Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

Choose any combination of the search options below. If you do not wish to include an option in your search, leave the box blank, or select "Any."

Year:
Format:
Language:
Title of Article or Chapter:
Title of Book or Journal:
Author's Last Name:
Keywords:

Your Results - you searched for the keyword Targeting Sequence 145 Results

1. 김 [Kim, D.] (2009). 직장 스트레스로 악화된 뚜렛 장애의 EMDR： 단일 증례 연구 [A single case study of eye movement desensitization and reprocessing (EMDR) with tourette’s disorder aggravated by stress at work]. Mental Health Research, 28, 14-20.

Language: Korean

Format: Journal

Abstract:
뚜렛 장애(Tourette’s disorder)는 다발성 운동 틱과 한 개 이상의 음성 틱이 1년 이상 나타나며 틱이 없는 기간이 3개월 이하일 때 진단된다.1) 이 장애는 만성적인 경과를 밟 으며, 많은 환자들이 성인기에 접어 들면 증상이 호전되지만 더 심해지는 경우도 있어 그 개인차가 크다.2) 또한 틱증상이 악화되었다가 호전되는 패턴이 삽화처럼 존재하기 때문에 약 물치료의 시작하는 시점이나 그 효과 판별에 주의를 요한다. 예를 들어, 악화기엔 어떠한 약물도 그 효과가 적기 때문에 이 시점에서 유용성을 판단하기 어렵다.3) 뚜렛 장애의 치료는 약물치료가 1차 선택 치료이지만 많 은 환자들이 원치 않는 부작용 때문에 약물복용을 거절하거 나 중단한다. 또한 일부는 약물의 효과가 없으며, 있다고 해 도 그 효과는 제한적이다.4) 한 연구에 의하면 평균적인 약물 반응은 틱 증상의 50% 전도 감소라고 한다.5) 따라서 약물 치료와 병용할 수 있는 효과적인 정신치료의 필요성이 요구 되고 있다. 뚜렛이나 틱 장애의 대표적인 정신치료는 습관 반전(habit reversal) 이라는 행동치료이다.6) 그외에도 인식 훈련, 자기 주장 훈련, 인지치료, 이완치료 등이 있다.4) 현재까지 가장 효과의 준거가 강한 것은 습관반전이며7) 그 외 정신치료에 대한 연구 축적은 부족한 실정이다. 뚜렛장애에 대한 정신치 료는 증상의 완화 뿐 아니라 질환을 이해시키고, 자존감을 높이며 사회적 기능을 향상시키는 데 중요한 역할은 한다.8) 비교적 최근 심리적 외상 치료로 개발된 안구운동 민감소실 및 재처리 요법(Eye Movement Desensitization and Reprecessing, EMDR)이 여러 임상 영역에 활발하게 쓰이면서 그 관심을 받고 있다.9) 외상후 스트레스 장애 외의 불안장애에 부터 보다 최근에는 우울증과 정신분열병에 까지 시도되고 있는 실정이다.10,11) 이 증례는 직장 스트레스로 악화된 뚜렛 환자에게 EMDR을 사용하여 성공적으로 치료한 경험을 공 유하고자 작성되었다.

This single case report involves a 24 year-old woman with Tourette’s syndrome who experienced exacerbation of tic symptoms after stressful events at work. After eight months of unsuccessful pharmacotherapy, the five sessions of EMDR was tried targeting the events, which resulted in significant reduction in tic and stress symptoms to previous level. In fact, she felt so good that she discontinued her medication after two sessions but maintained her improvement throughout treatment period. Two years after termination of treatment she was reported to have been doing great at work although she continued to display her tics at usual, mild level.

Keywords: Tic Disorder Tourette’s Disorder Psychotherapy Stress

Accuracy Verified: Yes

2. 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

3. Paulsen, S. (2012, October). 31 secrets of the embodied self: Hearing baby’s story in EMDR for trauma in implicit memory. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
EMDR targeting relies on explicit memory images and verbalization of cognitions, but attachment trauma is held in the right hemisphere’s implicit memory. Any therapy purporting to treat attachment trauma must meet four criteria (Fosha) (Objective 1). This workshop draws from ego state therapy, somatic therapy, and the Early Trauma protocol of EMDR (Paulsen, in press, O’Shea & Paulsen, 2007) to provide a range of techniques to meet the Fosha criteria (Objective 2). Efficient resolution of attachment injuries can occur through temporal integration, targeting time periods instead of explicit memory (O’Shea & Paulsen, 2007, Paulsen, 2009 and in press) (Objective 3).Transforming early trauma requires listening to reenactment material, the baby state’s only “voice” to tell the non-verbal story.

Keywords: Embodied Self Implicit Memory

Accuracy Verified: Yes

4. Shapiro, F. (1999, June). Access, stimulate, move. Plenary at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the three primary aspects of EMDR treatment; 2) understand the implictions of the adaptive information processing system; and 3) be able to describe the conceptual basis of EMDR targeting.

Keywords: Adaptive Information Processing Plenary Targeting

Accuracy Verified: Yes

5. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.

Language: English

Format: Journal

Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.

Keywords: Adaptive Information Processing AIP Cognitive Interweave Three-Pronged Approach Types of Targets Unblocking Strategies

Accuracy Verified: Yes

6. Broad, R. D. & Wheeler, K. (2006, May). An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: A case study. Perspectives in Psychiatric Care, 42(2), 95-105. doi:10.1111/j.1744-6163.2006.00058.x.

Language: English

Format: Journal

Abstract:
Problem: Adverse childhood experiences have been found to be a strong predictor of emotional and physical problems in adulthood. However, the long-term sequelae for children who have suffered critical illness and exposure to invasive medical procedures are less well documented. Methods: This is a case study of an adult client who sought treatment for depression and attention deficit disorder. The psychotherapy treatment is discussed and the use of eye movement desensitization and reprocessing (EMDR) is described targeting a memory of a medical trauma resulting from a tonsillectomy when the client was 8 years old. Conclusions: Significant healing outcomes were attained as a result of the therapy, i.e., decreased depression, less hypervigilance, and increased ability to concentrate, which resulted in the discontinuation of medication for depression and ADHD as well as significant improvement in overall functioning.

Keywords: Childhood Medical Trauma Psychoanalytic Psychotherapy Adverse Childhood Experiences Depression Attention Deficit Disorder Early Experience Major Depression PTSD Psychoanalysis Childhood Development Clinical Case Study Empirical Study

Accuracy Verified: Yes

7. Forgash, F., & Litt, B. (2008, September). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR is an important therapy in the treatment of complex PTSD, including dissociative disorders and certain personality disorders. This presentation will provide solutions to problems within the 8 phases of EMDR. Objectives include managing triggers and dealing with reactions such as avoidance, freeze, and hyperarousal. Techniques include ego state work and somatic interweaves. Therapists will learn readiness criteria for trauma processing (phase 4-7) and how to avoid premature interventions. In phase 4, therapists will learn about the zone of optimal arousal and a sequence of techniques to maintain client stability and to identify when and why a patient has stopped processing.

Keywords: Complex Trauma Treatment

Accuracy Verified: Yes

8. Litt, B. (2012, October). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:EMDR is an efficacious therapy for the treatment of PTSD. Increasingly, EMDR is being recognized as an important and viable therapy in the treatment of complex PTSD, including Dissociative Disorder Not Otherwise Specified, Dissociative Identity Disorder, and personality disorders that have their origins in attachment trauma. This population presents unique clinical challenges in terms of stability, affect tolerance, and accessibility to trauma resolution. While much has been written and presented about affect regulation, attachment issues, and dissociation, therapists are not often aware that these phenomena emerge and must be managed throughout all phases of EMDR therapy. This presentation will focus on advanced techniques that provide solutions to problems within phases 2,3, and 4. Clinicians will learn techniques to incorporate in the stabilization/ preparation phase and to revisit as necessary in later stages of EMDR treatment. Objectives include helping the patient effectively deal with reactions such as avoidance, freeze, hyperarousal and numbing. Techniques include ego state work and somatic interweaves.In Phase 4, (desensitization) therapists will be learn about the Zone of Optimal Arousal and learn a sequence of advanced techniques to maintain client stability and safety, and to identify when and why a patient has stopped processing.

Learning Objectives: Participants will be able to perform a series of strategies for overcoming looping and blocking in EMDR phases three and four. Participants will be able to utilize the Domains of Self Model to rapidly assess triggers and anticipate processing style and resolution profile. Participants will be able to utilize the Zone of Optimal Processing model to assess problems with processing and select appropriate strategies to safely resume desensitization.

Keywords: Advanced Techniques Complex Trauma

Accuracy Verified: Yes

9. O'Shea, K. (2008, June). Anger, imagination and EMDR – what EMDR has taught us about the importance of anger and how to facilitate its safe release. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.

Language: English

Format: Conference

Abstract:
Jaak Panksepp’s text, Affective Neuroscience (1998), informs us of the vast amount of neurological data available to show that, like all mammals, anger is one of our basic affective circuits. Yet it is not identified as such in the diagnostic manual, at least here in the States. Only the destructive outcomes of angry behaviors are included. Guiding EMDR sessions over the past 17 years has given me the opportunity to observe the nondestructive release of anger as a protective response to harmful (traumatic) experiences. Imagination appears to provide us with an innate ability to acknowledge the degree of harm, and to experience, at a physical level, the capability to protect ourselves and others, if anything similar recurs. Following that release, I consistently see what I call “Compassion-with-Protection”, spontaneously expressed. Others call it “forgiveness”. Because of their experiences with destructive anger and our cultural avoidance of anger, clients often have difficulty allowing their angry feelings to be felt and released during EMDR work. Letting them know they have this capability can enable them to “just notice what happens” during trauma reprocessing. This workshop will address, via description and case examples, how EMDR has clarified the nature of anger. It will specify how EMDR clinicians can support their clients in releasing anger non-destructively (by clearing the anger circuit during Preparation, teaching them how the Imagination works - for self-use and during reprocessing, - and identifying the most efficient targeting sequences), so they can update their systems to their current level of capability and fully experience the “Compassion-with-Protection” that naturally follows.

Keywords: Anger Imagination

Accuracy Verified: Yes

10. Darker-Smith, S. (2008, June). Anorexia nervosa: CBT versus EMDR (A preliminary study). Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
In treating clients with Anorexia Nervosa, what does appear to be consistent is the general view (e.g. Waller; Treasure; Brewer) that recovery will take on average between 1 to 2 years with many clients suffering from this disorder never making a full or complete recovery. 16 clients with a previous diagnosis of anorexia nervosa and under medical supervision with a BMI of between 16.5 ï¿½ 18 and still meeting criteria of Anorexia Nervosa (DSM IV) were offered either EMDR (N.10) or CBT (N. 6). No therapeutic emphasis was placed directly on food in either the CBT or the EMDR group (e.g. Fairburn). Those receiving EMDR recovered substantially quicker once the target memory precipitating the Anorexic Onset was identified. Interestingly, food intake and weight increased without needing to be targeted as a separate matter, once the ï¿½feeder-memoryï¿½ had been adapted in 8 out of the 10 EMDR clients. Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic patterns of behaviour and their weight or food intake did not appear to improve significantly. Although this is only a preliminary study, the EMDR group reached ï¿½recoveryï¿½ at around the 3 ï¿½ 4 month mark, compared to the CBT group, who still reported phobic reactions to both body-image and food at the 4 month mark. At the initial 1- month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet / weight compared to the EMDR group, who had reached normal BMI ranges (N. 9) and all reported little to no pre-occupation with diet / weight. It would appear, on the basis of this preliminary study that the precipitators to the development of Anorexia respond well to EMDR treatment targeting the precipitant memory. Furthermore, 6 of the EMDR group reported using the safe-space imagery to reduce their anxieties surrounding food and this may have been a contributory factor in their recovery.

Keywords: Anorexia Nervosa CBT Cognitive Behavioral Therapy

Accuracy Verified: Yes

11. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children: EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Level I. Targeting of Physical Symptoms or Triggers. Installing of Positive States Use this level when: client readiness and safety factors are met. the experience of the symptom(s) is distressing to the client. a limited number of therapy sessions is available. the client does not necessarily have an awareness of the causes or functions of the symptoms. the client is not aware of a trauma related to the symptom. w the assessment does not reveal trauma related to the symptom. w trauma or other complicating issues are identified but the client's stability or circumstances does not tolerate Level I1 or 111, and client and therapist can devise ways to contain upsetting issues which may come up. the client wants to try for symptom relief without deeper processing. [Excerpt]

Keywords: Injury Physical Illness

Accuracy Verified: Yes

12. Sine, L. F., & Vogelmann-Sine, S. (1997, July). Assessing for EMDR readiness, intervening with deficit areas inhibiting readiness and determining EMDR targets. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Client Readiness Targeting

Accuracy Verified: Yes

13. Kiessling, R., & Kacsur, R. (2002, June). Being brief with EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
While there have been many modifications of the standard EMDR protocol to address a multitude of client issues, little has been said about integrating EMDR with Brief Therapy. Many clients seeking EMDR treatment may have a specific problem needing immediate relief, or have limited time, financial resources, or insurance benefits. This workshop is designed to help the EMDR clinician adapt brief treatment strategies to the standard EMDR approach. A belief/feeling cluster focused history taking approach is combined with a narrowly focused targeting strategy that effectively addresses identified past, present and future targets. The installation phase of treatment is extended into present and future targeting strategies. This strategy not only addresses present and future issues more rapidly, but also identifies additional blocking beliefs that may require targeting in order for the client to achieve full resolution of the presenting problem.

Keywords: Brief Therapy

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Accuracy Verified: Yes

16. Borstein, S. S. (2006, September). Brief adjunctive EMDR: A collaborative consultation model. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Non-EMDR trained clinicians sometimes ask if "a little EMDR" might help some of their clients. When painful feelings about a single incident continue to intrude or interfere with otherwise productive psychotherapy, a short trial of EMDR may indeed resolve the impasse. By narrowly targeting specific traumatic memories or intrusive material, adjunctive EMDR can accelerate progress in traditional therapy, help the client and the primary therapist to clarify stuck points, and enrich the ongoing work. This workshop will describe a model of brief adjunctive EMDR consultation, a focused application of standard EMDR therapy, provided by the EMDR consultant to clients in collaboration with their referring therapist. In this model, adjunctive EMDR does not replace or intempt ongoing therapy. It is complementary to the primary therapy relationship. The workshop will include guidelines for identifying appropriate referrals and for maintaining a collaborative stance with referring therapists. Ethical issues will be addressed, and potential pitfalls will be discussed. The presenter will describe a pilot study of this model, including qualitative and quantitative measures of outcome.

Keywords: Consultation

Accuracy Verified: Yes

17. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.

Language: English

Format: Journal

Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article, an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case in which a man, “George,” was referred for EMDR for treatment of a depression that began more than 2 years previously. After all his reported traumatic memories were completely processed with EMDR, George remains severely depressed and the therapist asks how to proceed effectively with treatment. Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol. The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if the client indicates that he or she has little to no disturbance and explains how to develop and implement a “restorative life span target sequence.”

Keywords: Consultation Depression Treatment

Accuracy Verified: Yes

18. Miller, P. W., McDougall, I., O'Rawe, B., & Kirk, R. T. (2007, June). A case series detailing phenomenology, EMDR protocol and clinical outcome of EMDR in severe depression with psychosis, delusional dysmorphobia and schizophrenia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The author will by means of oral presentation of clinical case material from patients seen as outpatients; didactic teaching and 'question and answer' explore the efficacy demonstrated by EMDR in a series of patients with disorders including ‘depression, severe with psychosis'; delusional dysmorphophobia and schizophrenia.
There will be detailed description and presentation of case studies. The author will present and discuss clinical cases seen by them and another colleague where EMDR has been used in patients preventing to their facility with ‘depression, severe with psychosis;' delusional dysmorphophobia and schizophrenia.
The author will explore the phenomenology of the case material and discuss how it potentially relates, diagnostically, to the utility of EMDR in such cases. Particular mention will be made of the role EMDR had within the overall treatment plan of these cases and discussion of potential indicators that will aid appropriate targeting of cases for EMDR will be made.
A detailed description of how to apply EMDR protocol in monosymptomatic delusional disorder, including delusional dysmorphophobia will be given. This will include discussion of the use of Floatback; explore the use of affect bridge and the possible role of the unconscious or repressed material in the development of psychotic phenomena.
As patient with psychotic phenomena are often on one if not several psychoactive medications, the author will discuss the impact of EMDR on drug therapy in this group of patients with: schizophrenia, depression, severe with psychosis and delusional dysmorphophobia, illustrating the points from the case material. They will also look at the possible effect of medication on the efficacy of EMDR in this client group.

Keywords: Delusional Dysmorphobia Depression Personality Disorders Phobias Psychosis Schizophrenia

Accuracy Verified: Yes

19. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety) procedure, which is a method of slowing down processing, and carefully containing and controlling the emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video segments of a therapy session.

Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

20. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The clinical adherence to and combination of methods with EMDR to treat PTSD has not been explored. This is of some concern as 27 000 clinicians are trained in EMDR globally. This exploratory study gained information on Australian trained EMDR clinicians' adherence to EMDR, and the methods they combined with EMDR to treat PTSD. Survey responses from 126 clinicians were analysed using predominantly descriptive statistics. The findings of this study showed that the majority of respondents perceived that they closely adhered to the standard EMDR treatment. However, respondents reported adhering more closely to the phases than the steps of EMDR. Statistically significant findings showed that more experienced EMDR level 1 clinicians were more likely to add steps and phases to EMDR, and to change the standard sequence of steps. Clinicians with greater years of experience were also more likely to change the standard sequence of steps. In addition, more experienced EMDR level 2 clinicians, were less likely to educate their clients about PTSD. Almost all respondents combined EMDR with other methods to treat PTSD. Combined methods included CBT, hypnosis / relaxation, system / solution focused methods and exposure. This research has contributed to theory and practice by uncovering that clinicians appear to use EMDR differently to researchers, by changing EMDR to meet client needs, combining EMDR with other methods and Holly Byron 16/9/99 vi therapies, and introducing EMDR in the mid stage of treatment. These findings are vital to reduce the scientist-practitioner divide by accurately testing EMDR's efficacy and enabling future controlled trials to reflect the clinical use of EMDR.

Keywords: Postrraumatic Stress Disorder PTSD

Accuracy Verified: Yes

21. Phillips, M. (2008). Combining hypnosis with EMDR and ego state therapy for ego strengthening. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 91-120). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This chapter will explore several uses of hypnosis and EMDR that can help to accomplish these objectives. Expert consensus is that trauma clients must move through an ordered process designed to strengthen and stabilize them before progressing to the uncovering, exploration, reworking, and integration of painful past experiences. The SARI model (Phillips 8c Frederick, 1995) is presented here as a framework for the recommended sequence of treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Ego State Therapy Ego Strenthening Hypnosis SARI Model

Accuracy Verified: Yes

22. Garsen, B. (2005). A comparison of post traumatic stress disorder treatment modalities for adolescents. California State University, Long Beach, CA. AAT 1426939.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to explore treatment modalities for Post Traumatic Stress Disorder (PTSD) for adolescents. This study examined current research on the treatment of PTSD by analyzing the content of books and articles written within the past 10 years. The study was a descriptive content analysis of currently used treatment modalities for PTSD. Data analysis involved a recursive process in which themes were identified and developed over numerous readings. The findings of this study indicated that PTSD symptomology was significantly reduced when adolescents were treated with cognitive behavioral methods. Controlled studies were located only for cognitive behavioral interventions. Pharmacological interventions were widely used to treat PTSD symptoms. However, there have been neither controlled nor open-label drug studies conducted regarding this population. Eye Movement Desensitization and Reprocessing (EMDR) is a promising new form of treatment that has yet to be examined in a rigorous manner. Critical Incident Stress Debriefing (CISD) sometimes exacerbated PTSD symptoms in this population. The results of the study indicated that more controlled research needs to be generated targeting adolescents with PTSD.

Keywords: Adolescents Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

23. Simon, M. J. (1997, November). A comparison study of EMDR and exposure on posttraumatic stress disorder: A single-subject design. Central Michigan University, Mount Pleasant, MI. AAT 9734215.

Language: English

Format: Dissertation/Thesis

Abstract:
Exposure has been shown to be efficacious in the treatment of PTSD. Recent claims have been made regarding the comparative and perhaps even superior efficacy of EMDR in the treatment of PTSD.The comparative effectiveness was tested using two subjects, a multiple baseline design, targeting two distinct trauma-related images per subject. Standardized and objective assessment measures of diagnostic criteria were administered at baseline, post-treatment, and at follow-up. Order of treatment was reversed for the second subject. Results of the study showed that EMDR and Exposure were comparable treatments of PTSD. EMDR demonstrated more rapid overall symptom reduction than Exposure. Both Exposure and EMDR generalized across traumas. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2700.

Keywords: Adults Clinical Trial Empirical Study Exposure Therapy Females Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

24. Merkies, Y. (2012, March). Complexe PTSS: Evaluatie van een behandeling door cliënt en therapeut - "Je moet niet typen tijdens de EMDR" [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Inhoud Presentatie: Het behandelen van complexe PTSS gaat met ups en downs. Tevreden zijn over een behaald succes kan afgewisseld worden met een periode van wanhoop. Het is voor de behandeling van belang dat de therapeut steeds een helikopterview houdt. Vragen die de therapeut daarbij zichzelf onder andere stelt zijn: waar zitten we in het proces, ben ik als therapeut te voortvarend of neem ik te weinig risico. De patiënt kan indien mogelijk gestimuleerd worden van een afstand naar zijn eigen behandeling te kijken en te leren analyseren: waardoor krijg ik nu een terugval of hoe gaat het nu met me? De verantwoordelijkheid en de regie liggen uiteraard bij de therapeut. Hoe kijkt de patiënt achteraf terug op zijn behandeling en de verschillende fasen hierin? Wat heeft hem in moeilijke periodes geholpen? Welk gedrag van de therapeut heeft hem echt geholpen en wat was juist storend (zie titel)? In hoeverre was humor helpend? Hoe kijkt de patiënt terug op de mate van inspraak. In deze presentatie wordt aan de hand van videobeelden en een interview met een patiënt teruggekeken op het therapieproces. De patiënt is een ernstig getraumatiseerde man, die na een periode van stabilisatie zijn traumatische ervaringen op papier tekende. De tekeningen zijn in het begin gebruikt bij de ordening en bij bepaling van de werkvolgorde van de EMDR- behandeling. Tijdens de behandeling kon hij zelf goed aangeven wat hem hielp en wat niet. Na een forse terugval was hij in staat om te analyseren waardoor dit kwam en wat er voor nodig was om hier weer uit te komen. Deelnemers krijgen mee wat de do’s en don’ts zijn vanuit patiënt perspectief. Het belang van het nadenken over de therapeutische houding wordt gestimuleerd. De mogelijke angst om blunders te maken is hierna verminderd.

"You need not type during the EMDR" Content Presentation: The treatment of complex PTSD goes with ups and downs. Satisfied with a success achieved can be varied with a period of despair. It is important that the treatment the therapist still keeps a helicopter view. Questions that the therapist himself, among other states are: where we are in the process, I as a therapist to energetically or I take too little risk. The patient may be encouraged where possible from a distance to his own treatment to look and learn to analyze: how do I get a relapse or how is it going with me? The responsibility and control are of course with the therapist. How does the patient subsequently returned to his treatment and the different phases in this? What has helped him in difficult times? What behavior of the therapist has really helped him and what was just annoying (see title)? To what extent humor was helpful? How does the patient back on the degree of involvement. In this presentation, using video footage and an interview with a patient look back on the therapy process. The patient is a severely traumatized man, who after a period of stabilization are traumatic experiences on paper signed. The drawings are in the beginning when used in the arrangement, and determining the operating sequence of the EMDR-treatment. During treatment, he could well indicate what helped him and what not. After a sharp decline, he was able to analyze and so this was what it took to come here again. Participants will take what the do's and don'ts are from patient perspective. The importance of thinking about the therapeutic attitude is encouraged. The possible fear of making mistakes is reduced below.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD

Accuracy Verified: Yes

25. Settle, C. (2009, June). Concrete methods to elicit past, present, and future targets for EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Children Targeting

Accuracy Verified: Yes

26. Black, J., & Gauvreau, P. (2010, Avril/Mai). De la problématique, à la cible, à la désensibilisation [Of the problem, the target, the desensitization]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.

Language: French

Format: Conference

Abstract:
Il peut être parfois un défi pour les thérapeutes EMDR à aider les clients à identifier les cibles de travail EMDR lorsque la personne se présente avec un problématique généralisée ou des enjeux « non-traumatiques » par exemple, certains associés à l’estime personnel, l’affirmation de soi, les habiletés relationnelles pour lesquelles des événements traumatiques « petits-t » où les liens ou expériences à cibler ne sont pas facilement identifiables. Cet atelier à pour objectif de permettre aux cliniciens à mieux aider leur clients à préciser d’avantage les enjeux et les cibles de travail potentielles avec l’EMDR; ainsi que de faciliter à ce que le client puisse, à partir de la problématique, de la cible et de l’image, mieux trouver les cognitions/croyances négatives activées. Dans ce processus, on vise aussi à accentuer l’importance de la phase 1 (l’histoire de la personne). Également, l’atelier se penchera sur l’importance de bien identifier/cerner la croyance négative sous-jacente au moment d’amorcer le travail avec les cibles identifiées, afin de maximiser les effets du retraitement et de favoriser la généralisation. À travers des présentations didactiques, des vignettes cliniques et des exercices de groupes, les participant(e)s pourront développer des stratégies pour mieux conceptualiser les plans de traitement EMDR avec ces types de problématiques. Également, les cliniciens seront amenés à réfléchir sur les thèmes des enjeux travaillés et leurs liens avec les cognitions négatives identifiées, sous les thèmes de responsabilité, sécurité et choix personnel. (Tous les niveaux)

It can sometimes be a challenge for EMDR therapists to help clients identify targets EMDR work when the person presents with a widespread issue or issues "non-traumatic" for example, some associated with the estimated personnel, assertiveness, interpersonal skills for which the traumatic events "small-t" which links or targeting experiments are not easily identifiable. This workshop aims to enable clinicians to better help their clients to clarify issues and benefit the target potential working with EMDR, as well as to facilitate the client can, using the issue of and the target image, find the best cognitions / beliefs turned negative. In this process, it also aims to highlight the importance of phase one (the story of the person). Also, the workshop will focus on the importance of identifying / understanding the underlying negative belief at the time to begin work with the targets identified in order to maximize the effects of reprocessing and to promote generalization. Through didactic presentations, clinical vignettes and group exercises, the participant (s) will develop strategies to better conceptualize the EMDR treatment plans with these types of issues. Also, clinicians will need to reflect on themes and issues worked their links with negative cognitions

Keywords: Target

Accuracy Verified: Yes

27. Massiah, E. (2009). Direct targeting intrusive images: A tale of three soldiers. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 389-402). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Targets

Accuracy Verified: Yes

28. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological perspective. Furthermore, literature on attachment theory will explore the importance of contingent communication in the development of an integrated mind. The relevance of intersubjective experience in adaptive information processing will help participants learn to identify experiences of misattuned communication as relational trauma. Information processing will further be explored as related to self states. An emphasis on recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in this section will provide a context for considering dissociation from an attachment theory perspective. In addition the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma. Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan around negative cognitions, affects and behaviours reflected in the presenting problem and history.

Keywords: Adjustment Disorders

Accuracy Verified: Yes

29. Manfield, P. (2003, September). Don’t go with that!. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
For some elients and in some situations, "Go with that" is not effective. In these situations "go with that" will lead to looping at best, but most likely to a flat unproductive session or the opposite, an unfinished session with many new and sometimes only loosely related unresolved issues. In this workshop, we will identify these clients and those situations. Using video, structured role play, and transcripts, participants will learn strategies for elaborating targets for these clients that will minimize the occurrence of these situations, and for effectively responding to these situations when they do occur.

Keywords: Go With That Targeting

Accuracy Verified: Yes

30. Wilensky, M. (2009, May). The drifters: The basic protocol and target sequencing. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Over time we all succumb to Protocol Drift. This workshop will bring us back to the Basic Protocol with practice in following the Three Pronged Approach to a Target: Past Present Future. There will be a brief lecture and demonstration, followed by a facilitated practicum.

Keywords: Basic Protocol Protocol Targeting Sequencing Touchstone Event

Accuracy Verified: Yes

31. Jatzko, A., Ruf, M., & Schmitt, A. (2008, Mai). Durch EMDR normalisierte funktionelle verarbeitungsprozesse bei PTBS: Eine fMRT pilotstudie [EMDR normalized by functional processing in PTSD: An fMRI pilot study] . Poster präsentiert auf der 10. Jahrestagung der DeGPT Deutschsprachige Gesellschaft für Psychotraumatologie, Psychisches Trauma-korperliches Leiden, Basel, Schweiz.

Language: German

Format: Conference

Abstract:
Es existieren kaum Untersuchungen mittels funktioneller Bildgebung, die den Effekt psychotherapeutischer Verfahren und deren Auswirkungen auf das Gehirn eruieren. Eye-Movement-Desensitization and Reprocessing (EMDR) ist ein anerkanntes Verfahren zur Behandlung der posttraumatischen Belastungsstörung, jedoch wurde noch keine fMRT-Studie zu diesem Verfahren veröffentlicht. Diese fMRT-Studie soll erste Hinweise auf die Auswirkungen einer EMDR-Therapie auf die Informationsverarbeitung einer Patientin mit einer posttraumatischen Belastungsstörung (PTBS) zeigen.

The fMRI study was at the ZI in a SIEMENS VISION 1.5 Tesla MR scanner with a 2D/EPI-Sequence (3.43 mm x 3:43 in plane Resolution, 24 layers, 4 mm per layer, 1 mm gap) and a Repetition time of 2.94 s made. It was her description of her of the accident at the moment of impact in a block design alternating with a baseline condition (only MRI noise) presented. Each 8x block was presented for 19.8 sec. After this there is a EMDRBehandlung (2h), where there were violent reactions of the patient. After a 20th Break was repeated the fMRI procedure. The Analysis was performed by BrainVoyager QX 1.9, with a t-test (fixed effect) with a threshold of q <0.5 (corrected) as was assumed significant.

Keywords: fMRI Pilot Study Poster Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

32. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The technique is not recommended for couples in which either or both partners do not have adequate affect tolerance, observing ego, or trust of each other's integrety. Other risk factors for using EMDR in couples therapy that have been highlighted in other presentations and literature will be briefly reviewed. Participants will learn to differentiate between clients' statements that represent present experience and those that represent concepts of present experience or reporting of past experiences. Participants will be taught specific interventions which they will practice in guided exercise that will enable them to facilitate both individuals and couples to stay in their present experience during EMDR targeting. Irrational emotional responses to daily interactions and conflicts are often the result of unresolved issues resulting from underlying feeder memories. Participants will learn a simple method for identifying underlying issues of each individual partner related to a given conflict. The final and most substantial portion of this presentation will be focused on using a refined "affect bridge" technique to identify the feeder memories associated with those issues so that they can be targeted with the standard EMDR protocol. Specific methods will be taught to overcome clients' resistance and difficulties with accessing memories; these methods include use of accessing cues (re: Neurolinguistic Programming) and developing eidetics (re: Eidetic Psychotherapy) These methods will be illustrated using a case transcript, guided participant experiential exercise, and live demonstration.

Keywords: Couples Couples Therapy Targeting

Accuracy Verified: Yes

33. Manfield, P. (2005, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Based an a relatively simple protocol for finding targets specific to the partners' issues, this approach is especially effective with couples who tend to want to spend sessions complaining about each other and recounting the conflicts of the past week. Equal time will be devoted to identifying targets and then developing them using the basic principles of Ahsen's Eidetic Psychotherapy and a modified version of Walkins' "affect bridge." Methods will be taught to overcome resistance and difficulties clients have with accessing memories. Through case transcripts and participation exercises, the basics of this protocol will be explained and demonstrated.

Keywords: Couples Couples Therapy Targeting

Accuracy Verified: Yes

34. Ernst, R. (2011, Juli). Effectiviteit van oogbewegingen, klikjes en geen dubbeltaak bij EMDR in een klinische steekproef [Effectiveness of eye movements, clicks and no double task of EMDR in a clinical sample]. Utrecht: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Een werkgeheugen rekening van Eye Movement Desensitization and Reprocessing (EMDR) is op grote schaal ondersteund door laboratoriumonderzoek. Taken die belasting werkgeheugen voldoende Het een traumatische gebeurtenis herinneren terwijl het verminderen van emotionaliteit en levendigheid van traumatische herinneringen. Vaak therapeuten vervangen EMDR-Eye Movements met minder belasten binaurale piept, terwijl de laatste Suggest Sommige onderzoeken zijn inferieur aan oogbewegingen. De huidige studie direct vergelijken oogbewegingen en piept met EMDR in een klinisch monster. In een within-subjects design, 51 patiënten verwezen voor EMDR traumatherapie Hun herinneringen herinnerde tijdens het (a) het maken van gaten horizontale bewegingen, (b) binauraal luisteren naar pieptonen en (c) gericht op een punt (controle). Volgorde van de stimulaties gerandomiseerde WAS Deelnemers en Elke stimulatie over duurde zes minuten. De resultaten toonden aan dat oogbewegingen emotionaliteit en levendigheid van de herinnering reduceert aanzienlijk meer dan de controle, terwijl de emotionaliteit Meer met aanzienlijk minder in de buurt van oogbewegingen dan met pieptonen. Geen significante verschillen in Vermindering van levendigheid en emotionaliteit Beide werden gevonden tussen piept en controle. Hun trauma patiënten gewaardeerd meestal visuele herinneringen, terwijl meer in de buurt van visuele herinneringen significant geassocieerd met een grotere daling van de emotionaliteit en levendigheid met oogbewegingen. De studie ondersteunt Bewijs voor een cumulatief voordeel van oogbewegingen met EMDR. Resultaten worden besproken Deze modaliteit in termen van een specifieke werkgeheugen rekening en klinische implicaties worden besproken.

A working memory account of Eye Movement Desensitization and Reprocessing (EMDR) has been widely supported by laboratory research. Tasks that sufficiently tax working memory while recollecting a traumatic event reduce emotionality and vividness of traumatic memories. EMDR-therapists often substitute eye movements with less taxing binaural beeps, while some studies suggest the latter are inferior to eye movements. The present study directly compares eye movements and beeps with EMDR in a clinical sample. In a within-subjects design, 51 patients referred for EMDR therapy recollected their trauma memories while (a) making horizontal eye movements, (b) listening to binaural beeps and (c) focusing on one point (control). Sequence of stimulations was randomized across participants and each stimulation lasted for six minutes. Results showed that eye movements reduce emotionality and vividness of the memory significantly more than control, while emotionality reduced near significantly more with eye movements than with beeps. No significant differences in reduction of both emotionality and vividness were found between beeps and control. Patients rated their trauma memories mostly visual, while more visual memories were near significantly associated with a larger decrease of emotionality and vividness with eye movements. The study supports evidence for a cumulative benefit of eye movements with EMDR. Results are discussed in terms of a modality specific working memory account and clinical implications are discussed.

Keywords: Eye Movements Posttraumatic Stress Disorder PTSD Working Memory

Accuracy Verified: Yes

35. de Jongh, A., & ten Broeke, E. (2001, March). An efficient way of targeting traumatic material. EMDRIA Newsletter, 6(1), 4.

Language: English

Format: Newsletter

Abstract:
Besides the correct application of the basic EMDR protocol, one of the most important factors involving the treatment of trauma related conditions, is the way the traumatic material is targeted. For example, if clients have trouble processing, this could be due to a lack of focus which prevents the client from successfully tapping into his memory network. It’s our experience that, to adequately tap into the memory network, it is most useful to use a somewhat different strategy for ‘going back to target’ than which is described as part of the standard EMDR procedure. We would recommend the following procedure (see Box I).

Keywords: Targets

Accuracy Verified: Yes

36. Raju, K. (2005). Ego strengthening and eye movement desensitization reprocessing in post traumatic stress disorder. Medical Journal Armed Forces of India, 61, 289-290.

Language: English

Format: Journal

Abstract:
Post Traumatic Stress Disorder (PTSD) is an anxiety disorder, which occurs after exposure to overwhelming stress like combat, rape, serious accidents, violent crime and other catastrophic events. The essential characteristics of the condition are recurrent intrusive memories, images, thoughts or dreams of the trauma, persistent arousal, emotional numbing and avoidance of the situations reminiscent of the trauma. 15-20% of individuals experiencing significant trauma are known to develop PTSD [1]. Although anxiolytic, anticonvulsant, antipsychotic and antidepressant drugs have been tried, none have been consistently associated with improvement [2]. Eye Movement Desensitization Reprocessing (EMDR) is being increasingly utilized as a valid method of treatment for this distressing condition [3-7]. Ego Strengthening (ES) is a sequence of simple psychotherapeutic suggestions given under hypnosis [8]. A long standing case of PTSD treated with EMDR and ES is reported.

Keywords: Case Report Ego Strengthening Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

37. Hofmann, A., & Hase, M. (2012, June). EMDR to treat chronic depression [EMDR en el tratamiento de la depresión]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Depression is an often debilitating disease with a high prevalence. Not only is depression associated with other diseases, often leads into disability but shows a high risk of suicides. Relapse is seen often and every relapse increases the risk of chronicity. Research shows that there is no strong correlation with genetic factors but with stressful life-‐events. There is growing evidence of the efficacy of EMDR in the treatment of chronic depression. Two pilot studies show promising data. A European multicenter study is running since 2010. As EMDR is often well tolerated and accepted there is hope to gain another option in the treatment of chronic depression. The EMDR depression protocol aims to achieving more complete remissions of a depressive episode and prevent later relapse. In this workshop the presenters will explain the depression protocol, regarding treatment planning, targeting sequence and techniques. Video demonstration will outline the teaching points and will enable the participant to integrate this approach into clinical practice.

La depresión es a menudo una enfermedad debilitante con una alta prevalencia. No sólo se asocia a otras enfermedades, en muchas ocasiones puede derivar en una invalidez y muestra un alto riesgo de suicidios. Las recaídas son muy comunes y cada recaída incrementa el riesgo de la cronicidad. Las investigaciones muestran que no existe una fuerte correlación entre los factores genéticos, pero sí con eventos vitales estresantes. Existe una creciente evidencia de la eficacia del EMDR para el tratamiento de la depresión crónica. Dos estudios piloto muestran datos prometedores en un centro multidisciplinar que lleva funcionando desde 2010. Como la terapia con EMDR normalmente es bien tolerada y aceptada, existe la esperanza de contar con otra opción para el tratamiento de depresión crónica. El protocolo de depresión crónica EMDR, tiene como objetivo conseguir una más completa remisión de los episodios depresivos y prevenir las recaídas. En este taller los ponentes explicarán el protocolo de depresión referente a la planificación del tratamiento, detección de secuencias y técnicas. Una demostración en vídeo resumirá las pautas de actuación y permitirá al profesional integrar este enfoque en la práctica clínica.

Keywords: Depression

Accuracy Verified: Yes

38. Shapiro, F. (1999). EMDR - Grundlagen und praxis: Handbuch zur behandlung traumatisierter menschen [Eye movement desensitization and reprocessing (EMDR): Basic principles, protocols, and procedures]. Paderborn: Junfermann Verlag GmbH & Co.

Language: German

Format: Book

Abstract:
EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode und ist eine unverzichtbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren.

EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method and is an essential reading for all clinicians and researchers interested in working with trauma victims

Keywords: Trauma

Accuracy Verified: Yes

39. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.

Keywords: Analyitical Psychology Case Study Imagery Imaginal Jungian Analysis Mind-Body Observation Symposium

Accuracy Verified: Yes

40. Grand, D. (2005, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Creativity was involved in the discovery and development of EMDR which is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma, and EMDR's therapeutic relationship is a creative process. This presentation addresses creative enhancements EMDR’s healing tools: “open listening,” eye movements, integrating music and nature sounds into auditory stimulation, and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks, and the future template as a tool for enhancing creativity with artists including actors, singers, dancers, writers, and painters is discussed. Mini-practica and demonstrations are used with lecture and handouts.

Keywords: Creativity Creative Blocks Future Template Open Listening

Accuracy Verified: Yes

41. Grand, D. (2004, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Creativity was involved in the discovery and development of EMDR. EMDR is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma and EMDR's therapeutic relationship is a co-creative process. This presentation addresses creative enhancements of EMDR's healing tools: ''open listening." eye movements, integrating music and nature sounds into auditory stimulation and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks and the future template as a tool for enhancing creativity with artists, including actors, singers, dancers, writers and painters is discussed. Mini-practica and demonstrations also used.

Keywords: Creativity Creative Blocks Future Template Open Listening

Accuracy Verified: Yes

42. 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

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

Language: English

Format: Conference

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

Keywords: Bowen Theory Relationship Issues

Accuracy Verified: Yes

44. Lindsay, J. (1995, June). EMDR and the treatment of rape survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The study employed single case experimental design to test the efficacy of EMDR in the treatment of rape survivors. EMDR was introduced sequentially to five subjects by five licensed psychotherapists with Level II EMDR training. Each subject received from 4 to 6 sessions depending upon her position in the sequence. Each met criteria for PTSD prior to treatment. The study emphasized clinical significance, and with minor exceptions, all scores meet criteria for both clinical and statistical significance. Independent variables were the Beck Depression Inventory (BDI), the Brief Symptom Inventory (BSI), the Dissociative Experience Scale (DES), the State-Traft Anxiety Inventory (STAI) and the PTSD Symptom Scale, Self-Report (PSC-SR). Pre- post- and followup scores demonstrated dramatic changes (<.O1,DES<.05). Subjects monitored PTSD symptomotology throughout the baseline, treatment and follow-up phases. The visual analog scales which display these graphed data provide some interesting information regarding individual response to treatment and inter- and intra- subject variability. These quantitative data were also analyzed with respect to qualitative data from pre- and post and followup interviews and from clinical reports.

Keywords: Rape

Accuracy Verified: Yes

45. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability and/or control. A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event, prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism for people who need further follow-up, including EMDR. The steps of a CISD include: 1) introduction - to introduce the intervention team, explain the process, and set expectations. 2) fact - to describe the event from each participant's perspective on a cognitive level. 3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions. 4) reaction - to identify the most traumatic aspect of the event for participants. 5) symptom - to identify personal symptoms of distress and transition back to the cognitive level. 6) teaching - to educate as to normal reactions and adaptive coping strategies 7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up. In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in dysfunctional form. EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing. In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it. EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process, EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are relevant to the individual (e.g. Smells, tastes, etc.). The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed. Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such dynamics are understood when formulating the negative cognition. The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.

Keywords: CISM Critical Incidence Stress Management Recent Events

Accuracy Verified: Yes

46. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Substance abuse and its sequels often mean intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule, than the exception. So the integration of traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the field of neuroscience has shown that most experience is automatically processed on subcortical levels, i.e., by "unconscious" interpretations that are made outside of conscious awareness. Insight and understanding have only a limited influence on the operation of these subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the tool for resolution. Targeting the addiction memory and reprocessing should lead to a reduction in craving. Date of a study on alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles and differences.

Keywords: Addiction Memory Substance Abuse

Accuracy Verified: Yes

47. 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

48. Kiessling, R. (2010, September/October). EMDR case conceptualization from a belief focused perspective. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
While many understand the EMDR Approach to Psychotherapy, many do not fully understand the power of using core beliefs as the focal point of their EMDR case conceptualization. This workshop, through lecture, case examples and practice, will assist EMDR Trainers, Approved Consultants, Certified therapists and the newly trained EMDR therapists, in understanding the EMDR Approach, based upon the AIP model, from the core belief perspective. Using this core belief focus, targeting sequence plans will be designed, necessary and/or needed resources will be developed, and intervention strategies anticipated to help facilitate processing.

Keywords: Core Beliefs

Accuracy Verified: Yes

49. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases. The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of protocols, targets and cognitions. Time will be allowed to discuss problem cases. The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning indicators fiom cognitions and the history taking of potential blocked responses. A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of the early environment to provide healthy models of self-other interaction. Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies. Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting disturbing memories. Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts is a central problem in PTSD and other pervasive traumageric disorders. Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry Wildwind's speciality and conference presentations on working with chronic depression and personal communications with Marguerite McCorkle. Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.

Keywords: Case Formulations

Accuracy Verified: Yes

50. McDonald, H. (2010, March). EMDR chronic pain protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses. This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a practical approach to clinical work with clients. The pain protocol is based on the Adaptive Information Processing model, (Shapiro 1995), and takes into account the overlap between the experience of pain and traumatic experiences. It is expected that participants not necessarily have experience of working specifically on pain using EMDR with clients. An increasing body of evidence suggests that using the EMDR Pain Protocol can be effective in three main ways: • Reducing the experience of pain; • Targeting pain memories and • Overcoming the impact of pain on the individual. The application of the protocol assumes that it is possible to influence neurological pathways involved in maintaining persistent pain messages. The workshop will include a brief overview of research evidence and current clinical experience, and will primarily focus on practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. At the end of the workshop, it is hoped that participants have increased confidence in working with people who have pain; having practiced elements of the protocol and discussed their implications for clinical practice.

Keywords: Chronic Pain Protocol

Accuracy Verified: Yes

51. Knipe, J. (2008, Maart). EMDR en sterk wordt vastgehouden psychologische verdedigingsmechanismen het voorkomen van directe toegang tot bewuste en doelgerichtheid van de post-traumatisch materiaal [EMDR and strongly held psychological defenses preventing direct conscious access and targeting of post-traumatic material]. Presentatie op het derde congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands.

Language: English

Format: Conference

Abstract:
Een specifieke EMDR procedures die nuttig is met cliënten die zich sterk hebben gehouden psychologische verweren die bewuste directe toegang te voorkomen en de gerichtheid van post-traumatische materiaal is volledig te verklaren met uitgebreid gebruik van video-materiaal met de gerichtheid van de verdedigingswerken van vermijding (bijvoorbeeld vermijden van zeer verontrustende herinneringen , vermijden van verantwoordelijkheden, te vermijden in de vorm van uitstel), idealisering van het zelf (bijv. narcistische karaktertrekken van bijzonders en het recht) en de idealisering van anderen (bv. verlangen naar een verloren geliefde, of trauma-obligatie gehechtheid aan een dader). Vaak zijn cliënten die depressief bent en anderen die te idealiseren opereren vanuit een kern eigen ego staat van schaamte, en tijdens deze zeer praktische workshop leert u hoe jammer soms kan worden opgelost met behulp van gerichte en EMDR-methoden.

A specific EMDR procedures that is useful with clients who have strongly held psychological defenses that prevent direct conscious access and targeting of post-traumatic material is fully explained with extensive use of video material showing the targeting of defenses of avoidance (e.g. avoidance of extremely troubling memories, avoidance of responsibilities, avoidance in the form of procrastination), idealization of self (e.g. narcissistic traits of specialness and entitlement) and idealization of others (e.g. longing for a lost lover, or trauma-bond attachment to a perpetrator). Often clients who are depressed and who idealize others are operating from a core self ego state of shame, and during this highly practical workshop you will learn how shame can sometimes be targeted and resolved using EMDR methods.

Keywords: Psychological Defenses Targeting

Accuracy Verified: Yes

52. 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

53. Kiessling, R. (2013, May). EMDR from a belief focused perspective. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Beliefs are the meta-perception of life’s experiences (Shapiro 2001). Target Sequence Plans bundled around core belief schema provide an effective, efficient and safe approach to case conceptualization and EMDR treatment. This workshop will clarify questions asked by EMDR Clinicians such as: • Are all NC/PCs Core Belief Schemas? • Are your Targeting Sequence Plans Core Belief Schema Bundled or just a shotgun of targets based upon “What do you want to work on today?” • Does “What does it say about you” really address ‘what it means about you!? • Are you’ staying out of the way’ when you should be ‘leading the way’! These and others questions will be clarified through lecture, case examples and video demonstrations. Through lecture, video demonstration, and practice, participants will: • Name 3 major differences between the Standard EMDR Protocols and Procedures and EMDR from a ‘Belief Schema Perspective.’ • Describe the 4 primary Belief Schemas used in the ‘Belief Schema Perspective’ to EMDR, and how they assist the case conceptualization and processing. • Demonstrate the ability to develop a Belief Focused Targeting Sequence Plan and appropriately process the targets identified within the Standard Three Pronged Protocol.

Keywords: Core Beliefs

Accuracy Verified: Yes

54. Dworkin, M. (2003, September). EMDR from the heart: A relational view of healing traumatic memories. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Many memories, explicit and implicit, and their concomitant sensations, are stimulated intersubjectively, spontaneously, and continuously, forming a multiplicity of feedback loops from clinician to client. This workshop 1s designed to raise the awareness of the clinician's witting and unwitting participation in these processes. Transferential remarks may become sources of potential targeting, which may spontaneously bring the client back to old unfinished material. Somatosensory countertransferential reactions may serve as sources of rich data to identify and work out blocks at a moment that a session seems to stall. The Relational Interweave, a relatively new intersubjective strategy, takes reactions of clinician and client into account and opens opportuntities for new and more powerful links to positive neural networks enhancing the work. This workshop will teach rapid methods of identifying and sequencing and intervening in these intersubjective processes.

Keywords: Relational Interweave Relational Strategies

Accuracy Verified: Yes

55. Shapiro, F., & Forrest, M. (2002). EMDR in aktion - Die neue kurzeittherapie in der praxis [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Paderborn, Germany, Junfermann Verlag GmbH & Co.

Language: German

Format: Book

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist eine von Francine Shapiro entwickelte innovative klinische Behandlungsmethode für Trauma-Opfer. Aufgrund äußerst positiver neuer Untersuchungsergebnisse ist EMDR mittlerweile die am gründlichsten untersuchte Methode zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Gleichzeitig werden Untersuchungen über die Möglichkeiten der Anwendung von EMDR bei anderen Störungen durchgeführt. EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode. Zu den vielen Patientengruppen, bei denen mit EMDR gearbeitet werden kann, zählen die Opfer von sexuellem Mißbrauch, von Verbrechen, kämpferischen Auseinandersetzungen, Kriegsfolgen und Phobie-Patienten. Als Einführung in eine neue wichtige Methode im Bereich der Traumabehandlung ist dieses Buch eine unverzichbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren. Das Lehrbuch zu EMDR, dieser neuen, so überaus erfolgreichen Therapiemethode zur Behandlung von Traumaopfern.

EMDR (Eye Movement Desensitization and Reprocessing) is a technology developed by Francine Shapiro innovative clinical treatment for trauma victims. Due to extremely positive new findings EMDR is now the most thoroughly studied method for the treatment of post traumatic stress disorder (PTSD). At the same tests are carried out on the possibilities of the use of EMDR with other disorders. EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method. Among the many groups of patients that can be worked in those with EMDR, including the victims of sexual abuse, crime, fight conflicts, war and phobia patients. As an introduction to an important new method in the field of trauma treatment, this book is a unverzichbare reading for all clinicians and researchers interested in working with trauma victims. The textbook to EMDR, this new, so very successful treatment method for the treatment of trauma victims

Keywords: Practice Theory

Accuracy Verified: Yes

56. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress. As a pilot experience, we have been able to use this EMDRIT framework with 64 clients. Their complex disorders included, for each of them, at least 3 of the following symptoms: Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions. For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis: •Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN). •The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN). •The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system. •Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent. •Need to standardize appropriate scale for database, in order to foster international research and results sharing. We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.

Keywords: EMDR Intensive Therapy EMDRIT

Accuracy Verified: Yes

57. Hensel, T. (2007). EMDR mit kindern und jugendlichen: Ein handbuch [EMDR with children and adolescents: A handbook]. Göttingen: Hogrefe.

Language: German

Format: Book

Abstract:
Das Buch fasst in strukturierter und praxisnaher Weise das aktuelle Wissen über die Anwendung von EMDR (Eye Movement Desensitization and Reprocessing) bei Kindern und Jugendlichen zusammen. Nach 15 Jahren klinischer Praxis und Forschung hat sich diese Methode als evidenz-basiertes und hoch effektives Verfahren für die Behandlung von Traumfolgestörungen im Kindes- und Jugendalter etabliert.

The book summarizes in a structured and practical manner the current knowledge on the use of EMDR (Eye Movement Desensitization and Reprocessing) in children and adolescents. After 15 years of clinical practice and research has shown that this method as an evidence-based and highly effective procedure for the treatment of a dream sequence disorder in childhood and adolescence established.

Keywords: Adolescents Children

Accuracy Verified: Yes

58. MacDonald, H. (2010, March). EMDR pain control. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland .

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses. This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a practical approach to clinical work with clients. The pain protocol is based on the Adaptive Information Processing model, (Shapiro 1995), and takes into account the overlap between the experience of pain and traumatic experiences. It is expected that participants not necessarily have experience of working specifically on pain using EMDR with clients. An increasing body of evidence suggests that using the EMDR Pain Protocol can be effective in three main ways: • Reducing the experience of pain; • Targeting pain memories; and • Overcoming the impact of pain on the individual. The application of the protocol assumes that it is possible to influence neurological pathways involved in maintaining persistent pain messages. The workshop will include a brief overview of research evidence and current clinical experience, and will primarily focus on practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. At the end of the workshop, it is hoped that participants have increased confidence in working with people who have pain; having practiced elements of the protocol and discussed their implications for clinical practice.

Keywords: Pain Control

Accuracy Verified: Yes

59. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co.

Language: English

Format: Book

Abstract:
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]

Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

60. Lombardo, M. (2012). EMDR target timeline. Journal of EMDR Practice and Research, 6(1), 37-46. doi:10.1891/1933-3196.6.1.37.

Language: English

Format: Journal

Abstract:
This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.

Keywords: Adaptive Information Processing AIP: Clinical Application Core Theme Time Line Treatment Target

Accuracy Verified: Yes

61. 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

62. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.

Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

63. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

64. Darker-Smith, S. (2007, June). EMDR vs CBT in the treatment of anorexia nervosa: A preliminary study. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In working with clients with anorexia nervosa for the past 18 months, it has become apparent that while many clinicians continue to utilise a variety of treatment means, CBT or systemic family therapy are often treatments most frequently offered to the sufferer. However, what does appear to be consistent is the general view (e.g., Waller; Treasure; Brewer) that ‘recovery’ will take an average between 1 to 2 years with many clients suffering from this disorder never making a full or complete recovery.
With this in mind, sixteen clients with a previous diagnosis of anorexia nervosa and under medical supervision with a BMI of 16.5 – 18 and still meeting the mental criteria of anorexia nervosa (DSM IV) were offered either EMDR (N.10) or CBT (N.6). Starting with the premise that most sufferers of anorexia nervosa argued that simply ‘eating’ is not the answer – but rather the mechanism by which control is maintained – it was agreed that regular weigh-ins and the use of food journals would form part of the study – however, no therapeutic emphasis would be placed directly on food in either the CBT or the EMDR group.
Those receiving EMDR recovered substantially quicker and with less food-related exposure, once the target memory precipitating the anorexic onset was identified. Interestingly, food intake and weight increased without needing to be targeted as a separate matter, once the ‘feeder’ memory had been adapted in 8 out of the 10 EMDR clients. In the remaining two clients, behavioural experiments targeting the “practice of behaving (and eating) normally’ one day a week in order to reduce the fear of ‘normality’ was used with good effect.
Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic patterns of behaviour and their weight or food intake did not appear to improve significantly.
Although the trial lasted for 6 months duration, on average, the EMDR group reached ‘recovery’ at around 3-4 month mark, compared to the CBT group of which five noticed ‘improvement,’ however, did not appear to have increased weight and still reported phobic reactions to both body-mage and food at the 4 month mark. One in the CBT group did make a significant improvement based on cognitive restructuring alone and this client did increase weight and intake significantly at the same ratio as the EMDR group.
At the initial 1-month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet/weight compared to the EMDR group who had reached normal BMI ranges (N.9) and all reported little to no pre-occupation with diet/eight.
Although this study is still pending follow-ups of all clients, there would appear, on the basis of this preliminary study that anorexia nervosa appears to respond better to EMDR in shorter treatment duration than CBT.
Furthermore, six of the EMDR group reposed using safe-space imagery to reduce their anxieties surrounding food and this may have been a contributory factor.

Keywords: Anorexia Nervosa CBT Cognitive Behavioral Therapy

Accuracy Verified: Yes

65. Romain, L. B.-S. (2013). EMDR with recurrent “flash-forwards:“ Reflections on Engelhard et al.'s 2011 study. Journal of EMDR Practice and Research, 7(2), 106-111. doi:10.1891/1933-3196.7.2.106.

Language: English

Format: Journal

Abstract:
“Translating Research Into Practice“ is a new regular journal feature in which clinicians share clinical case examples that support, elaborate, or illustrate the results of a specific research study. Each column begins with the abstract of the study, followed by the clinician's description of their own application of standard eye movement desensitization and reprocessing (EMDR) procedures with the population or problem treated in the study. The column is edited by the EMDR Research Foundation with the goal of providing a link between research and practice and making research findings relevant in therapists' day-to-day practices. In this issue's column, Lisa Bellecci-St. Romain references Engelhard et al.'s (2011) study examining the impact of eye movements on recurrent, intrusive visual images about potential future catastrophes-“flash-forwards.“ Illustrating the findings by Engelhard et al., Bellecci-St. Romain describes the successful use of the EMDR standard protocol in two cases-a woman fearful of returning to work even after past memories are cleared and a young man in early sobriety whose reprocessing of the past is interrupted by concerns of an imminent court appearance. The case examples are followed with a discussion of the importance of recognizing and targeting flash-forwards as present triggers in the three-pronged EMDR standard protocol.

Keywords: Bridging Research and Practice Eye Movements Flash-Forward Intrusive Images

Accuracy Verified: Yes

66. Mosquera, D. (2012, March). EMDR with trauma and narcissism [EMDR met trauma en narcisme]. Keynote resentatie op de 6e congres van de Vereniging EMDR Nederland, Arnghem, The Nederlands.

Language: English

Format: Conference

Abstract:
The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms, and when narcissistic features are described, they tend to be considered as characteristics of the abusive figure. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Although this picture describes some situations related to maltreatment and abuse, it can be simplistic and minimize or overlook internalization of some abuser features by victims (e.g., the presence of perpetrator-imitator parts in DID). Narcissistic features can be a cause and consequence of traumatization and can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization. A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-centered profile. A description of different profiles characterized by self-centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations. To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.

Keywords: Narcissim

Accuracy Verified: Yes

67. 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

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

Language: English

Format: Conference

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

Keywords: Couples Therapy Repetition Compulsion

Accuracy Verified: Yes

69. Karpel, M. A. (2005, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR can help couples in therapy when one or both partners experience distress which creates obstacles or impasses in treatment. The benetits of EMDR are examined through the lens of the repetition compulsion and nested within a resource~based approach to couples therapy (fostering attunement, trustworthness and vitality). Different formats for conducting EMDR (conjointly, separarely, and adjunctively) are presented along with their indicators, advantages and disavantages. Special considerations (such as, when to introduce EMDR, balancing alliances, sequencing sessions and instructions to an observing partner) and modifications the standard protocol are clarified. Contraindications for EMDR in couples therapy are also examined.

Keywords: Couples Therapy Repetition Compulsions

Accuracy Verified: Yes

70. Moses, M. D. (2007). Enhancing attachments: Conjoint couple therapy. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 146-166). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
This chapter addresses the integration of EMDR processing when working with couples in conjoint therapy, specifically targeting the problem of attachment issues. When precautions are taken, applying EMDR with couples produces the potential for a deepand mutually productive experience. EMDR’s uniquely rapid processing of interrelated attachment issues lessens the intensity of “triggers” and can free the couple from their long-standing impasses. Many couples struggle with over- or under-reactivity, generally referred to as “triggers”. These triggers are typically rooted in early attachment injuries, as well as injuries generated from the couple’s own relationship. While EMDR is most commonly used in individual treatment, it can also be bridged to the relationship system as a powerful and effective treatment modality for couples. The therapeutic effect of the partners witnessing each other’s EMDR processing work is often enormous. Done conjointly, each partner becomes increasingly more compassionate and understanding of the other. Ultimately, progress is hastened … enhancing the therapy, and allowing the couple to develop new and more fulfilling connections and attachments. In sequence, this chapter covers the following areas: attachment issues from a Family Systems perspective; therapeutic guidelines for EMDR usage with couples; identification of “small t” attachment triggers; indications and contraindications; a specific EMDR protocol for work with couples; two detailed couples case illustrations and treatments, focused on problems rooted in attachment issues; and finally, reflection and discussion of the advantages and benefits for integrating EMDR into work with couples.

Keywords: Attachment Attachment Behavior Conjoint Couple Therapy Conjoint Therapy Couples Couples Therapy Marriage Counseling

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Epigenetics Plenary Survivors Trauma

Accuracy Verified: Yes

72. Jenkins, S., & Baker, J. (2011). The equine-assisted EMDR manual: A guide to the integration of eye movement desensitization reprocessing and equine-assisted therapy. Tempe, AZ: Dragonfly International Therapy .

Language: English

Format: Book

Abstract:
This manual includes an overview of Equine-Assisted Psychotherapy (EAP) and Eye Movement Desensitization Reprocessing (EMDR) individually, and the rationale for integrating them through the EquiLateral Protocol(TM). Learn about EMDR practitioner types and organizations in the marketplace. You will also get valuable "how-to's" for client selection, case conceptualization, target sequence planning and treatment planning! In addition, you will find case examples for each phase, treatment team roles, along with a sample eight-phased equine-based activity!

Keywords: EAP Equine-Assisted Psychotherapy Horses

Accuracy Verified: Yes

73. Kelley, S. D. M., & Benbadis, S. (2007, March-April). Eye movement desensitization and reprocessing in the psychological treatment of trauma-based psychogenic non-epileptic seizures. Clinical Psychology & Psychotherapy, 14(2), 135-144. doi:10.1002/cpp.525.

Language: English

Format: Journal

Abstract:
Little is known about the types of mental health treatment that are most effective for psychogenic non-epileptic seizure (PNES) patients who have high rates of comorbid post-traumatic stress disorder (PTSD) and dissociation. Eye movement desensitization and reprocessing (EMDR) has proved to be effective in the treatment of PTSD, anxiety states, dissociative symptoms and somatoform disorders. This study, which utilized a non-controlled qualitative multiple revelatory case design, integrates EMDR into the psychological treatment of PNES patients with confirmed trauma experiences. With EMDR targeting trauma and dissociative symptoms in three patients, PNES were extinguished in two. Those patients have remained seizure-free for 12-18 months. Copyright © 2007 John Wiley & Sons, Ltd.

Keywords: Clinical Case Study Comorbidity Emotional Trauma Empirical Study Epileptic Seizures Posttraumatic Stress Disorder Psychogeninic Non-epileptic Seizures Psychological Treatment Psychogenesis PTSD Qualitative Study Trauma

Accuracy Verified: Yes

74. Carlson, J., Chemtob, C., Rusnak, K., & Hedlund, N. (1996, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD. Psychotherapy, 33(1), 104-113. doi:10.1037/0033-3204.33.1.104.

Language: English

Format: Journal

Abstract:
4 Vietnam veterans diagnosed with PTSD were treated with 12 sessions of eye movement desensitization and reprocessing (EMDR), targeting their combat memories. An extensive multimodal assessment battery showed very substantial clinical improvement for 3 of the veterans along a number of psychological dimensions that characterize the disorder, but not along several physiological parameters. A fourth veteran showed only very modest changes. The results are discussed in terms of the importance of several issues, including numbers of treatment sessions and differential effects of treatment on cognitive-behavioral and physiological symptoms. [Author Abstract]

Keywords: African Americans Case Report European Americans Male Middle Aged Posttraumatic Stress Disorder Psychophysiology PTSD Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

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

Language: English

Format: Newsletter

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

Keywords: Floatback Float Forward

Accuracy Verified: Yes

76. Grand, D. (2001, May). Flow EMDR - Advanced clinical practice. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
Although the structured protocols and procedures of EMDR practice have provided therapists with enhanced healing opportunities, the awkwardness of the procedure remains unnatural to many EMDR therapists. However, EMDR can be modified to a more natural face-to-face flowing treatment process. This presentation will comprehensively examine flow EMDR and its dual naturalising components of "essential listening" and extended bi-lateral stimulation. "Essential listening" entails the therapists accepting that all potential answers reside in the clients system. This information and the ensuing healing process is supported by the therapist suspending all meta communications emanating from the client. Following this procedure, combined with the targeted information of the protocol activated by bi-lateral stimulation, allows the client to process information until they arrive at their "essential truths". Flow EMDR also utilises longer sets and/or continuous bi-lateral stimulation afforded by auditory and tactile stimulation. Innovations in eye movement, called ''paint brushing", will also be demonstrated with varied pace, direction, pausing and distance. Auditory stimulation will be reviewed as to its current modes and tactile stimulation will also be explored in terms of tapping, pressing and mechanical activation. Flow EMDR also actively integrates ego state work, part protocols, multiple protocols, parallel protocols, self questioning interweaves, targeting of present mood states, resource activation's of locating and installing positive body sensations and body processing enhanced by colour and image associations. This presentation will include lecture, clinical demonstratipn, audience participation and extensive hand-out material.

Keywords: Essential Listening Flow EMDR

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

Keywords: Four Elements Exercise Protocol Stress Management

Accuracy Verified: Yes

78. 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

79. Greenwald, R. (2002, June). Getting to EMDR: Structuring treatment so that EMDR fits in. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
The commonly-reported difficulty in identifying opportunties to use EMDR reflects the fact that relatively few EMDR-trained clinicians were previously trauma specialists. This workshop will present a comprehensive model of trauma-informed treatment that will help participants to utilize their preferred orientation and methods in a manner conducive to trauma treatment and to EMDR. Participants will learn specific interventions to help their clients understand why EMDR can help them to resolve their presenting problem. Participants will learn a conceptual framework with which to organize and sequence a range of intervention to prepare their clients for EMDR. Participants will learn specific interventions to prepare their clients for EMDR. This workshop is appropriate for clinicians working with children, adolescents, and adults wilth a range of presenting problems (not just PTSD).

Keywords: General Trauma-Informed Interventions

Accuracy Verified: Yes

80. Meignant, I. (2009, June). Healing the couple with systemic EMDR target plan. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Couples Therapy Targeting Plan

Accuracy Verified: Yes

81. 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

82. Gauvreau, P., & Bouchard, S. (2010). Indications préliminaires de l’efficacité de l’EMDR dans le traitement du trouble anxieux généralisé [Preliminary indications of the effectiveness of EMDR in the treatment of generalized anxiety disorder]. Journal of EMDR Practice and Research, 4(4), E47-E62. doi:10.1891/1933-3196.4.4.E47.

Language: French

Format: Journal

Abstract:
Cette étude préliminaire a tenté d’évaluer l’effi cacité potentielle de l’EMDR ( Eye Movement Desensitization and Reprocessing: désensibilisation et retraitement par les mouvements oculaires) en tant que modalité de traitement du trouble anxieux généralisé (TAG). L’effi cacité de 15 séances EMDR a été évaluée à travers un protocole de cas unique avec des lignes de base multiples en fonction des participants. Les résultats indiquent qu’à la suite du ciblage de facteurs expérientiels favorisant le TAG et de situations actuelles et anticipées provoquant une inquiétude excessive, les scores d’anxiété et d’inquiétude excessive ont baissé sous le seuil diagnostique et, dans deux cas, jusqu’à la rémission totale des symptômes du TAG. A la fi n du traitement et lors du suivi après deux mois, aucun des quatre participants ne relevait du diagnostic de TAG. De plus, les analyses de séries temporelles (ARMA) indiquent une amélioration statistiquement signifi cative sur les deux mesures quotidiennes de l’inquiétude et de l’anxiété au cours du traitement EMDR.
Cet article a paru que Gauvreau, P. & Bouchard, S. (2008). Les données préliminaires pour l'efficacité de l'EMDR dans le traitement du trouble anxieux généralisé. Journal de pratique EMDR et de la recherche, 2 (1), 26-40. Traduction française par Ann Rydberg Jenny.

This preliminary study attempted to assess the potential effi ciency of EMDR (Eye Movement Desensitization and Reprocessing: desensitization and reprocessing eye movement) as a treatment modality for generalized anxiety disorder (GAD). The efficiency of 15 EMDR sessions was evaluated through a protocol unique case with multiple baselines according to participants. The results indicate that following the targeting of experiential factors favoring the TAG and current and anticipated situations causing excessive worry, the scores of anxiety and excessive worry dropped below the diagnostic threshold, and in both cases up 'to the total remission of symptoms of GAD. In the fi n of treatment and at follow-up after two months, none of the four participants was outside the diagnosis of GAD. In addition, time series analysis (ARMA) indicate statistically signifi cannot improvement over the two daily measurements of anxiety and anxiety during treatment EMDR.
This article originally appeared as Gauvreau, P. & Bouchard, S. (2008). Preliminary Evidence for the Efficacy of EMDR in Treating Generalized Anxiety Disorder. Journal of EMDR Practice and Research, 2 (1) , 26–40. French translation by Jenny Ann Rydberg.

Keywords: Efficacy GAD Generalized Anxiety Disorder

Accuracy Verified: Yes

83. Twombly, J. (2009). Initial targeting of traumatic material: Steps. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 297-311). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Protocol Target Targeting

Accuracy Verified: Yes

84. Armstrong, M. K. (2009). Integrating focusing into EMDR. Author.

Language: English

Format: Other

Abstract:
Focusing views the felt sense as the point at which we can access the unconscious. Both Focusing and EMDR recognize the body's physical response as the entry point into memory. Shapiro includes the body scan in EMDR's protocol. She reminds us that the physical sensations experienced at the time of the event are stored in the nervous system and may constitute the dominant thread of the associative sequence (p. 79). She instructs clinicians to ask clients to concentrate on the attendant physical sensations while the eye movement sets are systematically altered (p. 178). Those familiar with Focusing will find it very natural to follow Shapiro's instructions to have clients "close their eyes and fix their entire attention on the location of the sensation. Whatever image or thought appears should then be targeted" (p.180). [Excerpt]

Keywords: Focusing

Accuracy Verified: Yes

85. Kiessling, R. (2005). Integrating resource development strategies into your EMDR practice. In R. Shapiro, (Ed.), EMDR solutions: Pathways to healing (pp. 57-87). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
As EMDR became more accepted within the psychotherapy community and more clinicians became trained, a greater number of clients with diagnoses other than PTSD were introduced to it. As a result, it became apparent that some of these more difficult, complex clients were not immediately ready for EMDR targeting and reprocessing. Many were either too unstable, had affect tolerance issues, or lacked the ego strengths to withstand the potential rigors of target desensitization. Others lacked needed coping skills, lacked the ability to recognize that they have the tools available to address their issues, or were fearful of addressing their traumatic experiences. Resource Development and Installation (RDI) strategies were developed and, over time, have been accepted within the EMDR community as valuable solutions for these challenging clients. [Text, p. 57]

Keywords: Life Experiences Psychotherapeutic Processes Survivors

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Practice Theory

Accuracy Verified: Yes

87. Fine, C.& Berkowitz, A. (2008, April). The joint use of EMDR and hypnosis in the treatment of DID, DDNOS and complex PTSD. Presentation at the 1st bi-annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
Dissociative Identity Disorder (DID), a chronic childhood onset posttraumatic stress disorder (PTSD), is currently recognized as a treatable condition. It is considered the paradigmatic dissociative disorder and carries with it extreme posttraumatic symptomatology which lends itself to be an apt target for treatment combining the use of EMDR and hypnosis. Therapists skilled in the treatment of DID and Dissociative Disorder Not otherwise specified (DDNos) have augmented their therapeutic arsenal with the fluent uses of hypnosis for stabilization, affect management, building a safe place and grounding. EMDR, which has come to the forefront of clinical awareness in the last fifteen years, seems well suited for the treatment of trauma, but can be destabilizing. The presenters recommend a protocol, called Wreathing Protocol, for the imbricated use of EMDR and hypnosis in the treatment of not only DID, but also DDNOS and complex chronic PTSD. The Wreathing Protocol is useful to advanced clinicians skilled in both modalities independently. This workshop will explain and illustrate with a clinical vignette the sequential steps of the Wreathing Protocol; it will describe the required contextual treatment frame for its safe use. The presenters will explore the consequences of the premature uses of EMDR and offer planful structured responses to a disequilibrated treatment and a destabilized patient. The clinical implications of the use of the Wreathing Protocol will be discussed. Learning objectives: 1. Name three prohibitions to the use of EMDR in the treatment of dissociative disorders. 2. Exemplify one target symptom of the BASK model of dissociation in the clinical example presented and relate a different one in one of your own patients. 3. Describe a potential multistep Wreathing Protocol sequence from selection of target to resolution of at least one microsymptom in a patient of your choice.

Keywords: Complex PTSD DDNOS DID Dissociative Identity Disorder Dissociative Disorder Not Otherwise Specified Hypnosis

Accuracy Verified: Yes

88. 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

89. Leeds, A. M. (1998). Lifting the burden of shame: Using EMDR resource installation to resolve a therapeutic impasse. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 256-281). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
With Meredith, what had seemed an insurmountable impasse using a standard PTSD protocol had become amenable to significant resolution when addressed with a non-standard protocol. The key to this approach was to install multiple positive resources without deliberately activating the distressing emotions and associations of a specific, disturbing memory or current stimuli. I have coined the phrase "EMDR resource installation" to describe this protocol. I have since used this approach with other challenging clients who have childhood histories of significant failures of attachment with their primary caregivers. In these cases, their histories and current functioning led me to conclude that their capacity for self-soothing and affect modulation was not yet developed to the point where they could tolerate directly targeting distressing memories using the standard EMDR protocol. [Text, pp. 276-277]

Keywords: Adults Case Report Child Abuse Defense Mechanisms Diseases Females Neglect Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

90. Lombardo, M. (2013). Ligne du temps des cibles EMDR [EMDR target timeline]. Journal of EMDR Practice and Research, 7(2), 44E-54E. doi:10.1891/1933-3196.7.2.E44.

Language: French

Format: Journal

Abstract:
Cette section de questions & réponses cliniques répond à une question relative à l’organisation des informations historiques d’un patient en une séquence de ciblage au sein d’un plan de traitement en accord avec le protocole à trois volets de Shapiro (2001). Les procédures d’identification et d’établissement de priorités des cibles d’EMDR sont revues dans le contexte du modèle théorique de Shapiro et différents modèles de ligne du temps sont résumés. L’auteur présente ensuite sa ligne du temps des cibles EMDR, un outil visuel simple et pratique permettant de documenter les aspects passés, présents et futurs du problème présenté. Elle permet au thérapeute de noter si les expériences perturbantes passées peuvent s’organiser autour d’un thème central, tel que des cognitions négatives, des symptômes physiques ou des situations, des personnes ou des circonstances. Trois cas cliniques sont proposés pour illustrer l’application de l’outil à divers types de cibles de traitement.

This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.

Keywords: Adaptive Information Processing AIP: Clinical Application Core Theme Time Line Treatment Target

Accuracy Verified: No

91. 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

92. MacDonald, H. (2011, October). Marbles in the elbow and other stories: Using EMDR in treatment resistant pain. Keynote presented at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses, and between 10- 50% of those experiencing chronic pain meet criteria for PTSD. There are many people experiencing current, persistent pain in the general population, and many people referred for EMDR treatment will have pain, whether or not this is the primary reason for the referral. Current approaches to treating persistent pain include medical and bio-psycho-social interventions. People with chronic pain have often tried multiple specialist treatments for their pain, including medication, surgery, physiotherapy and alternative treatments. The best available evidence suggests that a combination of medical, physiotherapy and psychological interventions is needed, with improved quality of life depending more on management of the emotional impact of pain than necessarily on pain reduction. An increasing body of evidence suggests that using EMDR for pain can be effective in three main ways: for reducing the experience of pain; targeting pain memories and overcoming the impact of pain on the individual. There will be a brief overview of research evidence and current clinical experience, and practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. (Author abstract)

Keywords: Persistent Pain

Accuracy Verified: Yes

93. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Great strides have been made in applying EMDR to different populations with a variety of diagnoses. Integrating this powerful treatment into couples therapy is relatively new and very promising. By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic presentation and case illustration, participants will understand the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be able to identify clinical manifestations of ego state conflict in conjoint sessions, including the doublebind, split loyalty, and reenactments. Participants will be able to use this learning to diagnose the interlock of negative cognitions in their client couples, and implement strategies to contract for individually-focused EMDR therapy. Participants will be able to explain to clients the risks and benefits of conjoint EMDR, and understand the contraindications for conjoint EMDR. Participants will learn a model of EMDR treatment planning that includes target selection and salience, and will be able to utilize a progressive sequence of techniques for facilitation EMDR processing with dissociative clients who are blocked, looping, or at risk of abreaction.

Keywords: Couples Therapy Ego State Therapy

Accuracy Verified: Yes

94. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Definition of client population: Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their perfectionism or their quiet devaluing of others. View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style. People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters, however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either superior and powerful or inferior and worthless; supportive and admiring or critical and attacking. Difficulties in using EMDR: Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect, other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and worthlessness and their confusion about who they are and what is truly meaningful and valuable to them. Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts, body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change. In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or painful past experiences. Length of treatment: I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires. Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions: The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions. Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire me. It is often helpful to narrow these cognitions down to make them manageable with EMDR Treatment: In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed Among other things, these facilitate more effective copitive interweaves. The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's own response to situations he has witnessed in news media, TV, movies or theater. A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the client as supportive but nevertheless make hun or her aware of having wandered. Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must, however, retain her healthy perspective if the client is to learn to accept himself. For more clinical information about treating disorders of the self: 1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York, N. Y., 1990 2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992. 3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach, Professional Resource Exchange, Inc., Sarasota, Florida, 1990.

Keywords: Narcissistic Personality Disorder

Accuracy Verified: Yes

95. Uram, S. (2008, June). The neurobiology of adult and childhod trauma made simple: What every EMDR clinician should know. Presentation at the annual mmeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop presents three related and integrated themes: I. - The neurobiology of trauma made simple, yet highly “usable” for clinical formulation. A. How trauma is defined by our culture and DSM-IV, versus the reality of how each human brain individually “defines” trauma. Organized and logical presentation of clinically relevant brain parts/circuits and how they process, or don’t adequately process traumatic experiences; the differing length of time the effects of trauma may manifest from these parts; the masking and masquerading of earlier traumas by the prefrontal cortex, etc. Which brain parts/circuits “trump” one another, and how this shows up in symptoms, in our personalities or in our relationships. II. - Child/Adolescent/Adult stages of human brain development made simple, but geared for clinical understanding and EMDR treatment planning. Childhood through young adulthood brain development generally mature along a sequence; Bottom to Top, and Inner to Outer .The brain areas that become more active as 31 children mature “show up” as increasing or decreasing behaviours, levels of thinking abilities, levels of emotional and mood development/stability, relational abilities, decreased dominance of certain other brain parts, etc.. Symptoms frequently reflect how each person’s level of brain maturation “filters” life experience at a given time. III. - Trauma neurobiology + different stages of brain development = potentially very different EMDR formulations, negative cognitions, etc. How the child and adult brain can identify “danger”, and therefore, “trauma” similarly, or very differently. How trauma is “understood” in the adult brain and the child brain. How and why “danger” or “traumas” are perceived, processed and present differently in children and adults

Keywords: Neurobiology

Accuracy Verified: Yes

96. Wesselmann, D. (2007, September). Overcoming obstacles to healthy bonds: Treating parent-child attachments with EMDR. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Disturbed attachment in childhood is associated with serious emotional and behavioral disorders throughout the lifespan. Unfortunately, problems related to poor attachments and abuse by attachment figures are frequently transmitted from one generation to the next. This workshop will explain how these problems are transmitted and describe strategies for using EMDR to heal the effects of past trauma and strengthen the bonds between parents and children in birth families and challenging adoptive situations. By targeting blocks to healthy attachment and strengthening new, healthier patterns of relating for parents and children, even parents who were not lucky enough to have grown up with a secure attachment can be helped to overcome the odds and give their children a better life. This workshop blends technical, theoretical, and clinical elements in a manner that is both practical and enjoyable for participants.

Keywords: Attachment Bonds Children Parents

Accuracy Verified: Yes

97. Bergmann, U. (2004, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego-state work. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

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

Keywords: Personality Disorders Dissociation Ego State Therapy

Accuracy Verified: Yes

98. Tinker, R. H., & Wilson, S. A. (2005). The phantom limb pain protocol. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 147-159). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Following an amputation of almost any body part, the patient can experience phantom limb sensation, which is the feeling that the limb is still there, or phantom limb pain (PLP), which is pain that exists after the amputation. Often the pain after the amputation is the pain that existed before the amputation, somehow staying locked in the nervous system. In 1996 we did a pilot study, using a case series approach, with 7 amputees. We wanted to see if EMDR could be effective in treating PLP. We thought that PLP might be similar to PTSD, in that the event is over but the pain (emotional or physical) is still there, somehow embedded in the nervous system. In our case series, EMDR was found to be an effective treatment for PLP (complete elimination) in leg amputations. In most of the cases, pain disappeared within three sessions of treatment after the initial diagnostic interview. In general, the protocol for PLP consists of three parts: history-taking and relationship building, then targeting the trauma of the experience, and finally targeting the pain itself. [Adapted from Text, pp. 147-151]

Keywords: Amputation Survivors Physical Pain Psychotherapeutic Processes

Accuracy Verified: Yes

99. Benedek, D. M., & Ursano, R. J. (2009, Spring). Posttraumatic stress disorder: From phenomenology to clinical practice. Focus, 7(2), 160-175.

Language: English

Format: Journal

Abstract:
The psychological and behavioral consequences of exposure to traumatic events—particularly combat—have been recognized throughout the ages. Since its 1982 introduction in the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition much has been learned about the pathophysiology of PTSD. Current theories focus on brain regions and neurobiological systems regulating stress and fear response, fear memory formation and retrieval. Effective pharmacologic and psychotherapeutic interventions target these systems. New treatments must prove more effective in specific subpopulations of patients with PTSD. These will include combinations of pharmacologic agents and psychotherapy, and treatments targeting different regions, receptors, or mechanisms involved in the traumatic stress response.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

100. Gauvreau, P., & Bouchard, S. (2008). Preliminary evidence for the efficacy of EMDR in treating generalized anxiety disorder. Journal of EMDR Practice and Research, 2(1), 26-40. doi:10.1891/1933-3196.2.1.26.

Language: English

Format: Journal

Abstract:
This preliminary study sought to evaluate the potential effectiveness of eye movement desensitization and reprocessing (EMDR) as a treatment modality for generalized anxiety disorder (GAD). Using a singlecase design with multiple baselines across four subjects, the effectiveness of 15 EMDR sessions was evaluated. Results indicate that subsequent to targeting the experiential contributors to GAD and the current and anticipated situations that caused excessive worry, the scores of anxiety and of excessive worry dropped to levels below diagnostic threshold and in two cases to full remission of GAD symptoms. At both posttreatment and at 2 months follow-up, all four participants no longer presented with GAD diagnosis. In addition, time-series analyses (ARMA) indicate statistically significant improvement on both daily measures of worry and anxiety over the course of the EMDR treatment. [Author Abstract]

Keywords: Efficacy Generalized Anxiety Disorder Single-Case Design Time-Series Analyses Treatment

Accuracy Verified: Yes

101. Hopchet, M., & Detournay, F. (2012, June). Preliminary study on the effects of simultaneous application of two types of stimulations (eye movements and tactile stimuli) on psychophysiological autoreported symptoms in the treatment of negative autobiographical memories [Estudios preliminares sobre los efectos de la aplicación simultanea de dos tipos de estimulación (movimientos oculares y táctiles) en sintomatología psicofisiológica autoinformada en el tratamiento de recuerdos autobiográficos negativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Negative autobiographical memories are effectively treated using EMDR with patients making eye movements during the recall of negative autobiographical memories. While several studies have measured the effects of different types of stimulations, we are not aware of any research assessing the combined effects of two different stimulations applied simultaneously during the recall of the event. For this preliminary study involving 15 adult patients from both sexes, 4 EMDR counselor therapists measure 17 symptoms of the list proposed by Weimann (1968)). Each patient is evaluated before, during and at the end of each session. We control the effect of the sequence of one versus two types of stimulations by assigning each patient to both conditions but in a random way: (a) first target first session with one type of stimulation following with a second target first session, including two types of stimulation; (b) the inversed sequence. We compare the mean level intensity of each symptom (within factor) between one type vs. two types of stimulations (between factor) using the Anova and the t- Student tests. We hypothesize that an attenuation of intensity of the stress symptoms occurs when the patient is treated simultaneously with two types of bilateral stimulation (eye movements and tactile stimuli), compared to one (eye movements). The paper presents preliminary data, as well as a discussion of the results in the light of the theory of the working memory (Andrade et al.1997) and the reassurance reflex model of EMDR proposed by MacCulloch and Feldman (1996).

Los recuerdos autobiográficos negativos son tratados con efectividad usando el EMDR con pacientes a través del movimiento ocular de ojos durante el acceso al recuerdo negativo autobiográfico. Mientras muchos estudios han medido dos tipos diferentes de estimulación, no estamos al corriente de ninguna otra investigación que informe de los efectos combinados de los dos tipos de estimulación aplicada simultáneamente durante este acceso al recuerdo del evento. En este estudio preliminar contamos con los datos de 15 pacientes adultos de ambos sexos, 4 consultores EMDR midieron 17 síntomas de la lista propuesta por Weimann (1968). Cada paciente era evaluado antes, durante, y al final de cada sesión. Controlamos los efectos de una secuencia en función de los 2 tipos de estimulación, asignando a cada paciente ambas condiciones pero de manera aleatorizada: (a) Primer recuerdo Diana, primera sesión con un tipo de estimulación seguido de un Segundo recuerdo de la primera sesión incluyendo dos tipos de estimulación; (b) invertimos la secuencia anterior. Comparamos la media del nivel de intensidad de cada síntoma (dentro del factor) entre un tipo y dos tipos de estimulación (entre factores) usando cálculos estadísticos de Anoia y una t-‐Student para los resultados. Nuestra hipótesis es que ocurrirá una atenuación de los síntomas de estrés cuando el paciente es tratado simultáneamente con dos tipos de estimulación bilateral (movimientos oculares y estímulos táctiles), comparados con la de un solo tipo (Movimientos oculares). Este artículo presenta el análisis preliminar de los datos, así como la discusión de los resultados en línea con la teoría de la memoria de trabajo (Andrade y cols 1997) y la reafirmación del modelo refractario del EMDR propuesto por MacCulloch y Feldman (1996).

Keywords: Autobiographical Memories Bilateral Stimulation Eye Movements Tactile Stimulation

Accuracy Verified: Yes

102. Luber, M. (2012). Protocol for excessive grief. Journal of EMDR Practice and Research, 6(3), 129-135. doi:10.1891/1933-3196.6.3.129.

Language: English

Format: Journal

Abstract:
“Protocol for Excessive Grief“ is excerpted from Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations illustrating a scripted protocol from one of Francine Shapiro's 6 basic protocols. “Scripting“ informs and reminds EMDR practitioners of the component parts, sequence, and language used to create effective outcomes, and also generates a template for practitioners and researchers to use for reliability and/or a common denominator so that the form of working with EMDR is consistent. This protocol includes 5 steps: process actual events, including the loved one's suffering or death; process any intrusive images that are occurring; process the nightmare images; process any stimuli/triggers associated with the grief experience; and address issues of personal responsibility, mortality, or previous unresolved losses. The future template is included This protocol addresses the many aspects of grief and mourning to assure the full processing of clients' concerns.

Keywords: Death Grief Intrusive Images Scripted Protocols Unresolved Loss

Accuracy Verified: Yes

103. 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

104. Gaarde Madsen, P-E. (2004, June). Re-evaluation of step-three - assessment - in the classical eight-step EMDR model. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
The aim of the abstract is to focus on a possible weakness in the classical, 8-step EMDR model. Furthermore, the aim and hope with the abstract is also to produce a re-evaluation of step three – Assessment – in the classical Shapiro model.
The classical 8-step model is assumed known and is described only in headlines. The traditional therapeutic attack here is three-rponged – first past, then present and future. DAS has traditionally been used to desensitize traumatic bound material (in neuronal networks?). Many different protocols have emerged in the last decade. Most of these protocols are trying to adapt to the disorder or illness in focus.
A lot of client s have profited by this classical EMDR way but not all. Many clients do not change their behavior after the traditional EMDR intervention.
This group of clients needs a different therapeutic strategy. It is suggested to start working with targeting present problems, such as unwanted, inappropriate behavior or body sensations and/or to stimulate resources that can stabilize the client. The crucial point is step three is rather what to target with DAS and not as in the traditional model to focus on a picture as the target.
This means that DAS is used not only to desensitize traumatic stuff but also to generate resources – “to go with the positive” – so that later reprocessing can be accomplished. DAS is also used when placing different aspects of the client’s mental reality together, e.g., inappropriate behavior or body sensations versus resources and the goal. Summary: Step three is not only an assessment of what to target but a sophisticated treatment planning, respecting the knowledge of modern affect theory and consequently creating new neuronal networks by DAS, not only dissolving the old traumatic ones.

Keywords: Affect Theory Assessment DAS Neuronal Networks Phase Three

Accuracy Verified: Yes

105. Dworkin, M. (2002, June). Relational strategies in EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract: Many memories, explicit and implicit, and their concomitant sensations, are stimulated intersubjectively, spontaneously, and continuously, forming a multiplicity of feedback loops from clinician's witting and unwitting participation in these processes. Transferential remarks may become sources of potential targeting, which may spontaneously bring the client back to old unfinished material. Somatomsensory countertransferential reactions may serve as sources of rich data to identify and work out blocks at a moment that a session seems to stall. The Relational Interweave, a relatively new intersubjective strategy, takes reactions of clinician and client into account and opens opportunities for new and more powerful links to positive neural networks enhancing the work. This workshop will teach rapid methods of identifying and sequencing and intervening in this intersubjective processes.

Keywords: Relational Interweave Relational Strategies

Accuracy Verified: Yes

106. Silva, D. O. P. (2012, Novembro). Relato de caso de abuso sexual x EMDR [Report cases of sexual abuse and EMDR]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Trata-se de uma adolescente de 17 anos, atendida no PAV-Programa de Atenção a Vítimas de Violência-SES/DF, que foi abusada sexualmente por um inquilino do lote onde morava com sua mãe, ocorrido durante um período não preciso da infância, por volta dos cinco anos de idade. Flashbacks ocorreram durante todo seu desenvolvimento, porém os sintomas se agravaram durante a adolescência, desenvolvendo transtorno alimentar, transtorno obssessivo-compulsivo, isolamento, despersonalização, depressão e ideação suicida. O tratamento com EMDR teve a duração de 3 meses, tendo como alvo as imagens dos momentos de abuso, a imagem da “substância verde e visguenta presa em sua garganta”, que representava o sexo oral que era induzida a praticar com o abusador, e que a levava a provocar o vômito de forma recorrente. Foram intensificados recursos positivos, visualizações antídotos e utilizados os protocolos clássico e de desenhos. Durante o tratamento alguns sintomas se intensificaram, necessitando de cuidadoso reforço e instalação de recursos positivos, porém as evidências de resolução adaptativa apareceram por meio do retorno à vida social, cessação dos episódios de indução de vômito, relatos de projetos de vida, melhora na auto-imagem, relatos de superação, e desenhos que demonstram a volta da alegria de viver, e a visualização dos eventos de forma diminuída, como algo que cessou e pertence ao passado. A paciente conta com uma sólida rede de apoio, a qual foi fundamental durante o processo.

This is a 17 years attended in PAV-Care Program for Victims of Violência-SES/DF who was sexually abused by a tenant of the lot where he lived with his mother, which occurred during a period not need infancy about five years of age. Flashbacks occurred throughout its development, but the symptoms worsened during adolescence, developing eating disorders, obsessive-compulsive disorder, isolation, depersonalization, depression and suicidal ideation. EMDR treatment lasted three months, targeting the images of abuse of moments, the image of "green substance and visguenta caught in her throat," which represented the oral sex he was induced to practice with the abuser, and which led her to induce vomiting recursively. Resources were enhanced positive views and antidotes used protocols and classic designs. During treatment some symptoms intensified, requiring careful reinforcement and installation of positive resources, but evidence of adaptive resolution appeared through the return to social life, cessation of episodes of induced vomiting, reports of life projects, improved self -image, overcoming reports, and drawings showing the back of the joy of living, and the visualization of the events so diminished, and ceased as something that belongs to the past. The patient has a strong support network, which was instrumental in the process.

Keywords: Children Sexual Abuse Trauma

Accuracy Verified: Yes

107. Kiessling, R. (2001, December). Resource focused progression. EMDRIA Newsletter, 6(4), 35-36.

Language: English

Format: Newsletter

Abstract:
The following Resource Focused Progression may be implemented during the Preparation Phase of the Standard EMDR Protocol. These interventions are designed to help stabilize and prepare a client for the traditional EMDR targeting protocol. These strategies have been developed by a number of EMDR clinicians – I have tried to give credit where credit is due – any omissions are unintentional.

Keywords: Resource Focus Progression

Accuracy Verified: Yes

108. Laub, B. (2001, May). Resource installation (connection) in the standard EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, London, UK .

Language: English

Format: Conference

Abstract:
Resource Installation (RDI) is presented as an option for use in the standard protocol of EMDR. Consistent with the self healing aspect of the EMDR model, it allows the creation of an authentic resource sequence which is unique to the client, precisely matching her need or problem. The resource connection can also serve as a centre of inner strength in the solution of future problems. This work draws upon three conceptual frameworks in addition to Dr Shapiro's innate information processing model; (1) the assumption of an unconscious connection to resources as a source of healing (Erickson and Rossi 1976); (2) Narrative Therapy approaches of White and Epston (1990) and de Shazer (Focused Solution Therapy 1985); (3) the Jungian assumption of a need to reach a balance between the dialectical opposites of the psyche (Jung 1963). An appreciation of this dialectic can explain the unconscious matching between the problem and the resource. Three types of Resource connections (RC) will be presented: I. Past resource Connection, or PRC, which is carried out in the beginning of therapy after identification of the target and before specifying the picture. This is an image of a memory when the client felt at his best. There is an unconscious match between this resource and the problem. 2. Present resource connection, or PR. RC. This is a positive image which appears spontaneously during the processing, or induced by Cognitive Interweave. 3. Future Resource Connection, or FRC, which is an image of the way the client would like to see himself in a few months or in the more distant future. The use of this chain of resources during the sessions and outside the therapy room has been found 16 be very effective. I will give several examples to demonstrate different possibilities of using RC.

Keywords: Resource Installation

Accuracy Verified: Yes

109. 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

110. Cohen-Posey, K. (2000, September). The role of ‘second-order’ NCs in anxiety disorders and relationship problems. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) list NCs that are frequently acquired as a result of experience panic attacks and OCD; 2) describe how to use EMDR protocols to ensure that clients have integrated adaptive information about their disorder; 3) list negative cognitions that interfere with the ability to acquire communication, parenting, and anger management skills; 4) list negative cognitions that interfere with the process of individuation and enjoying satisfying relationships, 5) "compute" positive cognitions that are related to negative cognitions generated by various problems and disorders; and 6) identify negative cognitions that could be used to start targeting problem areas from listening to case examples.

Keywords: Anxiety Disorders Negative Cognitions Obsessive Compulsive Disorders OCD Positive Cognitions Relationship Problems

Accuracy Verified: Yes

111. Knipe, J. (2010, September/October). Shame is my safe place: AIP targeting of shame as a psychological defense. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Within the AIP model, psychological defense can be defined as the part of the trauma-based dysfunctionally stored memory network that blocks access to other parts of the network. For many clients, an essential first step in therapy is to identify and target defense, in order to then access and resolve post-traumatic emotional disturbance. For the AIP therapist, it is useful to categorize defenses as avoidant, idealizing and/or shame-based (i.e. shame as a distortion in identity, left over from a time when it was “better to be a bad kid with good parents than a good kid with bad parents”). This presentation will focus on a method of targeting and processing an identity of shamefulness that is functioning as a defense against full realization of the original trauma.

Keywords: Shame

Accuracy Verified: Yes

112. Kiessling, R. (2009). Simple or comprehensive treatment intake questionnaire and guidelines for targeting sequence. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 11-29). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
With the experience of teaching EMDR to many mental health practitioners over a number of years, increasingly it has become clear how important history taking is to the whole process of learning how to frame a client's information into a precise and relevant conceptualization of who the person who is sitting in front of you is, and a way to think about the problem(s) presented. This chapter by Roy Kiessling (scripted by Marilyn Luber) provides an Intake Questionnaire, guidelines for creating a Targeting Sequence Plan, and Worksheets, which are invaluable tools in assisting therapists in gathering the client's information, and for the client to incorporate the tenets of adaptive information processing into the understanding of their own issues. [PsycINFO Database]

Keywords: Intake Questionnaire Protocol Targeting Sequence

Accuracy Verified: Yes

113. Settle, C. (2008, June). Speciality topics on using EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop focuses on specialty topics for children under ten including the advanced application of EMDR with other clinical, behavioural, regulatory, medical, and educational issues with recommendations for procedural considerations and additional treatment modalities used in conjunction with the EMDR protocol. Information will be provided through handouts, case presentations, and videos on how EMDR can be used to assist the child in lessening, managing, or eliminating symptomatology in these following areas: 1. Attention Deficit/Hyperactivity Disorder (ADHD)—information will be presented on targeting social and academic challenges that can reduce anxiety and improve focus and self-control), 2. Sensory Integration Dysfunction (SID)—identifying and reprocessing sensory difficulties will be taught to help the child achieve reduction in hypersensitivity, 3. Tics—targeting the child’s anxiety can result in the reduction of tics, 4. Trichotillomania—a specific procedure will be presented to assist in decreasing or eliminating the incidence of hair-pulling, 5. School refusal behaviour—case conceptualization will be explored to assist in targeting behaviour and improve school attendance, 6. Gifted and talented—techniques for reprocessing emotional and sensory targets will be demonstrated to assist the child in bridging their intellectual, emotional, and social challenges, 7. Regulatory issues—skills for combining EMDR with behavioural and educational techniques will be discussed to help the child reduce or eliminate eating, sleeping, or urinary/bowel difficulties, 8. Traumatic brain injury—targeting the 22 precipitating event and the ongoing medical traumas utilized with a parent narrative protocol can reduce the child’s anxiety and improve functioning.

Keywords: Children

Accuracy Verified: Yes

114. Thaxton, D. (2007, June). Star wars therapy: Integrating EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: EMDR with children can be clinically challenging. Traditional protocols are difficult to follow, especially with younger children. Unique to this approach, Star Wars therapy allows children to produce their own bilateral stimulation while the therapist installs verbal cognitive interweaves. Star Wars therapy facilitates the integration of resource installations; it provides children with an exciting venue to explore schemas and ego states resulting form trauma, abuse and neglect. Star Wars play therapy is a practical skill set for clinicians interested in integrating EMDR with children. Star Wars is unique in its immediate accessibility for children. The rich story line it provides them with accessible themes of good and evil, betrayal, injustice, universal hierarchy, and connectedness with “the force:’ the main characters act as primary archetypes. The body of this work is dived into two mains sections. The first section outlines Star Wars Play Therapy from a theoretical standpoint. The goal is to address the neurobiological, psychological, and attachment aspects which are the basis for treatment. The second reaction addresses the technique form a practical perspective. A complete clinical protocol is outlines, from conceptualization to execution of play, to the integration of EMDR instillations and trauma targeting.

Keywords: Children Star Wars Therapy

Accuracy Verified: Yes

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

Language: English

Format: Newsletter

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

Keywords: Strategic Developmental Model

Accuracy Verified: Yes

116. Pagani, M. (2008, Novembre). Sub-strato neurobiologico della sindrome da stress post-traumatico e relativo impatto funzionale e strutturale della terapia con EMDR [Neurobiological substrate of post-traumatic stress syndrome and impact on functional and structural therapy with EMDR]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Recenti studi hanno dimostrato come la sindrome da stress post-traumatico (PTSD) possa causare nel cervello cambiamenti sia strutturali che funzionali. Studi di imaging funzionale tramite tomografia ad emissione di fotone singolo (SPECT) e ad emissione di positrone (PET) hanno evidenziato significative variazioni del flusso cerebrale in pazienti con PTSD durante la rivisitazione del trauma. A questo proposito sono stati riportati aumenti e diminuzioni di flusso nell’ippocampo, nell’amigdala, nella corteccia prefrontale mediale, nel cingolo anteriore e posteriore e nella corteccia temporale. Il modello prevalente collega i sintomi del PTSD ad una mancata inibizione dell’ amigdala, iperattivata dalla sensazione di incombente minaccia, da parte della corteccia prefrontale. E’ stato anche proposto che i cambiamenti strutturali dell’ippocampo e del cingolo anteriore rivelati dalla risonanza magnetica strutturale (RM) siano causati dalla risposta neuronale allo stress. L’obiettivo delle nostre ricerche e’ stato quello di analizzare la risposta funzionale e le variazioni strutturali in due gruppi di soggetti esposti a trauma occupazionale che hanno sviluppato (S=sintomatici, n=20) o no (NS=non sintomatici, n=27) il PTSD. Una parte dei S (n=16) è stata trattata con EMDR. La diagnosi di PTSD prima e dopo la terapia è stata basata sia sui criteri del DSM-IV sia su vari test neuropsicologici mirati. La SPECT (n=47) e la RM (n=33) sono state eseguite da 3 mesi a sei anni dal trauma e la prima è stata ripetuta dopo EMDR. I sintomi sono stati provocati da uno script individualizzato che ha riportato alla memoria il trauma e durante il quale è stato iniettato il tracciante di flusso cerebrale. Le analisi eseguite hanno mostrato differenze significative tra S e NS nella risposta del flusso cerebrale allo script. Nei 33 soggetti in cui sono state eseguite sia la SPECT che la RM sono state trovate differenze significative sia funzionali che strutturali nella corteccia temporo-parietale sinistra e nell’ippocampo, regioni nelle quali gli score dei test neuropsicologici correlano significativamente con il flusso cerebrale. Nei soggetti con remissione sintomatologica dopo EMDR (R; n=11) sono state trovate rispetto ai soggetti che non hanno risposto alla terapia (NR; n=5) significative differenze di flusso in 4 aree corticali che processano funzioni deteriorate in corso di PTSD. Diminuzioni di flusso dopo la terapia sono state registrate nei R rispetto ai NR nell’ippocampo, nel giro fusiforme (corteccia parieto-occipitale) e nella corteccia visiva primaria. L’ippocampo è sede della memoria episodica ed autobiografica; il giro fusiforme 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’iperattività di queste regioni nel PTSD sono responsabili della rivisitazione patologica figurata e somatica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Viceversa la corteccia frontale dorsolaterale ha mostrato un aumento di flusso nei R. Questa regione oltre ad essere deputata ad inibire nel sistema limbico la risposta patologica a stimoli che ricordano l’evento traumatico è essenziale per i processi di attenzione e del “senso di sé”, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In questi soggetti la RM ha inoltre messo in evidenza il valore predittivo delle dimensioni dell’ippocampo rispetto all’efficacia della terapia con EMDR. I nostri risultati confermano il coinvolgimento della corteccia temporo-parieto-occipitale nel PTSD e sottolineano il valore delle neuroimmagini sia nello svelare gli effetti neurobiologici dell’EMDR che determinare il valore delle indagini strutturali nel predirne l’efficacia.

Recent studies have shown that the post-traumatic stress syndrome (PTSD) may result in both structural and functional brain changes. Imaging studies using functional Single photon emission tomography (SPECT) and positron emission tomography (PET) shown significant changes in cerebral blood flow in patients with PTSD during revisiting the trauma. In this regard have been reported increases and decreases in flow hippocampus, amygdala, medial prefrontal cortex, the anterior cingulate and posterior and temporal cortex. The dominant model linking the symptoms of PTSD to a no inhibition of 'amygdala hyperactivity disorder by the sense of impending threat by the prefrontal cortex. E 'was also proposed that the structural changes of the hippocampus and anterior cingulate revealed by structural magnetic resonance imaging (MRI) are caused by the response neuronal stress. The aim of our research and 'was to analyze the response functional and structural variations in two groups of subjects exposed to occupational trauma that have developed (S = symptomatic, n = 20) or not (NS = non-symptomatic, n = 27) PTSD. Part of S (n = 16) was treated with EMDR. The diagnosis of PTSD before and after the therapy was based on both DSM-IV has on several neuropsychological tests targeting. SPECT (n = 47) and MRI (n = 33) are were performed from 3 months to six years from the trauma and the first was repeated after EMDR. Symptoms were caused by a script individual who reported to the memory of the trauma and during which were injected with a tracer of cerebral blood flow. The analysis performed showed significant differences between S and NS in the response of flow brain to the script. In the 33 subjects in which they were performed both SPECT and MRI were found significant differences in both functional and structural temporo-parietal cortex left hippocampus, regions in which the scores of neuropsychological tests correlate significantly with the flow in the brain. In subjects with symptomatic remission after EMDR (R; n = 11) were found compared with subjects who did not respond to therapy (NR, n = 5) significant differences in flow in 4 cortical areas that process functions deteriorated in the course of PTSD. Decreases in flow after treatment were recorded in R than NR hippocampus, within fusiform (parieto-occipital cortex) and in the primary visual cortex. The hippocampus is the seat of episodic memory and autobiographical, and the processes around the fusiform recognition of faces, bodies and words, the primary visual cortex preserves the memory visual events. The non-inhibition and / or 'hyperactivity of these regions in PTSD are responsible for pathological figured revisiting the traumatic event and physical and presence of flashbacks and hallucinatory images. Contrast, the dorsolateral frontal cortex has showed an increase of flow in R. This region in addition to being deputies to inhibit the system limbic response to pathological stimuli that recall the traumatic event is essential for processes of attention and the "sense of self, decreased in the course of PTSD and recovered following remission. In these subjects, MRI has also highlighted the predictive value the size of the hippocampus compared the efficacy of EMDR therapy. Our results confirm the involvement of the temporo-parietal-occipital cortex in PTSD and emphasize the value of neuroimaging in revealing both the neurobiological effects of EMDR that determine the value of the structural surveys in predicting effectiveness.

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

117. 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

118. Meignant, I. (2012, April). The systemic EMDR approach: Healing the couple. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
Combining Mony Elkaim's Reciprocal Double Bind Systemic Model with the EMDR Adaptive Information Processing (AIP) model is a new perspective for couple therapy. This combination of approaches can be used to develop an EMDR treatment plan that incorporates and respects the relational systems, e.g., spouses and intimate partners, parent/child, employer/employee. In this presentation, participants will learn how and when it is appropriate to work with the one member of a couple as a co-therapist; how individual safe places can be applied to develop a safe place for the couple, both during the session and at home; how to develop a systemic EMDR targeting plan, guided by the understanding of the Reciprocal Double Bind, and finally, how to apply the 8 phases EMDR protocol to couple work, based on a Systemic Model.
Learning objectives: 1.Evaluate when to use EMDR in couple therapy session 2.Be able to do the installation of EMDR safe place as a resource for the couple 3.Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple’s current issues and presenting problems. 4.Learn to apply the specifications of each of the 8 phases EMDR protocol with a couple.

Keywords: Couples Therapy

Accuracy Verified: Yes

119. Lovett, J. (2012, October). Targeting confusion to facilitate trauma resolution and promote attachment. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
This presentation will help clinicians recognize and address the confusing or inexplicable aspects of trauma as they follow standard EMDR protocol. Children who experienced complex trauma, adults who had childhood trauma and individuals who have had medical trauma may be at risk for confusion that interferes with executive functioning, learning and attachment. This workshop will present ways to address confusion through cognitive interweaves, developmentally appropriate explanations, cohesive narrative and specific targeting of physical sensations. The presentation will provide case studies accompanied by slides, videos, practicum and discussion.

Keywords: Attachment Confusion

Accuracy Verified: Yes

120. Knipe, J. (1995). Targeting defensive avoidance and dissociated numbing. EMDR Network Newsletter, 5(2), 6-7.

Language: English

Format: Newsletter

Abstract:
For some clients (perhaps 10-15%),I have found that the effectiveness of EMDR (Level I, Level I1 version) is blocked or hindered by defensive processes which may or may not be conscious or voluntary, and which function to protect the individual against unpleasant affect. In such instances, it has frequently been useful to use the 0-10 scale to measure aspects of experience other than unpleasant affect. This is similar to the Level of Urge (LOU) innovation designed by Popky (1994) and used as part of his protocol for the treatment of substance addictions.

Keywords: Numbing Targeting

Accuracy Verified: Yes

121. Bergmann, U., DesPlantes, D., Enjady, S., Fitzgerald, J., Janis, K. O., & Outcalt, A. A. (2011, August). Targeting oppression: Engendering empowerment. Symposium (David Eliscu, Moderator) presented at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop continues the mission of the diversity mandate, as established by the EMDRIA Board in 2008, and is an elaboration, and more in -depth exploration of diversity issues in EMDR, begun at the 2009 EMDR International Conference in Atlanta and continued in the panel presentation in Minneapolis in 2010. It is a three hour presentation, and in keeping with the Conference theme, “The Many Faces of Trauma,” is entitled , “Targeting Oppression; Engendering Empowerment,” and looks in depth at intergenerational and internalized oppression that may present themselves in ways that clinicians have not been trained to look for or treat. The form for the symposium will be a short presentation on the psychological effects of oppression, racism and disempowerment, followed by presenters who work with African-American, Latino, LGBT, Native American, and Holocaust survivor communities. The thrust is to illustrate how larger issues in people’s histories manifest as issues of personal trauma in the clients we treat.

Keywords: Diversity Empowerment Oppression Symposium

Accuracy Verified: Yes

122. Knipe, J. (2005). Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 189-212). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Most clients who enter therapy do not have a simple problem of a single disturbing memory. More typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also a history of conscious or unconscious choices about how best to soothe, contain, or avoid that disturbance. When the client has a problem that includes positive and negative affective components, we could say (in the language of Shapiro's Adaptive Information Processing Model) that the chain of experiential associations -- the dysfunctionally stored memory network -- has positively valued experience at the entry point into the network and disturbing material at other, less accessible places. Clients often experience this situation as one of conflicting ego states. Specifically, one ego state may be positively emotionally invested in an outcome that is an obstacle to the person's larger life goals. When this happens and the usual EMDR method of targeting negative affect is stalled, it may be useful to target the positive side of the issue, that is, an image that has a positive emotional valence. Such clients are asked to hold in mind the enjoyable aspects of a problematic wish or identity while engaging in Dual Attention Stimulation (DAS). In this way, they can process these positive aspects, "disinvest" from the problem, and go on to resolve the conflict. Several session transcripts illustrate how this approach can work in practice. [Adapted from Text, pp. 189-190]

Keywords: Life Experiences Psychotherapeutic Processes Survivors

Accuracy Verified: Yes

123. Kiessling, R. (2007, September). Thinking like an EMDR therapist. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
During the 2006 EMDRIA Conference, Dr. Shapiro laid the groundwork for understanding the EMDR Approach. The Adaptive Information Processing Model formulates the clinician’s development of an effective EMDR treatment plan based upon the client’s presenting problems. It is important that the clinician understand into which of the four possible arenas the client’s presentation falls. These four options are divided into two possible categories, Symptom and Comprehensive presentations. Symptom focused treatment plans address Single Incident PSTD, and Single Issue, brief treatment options. Comprehensive presentations involve Multiple Issues and/or complex PTSD. Each of these presentations require a different treatment plan conceptualization and targeting sequence strategy. This workshop will give clinicians concrete, practical history taking and targeting sequence guidelines through lecture, handouts, worksheets, and video demonstrations.

Keywords: Posttraumatic Stress Disorder PTSD Single Incident Single Issue

Accuracy Verified: Yes

124. Welling, H. (2012, June). Transformative emotional sequence: Towards a common principle of change. Journal of Psychotherapy Integration, 22(2), 109 -136. doi:10.1037/a0027786.

Language: English

Format: Journal

Abstract:
Transformative emotional sequence (TES) is proposed as a common principle of therapeutic change underlying a number of therapies: Emotion-focused therapy (EFT), coherence therapy (CT), accelerated experiential-dynamic psychotherapy (AEDP), and eye movement desensitization and reprocessing (EMDR). TES consists of emotional activation of a problematic emotional state followed by the activation of adaptive emotional state(s) within a short window of time. The resulting change is the creation of a permanent connection between previously unintegrated maladaptive emotional memory networks and adaptive emotional networks. Memory reconsolidation provides a plausible explanation for the mechanism underlying the effectiveness of TES. I compare TES to exposure, and argue that it is the intervention of choice for transforming maladaptive emotions, whereas exposure is most appropriate for accessing disowned and avoided experiences. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Accelerated Experiential-Dynamic Psychotherapy AEDP Coherence Therapy CT EFT Emotopm-Focused Therapy TES Transformative Emotional Sequence

Accuracy Verified: Yes

125. Greenwald, R. (2004, September). Trauma-informed treatment: The foundation of EMDR. Presentation at the annual meeting of the EMDR International Association, Montréal, Ontario Canada.

Language: English

Format: Conference

Abstract:
Historically, the standard EMDR training has focused primarily on the trauma resolution component of trauma treatment. This experiential workshop expands the focus to lay a broader foundation for EMDR. The focus will be on understanding the impact of trauma on current presenting problems, developing a trauma-informed case formulation, and developing a comprehensive trauma-informed treatment plan. The gods of this workshop are to help participants to: (a) identify clients for whom EMDR may be appropriate; (b) prepare those client for EMDR; and (c) sequence treatment activities so that EMDR is most likely to be safe and effective.

Keywords: Trauma-Informed Case Formulation

Accuracy Verified: Yes

126. Gelinas, D. (2008, September). Treating complex PTSD using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD and the added features of CPTSD, including dissociation, somatization, and affect dysregulation, then use this information to demonstrate EMDR case conceptualization, targeting strategies, and some cognitive interweaves that are particularly helpful for individuals with histories of childhood repetitive trauma. The workshop will also describe how to recognize and work with dissociation, including ego states, during the EMDR phases, so that the EMDR can proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

127. Gelinas, D. (2007, September). Treating complex PTSD using EMDR. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD using EMDR. It will first review the relevant characteristics of complex PTSD and then use this information to demonstrate EMDR case conceptualization, targeting strategies, trajectories of desensitization and will provide some cognitive interweaves that are particularly helpful for individuals with histories of repetitive trauma. The workshop will also describe how to recognize dissociation during the EMDR phases, including ego states, should they be present, and how to manage dissociation so that EMDR may proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

128. Bergmann, U. (2008, June). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
The use of ego-state interweaves and/or extensive ego-state therapy (utilized in the preparation phase) and integrated into EMDR targeting (phases 3-7), in the treatment of personality disorders, has not received a great deal of attention at conference presentations or in the published media. This has led to minimal or nonresponsiveness in the EMDR treatment of personality disorders, since aspects of dissociation in these clients have not been addressed. In the past ten years, renown neuroscientists, such as Eric Kandel, Joseph LeDoux, Michael Gazzaniga and V.S. Ramachandran, in response to empirical findings in the fields of memory, neuromodularity, split-brain research and information processing, have begun to suggest that the “self” may very well be a collection of memories that are structured in a fragmented (neuromodular) multiplicity that is developmentally inherent. Ramachandran, LeDoux and Gazzaniga have, each, stated, explicitly, that the sense of a “cohesive and monolithic” self is an “illusion” created by areas in the left cerebral hemisphere. Accordingly, just as the EMDR standard protocol was adapted for recent traumatic events (in response to acute memory fragmentation), so must it be modified for inherent memory and personality fragmentation, by the use of extensive ego-state work (preparation) and ego-state-specific EMDR targeting (phases 3-7). The implementation of these techniques has shown a remarkable advance in the treatment of personality disorders, which had, previously, been rather impervious to EMDR treatment.

Keywords: Dissociation Personality Disorders

Accuracy Verified: Yes

129. Bergmann, U. (2008, September). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. New evidence from the fields of neuroscience, regarding the normative multiplicity of the self, will be defined and described. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.

Keywords: Dissociation Ego State Therapy Personality Disorders

Accuracy Verified: Yes

130. Bergmann, U. (2007, September). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. New evidence from the fields of neuroscience, regarding the normative multiplicity of the self, will be defined and described. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state-specific EMDR targeting to facilitate robust processing.

Keywords: Ego State Therapy Personality Disorders

Accuracy Verified: Yes

131. Nickell, A. (1998, July 4). Treatment ends bad memories. Cheyenne, WY: Wyoming Tribune-Eagle, A6.

Language: English

Format: Newspaper

Abstract:
A therapy developed in 1987 by psychologist Dr. Francine Shapiro is helping patients diminish and remove the effects of those disturbing memories.The therapy is called eye movement desensitization and reprocessing (EMDR). Trained therapists use it by alternating stimulation between the two hemispheres of the brain while the patient focuses on the trauma."It's a fairly complicated therapy," said licensed counselor Roger Ludwig. "I go through a series of steps with my patients. "Those steps include getting to know the patient and understanding what triggers the anxiety.The patient also must isolate a mental snapshot to represent the event, a feeling about the event and thoughts about the event, such as "He's going to kill me."The doctor then runs the patient through a sequence of bilateral stimuli.

Keywords: Cheyenne General Overview Roger Ludwig

Accuracy Verified: No

132. de Jongh, A., & ten Broeke, E. (1998). Treatment of choking phobia by targeting traumatic memories with EMDR: A case study. Clinical Psychology and Psychotherapy, 5(4), 264-269. doi:10.1002/(SICI)1099-0879(199812).

Language: English

Format: Journal

Abstract:
Choking phobia is a specific phobia characterized by fear and avoidance of swallowing foods and liquids. It often develops following an episode of choking on food. A prospective case study of a 30-year-old woman with a phobia of choking, acquired after a series of traumatic incidents 5 years previously, demonstrates the usefulness of an approach that is aimed at processing the disturbing memories of a traumatic event. Two therapy sessions of Eye Movement Desensitization and Reprocessing (EMDR) produced a lasting decrease in symptomatology. [Author Abstract]

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

Accuracy Verified: Yes

133. Whisman, M. (2000, May 6). Treatment of obsessive compulsive disorder (OCD) with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This presentation will focus on key factors believed to contribute to the development and maintenance of OCD: a damaged, diffuse sense of self; a perceived inadequacy to function, to meet the vicissitudes of life; and an elaborate defence system designed to offer the illusion of safety and control (avoidance of affect and action). Given the prominence of cognitive distortions and avoidance of affect in OCD, and the impact of EMDR on such phenomena as exhibited in the literature about EMDR treatment with PTSD, Whisman believes EMDR has the potential to be quite beneficial in the treatment of OCD. EMDR seems to allow the OCD client to hold a dual focus: the illusion of the disorder and the reality of the self; and to tolerate the affect accompanying this processing. Bridging past experience and present behavior, EMDR appears to allow new connections to be made that offer the client a distance form the disorder and a strengthening of the self. A model for educating the client about OCD will be presented a model whcih develops a "language" between therapist and client and bridges self and disorder; changes in the standard EMDR protocol will be presented and demonstrated via videotape; and EMDR components such as targeting, cognitive interweaves, and resource installation will be addressed. Clinical observation and client self-report are pointing to EMDR as an effective treatment component for OCD.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

134. Whisman, M. (2000, May 6). Treatment of panic disorder with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This presentation will focus on incorporating EMDR into the treatment of panic and phobia. Emphasis will be given to the preparation phase of EMDR: an educational model will be presented which is a necessary prerequisite to processing. A three-level approach to processing will be presented, targeting different cognitions and affect at each level. Level three includes the behavioral aspect of overcoming phobia avoidance. It is Whisman’s experience that a panic disorder can be its own origin (i.e., panic from on overdose of caffeine perpetuates itself because the client does not have the knowledge that s/he experienced a caffeine/adrenaline reaction, not symptoms of impending mental or physical catastrophe); however, panic and phobia can also be symptoms of underlying trauma, acute stress disorder, or PTSD. These distinctions will be discussed and relevant case material will be offered. Targeting, negative and positive cognitions, cognitive interweaves, and resource installation will be addressed as each level is discussed. A videotaped session will be shown: the client enters this session experiencing anxiety, dissociation, and trauma response. Clinical observation and client self-report are demonstrating that EMDR can be an effective treatment component for panic/phobia.

Keywords: Panic Disorder

Accuracy Verified: Yes

135. Mosquera, D. (2012, June). Understanding and treating narcissistic and antisocial personalities with EMDR [Personalidades narcisistas y antisociales. Comprensión y abordaje desde EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The DSM-‐IV description of narcissistic personality disorder focuses on the “overt” qualities of narcissism (grandiosity, exploitation, arrogance, interpersonal problems and rage) while omitting the less obvious and more subtle “covert” characteristics (tendency to be shame sensitive, introverted, vulnerable, inhibited and anxiety-‐prone). A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-‐centered profile. People characterized by lack of empathy and selfishness are usually considered difficult to treat and poor candidates for psychotherapy (even untreatable) but many cases can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization. A description of different profiles characterized by self-‐centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations. To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-‐centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.

La descripción de la DSM-‐IV del trastorno de personalidad narcisista se centra en las cualidades “externas” del narcisismo (grandiosidad, explotación de otros, arrogancia, problemas interpersonales y rabia) mientras que omite las características “internas” menos obvias y más sutiles (tendencia a ser sensitivos a la vergüenza, introvertidos, vulnerables, inhibidos y tendentes a la ansiedad. Una característica central del narcisismo es la falta de empatía. Mientras que los problemas de empatía pueden estar presentes en muchas personas con trastornos de personalidad, hay dos trastornos de personalidad más relacionados con la falta de empatía y la falta de preocupación (en ocasiones tan sólo de modo aparente) sobre el sufrimiento que pueden causar en otras personas: el trastorno de personalidad narcisista y el antisocial. Ambos tipos de personalidad comparten un perfil egocéntrico. Las personas que se caracterizan por una falta de empatía y egoísmo, normalmente son consideradas difíciles de tratar y malos candidatos para psicoterapia (incluso intratables) pero muchos casos pueden ser tratados de manera efectiva con EMDR. Entender la raíz de los síntomas es crucial para una adecuada conceptualización del caso. En esta presentación se realizará una descripción de diferentes perfiles caracterizados por egocentrismo, actitud egoísta y falta de empatía. Estos aspectos pueden estar presentes en agresores y víctimas, de forma evidente o sutil. Para realizar una adecuada conceptualización de estos casos desde EMDR es importante comprender cómo las experiencias tempranas influyen en la problemática actual. Los rasgos narcisistas y antisociales pueden ser el resultado de un entorno negligente, de abuso crónico o de un exceso de elogio y refuerzo. Los diferentes problemas de apego con los cuidadores principales pueden generar una falta de empatía y una actitud egocentrista. Todos estos aspectos y la complejidad de la relación terapéutica en las personalida

Keywords: Antisocial Personality Disorder Narcissistic Personality Disorder

Accuracy Verified: Yes

136. McFarlane, A. (2010, June). Understanding traumatic stress reactions - The linking of phenomenology, aetiology and treatment plan. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
One of the most intriguing aspects of traumatic stress has been the repeated learning and forgetting of lessons about its importance as a cause of psychopathology. It remains the case that the broader body of psychiatry and psychology has an ambivalent relationship with the field of traumatic stress and the nature of posttraumatic stress disorder. The origins of this ambivalence and their impact will be discussed. It is important that practitioners in the field of traumatic stress be aware of these barriers and how to address them in a research setting and clinical practice.
The underlying phenomenology of posttraumatic stress disorder will be explored and its neurobiological origins will be highlighted. It is important to deconstruct posttraumatic stress disorder into the different symptom components, as they have substantially different mechanisms underpinning their intensity and presentation. Posttraumatic stress disorder is a dynamic condition in which symptoms fluctuate with time and are substantially influenced by the environmental demands placed upon the individual.
It is often forgotten that somatic symptoms are a core element of the experience of individuals with PTSD. The nature of these somatic dimensions of distress and their significance will be discussed.
The epidemiology of posttraumatic stress disorder highlights how the prevalence of these conditions is seemingly increasing. However, this reflects the developments in the measurement of the effects of trauma in research settings. This has major implications for clinicians as to how best take a history about exposures to traumatic events. The evidence is that systematic investigation is critical and that unless questions are asked, symptoms will frequently go unreported. Recent evidence suggests that PTSD may be in fact more common than major depressive disorders. Equally, it should not be forgotten that depression is an important dimension of posttraumatic reactions. There is also an associated comorbidity with substance abuse. The risks associated with trauma exposure have a long tale of effect and these will be described.
The challenges of treatment will be discussed in the context of early intervention and workplace intervention. Treatment needs to be a sequential process where there are a variety of strategies, including EMDR, which can be used in treatment. The sequence of these strategies in treatment is a challenging question that has not been systematically addressed in research.
It remains the case that one of the primary issues in treatment is early identification, and this raises questions about the importance of screening in at-risk populations. Again, there are significant differences in opinion; however, the militaries around the world are now regularly screening populations returning from deployment. A recent novel approach to considering the issues of treatment is whether a staging approach should be used for conditions such as PTSD.
In summary, it is critical that clinicians have an explicit model of the mind and its neurobiology. Posttraumatic stress disorder can best be understood as an information processing disorder, which both impacts upon an individual's ability to engage with their day to day environment as well as integrate past experiences as a source of information to influence current behaviour. The integration and modulation of neural systems that manage environmental input is critical to adaptive functioning. The ways that these systems become dysregulated in PTSD will be highlighted and how these underlying deficits can be addressed in treatment will be focused upon.
A further issue that needs to be considered in the treatment of PTSD is the long-term risk of individuals, who have developed this condition, to have relapses after a successful intervention. Some long-term treatment outcome data will be presented.

Keywords: Posttraumatic Stress Disorder PTSD Traumatic Stress

Accuracy Verified: Yes

137. Popky, A. J. (2011, October). An urge reduction protocol as a new way to address addictions and dysfunctional behaviors based on the AIP model of EMDR. Presentation for Care For the Troops, Marietta, Ohio.

Language: English

Format: Other

Abstract:
The purpose of this document is to act as a training manual for those clinicians that work with addictive populations and that have completed already completed EMDR level 1 and 2 trainings. Previous research on EMDR has focused on its usefulness for treating trauma-related symptoms in a diverse sample of subjects. This protocol deals with targeting triggers that bring up urges rather than traumas. It is the authors beliefs that the targeting of triggers is a gentler way of dealing with this addictive population and that as triggers are reprocessed ego strength grows until the thread to the trauma or core issues are ready to emerge to be reprocessed. Background This treatment model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to, cognitive-behavioral, solution focused, Ericksonian, narrative, object relations, EFT, TFT, to name a few. The bi-lateral stimulation from the accelerated information processing model (EMDR) seems to form the catalyst for rapid processing and change, the turbo-charger that speeds the healing process. Successful results have been reported across the wide spectrum of addictions and dysfunctional behaviors: chemical substances (nicotine, marijuana, alcohol, methamphetamine, cocaine, crack, heroin/methadone, etc.), eating disorders such as compulsive overeating, anorexia and bulimia, along with other behaviors such as sex, gambling, shoplifting, anger outbursts, OCD and trichotillomania, etc. Since this is an urge reduction protocol the scope of applications can include a wide variety of applications.

Keywords: Adaptive Information Processing Addictions AIP Desensitization of Triggers and Urge Reprocessing DeTUR Dysfunctional Behaviors

Accuracy Verified: Yes

138. Tinker, R. H. (2008, September). The use of EMDR with motor accident victims. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Approximately 750,000 new cases of PTSD arise each year following MVAs in the US alone. The presenter will discuss targeting pain memories and dealing with closed head injuries, as well as PTSD when they co-morbidly occur in the same person. Case examples will be presented. Results of approximately 100 consecutive PTSD cases from MVAs will also be presented. The participant will be able to demonstrate knowledge of: How to treat pain memories within the EMDR protocol; How to treat closed head injuries within the EMDR protocol and; Treatment effectiveness of EMDR with this population.

Keywords: Motor Vehicle Accidents Victims

Accuracy Verified: Yes

139. Bilal, M. S., & Rana, M. H. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in battle hardy soldiers after sustaining psychological trauma in various suicide bomb blast: A series of cases of post traumatic stress in terrorist acts. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective: The purpose of the study is to show the impact of the use of EMDR in survivors of suicide bomb blasts in North of Pakistan. Design and Settings: The study involves an ongoing compilation of clinical data and the study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health facility is the catchment area of patients from Northern areas of Pakistan, currently the part of the country, worst affected by series of suicide bombings targeting military and civil population. Method: Families of the victims and those who survive suicide bombings without physical injuries are referred to CTRPI from peripheral areas / hospitals for assessment for psychosocial consequences of facing a man made disaster. Patients are interviewed at the point in time of referral and scoring is done on Impact of Event Scale (IES). Those who fulfill the criteria of Post traumatic Stress Disorder according to ICD-10 are registered for further studies and appropriate interventions. The individuals who fulfil the criteria for PTSD or any other psychiatric morbidity are then enrolled for regular psychiatric follow up. The patients are first offered the use of EMDR and all who give an informed consent are then assigned to a psychiatrist trained in EMDR (Level 2). Sessions of EMDR as per the protocol of 8 stages are carried out. Scoring on IES is recorded serially. According to the degree of improvement and severity of illness, sessions of EMDR are carried out using the bilateral stimulation during the hospital stay. Results: The three individuals who have completed EMDR treatment had survived the suicidal bombing attacks and fulfilled the entry criteria were administered 8 stage protocol EMDR. They all improved in their symptoms of intrusive images, hyper-arousal, autonomic instability and avoidance. Their sleep improved and nightmares diminished. Their social and interpersonal functioning improved. There was marked reduction of basal anxiety levels in all three. Scores on IES done after intervention (EMDR) improved from initial pre EMDR score of 41, 38 and 40 respectively to post EMDR scores of 18, 15 and 14 for the three subjects who completed EMDR protocol of 8 stages. On reporting to their respective units their occupational effectiveness has returned to previous levels of functioning. Conclusions: EMDR proves to be an effective non pharmacological intervention in terms of post traumatic stress disorder in special circumstances of acts of terrorism involving suicide bombing. The data presented is only preliminary and is based on a small number out of a larger sample.

Keywords: Military Posttraumatic Stress Disorder PTSD Terrorism

Accuracy Verified: Yes

140. Donovan, L. (2005, September). Using EMDR in processing grief with children and families. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Grief wears different faces and proceeds in varying paces for the different members of a family that share a loss. Participants will be able to: 1 ) define relevant issues and strategies for using EMDR with grieving children and their families; 2) identify targets and necessary resources for different stages of grief and ages and roles of family members; and 3) name criteria to guide the structure, sequence and pacing of EMDR for processing grief within the family system. Theory-based ideas will be storied in case illustrations. Participants will be asked to actively apply each learning objective to a case of their own throughout the workshop.

Keywords: Children Families Grief

Accuracy Verified: Yes

141. Gelinas, D. (2009, August). Using EMDR to treat complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD, the three added features characteristic of CPTSD, then demonstrate EMDR case conceptualization and targeting strategies for both adult- and childhood-onset chronic traumatization. The workshop will review new material in the theory of structural dissociation, describe how to recognize when dissociation (including ego-states) is interfering, disrupting, or even precluding EMDR in its different phases, and will provide a number of interventions to manage such dissociation, including working with dissociative ego-states, so that the EMDR can proceed productively.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation

Accuracy Verified: Yes

142. Knipe, J. (2006, June). Using EMDR with substance addictions and with behavior problems that have an addictive pattern. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Addictions Substance Abuse

Accuracy Verified: Yes

143. Chang, G. (1998, March 27). Using flashing lights to banish bad memories. The Discovery Store, Science Today Online.

Language: English

Format: Other

Abstract:
The idea does seem a bit ridiculous. Tiny green lights on a horizontal bar flashing in sequence, back and forth, back and forth -- guiding the eyes of a patient side to side as he concentrates on a traumatic memory and talks about his feelings and thoughts related to the experience. The process is called EMDR (Eye Movement and Desensitization and Reprocessing) and it is touted to relieve symptoms of post traumatic stress disorder (PTSD) -- that sometimes take years to treat -- in only a few sessions.

Keywords: General Overview

Accuracy Verified: Yes

144. Paulsen, S. (2009, November). Working under the floorboards: Resetting affective circuits in preparation for clearing very early trauma with EMDR. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: EMDR is known for its use in treatment of PTSD and, when the appropriate protocol is used, dissociative disorders. The standard protocol of EMDR is limited when applied to repairing early trauma because 1) it relies upon targeting an explicit memory but early trauma is stored in implicit memory, and 2) when early trauma is accessed it can be overwhelming to clients, because early experience is accessed with the limited containment, safety and affect regulation capacity of the child´s age at the time of trauma. Katie O´Shea developed a four step protocol for the safe treatment of early trauma using EMDR, and it is based upon an ego state approach (O´Shea & Paulsen, 2007). The protocol is based upon the standard EMDR protocol with critical modifications. There are three preparation steps: 1) containment, 2) safe state, and 3) resetting affective circuits. Step three is hypothesized to clear the affective circuits that conduct emotional information processing. The fourth step corresponds to Phases III and IV in the EMDR standard protocol. That fourth step articulates the target and desensitizes it, but the latter is conducted by time frame rather than by explicit memory.

Keywords: Early Trauma

Accuracy Verified: Yes

145. Kiessling, R. (2007, September). Yes, it’s your “responsibility”!. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Effective case conceptualization and treatment is dependent upon accurate assessment of the client’s presenting problem’s “Core Cognitions” in order to appropriately identify the Touchstone Event. Understanding the treatment hierarchy of Responsibility, Safety and Choices greatly increases the clinician’s ability to understand and develop the appropriate treatment targeting sequence. This workshop will help clarify the appropriate development of an effective treatment plan according to the client’s core negative belief.

Keywords: Cognitions

Accuracy Verified: Yes