AIP theory and the eight-phase EMDR treatment protocol, the three-phase Dissociative Theory treatment, and tools for assessing dissociation in children and adolescents. Once evaluated, therapists will need to continue to assess emerging symptoms that can continue to arise and impede EMDR treatment. Clinical skills including grounding techniques, visualizations, identifying and integrating ego states, and mirroring and nurturing techniques, will be described and demonstrated for participants to implement throughout the EMDR Protocol.

Keywords: Children Dissociation Trauma

Accuracy Verified: Yes

274. van der Kolk, B. A. (2005, December). Frontiers of trauma treatment. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA.

Language: English

Format: Conference

Abstract:
Starting with a review of recent studies on the neurobiology of trauma, Dr. van der Kolk will examine the utility of approaches from the fields of hypnosis, body oriented therapies and EMDR, both with research data and videotapes clinical interventions. The integration of these approaches during different stages of treatment will be discussed.

Keywords: Trauma Treatment

Accuracy Verified: Yes

275. Pagani, M. (2013, June). Functional and structural neuroimaging and EEG monitoring related to EMDR and CBT treatments for PTSD. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
In the recent past several neuroimaging studies aimed at evaluating the neural correlates of PTSD-related psychotherapies revealing their neurobiological effects on brain function. Functional studies by single photon emission computed tomography (SPECT) and electroencephalography (EEG) detected changes in cerebral blood flow and neuronal activation patterns, identifying the brain areas implicated in the various components of emotional processing and/or affected by the disorder. Investigations by magnetic resonance imaging (MRI) have also revealed PTSD-related structural changes. The first part of the workshop will review the neuroimaging methodologies and findings in PTSD treatment-related research with an extensive review of previous literature on the neurobiological effects of the various psychotherapies. The second part will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in recent studies published by our group. In the third part the EEG monitoring of a complete set of Eye Movement Desensitization and Reprocessing therapies in 30 patients suffering of major trauma as compared to 20 healthy controls will be presented. These findings will also be compared to the neurobiological effects of trauma-focussed Cognitive Behavioural Therapy in a second group of psychologically traumatized clients. The results are the first report ever on the neurobiological changes occurring before, during and after PTSD-related psychotherapies shedding light on the neuronal processes underlying their clinical efficacy. The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind neuroimaging techniques (SPECT, EEG and MRI) and their possible applications in research and clinic; (2) the up-dated critical knowledge of the published papers in the field of PTSD-related psychotherapies functional and anatomical studies; (3) the basic research principles and examples to be motivated to start, take part and/or collaborate to functional studies in order to better understand the neural basis of psychotherapeutic techniques. The presented material will represent the state-of-the-art of the current neuroscience PTSD-related research and of the neuroimaging methodologies available at the moment.

Accuracy Verified: Yes

276. Bériault, M., & Larivée, S. (2005). Guérir avec l'EMDR: Preuves et controversies [Healing with EMDR: Evidence and controversies]. Revue de Psychoéducation, 34(2), 355-396.

Language: French

Format: Journal

Abstract:
L'EMDR est une approche psychothérapie intégrative proposé de traiter un large éventail de troubles psychologiques. Il s'agit de la première revue française de l'efficacité de l'EMDR. L'efficacité EMDR est d'abord montrer par des études de cas non contrôlé qui souffre d'importantes lacunes méthodologiques. études de cas expérimentale des résultats équivoques. Des études contrôlées sont ensuite examinés en fonction du type de contrôle expérimental utilisé et le type de trouble traité. EMDR semble aussi efficace que la thérapie cognitivo-comportementale pour le traitement du trouble de stress post-traumatique, mais la thérapie cognitivo-comportementale reste le traitement de choix pour la phobie spécifique et le trouble panique. En outre, des études montrent que le démantèlement de façon répétée les mouvements oculaires ne sont pas nécessaires à l'efficacité de l'EMDR. Une analyse des différences et des similitudes entre l'EMDR et l'approche cognitivo-comportementale est présentée. pseudoscience éléments intégrés dans le développement de l'EMDR et la diffusion sont également présentées. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)

EMDR is an integrative psychotherapy approach proposed to treat a wide range of psychological disorders. This is the first French review of EMDR effectiveness. The EMDR effectiveness is initially show with uncontrolled cases studies that suffers from important methodological weaknesses. Experimental case studies provide equivocal results. Controlled studies are then reviewed as a function of the type of experimental control used and the type of disorder treated. EMDR appears as effective as cognitive-behavioral therapy for the treatment of post-traumatic stress disorder but cognitive-behavioral therapy remains the treatment of choice for specific phobia and panic disorder. In addition, dismantling studies repeatedly show that eye movements are not necessary for the efficacy of EMDR. An analysis of the differences and similarities between EMDR and the cognitive behavioral approach is presented. Pseudoscience elements embedded in EMDR development and diffusion are also presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Cognitive Behavioral Therapy Cognitive Therapy Integrative Psychotherapy Approach Mental Disorders Psychological Disorders

Accuracy Verified: Yes

277. Schneider, C. & Gismondi, M. (1999, February). A guide to the neurodevelopmental "power therapies" and their use in the treatment of PTSD and related somatic complaints . Presentation at the Winter Brain Meeting, Plam Springs, CA.

Language: English

Format: Conference

Abstract:
In this four-hour workshop, we will combine hands-on technique demonstration with psychobiological theory concerning the state-of-the-art psychotherapeutic treatment of trauma and related somatization disorders. Learning Objectives (1) Understand the significance and evolution of the Power Therapies, i.e., those new or little known trauma psychotherapy techniques that offer significant improvements over traditional methods in terms of the speed, depth and permanence of trauma symptom reduction while minimizing client retraumatization or destabilization. The original "Power Therapies" categorization was developed by traumatologist Dr. Charles Figley and involves four "cutting edge" trauma psychotherapy techniques, Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (an accupressure-based desensitization tool) , Traumatic Incident Reduction and Neurolingusitic Programming's Visual-Kinesthetic Dissociation. Protocols for all four methods will be reviewed. (2) Achieve introductory-level working knowledge of both the techniques, their underlying theoretical rationale and suspected neurophysiological mechanisms of action. (3) Learn Power Therapy integration strategies and explore their clinical utility. (4) Become familiar with the concept of the Neurodevelopmental Power Therapy integration strategies, it's roots in the work of Allen Schore, Bruce Perry and Bessel Van der Kolk and it's implications for Neurotherapy and the Neurosciences as a whole. (5) Review the field experiments of Dr. Schneider combining EMDR with the "crossover point" in alpha-theta training and the possible therapeutic/ scientific synergies between EEG Brainmapping and neurotherapy on the one hand and the neurodevelopmental power therapies on the other.

Keywords: Energy Psychology Neurodevelopment Power Therapies

Accuracy Verified: Yes

278. Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Guideline 8 - Eye movement desensitization and reprocessing. In E. B. Foa, T. M. Keane, M. J. Friedman, & J. A. Cohen (Ed.), Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies, (2nd ed.) (pp. 573-576). New York, NY: Guilford Press.

Language: English

Format: Book Section

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Guidelines

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

Keywords: Posttraumatic Stress Disorder Psychotherapy Treatment

Accuracy Verified: Yes

280. International Society for Study of Trauma and Dissociation. (2011, March). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12, 115–187. doi:10.1080/15299732.2011.537247.

Language: English

Format: Journal

Abstract:
The International Society for the Study of Dissociation (ISSD), the former name of the International Society for the Study of Trauma and Dissociation (ISSTD), adopted the Guidelines for Treating Dissociative Identity Disorder (Multiple Personality Disorder) in Adults in 1994. However, the Guidelines must be responsive to developments in the field and require ongoing review. The first revision of the Guidelines was proposed by the ISSD’s Standards of Practice Committee1 and was adopted by the ISSD Executive Council in 1997 after substantial comment from the ISSD membership. The second revision of the Guidelines was requested and approved in 2005 based on the expertise of a task force of expert clinicians and researchers.2 The current revision was undertaken by a new task force3 in 2009 and 2010 after input from an open-ended survey of the membership. The current revision of the Guidelines focuses specifically on the treatment of dissociative identity disorder (DID) and those forms of dissociative disorder not otherwise specified (DDNOS) that are similar to DID. It is intended as a practical guide to the management of adult patients and represents a synthesis of current scientific knowledge and informed clinical practice. There is a separate Guidelines for the Evaluation and Treatment of Dissociative Symptoms in Children and Adolescents (ISSD, 2004) available through the ISSTD and published in the Journal of Trauma & Dissociation. The American Psychiatric Association (2004) has published Practice Guidelines for the Treatment of Patients with Acute Stress Disorder (ASD) and Posttraumatic Stress Disorder (PTSD), which may be relevant to the treatment of DID.

Keywords: Adults DID Dissociation Dissociative Identity Disorder Practice Guidelines Trauma Treatment

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Depression Keynote Trauma

Accuracy Verified: Yes

282. Lee, C. (2010, July). A history of the marriage of EMDR practise and research and why we don't divorce. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Since its beginnings, clinical observations of EMDR have influence in scientific investigations which in turn influenced practise. In this talk I will review the aspects of EMDR practise that so far have received scientific support and discuss the impact that this has had on the scientific investigation of trauma. This review will identify deficiencies in our knowledge of how EMDR works and which clients will benefit. The talk will conclude by appealing to clinicians to take seriously the research data to date, to use it to guide clinical practise, and to use their clinical experiences to further enhance research practise.

Keywords: Divorce Marriage

Accuracy Verified: Yes

283. Dyregrov, A. (2004, Oktober). Hjelper terapi for traumatiserte mennesker? [Does trauma therapy help?]. Tidsskrift for Norsk Psykologforening, 41(10), 787-793.

Language: Norwegian

Format: Journal

Abstract:
Denne artikkelen beskriver de psykologiske og fysiske konsekvenser av traumer. Det vurderinger deretter ulike terapeutiske tiltak for posttraumatisk stresslidelse (PTSD). Metoder basert på atferds-og kognitive strategier synes mest effektive i behandling av traumer. Studier har vist at et stort flertall av personer med en eksisterende PTSD diagnosen ikke har PTSD etter opphør av behandlingen. Videre er positiv behandling resultatet tydelig demonstrert lenge etter behandling nedleggelse. Effektiv behandlingsmetoder omfatter eksponering terapi, kognitiv terapi, Eye Movement Desensitisation og Rengjøring (EMDR), og kognitiv atferdsterapi. Nye behandlingsmetoder vil uten tvil utvide antall hvordan PTSD kan behandles, slik at programmer bedre tilpasset behovene til hver enkelt pasient. (PsycINFO Database Record (c) 2008 TFO, alle rettigheter reservert)

This article describes the psychological and physical consequences of trauma. It then reviews different therapeutic interventions for Posttraumatic Stress Disorder (PTSD). Methods based on behavioural and cognitive strategies seem most effective in the treatment of trauma. Studies have shown that a large majority of persons with an existing PTSD diagnosis do not have PTSD after termination of treatment. Furthermore, positive treatment outcome is clearly demonstrated long after treatment closure. Effective methods of treatment include exposure therapy, cognitive therapy, Eye Movement Desensitisation and Reprocessing (EMDR), and cognitive behavioural therapy. New treatment methods will no doubt broaden the number of ways in which PTSD may be treated, allowing for programmes better suited to the needs of each particular patient. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Literature Review Physical Consequences Posttraumatic Stress Disorder Psychological Consequences Psychotherapy PTSD Therapeutic Interventions Therapeutic Processes Trauma Therapy

Accuracy Verified: Yes

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

Language: Dutch

Format: Magazine

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

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

Keywords: Children Therapy Trauma Treatment

Accuracy Verified: Yes

285. Spierings, J. (2013, April). Hoezo therapeutische relatie, we hebben toch het protocol? [Why therapeutic relationship, we do have the protocol?]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
De therapeutische relatie in EMDR: Lambert en Barley (2001) komen in hun review van tientallen onderzoeken naar de resultaten van psychotherapie tot de volgende conclusies: Toepassen van de methodiek (in dit geval EMDR) maakt 15% van het resultaat uit. Nog eens 15% is toe te schrijven aan het placebo effect, lees: hoop en verwachting (en daarmee ook inzet en commitment van de cliënt). Maar liefst 30% komt voor rekening van de zgn. non-specifieke variabelen zoals de kwaliteit van de relatie tussen hulpverlener en cliënt, de geloofwaardigheid van de therapeut, het vermogen van de therapeut om de cliënt aan het werk te krijgen en de aandacht van de cliënt op zijn eigen beleving gefocust te houden. Nog eens 40% wordt bepaald door buiten de therapie gelegen factoren (cliëntfactoren zoals het vermogen om te associëren, of een nieuwe relatie, of medicatie die goed aanslaat).

The therapeutic relationship in EMDR: Lambert and Barley (2001) conclude in their review of dozens of studies on the results of psychotherapy to the following conclusions: Application of the method (in this case EMDR) is 15% of the result. Another 15% is due to the placebo effect, read: hope and expectation (and thus effort and commitment of the client). A whopping 30% is accounted for by the so-called non-specific variables such as the quality of the relationship between counselor and client, the credibility of the therapist, the ability of the therapist to the client to work and get the attention of the client on his own experience to keep focused. Another 40% is determined by factors located outside therapy (client factors such as the ability to associate, or a new relationship, or medication that is successful).

Keywords: Therapeutic Relationship

Accuracy Verified: Yes

286. Delling, D. (2008, April). How do you beat fear of flying?. Outside, 33(4), 98.

Language: English

Format: Magazine

Abstract:
The article offers ways on how to fight aerophobia, or the fear of air travel. Travelers must review the statistics related to safe air travel. They may also take anxiety medicines like Ativan. They may also perform eye-movement desensitization and reprocessing (EMDR). It is a process in which the brain would reprocess fears while talking to a therapist.[EBSCOHost]

Keywords: Fear of Air Travel fear of Flying Phobias

Accuracy Verified: Yes

287. Occhi, S., Albiol, L. M., & Cicognani, E. (2007). Il disturbo post-traumatico da stress: Una rassegna [Post-traumatic stress disorder: A review]. Psicoterapia Cognitiva e Comportamentale, 13(3), 323-344.

Language: Italian

Format: Journal

Abstract:
Questo articolo presenta una rassegna aggiornata teorico del Post-Traumatico da Stress Disorder (PTSD) concetto, un disturbo mentale che può comparire dopo essere stato esposto direttamente o indirettamente, ad un evento traumatico. L'articolo inizia con una descrizione della sintomatologia, suddivisi in: rivivere l'evento traumatico, evitamento, ottundimento reattività generale e ipervigilanza. Questo è seguito da una presentazione dei più recenti studi che indicano la presenza di disordine da stress post-traumatico nella popolazione, sia nella popolazione generale e nei soggetti direttamente coinvolti in un evento traumatico. Post-traumatico da stress sintomi del disturbo sono identificati mediante questionari specifici descritti nella sezione riferimento a strumenti di indagine. Lo studio delle basi biologiche per il PTSD è diventata particolarmente significativo negli ultimi anni, e abbiamo analizzato questo contesto in modo più approfondito per questo motivo, con particolare riferimento al ruolo dell'asse ipotalamo-ipofisi-surrene. Un impulso importante dello studio del PTSD è dovuto alla crescente importanza dato alla prevenzione, intesa come riduzione dell'impatto dei disturbi psichiatrici che concentrandosi su Eye Movement Desensibilizzazione e ritrattamento (EMDR), il trattamento psicologico, con il supporto di tecniche che riguarda la terapia cognitivo comportamentale e il trattamento farmacologico che prevede l'uso di inibitori della ricaptazione della serotonina selettiva, quali siano le forme più studiate. (PsycINFO record del database (c) 2008 APA, tutti i diritti riservati)

This article presents an updated theoretical review of the Post-Traumatic Stress Disorder (PTSD) concept, a mental disorder that can appear after being exposed directly or indirectly to a traumatic event. The article begins with a description of the symptomatology, divided in: re-living the traumatic event, avoidance, dulling general reactivity and hyperarousal. This is followed by a presentation of the most recent studies which indicate the presence of post-traumatic stress disorder in the population, both in the general population and in subjects directly involved in a traumatic event. Post-traumatic stress disorder symptoms are identified by using specific questionnaires described in the section referring to investigation instruments. The study of the biological bases for PTSD has become particularly significant in recent years, and we analysed this context in greater detail for this reason, with particular reference to the role of the hypothalamo-pituitary-adrenocortical axis. An important boost of the study of PTSD is due to the increasing importance placed on prevention, understood as a reduction of the impact of psychiatric disorders which focusing on Eye Movement Desensitisation and Reprocessing (EMDR), on psychological treatment, with the support of techniques that concerns cognitive behavioral therapy and pharmacological treatment that involves the use of serotonin selective reuptake inhibitors, which are the forms studied most. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: No

288. Steele, A. (2003, September). Imaginal nurturing. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Imaginal Nurturing blends guided imagery with EMDR components to provide a means of weaving nurturing experiences into and through the therapeutic process. These experiences build upon each other to facilitate a new relationship with self, and the development of a secure base within. In this workshop, participants will learn the principles of IN, how to use it in relation to trauma work, how to develop an attachment-related body resource, and how to ground the imagery in the client's life. There will be a review of ways to deal with probems that arise. Handouts include sample scripts.

Keywords: Imaginal Nurturing

Accuracy Verified: Yes

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

Language: Italian

Format: Conference

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

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

Keywords: Brain Functions Neurobiology

Accuracy Verified: Yes

290. Kiessling, R. (1998, July). Implementing present and future templates (Utilizing the three stage EMDR protocol). Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) review the three stage EMDR protocol with emphasis being placed on the technical aspects of identifying and targeting present and future anxiety producing incidents; 2) learn present and future template set-up; 3) discuss how to identify and reprocess additional blocking beliefs or feeder memories that emerge; and (4 through a series of practice vignettes, have the opportunity to brainstorm appropriate targeting strategies and potential blocks to a successful integration of the original positive cognition.

Keywords: Blocking Beliefs Blocks Feeder Memory Future Templates Present Templates Targeting Strategies

Accuracy Verified: Yes

291. Lichti, J. (2009, August). Improving EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop is for EMDRIA Approved Consultants, Consultants-In-Training and those seriously considering becoming Approved Consultants. We will review the context of EMDR consultation and identify the differences between therapy, consultation and consultation-of-consultation. The implications of the supervision/consultation literature will be reviewed, and the tools, resources, and recordings from actual consultations will be presented. Original research on the practices of EMDRIA Approved Consultants will be reviewed and Best Practices emerging from the literature and EMDR consultation research will be identified. Participants will use all the above information to analyze their own consultation practices and discuss with peers how to improve their consultation services.

Keywords: Consultation

Accuracy Verified: Yes

292. Greenwald, R. (1996, February). The information gap in the EMDR controversy. Professional Psychology: Research & Practice, 27(1), 67-72. doi:10.1037/0735-7028.27.1.67 .

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed treatment for traumatic memories. The literature on EMDR is characterized by widely contrasting results and interpretations of findings. The author traces this variation to the substantial information gap between those with and without formal EMDR training. Misconceptions are highlighted, and EMDR is reassessed favorably with fidelity to the treatment protocol emerging as a critical factor. Recommendations are made for higher standards of publication, research, and training in EMDR, particularly in light of the wider availability of information and training engendered by the publication of an EMDR textbook. [Author Abstract]

Keywords: Literature Review Professional Training Treatment Effectiveness

Accuracy Verified: Yes

293. Leeds, A. (2006, September). Installation when treating complex posttraumatic stress syndromes. In Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes (A. Leeds. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD Consensus Model C-PTSD RDI Resource Development and Installation Treatment Criteria

Accuracy Verified: Yes

294. Sato-Perry, C. (2003). An integrative literature review concerning the treatment of breast cancer patients through eye movement desensitization and reprocessing. School of Professional Psychology, San Francisco, CA. AAT 3101179.

Language: English

Format: Dissertation/Thesis

Abstract:
As remarkable as breast cancer killing a record 190,000 individuals in 2001 is the modern phenomenon of increased survival. With a relative five-year survival rate of 86% after diagnosis and a "long-term" (10-year) survival rate of 76%, the issue of living longer with the harmful effects of cancer has been well documented. A growing understanding of breast cancer's psychological impact has resulted from the DSM-IV no longer necessitating the diagnosis of PTSD to result from a stressor outside the range of usual human experience; thus, a chronic illness such as cancer is qualified for consideration. Considered systemically, individuals, families and the public health delivery system as a whole suffer as a consequence of medical trauma. The purpose of this review was to provide a medical and psychosocial understanding of breast cancer and investigate psychological trauma as it has pertained to breast cancer. On this basis, a literature review documenting Eye Movement Desensitization and Reprocessing's effect on trauma is explored in terms of its potential effectiveness in treating medical trauma specific to the breast cancer patient. [Author Abstract]

Keywords: Cancer Survivors Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

295. Wade, T., & Wade, D. (2001, January-April). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and eye movement desensitization and reprocessing (EMDR) in a psychosocial developmental context. American Journal of Clinical Hypnosis, 43(3-4), 233-245. doi:10.1080/00029157.2001.10404279.

Language: English

Format: Journal

Abstract:
The principles of this conceptual framework are: (1) personality organization is dissociative as well as associative, consisting of ego states, and progresses through stages of psychosocial development; (2) inappropriately activated ego states cause dysfunction, which is habitual or due to the intense affect of disrupted development or unresolved grief or trauma; (3) completely overcoming dysfunction requires therapy with both individual ego states and the personality system; (4) clinical hypnosis provides techniques to enhance accessing ego states; and (5) EMDR combines ego-state therapy with eye movements (EMs) to produce a powerful psychotherapy method. During assessment, ego states responsible for dysfunctional emotional reactions and behavior are identified together with those that could be appropriate instead. Included in the treatment protocol, EMs and clinical hypnosis promote: (1) corrective developmental experiences; (2) resolution of grief and trauma; (3) acquisition of skills and abilities; (4) co-consciousness; and (5) negotiation among ego states. The outcome is an integrated “family of self” that has effectively overcome developmental crises, grief, and trauma, is aware of essential inner resources, and can consciously activate appropriate ego states. [Author Abstract]

Keywords: Clinical Hypnosis Ego Ego-State Therapy Hypnotherapy Integrative Psychotherapy Review Multimodal Treatment Approach Psychosocial Development Psychosocial Developmental Context

Accuracy Verified: Yes

296. Harford, P. M. (2010). The integrative use of EMDR and clinical hypnosis in the treatment of adults abused as children. Journal of EMDR Practice and Research, 4(2), 60-75. doi:10.1891/1933-3196.4.2.60.

Language: English

Format: Journal

Abstract:
The potential benefits of the use of a permissive style of clinical hypnosis as a therapeutic medium to enhance eye movement desensitization and reprocessing (EMDR) trauma treatment are explored. A comparative review of hypnosis and EMDR is provided, including putative psychophysiological mechanisms for both. A rationale for integrating clinical hypnosis with EMDR treatment is presented. It is suggested that hypnosis primarily enhances the accessibility of traumatic information while EMDR primarily enhances the reprocessing of traumatic information and that accessibility and reprocessing are reciprocal features. The relative and combined merits of hypnosis and EMDR for resource development are discussed. The author proposes that clinical hypnosis may be incorporated into EMDR without necessarily modifying the eight-stage EMDR protocol apart from modifications that are indicated for special conditions. Three case vignettes are used to illustrate the integrative use of clinical hypnosis and EMDR in the treatment of adults who experienced childhood abuse.

Keywords: Abuse ACC Adolescents Children Clinical Hypnosis Complex PTSD Complex Posttraumatic Strress Disorder C-PTSD Integrative Use VMPFC

Accuracy Verified: Yes

297. Cottencin, O., & Doutrelugne, Y. (2009, Avril). Intérêt de l'EMDR dans la prise en charge des traumatismes psychiques [EMDR in the treatment of psychological trauma]. Journal International de Victimologie, 7(1), 1-8.

Language: French

Format: Journal

Abstract:
L’EMDR (Eye Movement Desensitization and Reprocessing) est aujourd’hui de plus en plus inscrite dans le traitement psychothérapeutique de l’état de stress post traumatique (ESPT) et le monde anglo-saxon nous donne à lire de nombreuses études contrôlées qui montrent la preuve de son efficacité même en comparaison d’autres types d’intervention (psychothérapeutiques ou médicamenteuses). Nous présentons ici les résultats d’une étude Cochrane au sujet de l’efficacité de cette thérapie. Puis nous exposons l’EMDR tant sur un plan théorique que pratique et ses parentés avec l’hypnothérapie au regard de son histoire au sein de l’école de Palo Alto et des liens cliniques et historiques de l’hypnose avec le traumatisme psychique.

EMDR (Eye Movement Desensitization and Reprocessing) is now increasingly entered in the psychotherapeutic treatment of posttraumatic stress disorder (PTSD) and Anglo-Saxon gives us to read many controlled studies that show evidence its very effectiveness compared to other types of interventions (psychotherapeutic or drug). We present here the results of a Cochrane review on the effectiveness of this therapy. Then we expose EMDR as a theory and practice and its kinship with hypnotherapy in terms of its history in the Palo Alto and links clinical and history of hypnosis with the psychological trauma.

Keywords: Internet Mental Trauma Posttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

298. Cottencin, O. (2008, Juin). Intérêt de l’EMDR dans la prise en charge du traumatisme psychiques [Interest of EMDR in the treatment of psychic trauma]. In J. Geneste (Moderateur) Ivresse et trauma: Un autre regard, Un document présenté a la 10es Journées Scientifiques Internationales des Cump, Clermont-Ferrand, France.

Language: French

Format: Conference

Abstract:
L’EMDR (Eye Movement Desensitization and Reprocessing) est aujourd’hui de plus en plus inscrite dans le traitement psychothérapeutique de l’état de stress post traumatique (ESPT) et le monde anglo-saxon nous donne à lire de nombreuses études contrôlées qui montrent la preuve de son efficacité même en comparaison d’autres types d’intervention (psychothérapeutiques ou médicamenteuses). Nous présentons ici les résultats d’une étude Cochrane au sujet de l’efficacité de cette thérapie. Puis nous exposons l’EMDR tant sur un plan théorique que pratique et ses parentés avec l’hypnothérapie au regard de son histoire au sein de l’école de Palo Alto et des liens cliniques et historiques de l’hypnose avec le traumatisme psychique.

EMDR (Eye Movement Desensitization Reprocessing and) is now more longer registered in the psychotherapeutic treatment of posttraumatic stress disorder (PTSD) and Anglo-Saxon gives us to read many studies controlled evidence showing its effectiveness even in comparison with other types of interventions (psychotherapeutic or drug). We present here the results of a Cochrane review on the effectiveness of this therapy. Then we expose EMDR as a theory and practice and its kinship with hypnotherapy in terms of its history in the Palo Alto and links clinical and history of hypnosis with the psychological trauma.

Keywords: Trauma

Accuracy Verified: Yes

299. Scagliotti, J. (2011). Interoceptive exposure therapy for combat veterans: A group treatment approach. University of Hartford, Hartford, CT.

Language: English

Format: Dissertation/Thesis

Abstract:
This paper explores the application of interoceptive exposure (IE) therapy to treat the arousal and avoidant symptoms in veterans with posttraumatic stress disorder (PTSD). The historical background of PTSD and the functional impact of the disorder in veterans from Vietnam and Operation Enduring Freedom/Operation Iraqi Freedom are discussed in the first chapter. Literature on romantic and family relationship impairment, employment challenges, decreased physical health and overall quality of life, and increased mental health issues in veterans of combat are presented. Following the introductory chapter is a brief description of the history of treatment for combat trauma and a detailed review of the most common treatments for PTSD in their application to the veteran population. Research on psychophysiological approaches to treatment, pharmacotherapy, and EMDR is discussed. The extensive literature on cognitive behavioral treatment approaches for combat trauma is reviewed. As noted, exposure therapy appears to be the treatment approach with the most scientific support. A relatively new form of exposure therapy known as IE, as well as the small but promising body of research on the potential to augment conventional long-term exposure therapy with IE, are also addressed here. A new treatment protocol proposed here is built upon the foundation of empirical support for cognitive behavioral therapy for PTSD. It is intended to incorporate trauma-informed best practices and exposure therapy tenets through the implementation of group based IE for individuals with combat-related PTSD. Outlines of the following two sections will provide detailed descriptions of the group design and the specific treatment modules, the first of which addresses therapeutic rationale and group composition, and the second lists the specific twelve treatment modules.

Keywords: Combat Veterans Interoceptive Exposure Therapy

Accuracy Verified: Yes

300. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses the recovery process as follows: At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR). Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to working with their core addiction issues, which have now become easier to treat by especially using Desensitization and Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions. Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction and can easily be integrated into existing EMDR treatment strategies.

Keywords: Addiction Addictive Behavior Resourcefulness Resilience

Accuracy Verified: Yes

301. Jarero, I., & Uribe, S. (2012). Intervención temprana en salud mental en una situación de masacre humana: Fosas clandestinas en durango 2011 [Early mental health intervention in human slaughter situation: Mass graves in 2011 Durango]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1).

Language: Spanish

Format: Other

Abstract: Resumen. La Comisión Nacional de los Derechos Humanos solicitó el apoyo de la Asociación Mexicana para Ayuda Mental en Crisis, con la solicitud de atender al personal forense de la Fiscalía General del Estado de Durango en México. Una sola sesión del Protocolo de EMDR para Incidentes Críticos Recientes fue brindada a 32 personas que estuvieron trabajando con 258 cuerpos recuperados de fosas clandestinas. Tanto los resultados estadísticos pre y post tratamiento, como el seguimiento que se hizo a los 3 y 5 meses, mostraron la mejoría de las personas atendidas y una significativa reducción en síntomas de estrés postraumático y de Trastorno por Estrés Postraumático (TEPT), a pesar de que continuaron realizando el trabajo de recuperación de cuerpos extraídos de las fosas clandestinas y estuvieron expuestos continuamente a terribles estresores emocionales. Los resultados estadísticos obtenidos sugieren que la intervención ayudó a prevenir el desarrollo del TEPT en su fase crónica y a incrementar la resiliencia psicológica y emocional. Nota: Este documento es una reseña de dos artículos publicados por Ignacio Jarero y Susana Uribe en el Journal of EMDR Practice and Research durante 2011 y 2012 titulados The EMDR Protocol for Recent Critical Incidents: Application in a Human Massacre Situation y Follow-UP Report of an Application in a Human Massacre Situation.

Summary. The National Commission on Human Rights requested the support of the Mexican Association for Crisis Assistance Mental, with the request to address the forensic staff of the Attorney General of the State of Durango in Mexico. A single session of EMDR Protocol for Recent Critical Incident was given to 32 people who were working with 258 bodies recovered from mass graves. Both statistical results before and after treatment, the monitoring was done at 3 and 5 months, showed the improvement of people served and significant reduction in symptoms of posttraumatic stress and posttraumatic stress disorder (PTSD), despite they continued doing the work of recovery of bodies extracted from the mass graves and were continuously exposed to terrible emotional stressors. The statistical results obtained suggest that the intervention helped prevent the development of PTSD in its chronic phase and increase psychological and emotional resilience. Note: This document is a review of two articles published by Ignacio Uribe Jarero and Susanna in the Journal of EMDR Practice and Research in 2011 to 2012 graduates The EMDR Protocol for Critical Incidents Recent: Application in Human Massacre Situation and Follow-Up Report of an Application in a Human Situation Massacre.

Keywords: Durango Early Intervention Human Slaughter Mass Graves

Accuracy Verified: Yes

302. Hembree, E., & Foa, E. (2003, April). Interventions for trauma-related emotional disturbances in adult victims of crime. Journal of Traumatic Stress, 16(2), 187-199. doi:10.1023/A:1022803408114.

Language: English

Format: Journal

Abstract:
This paper provides an overview of several treatment interventions for trauma-related disturbances in adult victims of crime. Following a brief discussion of mental health service utilization among crime victims, we describe interventions for acute and chronic reactions to trauma. We present some controlled studies of psychosocial treatments for PTSD that have gained empirical support and are recommended as first line interventions by expert consensus including exposure therapy, cognitive therapy, and stress inoculation training, followed by a brief summary of selected studies examining the efficacy of pharmacological treatment for PTSD. Finally, we discuss multicultural issues, factors associated with treatment outcome, and challenges we have encountered in treating crime victims. [Author Abstract]

Keywords: Adults Crime Literature Review Posttraumatic Stress Disorder PTSD Survivors Treatment Treatment Effectiveness

Accuracy Verified: Yes

303. Stergiopoulos, E., Cimo, A., Cheng, C., Bonato, S., & Dewa, C. S. (2011, October). Interventions to improve work outcomes in work-related PTSD: A systematic review. BMC Public Health, 11(1), 838. doi:10.1186/1471-2458-11-838.

Language: English

Format: Journal

Abstract:
Background: Posttraumatic stress disorder acquired at work can be debilitating both for workers and their employers. The disorder can result in increased sick leave, reduced productivity, and even unemployment. Furthermore, workers are especially unlikely to return to their previous place of employment after a traumatic incident at work because of the traumatic memories and symptoms of avoidance that typically accompany the disorder. Therefore, intervening in work-related PTSD becomes especially important in order to get workers back to the workplace. Methods: A systematic literature search was conducted using Medline, PsycINFO, Embase, and Web of Science. The articles were independently screened based on inclusion and exclusion criteria, followed by a quality assessment of all included articles. Results: The systematic search identified seven articles for inclusion in the review. These consisted of six research articles and one systematic review. The review focused specifically on interventions using real exposure techniques for anxiety disorders in the workplace. In the research articles addressed in the current review, study populations included police officers, public transportation workers, and employees injured at work. The studies examined the effectiveness of EMDR, cognitive-behavioural techniques, and an integrative therapy approach called brief eclectic psychotherapy. Interestingly, 2 of the 6 research articles addressed add-on treatments for workplace PTSD, which were designed to treat workers with PTSD who failed to respond to traditional evidence-based psychotherapy. Conclusions: Results of the current review suggest that work-related interventions show promise as effective strategies for promoting return to work in employees who acquired PTSD in the workplace. Further research is needed in this area to determine how different occupational groups with specific types of traumatic exposure might respond differently to work-tailored treatments.

Keywords: Employees Posttraumatic Stress Disorder PTSD Workers

Accuracy Verified: Yes

304. Farrell, D. (2009, October 16). Interweaves. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.

Language: English

Format: Conference

Abstract:
This workshop will review the significance of using cognitive interweaves within EMDR and underline why they are an essential part of the EMDR clinician's psychotherapeutic repertoire. However In complex trauma cases often process cognitive interweaves are insufficient and therefore more elaborate ones are needed in the form of content interweaves and relational interweaves. Consequently this workshop will revisit the utilisation and elaboration of using cognitive interweaves in EMDR.

Keywords: Interweaves

Accuracy Verified: Yes

305. Frischholtz, E., Kowal, J. A., & Hammond, D. C. (2001, January-April). Introduction to the special section: Hypnosis and EMDR. American Journal of Clinical Hypnosis, 43(3-4), 179-182.

Language: English

Format: Journal

Abstract:
Introduction to a special series on hypnosis and EMDR.

Keywords: Hypnosis Review

Accuracy Verified: Yes

306. Beutler, L. E. (2002, December). Introduction to the special series on EMDR. Journal of Clinical Psychology, 58(12), 1451-1452. doi:10.1002/jclp.10098.

Language: English

Format: Journal

Abstract:
Notes that eye movement desensitization and reprocessing (EMDR) has been the focus of a good deal of research. While the mechanisms of action associated with EMDR continue to be hotly debated, ample research evidence has accumulated to indicate that this treatment is associated with positive benefits, at least compared to other established treatments for many anxiety disorders. The current special series of this journal is designed to illustrate preliminary results of research programs and early pilot studies of ways in which this treatment may be extended and modified to improve its effects and expand its range of applications. It should be noted that the modified peer-review criteria applied to these preliminary studies require further research be initiated on these ideas before they are widely applied in clinical practice. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Introduction

Accuracy Verified: Yes

307. Rogers, S., & Silver, S. M. (2002, January). Is EMDR an exposure therapy? A review of trauma protocols. Journal of Clinical Psychology, 58(1), 43-59. doi:10.1002/jclp.1128.

Language: English

Format: Journal

Abstract:
This article presents the well established theoretical base and clinical practice of exposure therapy for trauma. Necessary requirements for positive treatment results and contraindicated procedures are reviewed. EMDR is contrasted with these requirements and procedures. By the definitions and clinical practice of exposure therapy, the classification of EMDR poses some problems. As seen from the exposure therapy paradigm, its lack of physiological habituation and use of spontaneous association should result in negligible or negative effects rather than the well researched positive outcomes. Possible reasons for the effectiveness of EMDR are discussed, ranging from the fundamental nature of trauma reactions to the nonexposure mechanisms utilized in information processing models. Copyright 2002 John Wiley & Sons, Inc.

Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Trauma Trauma Protocols

Accuracy Verified: Yes

308. Goorani, S., & Tomner, I. (2008). Karaktäristiska drag vid ihågkomst av obehagligt minne under sensorisk stimulering - En kvalitativ analys [Idiosyncrasy in remembrance of unpleasant memory for sensory stimulation]. Psykologexamensuppsats, Stockholms Universitet Psykologiska Institutionen.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
Obearbetade traumatiska minnen kan ge sig till känna som olika former av besvär såväl kroppsliga som kognitiva. Eye movement desensitization and reprocessing (EMDR) är en behandlingsmetod för traumatiska minnen och deras psykologiska konsekvenser. EMDR utvecklades 1987 av den amerikanska psykologen Francine Shapiro, som upptäckte ett samband mellan spontana snabba ögonrörelser och en minskning av störande känslor i samband med traumatiska minnen. Under de kommande åren utvecklades upptäckten till en systematisk psykoterapeutisk behandlingsmetod, EMDR. Men vad som specifikt gör metoden verksam är ovisst (Bergh Johannesson, 2007). Nedan redovisas bakomliggande hypoteser i form av bilateral sensorisk stimulering och interhemisfärisk aktivitet, som avslutningsvis knyts ihop i en problemformulering.

Unprocessed traumatic memories can make themselves known to various forms of trouble as well somatic and cognitive. Eye movement desensitization and Reprocessing (EMDR) is a treatment of traumatic memories and their psychological consequences. EMDR was developed in 1987 by the American psychologist Francine Shapiro, who discovered a correlation between spontaneous rapid eye movements and a reduction in disruptive feelings in associated with traumatic memories. In the years developed the discovery to a systematic psychotherapeutic treatment, EMDR. But what specifically makes method works is undecided (Bergh Johannesson, 2007). Below are the underlying hypotheses in the form of bilateral sensory stimulation and interhemisfärisk activity, which Finally, tied together in a problem.

Keywords: Sensory Stimulation Unpleasant Memory

Accuracy Verified: Yes

309. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir psikoterapotik yaklaþým: Göz hareketleri ile duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41.

Language: Turkish

Format: Journal

Abstract:
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.

Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.

Keywords: Chronic Pain Pain Disorders Pain Psychotherapy

Accuracy Verified: Yes

310. Bériault, M., Larivee, S., & Gregoire, P. A. (2006). L'EMDR est-elle une intervention efficace pour traiter l'état de stress post-traumatique? [Is EMDR an effective treatment for PTSD?]. In S. Guay & A. Marchand (Eds.), Les troubles liés aux événements traumatiques: dépistage, évaluation et traitements (pp. 215-242). Montréal: Presses de l'Université de Montréal.

Language: French

Format: Book Section

Abstract:
Certains chercheurs considèrent que l'EMDR pour représenter une ouverture importante dans le traitement du SSPT et d'autres y voient davantage une approche basée sur la pseudo-science. Ce chapitre décrit l'EMDR en tant que méthode thérapeutique et le modèle théorique sous-jacent, puis présente des preuves empiriques quant à son efficacité dans le traitement du SSPT. [Texte, p. 217] [Pilotes]

Some researchers consider EMDR to represent an important opening in the treatment of PTSD while others see it more as an approach based on pseudo-science. This chapter describes EMDR as a therapeutic method and the theoretical model underlying it, then presents empirical evidence concerning its effectiveness in treating PTSD. [Text, p. 217] [Pilots]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

311. Gilson, S., & Foisson, P. (2005). L'EMDR science ou croyance? Une revue critique de la littérature [EMDR science or faith? A critical review of the literature EMDR science or belief?]. Acta Psychiatrica Belgica, 105(1), 47-58.

Language: French

Format: Journal

Abstract:
L'« Eye Movement Desensitization and Reprocessing » (EMDR) est une intervention thérapeutique controversée utilisée essentiellement dans le traitement des syndromes de stress post traumatiques (PTSD). Cet article a pour objectif de passer en revue la littérature scientifique afin d'évaluer l'état des connaissances actuelles quant à l'efficacité et la spécificité de la technique et de pouvoir éventuellement envisager d'autres champs de recherche. Le nombre et la qualité scientifique des études sont encore insuffisants. Leurs conclusions contradictoires ne permettent pas de valider l'EMDR comme une technique efficace et spécifique dans le traitement du PTSD ou d'autres pathologies. Néanmoins, certains résultats positifs, la rapidité d'action et le faible coût de la technique justifient de plus amples recherches.

The "Eye Movement and Desensitizer Reprocessing (EMDR) is a controversial therapeutic intervention used primarily in the treatment of post traumatic stress syndrome (PTSD). This article aims to review the scientific literature to assess the state of current knowledge regarding the effectiveness and specificity of the technique and to possibly explore other fields of research. The number and quality of scientific studies are still insufficient. Their contradictory findings do not validate EMDR as an effective technical and specific in the treatment of PTSD or other disorders. Nevertheless, some positive results, speed of action and the low cost of technology warrant further investigation.

Keywords: Review Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

312. Gauvreau, P. (2007). La methode eye movement desensitization and reprocessing (EMDR) comme traitement du trouble d'anxiete generalisee [The method and eye movement desensitization reprocessing (EMDR) as treatment of generalized anxiety disorder] [Second article:] Preliminary evidence for the efficacy of EMDR in treating generalized anxiety disorder.. Universite de Sherbrooke, Canada, 115 pages. AAT NR37973.

Language: English

Format: Dissertation/Thesis

Abstract:
This doctoral dissertation in clinical psychology sought to investigate the potential efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in treating generalized anxiety disorder (GAD). It consists of two articles. The first article, written in French, presents a recent review of the literature on the efficacy of EMDR in treating post-traumatic stress disorder (PTSD). Having focused on recent experimental designs and meta-analyses, this review indicates that (1) EMDR's efficacy is superior to the absence of treatment or than non-specific treatments; (2) EMDR and cognitive-behavioral approaches are equally efficacious in treating PTSD; and (3) that the effects of EMDR are maintained over time. A brief discussion on the possible distinctions between EMDR and exposure therapies is presented, as well as hypotheses concerning the possible role of eye movements.
The second article constituting this doctoral dissertation focuses on and presents the results following this initial investigation of EMDR's potential efficacy in treating GAD. A single-case design with multiple baselines across participants was used for this research. It sought to investigate to effects of 15 EMDR sessions for four participants. Results indicate that by targeting past experiential contributors, current and future triggers of excessive worry with EMDR, there was a statistically significant decrease in levels of excessive worry and its accompanying anxiety, as indicated by Time-series analyses. As well, various self-report and clinician administered measures show that at both post-treatment and at follow-up all four participants no longer presented a diagnosis of GAD.
First article is in French, Second article is in English

Keywords: GAD Generalized Anxiety Disorder Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

313. 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

314. Schrage, J. (2012). Law enforcement and trauma: Psychological intervention strategy, methodology, and techniques. Alliant International University, Los Angeles. 3502349.

Language: English

Format: Dissertation/Thesis

Abstract:
This doctoral project and brochure is meant to provide an understanding of the effects of trauma on law enforcement officers in order to provide insight and treatment strategies for this population. Effects of culture and diversity within the law enforcement community are discussed. The following chapters review various aspects impacting the research such as a brief history of trauma, Posttraumatic stress disorder within the law enforcement community, officer resiliency, coping, cognitive behavioral treatment strategies, EMDR, positive psychology, community psychology, critical incident stress debriefing as well as biological-based treatments. Treatment modalities and research for mental health professionals working with law enforcement are discussed. Evidenced-Based treatment methods are reviewed as well. The implications of this project are reviewed, as well as the limitation and further suggestions for future research.

Keywords: Law Enforcement Trauma

Accuracy Verified: Yes

315. Moore, T. E., & Alcock, J. E. (2001, March 16). Less than meets the eye. Toronto, Canada: Globe and Mail, Letter to the Editor, A12.

Language: English

Format: Newspaper

Abstract:
In Eye Movement Therapy Offers Hope For Trauma Victims (March 13), Sheldon Walker mentions his enthusiasm for EMDR (Eye Movement Desensitization and Reprocessing). According to him, "positive results can often be achieved very quickly with this method." A recent appraisal of EMDR published in Clinical Psychology Review noted that EMDR's enormous popularity as a treatment for anxiety disorders appears to have greatly out-stripped the research evidence adduced for its efficacy. This raises disturbing questions concerning EMDR's aggressive commercial promotion, its rapid acceptance among practitioners, and its pseudoscientific nature. Caveat emptor.

Keywords: General Letter Overview

Accuracy Verified: Yes

316. Borrelli, S. (2002, March). Letter from your new Editor-in-Chief. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.

Language: English

Format: Other

Abstract:
I am honoured to have been asked to take over the position of Editor-in-Chief of The Practitioner -EMDR Europe's official journal. David Blore, the founder of this now important journal, will remain an important advisor as we continue to move the journal to new heights, and as EMDR spreads it's impact in the worlds of psychotherapy and counselling. Kofi Krafona also continues as Deputy Editor, contributing reviews of books and other resources, and others providing welcomed support to me as I dive into some unknown tenitory. We maintain our admirable set of referees eager to review professional articles of all sorts. (3f course, communications with the Editor, replies to authors, book reviews, and news items will not be subject to a peer review process!

Keywords: The EMDR Practitioner History and Purpose

Accuracy Verified: Yes

317. Robinson, N. S. (2001, June). Life enhancement: A quality of life focus for EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
For people who feel that something essential is missing in terms of goals, creativity, or satisfaction. Participants will be able to: 1) adapt EMDR for non-trauma work; 2) apply techniques of mind mapping and life review movies; and 3) learn to close any course of EMDR more thoroughly.

Keywords: Closing Down A Session Life Review Movies Mind Mapping

Accuracy Verified: Yes

318. Silver, S. M., & Rogers, S. (2002). Light in the heart of darkness: EMDR and the treatment of war and terrorism survivors (1st ed.). New York: Norton.

Language: English

Format: Book

Abstract:
Notes that the effects of war and terrorism can be long-lasting and discreet, emerging years later in different forms of psychological and physical strain in the body. In this work, the authors uncover how developments in Eye Movement Desensitization and Reprocessing (EMDR) can be successfully applied to the treatment of war and terrorism trauma. They address issues confronted by all clinicians attempting to respond to this particular type of trauma--the psychological aftermath of man's inhumanity to man. The authors focus on the application of EMDR to clients' traumatic experiences, covering a wide range of traumatic settings and survivors from school violence to "near-war" experiences, refugees, combat soldiers, children, and emergency service workers. They provide a review of the research on the use of EMDR, specific case studies to demonstrate their results as well as general suggestions for integrating EMDR into the therapeutic process. It is stated that this book can be used as a general reference for all practitioners looking to broaden their understanding and care of trauma patients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Survivors Terrorism Veterans War

Accuracy Verified: Yes

319. Rotaru, J., Peluso, C., & Cherukuri, N. (2010, March). A literature review of the use of eye movement desensitization and reprocessing (EMDR) in adults diagnosed with post traumatic stress disorder. Journal of Experiential Psychotherapy, (1), 48-51. doi:10.1177/1524838004264340.

Language: English

Format: Journal

Abstract:
Posttraumatic stress disorder (PTSD) is a pernicious mental health problem that causes severe occupational and social impairments. Epidemiologic studies show that about 56% of the population will be exposed to a traumatic event and about 8-12% will meet the criteria for PTSD during their lifetime. Given the chronicity and the high rates of PTSD in today’s society, it is imperative to determine the most efficacious intervention that has the potential to reduce symptomatology. This literature review indicates that EMDR is a therapy that can be implemented with sustained benefits.

Keywords: CBT Cognitive Behavioral Therapy Literature Review Trauma Focused Cognitive Behavioral Therapy Posttraumtic Stress Disorder PTSD

Accuracy Verified: Yes

320. Cohen, A. (2012, May). A long-term grief counseling group for adult survivors of childhood sexual abuse. Saint Mary’s College of California, Moraga, CA. 1514521.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this project was to propose a long-term, theoretically sound and research supported person-centered grief counseling group for adult women who were sexually abused as children. A review of the literature indicated that child abuse survivors can benefit from supportive group counseling; sharing a context of common experience seems to aid in their healing process. The proposed program recognizes the need to provide women who were abused with a trusting, social environment that helps to remove the secrecy and isolation, decrease the feelings of shame and self-blame, and increase self-esteem and self-worth. The integration of a nondirective approach with grief counseling creates a more comprehensive approach in which to support the development of social skills and healthy and trusting relationships. The group is structured for survivors to share their experiences, heal from their traumas, and find the tools to move forward into happier, healthier, and better functioning lives.

Keywords: Adult Survivors Childhood Sexual Abuse Person-Centered Group Counseling

Accuracy Verified: Yes

321. Sikes, C., & Sikes, V. (2003). A look at EMDR: Technique, research, and use with college students. Journal of College Student Psychotherapy, 18(1), 65-76. doi:10.1300/J035v18n01_06.

Language: English

Format: Journal

Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), often resulting in dramatic symptom relief in clients, has become an increasingly popular treatment for Post-traumatic Stress Disorder (PTSD) and a variety of other diagnoses and symptoms. EMDR may prove more effective and timely than other methods in treating college students for a number of common presenting concerns, particularly within the framework of the brief therapy model. The following article will provide an overview of the process of and theory behind EMDR treatment, and the current research on its outcomes. The use of EMDR in treating college students will then be considered. [Haworth Press]

Keywords: Brief Therapy College Students Literature Outcomes Posttraumatic Stress Disorder PTSD Research Review Technique Theory

Accuracy Verified: Yes

322. Lovell, K. (2011). Lovell, Karina. In D. J. Stein, M. J. Friedman, and Carlos Blanco (Eds.), Post-traumatic stress disorder (pp. 208-210). Wiley-Blackwell.

Language: English

Format: Book Section

Abstract:
Comments on the original article by R. A. Bryant (see record 2011-21915-016) regarding psychological interventions for trauma exposure and PTSD. Systematic reviews demonstrate that of the CBT interventions, exposure-based interventions are considered the treatment of choice for PTSD. However, what is most striking about this chapter is the dearth of literature focusing on the essential components of the evidence-based interventions for PTSD. Thus, despite the increasing evidence base, there remains ambiguity concerning the 'active ingredients' of CBT and EMDR interventions for PTSD, including the specific content of the intervention, the delivery style, where the intervention should take place and the skills and expertise required to deliver it. It could be argued that we have two evidence-based interventions but that they are not being implemented into the clinical arena by therapists for a variety of reasons, we don't know whether they are acceptable to patients and there is a lack of literature concerning the critical ingredients. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: CBT Cognitive Behavior Therapy Evidence Based Practice Posttraumatic Stress Disorder PTSD Psychotherapy Trauma Treatment Effectiveness Evaluation

Accuracy Verified: Yes

323. Gamba, M. (2005). L’integrazione dell'EMDR nella psicoterapia dei disturbi del comportamento alimentare [EMDR integration into the psychotherapy of eating disorders]. Universita Degli Studi Padova, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract:
Questo mio lavoro di tesi rappresenta una rassegna degli studi compiuti negli ultimi anni, sui disturbi del comportamento alimentare. Negli ultimi vent’anni molto è stato detto su questa patologia che ha attirato l’attenzione non solo di clinici e specialisti ma anche dei mass media. Si tratta, purtroppo, di disturbi che si stanno imponendo sempre di più nella società occidentale e che iniziano a comparire anche nelle zone più povere del mondo. Come sarà possibile notare nel primo capitolo, questi disturbi interessano principalmente, ma non esclusivamente, soggetti di sesso femminile e gli indici di prevalenza indicano un valore attorno all’1% per la bulimia nervosa nelle giovani donne adulte, mentre per l’anoressia nervosa questa percentuale oscilla attorno lo 0,3%. Dopo una descrizione generale di queste patologie, mi sono occupata dei disturbi specifici evidenziati dal DSM-IV, redatto dall’American Psychiatric Association nel 1996: Anoressia Nervosa, Bulimia Nervosa, Disturbo da Alimentazione Incontrollata (BED). Questi disturbi vengono descritti singolarmente, analizzandone i fattori di rischio e le caratteristiche cliniche e diagnostiche; nella descrizione ho tralasciato i fattori eziopatogenetici della Bulimia Nervosa e del BED perché sono rintracciabili tra quelli evidenziati per l’Anoressia Nervosa.

My thesis is a review of studies made in last year, about eating disorders. Over the past twenty years Much has been said about this disease that has attracted the attention not only to and clinical specialists, but also the media. This is, unfortunately, of disorders are becoming more and more in Western society and start to appear even in the poorest parts of the world. As you will notice in the first chapter, these problems primarily, but not exclusively, female subjects, and prevalence rates indicate a value of around 1% for bulimia nervosa in young adult women, while for anorexia nervosa, this percentage fluctuates around 0.3%. after a general description of these diseases, I have dealt with specific disorders highlighted by the DSM-IV, prepared by the American Psychiatric Association in 1996: Anorexia Nervosa, Bulimia Nervosa, binge eating disorder (BED). These disorders are described individually, analyzing the factors risk and the clinical and diagnostic features, I have omitted in the description causative factors of Bulimia Nervosa and BED because they are detectable among those highlighted for Anorexia Nervosa.

Keywords: Eating Disorders

Accuracy Verified: Yes

324. Gallagher, C. (2002). Making sense of EMDR: Efficacy of EMDR and the application of Horowitz's control process theory to a psychological analysis of EMDR psychotherapy. Widener University, Institute for Graduate Clinical Psychology, Chester, PA. AAT 3132374.

Language: English

Format: Dissertation/Thesis

Abstract:
Originally a technique that seemed to desensitize disturbing memories, EMDR is now a full-scale protocol that is being used to treat a wide-range of disorders. Even its proponents acknowledge, however, that the mechanism of action in EMDR is still unknown. It is argued that there has been an over-emphasis on neurophysiological explanations of EMDR. After a review of controlled studies and a discussion of proposed mechanisms, two case studies of EMDR therapy (one child and one adult) with pathological grief are presented. The cases are analyzed for their adaptive changes as this term is applied in Horowitz's control process theory (1992). It is argued that Horowitz's theory represents a theoretical foundation by which a psychological understanding of the EMDR psychotherapy process can be achieved. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2625.

Keywords: Clinical Case Study Empirical Study Horowitz's Control Process Theory Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

325. Genest, S. (2013, May). Making the complex simple: A hands on workshop to learn a simple and efficient way to organize EMDR client files. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop will teach you a simple and efficient way to organize any EMDR client file no matter how complex. Mind mapping can lower overwhelming complexity of case files. This process was developed to help me with efficient case planning. I will teach you how to keep track of targets, client resources, themes, connections between targets, etc. while also providing a quick reference guide and way to plan sessions. Additionally, it provides clients with feedback on what has been accomplished and is yet to complete. Clients have commented that these maps have encouraged them as they can see clearly what they have completed, their strengths and resources, and themes in their life. They also understand that as their therapist, I have a thorough understanding. It also provides the therapist with a process to clarify where consultation is needed. Please bring a client file in which you have permission to receive colleague consultation. A real client file will be provided for those who wish not to bring a client file. Learning objectives: • To learn an efficient and simple way to organize client files with mind mapping techniques • To enhance case planning by identifying areas to be addressed through the re-organization of a file • To review the EMDR protocol through the mind map process

Keywords: Mind Mapping Techniques Mind Map Process Targeting

Accuracy Verified: Yes

326. Lapp, L. K., Agbokou, C., Peretti, C. S., & Ferreri, F. (2010, September). Management of post traumatic stress disorder after childbirth: A review. Journal of Psychosomatic Obstetrics & Gynecology, 31(3), 113-122. doi:10.3109/0167482X.2010.503330.

Language: English

Format: Journal

Abstract:
Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.

Keywords: Childbirth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

327. Watson, P. J., Friedman, M. J., Ruzek, J. I., & Norris, F. (2002, August). Managing acute stress response to major trauma. Current Psychiatry Reports, 4(4), 247-253. doi:10.1007/s11920-996-0043-x.

Language: English

Format: Journal

Abstract:
In this article, the authors review the current empiric literature on early interventions. Findings on the effects, course, help-seeking, and recovery from disasters are first reviewed, with recommendations given that are pertinent to intervention following mass casualties. In reviewing the most commonly used interventions, it is clear that evidence from well-controlled studies showing that early intervention can help prevent longer-term problems is limited. The authors discuss the approaches that have received the most attention or empiric support as early interventions following trauma, which include psychologic debriefing, cognitive-behavioral interventions, eye movement desensitization and processing (EMDR) and other neoteric approaches, and psychopharmacology. At this time, the most promising results for prevention of psychopathology have been achieved with brief four- or five-session cognitive-behavioral therapy. In contrast, randomized clinical trials on psychologic debriefing currently suggest that this approach is either ineffective at preventing psychopathology, or contributive to PTSD symptoms. Research support is currently lacking for EMDR and pharmacotherapy as early interventions. A major challenge to the field is to integrate the practical experience and knowledge of professional responders with well-controlled, timely intervention research, and to effectively disseminate these findings to practitioners in the field. [Author Abstract]

Keywords: Critical Incident Stress Debriefing Effects Literature Review Negative Research Needs Review Posttraumatic Stress Diorder Psychological Debriefing PTSD Stressors Survivors Therapeutic Reaction Treatment Effectiveness

Accuracy Verified: Yes

328. Hensley, B. J. (2010). Manual básico de EMDR [EMDR basic manual]. Bilbao ESPAÑA: Desclée De Brouwer.

Language: Spanish

Format: Book

Abstract:
Manual básico de EMDR. "Hensley ha escrito un libro sencillo y básico, que constituye el complemento perfecto a los textos de Shapiro". Dra. Jennifer Lendl "Los ejemplos, casos, tablas y diagramas... ayudan al terapeuta EMDR a comprender y desarrollar la pericia adicional relativa a este maravi- lloso método". Dra. Irene B. Giessl Este libro de texto ha sido diseñado para ser usado como material adicional al texto original de Francine Shapiro. Incluye una revisión completa del modelo de Procesamiento Adaptativo de la Información (PAI) y de los principios, protocolos y procedimientos de la EMDR tanto para los terapeutas recién formados como para los profesionales experimentados que deseen revisar dichos principios. Sus claves son: • Una revisión global de la EMDR incluyendo el Procesamiento Adaptativo de la Información y el enfoque de tres vértices con un lenguaje accesible y comprensible. • Una síntesis de los elementos básicos de las ocho fases de la EMDR con ejemplos de cada fase, de modo que el contenido fundamental pueda ser fácilmente comprendido. • Estrategias y técnicas para tratar a clientes difíciles, con altos niveles de emociones perturbadoras y con un procesamiento bloqueado. • Historiales, diálogos y transcripciones de sesiones satisfactorias de EMDR con explicaciones relativas a la justificación del tratamiento.

EMDR Basic Manual. "Hensley has written a simple and basic, which is the perfect complement to the text of Shapiro. " Dr. Jennifer Lendl. "The examples, cases, tables and diagrams ... EMDR helps the therapist understand and develop additional expertise on this marvelous method and counsel. " Dr. Irene B. Giessl. This textbook is designed to be used as additional material to the original text by Francine Shapiro. Includes a comprehensive review of the model of Adaptive Information Processing (PAI) and the principles, protocols and procedures for both EMDR trained therapists just as for experienced professionals wishing to review these principles. Your keys are: • A comprehensive review of the EMDR including the Adaptive Information Processing and the three-pronged approach with an accessible and understandable. • A summary of the basic elements of the eight phases of EMDR with examples of each phase, so that the substance can be easily understood. • Strategies and techniques for dealing with difficult clients, with high levels of disturbing emotions and blocked processing. • Records, dialogues and transcripts of sessions with EMDR satisfactory explanations regarding the rationale for treatment.

Keywords: Practice Theory

Accuracy Verified: Yes

329. Wilkinson, S. (2000, Summer). Media review - A closer look. Bulletin of the Menninger Clinic, 64(3), 435-436.

Language: English

Format: Newsletter

Abstract: T
his video gives a visual recipe of the theory and process of how to do Eye Movement and Desensitization and Reprocessing (EMDR). The founder of EMDR, Francine Shapiro, demonstrates how to conduct an EMDR session. Several other well-known and respected clinicians and researchers provide their personal thoughts and experiences of EMDR. Hearing what these clinicians have to say about the impact o EMDR on their practice and research is interesting and compelling.

Keywords: Practice Theory

Accuracy Verified: No

330. Bryant, R. A., & Friedman, M. J. (2001, March). Medication and non-medication treatments of post-traumatic stress disorder. doi:10.1097/00001504-200103000-00004. Current Opinion in Psychiatry, 14(2), 119-123.

Language: English

Format: Journal

Abstract:
Recent developments in the psychological and pharmacological management of post-traumatic stress disorder are reviewed. This review of controlled outcome studies indicates that: (i) cognitive behavior therapy is the psychological treatment of choice; (ii) different components of cognitive behavior therapy can be effective; (iii) eye movement desensitization and reprocessing is not as effective as cognitive behavior therapy; (iv) selective serotonin re-uptake inhibitors are the pharmacological treatment of choice; and (v) there is increasing support for nefazadone but not for cyproheptadine in reducing the symptoms of post-traumatic stress disorder. The need for increased treatment effectiveness and the integration of recent findings into clinical practice is discussed. [Author Abstract]

Keywords: Atypical Antidepressants Cognitive Therapy Drug Therapy Literature Review Posttraumatic Stress Disorder PTSD Selective Serotonin Reuptake Inhibitors Treatment Treatment Effectiveness

Accuracy Verified: Yes

331. Noorthoorn, E. O., Havenaar, J. M., de Haan, H. A., van Rood, Y. R., & van Stiphout, W. A. (2010). Mental health service use and outcomes after the Enschede fireworks disaster: A naturalistic follow-up study. Psychiatric Services, 61(11), 1138-1143. doi:10.1176/appi.ps.61.11.1138 .

Language: English

Format: Journal

Abstract:
Objective: This study documented the number of people seeking help for mental health problems after a fireworks disaster in Enschede, the Netherlands. It describes their diagnostic characteristics, interventions provided, and their results. Methods: Researchers coded data from intakes and medical charts of all patients who sought help (N=1,659) and entered treatment (N=663) at a disaster relief service between May 13, 2000 (day of the disaster), and June 1, 2004. Patients who received more than eight treatment sessions (N=394) and were in treatment one year after the disaster were interviewed with the Composite International Diagnostic Interview (CIDI) (N=228, response rate, 58%) and other questionnaires (N=271, response rate, 69%). Results: In the population probably exposed, the cumulative referral-incidence for disaster-related mental health problems over four years was approximately 10%; in terms of referrals to the mental health facility over five years, the proportion of disaster-related referrals was 5.7%. Among adults, posttraumatic stress disorder (PTSD) was the most common clinical diagnosis (53%, chart sample). However, depression was the most common CIDI diagnosis (58%, CIDI interview sample). The recovery rate was about 50% on the basis of clinical judgment (chart sample), between 69% and 76% on the basis of "healthy" scores on symptoms, and between 39% and 60% in social and physical functioning (interview sample). Conclusions: Apart from persons seeking support during the first weeks postdisaster, the largest influx occurred after about one year and was limited in size. Clinicians in specialized services should be aware that conditions other than PTSD, such as depression, anxiety, substance abuse, and somatoform disorders, are also quite common after disasters. (Psychiatric Services 61:1138—1143, 2010) On the afternoon of May 13, 2000, a fireworks deposit situated in a residential area exploded, killing 22 people and injuring about 1,000 in the center of Enschede, a town in the east of the Netherlands. As a result approximately 1,500 houses were damaged, of which 498 had to be demolished, leading to displacement of 4,163 inhabitants (1). An estimated 17,000 individuals were probably exposed in one way or another to this disaster (1). The event was immediately declared a national disaster. In response, a nationwide support effort was launched and funds were allocated for research to document health consequences of this disaster. As a result, data about health, well-being, and medical service use have been systematically collected since the early days after this event (2,3,4,5). In contrast to the wealth of publications about the epidemiology of mental health problems after a disaster (6,7), there are only few studies that describe help-seeking behavior for these problems in a population stricken by disaster, or the outcomes of interventions. In this article we present the results of a chart study and interviews in early and later phases of treatment of adults who sought help from mental health services for disaster-related problems. The aim of the study was to evaluate mental health service delivery to persons affected by the fireworks disaster in Enschede during the period from May 2000 to May 2005. This study documented the number of people seeking help for disaster-related psychological problems, their sociodemographic and diagnostic characteristics, the interventions that they received, and some results of these interventions. To our knowledge this is the first systematic investigation of all adults seeking specialized mental health care in a disaster-stricken area.

Keywords: Enschede Fireworks Disaster

Accuracy Verified: Yes

332. Shapiro, F. (2010, March). Mente humana, psicoterapia y EMDR/Human mind, psychotherapy and EMDR. XVII Scientific Symposium "From Neurobiology to Nosology of Mental Disorders," Lilly Foundation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Over the past decade, the rapid treatment effects of EMDR have provided neuro-physiological and clinical researchers with a “window into the brain.” In addition to the neurobiological changes, the rapid shifts in cognition, affect and somatic response reveal consistent patterns of internal associative processes. Systematic evaluation has also demonstrated that a wide variety of diagnoses are caused or exacerbated by unprocessed memories. Hence, EMDR treatment directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. A clinical tape will illustrate the findings, and the implications will be explored.

Keywords: Human Mind Psychotherapy

Accuracy Verified: Yes

333. van der Velden, P. G., & Kleber, R. J. (1996). Met het oog op morgen: Een overzicht van EMDR-studies [With an eye to tomorrow: A review of EMDR studies]. Tijdschrift voor Psychiatrie, 38(1), 30-39.

Language: Dutch

Format: Journal

Abstract:
De Eye Movement Desensibilisatie Reprocessing (EMDR), ontwikkeld door Shapiro, is een relatief nieuwe methode voor de korte psychotherapeutische PTSS gerelateerde symptomen. Dit artikel is een overzicht van 27 empirische studies met behulp van de EMDR-methode. Het bleek dat de meeste studies, vooral de niet-gecontroleerde studies, aanzienlijke verbeteringen in het verslag cliënten binnen een paar sessies met EMDR. Echter, de meeste studies hebben ernstige methodologische tekortkomingen, betreffende het ontbreken van (1) een goede controle groepen, (2) gestandaardiseerde en gevalideerde vragenlijsten voor pre-en post-test metingen, (3) een adequate steekproefgrootte, (4) controle voor eerder ontvangen psychotherapie of andere niet-EMDR-interventies en / of (5) lange-termijn follow-up evaluaties. Deze tekortkomingen hinderen conclusies over de effectiviteit van de EMDR-methode, in tegenstelling tot andere behandelmethoden. [Samenvatting Auteur]

The Eye Movement Desensitization Reprocessing (EMDR), developed by Shapiro, is a relatively new brief psychotherapeutic method for PTSD related symptoms. This article is a review of 27 empirical studies using the EMDR method. It was found that most studies, especially the non-controlled studies, report considerable improvements in clients within a few sessions with EMDR. However, most studies have serious methodological flaws, concerning absence of (1) proper control groups, (2) standardized and validated questionnaires for pre- and post-test measurements, (3) adequate sample sizes, (4) controlling for previous received psychotherapy or other non-EMDR interventions, and/or (5) long-term follow-up assessments. These shortcomings hinder conclusions about the efficacy of the EMDR method in contrast to other treatment methods. [Author Summary]

Keywords: Brief Psychotherapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

334. Lee, C. W., & Cuijpers, P. (2012, November). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experiential Psychiatry, 44(2), 231-239. doi:10.1016/j.jbtep.2012.11.001.

Language: English

Format: Journal

Abstract:
Background and Objectives: Eye Movement Desensitisation and Reprocessing (EMDR) is now considered evidence based practice in the treatment of trauma symptoms. Yet in a previous meta-analysis, no significant effect was found for the eye movement component. However methodological issues with this study may have resulted in a type II error. The aim of this meta-analysis was to examine current published studies to test whether eye movements significantly affect the processing of distressing memories. Method: A systematic review of the literature revealed two groups of studies. The first group comprised 15 clinical trials and compared the effects of EMDR therapy with eye movements to those of EMDR without the eye movements. The second group comprised 11 laboratory trials that investigated the effects of eye movements while thinking of a distressing memory versus the same procedure without the eye movements in a non-therapy context. The total number of participants was 849. Results: The effect size for the additive effect of eye movements in EMDR treatment studies was moderate and significant (Cohen's d = 0.41). For the second group of laboratory studies the effect size was large and significant (d = 0.74). The strongest effect size difference was for vividness measures in the non-therapy studies (d = 0.91). The data indicated that treatment fidelity acted as a moderator variable on the effect of eye movements in the therapy studies. Conclusions: Results were discussed in terms of current theories that suggest the processes involved in EMDR are different from other exposure based therapies.

Keywords: Meta-Analysis Review

Accuracy Verified: Yes

335. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th Annual Meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Eye movement desensitization (EMDR) and exposure therapies (e.g. prolonged exposure therapy) have both been recommended as first-line treatments for posttraumatic stress disorder (PTSD). However, relatively little is known about the comparative efficacy of the two types of treatments. To date, the few studies that have been conducted have small sample sizes, making it difficult to draw conclusions. The goal of the current study was to use meta-analytic techniques to synthesize the existing data on the relative efficacy of exposure therapies and EMDR. Through a comprehensive literature search, we identified six randomized control trials that met our inclusion criteria. We calculated Hedges g effect sizes for the continuous variables (positive values favor exposure therapies) and risk ratios (RRs) for dichotomous variables (values greater than one favor exposure therapies). EMDR and exposure therapies did not differ significantly on clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46), or dropout (RR = 0.79). However, higher-quality studies (based on Foa & Meadows’ 1997 criteria) consistently favored exposure therapies. Clinical implications will be discussed

Keywords: Exposure Therapy Meta-analysis Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

336. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Treatment Studies: I
Eye movement desensitization (EMDR) and exposure therapies (e.g. prolonged exposure therapy) have both been recommended as first-line treatments for posttraumatic stress disorder (PTSD). However, relatively little is known about the comparative efficacy of the two types of treatments. To date, the few studies that have been conducted have small sample sizes, making it difficult to draw conclusions. The goal of the current study was to use meta-analytic techniques to synthesize the existing data on the relative efficacy of exposure therapies and EMDR. Through a comprehensive literature search, we identified six randomized control trials that met our inclusion criteria. We calculated Hedges g effect sizes for the continuous variables (positive values favor exposure therapies) and risk ratios (RRs) for dichotomous variables (values greater than one favor exposure therapies). EMDR and exposure therapies did not differ significantly on clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46), or dropout (RR = 0.79). However, higher-quality studies (based on Foa & Meadows’ 1997 criteria) consistently favored exposure therapies. Clinical implications will be discussed.

Keywords: Adult Exposure Therapy Meta-Analytic Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

337. Powers, M. B., Halpern, J. M., Ferenschak, M. P., Gillihan, S. J., & Foa, E. B. (2010, August). A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clinical Psychology Review, 30(6), 635-641. doi:10.1016/j.cpr.2010.04.007.

Language: English

Format: Journal

Abstract:
Two decades of research demonstrate the efficacy of exposure therapy for posttraumatic stress disorder (PTSD). The efficacy of prolonged exposure (PE), a specific exposure therapy program for PTSD that has been disseminated throughout the world, has been established in many controlled studies using different trauma populations. However, a meta-analysis of the effectiveness of PE for PTSD has not been conducted to date. The purpose of the current paper is to estimate the overall efficacy of PE for PTSD relative to adequate controls. We included all published randomized controlled trials of PE vs. control (wait-list or psychological placebo) for the treatment of PTSD in adolescents or adults. Treatments were classified as PE if they included multiple sessions of imaginal and in vivo exposure and were based on the manualized treatment developed by Foa, Rothbaum, Riggs, and Murdock (1991). Thirteen studies with a total sample size of 675 participants met the final inclusion criteria. The primary analyses showed a large effect for PE versus control on both primary (Hedges's g = 1.08) and secondary (Hedges's g = 0.77) outcome measures. Analyses also revealed medium to large effect sizes for PE at follow-up, both for primary (Hedges's g = 0.68) and secondary (Hedges's g = 0.41) outcome measures. There was no significant difference between PE and other active treatments (CPT, EMDR, CT, and SIT). Effect sizes were not moderated by time since trauma, publication year, dose, study quality, or type of trauma. The average PE-treated patient fared better than 86% of patients in control conditions at post-treatment on PTSD measures. PE is a highly effective treatment for PTSD, resulting in substantial treatment gains that are maintained over time.

Keywords: CBT Cognitive Behavioral Therapy PE Prolonged Exposure Exposure Meta-Analysis Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

338. Lohr, J. M., Kleinknecht, R. A., Conley, A. T., Dal Cerro, S., Schmidt, S., & Sonntag, M. E. (1992, September). A methodological critique of the current status of eye movement desensitization (EMD). Journal of Behavior Therapy and Experimental Psychiatry, 23(3), 159-167. doi:10.1016/0005-7916(92)90032-E.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization (EMD) has been recently advocated as a rapid treatment for the elimination of traumatic memories responsible for the maintenance of a number of anxiety disorders and their clinical correlates. Despite a limited conceptual framework, EMD has attracted considerable interest among clinicians and researchers. The popularity and interest generated by EMD will likely result in wide usage. We present a methodological critique of it with reference to assessment, treatment outcome, and treatment process. We also provide guidelines for judging the methodological adequacy of research on EMD and suggest intensive research to assess effectiveness, treatment components, and comparisons with other procedures. [Author Summary]

Keywords: PTSD Assessment Instruments Literature Review Methodology Posttraumatic Stress Disorder PTSD Research Needs Review

Accuracy Verified: Yes

339. Greene, J. (2010, April/Mayl). Mindfulness and EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
This session explores the synergy of Mindfulness and EMDR, specifically in relation to strengthening client affect tolerance, body awareness, observer capacity and self-acceptance. These skills are particularly useful in the Preparation phase of EMDR in order to build a strong foundation for the Desensitization phase of the Trauma Protocol. We will look at Mindfulness techniques, combined with Resource Development and Installation (RDI), that are useful for both rigid/conceptualizing clients and chaotic/overemotional clients. Research linking Mindfulness with neural plasticity and neural integration will be highlighted. The session includes lecture, case review and short experiential Mindfulness exercises.

Keywords: Mindfulness

Accuracy Verified: Yes

340. Zangwill, W. (1994). Mistakes to avoid in using EMDR: Or “Do what I say, not what I’ve done”. EMDR Network Newsletter, 4(1), 13-14.

Language: English

Format: Newsletter

Abstract:
There are a number of people involved with EMDR who have specialties in various areas including children, veterans, sexual abuse, peak performance, smoking cessation, etc. Though I have my own areas of clinical specialization, when it comes to EMDR, my particular area of expertise seems to be in the area of What NOT To Do. In this first of a two-part article, I want to review many of the mistakes that I and others have made using EMDR. While this list is probably most helpful for those beginning to use EMDR, I have found it useful for experienced clinicians as well.

Keywords: Mistakes

Accuracy Verified: Yes

341. 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

342. Winter, L. B. (2004). Moglichkeiten der behandlung von patienten mit folgeerkrankungen nach psychischer traumatisierung: Eine literaturubersicht [Allowed the treatment of patients with sequelae after psychological trauma: A literature review]. Aus der Klinik fur Psychiatrie und Psychosomatik, Abteilung fur Psychosomatische Medizin und Psychotherapie der Albert-Ludwigs-Universitat Feiburg im Breisgau.

Language: German

Format: Dissertation/Thesis

Abstract:
In unserem Sprachgebrauch werden immer wieder Worte wie „traumatisch“ oder „katastrophal“ zur Beschreibung unangenehmer Erlebnisse benutzt. Dabei führen längst nicht alle derartig betitelten Ereignisse zu einem seelischen Trauma. Vielmehr ist die Entwicklung eines Traumas im Sinne einer seelischen Verletzung abhängig von dem Stressor.
Während eine Trennung, eine hohe Belastung am Arbeitsplatz oder auch der Verlust desselben nur selten zu einem Trauma führen, obwohl diese Ereignisse meist als tragisch empfunden werden, ähneln sich die Stressoren, die häufig ein Trauma auslösen, vor allem in einem: Die Person befindet sich in einer unerwartet eingetretene Gefahrensituation, die sie aus eigener Kraft nicht verändern kann und die große emotionale Aufruhr wie Angst und Panik oder körperliche Verletzungen und Schmerzen bewirkt. Manchmal reicht es auch aus, Zeuge einer solchen Situation zu sein.

In our language again and again such words as "traumatic" or "catastrophic" for the Description of unpleasant experiences in use. This result not all such titled Events to a psychic trauma. Rather, the development of trauma in terms of a mental injury depends on the stressor. During a separation, a high stress at work or even the loss of it rarely lead to trauma, although these events are often perceived as tragic, similar to the Stressors that cause frequent trauma, especially in one: The person is in a unexpected conditions hazardous situation, which they can change their own efforts and not the great emotional turmoil such as fear and panic or causes physical injury and pain. Sometimes it is better just to witness such a situation

Keywords: Literatire Review Trauma

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

344. Nogueira, R. L. (2012, Novembro). Movimentos oculares e a teoria da memória de trabalho: Implicações clínicas [Eye movements and the theory of working memory: Clinical implications]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
O objetivo do trabalho é apresentar uma revisão sobre o efeito dos movimentos oculares durante a exposição a memórias traumáticas a partir do paradigma da Teoria da Memória de Trabalho. Shapiro (2001) afirmou que a compreensão do mecanismo de ação do EMDR por meio da análise do efeito de seus componentes pode permitir cada vez mais seu aprimoramento. A meta-análise de Lee e Cuijpers (2012) mostra a importância dos movimentos oculares para a diminuição da vivacidade e das emoções negativas associadas às memórias traumáticas. Segundo a Teoria da Memória de Trabalho, a realização de movimentos oculares durante a manutenção de memórias traumáticas causaria a taxação da memória de trabalho, tornando as imagens menos vívidas e emocionais (ex. Gunter e Bodner 2008; van Den Hout et al. 2011). Quanto maior a taxação da memória de trabalho, desde que não cause prejuízo da manutenção da memória na mente, maior é a redução da vivacidade e intensidade (Gunter e Bodner 2008; van Den Hout et al. 2011, Engelhard et al. 2010, 2011). Portanto, a intensidade dos movimentos oculares parece ser importante para o efeito terapêutico. Smeets et al. (2012), ao investigarem o decurso temporal desses efeitos, verificaram que os movimentos oculares interferem primeiro com a vivacidade da memória. A redução da emocionalidade ocorre posteriormente. Por sua vez, Engelhard et al. (2010, 2011) têm mostrado que os movimentos oculares também são benéficos em relação a imagens negativas de eventos futuros, indicando um efeito terapêutico do EMDR sobre psicopatologias em que essas imagens estão presentes.Assim, em consonância com a afirmação de Shapiro (2001), estudos mostram a importância de se correlacionar a prática clínica com as investigações científicas sobre componentes do EMDR (ver Engelhard 2012). Além de favorecer a compreensão, a aplicação e a revisão dos protocolos, a correlação possui implicações clínicas importantes.

The objective is to present a review on the effect of eye movements during exposure to traumatic memories from the paradigm of the Theory of Working Memory. Shapiro (2001) stated that understanding the mechanism of action of EMDR through the analysis of the effect of its components can increasingly allow their improvement. A meta-analysis of Lee and Cuijpers (2012) shows the importance of eye movements to decrease the vividness and negative emotions associated with traumatic memories. According to the Theory of Working Memory, conducting eye movements during maintenance of traumatic memories cause the tax working memory, making the images less vivid and emotional (eg Gunter and Bodner 2008; van den Hout et al. 2011) . The higher taxation of working memory, since it does not cause prejudice to the maintenance of memory in mind, the greater the reduction in vividness and intensity (Gunter and Bodner 2008; van den Hout et al., 2011, Engelhard et al. 2010, 2011 ). Therefore, the intensity of eye movements seem to be important to the therapeutic effect. Smeets et al. (2012) investigated the time course of these effects and found that eye movements interfere first with the vividness of memory. The reduction in emotionality occurs later. In turn, Engelhard et al. (2010, 2011) have shown that eye movements are also beneficial in relation to negative images of future events, indicating a therapeutic effect of EMDR on psychopathology in which these images are presentes.Assim, in line with the statement Shapiro (2001) studies show the importance of correlating clinical practice with scientific research on components of EMDR (see Engelhard 2012). Besides promote understanding, implementation and review of protocols, the correlation has important clinical implications.

Keywords: Eye movements Clinical Implications Theory of Working Memory

Accuracy Verified: Yes

345. Sultan, K. (2012, October). My mission to Turkey & Libya. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
This presentation covers my mission to Turkey during February 2012, and Libya during April 2012. I am a Psychiatrist practising EMDR and living in Yorkshire and originating from Syria. My mission to Turkey resulted in diagnosing and successfully treating fifteen cases of PTSD with EMDR treatment as well as an additional seven cases of clinical depression. In addition I was able to review clients with several other psychiatric disorders. My mission to Libya resulted in assessing and treating around forty patients with PTSD with or without depression, Psychotic illnesses, autistic spectrum disorder, learning disability, phobias, and depression with bereavement. I can report that 32 of the 40 cases resulted in significant improvement.

Keywords: Libya Turkey

Accuracy Verified: Yes

346. Servan-Schreiber, D. (2006, September). Nature’s way of self-healing – From neuroscience to clinical practice. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Progress in neuroscience and recent clinical studies are shedding light on how mind and body affect each other. The central mechanism of healing is homeostatisis: the body's ability to return to balance when provided with basic biological needs. This talk will review mind-body interactions in relation to emotional healing and how they translate into specific treatment interventions.

Keywords: Plenary

Accuracy Verified: Yes

347. Servan-Schreiber, D. (2005, June). Nature’s way of self-healing: From neuroscience to clinical practice. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
EMDR stimulates the body to heal the mind. Progress in neuroscience and recent clinical studies are shedding light on how mind and body affect each other. The central mechanism of healing is homeostasis: the body's ability to return to balance when provided with basic biological needs. This talk will review mind-body interactions in relation to emotional healing and how they translate into treatment interventions.

Keywords: Homeostasis Neuroscience Plenary Practice

Accuracy Verified: Yes

348. Willemsen, H., Chowdhury, U., & Briscall, L. (2002, October). Needle phobia in children: A discussion of aetiology and treatment options. Clinical Child Psychology and Psychiatry, 7(4), 609-619. doi:10.1177/1359104502007004012.

Language: English

Format: Journal

Abstract:
In this article we review the current literature surrounding needle phobia, concentrating on clinical symptoms, aetiology and treatment options. Clinical symptoms include sudden increase in heart rate and blood pressure on exposure to needles followed by an immediate slowing of the heart and decrease in blood pressure (vasovagal reflex). The various schools of thought surrounding aetiology of this condition include biological, psychological and psychodynamic theories. Treatment options vary from simple education and reassurance to medication and specific behavioural approaches. Consideration should be given to past trauma associated with the phobia and relevant family factors. Careful clinical assessment will not only identify the problem but will also help to indicate appropriate treatment options.

Keywords: Behavioural Therapy Needle Phobia Psychotherapy Trauma Vasovagal Reflex

Accuracy Verified: No

349. Figley, C. R. (1998, January). Neurobiology, treatment innovations, and a cyclone in the Cook Islands: Implications for understanding and treating PTSD. Traumatology, 4(1), 41-46. doi:10.1177/153476569800400105.

Language: English

Format: Journal

Abstract:
This article is an overview of the three article published in the ejournal, TRAUMATOLOGYe's Volume IV, Issue 1 in 1998. Regarding the issue's first article (Bergmann, 1998), it is noted that recent discoveries make it possible to not only understand brain functions associated with experiencing and recovering from a traumatic experience, but may explain why EMDR works. This article then reviews Gentry (1998), noting the innovative treatment approach and the need for research. The latter part of the article includes a review of Taylor (1998). The author is impressed with the effort to respect cultural differences in providing post-disaster assistance. The final section discusses important research implications in each of the areas represented by these articles.

Keywords: Cook Islands Cyclone Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

350. Pagani, M. (2011, June). Neuroimaging and novel neurobiological findings in EMDR research [Neuroimaging und neuartige neurobiologische erkenntnisse in der EMDR forschung]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
In the recent years the number of neuroimaging studies evaluating neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) detect changes in cerebral blood flow and metabolism patterns, identifying the brain areas processing the various components of emotional processing and/or affected by the disorders. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes. The first part of the workshop (20 minutes) will describe the neuroimaging methodologies and findings in PTSD/EMDR research with and extensive review of previous literature on the neurobiological effects of EMDR. The second part of the workshop (20 minutes) will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in the recent experiments performed by our group. In the third part the EEG monitoring of a complete set of EMDR therapies in 10 patients suffering of major trauma will be presented. The relative results are the first report ever on the neurobiological changes occurring before, during and after EMDR therapy sheding light on the neuronal processes underlying its clinical efficacy. Learning objectives: The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind the neuroimaging techniques (PET, SPECT and MRI) and their possible applications in research and clinic; (2) the critical knowledge of the limited number of published papers in the field of EMDR-related functional and anatomical studies; (3) the basic research principles and examples to be motivated to begin, take part and/or collaborate to EMDR research in order to better understand the neural basis of this fascinating psychotherapeutic technique.

Keywords: Neurobiology Neuroimaging

Accuracy Verified: Yes

351. Hull, A. M. (2002). Neuroimaging findings in post-traumatic stress disorder: Systematic review. doi:10.1192/bjp.181.2.102. British Journal of Psychiatry, 181(2), 102-110.

Language: English

Format: Journal

Abstract:
Background Findings from neuroimaging studies complement our understanding of the wide-ranging neurobiological changes in trauma survivors who develop post-traumatic stress disorder (PTSD). Aims To determine whether neuroimaging studies had identified structural and functional changes specific to PTSD. Method A review of all functional and structural neuroimaging studies of subjects with PTSD was carried out. Studies were identified using general medical and specific traumatic stress databases and paper searches of current contents and other secondary sources. Results The most replicated structural finding is hippocampal volume reduction, which may limit the proper evaluation and categorisation of experience. Replicated localised functional changes include increased activation of the amygdala after symptom provocation (which may reflect its role in emotional memory) and decreased activity of Broca's area at the same time (which may explain the difficulty patients have in labelling their experiences). Conclusions Evidence from neuroimaging studies has suggested areas of the brain that may be damaged by psychological trauma. The clinical implications of these neuroimaging findings need to be investigated further because they challenge traditional therapeutic approaches.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

352. McNally, R. J. (1995). New developments in cognitive-behavior therapy. Current Opinion in Psychiatry, 8(6), 395-399.

Language: English

Format: Journal

Abstract:
The purpose of this review is to highlight new developments in cognitive-behavior therapy (CBT) that have occurred during the past year [including two relating to Eye Movement Desensitization and Reprocessing for the treatment of PTSD]. It is impossible for one short essay to do justice to a field of such breadth; therefore, only papers of particular importance or interest have been selected. [Adapted from Text, p. 395]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

353. van der Kolk, B. A. (2010, July). New developments in the field of treatment of traumatized people. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This lecture will review our knowledge about how trauma changes the way mind and brain process information and discuss what this means for treatment. We will show how trauma shuts down the verbal part of the brain, stores undigested fragments of the past and affects somatic experience. Unable to focus on the present, traumatized people keep replaying the past over and over again until they can process and integrate the traumatic experience(s), thereby regaining the capacity to be fully engaged in the present.

Keywords: Developments Keynote Trauma

Accuracy Verified: Yes

354. Schottenbauer, M. A., Glass, C. R., Arnkoff, D. B., Tendick, V., & Gray, S. H. (2008, Summer). Nonresponse and dropout rates in outcome studies on PTSD: Review and methodological considerations. Psychiatry: Interpersonal and Biological Processes, 71(2), 134-168. doi:10.1521/psyc.2008.71.2.134.

Language: English

Format: Journal

Abstract:
Post-traumatic stress disorder (PTSD) represents a frequent consequence of a variety of extreme psychological stressors. Lists of empirically supported treatments for PTSD usually include cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR), but nonresponse and dropout rates in these treatments often are high. We review the treatment dropout and nonresponse rates in 55 studies of empirically supported treatments for PTSD, review the literature for predictors of dropout and nonresponse, discuss methodological inconsistencies in the literature that make comparisons across studies difficult, and outline future directions for research. Dropout rates ranged widely and may have depended, at least in part, on the nature of the study population. It was not uncommon to find nonresponse rates as high as 50%. Standard methods of reporting dropout and nonresponse rates are needed for reporting outcomes. We suggest guidelines for collecting data to help identify characteristics and predictors of dropouts and nonresponders.

Keywords: CBT Cognitive Behavioral Therapy Literature Revieew Posttraumatic Stress Disorder Prediction PSTD Treatment Dropouts Treatment Outcomes

Accuracy Verified: Yes

355. Freitag, W. (2008, September). The nuts and bolts of EMDR consultation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
As EMDRIA’s requirements for Basic Training programs now include consultation hours, this has become a hot topic. This workshop will review EMDRIA’s philosophy of consultation and the requirements which now exist. An explanation of what consultation is and is not will be given, and the role of the consultant will be explored. There are now four different types of consultation to be conducted by an EMDRIA Approved Consultant. These are: Consultation within the Basic Training Curriculum; Consultation for Certification; Consultation of a Consultant-In-Training, and Ongoing consultation for professional development. The function, content and goals of the four different types of consultation will be defined, and the expectation of the consultant examined. Examples of specific tasks or ways to do effective consultation will be identified.

Keywords: Consultation

Accuracy Verified: Yes

356. Freitag, W., & Swan, S. (2009, August). The nuts and bolts of EMDR consultation - Expanded. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Consultation has become a topic of interest over the last few years. This workshop will review EMDRIA’s philosophy of consultation, what consultation is and is not, and its benefits. The function, content and goals of the four types of consultation will be reviewed, along with the consultant’s roles. Consultation for Certification and Consultation of a Consultant-In-Training (CIT) will be fully explored with specific tasks and methods for effective consultation identified. A newly credentialed Approved Consultant, with a well-developed consultation practice, will share practical methods to market, set-up and run consultation groups, as well as introduce a system for organizing and documenting group and individual consultation sessions. Ethical concerns in both EMDR practice and in conducting EMDR consultation will be discussed.

Keywords: Consultation

Accuracy Verified: Yes

357. Maxfield, L. (2009). On science, orthodoxy, EMDR, and the AIP, H. Lipke, Response from the editor. Journal of EMDR Practice and Research, 3(2), 109-112. doi:10.1891/1933-3196.3.2.109.

Language: English

Format: Journal

Abstract:
The Journal ’s instructions to authors are located inside the back cover of every issue. The relevant passage stated, “Articles that recommend a clinical approach that differs from EMDR’s standard protocol or its foundational Adaptive Information Processing model (Shapiro, 2001) should explain these differences.”The purpose of this instruction was to encourage clarity rather than conformity. It is important for Journal readers, some of whom have not been trained in this method, to know whether the techniques described are standard for eye movement desensitization and reprocessing (EMDR) or variations on the protocol. For example, the reader of an article describing a technique that combines EMDR with aspects of another psychotherapy approach such as hypnosis could assume that hypnotic inductions were part of standard EMDR unless it was stated clearly which elements were adapted from that method. The request that authors also clarify points of divergence from the adaptive information-processing (AIP) model was similarly intended to generate clarity. It is consistent with the recognition that a common platform for discussion is needed, even if that platform is imperfect. It is also consistent with Shapiro’s teaching of the AIP model as a clinical heuristic that is subject to revision in the face of new data or more compelling models. Rather than thwarting discussion, the request that authors explain points of disagreement was designed to promote deeper consideration of the mechanisms and models underlying EMDR. In response to Dr. Lipke’s letter, the Journal ’s Editorial Board engaged in a thorough review process to examine the value of this instruction and invited responses (see letters above) from Dr. Shapiro and the EMDRIA’s Board of Directors to further illuminate the process. The Editorial Board has a diverse membership, and there were divergent opinions, including some disagreements with the following response. It was decided to modify the identified statement so that it now reads, “Articles that recommend a clinical approach that differs from EMDR’s standard protocol or Shapiro’s (2001) Adaptive Information Processing model should discuss these differences.”

Keywords: Adaptive Information Processing AIP Letter Orthodoxy Science

Accuracy Verified: Yes

358. Zlomke, K., & Davis III, T. E. (2008, September). One-session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39(3), 207–223. doi:10.1016/j.beth.2007.07.003.

Language: English

Format: Journal

Abstract:
One-Session Treatment (OST) is a form of massed exposure therapy for the treatment of specific phobias. OSTcombines exposure, participant modeling, cognitive challenges, and reinforcement in a single session, maximized to three hours. Clients are gradually exposed to steps of their fear hierarchy using therapist-directed behavioral experiments. Although there are several studies in the literature examining the efficacy of OST, little has been done to summarize this research. In the following review, research on and empirical support for OST are reviewed with an emphasis on the types of stimuli, samples, and methodologies utilized. Research generally supports OST's efficacy, although replication by independent examiners using adult and child samples is needed using more rigorous comparisons (e.g., psychological placebo or other treatments). Overall, OST continues to be a promising treatment for specific phobias; however, a great deal more investigation is needed to identify mechanisms of change, mediators, and moderators.

Keywords: Phobias

Accuracy Verified: Yes

359. Blake, D. D., & Sonnenberg, R. T. (1998). Outcome research on behavioral and cognitive-behavioral treatments for trauma survivors. In V. M. Follette, J. I. Ruze & F. R. Abueg (Eds.), Cognitive-behavioral therapies for trauma (pp. 15-47), New York: Guilford Press.

Language: English

Format: Book Section

Abstract:
In this chapter, we describe the current status of outcome research on behavioral and cognitive-behavioral therapy for PTSD. In this endeavor, we describe these treatments and outline their empirical foundations, providing rationale for their use. We then review and critique the existing research and propose future directions for outcome research. [Text, p. 42]

Keywords: Americans Behavior Therapy Child Abuse Cognitive Therapy Females Males Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

360. Richard, D. (2005, November). Outlining the effectiveness of prolonged exposure treatment. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Prolonged exposure (PE) is an empirically validated treatment for PTSD. However, there remain issues surrounding the optimal length of exposure sessions, the efficacy of prolonged exposure vis-a-vis other behavioral (Foa et al., 1999), cognitive (Resick et al., 2002), cognitive-behavioral (Feske & Chambless, 1995), and EMDR (Ironson et al., 2002) interventions, whether patterns of symptom change differ between PE and cognitive treatments (Nishith, et al., 2002), and those variables that predict significant amounts of variance in treatment outcome (Tarrier, Sommerfield, Pilgrim, & Faragher, 2000). In this presentation, I will discuss the theoretical basis of prolonged exposure therapy, review the comparative outcome literature surrounding prolonged exposure, and summarize empirical research findings with regard to its efficacy and optimal use. Mechanisms of action involved in PE will be discussed with an emphasis on providing a context for the subsequent papers in the Poster.

Keywords: Poster Prolonged Exposure

Accuracy Verified: Yes

361. Brewin, C. R., Fuchkan, N., Huntley, Z., Robertson, M., Thompson, M., Scragg, P., d'Ardenne, P., & Ehlers, A. (2010, February). Outreach and screening following the 2005 London bombings: Usage and outcomes. Psychological Medicine, 40(12), 2049–2057. doi:10.1017/S0033291710000206.

Language: English

Format: Journal

Abstract:
Background: Little is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings. Method: Following a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring 6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year. Results: Case finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later. Conclusions: Outreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.

Keywords: Cognitive-Behaviour Therapy London Bombings Outreach Posttraumatic Stress Disorder PTSD Trauma-Focused Cognitive Behavioral Therapy Trauma Response Programme TRP

Accuracy Verified: Yes

362. ten Broeke, E., Korrelboom, K., & de Jongh, A. (1998, December). Over de noodzaak van herhaalde en langdurige blootstelling aan traumatische herinneringen bij de behandeling van posttraumatische stress stoornis (PTSS)? [Is prolonged exposure to traumatic memories necessary in PTSD?]. Gedragstherapie, 31(4), 273-290.

Language: Dutch

Format: Magazine

Abstract:
Langdurige blootstelling aan traumatische herinneringen wordt door velen beschouwd als een noodzakelijk element in de behandeling van posttramatic stress-stoornis (PTSS). Deze bewering wordt ondersteund door de doeltreffendheid van de directe therapeutische blootstelling (DTE), zoals blijkt uit gecontroleerde studies. Omgekeerd is er aanwijzingen dat andere behandelmethoden die geen gebruik maken van langdurige blootstelling wijzen verschijnt even effectief. Bovendien is de effectiviteit van de DTE bemoeilijkt door zowel psychiatrische complicaties en de beperkte compliance van de patiënt als gevolg van problemen met de blootstelling huiswerkopdrachten. In deze paper wordt geconcludeerd dat de DTE is een levensvatbare behandeling voor PTSS, maar het is twijfelachtig of DTE moet worden beschouwd als de 'voorkeursbehandeling' voor PTSS. Steekwoorden: langdurige blootstelling, PTSS, te herzien.

Prolonged exposure to traumatic memories is considered by many as a necessary element in the treatment of posttramatic stress disorder (PTSD). This claim is supported by the effectiveness of direct therapeutic exposure (DTE), as is evident from controlled outcome studies. Conversely, there is evidence to suggest that other treatment approaches that do not use prolonged exposure appear equally effective. Furthermore, the effectiveness of DTE is complicated by both psychiatric complications and limited patient compliance as a result of difficulties with exposure homework assignments. In this paper, it is concluded that DTE is a viable treatment for PTSD, but it is questionable whether DTE should be considered the 'treatment of choice' for PTSD. Key words: prolonged exposure, PTSD, review.

Keywords: Cognitive Therapy Episodic Memory Implosive Therapy Posttraumatic Stress Disorder PTSD Prolonged Exposure Review Treatment

Accuracy Verified: Yes

363. Grant, M. (2001). Pain Control with EMDR: An Information Processing Approach. (2nd ed) Waterloo, ON: TherapistsResources.com.

Language: English

Format: Book

Abstract: Pain Control with EMDR is an 'information-processing' based approach to the psychological management of pain, using Eye Movement Desensitization & Reprocessing (EMDR). The title of this manual 'Pain Control with EMDR' is meant to suggest that pain can be overcome. But the approach described herein differs significantly from mainstream approaches to pain management. I want to suggest that pain is most effectively controlled when the patient is supported in having their experience, and then learning to master it.
Information processing approaches are based on a model of learning that incorporates emotion, cognition, and neurological processes. Some psychotherapies seek to help the patient cope with their pain, but information processing approaches (e.g., EMDR, EEG biofeedback) seek to change the way the patient experiences their pain, by changing the way it is stored in the nervous system. Information processing approaches to seek to do this by appealing as directly as possible to the nervous system.
This manual is divided into two parts, between theory and practice. Part one is a review of historical ideas and treatments for pain, in order to gain an appreciation of how history still shapes how we approach this problem. In part two the practicalities of treating chronic pain using EMDR are described.

Keywords: Chronic Pain Pain Control

Accuracy Verified: Yes

364. Grant, M. (2002). Pain control with eye movement desensitization and reprocessing: An information reprocessing approach. Waterloo, ON: Therapists Resources.com.

Language: English

Format: Book

Abstract:
Pain Control with EMDR is an 'information-processing' based approach to the psychological management of pain, using Eye Movement Desensitization & Reprocessing (EMDR). The title of this manual 'Pain Control with EMDR' is meant to suggest that pain can be overcome. But the approach described herein differs significantly from mainstream approaches to pain management. I want to suggest that pain is most effectively controlled when the patient is supported in having their experience, and then learning to master it. Information processing approaches are based on a model of learning that incorporates emotion, cognition, and neurological processes. Some psychotherapies seek to help the patient cope with their pain, but information processing approaches (e.g., EMDR, EEG biofeedback) seek to change the way the patient experiences their pain, by changing the way it is stored in the nervous system. Information processing approaches to seek to do this by appealing as directly as possible to the nervous system. This manual is divided into two parts, between theory and practice. Part one is a review of historical ideas and treatments for pain, in order to gain an appreciation of how history still shapes how we approach this problem. In part two the practicalities of treating chronic pain using EMDR are described. (Revision)

Keywords: Chronic Pain Pain Control Pain

Accuracy Verified: Yes

365. Foster, S., Lendl, J., & Parrett, B. (1995, June). Peak performance in the work place. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
In his book, Anxietv Disorders and Phobias, Aaron Beck, MD, wrote cogently about the so-called "evaluation anxieties." He employed the metaphor of the tightrope walker to describe the constant worry about a possible "fall from grace" experienced by the person troubled by concern about performing well in a variety of life situations. Beck divided these situations into three categories: social situations; school and work settings; and what he called "transactions with the outside world," meaning instances of shopping and traveling. The focus of this three-hour presentation is evaluation or performance anxiety (as it is more often termed) in the workplace and applications of EMDR to removing blocks to optimal functioning at work. The theoretical contribution of Beck and his colleagues will shape the presenters' information about why performance anxiety develops and who is likely to be vulnerable to it. The rationale for this extension of the EMDR model will be grounded in the theoretical framework of cognitive therapy. The two presenters bring their considerable experience with EMDR (five+ years) and expertise in peak performance consulting to participants in this session. From their background, they will derive the presentation's emphasis on EMDR applications that are immediately useful to the participants. To begin, the presenters will provide the aforementioned theoretical understanding of "evaluation anxiety" and its manifestation as performance anxiety in the workplace. Approximately the first quarter of the presentation will be spent in didactic material that describes specifically how performance anxiety interferes with optimal functioning at work across a variety of occupations. Drs. Foster and Lendl will elaborate on two situations in which performance anxiety is especially likely to occur in work-related situations: 1) during periods of rapid change; and 2) during the performance review process. Having established this basis of understanding, the presenters will move on to describe the most commonly observed psychological blocks that impede optimal performance in work settings: 1) external conflicts brought into work; 2) feeling like an 'impostor' in one's position at work, 3) perfectionism as a barrier to performance; 4) past failures that operate as anticipatory anxieties (for example, a client's worry that a past mistake or setback might recur in the future); 5) discrimination on the basis of gender, race, ethnicity, sexual orientation, education or age. Using actual transcripts and videotaped excerpts of their sessions, the presenters will demonstrate how their EMDR interventions may be applied. The presenters will show participants how to assess their own current and prospective clients for the psychological blocks that are interfering with work performance. Efficient ways to elicit negative and positive cognition for these work-related issues will be precisely described. The expected course of the EMDR processing will be illustrated using the presenters' cases which include a perfectionistic dentist, a high level executive after a layoff, a female manager desiring a promotion who is grappling with a chauvinistic boss, and performing artists struggling with stage fright and other barriers to their optimal performance. The presenters will then share with participants the ways in which they assist their clients in reaching and maintaining balance in their life- and work styles, in what the presenters call "Using EMDR to meet daily challenges with optimal response." Specific strategies for integrating EMDR into broader-based interventions will be described for assisting clients in: 1) increasing self-trust; 2) learning to capably manage crises; 3) increasing focus and attention at work; and 4) setting priorities and using time effectively. Lastly, Drs. Foster and Lend will demonstrate additional EMDR applications for assisting clients in attaining and maintaining what the presenters call "Optimal Well-Being." Citing case material, the presenters will show participants the means by which EMDR can be employed to speed recovery from illness and to decrease the rehabilitation time needed following an injury. Participants will be given the opportunity to rehears several of the applications described and to receive feedback fiom the instructors. Reference: Beck, A.T. (1985). Anxiety Disorders and Phobias, Basic Books, New York.

Keywords: Peak Performance Performance Enhancement

Accuracy Verified: Yes

366. Maynard, S. (2006, February). Personal and professional coaching: A literature review. Walden University, Minneapolis, MN.

Language: English

Format: Dissertation/Thesis

Abstract:
Research on the efficacy of coaching has been slow to emerge since the inception of its use in the late 1930s. Existing theoretical and empirical evidence is scarce, yet the successful use of many proprietary methods and models of coaching have been reported. The purpose of this literature review was to summarize current methods and models of personal and professional coaching to identify a common theoretical foundation upon which empirical studies can be conducted. The findings of the literature review revealed that humanistic theory can provide the theoretical framework for coaching. All methods and models of coaching emphasized unconditional respect for each individual's capacity to make their own choices and achieve fulfillment through self-actualization. The coaching process was found to be holistic, client-centered and focused on human value and potential. Due to the lack of theoretical and empirical evidence supporting the efficacy of coaching, a randomized study is proposed that is designed to assess the efficacy of coaching based on humanistic theory. The with-in subject study suggests using a quantitative Likert summated scale to assess client attitudes before and after coaching. It is designed to eliminate possible confounding variables that may have been present in previous research. The purpose of the proposed research study is to test the hypothesis that coaching increases client satisfaction as measured by quality of life indices in an effort to determine if this new helping intervention is impacting our society in a useful and positive way. Demonstrating the efficacy of coaching is not only socially significant for the protection of the consumer, but ethically imperative to substantiate claims being made by those who coach.

Keywords: Personal Coaching Professional Coaching

Accuracy Verified: Yes

367. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.

Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

368. Quiroga, J., & Jaranson, J. M. (2005). Politically-motivated torture and its survivors: A desk study review of the literature. Torture, 16(2-3), 1-112.

Language: English

Format: Journal

Abstract:
This desk study intends to update and complement the desk study review of the torture rehabilitation literature completed in 1998 (Gurr and Quiroga, 2001), emphasizing areas not covered by the original study but updating the torture rehabilitation literature from the publication of the original desk study. Some selected earlier references have been retained, but the focus remains primarily on the published literature from 1998 through mid-2004. This paper intends to stand alone but will refer back to original study. The target audience is those working in or interested in the field of rehabilitation of politically motivated torture survivors.

Keywords: Torture Survivors

Accuracy Verified: Yes

369. Tryon, W. W. (2005, January). Possible mechanisms for why desensitization and exposure therapy work. Clinical Psychology Review, 25(1), 67-95. doi:10.1016/j.cpr.2004.08.005.

Language: English

Format: Journal

Abstract:
Rosen and Davison [Rosen, G.M. and Davison, G.C. (2003). Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages. Behavior Modification, 27, 300–312] recommended that empirically supported principles be listed instead of empirically supported treatments because the latter approach enables the creation of putatively new therapies by adding functionally inert components to already listed effective treatments. This article attempts to facilitate inquiry into empirically supported principles by reviewing possible mechanisms responsible for the effectiveness of systematic desensitization and exposure therapy. These interventions were selected because they were among the first empirically supported treatments for which some attempt was made at explanation. Reciprocal inhibition, counterconditioning, habituation, extinction, two-factor model, cognitive changes including expectation, self-efficacy, cognitive restructuring, and informal network-based emotional processing explanations are considered. Logical problems and/or available empirical evidence attenuate or undercut these explanations. A connectionist learning-memory mechanism supported by findings from behavioral and neuroscience research is provided. It demonstrates the utility of preferring empirically supported principles over treatments. Problems and limitations of connectionist explanations are presented. This explanation warrants further consideration and should stimulate discussion concerning empirically supported principles.

Keywords: Systematic Desensitization Exposure Therapy Learning-Memory Mechanism

Accuracy Verified: Yes

370. Sekhon, R. (2008). Post-traumatic stress disorder and treatment. Rose University of Lethbridge, Lethbridge, Alberta Canada.

Language: English

Format: Dissertation/Thesis

Abstract:
Post-traumatic stress disorder and treatment Abstract: Post-traumatic stress disorder (PTSD) symptoms have been estimated to affect about 8 to 9% of the world population. Research has shown that PTSD occurs in 25% of persons who have been exposed to a traumatic stressor. It has occurred in 35-92% of those who have experienced rape, 65% of those who have endured a nonsexual assault, and 30% of Vietnam veterans. In 1980, the definition of PTSD was created and counsellors were at a loss of how to treat this disorder. Presently, treatment for this disorder is still being developed. This paper conducts a literature review on therapies for PTSD and available studies of their effectiveness. Most psychotherapies for PTSD focus on the reprocessing of traumatic memory, through cognitive or exposure strategies. These treatments include various cognitive behavioural therapies such as exposure therapy, eye movement desensitization and reprocessing (EMDR), psychoanalytic, as well as multimodal combinations of therapies. Research has shown that some of these interventions have produced favourable results in providing relief of symptoms to victims of PTSD. The current discussion found that therapies such as cognitive and exposure have been successful in decreasing symptoms of PTSD; certain therapies were found to be more successful than others with clients who suffered from specific trauma-inducing events.

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

371. Nelson, S. A. (2011, March). The posttraumatic growth path: An emerging model for prevention and treatment of trauma-related behavioral health conditions. Journal of Psychotherapy Integration, 21(1), 1–42. doi:10.1037/a0022908.

Language: English

Format: Journal

Abstract:
The aim of this study is threefold. First, the current evidence-based treatments for posttraumatic stress disorder (PTSD) are reviewed. Treatments reviewed for efficacy include prolonged exposure therapy, cognitive processing therapy, and eye movement desensitization and reprocessing. Next, concepts identified as protective measures against chronic PTSD are explored, with particular emphasis on resiliency and posttraumatic growth (PTG). Third, based on the abovementioned systematic review, a new treatment model for trauma-related behavioral health conditions, the posttraumatic growth path (PTGP), is proposed. This research will demonstrate how this new model integrates a variety of therapeutic approaches and protective measures to treat and mitigate the development of chronic PTSD and other concomitant mental health concerns. Implications for practice are discussed.

Keywords: Integrative Therapy Posttraumatic Growth Posttraumatic Stress Disorder PTG PTSD Resiliency Trauma

Accuracy Verified: Yes

372. Kennedy, J. E., Jaffee, M. S., Leskin, G. A., Stokes, J. W., Leal, F. O., & Fitzpatrick, P. J. (2007). Posttraumatic stress disorder and posttraumatic stress disorder-like symptoms and mild traumatic brain injury. Journal of Rehabilitation Research and Development, 44(7), 895-920. doi:10.1682/JRRD.2006.12.0166.

Language: English

Format: Journal

Abstract:
In this article, we review the literature on posttraumatic stress disorder (PTSD) and PTSD-like symptoms that can occur along with mild traumatic brain injury (TBI) and concussion, with specific reference to concussive injuries in the military. We address four major areas: (1) clinical aspects of TBI and PTSD, including diagnostic criteria, incidence, predictive factors, and course; (2) biological interface between PTSD and TBI; (3) comorbidity between PTSD and other mental disorders that can occur after mild TBI; and (4) current treatments for PTSD, with specific considerations related to treatment for patients with mild TBI or concussive injuries.

Keywords: Biological Factors Blast Concussion Clinical Course Comorbidity Concussion Incidence Mild Traumatic Brain Injury Posttraumatic Stress Disorder PTSD Rehabilitation TBI Traumatic Brain Injury Treatment

Accuracy Verified: Yes

373. Lamprecht, F., & Sack, M. (2002). Posttraumatic stress disorder revisited. Psychosomatic Medicine, 64, 222-237.

Language: English

Format: Journal

Abstract:
In this review we trace the history of and professional discussion on psychological traumatization due to "railroad spine syndrome," "shell-shock syndrome," and "war neuroses," as well as the more or less endemic "posttraumatic stress disorder" of today. Psychological trauma engenders longlasting consequences in the biological, intrapsychic, and social organization of individuals. Medical experts have reported a shift in attention from exogenous to endogenous and back to exogenous causes, as indicated by new diagnostic systems (DSM-IV and ICD-10). As far as the relevant literature is concerned, the medical profession demonstrates the same partial amnesia as their patient counterparts. The purpose of this review is to overcome this fragmented memory and thus reach a more integrated view of what constitutes psychological trauma by reviewing trauma-related articles published in Psychosomatic Medicine. Moreover, we point out the direction in which research is desperately needed and ought to develop.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

374. Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2005, October). Posttraumatic stress disorder treatment outcome research: The study of unrepresentative samples?. Journal of Traumatic Stress, 18(5),425–436. doi:10.1002/jts.20050.

Language: English

Format: Journal

Abstract:
The authors review sample composition and enrollment data for 34 studies cited in the International Society for Traumatic Stress Studies (ISTSS) 2000 Practice Guidelines as meeting the Level A U.S. Agency for Health Care Policy and Research (AHCPR) classification for treatment of adult posttraumatic stress disorder (PTSD), and compare data from more recent research. Findings reveal that many published reports omitted vital data including exclusion criteria and rates, demographics, and trauma exposure history. Moreover, severe comorbid psychopathology, a common feature of treatment-seeking individuals with PTSD, emerged as the predominant reason for exclusion across studies. Subsequently published studies exhibited improved reporting of sample characteristics and demonstrated comparable outcomes despite inclusion of more diverse trauma exposure samples. Findings indicate the need for future efficacy research to adopt more comprehensive reporting requirements and to test the applicability of validated treatments to individuals suffering from as yet unstudied combinations of PTSD and prevalent comorbid disorders.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

375. Phillips, M. (2001, January-April). Potential contributions of hypnosis to ego-strengthening procedures in EMDR. American Journal of Clinical Hypnosis, 43(3-4), 247-262. doi:10.1080/00029157.2001.10404280.

Language: English

Format: Journal

Abstract:
This paper explores how hypnotic principles can be systematically incorporated into the standard EMDR protocol to enhance various ego strength capacities during EMDR treatment. Expanding these skill areas can widen the therapeutic window of possibility for clients with a variety of complex clinical issues, including posttraumatic, dissociative or personality disorders, anxiety symptoms, and depressive difficulties. Clinical case examples are used to illustrate ways of integrating hypnotic principles within a proposed EMDR protocol to promote ego strengthening and facilitate therapeutic change. [Author Abstract]

Keywords: Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Treatment Effectiveness

Accuracy Verified: Yes

376. Devilly, G. J. (2005, June). Power therapies and possible threats to the science of psychology and psychiatry. Australian & New Zealand Journal of Psychiatry, 39(6), 437-445. doi:10.1111/j.1440-1614.2005.01601.x .

Language: English

Format: Journal

Abstract:
Objective: Advocates of new therapies frequently make bold claims regarding therapeutic effectiveness, particularly in response to disorders which have been traditionally treatment-refractory. This paper reviews a collection of new therapies collectively self-termed "The Power Therapies", outlining their proposed procedures and the evidence for and against their use. These therapies are then put to the test for pseudoscientific practice. Method: Therapies were included which self-describe themselves as "Power Therapies". Published work searches were conducted on each therapy using Medline and PsychInfo databases for randomized controlled trials assessing their efficacy, except for the case of Eye Movement Desensitization and Reprocessing (EMDR). Eye Movement Desensitization and Reprocessing has more randomized controlled studies conducted on its efficacy than any other treatment for trauma and thus, previous meta-analyses were evaluated. Results and conclusions: It is concluded that these new therapies have offered no new scientifically valid theories of action, show only non-specific efficacy, show no evidence that they offer substantive improvements to extant psychiatric care, yet display many characteristics consistent with pseudoscience. [Author Abstract]

Keywords: Commentary Energy Psychotherapy Literature Review Neurolinguistic Programming NLP Psychotherapeutic Processes TFT: Thought Field Therapy TIR: Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

377. Poole, A. D., de Jongh, A., & Spector, J. (1999, January). Power therapies: Evidence versus emotion: A reply to Rosen, Lohr, McNally and Herbert. Behavioural and Cognitive Psychotherapy, 27(1), 3-8.

Language: English

Format: Journal

Abstract:
Rosen, Lohr, McNally and Herbert’s (1998) arguments directed at the so-called “Power Therapies” and, in particular, Eye Movement Desensitization and Reprocessing (EMDR) are examined. It is suggested that their paper does not adequately review the available research data and, therefore, draws unwarranted conclusions. Based on published controlled studies it is concluded that there is evidence to support the use of EMDR in the treatment of post traumatic stress disorder (PTSD).

Keywords: Letter Literature Review Outcome Research Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness

Accuracy Verified: Yes

378. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x.

Language: English

Format: Journal

Abstract:
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.

Keywords: CBT Children Cognitive Behaviorial Therapy Literature Review Narrative Exposure Therapy NET Posttraumatic Stress Disorder PTSD War Refugees

Accuracy Verified: Yes

379. Canadian Coordinating Office for Health Technology Assessment (2004, May). Pre-Assessment - EMDR for treatment of post-traumatic stress disorder. CCOHTA, 35.

Language: English

Format: Other

Abstract:
Before CCOHTA decides to undertake a health technology assessment, a pre-assessment of the literature is performed. Pre-assessments are based on a limited literature search; they are not extensive, systematic reviews of the literature. They are provided here as a quick guide to important, current assessment information on this topic. Readers are cautioned that the pre-assessments have not been externally peer reviewed.

Keywords: Practice Guidelines Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

380. Korn, D., & Leeds, A. (2002, December). Preliminary evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. Journal of Clinical Psychology, 58(12), 1465-1487. doi:10.1002/jclp.10099.

Language: English

Format: Journal

Abstract:
This article reviews the complexity of adaptation and symptomatology in adult survivors of childhood neglect and abuse who meet criteria for the proposed diagnosis of Complex PTSD, also known as Disorders of Extreme Stress, Not Otherwise Specified (DESNOS). A specific EMDR protocol, Resource Development and Installation (RDI), is proposed as an effective intervention in the initial stabilization phase of treatment with Complex PTSD/DESNOS. Descriptive psychometric and behavioral outcome measures from two single case studies are presented which appear to support the use of RDI. Suggestions are offered for future treatment outcome research with this challenging population. [Author Abstract]

Keywords: Adults Child Abuse Clinical Case Study Complex Empirical Study Females Neglect Postt traumatic Stress Disorder Psychotherapeutic Processes PTSD Review Survivors Treatment Effectiveness

Accuracy Verified: Yes

381. Rubin, A. (1999, November). Presidential editorial: Controlling for potential biases in research on social work practice effectiveness: Are higher standards needed?. Research on Social Work Practice, 9(6), 635-639. doi:10.1177/104973159900900601.

Language: English

Format: Journal

Abstract:
The article offers views on the processes and standards used by professional journals with respect to the review of manuscripts that report evaluations of practice effectiveness. The article discusses rejecting a study that randomly assigned clients to a treatment group and wait-list control group. The article discusses biases in research on social work practice effectiveness. Although the obvious bias in these studies regarding expectation for improvement or experimental demand was roundly criticized in subsequent reviews, it didn't keep them from being published. Given the difficulties researchers face in finding agencies that will permit rigorous experimental outcome studies, it is easy to recommend publishing a study that is strong in virtually every way but one-even if that one weakness is so severe that it virtually destroys the credibility of the study's findings. The author believes in studies using randomized assignment to experimental and control groups, where readers are so impressed by the randomized experimental design that they cut the author some slack regarding possible measurement bias or the potentially biasing effects of expectation for improvement or experimental demand.[EbscoHost]

Keywords: Editorial

Accuracy Verified: Yes

382. Chasse, B. L., & Miller, J. (2013, May). Preventing PTSD through early EMDR intervention. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop was developed to provide training in Early EMDR Intervention (EEI) for EMDR clinicians to learn preemptive forms of EMDR to be used to prevent PTSD. The science behind early psychological intervention after a trauma/disaster and justification for modifying treatment procedures to address the recent traumatic events will be discussed. Also, included will be a review of the existing EEI Protocols, appropriate timelines in which to utilize these protocols, quick assessments of appropriateness for EMDR trauma processing, rapid resourcing, and development of a target sequencing plan/case conceptualization that is appropriate for Early EMDR intervention. Learning Objectives: • Define and use key concepts regarding the neurobiology of trauma and how early intervention can reduce the chances of developing debilitating symptoms and disorders • Enumerate and describe at least six Early EMDR intervention/protocols and learn the history, appropriate usage and research on these Early EMDR Interventions (EEI) • Apply strategies to expedite the history-gathering process, assess client readiness, conceptualize a case and develop a clinical treatment plan as well as strategies for adequate preparation for processing • Learn and practice several rapid resourcing, grounding and stabilizing techniques for use before, during and after Brief Trauma Processing • Learn/review and practice the Recent Event Protocol (Shapiro 2001)

Keywords: Brief Trauma Processing Early EMDR Interventions Recent Event Protocol Posttraumatic Stress DIsorder PTSD

Accuracy Verified: Yes

383. Zangwill, W. M. (1993, March). Problems and pitfalls using EMDR. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
This session is designed to review the most common errors that I and others have made using EMDR.

Keywords: Pitfalls

Accuracy Verified: Yes

384. Zangwill, W. (1994, March). Problems, pitfalls, and common mistakes in using EMDR. Presentation at the EMDR Network Conference, Sunnyvale, CA .

Language: English

Format: Conference

Abstract:
This presentation is a review of frequent mistakes made using EMDR and a discussion of what to try when we and our patients are stuck. Please be prepared to discuss and share your successes and failures.

Keywords: Pitfalls

Accuracy Verified: Yes

385. Veerbeek, H. (2013, June). Processing anger and revenge with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Until now, best practise regarding treatment of anger seems to be mostly focused on improving control over angry outbursts. The treatment as usual is cognitive and behaviour oriented. For trauma related internalizing symptoms (anxiety, panic, nightmares, avoidance, intrusions), we know that EMDR is much more effective than a standard cognitive behavioural approach. Anger, embitterment and revenge are, more often than we think, also trauma-related symptoms and can be viewed as externalizing reactions to severe maltreatment, powerlessness and/or humiliation. A lot of our veterans have to deal with a permanent elevated arousal and an aggressive response style after they return from war. These externalizing symptoms can have devastating effects on marriage, work and daily live. In trauma-literature, there has been a lack of attention to this debilitating and externalizing side of PTSD.
In the workshop, after a brief review of the literature on anger and revenge, a new perspective will be presented in understanding anger and revenge. An EMDR-based protocol will be demonstrated, which can be used as a cognitive interweave and also as a “stand-alone” tool to process anger- and revenge symptoms. Extensive video footage will be used to illustrate the effect of this treatment on a patient with severe, dangerous and obsessive revenge symptoms. The question, when this add-on tool can be used and when it will be preferable to stick to the standard EMDR protocol, will be discussed. In conclusion, questions from the audience will hopefully lead to an inspiring discussion.
Learning objectives: Being able to apply the theoretical framework of Posttraumatic Anger in understanding anger symptoms in clients; Being able to detect which experiences en people from the past contributed to current anger – and anxiety symptoms and know when to apply the standard EMDR protocol or the Rage, Resentment and Revenge Protocol; and Being able to apply the Rage, Resentment and Revenge Protocol to process and resolve the anger symptoms.

Keywords: Anger Revenge

Accuracy Verified: Yes

386. Carbonell, J. L., & Figley, C. R. (1999, March). Promising PTSD treatment approaches: A systematic clinical demonstration of promising PTSD treatment approaches. Traumatology, 5(1), 32-48. doi:10.1177/153476569900500106 .

Language: English

Format: Journal

Abstract:
Traumatic Incident Reduction, Visual-Kinesthetic Disassociation, Eye Movement Desensitization and Reprocessing, and Thought Field Therapy were investigated through a systematic clinical demonstration (SCD) methodology. This methodology guides the examination, but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Author Abstract]

Keywords: Neurolinguistic Programming NLP: Posttraumatic Stress Disorder PTSD Survivors Stressors TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

387. Dyck, M. J. (1993, September). A proposal for a conditioning model of eye movement desensitization treatment for posttraumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(3), 201-210. DOI:10.1016/0005-7916(93)90022-O.

Language: English

Format: Journal

Abstract:
Although eye movement desensitization (EMD) was introduced as a specific treatment for traumatic memories, a satisfactory explanation of the therapeutic mechanism underlying the method has not been offered. This article describes a model of traumatic memories and EMD based primarily on principles of respondent conditioning, emotional interference with learning, and operant conditioning. A method for evaluating the conditioning model is briefly described. [Author Summary]

Keywords: Conditioned Emotional Responses Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

388. Shapiro, F. (2002, June). Protecting the future. Plenary presented at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
In the past 12 years, EMDR has evolved into an integrative treatment approach emphasizing not only symptom elimination, but learning and personal growth as well. However, the degree to which the client is benefited is determined by the orientation of the clinician. Likewise, the degree to which society is benefited is determined by the orientation of our field. What have we accomplished so far and what remains to be done? This presentation will review the history of EMDR over the last 12 years and the implications of these events for the future.

Keywords: History

Accuracy Verified: Yes

389. Maslovaric, G., & Formenti, L. (2008, Novembre). Psicologia dell’Emergenza e EMDR: sinergia ed integrazione. Un’esperienza sul campo, il caso di Viggiù [Psychology of the emergency and EMDR: Synergy and integration. Experience in the field, the case of Viggiù]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Negli ultimi 30 anni abbiamo assistito ad un crescente interesse e sviluppo della Psicologia dell’Emergenza. Nel 1983 Mitchell e collaboratori hanno strutturato un programma sistematico e globale di gestione della crisi (Critical Incident Stress Management). L’EMDR integra, orienta e aumenta l’efficacia degli interventi psicologici nei contesti d’emergenza. All’interno di questo quadro teorico di riferimento è stato progettato e implementato l’intervento di supporto psico-sociale a seguito dell’incidente stradale del 20 gennaio 2008 avvenuto a Viggiù (VA). L’incidente Critico, avvenuto durante il rientro da una festa di paese sotto gli occhi di centinaia di persone, ha comportato 13 feriti con ospedalizzazioni e conseguenze mediche di differenti livelli di gravità e il decesso di una ragazza di 14 anni. I destinatari di tale intervento, commissionato e concordato con l’amministrazione comunale di Viggiù, sono stati: le vittime primarie dell’incidente, i loro familiari, gli operatori dell’emergenza e tutta la comunità coinvolta nel tragico evento. In base al livello di traumatizzazione delle vittime (Taylor et al.) e al timing dell’intervento sono state utilizzate diverse tecniche d’intervento quali: EMDR, primo soccorso psicologico, incontri psico-educazionali e Critical Incident Stress Debriefing. Le sessioni EMDR hanno rappresentato il cuore dell’intervento con le vittime primarie e i loro familiari. Il timing seguito per tali sessioni è stato il seguente: 1. due settimane dall’Incidente Critico: Valutazione testistica Psicodiagnostica (SCID I e IES-R) Posto al Sicuro, psicoeducazione; 2. un mese: 2-3 sessioni EMDR sul target più disturbante rispetto all’Incidente; Valutazione testistica; 3. 3 mesi: 2-3 sessioni EMDR sui trigger presenti e sul futuro; valutazione testistica.

Over the past 30 years we have witnessed a growing interest and development of Psychology emergency. In 1983, Mitchell and colleagues have a structured and systematic program Comprehensive Crisis Management (Critical Incident Stress Management). EMDR integrates, directs and increases the effectiveness of psychological interventions in emergency contexts. Within this theoretical framework has been designed and implemented the intervention of psychosocial support Social following the road January 20, 2008 occurred in Viggiù (VA). The incident Critically, during the return from a village festival in the sight of hundreds of people, resulted in 13 hospitalizations and injuries with medical consequences of different levels of severity and death of a girl of 14 years. The recipients of the action commissioned and agreed with the municipal administration of Viggiù, were: the primary victims of the accident, their family members, emergency workers and the whole community involved in the tragic event. Based the level of trauma victims (Taylor et al.) and the timing of the intervention were used different techniques intervention such as EMDR, psychological first aid, psycho-educational meetings and Critical Incident Stress Debriefing. EMDR sessions have represented the heart surgery with the primary victims and their families. The timing for follow these sessions was as follows: 1. two weeks of the Accident Critical: Guest testistica Psicodiagnostica (SCID I and IES-R) safe place, psychoeducation; 2. month: 2-3 EMDR sessions on the target more disturbing than the accident; Guest testistica; 3. 3 months: 2-3 sessions EMDR triggers present and future; evaluation testistica.

Keywords: Emergency Intervention

Accuracy Verified: Yes

390. Giannantonio, M. (2002, Settembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Sinergie e integrazioni nella psicoterapia dei disturbi post-traumatici e dell'attaccamento (EMDR) [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Synergies and integration in psychotherapy with post-traumatic stress and attachment]. IX Congresso della Società Europea di Ipnosi: L'ipnosi e gli altri modelli terapeutici nel nuovo millennio, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
L’incremento costante di interesse nei confronti dei disturbi post-traumatici sta portando non soltanto ad un costante e rapido approfondimento delle conoscenze in questo campo, ma anche ad una continua riscoperta della psicoterapia ipnotica e ad un suo raffinamento come approccio psicoterapico. La psicoterapia ipnotica, infatti, non solo è la più antica delle psicoterapie, ma anche la prima ad essere stata in grado di trattare con successo gli esiti di esperienze traumatiche o altamente stressanti e ad attribuire ad esse una adeguata rilevanza in seno ad una comprensione trasversale della psicopatologia tutta. Nonostante l’evidente esistenza di frequenti esperienze traumatiche nel corso della vita delle persone, con ogni probabilità, però, solo le conseguenze sociali drammatiche di continui coinvolgimenti bellici (insieme alla rivoluzione della cultura femminista) hanno portato definitivamente al centro dell’attenzione la presenza di esperienze reali come implicate nello sviluppo di stati di sofferenza (Hacking, 1995). La rinascita del cosiddetto “modello traumatico” di Pierre Janet ha portato ad una iniziale riscoperta dei traumi secondo una concezione di essi come di esperienze discrete, circoscrivibili, rilevanti essenzialmente per la loro grandezza oggettiva; una tale visione, infatti, viene ufficializzata dalla pubblicazione della terza edizione del manuale Diagnostico e Statistico dei Disturbi Mentali (DSM-III; American Psychiatric Association, 1980) e progressivamente diventa la concezione dominante in tema di Disturbo Post-traumatico da Stress (PTSD). Il progresso delle conoscenze, però, sta portando sempre più in luce che nella comprensione dei disturbi post-traumatici sono necessari modelli molto più complessi e non lineari (Pennati, 1995, 2001; Pennati, Grecchi, 2001), valutativi di un insieme di condizioni cliniche molto più vasto ed articolato di quello previsto dal DSM-IV (Wilson, Friedman, Lindy, 2001), pienamente immersi nei molteplici e affatto secondari fattori di rischio: psicologici, genetici, neurologici, biochimici, interpersonali, sociologici (per una rassegna: Yehuda, 1999). Oltre a ciò, anche nei confronti del più studiato e prototipico dei disturbi post2 traumatici, ovvero il Disturbo Post-traumatico da Stress, vengono sempre più decisamente sollevate obiezioni concettuali che renderebbero quantomeno parzialmente discutibili le ricerche sull’efficacia delle psicoterapie nel loro trattamento. Infatti, sebbene la quasi totalità della ricerca si concentri sulla valutazione testistica dei sintomi di intrusione, evitamento ed iperattivazione, nondimeno sembra opportuno pensare che il PTSD sia costituito anche da alterazioni del sistema motivazionale dell’attaccamento, delle strategie interpersonali e della strutturazione del Sé (Wilson, Friedman, Lindy, 2001) (Tabella 1).

The steady increase of interest in the post-traumatic stress is leading not only to a constant and rapid advancement of knowledge in this field, but also to a continuous rediscovery of hypnotic psychotherapy and its refinement as a psychotherapeutic approach. The hypnotic psychotherapy, in fact, not only is the oldest of psychotherapy, but also the first to be able to successfully treat the sequelae of traumatic or highly stressful experiences and to give them a proper understanding of relevance within a transverse all of psychopathology. Despite the apparent existence of frequent traumatic experiences in people's lives, in all likelihood, however, only the social consequences of dramatic escalation continues (along with the feminist revolution of culture) have finally brought to light the presence of real experiences as involved in the development of states of suffering (Hacking, 1995). The rebirth of the "trauma model" by Pierre Janet has led to a rediscovery of the initial trauma according to a conception of them as experiences of discrete constrained, mainly relevant for their size objective, such a vision, in fact, be formalized by publication of third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association, 1980) and gradually became the dominant view in terms of Posttraumatic Stress Disorder (PTSD). The advancement of knowledge, however, is bringing more and more light in the understanding of post-traumatic stress models are needed much more complex and nonlinear (Penn, 1995, 2001; Pennati, Grecchi, 2001), evaluation of a set of conditions Clinical much more vast and that provided by the DSM-IV (Wilson, Friedman, Lindy, 2001), not fully immersed in multiple and secondary risk factors: psychological, genetic, neurological, biochemical, interpersonal, sociological (for a review: Yehuda, 1999). Moreover, even against the most studied and prototypical post2 traumatic disorder, or Posttraumatic Stress Disorder, are decidedly more conceptual objections that would make at least partially questionable research on the effectiveness of psychotherapy in their treatment. Although almost all of dissertation research focuses on evaluation of symptoms of intrusion, avoidance and hyperactivity, however, it seems appropriate to suggest that PTSD is also consist of changes in the motivational system of attachment, interpersonal strategies and structuring of the self ( Wilson, Friedman, Lindy, 2001) (Table 1).

Keywords: Attachment Posttraumatic Stress

Accuracy Verified: Yes

391. Mollon, P. (2001, Summer). Psychoanalytic perspectives on accelerated information processing (EMDR). British Journal of Psychotherapy, 17(4), 448-464.

Language: English

Format: Journal

Abstract:
Psychoanalysis and eye movement desensitization and reprocessing (EMDR) are, in manifest technique, utterly different. Nevertheless, both may draw upon universal and natural processes of healing the mind. EMDR appears to facilitate the processing of emotional experience and review of defensive strategies. It may do so by inducing favourable changes at a neurobiological level, involving interhemispheric communication. Comparisons may be made with Bion's analogy of the mind as a digestive organ. Although initially framed within a cognitive-behavioural paradigm, EMDR is now used by clinicians of a wide range of backgrounds, including psychoanalytic. The clinical phenomena revealed by EMDR may have some implications for certain models of the mind within contemporary psychoanalysis, particularly concerning the past unconscious and the present unconscious. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Accelerated Information Processing AIP: Emotional Experience Emotional Trauma Psychoanalysis Treatment

Accuracy Verified: Yes

392. Mollon, P. (2001, May). Psychoanalytical perspectives in EMDR (with clinical examples)". Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Psychoanalysis and EMDR are, in manifest technique, utterly different. Nevertheless, both may draw upon universal and natural processes of healing the mind. EMDR appears to facilitate the processing of emotional experience and review of defensive strategies. It may do so by inducing favourable changes at a neurobiological level, involving interhemispheric communication. Comparisons may be made with Bion's analogy of the mind as a digestive organ. Although initially framed within a cognitive behavioural paradigm, EMDR is now used by clinicians of a wide range of backgrounds, including psychoanalytic. The clinical phenomena revealed by EMDR may have some implications for certain models of the mind within contemporary psychoanalysis, particularly concerning the past unconscious and the present unconscious.

Keywords: Psychoanalytic

Accuracy Verified: Yes

393. Ross, C. (2010, Septembrer/October). Psychobiology of dissociation. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
The session will: explain four different meanings of the word “dissociation" and clarify which ones are relevant to the psychobiology of dissociation; review the structural model of dissociation and how it unifies the dissociative disorders and PTSD; and describe examples of dissociations between declarative and procedural memory from neurology and experimental cognitive psychology. Most of the session will focus on existing and future research on the biology of dissociation from a trauma perspective. Data on hippocampal volume reduction, the hypothalamic-pituitary-adrenal axis and other biological systems will be reviewed.

Keywords: Dissociation Plenary Psychobiology

Accuracy Verified: Yes

394. van der Kolk, B. A., Burbridge, J. A., & Suzuki, J. (1997, June). The psychobiology of traumatic memory: Clinical implications of neuro imaging studies. Annals of the New York Academy of Sciences, 821, 99-113. doi:10.1111/j.1749-6632.1997.tb48272.x .

Language: English

Format: Journal

Abstract:
Whereas most patients with PTSD construct a narrative of their trauma over time, it is a characteristic of PTSD that sensory elements of the trauma itself continue to intrude as flashbacks and nightmares, altered states of consciousness in which the trauma is relived, unintegrated with an overall sense of self. Because traumatic memories are so fragmented, it seems reasonable to postulate that extreme emotional arousal leads to failure of the central nervous system (CNS) to synthesize the sensations related to the trauma into an integrated whole. Earlier models for a biological substrate of these phenomena have become rapidly outdated with the availability of new information derived from neuroimaging studies of patients with PTSD. The emerging body of knowledge from these studies has stimulated a gradual shift in emphasis away from the neurochemicals involved in the organisms' response to overwhelming threat to a focus on the neuronal filters concerned in the interpretation of sensory information: the interactions between the various parts of the CNS that process and interpret the meaning of incoming information, such as the amygdala, hippocampus, corpus callosum, anterior cingulte, and prefrontal cortex. [Text, p. 99]
Review Article: 58 references. This volume of the Annals was published as "Psychobiology of posttraumatic stress disorder," edited by Rachel Yehuda and Alexander C. McFarlane (New York: New York Academy of Sciences, 1997; ISBN 1-57331-078-6). These papers are the result of a conference entitled "Psychobiology of Posttraumatic Stress Disorder" sponsored by the New York Academy of Sciences, New York, 1996 September 7-10.

Keywords: Brain Imaging Dissociative Amnesia Etiology Literature Review Neuroanatomy Neuroendocrinology Psychobiology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

395. Keane, T. M. (1998). Psychological and behavioral treatments of post-traumatic stress disorder. In P. E. Nathan, & J. M. Gorman (Eds.), A guide to treatments that work (pp. 398-407). New York: Oxford University Press.

Language: English

Format: Book Section

Abstract:
Several Type 1 and Type 2 random clinical trials (RCTs) have confirmed exposure therapy (including systematic desensitization, flooding, prolonged exposure, and implosive therapy) and, to a lesser extent, anxiety management techniques (using both cognitive and behavioral strategies) as the psychosocial treatments of choice for PTSD.Eye-movement desensitization and reprocessing (EMDR), a recently introduced approach to the treatment of PTSD, has shown some promise, although its research base to date, consisting largely of open clinical trials, is inadequte. [Author Abstract]

Keywords: Cognitive Therapy Epidemiology Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

396. Freeman, C. P. (2009, August). Psychological and drug therapies for posttraumatic stress disorder. Psychiatry, 8(8), 301-309. doi:10.1016/j.mppsy.2009.06.001.

Language: English

Format: Journal

Abstract:
Since the last edition of this review, there has been an impressive body of new evidence adding to our knowledge of psychological treatments. There have also been two new major reviews covering the complete range of available treatments: the second edition of the guidelines from the International Society for Traumatic Stress Studies (ISTSS) and the US Institute of Medicine's review. The National Institute for Clinical Excellence (NICE) guidelines were published before the last edition of this article, and there are currently no plans to revise them. However, the Australian guidelines build on the NICE guidelines, and provide the most comprehensive and user-friendly clinical guidance currently available. It is fascinating that such major and thorough reviews have arrived at different conclusions. The Institute of Medicine endorses trauma-focused cognitive behavioural therapy (TF-CBT) and prolonged exposure but not eye movement desensitization and reprocessing (EMDR) or drug treatment; NICE endorses TF-CBT and EMDR but not drugs; and the ISTSS guidelines, second edition, endorses drugs, EMDR, and TF-CBT. What is the bewildered therapist to do? Hopefully this review will clarify some of these issues. In truth, the discrepancy arises not because these learned and expert bodies have been perverse, negligent, or biased in their reviewing, but largely because they differ in what they have regarded as a clinically significant difference between two interventions as opposed to a statistical difference.

Keywords: BEP Brief Eclectic Psychotherapy Drug Therapies Drug Treatment Group Psychotherapy PE Prolonged Exposure Posttraumatic Stress Disorder Psychotherapy PTSD Trauma-Focused CBT Treatment

Accuracy Verified: Yes

397. Bonner, G., & McLaughlin, S. (2007). The psychological impact of aggression on nursing staff. British Journal of Nursing, 16(13), 810-814.

Language: English

Format: Journal

Abstract:
Aggression and violence towards nursing staff in UK health care is a growing problem. While the National Institute for Health and Clinical Excellence's (NICE, 2005a) guidelines 'The Short-Term Management of Disturbed/Violent Behaviour in In-Patient Psychiatric Setting and Emergency Department' offer a way forward in managing aggression for healthcare staff, the psychological impact of aggression remains an area of concern. Post-incident review has been identified as an approach to considering untoward incidents of aggression, yet post-incident support and interventions for staff experiencing the psychological effects of aggression remain inconsistent and curtailed in many areas. This article discusses the care of a nurse who experienced post-traumatic stress disorder as a result of aggression in the workplace. The process of assessment and treatment is presented with underpinning theories of trauma used to illuminate the discussion. Practical use of current recommended treatments of cognitive behavioural therapy and eye movement desensitization and reprocessing is offered as a method of addressing a growing problem in UK health care.

Keywords: Aggression Nursing

Accuracy Verified: Yes

398. Stallard, P. (2006, November). Psychological interventions for post-traumatic reactions in children and young people: A review of randomised controlled trials. Clinical Psychology Review, 26(7), 895-911. doi:10.1016/j.cpr.2005.09.005.

Language: English

Format: Journal

Abstract:
Children exposed to a wide range of traumatic events suffer significant post-traumatic reactions. Randomised controlled trials assessing the effectiveness of interventions with traumatised children are described, the limitations of the current literature base identified, and issues regarding the applicability of these findings and interventions to everyday clinical practice discussed. Methodological issues, variations in interventions, parental involvement, theoretical underpinning, and outcomes will be discussed and implications for future studies highlighted. [Author Abstract]

Keywords: Adolescents CBT Children Cognitive Behavior Therapy Cognitive Therapy Literature Review Methodology Parents Posttraumatic Reactions Posttraumatic Stress Disorder Preschool Age Children Psychotherapy PTSD Random Control Trials RCT School Age Children Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

399. Adshead, G. (2000). Psychological therapies for post-traumatic stress disorder. British Journal of Psychiatry, 177(2), 144-148. doi:10.1192/bjp.177.2.144.

Language: English

Format: Journal

Abstract:
Background After exposure to traumatic stressors, a subgroup of survivors (20-30%) will develop post-traumatic stress disorder (PTSD). Aims: Since the incidence and prevalence rates for PTSD in the community are significant, it is important that general practitioners and psychiatrists be familiar with possible therapeutic options. In this review we shall look at the published evidence about the effectiveness of psychological treatments for PTSD. Method: The psychopathological mechanisms involved in PTSD are discussed. Studies of the effectiveness of different psychological therapies are reviewed. Results: The review suggests that persistent fear or shame reactions are key aspects of PTSD. Evidence from systematic reviews suggests that psychotherapeutic treatments are effective in the therapy of reactions based on fear, and may increase the effectiveness of pharmacological therapy. There is less systematic evidence for the efficacy of interventions for symptoms based on shame. Conclusions: Although a proportion of patients with complex or chronic PTSD may require specialist interventions, most patients can be treated effectively by a general psychiatric service which can offer both pharmacological and psychological interventions (BJPsych).

Keywords: Fear Posttraumatic Stress Disorder PTSD Shame

Accuracy Verified: Yes

400. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.

Language: English

Format: Journal

Abstract:
Background: Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no systematic reviews of these therapies in children and adolescents. Objectives: To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD. Search methods: We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011. The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked reference lists of relevant studies and reviews. We applied no date or language restrictions. Selection criteria: All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in children or adolescents exposed to a traumatic event or diagnosed with PTSD. Data collection and analysis: Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or referral to the review team. We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95% confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated support service. The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative, supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological therapy. Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI -1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of completing psychological therapy compared to a control group. The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study, n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month: three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01), and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group compared to a control. No adverse effects were identified. No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias. Authors’ conclusions: There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less likely to respond to psychological therapies than others. The findings of this review are limited by the potential for methodological biases, and the small number and generally small size of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by subgroup or sensitivity analyses. More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

401. Bisson, J., & Andrew, M. (2007, 2009 ). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 3, Art. no. CD003388. doi:10.1002/14651858.CD003388.pub3.

Language: English

Format: Journal

Abstract:
This review concerns the efficacy of psychological treatment in the treatment of PTSD. There is evidence that individual trauma focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management and group TFCBT are effective in the treatment of PTSD. Other non-trauma focused psychological treatments did not reduce PTSD symptoms as significantly. There is some evidence that individual TFCBT and EMDR are superior to stress management in the treatment of PTSD at between 2 and 5 months following treatment, and also that TFCBT, EMDR and stress management are more effective than other therapies. There is insufficient evidence to show whether or not psychological treatment is harmful. Trauma focused cognitive behavioural therapy or eye movement desensitisation and reprocessing should be considered in individuals with PTSD. Psychological treatments can reduce symptoms of post traumatic stress disorder (PTSD). Trauma focused treatments are more effective than non-trauma focused treatments.

Keywords: Meta-analysis Review

Accuracy Verified: Yes

402. Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007, February). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis. British Journal of Psychiatry, 190(2), 97-104. doi:10.1192/bjp.bp.106.021402.

Language: English

Format: Journal

Abstract:
Background: The relative efficacy of different psychological treatments for chronic PTSD is unclear.AIMS: To determine the efficacy of specific psychological treatments for chronic PTSD. Method: In a systematic review of randomised controlled trials, eligible studies were assessed against methodological quality criteria and data were extracted and analysed. RESULTS: 38 randomised controlled trials were included in the meta-analysis. Trauma-focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management, and group cognitive-behavioural therapy improved PTSD symptoms more than waiting-list or usual care. There was inconclusive evidence regarding other therapies. There was no evidence of a difference in efficacy between TFCBT and EMDR but there was some evidence that TFCBT and EMDR were superior to stress management and other therapies, and that stress management was superior to other therapies. Conclusions: The first-line psychological treatment for PTSD should be trauma-focused (TFCBT or EMDR). [Author Abstract]

Keywords: Chronic Mental Illness Cognitive Behavior Therapy Cognitive Therapy Group Counseling Literature Review Meta Analysis Posttraumatic Stress Disorder PTSD Stress Management Systematic Review Trauma

Accuracy Verified: Yes

403. Livanou, M. (2001, August). Psychological treatments for post-traumatic stress disorder: An overview. International Review of Psychiatry, 13(3), 181-188. doi.org/10.1080/09540260120074046.

Language: English

Format: Journal

Abstract:
There is a growing research literature on the psychological treatment of PTSD. This paper provides an overview and an evaluation of this research. The focus is mainly on cognitive-behavioural interventions, as they are the most widely studied and they have a sound evidence base. Other forms of psychological therapy are also considered. Some general issues pertaining to treatment efficacy are also discussed. [Author Abstract]

Keywords: Cognitive Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Effectiveness

Accuracy Verified: Yes

404. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium conducted at the 21st International Society for Traumatic Stress Studies Conference, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.

Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological treatments for PTSD were identified. Trauma focused cognitive behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing (EMDR) showed clinically important benefits over waitlist/usual care on measures of PTSD. The evidence base for EMDR was not as strong as that for TFCBT, both in terms of the number of RCTs available and the certainty with which clinical benefit was established. There was limited evidence that TFCBT and EMDR were superior to supportive/non-directive treatments, hence it is highly unlikely that their effectiveness is due to non-specific factors such as attention. There was limited evidence for stress management and group CBT but other therapies (supportive/non-directive therapy, psychodynamic therapies and hypnotherapies) that focus on current or past aspects of the patient’s life other than the trauma or general support, did not show clinically important effects on PTSD symptoms. However, this may be due to the limited number of studies available and does not mean that these treatments were shown to be ineffective.

Keywords: Posttraumatic Stress Disorder PSTD Psychological Treatments Symposium

Accuracy Verified: Yes

405. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.

Language: English

Format: Journal

Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]

Keywords: Burns Comorbidity Epidemiology Literature Review Posttraumatic Stress Disorder Predisposition PTSD Survivors Treatment

Accuracy Verified: Yes

406. 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

407. Peñalba, V., McGuire, H., & Leite, J. R. (2009). Psychosocial interventions for prevention of psychological disorders in law enforcement officers. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005601. doi:10.1002/14651858.CD005601.pub2.

Language: English

Format: Other

Abstract:
Background: Psychosocial interventions are widely used for the prevention of psychological disorders in law enforcement officers. Objectives: To assess the effectiveness and comparative effectiveness of psychosocial interventions for the prevention of psychological disorders in law enforcement officers. Search strategy: CCDANCTR-References was searched on 12/5/2008, electronic databases were searched, reference lists of review articles and included studies were checked, a specialist journal was handsearched, specialist books were checked and we contacted experts and trialists. Selection criteria: Randomised and quasi randomised controlled trials were eligible. The types of participants were people employed directly in law enforcement, including police officers and military police, regardless of gender, age and country of origin, and whether or not they had experienced some psychological trauma. All types of psychosocial intervention were eligible. The relevant outcome measures were psychological symptoms, adverse events and acceptability of interventions. Data collection and analysis: Datawas entered intoReviewManager 4.2 for analysis, but this reviewwas converted toRevMan 5.0 for publication.Quality assessments were performed. Two authors independently selected studies, extracted data and assessed the quality of studies. Summary effects were to be calculated using RevMan but no meta-analyses were possible. For individual studies, dichotomous outcome data are presented using relative risk, and continuous outcome data are presented using the weighted mean difference. These results are given with their 95% confidence intervals (CI). Main results: Psychosocial interventions for prevention of psychological disorders in law enforcement officers (Review) 1 Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. Ten studies were included in the review but only five reported data that could be used. Three of the ten studies were related to exercisebased psychological interventions. Seven were related to psychological interventions. No meta-analyses were possible due to diversity of participants, interventions and outcomes. Two studies compared a psychosocial intervention versus another intervention. Three studies compared a psychosocial intervention to a control group. Only one primary prevention trial reported data for the primary outcomes and, although this study found a significant difference in depression in favour of the intervention at endpoint, this difference was no longer evident at 18 months. No studies of primary prevention comparing different interventions and reporting primary outcomes of interest were identified. The methodological quality of the included studies was summarised. No study met our full quality criteria and one was regarded as low-quality. The remainder could not be rated because of incomplete data in the published reports and inadequate responses from the trialists. Authors’ conclusions: There is evidence only from individual small and low quality trials with minimal data suggesting that police officers benefit from psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems, cynicism, anger, PTSD, marital problems and distress. No data on adverse effects were available. Meta-analyses of the available data were not possible. Further well-designed trials of psychosocial interventions are required. Research is needed on organization-based interventions to enhance psychological health among police officers.

Keywords: Law Enforcement, Officers Review

Accuracy Verified: Yes

408. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123.

Language: English

Format: Journal

Abstract:
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]

Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

409. Solomon, S. D. (1997, Winter). Psychosocial treatment of posttraumatic stress disorder. In Session: Psychotherapy in Practice, 3(4), 27-41. doi:10.1002/(SICI)1520-6572.

Language: English

Format: Journal

Abstract:
A review of the psychosocial treatment research literature indicates that several forms of therapy appear to be useful in reducing the symptoms of PTSD. Strongest support is found for the treatments that combine cognitive and behavioral techniques. Hypnosis, psychodynamic, anxiety management, and group therapies may also produce short-term symptom reduction. Still unknown is whether any approach produces lasting effects. Imaginal exposure to trauma memories and hypnosis are techniques most likely to affect the intrusive symptoms of PTSD, whereas cognitive and psychodynamic approaches may better address the numbing and avoidance symptoms cluster. Treatment should be tailored to the severity and type of presenting PTSD symptoms, to the type of trauma experience, and to the many likely comorbid diagnoses and adjustment problems. [Author Abstract]

Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors

Accuracy Verified: Yes

410. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51.

Language: English

Format: Journal

Abstract:
This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

411. Solomon, S., & Johnson, D. (2002, August). Psychosocial treatment of posttraumatic stress disorder: A practice-friendly review of outcome research. Journal of Clinical Psychology, 58(8), 947-959. doi:10.1002/jclp.10069.

Language: English

Format: Journal

Abstract:
Examines the use of combined cognitive and behavioral techniques in the treatment of posttraumatic stress disorder (PTSD). Factors considered in the treatment of PTSD; Consideration of psychosocial treatments; Characterization of trauma.(Wiley)

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

412. Rothbaum, B. (2001). Psychosocial treatments for posttraumatic stress disorder. The Economics of Neuroscience: Ten, 3(10), 59-63.

Language: English

Format: Journal

Abstract:
Impressive advances in treating posttraumatic stress disorder (PTSD) have been made in the past 15 years especially with respect to pharmacotherapy and cognitive-behavioral therapy (CBT). This review offers a summary of literature on psychosocial interventions for PTSD. It begins with a brief review of traditional therapies for PTSD and then examines the larger literture on the efficacy of CBTs for PTSD.

Keywords: Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

413. Lieberman, P., Hofmann, A., & Flatten, G. (2003, December). Psychotherapeutic treatment of traumatic stress with the EMDR (eye movement desensitization and reprocessing method). MMW: Fortschritte der Medizin, 145(49), 39-41.

Language: English

Format: Journal

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a method, developed at the end of the nineteen-eighties, for the treatment of the post-traumatic stress disorder (PTSD). The patient is asked to concentrate on certain aspect of the traumatic memory while keeping his eyes fixed on the movements of the therapist's finger. Apparently, this triggers information processing that results in appreciable relief for the patient. The method has proven to be equally as effective as behavioral-therapeutic techniques, and, has in the meantime, been included in national and international guidelines for the treatment of PTSD. The indications for EMDR treatment include not only PTSD, but, increasingly, also other, sometimes more severely chronic, it trauma sequelae. Within the framework of basic care, EMDR must be embedded within a treatment plan and should, where applicable, be combined with other methods.

Keywords: Review

Accuracy Verified: Yes

414. Institut national de la santé et de la recherche médicale (INSERM). (2004). Psychothérapie, trois approches évaluées [Psychotherapy: An evaluation of three approaches]. INSERM. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4007323.

Language: English

Format: Publication

Abstract:
This document presents a review of the work of the expert group convened by Inserm through the collective expert evaluation procedure to answer the questions raised by the General Directorate of Health (Direction générale de la santé, DGS) on the evaluation of psychotherapies. It is based on the scientific information available as at the last six months of 2003. The documental base for this expert evaluation consisted of approximately 1,000 articles and documents.
The Inserm collective expert evaluation centre co-ordinated this collective work with the Department for facilitation and scientific partnership (Département animation et partenariat scientifique, Daps) to instruct the dossier and with the documentation service of the department for scientific information and communication (Département de l’information scientifique et de la communication, Disc) for the literature search.

Keywords: Review

Accuracy Verified: Yes

415. Mevissen, L., & de Jongh, A. (2010). PTSD and its treatment in people with intellectual disabilities: A review of the literature. Clinical Psychological Review, 30(3), 308-316. doi:10.1016/j.cpr.2009.12.005.

Language: English

Format: Journal

Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to suffer from Post-Traumatic Stress Disorder (PTSD), reviews of the evidence base, and the potential consequences of this contention are absent. The purpose of this article is to present a comprehensive account of the literature on prevalence, assessment, and treatment of PTSD in people with ID. Some support was found for the notion that people with ID have a predisposition to the development of PTSD. Differences in comparison with the general population may consist of the expression of symptoms, and the interpretation of distressing experiences, as the manifestation of possible PTSD seems to vary with the level of ID. Since reliable and valid instruments for assessing PTSD in this population are completely lacking, there are no prevalence data on PTSD among people with ID. Nine articles involve treatment of PTSD in people with ID. Interventions reported involve those aimed to establish environmental change, the use of medication and psychological treatments (i.e., cognitive behavioral therapy, EMDR and psychodynamic based treatments). Case reports suggest positive treatment effects for various treatment methods. Development of diagnostic instruments for assessment of PTSD symptomatology in this population is required, as it could facilitate further research on its prevalence and treatment. Copyright © 2010 Elsevier Ltd. All rights reserved.

Keywords: Assessment Intellectual disability (ID) Learning Disabilities Mental retardation (MR) Post-Traumatic Stress Disorder (PTSD) Prevalence Psychological trauma Trauma treatment

Accuracy Verified: Yes

416. Cahill, S. P., & Foa, E. B. (2007, March 1). PTSD: Treatment efficacy and future directions. Psychiatric Times, 24(3), 32.

Language: English

Format: Magazine

Abstract:
In this article, we provide a summary of research on the efficacy of treatments for PTSD and suggest directions for future work. Although numerous psychological therapies have been suggested and used in patients with PTSD, most efficacy research using gold standard randomized controlled treatment methodology2 has focused on various cognitive-behavioral therapy (CBT) programs. Accordingly, our review will also focus on CBT.

Keywords: Posttraumatic Stress Disorder PSTD Treatment Efficacy

Accuracy Verified: Yes

417. Cuvelier, M. (2001, July/August). The pursuit of pseudoscience. Psychology Today, 34(4), 24-25.

Language: English

Format: Magazine

Abstract: F
ocuses on the efforts of Jeffrey Lohr of the Science and Pseudoscience Review Special Interest Group of the Association for Advancement of Behavior Therapy to help clinical scientists identify bogus therapies in the United States. Details on the Eye Movement Desensitization and Reprocessing; Findings of Scott Lilenfeld on Rebirthing Theory. (Academic Search Premiere)

Keywords: Pseudoscience

Accuracy Verified: Yes

418. 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

419. Vickerman, K. A., & Margolin, G. (2009, July). Rape treatment outcome research: Empirical findings and state of the literature. Clinical Psychology Review, 29(5), 431-448. doi:10.1016/j.cpr.2009.04.004.

Language: English

Format: Journal

Abstract:
This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. 32 articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, 3 focused on the acute period post-assault, 2 included women with chronic and acute symptoms, and 3 were secondary prevention programs. The majority of studies focus on PTSD, depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the 4 studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery. [Author Abstract]

Keywords: Adults Cognitive Therapy Drug Therapy Epidemiology Exposure Therapy Females Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Rape Survivors Treatment Treatment Effectiveness

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Neglect Trauma

Accuracy Verified: Yes

421. Smyth, N., Maxfield, L., & Rogers, S. (2003, September). Recent research evaluating the role of eye movements in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Findings of component studies are summarized, with a review of studies which reported that EMs reduced memory vividness and emotiveness. The results of three recent studies are presented. 1) A study evaluated the effects of EMs on the components of memory to test working memory explanations of EMDR; 2) a study using participants with dental phobia determined if memories of disturbing dental events,and related dental anxiety, were influenced by EMs; 3) A large-N comparison with combat veterans, compared EMDR and a non-eye-movement analog to evaluate the effect of EMs on treatment outcome, process and changes in trauma narratives.

Keywords: Eye Movements Research

Accuracy Verified: Yes

422. Stern, L. L., & Grey, E. (2010, September/October). A recipe for health: Combining expressive arts with EMDR in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Eating-disordered clients begin treatment with a series of unique and specific behavioral symptoms such as binge eating, bingeing and purging, starving themselves, or overexercising, that impede progress when using purely verbal therapies. The research team has found that the combination of expressive arts techniques and EMDR treatment can be highly effective in overcoming these impediments. This poster will briefly review basic knowledge and practice concerning the major eating disorders and their etiologies. We will then describe our therapeutic process that combines expressive arts with EMDR. This process includes (1) preparation of the client for EMDR treatment through the use of expressive arts techniques done in between sessions at home, (2) the use of client drawing and writing as targets when they appear to be a useful tool, (3) the use of a mirror exercise with BLS as a resourcing tool to address, desensitize and help the client reformulate body image distortion and body hatred, and (4) the reiniorcement of gains from reprocessing through the use of expressive techniques throughout treatment. This poster describes these additions to and modifications of the EMDR protocol with expressive arts techniques, as well as the results of a pilot experiment that compares outcomes for clients treated with expressive arts approaches, with and without EMDR.

Keywords: Eating Disorders Expressive Arts Poster

Accuracy Verified: Yes

423. Young, W. C. & Young, L. J. (1997). Recognition and special treatment issues in patients reporting childhood sadistic ritual abuse; Appendix A: Informed consent regarding the treatment of traumatic and dissociative disorders. In G. A. Fraser (Ed.), The Dilemma of Ritual Abuse: Cautions and Guides for Therapists (Clinical Practice, No. 41) (1st ed.) (pp. 65-93, 95-100). Washington, DC: American Psychiatric Press.

Language: English

Format: Book Section

Abstract:
The purpose of this chapter is to review reports of the Sadistic Ritual Abuse (SRA) phenomenon, to discuss credibility of the accounts, and to describe current issues in its treatment, including preparation for treatment, general treatment issues, management of cultic or satanic alters, pharmacological treatment, and controversy over historical accuracy. Controversial trends in the etiology and treatment of SRA cases are also discussed. It should be kept in mind that the controversy surrounding SRA continues to heighten. Actual clinical interpretations may be considerably different if scientific data should support patients' accounts or, from an opposing viewpoint, if a socially contagious, media-influenced syndrome is shown to run its course among dissociative, suggestible individuals. [Text, p. 68]

Keywords: Adults Child Abuse Dissociative Amnesia Dissociative Identity Disorder Drug Therapy Etiology False Memory Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Ritual Abuse Survivors Treatment Effectiveness

Accuracy Verified: Yes

424. Beere, D., Simon, M., & Welch, K. (2000, January-April). Recommendations and illustrations for combining hypnosis and EMDR in the treatment of psychological trauma. American Journal of Clinical Hypnosis, 43(3-4), 217-231. doi:10.1080/00029157.2001.10404278.

Language: English

Format: Journal

Abstract:
Three experienced therapists, trained in hypnosis and EMDR, distilled some tentative hypotheses about the use of hypnosis in EMDR from fifteen cases, two presented here. When a therapist uses hypnosis with EMDR, it seems that the client is having difficulty or the therapist anticipates that the client will have difficulty managing the experiences processed with EMDR. Hypnosis initiated either during the introduction to EMDR or within a therapy session prior to the initiation of EMDR seems to have served two functions. The first function is to activate inner work that prepares the client to use EMDR successfully, and the second function is to facilitate overtly the processing of the traumatic experience. Clients might have two kinds of difficulties in managing affect or distress: (1) they may have a long-standing, irrational and strongly held belief that interferes with managing affect or distress, and (2) they may never have developed the capacity to tolerate intense affect, distress or pain. Should a therapist use hypnosis during the closing down phase of a session without preparing the client with hypnosis during the introduction to EMDR, the therapist should seriously reconsider the pace and focus of EMDR and the client's resources to manage affect and distress. [Author Abstract]

Keywords: Hypnotherapy Treatment Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Review Treatment Effectiveness

Accuracy Verified: Yes

425. Caroppo, E., Muscelli, C., Brogna, P., Paci, M., Camerino, C., & Bria, P. (2009). Relating with migrants: ethnopsychiatry and psychotherapy]. Annali dell'Istituto Superiore di Sanita, 45(3), 331-340.

Language: English

Format: Magazine

Abstract:
Dopo avere dato dei cenni storici di antropologia culturale, psichiatria transculturale ed etnopsichiatria si passa ad esaminare la letteratura che descrive gli interventi nel campo della salute mentale effettuati con i migranti. Nella prima parte si prendono in considerazione dei suggerimenti tecnici quando si ha a che fare con pazienti arabi musulmani e si analizzano questioni come differenza genere, individualismo/collettività, stigma, religione. Nella seconda parte si descrivono altre questioni: mediazione culturale, migrazione e intervento rispetto alla famiglia, Disturbo Post Traumatico da Stress per finire ad analizzare il caso in cui ad essere straniero è il terapeuta. Nella conclusione si riflette sull’importanza di tenere in considerazione, oltre alla variabile cultura, anche la peculiarità di ogni singolo paziente e l’universalità della sofferenza umana.

After an historical review of cultural anthropology, transcultural psychiatry and ethno psychiatry, we will examine the literature on intervention with migrants within mental health system. In the first part, we will consider the therapeutic relationship with Arab-Muslim patients and look at specific issues such as gender differences, individualism, sociality, stigma, religion. The second part will be focused on cultural mediation, migration and family intervention and post-traumatic stress disorder and, finally, the experience of being a foreign therapist. Conclusions will discuss the importance of culture, individuality and universality of human suffering, when treating a foreign patient.

Keywords: Cultural Competence Ethnopsychiatry Ethnopsychology Health and Culture Migration Psychotherapy

Accuracy Verified: Yes

426. Mosquera, D., Gonzalez, A., & Seijo, N. (2010, April). Relational problems in severely traumatized patients. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
A practical workshop focused on frequent clinical situations in therapy. Its main goal is help the participants to identify relational patterns based on reciprocal role procedures, in order to be able to overcome therapist-patient difficulties. A brief therapeutic exposure about different theoretical sources will be presented: Cognitive-Analytic Therapy, Adaptive Information Processing Model and EMDR, Theory of Structural Dissociation of the Personality, Attachment Theories, psychodynamic transference-countertransference conceptualizations, and therapies focused on relational issues (systemic family therapy, psychodramatic group therapy, etc) Vignettes of frequent reciprocal role procedures in therapeutic relationship with severely traumatized people will be presented, explained the different kinds of presentation. The linking of these vignettes with the traumatic history will be developed. Short video-cases will illustrate these situations and some interventions to overcome them. Modified EMDR interventions will be described and showed.
Learning Outcomes Therapeutic relationship problems are main issues in severely traumatized people. Different authors coming from different theoretical orientations have presented thoughtful approaches to these situations and how to overcome them. In this workshop we will review many of these contributions, but we will base our theoretical development on the concept of reciprocal role procedures from the Cognitive Analytic Therapy (Ryle). From this concept we will summarize frequent relationship problems in therapy, how we conceptualize them from the Adaptive Information Processing model from EMDR and how we work on these issues using EMDR methodology. An additional learning outcome of this workshop is that the participants will review their own experience with their patients through a specific evaluation, and will have the opportunity to share their experiences.

Keywords: Relationship Issues Trauma

Accuracy Verified: Yes

427. Maxfield, L., & Hyer, L. (2002, January). The relationship between efficacy and methodology in studies investigating EMDR treatment of PTSD. Journal of Clinical Psychology, 58(1), 23-41. doi:10.1002/jclp.1127.

Language: English

Format: Journal

Abstract:
The controlled treatment outcome studies that examined the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of PTSD have yielded a range of results, with the efficacy of EMDR varying across studies. The current study sought to determine if differences in outcome were related to methodological differences. The research was reviewed to identify methodological strengths, weaknesses, and empirical findings. The relationships between effect size and methodology ratings were examined, using the Gold Standard (GS) Scale (adapted from Foa and Meadows). Results indicated a significant relationship between scores on the GS Scale and effect size, with more rigorous studies according to the GS Scale reporting larger effect sizes. There was also a significant correlation between effect size and treatment fidelity. Additional methodological components not detected by the GS Scale were identified, and suggestions were made for a Revised GS Scale. We conclude by noting that methodological rigor removes noise and thereby decreases error measurement, allowing for the more accurate detection of true treatment effects in EMDR studies (Pilots).

Keywords: Literature Review Meta Analysis Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

428. McNally, R. J. (1999, Winter). Research on eye movement desensitization and reprocessing (EMDR) as a treatment for PTSD. PTSD Research Quarterly, 10(1), 1-3.

Language: English

Format: Newsletter

Abstract:
This article reviews literature on the use of Eye Movement Desensitization and Reprocessing (EMDR) as a Treatment for posttraumatic stress disorder (PTSD). The review looks at some of the historical data as well as clinical. Please see the full text PDF for more.

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

429. Silver, S. M., & Fulcher, G. (1995, June). Researching EMDR: The state of the art so far. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This interactive presentation is for clinicians interested in conducting research into EMDR. Basic design of treatment outcome studies N of I research, and other issues wiill be examined. A brief review of research already conducted on EMDR to llustrate strengths and weaknesses will be provided. Time will be provided for panel members to respond to questions for participants and discussion on researching EMDR methodology and protocols with new problem areas will be encouraged.

Keywords: Research

Accuracy Verified: Yes

430. Leeds, A. M. (2009). Resources in EMDR and other trauma-focused psychotherapy: A review. Journal of EMDR Practice and Research, 3(3), 152-160. doi:10.1891/1933-3196.3.3.152.

Language: English

Format: Journal

Abstract:
The present review examines how resources have been used in trauma-focused psychotherapy with an emphasis on their use in eye movement desensitization and reprocessing (EMDR). Current practices of EMDR-trained clinicians are presented in a historical context and considering a range of contemporary approaches to ego strengthening. This article describes the use of resources as presented in the EMDR literature along with research findings. The review concludes with a call for controlled research on widely used resource-focused procedures and practice guidelines for their use in clinical applications of EMDR.

Keywords: Ego Strengthening RDI Resources Resource Development and Installation Review

Accuracy Verified: Yes

431. Hassard, A. (1996, October). Reverse learning and the physiological basis of eye movement desensitization. Medical Hypotheses, 47(4), 277-282.

Language: English

Format: Journal

Abstract:
Eye movement desensitization is a new and effective procedure for PTSD that requires explanation. Reverse learning is a model developed in artificial neural networks as a theoretical explanation of rapid-eye-movement sleep. It demonstrates that an overloaded node within a network can be consolidated with a series of non-specific activations. Rapid-eye-movement sleep is suspected to have a memory consolidation function. Ponto-geniculo-occipital spikes, which occur in rapid-eye-movement sleep, are a candidate for such activations in the real brain. In cats, the phasic functions of rapid-eye-movement sleep are driven by ponto-geniculo-occipital spikes, which are non-specific, at highest amplitude in the visual system but present in other parts of the cortex. Such spikes can be evoked by sensory events such as eye movements. There is evidence of similar events in the human brain. Induced eye movements could generate ponto-geniculo-occipital equivalent spikes and eye movement desensitization/reprocessing could be explained as a focused and artificial exploitation of the rapid-eye-movement sleep mechanism. This theory of eye movement desensitization/reprocessing enables some explanation of current results and may be relevant to other problems, such as stereotyped behaviour. [Author Abstract]

Keywords: Neurophysiology Posttraumatic Stress Disorder PTSD Review Sleep Behavior

Accuracy Verified: Yes

432. Dietrich, A. N., Baranowsky, A. B., Devich-Navarro, M., Gentry, J. E., Harris, C. J., & Figley, C. R. (2000, December). A review of alternative approaches to the treatment of past traumatic sequelae. Traumatology, 6(4), Article 1, 251-271.

Language: English

Format: Journal

Abstract:
Approaches to the treatment of posttraumatic sequelae are reviewed in terms of criteria for evaluating inferential validity with case studies, and where applicable, effect sizes are provided where there are data from group comparisons. The approaches covered in this paper include the Trauma Recovery Institute (TRI) Method, Traumatic Incident Reduction (TIR), Visual/Kinesthetic Disassociation (V/KD), and Thought Field Therapy (TFT). Internal validity of case studies on the TRI Method and V/KD appear controlled for, whereas reports on TFT do not meet internal validity criteria. Effect sizes are reported on one study that compared TIR to waitlist control and Direct Therapeutic Exposure (DTE), suggesting that TIR is superior to waitlist control, and shows more modest gains over DTE. The available evidence suggests TIR, the TRI Method, and V/KD are effective treatments for posttraumatic sequelae.

Keywords: Alternative Treatments Case Study Evaluation Mechanism of change Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

433. Greyber, L., Dulmus, C. N., & Cristalli, M. E. (2009, October). A review of EMDR intervention studies with children. Poster presented at Society for Psychotherapy Research European Conference, Bolanzo, Italy.

Language: English

Format: Conference

Abstract:
Dating back to 1987, Eye Movement Desensitization Reprocessing (EMDR) is a comprehensive treatment approach theoretically founded in cognitive, behavior, experiential, hypnotic, systems, and psychodynamic therapies. Although the use of EMDR with adults has received much attention throughout the past two decades, research is lacking in the area of randomized controlled trials testing the efficacy and effectiveness of EMDR with children. This presentation reviews all EMDR randomized controlled trial studies conducted with children from 1998 to 2008 and summarizes outcomes, methodological approaches and limitations, as well as recommendations for future research. Research indicates that EMDR may be a promising treatment for children experiencing PTSD symptoms, or other residual traumatic effects from distressing occurrences. Although promising, research warrants more RCTs with a higher level of methodological rigor in order to test the effectiveness and efficacy of EMDR with children. The clinical utility of EMDR implemented with children is questionable until further research ensures that the benefits to children greatly outweigh risks.

Keywords: Children Poster

Accuracy Verified: Yes

434. MacCluskie, K. (1998, April). A review of eye movement desensitization and reprocessing (EMDR): Research findings and implications for counselors. Canadian Journal of Counseling, 32(2), 116-137.

Language: English

Format: Journal

Abstract:
The last 6 years have seen the emergence of a new therapeutic technique, most often used to treat symptoms of PTSD, called Eye Movement Desensitization and Reprocessing (EMDR). A number of uncontrolled case studies followed the initial studies of EMDR alleging remarkable successes in the treatment of PTSD. More recently, controlled studies examining the efficacy of this strategy have appeared, most often in the behavioural literature. Considerable variability exists in the findings of the controlled studies, making definitive conclusions difficult to achieve. This article examines the strengths and weaknesses of the published studies, illuminates the nature of the debate about efficacy of EMDR, and reviews implications for practicing counsellors and counsellor trainees. [Author Abstract]

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

435. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT), Traumatic Incident Reduction (TIR), and Visual/Kinesthetic Dissociation (V/KD) are relatively new approaches in the treatment of trauma-related disorders. These approaches have come under intense scientific and professional scrutiny and criticism, with proponents and critics offering diverse and intriguing arguments in support of their respective points of view. This discussion will focus on the current empirical and anecdotal evidence on the efficacy of these five approaches, as well as various criticisms that have been proferred in response to the empirical and clinical literature on treatment efficacy and theory. EMDR will be highlighted, given the growing empirical database on EMDR outcome studies and the contention surrounding the treatment and its’ theory. The evidence for and/or against the other four approaches will also be presented, upon which we will raise for discussion issues relating to methodological rigour, scientific reporting of clinical data, and the interpretation of efficacy studies in general. The discussion will occur within the context of philosophical discourse on the ideal of integration of science and practice, and the feasibility of attaining this ideal within the current scientific Zeitgeist. INTERVENTION RESEARCH, CLINICAL CASE STUDY Sandringham Skills-Based Treatment of Dissociation: A Case Study 238 Chair: ELHAI, Jon D., Nova Southeastern University Discussant: GOLD, Stephen A clinical case study of skills-based treatment of a 48-year-old, female survivor of child sexual abuse (CSA) reporting severe dissociative symptomatology is presented. Chief complaints were daily amnestic episodes, depersonalization, panic attacks, agoraphobia, and consequent long-term unemployment. In contrast to most approaches to therapy for dissociative syndromes, it is argued that treatment does not need to be primarily trauma-focused. Instead treatment focused on targeting dissociation and anxiety by teaching skills to be implemented by the client outside of session. Functional behavioral analysis of particular recent incidents of dissociation were conducted over several sessions. Imagery-based relaxation and progressive muscle relaxation were used and monitored to help the client learn additional methods of reducing distress. Grounding techniques were implemented to counter the dissociative tendency to lose experiential awareness of the here and now. Cognitive interventions were utilized to challenge the erroneous notions reported about dissociative experiences, such as the panic she experienced when her dissociation had been revealed to others. Last, in vivo systematic desensitization was used with a fear hierarchy, ranging from the least to most fearful stimuli that precipitate dissociation, where graduated exposure was followed by relaxation. At termination the client reported elimination of panic attacks, resumption of driving, and marked reduction in frequency and duration of amnestic periods, with substantial additional gains and progress in finding full-time employment reported at 8 month follow-up. Treatment outcome is assessed based on psychological test data obtained at intake, discharge, and 8 month follow-up, as well as client anecdotal report.

Keywords: Neoteric Trauma Treatments Practice Guidelines

Accuracy Verified: Yes

436. Maxfield, L. (2007, May). Review of new EMDR research findings. Keynote presented at the bi-annual meeting of the EMDR Association of Canada, Toronto.

Language: English

Format: Conference

Keywords: Keynote Research

Accuracy Verified: Yes

437. Maxfield, L., Greenwald, R., de Roos, C., Satin, M., Azubuike, A., Borgen, R., Rubin, A., Noorthoorn, E., & de Jongh, A. (2004, September). A review of PTSD treatment studies with children. In L. Maxfield (Chair), New data on EMDR for children. Symposium conducted at the annual meeting of EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This symposium features reports on two randomized controlled studies. The first study is of EMDR (as part of a multi-component treatment) compared to standard care only for 300 incarcerated teens in several New York state facilities. The second study is of EMDR compared to CBT for 57 children and adolescents who were traumatized by exposure to the Enchedde (Netherlands) fireworks disaster.

Keywords: Children Research Symposium

Accuracy Verified: Yes

438. Maxfield, L. (2003, November). A review of recent EMDR research. Plenary presented at the bi-annual meeting of the EMDR Association of Canada, Toronto.

Language: English

Format: Conference

Keywords: Research

Accuracy Verified: Yes

439. Acierno, R. E., Hersen, M., van Hesselt, V. B., Tremont, G., & Meuser, K. T. (1994). Review of the validation and dissemination of eye-movement desensitization and reprocessing: A scientific and ethical dilemma. Clinical Psychology Review, 14(4), 287-299. doi:10.1016/0272-7358(94)90026-4.

Language: English

Format: Journal

Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a technique that combines imaginal exposure with eye movement, recently has been proposed by its originator, F. Shapiro, as a prescriptive treatment for trauma-related anxiety. To date, several uncontrolled case studies have found EMDR to be effective. However, none employed objective or standardized dependent measures of therapeutic improvement and all combined EMDR with other interventions. In contrast to results obtained from case studies, controlled experiments utilizing objective and standardized dependent measures have failed to support the efficacy of the technique beyond that of its imaginal exposure component. Unfortunately, these experiments employed small samples with a limited range of disorders, indicating the need for further evaluation. However, unbiased replication is impeded by Shapiro's practice of prohibiting individuals not associated with her EMDR Institute from training others in the technique. We articulate our concern that despite its lack of empirical validation clinical application of the technique by behavior therapists is rapidly increasing. [Author Abstract]

Keywords: Commentary Literature Review Treatment Effectiveness

Accuracy Verified: Yes

440. Bisson, J. L. (2007, November). Review: Eye movement desensitisation and reprocessing reduces PTSD symptoms compared with fluoxetine at six months post-treatment. Evidence-based Mental Health, 10(4), 118. doi:10.1136/ebmh.10.4.118.

Language: English

Format: Journal

Abstract:
Is eye movement desensitisation and reprocessing more effective than fluoxetine in people with post-traumatic stress disorder? van der Kolk BA, Spinazzola J, Blaustein ME, et al. A randomized clinical trial of eye movement desensitization and reprocessing (EMDR), fluoxetine, and pill placebo in the treatment of posttraumatic stress disorder: treatment effects and long-term maintenance. J Clin Psychiatry 2007; 68:37–46.

Keywords: Fluoxetine Desensitization Mental Illness Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

441. Sweet, A. (1991, August). Review: Chemtob, C., Roitblat, H. L., Hamada, R. S., Carbon, J. G., Twentyman, C. T. (1988) A cognitive action theory of post traumatic stress disorder. Journal of Anxiety Disorders (2, 253-275). EMDR Network Newsletter, 1(1), 3.

Language: English

Format: Newsletter

Abstract:
The authors of this paper attempt to integrate the existing models of PTSD from associative learning theory, psychodynamic theory, and information processing models of the brain. In the integration they elaborate on a "hierarchical network view of cognition" and specifically detail how it might account for PTSD symptoms.

Keywords: Cognitive Action Theory Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

442. Sweet, A. A. (1991, December). Review: Wilson, Jonathan. (1990) The meaning of dreams Scientific American, 11, 86-96.. EMDR Network Newsletter, 1(2), 8.

Language: English

Format: Newsletter

Abstract:
After a brief overview of the history of dreams and their supposed origins, he sets forth his theory that dreaming is a pivotal aspect in the processing of memory, specifically memory that may have survival value for the organism. Using his research on subprimate animals, Dr. Winson believes that he has isolated a brain wave (theta) that is the electrochemical marker for the processing of survival information in the brain. He further reports that in these lower organisms, the only other time this brain wave is present (other thaii in foraging, escaping, sexual behavior, predating, etc.) is during REM sleep.

Keywords: Dreams Rapid Eye Movement REM

Accuracy Verified: Yes

443. Zirlinger, S. (2008). Revisión histórica del trauma temprano [Historical review of early trauma]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 29-40). Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Abstract:
No abstract available.

Keywords: History Trauma

Accuracy Verified: Yes

444. Shapiro, F. (1998, July). Riding the wave. Keynote presented at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) review the controlled studies completed on EMDR; 2) explore the ramifications of the information processing model; and 3) review the clinical validity factors that need to be incorporated in future research.

Keywords: Clinical Validity Factors Controlled Studies Information Processing Model Future Research Keynote

Accuracy Verified: Yes

445. Lilienfeld, S. O., & Landfield, K. (2008, October). Science and pseudoscience in law enforcement: A user-friendly primer. Criminal Justice and Behavior, 35(10), 1215-1230. doi:10.1177/0093854808321526.

Language: English

Format: Journal

Abstract:
Pseudoscience and questionable science are largely neglected problems in police and other law enforcement work. In this primer, the authors delineate the key differences between science and pseudoscience, presenting 10 probabilistic indicators or warning signs, such as lack of falsifiability, absence of safeguards against confirmation bias, and lack of self-correction, that can help consumers of the police literature to distinguish scientific from pseudoscientific claims. Each of these warning signs is illustrated with an example from law enforcement. By attending to the differences between scientific and pseudoscientific assertions, police officers and other law enforcement officials can minimize their risk of errors and make better real-world decisions.

Keywords: Confirmation Bias Falsifiability Law Enforcement Peer Review Police Pseudoscience

Accuracy Verified: Yes

446. Herbert, J. D., Lilienfeld, S. O., Lohr, J. M., Montgomery, R. W., O'Donohue, W. T., Rosen, G. M., & Tolin, D. F. (2000, November). Science and pseudoscience in the development of eye movement desensitization and reprocessing: Implications for clinical psychology. Clinical Psychology Review, 20(8), 945-971. doi:10.1016/S0272-7358(99)00017-3.

Language: English

Format: Journal

Abstract:
The enormous popularity recently achieved by Eye Movement Desensitization and Reprocessing (EMDR) as a treatment for anxiety disorders appears to have greatly outstripped the evidence for its efficacy from controlled research studies. The disparity raises disturbing questions concerning EMDR's aggressive commercial promotion and its rapid acceptance among practitioners. In this article, we: (1) summarize the evidence concerning EMDR's efficacy; (2) describe the dissemination and promotion of EMDR; (3) delineate the features of pseudoscience and explicate their relevance to EMDR; (4) describe the pseudoscientific marketing practices used to promote EMDR; (5) analyze factors contributing to the acceptance of EMDR by professional psychologists; and (6) discuss practical considerations for professional psychologists regarding the adoption of EMDR into professional practice. We argue that EMDR provides an excellent vehicle for illustrating the differences between scientific and pseudoscientific therapeutic techniques. Such distinctions are of critical importance for clinical psychologists who intend to base their practice on the best available research.

Keywords: Commentary Review Scientific Research Treatment Effectiveness

Accuracy Verified: Yes

447. Sorensen, S. (2007). Seelische selbstheilungskraft ganzheitliche EMDR - Selbsttherapie und individuierende selbstanalyse [Mental self healing power: Holistic EMDR self therapy and individual self-analysis]. Norderstedt Books on Demand GmbH.

Language: German

Format: Book

Abstract:
Erfahrungsbericht einer Selbsttherapie an Leib und Seele, Biografie und Sachbuch. Sofia Sörensen hat sich während ihres turbulenten Lebens selbst sachkundig gemacht und mutig unter multidimensionaler Psychotherapie mit EMDR, Verhaltenstherapie, Psychoanalyse und anderem selbständig erfolgreich behandelt. In der Wagneroper Die Meistersinger von Nürnberg fragt Walther von Stolzing: "Wie fang' ich nach der Regel an?" Und Hans Sachs antwortet ihm: "Ihr stellt sie selbst und folgt ihr dann." Der eigene Leitsatz von Sofia Sörensen lautet: "Irren kann ich mich auch selbst. Dafür benötige ich keinen Therapeuten mehr."Erfahrungsbericht einer Selbsttherapie an Leib und Seele, Biografie und Sachbuch. Sofia Sörensen hat sich während ihres turbulenten Lebens selbst sachkundig gemacht und mutig unter multidimensionaler Psychotherapie mit EMDR, Verhaltenstherapie, Psychoanalyse und anderem selbständig erfolgreich behandelt. In der Wagneroper Die Meistersinger von Nürnberg fragt Walther von Stolzing: "Wie fang' ich nach der Regel an?" Und Hans Sachs antwortet ihm: "Ihr stellt sie selbst und folgt ihr dann." Der eigene Leitsatz von Sofia Sörensen lautet: "Irren kann ich mich auch selbst. Dafür benötige ich keinen Therapeuten mehr."

Review of self-therapy, body and soul, biography and nonfiction. Sofia Sorensen has made during her turbulent life itself competently and courageously with under multidimensional EMDR psychotherapy, behavior therapy, psychoanalysis and other self-treated successfully. In Wagner's opera Die Meistersinger von Nürnberg Walther von Stolzing asks: "How could I begin to the rule?" And Hans Sachs replied: "You will own it and then follows her." The own motto of Sofia Sorensen is: "To err may I also own this I do not need a therapist anymore." Review of self-therapy, body and soul, biography and nonfiction. Sofia Sorensen has made during her turbulent life itself competently and courageously with under multidimensional EMDR psychotherapy, behavior therapy, psychoanalysis and other self-treated successfully. In Wagner's opera Die Meistersinger von Nürnberg Walther von Stolzing asks: "How could I begin to the rule?" And Hans Sachs replied: "You will own it and then follows her." The own motto of Sofia Sorensen is: "To err may I also own this I do not need a therapist anymore."

Keywords: General Overview

Accuracy Verified: No

448. Leeds, A. M. (1992, Winter). Selection criteria for negative and positive cognitions in EMDR. EMDR Network Newsletter, 2(3), 12-15.

Language: English

Format: Newsletter

Abstract:
Before we proceed with EMDR processing, we select a Negative Cognition (NC and a more desirable Positive Cognition (PC) that we will install after we have desensitized the client’s presenting material. Clinical observations indicate that appropriate selection of the NC and PC is often crucial to the success of EMDR processing. It is not possible to specify all of the factors that need to be considered in selecting the NC and PC for all clinical situations. The focus here will be on common problems encountered by trained EMDR clinicians. I will review several board principles for four selection criteria that the reader might find helpful when eliciting the NC and PC.

Keywords: Negative Cognition Positive Cognition Selection Criteria

Accuracy Verified: Yes

449. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.

Language: English

Format: Journal

Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden within the context of medical care. The aims of this review are to determine which specific health disorders have been associated with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse. Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that might be efficacious in treating the physical health problems associated with sexual abuse history.

Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma

Accuracy Verified: Yes

450. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.

Language: English

Format: Journal

Abstract:
Sexual assault occurs with alarming frequency in Canada. The prevalence of Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national prevalence of the disorder, which is a strong indication that the current therapies for sexualassault- related PTSD are in need of improvement. Increasing knowledge and understanding of the pathologies associated with rape trauma in biological, psychological and sociological domains will help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic- Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms. Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted by the survivor. Psychological health is compromised following interpersonal trauma and many psychological therapies are available, but with varying efficacy. A person's cognitions have a dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological impacts of assault influence the development of PTSD through victim-blaming attitudes and the perpetuation of rape myths. Perceived positive regard and early social support is shown to be important to successful recovery. Education is vital in rape prevention and to foster a supportive environment for survivors. The biological, psychological and sociological impacts and treatments should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate the physical and emotional pain following the trauma of rape.

Keywords: Pharmacotherapy Posttraumatic Stress Disorder PTSD Rape Sexual Assault Trauma

Accuracy Verified: Yes

451. Posmontier, R., Dovydaitis, T., & Lipman, K. (2010, August). Sexual violence: Psychiatric healing with eye movement reprocessing and desensitization. Health Care for Women International, 31(8), 755-768 .

Language: English

Format: Journal

Abstract:
Sexual violence, which affects one in three women worldwide, can result in significant psychiatric morbidity and suicide. Eye movement desensitization and reprocessing (EMDR) offers health care providers the option of a brief psychiatric intervention that can result in psychiatric healing in as few as four sessions. Because health care providers often hear stories of sexual violence from their patients, they are in an ideal position to make recommendations for treatment. The purpose of this article is to introduce health care providers to the technique of EMDR, review safety and appropriateness, and discuss clinical and research implications.[Author abstract]

Keywords: Sexual Violence

Accuracy Verified: Yes

452. Silver, S. (2008, September). Shades of gray, Part I: Ethical issues for EMDR therapists. Prersentation at the annual meeting of EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
As practitioners of a specialized treatment method, EMDR therapists face unique challenges in seeking to practice ethically. This workshop will explore the ethical principles and scenarios that are especially uniquely relevant to an EMDR practitioner; discuss the meaning of ethical practice for EMDR clinicians; and explore how to apply these principles within participants clinical work. While participants will be asked to work within their own discipline’s ethical standards, the workshop will use the ethical code of the American Psychological Association as its reference point (because this is what EMDRIA utilizes when there is no ethical code that applies to a particular practitioner.)Practitioners who are governed by an ethical code (e.g. nurses, social workers, marriage and family therapists) should review their own ethical codes prior to coming to the workshop.

Keywords: Ethics

Accuracy Verified: Yes

453. Silver, S. (2008, September). Shades of gray, Part II: Ethical issues for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR Consultants face the challenging task of providing consultation to EMDR therapists so they can help those therapists understand the nature of ethical EMDR practice and then apply those principals within their practice. In addition, practicing EMDR consultation ethically carries its own challenges. This workshop will: explore the ethical principals that are especially uniquely relevant to EMDR consultation; discuss the meaning of ethical consultation for EMDR consultants; and describe strategies for facilitating ethical practice among their consultees. While participants will be asked to work within their own discipline’s ethical standards, the workshop will use the ethical code of the American Psychological Association as its reference point (because this is what EMDRIA utilizes when there is no ethical code that applies to a particular practitioner). Practitioners who are governed by an ethical code (e.g. nurses, social workers, marriage and family therapists) should review their own ethical codes prior to coming to the workshop.

Keywords: Ethics

Accuracy Verified: Yes

454. Weirauch-Schmachtenberg, P. (2010, July). Solving a destructive mother-child relationship after a birth trauma: A case study. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
How can we process a long lasting, chronic symptomatic and dysfunctional communication structure? I would like to invite you to take part in a healing and touching process. This presentation uses a case study with a 9 year old boy and his mother. It illustrates how trauma therapeutic approaches and techniques could be powerful tools to process traumatic events, in this case a birth trauma. Systematic ideas for improving effectiveness of therapy are discussed. One focus is how to write a certain “Trauma Story” for children and parents / foster parents and its application.

Keywords: Case Study Birth Trauma Mother-Child Relationship

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Countertransference Transference

Accuracy Verified: Yes

456. Kinowski, K. (2002, June). A somatosensory anchoring of confidence using EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This workshop will present a treatment protocol that is specifically aimed at finding and strengthening a somatosensory basis for confidence to help clients deal with recurrent difficulties. Short sets of slow eye movements are used. Participants will see video illustrations of different sections of the protocol and review in session outcomes with follow-up report by clients that suggest a generalization towards increased resilience. Participants will also learn the conjectured theoretical underpinnings of the protocol in terms of neurophysiological processes and relationship attachment issues. This treatment protocol does not replace the standard EMDR protocol but may be used as an adjunct or as a stand alone therapy for mild to moderate range GAF problems.

Keywords: Confidence Somatosenory Anchoring

Accuracy Verified: Yes

457. Maxfield, L., Lake, K., & Hyer, L. A. (2004). Some answers to unanswered questions about the empirical support for EMDR in the treatment of PTSD. Traumatology, 10(2), 73-89. doi:10.1177/153476560401000202.

Language: English

Format: Journal

Abstract:
A recent review [by Rubin] summarized research studies investigating EMDR treatment of PTSD. Rubin identified populations in which there has been insufficient research to determine what treatments, if any, are effective, and he articulated questions about EMDR's efficacy with these groups. He also addressed the problem of potential reviewer bias. Unfortunately his own review of the literature contained numerous errors and failed to consider the context of the larger research field. The purpose of the current article is to provide a more balanced perspective and to clarify confusion that may have been raised by Rubin's article. We provide some answers to the unanswered questions about the efficacy of EMDR treatment for PTSD with child, multiply traumatized civilian, and combat-veteran populations. We also address the methodological questions raised by Rubin (Pilots).

Keywords: Methodology Populations Posttraumatic Stress Disorder Professional Criticism PTSD Research Treatment Effectiveness

Accuracy Verified: Yes

458. Liggan, D. Y., & Kay, J. (1999, Spring). Some neurobiological aspects of psychotherapy: A review. Journal of Psychotherapy Practice and Research, 8(2), 103-114.

Language: English

Format: Journal

Abstract:
Ever since the idea was accepted that memory is associated with alterations in synaptic strength, studies on the cellular and molecular mechanisms responsible for the plastic changes in neurons have attracted wide interest in the scientific community. This article explores the process of memory consolidation leading to persistent modifications in synaptic plasticity as a mechanism by which psychotherapy facilitates changes in the permanent storage of information acquired throughout the individual's life. The psychobiological interrelationships of affect, attachment, and memory offer a perspective regarding the etiology and treatment of clinical disturbances of affect. Analogies between brain physiology and modes of psychotherapy provide the foundation for a review of psychiatric disorders involving the inability to control fear, obsessions, compulsions, and delusions, all of which respond to psychotherapeutic interventions.

Keywords: Brain Physiology Compulsions Delusions Fear Modes of Psychotherapy Obsessions

Accuracy Verified: Yes

459. Arnold, L. (1995). Some nontraditional (unconventional and/or innovative) psychosocial treatment for children and adolescents: Critique and proposed screening principles. Journal of Abnormal Child Psychology, 23(1), 125-140. doi:10.1007/BF01447048 .

Language: English

Format: Journal

Abstract:
Five examples of nontraditional psychosocial treatments used for children/adolescents are reviewed: eye movement desensitization and reprocessing, electroencephalographic (EEG) biofeedback, deep pressure/touch therapies, stress-challenge treatments, and confrontational scare treatments. The generic recommendations from the September 1992 National Institutes of Health Conference on Unconventional Medical Treatments are summarized. Additional screening principles specific for psychosocial treatments are proposed and applied to the five treatments. The screens do not validate treatment efficacy or evaluate the quality of any previous research, but only facilitate decisions as to whether treatments deserve controlled investigation. Scientific evaluation of the nontraditional treatments reviewed could in general benefit from blinds (at least for assessment); control conditions matched for intensity, frequency, and duration (double blind where feasible); dose-response studies; testing of generalization and endurance supplements or boosters for quick, cheap treatments with time- or domain-limited effects; and comparing cost-effectiveness with established treatments. Two unscientific pitfalls must be avoided: embracing new treatments uncritically and rejecting them without fair examination. These pitfalls must be skirted without dissipating scarce research resources. [Author Abstract]

Keywords: Adolescents Adventure Therapy Aversion Therapy Biofeedback Training Body Psychotherapy Children Literature Review Research Needs Treatment Effectiveness

Accuracy Verified: Yes

460. Lohr, J., DeMaio, C., & McGlynn, F. (2003, July). Specific and nonspecific treatment factors in the experimental analysis of behavioral treatment efficacy. Behavior Modification, 27(3), 322-368. doi:10.1177/0145445503027003005.

Language: English

Format: Journal

Abstract:
Interest in the empirical demonstration of the clinical efficacy of psychosocial treatments has been rekindled by societal concerns over accountability and cost-effectiveness in the delivery of mental health services. Behavior therapy has had a long history of experimental research on treatment efficacy and enjoys a visible presence in contemporary mental health practice. The demonstration of behavioral treatment efficacy, however, requires experimental evidence that shows the efficacy of prescriptive structured procedures beyond nonspecific factors in delivery of such procedures. The authors provide an analysis of the nature of nonspecific treatment factors and nonspecific effects and suggest experimental procedures testing the incremental validity of specific treatments. They examine two widely promoted, prescriptive structured treatments to analyze the specificity of their clinical efficacy: eye movement desensitization and reprocessing for anxiety disorders and cognitive-behavioral treatment of generalized anxiety disorder. They conclude that the treatments show different levels of efficacy and different degrees of specificity.

Keywords: Behavior Therapy Efficacy Literature Review Methodology Specific Factors Treatment Effectiveness

Accuracy Verified: Yes

461. Greenwald, R. (2002, September). Spreading the wealth: More and better EMDR training. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net/ on 12/27/2008.

Language: English

Format: Other

Abstract:
Models of EMDR training have proliferated, and demand for training is outpacing availability in many locations. Those of us listed as credentialed trainers regularly receive requests for training in other areas. The purpose of this paper is to briefly review the current status of EMDR training, and to make specific suggestions intended to further improve both quality and availability of EMDR training offerings.

Keywords: Training

Accuracy Verified: Yes

462. Kitchur, M. (2005). The strategic developmental model for EMDR. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 8-56). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
The strategic developmental model (SDM) for EMDR originated in Canada in 1996. It is a model that was born out of desperation in the face of the overwhelming treatment needs of severe- and multiple trauma victims, forensic clients, and short-term funded high-risk individuals. It is an efficient and comprehensive method for maximally delivering the benefits of EMDR to high-needs clients before their therapy might be prematurely interrupted by the realities of funding or of a multiproblem life. Such a method, I felt, would need to effectively facilitate rapid engagement and address or circumvent the fear, hostility, anxiety, and resistance that so often undermine or sabotage therapy with high-need and high-risk populations. Clinical experience also suggested the importance of having some systematic manner of assessing and treating the often multiple fundamental underlying causes of pathology and symptomatology in order to assist these high-risk and high-need clients to break the cycles and patterns that likely would repeat in their lives. I hypothesized that any process or strategies that might facilitate healing in these ways could also be anticipated to optimize therapeutic outcome for high-functioning clients and diverse client populations. [Text, p. 8] [Pilots]

Keywords: Patient History Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

463. Shapiro, F. (1997, January). Stray thoughts. EMDRIA Newsletter, 2(3), 17-19.

Language: English

Format: Newsletter

Abstract:
There is an obvious need for dispassionate reviews of all methods of psychotherapy. Unfortunately, misinformation often has colored the atmosphere surrounding the appraisal of EMDR. I will use part of this column to try and give a summation of a number of errors, and the actual historical facts.

Keywords: Research Review

Accuracy Verified: Yes

464. Shapiro, F. (1994). Stray thoughts. EMDR Network Newsletter, 4(1), 1-4.

Language: English

Format: Newsletter

Abstract:
I thought it might be interesting to review some of the prevalent theories regarding the effectiveness of EMDR.

Keywords: Procedural Elements Eye Movements

Accuracy Verified: Yes

465. Shapiro, F. (1994). Stray thoughts: The eight phases of EMDR treatment. EMDR Network Newsletter, 4(2), 1-4.

Language: English

Format: Newsletter

Abstract:
EMDR consists of eight essential phases and should always be used within a comprehensive treatment plan. It is never to be attempted without appropriate preparation and the opportunity for reevaluation. The following is a quick review of the crucial phases for EMDR treatment.

Keywords: Eight Phases

Accuracy Verified: Yes

466. Patterson, G. T., & Chung, I. ([2010]). Stress management training and development programs for police officers and recruits. Oslo, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/10/2012.

Language: English

Format: Other

Abstract:
Background and objective of this review (briefly describe the problem and the intervention): A body of knowledge exists that identifies sources of police stress, categories of stress, and the strategies officers and recruits use to cope with stress. It is generally agreed upon that stressful work and life events can have a negative impact on police officers and recruits that can be quite pervasive. Consequently, law enforcement organizations provide a wide variety of interventions to help officers manage stress. The most common intervention is training to help officers recognize the warning signs of stress, and to use individual coping strategies. However, little is known about the efficacy of the wide range of interventions given to police officers and recruits. The objectives of this systematic review are to: assess how stress management and officer development programs are evaluated; examine conceptual differences in interventions; explain variations in interventions; build the connection between the body of knowledge that describes sources and types of police and recruit stress, and interventions; discover reasons for conflicting training effects; and synthesize what is known and not known about the impact of different study designs, research methods, interventions, and data analysis procedures on outcomes.

Keywords: Policemen Recruits Stress Management

Accuracy Verified: Yes

467. Foreningen EMDR Sverige. (2009). Synpunkter akutstressyndrom och PTSD [EMDR Sweden Association comments acute stress syndrome and PTSD]. In Foreningen EMDR Sverige, Inkomna synpunkter, Nationella riktlinjer för depressionssjukdom och ångestsyndrom preliminär, (pp. 163-164). Denmark: Riksforeningen Psykoterapi Centrum.

Language: Swedish

Format: Newsletter

Abstract:
Föreningen EMDR Sverige vill lämna följande kommentarer till utkastet till riktlinjer avseende behandling av akut stressyndrom och posttraumatiskt stressyndrom. International Society for Traumatic Stress studies gör regelbundet sammanställningar av evidensläget [1]. Det är viktigt att beakta att psykologiska behandlingsformer i form av traumafokuserad KBT och EMDR är de viktigaste och mest effektiva behandlingar. EMDR har varit kontroversiell men är det inte längre, utan är en internationellt accepterad behandlingsmetod för PTSD. Det är fortfarande inte allmänt accepterad att ögonrörelser har betydelse, men nyligen har svensk och australisk forskning visat att ögonrörelser under EMDR har tydliga fysiologiska effekter som är meningsfulla [2, 9], dessutom har alla studier av fysiologi vid EMDR hittills samstämmande visat dessa effekter, enligt en litteratursammanställning [3]. Under senaste åren har forskning om minnesfunktion och sakkadiska ögonrörelser visat att minnessystem som till exempel episodminne (som ofta är störd vid PTSD) påverkas på ett gynnsamt sätt av ögonrörelser [4-8]. Således finns det i dag mycket som stödjer att ögonrörelser är meningsfulla även om det kan vara svårt att förstå vid första anblicken. EMDR och exponeringsbehandling är lika effektiva enligt metastudier, bland annat Cochrane och i ISTSS aktuella genomgång av effektiva behandlingsmetoder för PTSD. Referenser 1. Foa E, Keane TM, Friedman MJ & Cohen JA. 2009. Effective Treatments for PTSD Practice Guidelines from the International Society fro Traumatic Stress Studies. Guilford,New York. 2. Elofsson, U.O., et al., Physiological correlates of eye movement desensitization and reprocessing. Journal of anxiety disorders, 2008. 22(4): p. 622-34. 3. Söndergaard, E., Psychophysiological studies of EMDR. Journal of EMDR Practice and Research, 2008. 2(4): p. 282-288. 4. Stickgold, R., EMDR: A putative neurobiological mechanism of action. Journal of Clinical Psychology, 2002. 58(1): p. 61-75. 5. Parker, A. and N. Dagnall, Effects of bilateral eye movements on gist based false recognition in the DRM paradigm. Brain and cognition, 2007. 63(3): p. 221-5. 6. Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements on the retrieval of item, associative, and contextual information. Neuropsychology, 2008. 22(1): p. 136-45.

EMDR Association of Sweden makes the following comments to Draft Guidelines for the treatment of acute stress disorder and post-traumatic stress disorder. International Society for Traumatic Stress Studies makes regular summaries of evidence-mode [1]. It is important to note that psychological treatments in the form of trauma-focused CBT and EMDR is the most important and most effective treatments. EMDR has been controversial but it is no longer, but is an internationally accepted method of treatment for PTSD. There is still no generally accepted that eye movements are important, but lately, Swedish and Australian research has shown that eye movements during EMDR has clear physiological effects that are meaningful [2, 9], Moreover, all studies of physiology at the convergence of EMDR to date shown these effects, according to a literature review [3]. In recent years, research on memory function and Sakka wash eye movements showed that memory systems, such as episodic memory (which is often is disturbed in PTSD) is affected in a favorable way of eye movements [4-8]. Thus today there are a lot of support that eye movements are meaningful although it may be difficult to understand at first glance. EMDR and exposure therapy are as effective as meta-studies, including Cochrane and in ISTSS current review of effective treatments for PTSD. References 1st Foa E, Keane TM, Friedman MJ & Cohen JA. 2009th Effective Treatments for PTSD Practice Guidelines from the International Society fro Traumatic Stress Studies. Guilford, New York. 2nd Elofsson, UO, et al., Physiological correlator of eye movement desensitization and Reprocessing. Journal of Anxiety Disorders, 2008. 22 (4): p. 622-34. 3rd Sondergaard, E., Psychophysiological studies of EMDR. Journal of EMDR Practice and Research, 2008. 2 (4): p. 282-288. 4th Gold Stick, R., EMDR: A putative neuro Biological mechanism of action. Journal of Clinical Psychology, 2002. 58 (1): p. 61-75. 5th Parker, A. and N. Dagnall, Effects of bilateral eye movements on GIST-based false recognition in the DRM paradigm. Brain and Cognition, 2007th 63 (3): p. 221-5. 6th Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements On the retrieval of item, associative, and contextual information. Neuro-Psychology, 2008. 22 (1): p. 136-45.

Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

468. 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

469. Carbonell, J. L., & Figley, C. R. (2005). A systematic clinical demonstration of promising PTSD treatment approaches. In V. R. Volkman (Ed.), Traumatic incident reduction: Research and results (pp. 75-94). Ann Arbor, Michigan: Loving Healing Press.

Language: English

Format: Book Section

Abstract:
Traumatic Incident Reduction, Visual-Kinesthetic Dissociation, Eye Movement Desensitization and Reprocessing, and Thought Field Therapy were investigated through a systematic clinical demonstration (SCD) methodology. This methodology guides the examination, but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Author Abstract]

Keywords: Neurolinguistic Programming NLP: Posttraumatic Stress Disorder PTSD Survivors Stressors TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

470. Hertlein, K. M., & Ricci, R. J. (2004, July). A systematic research synthesis of EMDR studies: Implementation of the platinum standard. Trauma, Violence, and Abuse, 5(3), 285-300. doi:10.1177/1524838004264340..

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a psychological treatment method used primarily for people who have experienced trauma. This article provides a systematic research synthesis of EMDR studies targeting trauma symptomatology published between 1997 and 2003. This synthesis builds on the Revised Gold Standard (RGS) as a guide to evaluate empirical EMDR studies. Modifications and additions to the RGS criteria are proposed. The resulting standard is referred to as the Platinum Standard (PS). 16 EMDR studies are reviewed and critiqued using the PS criteria. None of the studies reviewed met full PS criteria. The mean score for the studies on the PS was 8.28, with 9 of the studies exceeding the mean. The review calls for researchers to employ more rigorous research designs for EMDR effectiveness using PS criteria. Implications for practice, policy, and research are discussed. [Author Abstract]

Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Review Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

471. Mendes, D. D., Mello, M. F., Ventura, P., Passarela, Cde. M., Mari, J. de J. (2008). A systematic review on the effectiveness of cognitive behavioral therapy for posttraumatic stress disorder. International Journal of Psychiatry Medicine, 38(3), 241-259. doi:10.2190/PM.38.3.b.

Language: English

Format: Journal

Abstract:
Objective: Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic review on the efficacy of CBT in comparison with studies that used other psychotherapy techniques. Method: Databases were searched using the following terms: posttraumatic stress disorder/stress disorder, treatment/psychotherapy/behavior cognitive therapy, randomized trials, and adults. Randomized clinical trials published between 1980 and 2005 and that compared CBT with other treatments for PTSD was included. The main outcomes were remission, clinical improvement, dropout rates and changes in symptoms. Results: The 23 clinical trials included in the review comprised 1,923 patients: 898 in the treatment group and 1,025 in the control group. CBT had better remission rates than EMDR (RR = 0.35; 95%CI: 0.16; 0.79; p = 0.01) or supportive therapies (RR = 0.43; 95%CI: 0.25; 0.74; p = 0.002, completer analysis). CBT was comparable to Exposure Therapy (ET) (RR = 0.90; 95%CI: 0.58; 1.40; p = 0.64), and cognitive therapy (CT) (RR = 1.01; 95%CI: 0.67; 1.51; p = 0.98) in terms of efficacy and compliance. Conclusions: These findings suggest that specific therapies, such as CBT, exposure therapy and cognitive therapy are equally effective, and more effective than supportive techniques in the treatment of PTSD.

Keywords: CBT Cognitive Behavioral Therapy Comparative Study Posttraumatic Stress Disorder PTSD Systematic Review

Accuracy Verified: Yes

472. Beswick, K. (2008, June). Theory and practice at the interface of EMDR and systemic psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
Theory - EMDR can be seen as working on one level of the human system - the neurobiological level. However the human brain is formed and is constantly changed by it’s interactions with others. The neurobiology of relationships is an expanding field and I will be arguing that EMDR and systemic theory have much to offer each other at this juncture. I will be putting forward my ideas about the scope for creative thinking and practice at the interface of these paradigms. By utilizing the client’s relationships and seeing them as a resource in the EMDR, EMDR practitioners can facilitate change at that wider level. In order to make the presentation accessible to those who are not particularly familiar with current systemic theory, I will briefly outline some of the main systemic principles currently in use. Practice - I will illustrate my theoretical points with examples from my EMDR practice where I have: 1) included more than one family member in the room at the same time; 2) where parallel work has been done with the family and the individual; and 3) where I have incorporated significant systemic thinking into my work with an individual. These examples will demonstrate skills in applying EMDR within a broad systemic frame. They will illustrate how EMDR can enhance relationships, and conversely, how systemic thinking can enhance the application of EMDR.

Keywords: Practice Systematic Psychotherapy Theory

Accuracy Verified: Yes

473. 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

474. Spierings, J. (2010, July). The three tests: A systemic approach to stabilization. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
“The Three Tests” A systematic approach to stabilization: Working with severely traumatized clients, we are confronted with many difficult questions, impossible choices and dilemmas: is the client ready for (EMDR-)trauma work, or is more stabilization needed? How do we assess the bearing strength and affect regulation level of the client? What if the client is too unstable because of the trauma symptoms? How can we enhance safety and control without working on the trauma? And if affect tolerance is too small to do EMDR, what can we do? In this presentation you learn to assess the client’s readiness for EMDR in a systematic way, combined with a treatment plan to work on the skills and resources the client needs to develop. The presentation gives many, many practical ideas for interventions and exercises to help the client develop bearing strength and grow towards trauma confrontation. Of course there will be lots of illustrating case stories.

Keywords: Stabilization

Accuracy Verified: Yes

475. Fernandez, B. R. (2010, December). Through the eyes of a child: A symbolic, narrative journey through complex childhood trauma. Pacifica Graduate Institute, Carpinteria, CA . 1490015.

Language: English

Format: Dissertation/Thesis

Abstract:
This research examines how symbolic expression in the form of written autobiographical stories, dream images, and original art can heal the survivor of complex childhood trauma. Chronic neglect, witnessing and/or experiencing physical and sexual abuse, systematic humiliation, or other terrorizing experiences can lead to psychic fragmentation, disruptions in memory, and other adaptations that can cause lifelong suffering and functional impairment. These trauma sequelae concern psychotherapists and other professionals who treat survivors. Included is a discussion of attachment theory, brain development, memory, and other psychological experiences endured by childhood trauma survivors. Presented is the author's artistic, phenomenological, and hermeneutic engagement with healing such trauma through depth psychology, psychotherapy, and symbolic artistic representations including memoir. There is a focus on the importance of rebuilding self through the piecing together of coherent autobiographical narrative. It includes coverage of stages of recovery and various treatment approaches including EMDR, art therapy, and Jungian dreamwork.

Keywords: Art Autobiographical Stories Dream Images Narration Symbolic Expression

Accuracy Verified: Yes

476. Drexler, K. (2005). Transgenerational weitergegebene traumata und EMDR - Liebe kolleginnen, liebe kollegen, haben sie den film "Die Flucht" gesehen? [Kolleginnen forwarded transgenerational traumas and EMDR - Dear colleagues, dear, they have seen the movie "The Flight"?]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Begleitschreiben diskutiert die Rezension des Films "Die Flucht" ["The Flight"] Über Trauma des Holocausts transgenerationalen Überlebenden und Opfern von EMDR behandelt.

Cover letter discusses the review of the film "The Flight" about transgenerational trauma of Holocausts survivors and victims treated by EMDR.

Keywords: Holocaust Survivors Nazis Survivors Trans-generational Trauma

Accuracy Verified: Yes

477. Punamaki, R.L., & Peltonen, K. (2008). Trauma among children and adolescents: Treatments and interventions. European Trauma Bulletin, 15(2), 3-13.

Language: English

Format: Newsletter

Abstract:

Keywords: Adolescents Children

Accuracy Verified: Yes

478. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
The mainstream treatments for Post Traumatic Stress Disorder (PTSD) are Cognitive Behavioral and Prolonged Exposure Therapies (CBT & PE). These closely studied evidence based treatments also show high relapse, dropout, and failure rates of up to half of those treated (Bryant, R., et al., 2008, p. 555). While not as well researched and harder to measure in terms of the gold standard in Evidence Based Practice of Psychology (EBPP), studies of “alternative” treatments and their methods, yield different and interesting evidence. Using the standards espoused by EBPP alongside alternative movements, this study examined modalities used in veterans’ treatment. A guiding question was “What can the field of trauma studies learn from a systematic and comparative review of the research and treatment of combat veterans suffering the sequelae of trauma?” Included in this integrative literature review—which generates a critique and theoretical synthesis of a body of literature (Torraco, R., 2005, p. 356)—were peer-reviewed studies from 2006-2010. The participating studies consisted largely of Veterans Administration (VA)-funded, CBT/PE treatments, with an average of over 32 patients per participating study, of approximately 13 weeks duration, and where 20% of patients avoided treatment, 25% dropped out, and 30% failed treatment altogether. Concept matrix analysis of data included distillation of essential statements further reflecting poor tolerability, dropout, failure, and an inability to maintain symptom reductions (75% of studies). Authors tended to overstate positive effects while omitting adequate examination of study design and construct validity, leading to dearth bias, defined as scarcity of evidence hiding behind citations. From this integrative review of the literature a reconceptualization and agenda for future research emerged. The reconceptualization stems from the usefulness of hybridized efficacy and effectiveness research, self-reflection and bracketing, and more accounting for dearth bias. The future agenda recommends practitioners use concept matrices as iv research and practice tools, conduct more common factors research, and develop more clinical practice-based evidence. Especially as related to knowledge evaluation, increased accountability, and system-wide change, these recommendations can assist the spread of more diverse and useful EBPP, to help relieve some of the pain of the traumatized combat veteran.

Keywords: Combat Veterans Literature Review

Accuracy Verified: Yes

479. Ricci, R. J., & Clayton, C. A. (2008). Trauma resolution treatment as an adjunct to standard treatment for child molesters: A qualitative study. Journal of EMDR Practice and Research, 2(1), 41-50. doi:10.1891/1933-3196.2.1.41.

Language: English

Format: Journal

Abstract:
A literature review of current treatment models for child molesters and contemporary theories of etiology suggests a gap between theory and practice. Despite emerging recognition of the importance of addressing etiological issues in sexual offender treatment, many programs resist addressing the trauma sequelae of childhood sexual abuse (CSA) in those sex offenders where it is present. Adding trauma treatment to standard sexual offender treatment was identified as a means to closing some of that gap. 10 child molesters with reported histories of CSA were treated with eye movement desensitization and reprocessing. Subsequent to adding this trauma resolution component, there was improvement on all six subscales of the Sex Offender Treatment Rating Scale as well as decreased idiosyncratic deviant arousal as measured by the penile plethysmograph. The current study reviews qualitative data collected during treatment and at posttreatment interviews. [Author Abstract]

Keywords: Abuse Propensity Adults Child Abuse Child Molester Clinical Trial Cognitive Therapy European Americans Males Qualitative Perpetrators Rape Sex Offenders Survivors