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Your Results - you searched for the keyword Therapeutic Effectiveness 1445 Results
1. マーフィ重松, 村川 治彦 [Shigematsu Mafi, and Murakawa Haruhiko]. (2001年12月). 第4巻 トラウマ治療のためのEMDR [EMDR treatment for trauma, Volume 3]. 心理療法のための日本語研究所:東京 [Japanese Institute for Psychotherapy: Tokyo].
Language: Japanese
Format: Video
Abstract:
EMDR(眼球運動による脱感作と再処理法)は認知的、行動的、精神力動的、生理学的、相互作用的といった主要な心理療法の様々な要素を含む複雑な治療的アプローチである。 これまで眼球運動の刺激の面だけが注目を集めてきたが、EMDRには8つの段階の介入法があり、クライアントが比較的落ち着いた状態のままできるだけ短い期間で深く総合的な治療の効果をあげることを目指している。
EMDR (and re-treatment of eye movement desensitization) is a cognitive, behavioral, psychodynamic, physiological, and therapeutic approaches for a complex variety of elements such as the main interactive psychotherapy. The plane had just paid attention to this eye movement stimulation, EMDR has a eight-step interventions, the overall effect of treatment remains deeply as possible in a short period comparatively calm clients It aims to give.
Accuracy Verified: Yes
2. Furlani, F. (2006, Maggio). Dentro la relazione: L’Alleanza terapeutica dalla ricerca alla pratica clinica [In the report: The therapeutic alliance research into clinical practice]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.
Language: Italian
Format: Conference
Abstract:
Nella presentazione verrà esposta l’evoluzione di un protocollo di ricerca in psicoterapia che considera l’andamento dell’alleanza terapeutica e del clima emotivo tra paziente e terapeuta, confrontati con la situazione clinica del paziente. Verranno inoltre presentati i primi dati di una ricerca condotta con gli stessi criteri e che prevede l’osservazione di psicoterapie con approccio terapeutico EMDR e di psicoterapie con approccio cognitivo-costruttivista. Le indicazioni ottenute saranno discusse attraverso riflessioni e stimoli per la ricaduta pratica.
In the presentation will be outlined the evolution of a research protocol that considers the trend in psychotherapy and emotional climate of the therapeutic alliance between patient and therapist, compared with the clinical situation of the patient. Will also be presented the first data of a survey conducted by the same criteria and requiring compliance with therapeutic approach to psychotherapy and EMDR psychotherapy with cognitive-constructivist approach. The indications obtained will be discussed through reflections and stimuli for relapse practice.
Keywords: Cognitive-Constructivist Approach Research Protocol Therapeutic Alliance
Accuracy Verified: Yes
3. Tsuchimochi, S. (2010, July). The possibility of EMDR use with juvenile delinquents. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Objective: The purpose of this study was to examine the effects of EMDR use with juvenile delinquents, such as improvements
of physical and mental mal-adjustment, emotion control, self-recognition and attitudes toward others. It also examined under which conditions in the judicial proceedings, it is possible to apply the EMDR therapy to juveniles. Methods: Three
delinquents whose cases were in the Family Court process, were selected as participants in view of effectiveness, safety
and validity. The measurement scales are as follows: (a)IES-R, (b)the Life Gram ( a wavy line drawn by the participant to
describe one’s own life from the birth to present in the range of +10 and -10.), (c)SUDs, VOC, (d)self-reported impression by
the participant, and (e)observation by the writer. Self-tapping on knees under the instruction by the writer was used as the
bilateral stimulation. Each participant was interviewed four or five times during 4 weeks. Baseline measurements were done
on 1st or 2nd interview, while post measurements were done on 4th or 5th interview after the EMDR session was held on
3rd or 4th time. Results: Results showed clear improvements by one EMDR intervention in two cases out of three. Insufficient
care could be the reason for the absence of improvement with one participant. Conclusion: The results of this study suggest
that the EMDR is effective for the improvements of the various symptoms and problems of the juvenile delinquents, if being
properly applied on the certain guidelines set for them.
Keywords: Juvenile Delinquents Poster
Accuracy Verified: Yes
4. 国秋 汪永光 王义强 付素芬 曹日芳 [Zhao Guo-Qiu, Wang Yong-Guang, Wang Yi-Qiang, Fu Shu-Fen, & Fang Tsao]. (2008, August). "4•28"胶济铁路交通事故伤员心理危机的干预 [Psychological intervention in the casualties of 4 · 28 train crash on the Jiao-Ji railway line]. 中華急診醫學雜誌 17卷8期 (2008/08), 800-803 [Chinese Journal of Emergency Medicine], 17(8), 800-803 .
Language: Chinese
Format: Journal
Abstract:
目的 分析淄博铁路交通事故伤员心理行为反应特点以寻找救治交通事故后患者的心理的有效方法。方法 采用心理危机结构式访谈问卷,对2008年4月28日发生的山东淄博胶济铁路重大交通事故中的226伤员进行心理状态评估,并对22名ASD患者进行眼动脱敏再加工(eye movement desensitization and reprocessing, EMDR)治疗,比较EMDR治疗前后的心理行为反应的差异。结果 有22名达到ASD(急性应激障碍)诊断标准,本次铁路交通事故中ASD的发生率为9.73%,伤员中主要以闯人、警觉性增高表现为主,并伴随着其他的负性情绪体验。女性组ASD的发生率(14.85%)高于男性组(5.60%),P<0.05。女性组心理行为反应结果明显重于男性组(P<0.05),EMDR能够显著改善ASD患者的闯入、警觉性增高症状(P<0.01),但愤怒情绪没有显著改善((P=0.227))。结论 铁路交通事故后,女性比男性更容易发生ASD。EMDR可有效地解决ASD患者除愤怒以外的心理危机。
Objective: To investigate the psychological characteristics in the casualties of 4.28 train crash on the Jiao-Ji railway track and to find a effective way to relieve the psychological crisis induced by traffic accident. Method: A total of 226 casualties were assessed in respect of psychological crisis with interview questionnaire after 4.28 train track on Jiao-ji railwayine. Twenty-two casualties meeting acute stress disorder (ASD) criteria from DSM-IV were treated with EMDR. The therapeutic effects of eye movement desensitization and reprocessing (EMDR) on ASD were assessed. Results: The incidence of ASD was 9.73% (22 casualties). The major psychological consequences in casualties were intrusive symptoms, symptoms of hyperarousal, and negative emotional symptoms. Significant differences on gender had been found in incidence rate of ASD female 14.85% and male 5.60%, P < 0.05. The women manifested more severe psychological consequences than men in this train crash accident. Significant treatment effect was found in EMDR on ASD. EMDR can significantly improve the intrusive symptoms and symptoms of hyperarousal (P < 0.05), but can not significantly improve negative emotional symptoms (P > 0.05). Conclusions: The women showed more severe psychological consequences than men after train crash accident. EMDR was effective treatment on ASD but negative emotional symptoms.
Keywords: Accident Acute Stress Disorder ASD: Crsis Intervention Psychological Crisis Intervention Traffic Accident Train Collision Train Crashes
Accuracy Verified: Yes
5. Oz, S. (2005). The "wall of fear": The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14(3), 23-47. doi:10.1300/J070v14n03_02.
Language: English
Format: Journal
Abstract:
A multitude of published books and papers on child sexual abuse (CSA) describe symptoms, long-term effects, and therapy for survivors of abuse. However, the parallels between the nature of the sexual trauma event(s) as originally experienced by the victim and the therapeutic process into which the survivor later becomes engaged have not been reported. This paper attempts to fill that gap and proposes that the concept of a "Wall of Fear" is the bridge connecting the two. In the first part of the paper, a model of the CSA experience based upon Furniss will be explained in order to point out the basis for the dissociation and other symptomology demonstrated by the CSA victim. Following that, the stages of therapy will be mapped out, with special attention to the concept of the Wall of Fear and traumatic memory resolution (abreactions) and with reference to the experience of the original traumatic events. Therapist fear of decompensation will be addressed. [Author Abstract]
Keywords: Child Abuse Rape Survivors Effects Psychotherapeutic Processes Adults Body Psychotherapy TIR Traumatic Incident Reduction
Accuracy Verified: No
6. フランシーン シャピロ, マーゴット・シルク フォレスト, 市井 雅哉 (翻訳) [Shapiro, F., and Forrest, M. S. (Ichii Masaya translator)] (2006年2月). トラウマからの解放:EMDR [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. 大阪:Nikeisha.
Language: Japanese
Format: Book
Abstract:
EMDR、または眼球運動脱感作と再処理、目の動きやハンドタップなどのリズミカルな刺激を利用して外傷の犠牲者を治療するための新しい非伝統的な、非常に短期的な治療法です。シャピロ氏は、臨床心理学者と仲間のアプローチを開発したカリフォルニア州パロアルトで、精神研究所で、これのようにわずか3として90分EMDRセッションは、患者の無効化の不安を軽減した例が報告されます。彼女は1987年に技術を開発する方法説明して、シャピロ氏は、治療について説明しますように機能するかについて、なぜ研究を支援し引き合いに出して推理。彼女はリズミカルな刺激は、プロセスのジャンプに固有の起動することを示唆していると、それらはとても自然治癒を始めることが立ち往生している外傷体験の処理を開始して犠牲者を有効にするには脳の情報処理システムを加速させます。ライターForrestは手法の有効性を実証する数多くのEMDRトレーニングを積んだセラピストによるケーススタディを掴んで提示?とりわけ、心的外傷後ストレスとベトナムのベテランは、夜の恐怖、レイプ被害者の母親と子供もほぼ悲しみに麻痺息子の死の翌年。他の研究は、終末期の患者の成功を支援麻薬中毒者を報告する。
EMDR, or eye movement desensitization and reprocessing, is a new, nontraditional, very short-term therapy for treating trauma victims that utilizes rhythmical stimulation such as eye movements or hand taps. Shapiro, a clinical psychologist and fellow at the Mental Research Institute in Palo Alto, Calif., who developed the approach, reports cases in which as few as three 90-minute EMDR sessions have relieved patients' disabling anxiety. Explaining how she developed the technique in 1987, Shapiro describes the treatment, theorizes about why it works and cites supporting research. She suggests that the rhythmical stimulation inherent in the process jump starts and accelerates the brain's information processing system to enable the victims to begin to process the traumatic experiences in which they have been stuck so that natural healing can begin. Writer Forrest presents gripping case studies from numerous EMDR-trained therapists to demonstrate the effectiveness of the technique?among others, a Vietnam veteran with post-traumatic stress, a child with night terrors, a rape victim and a mother still nearly paralyzed with grief a year after her son's death. Other studies report success helping drug addicts and the terminally ill.
Accuracy Verified: Yes
7. Kaplan, O. (2003). ההשפעה של תנועת העין, על פי שיטת EMDR, על אפקטיביות הפרסום, עובד מס 'נייר 1 [The effect of eye movement, according to the EMDR method, on advertising effectiveness, working paper No. 1]. אוניברסיטת תל אביב, ישראל [Tel Aviv University, Israel].
Language: Hebrew
Format: Other
Abstract:
Keywords: Advertising Effectiveness
Accuracy Verified: Yes
8. محمد نريمانی * و سوران رجبی [Narimani, M., Ahari, S. S., & Rajabi, S.] (2010, Winter). مقايسه تاثير روش حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) با درمان شناختی ـ رفتاری (CBT) در درمان اختلال استرس [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder]. مجله علوم پزشکی دانشگاه آزاد اسلامی ، واحد پزشکی تهران، 19 (4), 236-245 [Medical Sciences Journal of Islamic Azad University, Tehran Medical Branch, 19(4(58)), 236-245].
Language: Persian
Format: Journal
Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويی، از روش های درمانی حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) و شناختی- رفتاری (CBT) در درمان اختلال استرس پس از ضربه (PTSD) استفاده می شود. هدف اين مطالعه بررسی تفاوت تاثير دو روش درمانی EMDR و CBT در اختلال استرس است.
روش بررسی: در اين مطالعه مورد شاهدی 51 رزمنده مبتلا به PTSD بستری در بيمارستان ايثار اردبيل يا ساکن در شهر اردبيل به روش نمونه گيری تصادفی ساده انتخاب شدند و به صورت تصادفی به سه گروه تقسيم شدند.روش مطالعه، آزمايشی گسترش يافته و طرح تحقيق از نوع پيش آزمون ـ پس آزمون چندگروهی بود. ابزارهای مورد استفاده شامل آزمون خاطره های آزاردهنده، مقياس براشفتگی ذهنی، مقياس شناخت واره های مثبت و مقياس اضطراب و افسردگی بيمارستانی بود.
يافته ها: روش های درمانی EMDR و CBT باعث کاهش معنی داری در متغيرهای خاطره های آزاردهنده، اضطراب و افسردگی و برآشفتگی ذهنی شد و ميزان اعتماد به شناخت واره مثبت به طور معنی داری افزايش يافت. روش درمانی EMDR در مقايسه با CBT در کاهش علايم PTSD رزمندگان ايرانی موثرتر بود، با اين وجود هر دو روش در کاهش علايم اين اختلال موثر بودند.
نتيجه گيری: با توجه به اثر درمانی EMDR و CBT در درمان PTSD، پيشنهاد می شود به منظور پيشگيری و کاهش علايم اختلال استرس پس از سانحه جنگ در رزمندگان ايرانی از روش های درمانی فوق در مراکز درمانی استفاده شود.
Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress.
Materials and Methods : In this case-control study of 51 combat PTSD patients admitted to hospital or residing in the sacrifice of Ardabil Ardabil simple random sampling were selected randomly divided into three groups. Methods, expanded testing and research design type were tested before Chndgrvhy test. Test tools used included disturbing memories, anger scale, mental, cognitive scale Varh positive and the hospital anxiety and depression scale.
Results : EMDR and CBT treatments significantly reduced the variables disturbing memories, anxiety and depression and mental frustration and level of confidence in recognizing the positive Varh significantly increased. EMDR therapy compared with CBT in reducing PTSD symptoms was more effective Iranian combatants, however, both methods were effective in reducing symptoms of this disorder.
Conclusion : According to the therapeutic effect of EMDR and CBT in treating PTSD, is recommended to prevent and reduce symptoms of post traumatic stress disorder in war veterans of the Persian mentioned therapies used in treatment centers.
Keywords: Anxiety Anxiety Disorders CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Depressive Disorders Iranians Middle Aged Posttraumatic Stress Disorder PSTD Treatment Effectiveness Veterans War
Accuracy Verified: Yes
9. محمد جواد احمدى زاده *، حسين اسکندری ، محمدرضا فلسفى نژاد و احمد برجعلی [Ahmadizadeh, M. J., Eskandari, H., Falsafinejad, M. R., & Borjali, A.] (2010, Fall). مقایسه اثر بخشی جنبش چشم "شناختی رفتاری" و " حساسیت زدایی بازفرآوری "مدل های درمان در بیماران مبتلا به جنگ پس از سانحه اختلال استرس [Comparison the effectiveness of “cognitive-behavioral” and “eye movement desensitization reprocessing” treatment models on patients with war posttraumatic stress disorder]. Iranian Journal of Military Medicine, 12(3), 173-178.
Language: Persian
Format: Journal
Abstract:
Aims: Post Traumatic Stress Disorder (PTSD) is an anxiety disorder which can develop after exposure to any
event which results in psychological trauma. Cognitive-Behavioral Therapy (CBT) is the most commonly used
treatment for the disease and Eye Movement Desensitization and Reprocessing (EMDR) is a more rapid,
relatively recent method. This study was designed with the aim of comparing the efficacy of Cognitive-
Behavioral Therapy and Eye Movement Desensitization and Reprocessing method on reduction of specific
symptoms and recovery in patients suffering from PTSD due to war.
Methods: This experimental study was performed in year 2008. 45 veterans suffering from PTSD were divided
randomly into three CBT, EMDR and control groups. Each of the mentioned groups contained 15 members. Two
questionnaires including PTSD checklist-military version and symptom checklist 90 revised were applied in
order to collect data. Data was analyzed using inferential statistical tests by SPSS 16.
Results: Scores of CBT group and EMDR group had a significant difference from control group scores.
Conclusion: Both models are effective on reduction of symptoms in PTSD.
Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
10. 朱品潔 [Chu Pin-Chieh, & Zhu Pinjie]. (1999). 個人失落與EMDR之介入:個案研究 [EMDR of personal loss and intervention: A Case Study]Educational Psychology and Counseling]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan.
Language: Chinese
Format: Dissertation/Thesis
Abstract:
本研究的目的是探索的眼動脫敏和再處理(EMDR)的干預治療結果與個人的損失。通過深入了解客戶的主觀經驗和在整個治療過程中不斷變化的課程,研究人員打算證明 EMDR的治療 efficaciously幫助客戶克服個人損失的創傷,重拾信心和活力。研究人員採訪了客戶端是誰願意分享他的生活和EMDR的治療經驗,通過一個半結構化的問卷。與客戶的許可,研究人員已經獲得了客戶的臨床記錄。有條不紊地綜合各種數據後,研究人員已開發出的情況下提出的生活經驗和客戶端的EMDR的治療干預的描述。研究者分析了廣義的數據,客戶端的適應性應對整個 EMDR的治療過程,並討論了從精神科醫生和其他輔導員干預的影響。 (作者摘要)
The purpose of this study is to explore the treatment outcomes from the intervention of Eye Movement Desensitization and Reprocessing (EMDR) with personal loss. Through in-depth understanding of the client’s subjective experiences and changing courses throughout the entire therapeutic process, the researcher intends to prove that EMDR therapy has efficaciously helped the client overcome the trauma from personal loss and regain confidence and vitality. The researcher has interviewed a client who is willing to share his life and EMDR therapy experiences through a semi-structured questionnaire. With the client’s permission, the researcher has obtained the client’s clinical records. After methodically synthesizing the various data, the researcher has developed a case description presenting both the life experience and the intervention of EMDR therapy of the client. The researcher has analyzed the data, generalized the client’s adaptive coping processes throughout EMDR therapy and discussed the effects from the psychiatrist’s and other counselors’ interventions. (Author's abstract)
Keywords: Case Study Dissociation Personal Loss
Accuracy Verified: Yes
11. 杜鹃 [Du Juan] ( 发表时间). 创伤后应激反应的相关因素分析及眼动疗法干预研究 [The analysis of related factors of post-traumatic stress and the research on EMDR intervention]. 山东大学.
Language: Chinese
Format: Book
Abstract:
5EMDR未来的方向对EMDR治疗持不乐观的文献亦较多,如有人指出目前关于EMDR的对照研究没有严格遵照科学的原则,故其有效性有待进一步考证〔34j。另外,关于EMDR在处理创伤的生理学症状所起的作用和机制的探讨,还不是很清楚,缺乏更多的实证研究。...
[2.1.5. The future of EMDR. There are also many articles which hold negative attitudes on EMDR treatment. Some people pointed that the current control study of EMDR does not follow strictly the scientific rules. Thus, proofs of its effectiveness are needed. Moreover, the exploration of the function and mechanism of EMDR in the treatment of traumatic physiology symptoms is still unclear and yet to be proved…]
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
12. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.
Language: Chinese
Format: Conference
Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)
Keywords: Complication Grief Personality Theory
Accuracy Verified: Yes
13. 伊東 ゆたか [Ito Yutaka]. (2006年9月). 子どものトラウマ--その特徴と新しい治療的試み(EMDR) (特別企画 PTSD--ストレスとこころ) -- (さまざまなPTSD) [Children's trauma - its features and new therapeutic trial (EMDR) (Special PTSD - Mental stress) - (various PTSD)] . 人間の心(129)、77から82 [Human Mind, (129), 77-82].
Language: Japanese
Format: Journal
Keywords: Children Mental Stress Trauma
Accuracy Verified: Yes
14. 大河原美以 [Mii Ogawara]. (1999). 子供の不適応事例に対するEMDR活用の治療的枠組み [The therapeutic framework in EMDR for child maladjustment]. こころの臨床ア・ラカルト, 18(1), 37-41 [Clinical Psychology: Various Aspects, 18(1), 37-41.
Language: Japanese
Format: Journal
Keywords: Children Maladjustment
Accuracy Verified: Yes
15. [Chang Sue-Hwang, & Lin C.-P.]. (2004年9月). 從快速眼動到EM在EMDR的:跳視眼球運動和變化的語義關係的強度 [From REM to EM in EMDR: Saccadic eye movements and change of strength of semantic associations]. 在提交的文件 第43次年度會議在台灣心理學會,研討會 焦慮症:心理素質,調解員和治療問題。政大 大學,台北,台灣,9月26日。 (國科會92 -2815- C型002 -072- H)的 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan, September 26. (NSC 92-2815-C-002-072-H)].
Language: Chinese
Format: Conference
Abstract:
研讨会焦虑症:糖尿病,调解员和治疗的影响;(国科会92 - 2825 -架C - 002 - 072 - H)的研究背景及目的:本研究从快速眼动睡眠的眼动脱敏和再加工(EMDR)治疗的可能机制依赖内存后处理模型(夏皮罗,1995年; Stickgold,2002年)的建议,通过睡眠诱导活化的弱协会在REM国家和新兴市场在联想记忆改变运作为REM睡眠融入一般语义记忆创伤的情节记忆。该协会的新兴市场对语义变化的影响后,跳视眼球运动是双边审查了本研究。方法:22名大学生被招募参加者。通过语义启动的任务,一个2(眼球运动情况:水平跳视眼球运动主场迎战没有眼球运动)× 2(语义关联的强度:强主场迎战弱)因子之间的题目设计进行审查的EM在变化的影响强度为否定词的语义联想。为负的刺激弱协会primeability改变反对强者来,根据不同的电磁环境进行了比较。结果:2 × 2方差分析结果表明了显着的主要电磁效应和电磁×语义联想实力显着交互作用,显示弱吸大大超过了强大的电磁吸后,而恰恰相反后非统。结论:研究结果呼应快速眼动睡眠相关记忆加工模式,认为在EMDR电磁可能反映了联想记忆系统通过激活不同的语义相关的词负语义节点协会不同强度的转变。对心理治疗的可能性和未来研究的结果所造成的影响进行了讨论。
Symposium on Anxiety Disorders: Diabetes, Mediators and Therapeutic Implications; (NSC 92-2825-C-002-072-H) Research background & aims: This study examined possible therapeutic
mechanisms of Eye Movement Desensitization and Reprocessing (EMDR) from
REM-sleep dependent memory reprocessing model (Shapiro, 1995; Stickgold, 2002)
that proposed that sleep induced change in associative memory via activation of weak
association during REM state and EMs functioned as REM sleep to integrate the
episodic memory of trauma into general semantic memory. The effect of EM on
change of semantic associations after saccadic bilateral eye movements was examined
in the present study.
Methods: Twenty two college students were recruited as participants. Via semantic
priming task, a 2 (eye movement condition: horizontal saccadic eye movements vs. no
eye movements) × 2 (strength of semantic association: strong vs. weak) between
subject factorial design was performed to examine the effect of EM on change of
strength of semantic association for negative words. Change of primeability of weak
associations for negative stimuli as opposed to that of strong ones under different EM
conditions was compared.
Results: The 2 × 2 ANOVA showed a significant main effect for EM and a
significant interaction effect of EM × strength of semantic association, indicating that
weak priming significantly exceeded strong priming after EM, while the opposite was
true after non-EM.
Conclusions: The results echoed REM-sleep dependent memory reprocessing model,
suggesting that EM in EMDR might reflect a shift in associative memory systems by
activating different strength of associations of negative semantic nodes for different
semantically related words. The implications of the results for psychotherapy and
future research possibilities are discussed.
Keywords: Anxiety Disorders Postttraumatic Stress Disorder PTSD REM REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Semantic Association Symposium
Accuracy Verified: Yes
16. 市井雅哉, 熊野 宏昭 [Ichii Masaya & Kumano Hiroaki]. (1996). 急性ストレス障害の阪神・淡路大震災被災者に対する眼球運動による脱感作法(EMD)の適用 ブリーフサイコセラピー研究 [Eye movement desensitization by Kobe earthquake victims with acute stress disorder (EMD) application]. ブリーフサイコセラピー、5、53-70の日本人会 [Japanese Association of Brief Psychotherapy, 5, 53-70].
Language: Japanese
Format: Journal
Abstract:
著者らは、EMDを(眼球運動脱感作)阪神淡路大震災から受けたとのASD(急性ストレス障害)の生存者として1ヶ月と診断地震次の2つの女性に適用されます。セッションの中で、彼らの恐れが減少した。その結果、EMDには、ASDクライアントのPTSDを防ぐために使用できることを示した。 25歳焦がすの女性は当初、外傷に関連する画像(例えば、火)、8の初期SUDにレベルを訴えた。眼球運動(EM)の苦痛のレベルの4つの後に0に減少した。眼球運動の7番目のセット後、彼女はそれが終わると、"として完全に本当だった認知"を評価した。 5ヵ月後には、これらの治療の変更が症状のいずれか再発することなく維持された。関連は、この場合、二次的利得と自己使用で議論された。また、結婚28歳の女性、EMDの治療のセッション中に恐怖感の強いreexperienced地震に関連する症状。迅速SUDには0のレベルに減少したEMの11セットの後に恐れている。同時に、彼女は彼女が望ましい認知または"すべては疑いの余地なくすべての権利"は信じられないと報じた。方法はEMDを適用することで画像や正認知の治療に議論された。また、症状の適用範囲やEMDとEMDRの違いが議論された。
Authors applied EMD (Eye Movement Desensitization) to two women who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD (Acute Stress Disorder) survivors one month following the earthquake. Within a session, their fears were diminished. The result showed that EMD can be used for ASD clients to prevent PTSD. A 25 year-old singe woman initially complained of trauma-related imagery (e.g., fire) with an initial SUD level of eight. After four sets of Eye Movement (EM) the level of distress decreased to 0. After the seventh set of eye movement, she rated the cognition "it was over," as completely true. Five months later, these therapeutic changes were maintained without any relapse of symptoms. Associated with this case, secondary gain and self use were discussed. In addition, a married 28-year-old woman, reexperienced earthquake-related symptoms with a strong sense of fear during the therapy session of EMD. The fear quickly decreased to a level of 0 on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or "everything is all right" without any doubt. The way to treat imagery and positive cognition in applying EMD was discussed. Furthermore, an applicable range of symptoms, and the differences between EMD and EMDR were discussed.
Keywords: Acute Stress Disorder ASD Earthquake Kobe
Accuracy Verified: Yes
17. 大河原 美以 [Mii Ogawara] (2010年1月). 感情制御の発達不全とその回復--嘔吐経験がトラウマとなった小学生事例の治療経過から (第1土曜特集 原始感覚と情動--生体防御系としての情動機構とその破綻) [Under developed affect regulation and therapeutic process: Case reports of the children who were traumatized by the experiences of vomiting]. 医学のあゆみ 232(1), 33-37 [History of Medicine, 232(1), 33-37].
Language: Japanese
Format: Journal
Keywords: Elementary School Emotional Regulation Vomiting
Accuracy Verified: Yes
18. 陈维樑, 吴薇莉 [Chen Wei-Liang & Li Wu-Wei]. 2010年 第05期. 我所认识的EMDR陈维樑 [I know EMDR]. 西華大學學報(哲學社會科學版) 29卷5期 [West China University (Social Science Edition, 29(5))]. doi:cnki:sun:cdsf.0.2010-05-002 .
Language: Chinese
Format: Journal
Abstract:
EMDR是一种对治疗PTSD和其他创伤经历的心理治疗方法,这种方法的有效性得到了大量实证研究的支持。本文讨论了一些人们常问及的关于EMDR的基本问题,同时引用了一些案例和相关研究来帮助人们更好地理解和学习EMDR。
EMDR is the treatment of PTSD and other psychological treatment of traumatic experiences, the effectiveness of this approach are a lot of empirical research support. This article discusses some of the people often asked basic questions about EMDR, but cited a number of cases and related research to help people better understand and learn EMDR.
Keywords: Adaptive Information Processing Efficacy Studies Information Processing of Adaptability Study of Curative Effect
Accuracy Verified: Yes
19. 張素凰、李元華 [Chang Sue-Hwang, & Li Yuan-Hua]. (2003年,10月). 眼動和情緒:眼球運動的作用在治療機制 EMDR的。 [Eye movement and emotionality: The role of eye movement in the therapeutic mechanism of EMDR]. 論文發表在第42屆大會的中國心理學會,輔仁大學,台灣 [Presentation at the 42nd annual conference of the Chinese Psychological Association, Fu-Jen Catholic University, Taiwan] NSC 91-2815-C-002-125-H.
Language: Chinese
Format: Conference
Abstract:
Shapiro 認為演動訊息在處理法(EMDR)治療程序中規
律的多次快速動眼作業有助於創傷記憶的處理
(Shapiro, 1989a),但其可能涉及的療效機制之研究尚
少。本研究擬從工作記憶模式的角度來探討動眼作業在
EMDR 的療效機制。根據工作記憶模式(working memory
model),動眼作業可視為一種爭奪工作記憶中視覺和空
間訊息處理能力(VSSP)系統資源的干擾作業。因此,當
回憶創傷事件時,施以動眼作業可降低創傷受害者對於
創傷事件記憶的清晰程度,並降低患者對於創傷事件的
情緒反應,以達到某種程度的治療目的。實驗一(N = 120)
採動眼作業(有、無)× 圖片的性質(正向、負向)× 時
間(前測、後測)的三因子混合設計,依變項 為圖片
影像的清晰度與情緒感受度。實驗二(N = 120)採動
眼作業(有、無)× 刺激材料的性質(圖片、影片)× 時
間(前測、後測)的三因子混合設計,依變項同實驗一。
實驗一與實驗二的結果皆顯示,如同工作記憶模式的預
期,動眼作業造成VSSP 所同時處理的影像訊息的清晰
度降低,此結果與工作記憶模式的預期一致。另外,本
研究亦顯示動眼作業亦造成情緒感受度降低。上述結果
顯示動眼作業可能具有臨床治療上的功效,且可藉由工
作記憶模式瞭解其療效機制。本研究亦對結果所顯示的
意義與未來研究方向提出討論
Eye‐movement desensitization‐reprocessing therapy (EMDR) has recently been the new effective technique to treat post‐traumatic stress disorder and other disorders. Contrasted with other psychotherapies, eye‐movements are the novel component.
According to the working memory model, eye‐movements could reduce the vividness
of distressing images and the intensity of the emotion associated with the images. In
this study, we designed two experiments to test the effects of eye‐ movements on
vividness and emotionality of imagery. In Experiment 1, with positive and negative
photos as stimuli, the results showed that eye movements significantly reduced the
vividness and emotionality of traumatic images. In Experiment 2, with negative photos
and negative films as stimuli, we also found eye‐movements significantly reduced the
vividness and emotionality of traumatic images. The implications and future research
possibilities are discussed.
Keywords: Emotionality Eye Movements Posttraumatic Stress Disorder PTSD Vividness Working Memory
Accuracy Verified: Yes
20. 李元華 [Li Yuan-Hua]. (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 [The therapeutic mechanism of eye movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學心理學研究所,台灣 [National Taiwan University Graduate Institute of Psychology, Taiwan].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
李元華眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 臺灣大學
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色,過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外,同時也提出進一步的假設:雙側眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響,並且也記錄了參與者在回憶時自然眼動的方向性,即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組,眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs的方向性在正負向回憶中是一致的,整體來說偏右向次數大於左向,此並不符合情緒側化理論或情緒右腦理論。另外,相較於非眼動組,眼動組對鮮明度與情緒強度的下降程度最大,凝視組次之,自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異,而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大,此結果並不支持水平雙側眼動的特別療效,也不支持情緒側化理論,而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面,眼動組並無上升趨勢,但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。
This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.[Author abstract]
Keywords: Autobiographic Memory Eye Movement Valence-Specific Hypothesis
Accuracy Verified: Yes
21. 李元華 [Li YuanHua] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然眼動對回憶的影響 [The Therapeutic Mechanism of Eye Movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學,台灣 [National Taiwan University, Graduate Institute of PsychologyTaiwan].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
本研究探討的作用眼球運動在眼動脫敏和再加工(EMDR的)。以往的研究指出,眼球運動能降低生動性和情感中的圖像。除了複製以前的研究,本研究提出一個假設:雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中,減少了生動性和情感性的意象。參加者為 132台大本科生參加了普通心理學課程。本研究操縱三個條件眼球運動,以實現不同的效果中斷生動,情緒和心率在正面和負面的自傳回憶。它也記錄眼球運動方向的自發召回期間,即克萊姆斯(共軛側眼動)。這三個條件的實驗是眼球運動,僅僅是圖像的目光和條件。眼動條件分為水平和垂直運動的團體和凝視條件分為左,右的目光群體。結果表明,該方向的克萊姆斯在正面和負面的回憶是一致的,但數字的右向左凝視超過凝視。價的具體偏側假說和右半球假說的情感都是不支持的調查結果克萊姆斯。此外,最強的中斷生動,情感的是眼睛的運行狀況,其次是凝視條件,而僅僅是提高圖像的條件。生動性和情緒之間沒有顯著不同的水平和垂直眼球運動團體在眼球運動狀況,但是,中斷的生動性和情緒在右凝視組強於左側凝視小組。根據這些發現,特效水平眼球運動不支持,也不是價的具體偏側假說。然而,右半球假說可能得到支持。在負的回憶,心率沒有任何的趨勢,在眼球運動的條件,但越來越多的目光幾乎增加條件和單純的意象條件。總之,結果支持這一假設:雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中,減少了生動性和情感性的意象。最後,本研究探討的理論眼球運動在EMDR的,並提出一個綜合觀點。
This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.
Keywords: Autobiographic Memory Valence-Specific Hypothesis
Accuracy Verified: Yes
22. 李元華, 張素凰 [Li Yuan-Hua, & Chang Sue Hwang] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討:干擾自然 [The therapeutic mechanism of eye movements in EMDR: the effect of interrupting spontaneous eye movements during recollections]. 臺灣大學:心理學研究所 [Taiwan: Institute of Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization
and reprocessing; EMDR)中的所扮演的角色,過去研究認為雙側眼動可以降低
回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外,同時也提
出進一步的假設:雙側眼動干擾了個體在回憶創傷經驗時的自然眼動,進而降低
其在回憶時的影像畫面清晰度以及情緒強度。參與者為132 名的修習普通心理學
的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向
自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響,並且也記錄了參與
者在回憶時自然眼動的方向性,即CLEMs (Conjugate Lateral Eye Movements)。
本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組,眼動組又可分為水
平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果
顯示CLEMs 的方向性在正負向回憶中是一致的,整體來說偏右向次數大於左向,
此並不符合情緒側化理論或情緒右腦理論。另外,相較於非眼動組,眼動組對鮮
明度與情緒強度的下降程度最大,凝視組次之,自然回憶組則有上升趨勢。在眼
動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異,而凝視組中的右
凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大,此結果並
不支持水平雙側眼動的特別療效,也不支持情緒側化理論,而較可能支持情緒右
腦理論。在負向回憶時的心跳速率指標方面,眼動組並無上升趨勢,但非眼動組
則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動,
進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論
做了討論以提出整合性的觀點。
This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.
Keywords: autobiographic Memory Eye Movements Valence-Specific Hypothesis
Accuracy Verified: Yes
23. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
陳致豪 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論
Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy
Accuracy Verified: Yes
24. 陳致豪 張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上, 研討會焦慮症:心理素質,調解員和治療問題。 政治大學,台北,台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].
Language: Chinese
Format: Conference
Abstract:
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)
是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力
疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療
效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不
同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除
(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治
療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設
計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名
懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。
在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下
降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速
率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程
分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息
時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀
的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試
者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身
便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可
能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯
著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的
治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出 討論。
[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b)
was initially used to treat post-traumatic stress disorder (PTSD) and later has been
thought to be effective in treating other psychological disorders also. Shapiro
suggested that eye movement procedure could accelerate information processing and
further reduced the client’s anxiety and disturbance. However, psychotherapy
evaluation regarding crucial therapeutic parameters awaits elucidation. This
dismantling study was to investigate the therapeutic effects of eye movement and
positive cognition on phobias. Specifically, via a 2×2 between subject design, with
“eye movement/non eye movement” and “treatment process” being two independent
variables, a total of 40 female university students with fear of cockroaches were
screened and recruited from introductory psychology class to explore the treatment
effect of those two components. The results showed that, according to macro
therapeutic indices, the effect of therapy was significant, and was not significantly
different among groups. As to micro treatment process, while the participants’ SUDs
decreased linearly, and so did the negative cognition VOCs, the positive cognition
VOCs increased linearly only for the eye movement condition. In addition, while for
macro index, the physical index, heart rate, was significantly higher at pre-test than at
baseline and returned to baseline at post-test, the process measures indicated that heart
rate increased during the first treatment stage, returned during rest period, and
increased again during the second treatment stage. According to the micro process,
the results also suggested that when presented with positive cognition participants’
VOCs of positive cognitions increased only for the eye movement condition. As to the
therapeutic effects, although exposure by itself might be effective, eye movement
could further promote participants’ VOCs of positive cognitions at the second
treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups
within one-session therapy, and the superiority of positive cognition installation
remained obscure, which implied that to become obvious more sessions might be
called for. The implications of the present results and further research possibilities are
postulated.]
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium
Accuracy Verified: Yes
25. 市井雅哉 [Ichii Masaya]. (1997年12月). 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用 : ストレス障害に対するストレスの少ない治療法 [Application of eye movement desensitization and reprocessing (EMDR) to ASD survivors of the Great Hanshin-Awaji Earthquake: Treatment with less stress for stress disorder]. バイオフィードバック研究、(24)、38から44 [Japanese Journal of Biofeedback Research, (24), 38-44].
Language: Japanese
Format: Journal
Abstract:
市井 雅哉 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用: ストレス障害に対するストレスの少ない治療法 バイオフィードバック研究
日本バイオフィードバック学会
阪神・淡路大震災の被災者で急性ストレス障害を呈した2名の女性に対して震災1ケ月後にEMDRを適用した.いずれも1セッションで地震への恐怖感は消失した.EMDRをPTSDやASDといったストレス障害の治療に用いることの有効性が示された.治療技法としてのEMDRの特徴として、即効性,クライエント・治療者双方に対してのストレスの少なさを指摘し,作用機序についてこれまで提唱されている仮説について紹介した.
The Author applied EMDR (Eye movement desensitization and reprocessing) to two women survivors, who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD one month following the earthquake. Within a session, their fears of the earthquake were diminished. The results showed that EMDR is effective for stress disorders like ASD or PTSD. A 25-year-old single woman initially complained of trauma-related imagery (e.g. fire) with an initial SUD level of eight. After four sets of eye movement (EM) the level of distress decreased to zero. After the seventh set of EM, her rating of cognition as "it was over" went up to "completely true." Five months later, these therapeutic changes were maintained without any relapse of symptoms. A married 28-year-old woman, re-experienced earthquake-related symptoms with a strong sense of fear during a therapy session of EMDR. The fear quickly decreased to a level of zero on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or that "everything is all right" without any doubt. The author pointed out that the therapeutic characteristics of EMDR are rapid effectiveness and less stress for both clients and therapists. Also some hypotheses of working mechanisms of EMDR were introduced.
Keywords: Acute Stress Disorder Clinical Case Study Earthquake Empirical Study Females Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
26. 張素凰、 [Chang Sue-Hwang]. (2008年3月). 眼球運動中的作用機制 EMDR的治療:證據為基礎的研究 [Role of eye movements in the therapeutic mechanisms of EMDR: Evidence-based research]. 論文發表於2008年TACP(台灣臨床心理學協會)年度會議(第三次大會),專題討論會以證據為基礎研究在台灣第1節心理障礙,3月8-9日,政治大學,台北,台灣。 (國科會91 -2413 - H型009 -鹽度-;國科會92 -2413 - H型002 -024-;國科會93 -2413 - H型002 -002-) [Presentation at the 2008 TACP (Taiwan Association of Clinical Psychology) Annual Conference (Third General Meeting), Symposium on Evidence-Based Research in Taiwan; Section of Mental Disorders, March 8-9, Chengchi University, Taipei, Taiwan. (NSC 91-2413-H-009-SSS-; NSC 92-2413-H-002-024-; NSC 93-2413-H-002-002-)].
Language: Chinese
Format: Conference
Abstract:
研討會以證據為基礎的研究,在台灣,部分精神疾病。 (國科會 91 - 2413 - H的009 -量表中文),國家安全委員會 92 - 2413 - H的- 002 - 024 -);國家安全委員會 93 - 2413 - H的- 002 - 002 -)眼動脫敏和再加工(EMDR;夏皮羅,1989 ,1995,2001)最近聲稱要有效地紓緩創傷後應激障礙的症狀,恐怖疾病。眼運動(電磁)是一種治療的關鍵因素,其治療機制有待澄清。在這個談話的目的是要研究系列報告,從我們的實驗室就EM的作用,治療機制 EMDR。具體來說,在EMDR程序被簡單地描述,EM的功效及工藝相比,暴露了問題。此外,對影響電磁情緒變化和生動的圖像或自傳記憶,改變數量和強度的語義協會的報告。此外,關於如何EMDR問題可能的工作,無論是電磁沒有添加任何超出了純粹接觸機制和電磁相互作用,價的刺激,他們的陳述順序進行了討論。最後,在EM的作用方面提出的刺激價為了從理論的角度來看,其臨床意義,提出和未來研究的可能性進行了討論。
Symposium on Evidence-Based Research, in Taiwan; Section of Mental Disorders. (NSC 91-2413-H-009-SSS-); NSC 92-2413-H-002-024-); NSC 93-2413-H-002-002-) Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995,
2001) has recently been claimed to be effective in ameliorating the symptoms of
PTSD and phobic disorders. Eye movement (EM) was one of the crucial treatment
elements, of which the therapeutic mechanisms await elucidation. The aims of this
talk were to report series of studies from our lab regarding the role of EM in the
therapeutic mechanism of EMDR. Specifically, after EMDR procedure being briefly
described, the efficacy of EM and its process compared to exposure were addressed.
Further, the effects of EM on changes of emotionality and vividness of images or
autobiographic memories, and changes of amount and strength of semantic
associations were reported. Also, the issues regarding how EMDR might work,
whether EM did add anything beyond the mechanisms of pure exposure, and the
interplay of EM, valence of stimuli, and their presentation order were discussed.
Finally, the role of EM in terms of stimulus valence presentation order from
theoretical point of view and its clinical implications are proposed, and future
research possibilities are discussed.
Keywords: Eye Movement Exposure Symposium Therapeutic Mechanism
Accuracy Verified: Yes
27. Βεντουράτου, Δ. [Ventouratos, D.]. (2009). Εισαγωγή στην ψυχοτραυματολογία και στην τραυματοθεραπεία. : Η μέθοδος - EMDR [Introduction to psychotraumatology and trauma treatment and EMDR]. Πεδίο εφαρμογής Εκδόσεων, Αθήνα, Ελλάδα [Field Publications, Athens, Greece] .
Language: Greek
Format: Book
Abstract:
Συχνά, όταν βρισκόμαστε αντιμέτωποι με μια αιφνίδια στρεσογόνο εμπειρία, νιώθουμε απειλή και ανημπόρια. Αν οι προσπάθειές μας να την ξεπεράσουμε ψυχικά δεν επαρκούν, δημιουργούνται μέσα μας εσωτερικά ρήγματα. Συνήθως παγώνουμε ή απωθούμε κάθε ανάμνηση και κάθε συναίσθημα που σχετίζονται με το τραυματικό βίωμα. Οι συνέπειες αυτής της απώθησης είναι διάφορα ψυχοσωματικά συμπτώματα, φοβίες ή κατάθλιψη.
Το βιβλίο εισάγει για πρώτη φορά τον αναγνώστη στα εξειδικευμένα πεδία της ψυχοτραυματολογίας και της τραυματοθεραπείας, που ασχολούνται με την αντιμετώπιση και εξάλειψη των τραυματικών βιωμάτων στους ανθρώπους: η ψυχοτραυματολογία συμμαχεί με το υγιές εγώ και χτίζει με προσοχή μια θεραπευτική σχέση εμπιστοσύνης με στόχο την επεξεργασία και αφομοίωση του τραυματικού βιώματος.
Στο βιβλίο εξετάζεται ειδικότερα η πρωτοποριακή μέθοδος ΕΜDR της Francine Shapiro, που αποτελεί ένα πολύ ισχυρό εργαλείο στα χέρια του έμπειρου κλινικού με θεαματικά αποτελέσματα. Με τη μέθοδο αυτή το τραυματικό βίωμα νοηματοδοτείται και παίρνει τη θέση του σαν ένα ακριβό μαργαριτάρι στον θησαυρό των εμπειριών του ατόμου.
Often, when faced with a sudden stressful experience, one feels threatened and helpless. If our efforts to overcome psychologically inadequate, created through our internal divides. Usually freeze or repelled every memory and every emotion associated with the traumatic experience. The effect of this repulsion is different psychosomatic symptoms, phobias or depression.
The book introduces for the first time the reader to specific areas of psychotrafmatologias and trafmatotherapeias, dealing with the treatment and elimination of traumatic experiences in people: the psychotrafmatologia allies with a healthy ego and carefully builds a therapeutic relationship of trust with the aim of treatment and assimilation of traumatic experiences.
In particular the book examines innovative method of EMDR Francine Shapiro, which is a very powerful tool in the hands of an experienced clinician with spectacular results. With this method, the traumatic experience and arises only takes its place as an expensive pearl in the treasure the experience of the individual.
Keywords: Psychotraumatology Trauma Treatment
Accuracy Verified: Yes
28. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.
Keywords: Dissociation Dissociative Disorders
Accuracy Verified: Yes
29. Wilson, S., Becker, L., & Tinker, R. H. (1995, June). 15-Month follow up of EMDR treatment for traumatic memory. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
We previously reported on the outcomes of a controlled study of eye movement desensitization and reprocessing (EMDR)
effectiveness in the treatment of traumatic memory (Wilson, Tinker, & Becker, 1994; Wilson, Becker, & tinker, in press). In that
study we found that three, 90-minute sessions of EMDR (Shapiro, 1995) "normalized the psychological functioning of the previously
traumatized participants (g = 80) on all dependent measures. The present study is a 15-month follow up of those participants.
I Method:
The research design is shown in Table 1. Participants were randomly assigned to EMDR or to Delayed EMDR conditions.
Pretreatment measurement occurred at measurement time TI. Participants in the EMDR condition received EMDR between T1 and
T2; those in the Delayed EMDR condition received EMDR between T2 and T3. All participants were tested immediately following
treatment and at 3 months following treatment (at T4). The 15 month, long-term follow up occurred at measurement time T5. An
independent assessor collected all of the following dependent measures: Subjective Units of Disturbance Scale (SUDS; Wolpe,
1990), Impact of Events Scale (IES; Hmowitz, Wilner, & Alvarez, 1979), State/Trait Anxiety Inventory (STAI; Spielberger,
Gorsuch, Lushene, Vagg, & Jacobs, 1983), and the Symptom Checklist (SCL-90-R, Derogatis, 1992).
[Table 1. The Research Design,
Treatment Condition, Measurement Time:
T1 T2 T3 T4 T5;
EMDR Treatment: 01 x 02 03 04;
Delayed EMDR Treatment 01 02 x 03 04 05;
Note: T = Time of measurement; 0 = Observation; X = Treatment administered.]
II. Results:
Two analyses were performed to assess the impact of EMDR treatment at the 15-month follow up. First, in order to assess the
overall, long-term impact of EMDR, the 15-month follow-up scores were compared with the pretreatment scores. There was
significant improvement on all nine measures at the 15-month follow up: The multivariate effect was significant (Wilk's Lambda =.11, p<.0005) as were all nine of the univariate effects (all p <.0005). Second, in order to assess whether the improvement shown
immediately following EMDR treatment had been maintained over the following year the immediate posttreatment scores were
compared with, the 15-month follow-up scores. The multivariate test was nonsignificant (Wilk's lambda=.74, p=.079), indicating
the improvement shown immediately following EMDR was maintained 15 months later. The univariate analyses indicated
additional improvement for the PTSD symptoms of intrusions (IES Intrusion: F(1,56)=7.71, p=307) and avoidance (IES
avoidance: F_(1,56) -4.44, p=.040). None of the nine measures showed deterioration at the 15-month follow up. Prior to EMDR
treatment 45% (g= 9) of the responders had been diagnosed as PTSD, at the 15-month follow up only 7% (g = 4) were diagnosed
as PTSD (chi-squareo, N=61)= .72, p < .05).
III. Responders Versus Nonresponders at the 15-Month Follow up.:
At the time of writing this abstract, 75% of the participants (g=61) have responded to the 15-month follow up. In general,
measures taken prior to treatment did not differentiate responders fiom nonresponders. Responding at the 15-month follow up was
unrelated to age, gender, marital status or years of education, although the annual income of the responders (Mdn=21,500) was
higher than that of the nonresponders (Mdn = 14,750, Mann-Whitney U=372.5, p=.017). Responding or not at 15 months was
unrelated to the type of trauma experienced, whether or not the participants had been in therapy prior to EMDR treatment, or how
long ago the trauma had occurred. It was also unrelated to the severity of the trauma as measured by the pretreatment scores on the
nine dependent variables and to whether or not the participant met the PTSD diagnosis criteria prior to treatment.
A multiple regression analysis used the immediate posttreatment and 90-day posttreatment scores to predict whether or not the
participant responded at the 15-month follow up. Nonrespondents were more likely to be depressed at 90-days following treatment
than were respondents (R square=.O8, B=-.16, Beta = -.28, F_L1,71)=5.99, p=.017). No other variables entered into the
regression model. IV Discussiona and Conclusion, Tretement effects found immediately following EMDR treatment wer maintained or improved 15 months later and thee was a significant decrease in the number of participants diagnosed as PTSD at the 15 month follow up. The comparison of responders to nonresponders at the 15 month follow up showed that the nonresponders were more depressed than the responders, raising the possiblity that the present results may be favorably biased to some extent. The discussion will include the additional, subjective impressions of participants who did not respond to the follow up. Limitations of EMDR with this population will be discussed, including the influence of comorbidity, multiple traumas, retraumatization after treatment, and spontaneous recurrence of symptoms. V. References: 1) Derogatis, L. R. (1992). SCL-90: Administration Scoring and Procedures Manual II. Baltimore: Clinical Psychometric Research. 2) Horowitz, M. J., Wilmer, N. & Alverez, W. (1979). Impact of Event Scale: A Measure of Subjective Distress. Psychosomatic Medicine, 41, 209-218. 3) Shapiro, F. (1995), Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. 4) Speilberger, C. D., Gorsuch, R. L., Lushene, R. D., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory, Palo Alto: Consulting Psychologists Press. 5) Wilson, S. A., Tinker, R. A., & Becker, L. A. (1994, November). Efficacy of Eye Movement Desensitization and Reprocessing (EMDR)Treatment for Trauma Victims. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, Chicago, IL. 6) Wilson, S. A., Becker, L. A., & Tinker, R. A. (In press), EMDR, treatment for psychologically traumatized individuals, Journal of Consulting and Clinical Psychology.
Keywords: Follow-up Traumatic Memory
Accuracy Verified: Yes
30. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum
Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.
Keywords: Abortion Postpartum Depression
Accuracy Verified: Yes
31. Bjick, S. (2001, January-April). Accessing the power in the patient with hypnosis and EMDR, Eye movement desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 203-216. doi:10.1080/00029157.2001.10404277.
Language: English
Format: Journal
Abstract:
Both Ernest Rossi's ideodynamic accessing model of hypnosis and EMDR are intended to access information stored in the mind-body system. In this paper the author is suggesting that treatment effectiveness can be enhanced by combining these particular models. The similarities and the uniqueness of each method, both theoretically and in terms of the different protocols, are compared to provide a rationale for combining them. Verbatim examples from clinical cases are presented to demonstrate exactly how these models can be usefully combined in clinical practice. [Author Abstract]
Keywords: Hypnotherapy Review Treatment Effectiveness
Accuracy Verified: Yes
32. Lee, C. W., Taylor, G., & Drummond, P. D. (2006, March-April). The active ingredient in EMDR: Is it traditional exposure or dual focus of attention?. Clinical Psychology and Psychotherapy, 13(2), 97-107. doi:10.1002/cpp.479.
Language: English
Format: Journal
Abstract:
Very little is known about the mechanisms that underlie the therapeutic effectiveness of eye movement desensitization and reprocessing (EMDR). This study tested whether the content of participants' responses during EMDR is similar to that thought to be effective for traditional exposure treatments (reliving), or is more consistent with distancing, which would be expected given Shapiro's proposal of dual process of attention. The responses made by 44 participants with PTSD were examined during their first EMDR treatment session. An independent rater coded these responses according to whether they were consistent with reliving, distancing, or focusing on material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement on a measure of PTSD symptoms occurred when the participant processed the trauma in a more detached manner. Cross-lagged panel correlations suggest that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that covaried with improvement. [Author Abstract]
Keywords: Adults Attention Australians Cognitive Processes Empirical Study Mechanism of Action Posttraumatic Stress Disorder PSTD Quantitative Study Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
33. Carbonell, J. L. (2008). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Traumatic incident reduction: Research and results (2nd ed.) (pp. 65-73). Ann Arbor, Michigan: Loving Healing Press.
Language: English
Format: Book Section
Abstract:
In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This methodology guides the examination but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated, and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Text, p. 65] [Pilot]
Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness
Accuracy Verified: Yes
34. Carbonell, J. (2005). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Beyond trauma: Conservations in trauma incident reduction (2nd ed.) (pp. 116-124). Ann Arbor, Michigan: Loving Healing Press .
Language: English
Format: Book Section
Abstract:
In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This methodology guides the examination but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated, and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Text, p. 116]
Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness
Accuracy Verified: Yes
35. Hogberg, G., & Hallstrom, T. (2008). Active multimodal psychotherapy in children and adolescents with suicidality: Description, evaluation and clinical profile. Clinical Child Psychology and Psychiatry, 13(3), 435-448. doi:10.1177/1359104507088348.
Language: English
Format: Journal
Abstract:
The aim of this study was to describe and evaluate the clinical pattern of
14 youths with presenting suicidality, to describe an integrative treatment
approach, and to estimate therapy effectiveness. Fourteen patients aged 10
to 18 years from a child and adolescent outpatient clinic in Stockholm were
followed in a case series. The patients were treated with active multimodal
psychotherapy. This consisted of mood charting by mood-maps,
psycho-education, wellbeing practice and trauma resolution. Active
techniques were psychodrama and body-mind focused techniques including eye
movement desensitization and reprocessing. The patients were assessed before
treatment, immediately after treatment and at 22 months post treatment with
the Global Assessment of Functioning Scale. The clinical pattern of the
group was observed. After treatment there was a significant change towards
normality in the Global Assessment of Functioning scale both immediately
post-treatment and at 22 months. A clinical pattern, post trauma suicidal
reaction, was observed with a combination of suicidality, insomnia, bodily
symptoms and disturbed mood regulation. We conclude that in the post trauma
reaction suicidality might be a presenting symptom in young people. Despite
the shortcomings of a case series the results of this study suggest that a
mood-map-based multimodal treatment approach with active techniques might be
of value in the treatment of children and youth with suicidality.
Keywords: Adolescents Children Suicide
Accuracy Verified: Yes
36. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
37. Miller, R., & Tay, K. H. (2009, August). Adapting the standard EMDR protocol for clients with mild mental retardation: Some guidelines and implications. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
EMDR as a psychotherapeutic approach has been shown to be effective. However, there is a paucity of studies examining the efficacy of EMDR for clients diagnosed with mild mental retardation. The DSM-IV defines mild mental retardation as below average intelligence (IQ between 70 and 55) along with some deficiencies in adaptive functioning skills demonstrated before age 18. The purpose of our clinical project was to explore the applicability of EMDR for our adult clients (n = 12; mean age 22.5) diagnosed with mild mental retardation by adapting the standard protocol. Studies showed that individuals with mental retardation learn and retain information more effectively when materials are presented to them in a visual, concrete, and interactive manner while utilizing the principles of positive reinforcements.
The prevalence of mental health problems and the wide range of clinical symptoms among these individuals have been reported in several studies. Additionally, these adults are misunderstood as being overly limited in their ability to reap any therapeutic benefit from counseling interventions. Prout and Strohmer (1998), for instance, argued that adults with mental retardation do benefit from counseling interventions. However, they stressed the need for more sophisticated or modified use of psychotherapeutic interventions. Psychotherapeutic techniques and models should be modified, if feasible, in regards to language and cognitive levels commensurate with the clients’ background.
Based on our clinical observations, the following are some examples of proposed guidelines to assist the EMDR clinicians in thinking more creatively when adapting the standard protocol.
1) Considerable amount of preparation at the onset of EMDR is necessary, as it plays a pivotal role in ensuring a successful outcome.
2) Visual depiction of the SUDs and VOCs on a scale of 0 through 5, or 0 through 10, depending on the client’s cognitive abilities is beneficial. Use of “faces” to depict concretely various levels of distress should be made.
3) The concepts of PC and NC may be too abstract for some in this population. We assist clients by operationally defining those concepts with the list of commonly used PCs and NCs in simpler language.
4) Coping resources are sometimes limited for these adults. Clients will benefit from having multiple reinforcements of self-soothing skills thorough the installation of the “safe place” and “resources”.
5) Positive reinforcements (e.g., frequent verbal reminders) should be used regularly in sessions throughout treatment. However, be mindful of clients’ desire to please the clinician.
6) Role-playing should be used when feasible throughout treatment, e.g., during the installation of future templates, as it heightens more sensory, affective, and behavioral modes of learning rather than verbal modality alone.
Based on the treatment outcomes reported by our clients, EMDR is an effective treatment option, as evidenced by sustained reduction in their level of distress to traumatic memories. Findings from this clinical project have practice and research implications. First, the standard protocol should be adapted for use with adults with mild mental retardation to achieve optimal gain. Second, empirical research is needed to provide further evidence for the efficacy of EMDR for adults with mild mental retardation.
Keywords: Mental Retardation
Accuracy Verified: Yes
38. Follette, W. C., & Beitz, K. (2003, July). Adding a more rigorous scientific agenda to the empirically supported treatment movement. Behavior Modification, 27(3), 369-386. doi:10.1177/0145445503027003006.
Language: English
Format: Journal
Abstract:
As the empirically supported treatment (EST) effort has expanded, there are efforts to make the
study of ESTs a more integral part of training programs. In its present form, the EST list provides
a poor model of how to evaluate treatment and scientific issues related to our field. This article
offers several suggestions regarding how to establish a more relevant scientific agenda for the
committee’swork if the study of ESTs is to usefully influence training programs. Recommendations
are made to encourage programs and the CSP to study mechanisms of change, important
contextual variables for therapy delivery, the distinction between statistical significance and
clinical meaningfulness, dissemination, cost-effectiveness, and iatrogenic effects. It is argued
that any program that created a curriculum educating students to thoughtfully address these
issues when evaluating therapies would be producing sound clinical scientists regardless of the
quality of the EST list itself.
Keywords: Critique Training Committee on Science and Practice CSP Empirically Supported Treatments EST
Accuracy Verified: Yes
39. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia
social resulta incuestionable si atendemos al incremento exponencial de niños adoptados
por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción
vigente en España contempla la adopción como un recurso de protección para aquellos
niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo
deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz
de asegurar las atenciones propias de la función parental (atención, desarrollo y
educación).
Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien,
sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo
emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen
significativamente en la capacidad para formar relaciones íntimas y emocionalmente
saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida,
van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más
importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse
de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una
persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego
formadas en la infancia y niñez temprana (Punset, 2008).
El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico
ante las dificultades que afectan a las familias con problemas de adaptación en casos de
adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos
promover en estas familias una base de apego seguro, mediante el uso de herramientas
terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado
para tal fin y un caso para la comprensión de la aplicación del tratamiento.
Adoption is a current issue, whose interest grows gradually. Its validity
social is unquestionable if we consider the exponential increase of adopted children
Spanish families, especially in international adoptions. The Adoption Act
force in Spain provides for the adoption as a source of protection for those
children / as not to remain in their own family. To fulfill this objective
must be put all the necessary mechanisms to guarantee the child a family able
to secure the attentions of parenting (care, development and
education).
Adopted children may suffer from disorders like any other child, however,
previous life experiences can affect their development to a greater extent
emotional, social and family life. Relational experiences during childhood influence
significantly in the ability to form intimate and emotionally
healthy. Also, for the formation and change of attitudes throughout our lives,
will be essential to our reference group, the family being one of the most
important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited
of attack, the ability to love and be loved and a host of features of a
assertive person, operational and happy, are associated with the core competencies of attachment
formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach
to the difficulties affecting families with adjustment problems in cases of
adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed
for this purpose and a case for understanding the application of the treatment.
Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium
Accuracy Verified: Yes
40. Molero-Zafra, M., & Pérez-Marín, M. (2009, June). Adopción: Un protocolo basado en EMDR, terapia familiar narrativa y la tería del apego [Adoption: a protocol base on EMDR, narrativ family therapy and the theory of attachment]. Mosaico, 42, 20-27.
Language: Spanish
Format: Magazine
Abstract:
El objetivo e nuestro articulo es plantear un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia famliar narrativa y el EMDR.
The goal and our article is to propose a protocol of psychological approach to the difficulties affecting families with problems of adjustment in cases of adoption. From the conceptual perspective of attachment theory, these families are trying to promote a secure attachment base, through the use of therapeutic tools of traditional family narrative therapy and EMDR.
Keywords: Adoption Attachment Family Narrative Therapy
Accuracy Verified: Yes
41. Schubert, S., & Lee, C. W. (2009). Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 3(3), 117-132. doi:10.1891/1933-3196.3.3.117.
Language: English
Format: Journal
Abstract:
This article provides an overview of selective issues relating to adult posttraumatic stress disorder (PTSD) and its treatment with eye movement desensitization and reprocessing (EMDR). The article begins by providing a historical overview of PTSD, and debates about the etiology and definition of PTSD are discussed. The most predominant theories of PTSD are summarized by highlighting how they have evolved from traditional behavioral accounts based on the assumption that PTSD is an anxiety disorder to theories that now incorporate information-processing models. This article then examines the development of EMDR and the corresponding body of research that clearly demonstrates its efficacy for the treatment for adult PTSD. The underlying mechanisms of EMDR are discussed, with a focus on the importance of the eye movement component and how the therapeutic processes in EMDR differ from those of traditional exposure therapy. Finally, the adaptive information-processing (AIP) model that underlies EMDR is outlined, and evidence for the model is summarized. The article concludes by suggesting future research based on questions raised about PTSD and its treatment with EMDR when the AIP model is compared to other information-based theories of PTSD.
Keywords: Adult Mechanism of Action Review Posttraumatic Stress Disorder PTSD Theory
Accuracy Verified: Yes
42. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
43. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.
Language: English
Format: Dissertation/Thesis
Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.
Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress
Accuracy Verified: Yes
44. Kaplan, R., & Manicavasagar, V. (1998, October). Adverse effect of EMDR: A case report. Australian & New Zealand Journal of Psychiatry, 32(5), 731-732.
Language: English
Format: Journal
Abstract:
This letter documents adverse complications following a course of EMDR in and individual suffering from an adjustment disorder. Ethical issues are raised by the widespread use of this technique without sufficient screening for possible adverse reactions.
Keywords: Adjustment Disorder Adults Clinical Case Study Empirical Study Letter Males Negative Therapeutic Reaction Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
45. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.
Language: German
Format: Other
Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and
reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro
entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von
Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen
traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin,
dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung
eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der
Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen
Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen
und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte
Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene
Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und
Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von
dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen
Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend
von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR
die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch
bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten
mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und
rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.
The EMDR treatment process (EMDR = eye movement desensitization and
Reprocessing) was developed by psychologist Francine Shapiro of the American
developed and since 1989 as a manualized therapies for the treatment of
Patients with post-traumatic stress disorder (PTSD) and other
traumabezogenen symptoms used. The basic approach is
that the patient in the safety of a therapeutic relationship haltgebenden
a confrontation with traumatic memories experienced. The aim of the
Trauma treatment is the integration of cognitive, emotional and physical
Reactions to the trauma memories revived by the perceived
and processed. In other words, is induced by the trauma
Dissociation rescinded. The interrupted in the traumatic situation
Link between perceptions, thoughts, emotions and
Reaction of the body is restored. This is followed by a treatment of
dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic
Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding
are from the classical behavioral trauma exposure in EMDR
the phases of trauma exposure is relatively short (30-90 sec) and conducted by
bilateral stimulation in the form of eye movements (the hand of the therapist
follow with the eyes) or by alternative tactile stimuli on the left and
right hand (so-called tapping) or alternatively Helping sounds triggered.
Accuracy Verified: Yes
46. Seidler, G. H. (2002). Aktuelle therapieansätze in der psychotraumatologie [Psychotraumatology: Recent therapy approaches]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 48(1), 6-27.
Language: German
Format: Journal
Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Heutige Therapieansätze in der Psychotraumatologie Zentrum rund um das Problem der effektiven Zugang zu spezifischen Trauma-Symptome: Einbrüche; affektive Abstumpfung und Vermeidungsverhalten, Übererregung. Unter seinem Lager aus dem deutschen und amerikanischen Leitlinien PTSD-Therapie, skizziert der Artikel die wichtigsten Therapiemethoden und bewertet sie im Hinblick auf die relevanten Qualitätskriterien. EMDR, kognitiv-behavioralen Ansätzen, modifizierte psychodynamische Methoden und Trauma-adaptierten stationären Psychotherapie können so lange empfohlen werden, da sie in Verbindung mit stabilisierenden Elemente-Therapie eingesetzt werden. Normalerweise sind weitere therapeutische Interventionen auch notwendig, Zeichnung auf traditionelle Methoden für die Integration des Traumas in den Patienten-Biographie. [Abstract Autor]
Present-day therapy approaches in psychotraumatology center around the problem of effective access to specific trauma symptoms: intrusions; affective blunting and avoidance behaviors; hyperarousal. Taking its bearings from the German and American PTSD therapy guidelines, the article outlines the most important therapy methods and assesses them in terms of relevant quality criteria. EMDR, cognitive/behavioral approaches, modified psychodynamic methods, and trauma-adapted inpatient psychotherapy can be recommended as long as they are used in conjunction with stabilizing therapy elements. Normally, further therapeutic interventions are also necessary, drawing on traditional methods for integrating the trauma into the patient's biography. [Author Abstract]
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Review Stressors Survivors
Accuracy Verified: Yes
47. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).
Language: English
Format: Publication
Abstract:
Findings by SBU Alert,
Version: 1,
METHOD AND TARGET GROUP:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS:
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS:
There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE:
There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months.
Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions.
*This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject.
This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES:
1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33.
2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press.
3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000.
4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57.
5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999.
6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27.
7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996.
8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239.
9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44.
10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995.
11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623.
12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press.
13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999.
14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33.
15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113.
16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144.
17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056.
18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils.
The complete report is available in Swedish only.
Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD
Accuracy Verified: Yes
48. Formenti, L. (2008, Novembre). Alleanza terapeutica nel trattamento di bambini vittime di disastri collettivi [Therapeutic alliance in the treatment of child victims of mass disasters]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nel lavoro verrà trattata la centralità dell’alleanza terapeutica in un intervento sul trauma effettuato su bambini vittime di disastri collettivi. L’autore illustrerà come tale alleanza risulta essere propedeutica al trattamento con EMDR e quanto sia fondamentale, per una piene riuscita della terapia, la creazione di un’alleanza allargata, che raggiunga anche i genitori e più in generale tutte le figure di accudimento che ruotano attorno ai bambini. Offrire supporto psicologico e EMDR ai genitori, infatti, accresce l’efficacia del trattamento nei bambini in quanto:
• L’accordo con i genitori sulle attività terapeutiche che verranno svolte e sugli obiettivi di tale intervento, facilita il lavoro del terapeuta nella fase di preparazione del bambino.
• La psicoeducazione fatta al genitore permette a quest’ultimo di aiutare il proprio bambino nello sviluppo di risorse aggiuntive per il contenimento emotivo, utili sia in fase di preparazione che durante la vera e propria elaborazione del trauma.
• Il benessere del genitore porta ad una risoluzione più rapida della sintomatologia del bambino, spesso determinata o aggravata proprio dall’intuizione del bambino circa il disagio del genitore e dal suo tentativo di porvi rimedio.
Tutto ciò verrà esposto con l’ausilio di due casi clinici di bambini trattati a seguito dell’incidente avvenuto in data 8 maggio 2007 a Stroppiana (VC) nel quale un pullman contenente tutti i bambini della scuola elementare si è ribaltato. 39 bambini sono sopravvissuti, 2 hanno perso la vita.
The work will be treated the centrality of the therapeutic alliance in a speech carried on trauma on child victims of collective disaster. The author illustrates how this alliance appears to be preparatory treatment with EMDR and the fundamental for a full success of
therapy, the creation of an enlarged alliance, which also reaches parents and more generally all caregivers that revolve around children. Offer psychological support and EMDR to Parents, in fact, increases the effectiveness of treatment in children because:
• The agreement with parents about therapeutic activities to be carried out and the objectives of such intervention, the therapist facilitates the work in preparing the child
• The parent psychoeducation made to allow him to help your child development of additional resources for emotional content, useful both during preparation and during the actual processing of the trauma
• The welfare of the parent leads to a more rapid resolution of symptoms of child, often determining or increasing the child's own intuition about the inconvenience the parent and its attempt to remedy. This will be explained with the help of two clinical cases of children treated after incident occurred on 8 May 2007 Stroppiana (VC) in which a bus containing all primary school children was overturned. 39 children survivors, 2 have died.
Keywords: Children Mass Disaster Therapeutic Alliance
Accuracy Verified: Yes
49. Sack, M., Lempa, W., Steinmetz, A., Lamprecht, F., & Hofmann, A. (2008, October). Alterations in autonomic tone during trauma exposure using eye movement desensitization and reprocessing (EMDR) - Results of a preliminary. Journal of Anxiety Disorders, 22(7), 1264-1271. doi:10.1016/j.janxdis.2008.01.007 .
Language: English
Format: Journal
Abstract:
EMDR combines stimuli that evoke divided attention – e.g. eye movements – with exposure to traumatic memories. Our objective was to investigate psycho-physiological correlates of EMDR during treatment sessions. A total of 55 treatment sessions from 10 patients with PTSD was monitored applying impedance cardiography. Onset of every stimulation/exposure period (n = 811) was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (HRV), pre-ejection period (PEP) and respiration rate were examined. At stimulation onsets a sharp increase of HRV and a significant decrease of HR was noticed indicating de-arousal. During ongoing stimulation, PEP and HRV decreased significantly while respiration rate significantly increased, indicating stress-related arousal. However, across entire sessions a significant decrease of psycho-physiological activity was noticed, evidenced by progressively decreasing HR and increasing HRV. These findings suggest that EMDR is associated with patterns of autonomic activity associated with substantial psycho-physiological de-arousal over time. [Author Abstract]
Keywords: Adults Germans Empirical Study Impedance Cardiography Posttraumatic Stress Disorder Psychophysiology PSTD Quantitative Study Survivors Treatment Effectiveness
Accuracy Verified: Yes
50. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.
Language: English
Format: Book Section
Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]
Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness
Accuracy Verified: Yes
51. Descilo, T. (1999). Amelioration of death-related trauma with traumatic incident reduction (TIR) and eye movement desensitization and reprocessing (EMDR). In C. R. Figley (Ed.), Traumatology of grieving: conceptual, theoretical, and treatment foundations (pp. 153-182). Philadelphia: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
The author notes the significance of the child-adult system and the effects of the death of either person on the other. She describes two treatment approaches: traumatic incident resolution (TIR) and eye movement desensitization and reprocessing (EMDR). Both approaches are reviewed, beginning with the theoretical model on which they are based. In a synthesis of both TIR and EMDR, the author offers "clinical traumatology skills" to overcome the potential bias introduced by the therapist. She discusses three focusing drills to develop practitioners' effectiveness in focusing on the most critical issues and procedures of trauma work. Acknowledgement and closure drills enable practitioners to more effectively end trauma work sessions. The author also discusses what effective trauma treatment should look like. These end points help assure both client and therapist that the distress associated with the memories has been removed permanently. After discussing the role of emotions in processing traumatic events, the chapter focuses on TIR and then EMDR regarding assessment and treatment procedures. This is followed by a discussion of what can go wrong when applying the treatment procedures. The chapter ends with presentation and discussion of a case example. [Adapted from Introduction]
Keywords: Assessment Bereavement Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors TIR Traumatic Incident Reduction
Accuracy Verified: Yes
52. Descilo, T. (1999). Amelioration of death-related trauma with traumatic incident reduction (TIR) and eye movement desensitization and reprocessing (EMDR). In C. Figley (Ed.), Death-Related Trauma: Conceptual, Theoretical, and Treatemnt Foundations. London: Taylor & Francis.
Language: English
Format: Book Section
Abstract: The author notes the significance of the child-adult system and the effects of the death of either person on the other. She describes two treatment approaches: traumatic incident resolution (TIR) and eye movement desensitization and reprocessing (EMDR). Both approaches are reviewed, beginning with the theoretical model on which they are based. In a synthesis of both TIR and EMDR, the author offers "clinical traumatology skills" to overcome the potential bias introduced by the therapist. She discusses three focusing drills to develop practitioners' effectiveness in focusing on the most critical issues and procedures of trauma work. Acknowledgement and closure drills enable practitioners to more effectively end trauma work sessions. The author also discusses what effective trauma treatment should look like. These end points help assure both client and therapist that the distress associated with the memories has been removed permanently. After discussing the role of emotions in processing traumatic events, the chapter focuses on TIR and then EMDR regarding assessment and treatment procedures. This is followed by a discussion of what can go wrong when applying the treatment procedures. The chapter ends with presentation and discussion of a case example. [Adapted from Introduction]
Keywords: Death Traumatic Incident Reduction
Accuracy Verified: Yes
53. Lee, C. (2005, September). An analysis of critical processes and components in EMDR treatment of trauma memories. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Very little is known about the mechanisms that underlie the effectiveness of EMDR. Participants will be presented with information to
facilitate their understanding of two competing hypotheses to account for EMDR effectiveness. Namely, because it uses similar processes found effective in traditional exposure treatments (reliving). Alternaitvely according to Shapiro's proposal of dual process of attention, the procedure may be successful because it elicits distancing responses. Participants will be able to describe how these competing hypotheses were investigated. The responses made by 44 participants with Post Traumatic Stress Disorder (PTSD) were examined during their first EMDR treatment session. Participants will be able to describe the key process variable found to be effective in EMDR treatment of trauma memories and the extent to which this process is determined by eye movement or by therapist instructions.
Keywords: Dual Attention Mechanism of Action Reliving
Accuracy Verified: Yes
54. 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 � 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 �feeder-memory� 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 �recovery� at around the 3 � 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
55. Garcia, F. (2011, Julio). Aplicacion de EDMR en el tratamiento de distintos trastornos [Application of EMDR in the treatment of various disorders]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, España.
Language: Spanish
Format: Conference
Abstract:
EMDR es actualmente un acercamiento psicoterapéutico reconocido como
tratamiento efectivo del trauma (American Psychiatric Association, 2004; Bisson y Andrew,
de 2007; Bleich et al, 2002;. CREST, 2003; Foa et al, 2009; Niza, 2005).
El trauma produce un cambio en nuestro sentido del yo, en nuestro sentido del
significado del mundo, de su seguridad, de su racionalidad, existe un “antes y después” a
nivel vivencial. La psicóloga Francine Shapiro observó que bajo ciertas condiciones el
movimiento ocular puede reducir la intensidad de los pensamientos perturbadores, a partir
de esta observación estudió científicamente este efecto y en 1989, informó del éxito al
utilizar EMDR en el tratamiento de víctimas de trauma en el Journal of Traumatic Stress.
Desde entonces, EMDR se ha desarrollado y ha evolucionado a través de las
contribuciones de terapeutas e investigadores de todo el mundo. Estudios controlados en
víctimas de Vietnam, abusos, accidentes, víctimas de catástrofes..., indican que EMDR es un
método eficaz en el tratamiento del TEPT (trastorno por estrés postraumático), siendo
también efectivo en el tratamiento de otras problemáticas como dolor crónico, trastornos
psicosomáticos, problemas de apego, malos tratos y adopción.(Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). El EMDR está basado en un modelo de "procesamiento adaptativo de la
información" (Shapiro, 1991), que postula que la experiencia (los sentimientos,
pensamientos y sensaciones) se transforma normalmente en aprendizaje adaptativo
(Shapiro, 2001).
Presentamos aquí este abordaje terapéutico, con una primera intervención que
muestra las bases del EMDR y su aplicación en el dolor crónico y tres comunicaciones más
en las que, a partir de la presentación de un caso, se mostrará la aplicación de los
protocolos de tratamiento para los trastornos de la conducta alimentaria, problemas
adaptativos en niños adoptados y la violencia doméstica en menores.
EMDR is now recognized as a psychotherapeutic approach
effective treatment of trauma (American Psychiatric Association, 2004, Bisson and Andrew,
2007, Bleich et al, 2002,. CREST, 2003, Foa et al, 2009, Nice, 2005). The trauma causes a change in our sense of self, our sense of
meaning of the world, their security, their rationality, there is a "before and after" to
experiential level. The psychologist Francine Shapiro observed that under certain conditions
eye movement can reduce the intensity of disturbing thoughts, from
this observation scientifically studied this effect and in 1989, reported the successful
using EMDR to treat trauma victims in the Journal of Traumatic Stress.
Since then, EMDR has developed and evolved through
contributions of therapists and researchers from around the world. Controlled studies in
Victims of Vietnam, abuse, accident, disaster victims ... indicate that EMDR is a
effective method in treating PTSD (PTSD), with
also effective in treating other problems such as chronic pain disorders
psychosomatic problems of addiction, abuse and adoption. (Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). EMDR is based on a model of "adaptive processing of information "(Shapiro, 1991), which postulates that the experience (feelings,
thoughts and feelings) becomes normally adaptive learning (Shapiro, 2001). We present here this therapeutic approach, with the first intervention
shows the basics of EMDR and its application in chronic pain and three more communications
where, from the case report will show the application of protocols of treatment for eating disorders, problems
adaptive adopted children and domestic violence on children.
Keywords: Trauma
Accuracy Verified: Yes
56. Mestanza, R. (2007). Aplicación de terapia cognitivo conductual individual, grupal y EMDR, en adolescentes de 11 a 13 anos con altos nivelesde ansiedad del 8º ano de educación básica de la red educativia Helena Cortes Bedoya, en la ciudad de Quito, ano lectivo 2006-2007 [Application of individual and group cognitive behavioral EMDR therapy to 11 to 13 year old adolescents with high levels of anxiety in the 8th year of the Helena Cortes Bedoya educational network, City of Quito School Year 2006-2007]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El presente trabajo de investigación tuvo como objetivo general, verificar si la Terapia Cognitivo-Conductual individual, grupal y EMDR disminuyen la ansiedad en adolescentes de 11 a 13 años del 8º año de Educación Básica de la Red Educativa Helena Cortes Bedoya, Sector Carapungo de la ciudad de Quito, en el año lectivo 2006-2007. Se tomó como referencia que la Terapia Cognitivo-Conductual , es el conjunto de técnicas terapéuticas que han resultado del empleo sistemático del método experimental en la Psicología y demás disciplinas afines, empleados con el propósito de modificar pensamientos y conductas desadaptativas .
En tanto que EMDR consiste en la Desensibilización y Reprocesamiento por medio del Movimiento Ocular u otras estimulaciones bi-hemisféricas especialmente para trabajar sobre recuerdos traumáticos.
La investigación a realizarse fue de tipo explicativo con diseño cuasi- experimental con un grupo de sujetos estimado del 30 al 50 % del total de la población de adolescentes evaluados con el test ISRA-J.
Con ISRAJ (Inventario de Situaciones y Respuestas de Ansiedad – Jóvenes ) se evaluó a 70 estudiantes de 8º Año de Educación Básica obteniendo 14 con alto nivel de ansiedad, a los cuales se les invitó a participar en el taller “ Jóvenes en Aprendizaje” durante 12 sesiones.
Al grupo se realizó la evaluación pre y post tratamiento, para verificar si la Terapia Cognitivo Conductual individual y en grupo + EMDR, son efectivos para bajar niveles de ansiedad y considerando el género saber que grupo fue beneficiado en mayor medida.
Verificada su efectividad, el programa anteriormente señalado, se aplicará para bajar niveles de ansiedad a todos los adolescentes que luego de ser evaluados con el test ISRAJ obtenga un puntaje directo de 51 a 75, con indicación de tratamiento necesario y de 76 a 100 con necesidad de terapia urgente.
The present research aimed generally verify whether cognitive behavioral therapy individual, group and EMDR decrease anxiety in adolescents 11 to 13 years of Grade 8 Basic Education Educational Network Helena Cortes Bedoya, Sector Carapungo of Quito, in the academic year 2006-2007. The reference used was that cognitive behavioral therapy, is the set of therapeutic techniques that have resulted from the systematic use of the experimental method in psychology and other disciplines, employees with the aim of changing maladaptive thoughts and behaviors.
While EMDR is Desensitization and Reprocessing Eye Movement or other bi-hemispheric stimulation specifically to work on traumatic memories.
The research was carried out explanatory type quasi-experimental design with a group of subjects estimated 30 to 50% of the total population of adolescents assessed with the ISRA-J test.
With ISRAJ (Inventory of Situations and Responses of Anxiety - Young) was assessed 70 students from Year 8 Basic Education getting 14 with high anxiety, to which were invited to participate in the workshop "Young People in Learning" for 12 sessions.
The group evaluation was performed before and after treatment, to verify if the individual and Cognitive Behavioral Therapy + EMDR group, are effective in lowering anxiety levels and considering the genre know that group was benefited most.
Verified its effectiveness, the program noted above will apply to lower levels of anxiety to all adolescents be evaluated after the test will score ISRAJ live 51 to 75, indicating the necessary treatment and from 76 to 100 with need Urgent therapy.
Keywords: Adolescents Helena Cortes Bedoya Educational Network Group Behavioral Therapy Quito
Accuracy Verified: Yes
57. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.
Language: French
Format: Journal
Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization
and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui
correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales
caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la
perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit
participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu
le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de
femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité
de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de
l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise
en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois
(T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge
EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum,
stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients
endeuillés peuvent développer une dépression chronique.
The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement.
The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers
a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one
and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death,
irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family
of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings
(m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting
from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2),
then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to
indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between
the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three
and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially
when it is known that 10 to 15% of the patient develops a chronic depression.
Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement
Accuracy Verified: Yes
58. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique à propos d'un cas d'agression sexuelle [EMDR applied to sexual traumatology: Evolution of psychopathological comorbidity in the case of sexual aggression]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 523-528. doi:10.1016/j.amp.2007.06.002.
Language: French
Format: Journal
Abstract:
L'accès thérapeutique des patients victimes d'agression sexuelle est souvent à travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légère ou modérée cas de SSPT, il ya des formes complexes où la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. À l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particulièrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brève et active, donnent de bons résultats dans le traitement de la symptomatologie traumatique. Peu d'études ont été menées sur l'évolution psychopathologique de patients ayant souffert d'agressions sexuelles et qui sont pris en charge par l'EMDR. Dans le cadre d'une étude de cas, les auteurs discutent des éléments indiquant une évolution rapide de la symptomatologie traumatique, l'évitement sexuel et de la régression de l'expression des signes de co-morbidité. [Auteur] Résumé
The therapeutic access of patients victims of sexual aggression is often through a double perspective: That of treating Post Traumatic Stress Disorder (PTSD) and of sexual avoidance. In light or moderate PTSD cases, there are complex forms in which co-morbidity is more evident and the rate of therapeutic failure is more important. At present active treatment methods based on exposure, more particularly EMDR (Eye Movement Desensitization and Reprocessing) considered as a brief and active therapy, give good results in the treatment of traumatic symptomatology. Few studies have been undertaken on the psychopathological evolution of patients having suffered from sexual attacks and who are being taken care of by EMDR. Within the framework of a case study, the authors discuss elements indicating a rapid evolution of traumatic symptomatology, of sexual avoidance and of regression of the expression of the co-morbidity signs. [Author Abstract]
Keywords: Brief Therapy Clinical Case Study Sexotherapy Sexual Trauma
Accuracy Verified: Yes
59. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .
Language: English
Format: Dissertation/Thesis
Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.
Keywords: Narrative Therapy South Africa Transtheoretical Model
Accuracy Verified: Yes
60. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.
The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is
classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.
Keywords: Chronic Pain Perceptual Deficits
Accuracy Verified: Yes
61. De Sensi Fontera, A. (2008, Novembre). Applicazione dell’EMDR i soggetto di 9 anni affetto da ADHD [Applying EMDR the subject of 9 years with ADHD]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’EMDR è stato applicato in un caso di una ragazza d’anni nove, Iris, affetta da ADHD (DSM – IV F90. 0). L’EMDR è stato integrato in un percorso di psicoterapia classica e con interventi sull’interazione dei sistemi Famiglia, Sanità, Scuola. L’EMDR è stato rivolto anche alle figure parentali per elaborare alcuni degli eventi traumatici che avevano contribuito allo sviluppo del disturbo nella bambina e, in particolare, per la madre sulla diagnosi. Il ruolo dell’EMDR è stato significativo nella risoluzione dei sintomi e ha contribuito all’efficacia dell’intervento complessivo.
E’ stato particolarmente efficace per la risoluzione della “coazione a ripetere” e per l’integrazione intrapsichica della personalità d’Iris.
EMDR has been applied in a case of a girl of nine years, Iris, who suffers from ADHD (DSM -- IV F90. 0). EMDR has been integrated into a course of psychotherapy and classical interventions interaction of the family system, Health, School. EMDR has been addressed also to the figures parental to process some of the traumatic events that had contributed to the development of disorder in children and, in particular, for the mother on the diagnosis. The role of EMDR was significant in the resolution of symptoms and has contributed to the effectiveness of the intervention overall. It 'been particularly effective for the resolution of the "repetition compulsion" and Integration Intrapsychic personality of Iris.
Keywords: ADHD Attention Deficit Hyperactivity Disorder Children
Accuracy Verified: Yes
62. De Marco, A. (2008, Novembre). Applicazione dell’EMDR nel lutto complicate-resoconto di un caso clinico [Application EMDR in complicated grief-reporting of clinical case]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’articolo si propone di evidenziare l’efficacia dell’EMDR nei casi di lutto, in particolare quando questo evento implica un trauma psicologico, che interferisce con il normale processo di elaborazione della perdita. Si delinea allora una situazione definita “lutto complicato o traumatico”, che determina una elaborazione complessa dell’evento luttuoso bloccandone la sua risoluzione.
Una perdita traumatica sconvolge le capacità di coping della persona e pregiudica le sue facoltà di adattamento, aumentando il disagio e complicando l’elaborazione dell’evento.
Laddove il lutto acuto è dominato dal trauma, l’impiego dell’EMDR facilita il passaggio il passaggio attraverso le varie fasi dell’elaborazione del lutto e favorisce l’assimilazione e l’adattamento alla perdita.
Ad illustrare quanto enunciato dal punto di vista teorico viene presentato un caso clinico, nel quale un lutto complicato, strettamente connesso a sintomi depressivi, viene sbloccato e ricondotto ad un normale processo di elaborazione grazie all’applicazione dell’EMDR su un solo targhet specifico.
La paziente, una giovane donna di 24 anni, presentava un disturbo distimico di gravità moderata, con spunti ansiosi. Non prendeva psicofarmaci. Qualche anno prima le era stato diagnosticato un disturbo di panico con agorafobia e aveva assunto Lexotan per un certo periodo.
Sono stati somministrati appositi test psicologici, all’inizio e al termine della terapia finalizzata all’elaborazione del lutto. Un altro re-test è stato fatto a distanza di un anno circa.
The article aims to highlight the effectiveness of EMDR in cases of bereavement, particularly when this event involves a psychological trauma, which interferes with the normal process of elaboration of the loss. It then outlines a situation as "complicated grief or traumatic, determines a complex event processing mournful blocking its resolution. A traumatic loss upsets the coping skills of the person and impairs his ability to adaptation, increasing the discomfort and complicating the development of the event.
where the mourning is dominated by acute trauma, the use EMDR facilitates the passage through the various stages of mourning and promotes assimilation and adaptation to loss.
Illustrate what is stated by the theoretical point of view is presented a clinical case in which a complicated grief, which is closely linked to depressive symptoms, is unlocked and returned to a normal process by applying EMDR on one target specific. The patient, a young woman of 24 years, had a dysthymic disorder of moderate severity, with ideas anxious. Not taking psychotropic drugs. A few years earlier had been diagnosed with panic disorder with agoraphobia and had taken Lexotan for a certain period. Appropriate psychological tests were administered at the beginning and end of therapy aimed elaboration of mourning. Another re-test was done at a distance of about one year.
Keywords: Complicated Grief Poster
Accuracy Verified: Yes
63. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come :
- la velocità di intervento;
- l’ esigenza di applicare protocolli rapidi ed efficaci.
La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia);
l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici.
Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali:
-PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione).
-disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie).
Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate.
Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.
Psychological intervention in the hospital has special features that meet certain characteristics such as:
- The speed of intervention;
- 'S need to implement protocols for rapid and effective.
The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography);
effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms.
Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as:
-PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) .
-Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy).
In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations.
Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.
Accuracy Verified: Yes
64. Sukirna, S., Sadatun, T. I., & Direzkia, Y. (2008, June). Applying EMDR for tsunami survivors with severe PTSD in a disaster region with minimum mental health facilities. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
Tsunami that hit Aceh on the 26th of December 2004 taken approximately 150,000 lives has changed the region
into a devastated area. Although health services and facilities had been re-established and some NGOs started
delivering psychosocial and mental health services, only a few of them focussed on effective trauma therapy
while the number of survivors who need the treatment are enormous. Tsunami survivors in this region are more
likely to suffer from complex PTSD because of years of armed-conflict had been going on in this region. A survey
conducted by Crisis Centre of the Faculty of Psychology University of Indonesia in collaboration with Terre des
Hommes Germany showed high incidents of various psychological disorders amongst child survivors.. The
program of trauma therapy and EMDR organized by Indonesian Psychological Association and TdH Germany
funded by BMZ Germany since 2006 has treated a good number of tsunami survivors with severe PTSD. Hyperarousal,
flashbacks and bad dreams, avoidance, and somatisation are common. There has been no indication
whether there has been a natural process of recovery among those who were not treated. Starting in February
2008 a controlled study on the effectiveness of EMDR is conducted with 30 tsunami survivors with PTSD that will
be randomized into two groups of 15. The treatment group will be given EMDR therapy until April 2008 and
waitlist group will be given EMDR in May 2008. The effectiveness of EMDR will be measured using IES, HTQ, DES
pre and post treatment with EMDR. First follow up will be collected until June 2008.
Keywords: Disasters Poster Tsumani
Accuracy Verified: Yes
65. Britt, V. J., Diepold, J., & Bender, S. (2008, September). Applying energy psychology methods in the preparation phase of the EMDR eight step protocol. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This workshop will explore and provide an additional means of stabilization and resource for the EMDR preparation phase, as well as expand therapeutic strategies to resolve treatment blocks and stuck processing. Using concepts such as correct polarity and methods like muscle-testing, which come from the emerging field of energy psychology, compromised psycho-energetic activity at the mind-body interface will be demonstrated. These methods can be incorporated into the EMDR preparation phase without compromising the 8 phase protocol.
Keywords: Energy Psychology Preparation Phase
Accuracy Verified: Yes
66. Greenwald, R. (1994, Winter). Applying eye movement desensitization and reprocessing (EMDR) to the treatment of traumatized children: Five case studies. Anxiety Disorders Practice Journal, 1(2), 83-97.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy method that appears to increase efficiency in treating traumatized psychological disturbance. Applications to child treatment were explored in five case studies of children suffering from post-traumatic symptoms several months after Hurricane Andrew. Subjects were treated with one or two EMDR sessions, until Subjective Units of Disturbance (SUDS) went to 0. Follow-up parent interviews at one and four weeks post-treatment found all subjects returning to pre-trauma levels of functioning, with additional improvement in some cases. Further study is recommended. [Author Abstract]
Keywords: Americans Females Hurricane Andrew (1992) Hurricanes Males School Age Children Survivors Treatment Effectiveness
Accuracy Verified: Yes
67. Devilly, G. J. (2004, December). An approach to psychotherapy toleration: The Distress/Endorsement Toleration Scale (DEVS) clinical outcome studies. Journal of Behavior Therapy and Experimental Psychiatry, 35(4), 319-336. doi:10.1016/j.jbtep.2004.08.001.
Language: English
Format: Journal
Abstract:
The issue of treatment tolerance within the field of psychotherapy is, at best, a nebulous construct and has been commonly evaluated via rates of subject attrition and homework compliance. This research presents the psychometric properties of a ten-item scale which endeavours to measure treatment distress and participant endorsement of therapy protocols used in clinical research. Two factors emerged and the subscales of Distress and Endorsement were derived. These subscales displayed good reliability with acceptable inter-item correlations within each subscale. The subscales were also able to differentiate the perspectives of male Vietnam veterans from their spouses on a lifestyle management course at the termination of intervention. However, this scale also displayed a cognitive behavioural trauma treatment protocol and eye movement desensitisation and reprocessing to be equivalent in treatment distress and participant endorsement in the treatment of PTSD. Preliminary findings suggest that the relationship between these two subscales and outcome may, to some extent, be population specific. First evidence suggests that intervention distress ratings may be influenced by severity of presentation, whilst endorsement ratings are more influenced by symptomatic improvement over time. Suggestions for future research are presented and the full questionnaire is attached as an appendix. [Author Abstract]
Keywords: Adults Australians Cognitive Therapy Distress Family Therapy Endorsement Females Males Outcome Psychotherapeutic Processes Questionnaire Self Report Instruments Spouses Tolerance Treatment Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
68. Tardy, J., & El Farricha, M. (2007, Juin). Approache Ericksonienne du traumatisme psychique et thérapie EMDR [Ericksonian approach of trauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Les techniques d’hypnose éricksonienne sont des outils très utiles au cours d’une psychothérapie, spécialement avec les personnes ayant connu des traumatismes répétés dans l’enfance. En effect, par le biais d’une dissociation thérapeutique, patient et thérapeute on accès à la mémoire traumatique neurobiologique et psychologique et le patient pourra (ré)experimenter la confiance dans ses propres forces naturelles.
Cependant, manié avec peu de précaution l’hypnose risqué d’aggraver la dissociation pathologique. L’association des techniques éricksoniennes et du protocole de la thérapie EMDR augmente les capacitiés de l’espirt et du corps et offre au paitent un meilleur contrôle émotionnel et un amélioration del la (ré)orientation à la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brève des victimes et s’appuie sur une approche éricksonienne du traumatisme psychique et la thérapie EMDR en tant que novelle méthode thérapeutique efficace pour l’ESPT.
Mohammed El Farricha et Josette Tardy psychologues cliniciens, présenteront un apercu d’un programme de traitement psychothérapique expérimenté avec des patients en ambulatoire ces dix dernières années.
Dans cet atelier l’accent sera plus particulièrement mis sur l’apport des techniques d’hypnose éricksonienne qui semblent cliniquement efficaces et peuvent venir renforcer le protocole EMDR au cours des phases: evaluation et terminaison.
Il s’agira par exemple de démontrer comment, lors de l’évaluation, guider la personne vers la concentration interne nécessaire à une desensitisation complete? Ou encore comment mieux projeter le patient dans un future <
Ericksonian hypnosis techniques are useful tools in the course of psychotherapy, especially with people who have experienced repeated trauma in childhood. In effect, through a separation treatment, patient and therapist is memory access neurobiological and psychological trauma for the patient to (re) experiment confidence in its own natural forces.
However, handled with some caution hypnosis risked aggravating the pathological dissociation. The combination of Ericksonian techniques and EMDR protocol extends the capabilities of espirt and body and offers better paitent emotional control and improvement del (re) orientation to reality.
The authors' work is situated in brief psychotherapy of victims and an approach based on Ericksonian of psychic trauma and EMDR as an effective therapeutic method novella for PTSD.
Mohammed El Farricha and Josette Tardy clinical psychologists, will present an overview of a program of psychotherapy experimented with outpatients in the last ten years.
In this workshop the emphasis will be placed on the contribution of Ericksonian hypnosis techniques that seem clinically effective and can reinforce the EMDR protocol in phases: evaluation and termination.
Some examples demonstrate how, during the evaluation, guide the person towards the internal concentration required for a complete desensitisation? Or how to better plan the patient in a future <> limitations of trauma?
Accuracy Verified: Yes
69. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised
as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder
(PTSD) and other anxiety disorders, yet we still do not fully understand by which process or
mechanisms it might work. We consider a number of models implicating orienting or
investigatory reflexes as a significant contributor to the success of EMDR as a treatment
method. A series of experiments were designed to test the predictions derived from these
models, examining the physiological effects of eye-movements following auditory challenge
compared to an eyes-stationary condition. A significant physiological de-arousal effect is
observed in conditions requiring eye-movements similar to those used in the EMDR protocol.
We go on to consider the implications for this de-arousal effect in the treatment of PTSD and
present preliminary data from a case series designed to examine the unique contribution of
EMDR when used with treatment resistant clients. A range of psychometric and
psychophysiological process and outcome measures were utilised in this study, providing a
detailed evaluation of change over the course of the treatment design. Specialised software
was developed for use in this study, in addition to a computerised test and software is
provided, along with data obtained from this test.
Keywords: De-Arousal
Accuracy Verified: Yes
70. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.
Language: English
Format: Other
Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages.
Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light.
This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level.
The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks.
The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.
Keywords: Combat Military Monograph Posttraumatic Stress Disorder PTSD Stressors
Accuracy Verified: Yes
71. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).
Keywords: Abreactions Intense Affect
Accuracy Verified: Yes
72. Solomon, R. M. (2006, September). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An
inherent value of EMDR is to facilitate natural
processing and the client's natural patterns. Assuming client readiness and
preparation to deal with emotional material, an
interweave (which elicits other neural networks),
or resource installation (which initiates a state
change) or prolonged talking (which initiates an
interpersonal process) - though often useful - can
interfere with the client's own internal processing and take the client away from their natural and
unique resolution and integration. The therapist
can enable the client to process intense material
utilizing a) strong attunement skills to hold the
client in one's therapeutic presence, b) recognition
of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally
intervene and when to "stay out of the way". Hence,
more important than the mechanics of bilateral
stimulation is the way EMDR is delivered. EMDR
is a "dance" between client and therapist with the
therapist interacting through bi-lateral stimulation
even more than through verbal communication.
This workshop will focus on dealing with intense
affect with EMDR (the dance) and include
discussjon of 1) How to assess client readiness for
dealing with intense material, both before and during
EMDR processing. 2) Therapist clinical presence
and attunement skills. 3) Detecting behavioral
manifestations of processing and calibrating bilateral
stimulation to the client in order to maximize
processing, and control intensity of processing. 4)
Therapeutic choice points concerning verbal
interventions and "staying out of the way". Demonstration and video tapes will be used to
illustrate teaching points. (Participants should be
aware that the videos have intense emotional content).
Keywords: Abreactions
Accuracy Verified: Yes
73. Solomon, R., Watkins, J., & Paulsen, S. L. (2004, September). Art of EMDR: Use of therapeutic self, resonance and managing effect at the optimal level. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The therapist's ability to continually assess and detect client response to
EMDR is crucial in order to: 1) provide safely and containment; 2) titrate the level of client arousal; 3) enhance ego strength: and 4) facilitate optimal movement. Detecting subtle client movement and shifts enables the therapist to: a) optimize the tempo and rhythm of bilateral stimulation; b) assess if the material is moving: c) detect state changes that can potentially block processing; and d) point to cognitive interweaves for blocked processing. This workshop will teach participants how to utilize their therapeutic presence to provide containment, enhance the client’s ability to process through intense emotions, and adapt to continual changing states in the client.
Keywords: Managing Affect Resonance Therapeutic Self
Accuracy Verified: Yes
74. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163. doi:10.1037/0735-7028.28.2.153 .
Language: English
Format: Journal
Abstract:
The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]
Keywords: Literature Review Methodology Professional Criticism Posttraumatic Stress Disorder PTSD Research Needs Treatment Effectiveness
Accuracy Verified: Yes
75. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007, July-September). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: Un approccio integrate [Psychological aspects and psychotherapy of women affected by interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosmatica, 52(3), 101-104.
Language: Italian
Format: Journal
Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.
Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral el'EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.
Keywords: Interstitial Cystitis Women
Accuracy Verified: Yes
76. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: un approccio integrato [Psychological and psychotherapy for women with interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosomatica, 52(3), 111-117. .
Language: Italian
Format: Journal
Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.
Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.
Keywords: Interstitial Cystitis Women
Accuracy Verified: Yes
77. Edmond, T., & Rubin, A. (2004). Assessing the long-term effects of EMDR: Results from an 18-month follow-up study with adult female survivors of CSA. Journal of Child Sexual Abuse, 13(1), 69-86. doi:10.1300/J070v13n01_04.
Language: English
Format: Journal
Abstract:
This 18-month follow-up study builds on the findings of a randomized experimental evaluation that found qualified support for the short-term effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse (CSA). The current study provides preliminary evidence that the therapeutic benefits of EMDR for adult female survivors of CSA can be maintained over an 18-month period. Furthermore, there is some support for the suggestion that EMDR did so more efficiently and provided a greater sense of trauma resolution than did routine individual therapy. [Author Abstract]
Keywords: Adults Americans Child Abuse Empirical Study Females Follow-up Study Quantitative Study Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
78. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.
Keywords: Adolescents Children Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders
Accuracy Verified: Yes
79. Gros, D. F., & Antony, M. (2006, August). The assessment and treatment of specific phobias: A review. Current Psychiatry Reports, 8(4), 298-303.
Language: English
Format: Journal
Abstract:
Specific phobia is one of the most common and easily treated mental disorders. In this review, empirically supported assessment and treatment procedures for specific phobia are discussed. Exposure-based treatments in particular are highlighted given their demonstrated effectiveness for this condition. The format and characteristics of exposure-based treatment and predictors of treatment response are outlined to provide recommendations for maximizing outcome. In addition, several other treatments for specific phobia are reviewed and critiqued, including cognitive therapy, virtual reality, eye movement desensitization and reprocessing, applied tension, and pharmacologic treatments. The review concludes with a discussion of future directions for research.
Keywords: Phobias
Accuracy Verified: Yes
80. Sack, M., Lempa, W., & Lamprecht, W. (2007). Assessment of psychophysiological stress reactions during a traumatic reminder in patients treated with EMDR. Journal of EMDR Practice and Research, 1(1), 15-23. doi:10.1891/1933-3196.1.1.15.
Language: English
Format: Journal
Abstract:
This study investigates changes of stress-related psychophysiological reactions after treatment with EMDR. 16 patients with PTSD following type I trauma underwent psychometric and psychophysiological assessment during exposure to script-driven imagery before and after EMDR and at 6-month follow-up. Psychophysiological assessment included heart rate (HR) and heart rate variability (HRV) during a neutral task and during trauma script listening. PTSD symptoms as assessed by questionnaire decreased significantly after treatment and during follow-up in comparison to pretreatment. After EMDR, stress-related HR reactions during trauma script were significantly reduced, while HRV indicating parasympathetic tone increased both during neutral script and during trauma script. These results were maintained during the follow-up assessment. Successful EMDR treatment may be associated with reduced psychophysiological stress reactions and heightened parasympathetic tone. [Author Abstract]
Keywords: Adults Germans Manual-Based Treatments Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
81. Pham, T., & Willocq, L. (2005, June). Assessment of traumatic stress among incarcerated homicide perpetrators. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Homicide perpetrators present a high prevalence of major mental disorders,
particularly major depression associated with a substance diagnostic, and
schizophreny (Cote & Hodgins, 1992). Recently, it has been suggested that
the homicide behaviour itself may be conceived as a traumatic event
generating multiple symptoms (Gray, et a1., 2003; Pollock. 1999}. This study
assesses the relations between homicide and traumatic stress in a Belgian
prison population, on the basis of a self-report questionnaire (SASRQ).
Therapeutic implications of the results and relevance of EMDR practice in
homicide populations will be discussed.
Keywords: Homicide Incarceration Perpetrators Poster
Accuracy Verified: Yes
82. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the
ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative
emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as
healers.
Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol
Accuracy Verified: Yes
83. Bolsover, N. (2006, June). Attachment style as a predictor of response to EMDR. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Therapeutic alliance, attachment and EMDR
Therapeutic alliance and attachment theory
“Care-giver responses associated with secure attachment
include responsiveness, sensitivity, consistency, reliability,
attunement, the capacity to absorb protest and ‘mindmindedness’,
the ability to see the distressed child as an
autonomous and sentient being with feelings and projects of
his or her own.” (Holmes, 2001)
Therapeutic alliance and EMDR. [Excerpt]
Keywords: Attachment Style
Accuracy Verified: Yes
84. Brisch, K. H. (2013, June). Attachment trauma and treatment process with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This presentation will provide an overview of the various forms of attachment disorders, their significance in terms of affect and stress regulation, and their effects on the development of early severe psychopathology. Case studies will illustrate the use of EMDR as a therapeutic modality.
Keywords: Attachment Trauma Treatment
Accuracy Verified: Yes
85. Dworkin, M. (2009, August). Attachment, attunement, and resonance in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Attachment, attunement, and resonance in the eight phases of EMDR enhance therapeutic outcomes. Patients with disorganized attachment processes may have complications that may make EMDR treatment more difficult. This workshop is designed to teach attunement, resonance, and therapeutic relatedness strategies in the work with patients with complicated attachment histories. Problems and solutions for misattunements during the eight phases will be the main focus of this workshop. Interpersonal neurobiological concepts will be taught to enhance the participant’s effectiveness. The Clinician Self Awareness Questionnaire will be demonstrated as a tool to deal with correct therapist misattunement.
Keywords: Attachment
Accuracy Verified: Yes
86. Liotti, G. (2012, June). Attachment, psychotherapy and EMDR [Apego, psicopatología y EMDR]. Keynote presented at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
defense
system
(freezing-‐fight-‐flight-‐feigned
death),
that
is
set
into
motion
in
every
individual
by
the
exposure
to
any
event
that
threatens
life
or
bodily
integrity
in
the
self
or
in
significant
others,
is
terminated
after
the
event
is
over
by
mental
and
interpersonal
processes
involving
the
soothing
and
security-‐
seeking
system
(attachment).
If
the
functions
of
the
attachment
system
are
hindered
by
memories
(internal
working
model,
IWM)
of
early
attachment
interactions
with
neglecting
or
abusive
caregivers,
the
defense
system
may
remain
active
for
long
periods
of
time
after
the
traumatic
event
is
over.
Insecure
and
especially
disorganized
IWMs
of
early
attachments,
together
with
the
unavailability
of
social
support
after
the
trauma,
are
thus
risk
factors
for
developing
the
symptoms
of
post-‐traumatic
stress
disorders.
This
lecture
dwells
on
the
main
features
of
attachment
disorganization,
on
the
negative
interference
of
attachment
disorganization
in
the
therapeutic
relationship,
and
on
the
reasons
why
the
characteristic
patient-‐therapist
relationship
in
EMDR
interventions
can
be
instrumental
in
by-‐passing
such
negative
interference.
El
sistema
de
defensa
(respuesta
de
inmovilización-‐lucha-‐huída-‐muerte
fingida)
que
se
pone
en
marcha
en
toda
persona
por
la
exposición
a
cualquier
incidente
que
amenaza
su
vida
o
la
integridad
física
o
las
de
sus
allegados
llega
a
su
fin
tras
el
incidente
mediante
procesos
mentales
e
interpersonales
implicados
en
el
sistema
de
tranquilizar
y
la
búsqueda
de
seguridad
(apego).
Si
las
funciones
del
sistema
de
apego
se
ven
impedidas
por
los
recuerdos
(el
modelo
del
funcionamiento
interno,
IWM,
por
sus
siglas
en
inglés)
de
interacciones
precoces
de
apego
con
cuidadores
negligentes
o
abusivos,
es
posible
que
el
sistema
de
defensa
permanezca
activo
durante
períodos
prolongados
después
de
que
el
evento
traumático
haya
terminado.
Así,
los
IWM
inseguros
y
especialmente
desorganizados
del
apego
temprano,
junto
con
la
falta
de
apoyo
social
tras
el
incidente
traumático,
se
convierten
en
factores
de
riesgo
para
el
desarrollo
de
síntomas
de
los
trastornos
postraumáticos.
Esta
conferencia
se
centra
en
los
rasgos
esenciales
de
la
desorganización
del
apego,
en
la
interferencia
negativa
de
la
desorganización
del
apego
en
la
relación
terapéutica
y
en
los
motivos
por
los
cuales
la
relación
característica
entre
paciente
y
terapeuta
en
las
intervenciones
con
EMDR
pueden
ser
instrumentales
para
puentear
dicha
interferencia
negativa.
Keywords: Attachment Keynote
Accuracy Verified: Yes
87. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: German
Format: Conference
Abstract:
This paper describes how trauma therapy including body awareness
can reduce the impact of the traumatic memory and can efficiently
prevent retraumatization. The goal is to achieve the ability to self-regulate
activation of the autonomic nervous system and hence, to attain access to
states in which patients can maximize their resources. This procedure is
based on neurobiological findings and exemplified with case studies. The
approach complements other trauma therapeutic interventions, regardless of
the theoretical orientation, and can be combined with techniques like, for instance,
EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
88. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 .
Language: German
Format: Magazine
Abstract:
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.
Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.
Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism
Accuracy Verified: Yes
89. van den Hout, M., Muris, P., Salemink, E., & Kindt, M. (2001). Autobiographical memories become less vivid and emotional after eye movements. British Journal of Clinical Psychology, 40(2), 121-130. doi:10.1348/014466501163535.
Language: English
Format: Journal
Abstract:
Objectives: To test (1) whether eye movements during retrieval of emotional memories are followed by less vividness and less emotionality of future recollections, (2) whether this effect, if present, is stronger than the effects of a control activity (finger tapping), (3) whether the alleged effects of tapping and eye movements are stronger than a no-movement, control condition (mere imagery), (4) whether reductions in vividness and emotionality after eye movements (and finger tapping) are specific to negative memories or also occur in the case of positive memories. Method: 60 healthy volunteers recalled either positive or negative memories and scored the vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing rapid eye movements, finger tapping, or not performing a dual task. Then participants were asked to recall the event again and to rate its vividness and emotionality. Results: Compared to finger tapping and the no-dual-task condition, recollections after eye movements made future recollections less vivid. After eye movements, but not after the other interventions, negative memories became less negative, and positive memories became less positive. Conclusion: The findings show that eye movements not only reduce vividness and emotionality of memories during the eye moving, but also affect future recollections, during which no eye movements are made. Some theoretical explanations are discussed. As to clinical implications, it is suggested that if there is a role for eye-movement-based treatments, it is very limited. [Author Abstract]
Keywords: Adolescents Cognitive Processes College Students Dutch Exposure Therapy Memory Impairment Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
90. Leiner, A. S., Kearns, M. C., Jackson, J. L., Astin, M. C., & Rothbaum, B. O. (2012, January). Avoidant coping and treatment outcome in rape-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology,80(2), 317-321. doi: 10.1037/a0026814.
Language: English
Format: Journal
Abstract: Objective: This study investigated the impact of avoidant coping on treatment outcome in rape-related posttraumatic stress disorder (PTSD). Method: Adult women with rape-related PTSD (N = 62) received 9 sessions of prolonged exposure (PE) or eye movement desensitization and reprocessing (EMDR). The mean age for the sample was 34.7 years, and race or ethnicity was reported as 67.7% Caucasian, 25.8% African American, 3.2% Latina, and 3.2% other. PTSD was assessed with the PTSD Symptom Scale–Self-Report (Foa, Riggs, Dancu, & Rothbaum, 1993), and avoidant coping was assessed using the Coping Strategies Inventory–Disengagement subscale (CSI-D; Tobin, Holroyd, Reynolds, & Wigal, 1989). Results: Pretreatment avoidant coping was negatively associated with posttreatment PTSD symptom severity even when controlling for initial severity of total PTSD symptoms and when removing PTSD avoidance symptoms from the analysis to account for potential overlap between avoidant coping and PTSD avoidance symptoms: ΔR2 = .08, b = −0.31, 95% CI [−0.17, −0.01], t(60) = −2.27, p = .028. The CSI-D pretreatment mean score of 100 predicted a 96% likelihood of experiencing clinically significant change (CSC) during treatment. A CSI-D pretreatment score of 61 was associated with a 40% likelihood of experiencing CSC. Conclusions: PE and EMDR appear to be beneficial for women who frequently engage in avoidant coping responses following rape. A small subset of women with initially low levels of avoidant coping are unlikely to experience a therapeutic response from PE or EMDR. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Keywords: Rape Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
91. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
based
on
the
adaptive
information
system
model.
Humans
have
an
inherent
information
processing
system
that
generally
processes
the
complex
elements
of
an
experience
to
an
adaptive
state.
In
other
words,
we
have
the
innate
capacity
to
resolve
difficult
emotional
experiences
and
move
forward
in
our
lives.
There
are
cases
where,
besides
the
trauma
of
abandonment
and
lack
of
attachment,
there
has
been
no
early
stimulation,
mainly
during
the
first
year
of
life.
Sometimes
the
emotional
environment
is
so
poor
that
results
in
insufficient
attachment,
and
prevents
the
motivational
system
from
becoming
strong
enough
to
push
the
baby
to
find
and
produce
stimulation.
Other
times,
the
environment
has
been
so
negligent
that
has
not
provided
the
conditions
for
the
baby
to
adequately
cover
this
first
sensory
stimulation.
Whether
it
is
poor
emotional
environment
or
a
negligent
environment,
or
both
at
once,
the
result
is
that
we
find
children
who
have
not
had
the
opportunity
to
generate
enough
neural
connections
or
the
quality
required
for
the
reptilian
brain
to
mature.
This
phenomenon
hinders
the
brain
integration,
both
vertically
and
horizontally,
and
makes
the
processing
of
the
adaptive
information
system
difficult,
if
not
impossible.
Aiming
to
promote
and
foster
the
development
of
the
adaptive
information
system,
we
have
focused
on
a
dual
purpose:
rebuilding
attachment
and
ensuring
the
neurofunctional
reorganization
and
development
of
the
child
at
early
stages.
For
this
we
rely
on
both;
EMDR
processing,
as
well
as
sensory
integration
and
sensorimotor
therapies,
which
promote
the
integration
of
primitive
reflexes
and
the
child´s
development
at
early
years.
Given
the
baby's
phylogenetic
development
and
the
ideal
conditions
for
such
development
to
occur,
we
try
to
generate
the
same
conditions,
with
the
aim
to
facilitate
and
complete
part
of
the
child's
development
that,
so
far,
has
not
occurred
yet.
Therefore,
the
quality
of
attachment
is
what
will
define
the
self-‐regulation
capacity
and
the
child's
motivational
system.
And
in
this
sense,
the
neurofunctional
organization
and
sensory
integration
will
provide
the
child
with
the
necessary
resources
to
meet
the
challenges
of
both,
development
and
growth,
and
the
possibility
to
achieve
success
and
thus
to
obtain
the
perception
of
efficiency.
Both
aspects,
attachment
and
neurofunctional
organization,
are
interwoven
with
each
other
and
feed
the
adaptive
information
system.
Through
videos
and
clinical
material,
we
show
the
evolution
of
adopted
children
with
whom
we
have
already
intervened
from
this
dual
therapeutic
point
of
view;
generating
a
greater
vertical
and
horizontal
integration
and
a
better
attachment
consolidation.
Parents
will
play
a
key
role
in
this
intervention
and
we
prepare
them
for
it
through
both;
psycho-‐education
and
EMDR.
In
this
way,
they
can
become
proper
therapeutic
parents,
capable
to
parenthesize
their
own
children.
EMDR
está
basado
en
el
modelo
del
sistema
adaptativo
del
procesamiento
de
la
información.
El
ser
humano
posee
un
sistema
inherente
de
procesamiento
de
la
información
que
normalmente
procesa
los
elementos
complejos
de
una
experiencia
en
un
sistema
adaptativo.
En
otras
palabras,
tenemos
una
capacidad
innata
para
resolver
las
experiencias
emocionalmente
difíciles
y
seguir
adelante
con
nuestras
vidas.
Existen
casos
donde,
tras
el
trauma
de
abandono
y
la
falta
de
apego,
no
ha
existido
estimulación
temprana,
principalmente
durante
el
primer
año
de
vida.
A
menudo
el
ambiente
emocional
es
tan
pobre
que
da
como
resultado
un
apego
insuficiente,
e
impide
que
el
sistema
emocional
sea
lo
suficientemente
fuerte
para
conseguir
que
el
bebe
encuentre
y
produzca
estimulación.
En
otras
ocasiones,
el
ambiente
ha
sido
tan
negligente
que
no
proporciona
las
condiciones
adecuadas
para
que
el
bebe
cubra
su
primera
estimulación
sensorial.
Ya
sea
por
ambiente
emocional
pobre
o
un
ambiente
negligente,
o
bien
ambos,
el
resultado
es
que
encontramos
niños
que
no
tienen
la
oportunidad
de
generar
conexiones
neurales
suficientes
o
de
calidad
requeridas
por
el
cerebro
reptiliano
para
madurar.
Este
fenómeno
dificulta
la
integración
del
cerebro
vertical
y
horizontalmente
y
hace
que
el
sistema
de
procesamiento
de
la
información
sea
deficitario,
si
no
imposible.
Con
el
objetivo
de
promover
y
fomentar
el
desarrollo
del
sistema
adaptativo
del
procesamiento
de
la
información,
nos
hemos
centrado
en
un
propósito
dual:
Reconstruir
el
apego
y
asegurarnos
de
reorganizar
y
desarrollar
la
neurofuncionalidad
del
niño
en
las
etapas
tempranas
del
niño.
Para
ello
nos
apoyamos
en
el
procesamiento
del
EMDR,
así
como
en
las
terapias
de
integración
sensorial
y
sensoriomotoras,
que
fomentan
la
integración
de
los
reflejos
primitivos
y
el
desarrollo
del
niño
en
las
etapas
tempranas.
Dado
el
desarrollo
filogenético
del
niño
y
las
condiciones
ideales
para
que
dicho
desarrollo
ocurra,
intentamos
generar
las
mismas
condiciones,
con
el
objetivo
de
facilitar
y
completar
parte
del
desarrollo
del
niño
que
hasta
ahora,
no
ha
ocurrido
todavía.
Por
tanto,
la
calidad
del
apego
es
aquella
que
será
definida
por
la
capacidad
de
autorregulación
y
el
sistema
motivacional
del
niño.
Y
en
este
sentido,
la
organización
neurofuncional
y
la
integración
sensorial
promoverán
en
el
niño
los
recursos
necesarios
para
encontrarse
con
los
retos
de
desarrollo
y
crecimiento
y
la
posibilidad
de
conseguir
el
éxito
en
ambos,
además
de
obtener
la
percepción
de
eficiencia.
Ambos
aspectos,
apego
y
organización
neurofuncional,
están
entrelazados
y
alimentan
el
sistema
adaptativo
del
procesamiento
de
la
información.
A
través
videos
y
material
clínico,
mostramos
la
evolución
de
los
niños
adoptados
los
cuales
ya
han
sido
intervenidos
desde
esta
perspectiva
terapéutica
dual;
generando
una
gran
integración
vertical
y
horizontal
y
una
mejora
en
la
consolidación
del
apego.
Los
Keywords: Adoptives
Accuracy Verified: Yes
92. Sachsse, U., & Tumani, V. (1999, November). Be borderline! A successful inpatients’ treatment program for (type II) traumatized female patients with PTSD/DES/BPD and the symptom of self-mutilation. Presentation at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
Using therapeutic experiences from the USA (Herman, Putnam,
Ross) and the Netherlands (Olthuis, van der Hart) Luise
Reddemann (Bielefeld) and Ulrich Sachsse(Goettingen) developed
an inpatients’ program for female and some male patients with
symptoms, that result from type II traumata, fulfill the phenomenological
criteria of BPD and are understood as chron.
PTSD/DES. The program utilizes the coping strategies of the
patients for stabilisation: splitting (building up an only good world
of safety, support and shelter against the only bad, demonized
world of trauma); derealisation, dissociation(imagery); depersonalisation
(Qi Gong, Feldenkrais). We tell and teach our patients: Be
Borderlines- but inside, not in your outer social life or your therapeutic
relationship! Trauma-synthesis is done after stabilisation by
trauma-exposition every two weeks (EMDR, screen-technique).
The patients stay for 3-5 month, sometimes twice, with very good
results.
Keywords: BPD Borderline Personality Disorder DES Females Inpatient Treatment Posttraumatic Stress Disorder PSTD Self-Mutiliation
Accuracy Verified: Yes
93. Hase, M. (2011). Bedeutung der therapeutischen beziehung in den 8-phasen der EMDR-methode [Importance of the therapeutic relationship of the 8-phase EMDR method]. EMDRIA-Day in Berlin, Deutschland.
Language: German
Format: Other
Accuracy Verified: Yes
94. Stofsel, M., & Mooren, T. (2012, March). Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.
Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.
Keywords: Complex Trauma
Accuracy Verified: Yes
95. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201.
Language: German
Format: Journal
Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.
In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.
Keywords: Acute Stress Disorder Anxiety ASD Cardiology Depression ICD Shocks Internal Medicine Posttraumatic Stress Disorder PTSD Treatment Manual
Accuracy Verified: Yes
96. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized
history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the
“Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each
other in working with complex bereavement. The Presentation outlines the conceptualization of the case based
on this theory, the working process and milestones. As the individual grieves, various levels of structural
dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts
of the Personality”. The working procedures within the EMDR framework involve processing materials from
different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia,
anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment,
traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]
Keywords: Dissociation Personality Theory Poster
Accuracy Verified: Yes
97. Stein, D., Rousseau, C., & Lacroix, L. (2004, March). Between innovation and tradition: The paradoxical relationship between eye movement desensitization and reprocessing and altered states of consciousness. Transcultural Psychiatry, 41(1), 5-30. doi:10.1177/1363461504041351.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy to emerge in the West. Using both a case analysis and literature review we situate EMDR within the use of altered states of consciousness (ASCs) in psychological healing practices across times and cultures. We discuss EMDR's unique predicament as a therapy that draws upon techniques common to most therapeutic ASCs, while at the same time distancing itself from this tradition through its pseudoscientific language and technologic aesthetic. Our conclusion attempts to shed light on this paradox and raise questions for further study.
Keywords: Altered States of Consciousness Consciousness States Psychological Healing Review Transcultural Psychiatry
Accuracy Verified: Yes
98. Marich, J. (2012, April). Beyond client, clinician and method: Enhancing empathy in the practice of EMDR/Au delà du client, du clinicien et de la méthode : favoriser l'empathie dans la pratique de l'EMDR . Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Even with her emphasis on fidelity to the protocols of EMDR, Shapiro acknowledges the importance of the therapeutic alliance. She described the execution of EMDR as an essential interaction between client, method, and clinician. This workshop encourages participants to take Shapiro’s thinking a step further. After attending this workshop, participants will be able explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy in treatment. After participating in a guided imagery exercise that is designed to foster empathy, participants will be able to identify with the experience of a new client presenting for and experiencing EMDR treatment. Finally, participants will be able to evaluate one’s own capacity for empathy within the therapeutic context and apply it to their own EMDR practice.
Learning objectives:
1.To explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy and therapeutic alliance in treatment (regardless of specific method)
2.To identify with the experience of a new client presenting for and experiencing EMDR treatment
3.To evaluate one’s own capacity or empathy within the therapeutic context and apply it to their own EMDR practice
Accuracy Verified: Yes
99. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.
Language: English
Format: Dissertation/Thesis
Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of
the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once
joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!”
While nearly eighty percent of people experience some form of anxiety when they are the
center of attention, individuals who experience performance anxiety are severely
distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance
anxiety threatens to restrain an individual’s profession, goals, education, relationships or
daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage
fright in the world of the performing arts, in psychological literature it is rarely specified
or considered a diagnosable mental health disorder. It is often clustered with specific
phobias or social phobia.
Indeed, performance anxiety is not an experience solely limited to actors,
musicians, singers and dancers. It affects athletes, politicians, writers, students,
professionals, leaders, and individuals in all walks of life. For this reason, it is essential
that clinicians become educated in the etiology, symptoms, manifestations and
therapeutic approaches of performance anxiety.
Keywords: Socia Phobia Performance Anxiety
Accuracy Verified: Yes
100. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
101. van der Kolk, B. A. (2002). Beyond the talking cure: Somatic experience and subcortical imprints in the treatment of trauma. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 57-83). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Subcortical nature of traumatic memories (Freud and trauma; the processing of experience); Trauma and physical sensations (the neurobiology of trauma; the tyranny of language); Clinical dilemmas for therapists of patients who have been traumatized (the therapeutic challenge; top-down versus bottom-up emotional processing); Learning about EMDR; Further experiences with EMDR; Integrative capacity of EMDR: transcript of one session; EMDR and the transformation of experience; What does EMDR do? [Pilots]
Keywords: Adults Cognitive Processes Posttraumatic Stress Disorder Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
102. Oh, D. H., & Park, Y. C. (2010, July). Bilateral eye movement: Changes brain default network functions in EMDR treatment. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Introduction: The aim of this study was to clarify the effect of bilateral eye movement as one of the important therapeutic
components through EEG analysis. We examined differences between pre-bilateral eye movement and post-bilateral eye
movement of normal healthy volunteers in scalp recorded EEGs in two different ways. First, we used qEEG to examine
differences in specific band frequencies after bilateral eye movement. Secondly, we utilized low-resolution electromagnetic
tomography (LORETA) source imaging (Pascual-Marqui et al., 1994) to explore the underlying neural generators of changed
EEG activity. Methods:32 college students participated in the study. EEG was recorded continuously during the experiment.
All participants experienced 3 blocks: 1) pre-experiment, eye-closed EEG in resting state, 2) stimuli condition (either eye
movement or fixation) and 3) post-experiment, eye-closed EEG in resting state. 32-channel, eyes-closed EEG (30 artifactfree
s/subject) was analyzed (source localization using FFT approximation and LORETA). Results: We demonstrated different
functional connectivity patterns of the precuneus/posterior cingulate cortex (Brodmann area 23, 31) between bilateral eye
movement and eye fixation phase. Conclusion: These results provided evidence to support that the bilateral eye movements
in EMDR procedure gives rise to the changes of ‘brain default network’, accompanied by the alteration of regional brain
electrical activity.
Keywords: Eye Movements Poster
Accuracy Verified: Yes
103. Christman, S. D., Garvey, K. J., Propper, R. E., & Phaneuf, K. A. (2003, April). Bilateral eye movements enhance the retrieval of episodic memories. Neuropsychology, 17(2), 221-229. doi: 10.3758/PBR.15.3.515.
Language: English
Format: Journal
Abstract:
Two experiments examining effects of eye movements on episodic memory retrieval are reported. Thirty seconds of horizontal saccadic eye movements (but not smooth pursuit or vertical eye movements) preceding testing resulted in selective enhancement of episodic memory retrieval for laboratory (Experiment 1) and everyday (Experiment 2) events. Eye movements had no effects on implicit memory. Eye movements were also associated with more conservative response biases relative to a no eye movement condition. Episodic memory improvement induced by bilateral eye movements is hypothesized to reflect enhanced interhemispheric interaction, which is associated with superior episodic memory (S. D. Christman & R. E. Propper. 2001). Implications for neuropsychological mechanisms underlying eye movement desensitization and reprocessing (F. Shapiro, 1989, 2001), a therapeutic technique for posttraumatic stress disorder, are discussed. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
Keywords: Bilateral Eye Movements Episodic Memory Retrieval Saccadic Eye Movements
Accuracy Verified: Yes
104. van Deusen, K. M. (2004, Summer). Bilateral stimulation in EMDR: A replicated single-subject component analysis. the Behavior Therapist, 27(4), 79-86.
Language: English
Format: Newsletter
Abstract:
This study attempted to determine whether the eye movement component of Eye Movement Desensitization and Reprocessing (EMDR) was necessary to account for positive treatment effects in subjects with posttraumatic stress disorder (PTSD). A single-subject alternating treatments design was replicated across four subjects to compare the effectiveness of EMDR with the effectiveness of a modified EMDR procedure in which the eyes remained in a natural state. The comparative procedure was chosen to eliminate the contribution of distraction and the addition of any other form of bilateral stimulation. The first hypothesis was supported. Subjects showed statistically significant pre- (baseline) to posttreatment improvement following EMDR and the modified EMDR procedure (without eye movements). The second hypothesis was not supported. While subjects significantly improved following both EMDR and the modified, without-eye-movements EMDR procedure, there were no statistically significant differences between treatments on within- or between-session measures. Instead, both treatments were found to be effective in reducing trauma and global symptoms in the four female subjects who participated in the study. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Bilateral Stimulation BLS Empirical Study Quantitative Study Single-Subject Componnent Analysis
Accuracy Verified: Yes
105. Brisch, K.-H. (2012). Bindung und EMDR: Grundlagen für die therapeutische bindungsbeziehung und die behandlung von bindungstraumatisierungen [Binding and EMDR: Basic principles for the therapeutic relationship and the bond treating attachment traumas]. Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: German
Format: Conference
Abstract:
Bindung und EMDR III:
Prozessieren von Affekten
• EMDR Protokoll
– Aufrechterhaltung der Beziehung beim EMDR
– Therapeut sagt beim Prozessieren mit EMDR
• „ja, gut so, hm, oh ja, ich bin da, bleiben sie
dabei,…..
– Pause zwischen Sets
• Reorientierung und Einweben von Sicherheit
– Ich bin hier bei Ihnen
– Sie sind in Sicherheit [Auszug]
Binding and EMDR III:
Processing of emotions
• EMDR protocol
- Maintaining the relationship with EMDR
- Therapist says when processing with EMDR
• "Yes, that's good, huh, oh yeah, I'm there, they remain
going .....
- Break between sets
• Reorientation and weaving in security
- I'm here with you
- You're safe [Excerpt]
Keywords: Attachment Trauma
Accuracy Verified: Yes
106. Schulherr, S. (2003, September). The binge cycle meets EMDR: Bridging the gap. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
The "binge cycle" refers to the repetitive oscillation between binging and restrictive eating typical of binge eating disorder. Workshop participants will be enabled to identify and relate under-explored phases of the cycle.
They will learn how to use a simple information-gathering tool to quickly enter the client's symptomatic work, make apparent the "inner logic"
driving cyclic behaviors and, based on this, engage the client in the therapeutic work ahead. I will then demonstrate how this information can
be used to devise an EMDR-based treatment plan and integrate it with various existing models for EMDR with E.D. clients.
Keywords: Binging Binge Cycle Eating Disorders
Accuracy Verified: Yes
107. Anchisi, R., Guzzi, R., Fernandez, I., Giannantonio, M., & Ziveri, D. (2001, October). Biofeedback measures in EMDR treatment. In Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics, (pp 141-148). Palermo, Italy.
Language: English
Format: Conference
Abstract:
We compared the pre and post therapeutic treatment data using standard EMDR, using a lool such as biofeedback, capable of measuring certain physiologcail parameters in an objective way. The goal was to check variations in the physiological indices and subjective evaluations of well being and discomfort in the subjects.
Some psychotherapists will select subjects using an initial telephone screening followed by a battery of suitable tests. Using such tools, subjects affected by PTSD without comorbidity will be chosen. Independent assessors
will evaluate them again after six weeks (blind design). After this assessment, subjective data will be collected using the SUD scale and objective data will be collected using the SPR, Thermo, Heart Rate, EMG of the biofeedback channels. After exposure the subjects will be randomly assigned to an experimenta1 group, they will be going to meet in six sessions using the EMDR standard protocol and carried out by therapits recognized by the Association EMDR Italy; the other half of the sample will
represent the control group in a waiting list. Once more, all the subjects will be exposed to the trauma, this time listening to the recording of their description of the traumatic event. The SUD and biofeedback values will be then measured again. The comparison of the data of the SUD scale with the data of the biofeedback
channels, in particular the SPR channel, plus the evaluation of the group of independent clinicians using the above-mentioned tests, will provide the co-ordinates for an evaluation (both subjetive and physiological) of the clinical results of the EMDR therapy.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
108. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.
Language: English
Format: Journal
Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]
Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
109. Epstein, L. (2009, April 18). The body and attachment: Sensorimotor interventions to enhance EMDR effectiveness in the treatment of developmental disorders. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
This workshop will teach participants some ways to perceive, articulate and process developmental injuries manifest in the body. Participants will learn to "read" the body for negative beliefs, to evoke the negative cognition by a combination of directed mindfulness and bilateral stimulation and to enhance the processing and installation of resources by interweaving somatic elements with EMDR.
Keywords: Developmental Disorders Developmental Injuries Sensimotor Interventions
Accuracy Verified: Yes
110. Fisher, J. (2007, September 29). The body as a shared whole: Somatic interventions for working with trauma and dissociation. Presentation at the Quarterly Meeting Program of The New England Society for the Treatment of Trauma and Dissociation.
Language: English
Format: Conference
Abstract:
To stabilize overwhelming symptoms, integrate
memories, and overcome the terror of intimacy,
traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized
by internal critics and
terrified by the threats of
hypervigilant internal
protectors.
Because the body is the
container for all past and
present experience and for
all parts of the self,
somatically oriented
approaches can address
the intense and often
baffling reactions of these
patients in a way that is
both simple and effective.
This workshop will
demonstrate bodyoriented
interventions for
working with traumatized
and dissociative patients
drawn from Sensorimotor
Psychotherapy and easily
integrated into EMDR,
IFS, and traditional
talking therapies.
Through the use of
lecture, videotape, and
demonstration, participants will have the
opportunity to observe
somatically informed
solutions to a number of
common clinical
challenges encountered in
trauma treatment.
Capitalizing on recent
advances in the research
on attachment and trauma,
the workshop will also
provide a context for
understanding how to use
the therapeutic
relationship to provide a
safe “container” for both
patient and therapist in the
challenging work of
trauma treatment.
Keywords: Dissociation Somatic Interventions Trauma
Accuracy Verified: Yes
111. Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body dysmorphic disorder: Seven cases treated with eye movement desensitization and reprocessing. Behavioural and Cognitive Psychotherapy, 25(2), 203-207. doi:/10.1017/S1352465800018403.
Language: English
Format: Journal
Abstract:
Body dynamic disorder is an illness of generally chronic course which can lead to significant impairment of social functioning, unnecessary plastic surgery and even suicide. It is little understood and treatment regimens have been of uncertain efficacy. Eye movement desensitization and reprocessing (EMDR) is a newly developed psychotherapeutic procedure used in the treatment of PTSD, grief reactions and generalized anxiety. In this paper we describe its use in seven consecutive cases of body dysmorphic disorder. Improvements were obtained in six of the seven patients, five of whom had a complete resolution of their symptoms (Pilots).
Keywords: Adults Case Report Clinical Case Study Empirical Study Females Males Somatoform Disorders Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
112. van der Kolk, B. A. (1994, January). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265. doi:10.3109/10673229409017088.
Language: English
Format: Journal
Abstract:
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Intense emotions at the time of the trauma initiate the long-term conditional responses to reminders of the event, which are associated both with chronic alterations in the physiological stress response and with the amnesias and hypermnesias characteristic of posttraumatic stress disorder (PTSD). Continued physiological hyperarousal and altered stress hormone secretion affect the ongoing evaluation of sensory stimuli as well. Although memory is ordinarily an active and constructive process, in PTSD failure of declarative memory may lead to organization of the trauma on a somatosensory level (as visual images or physical sensations) that is relatively impervious to change. The inability of people with PTSD to integrate traumatic experiences and their tendency, instead, to continuously relieve the past are mirrored physiologically and hormonally in the misinterpretation of innocuous stimuli as potential threats. Animal research suggests that intense emotional memories are processed outside of the hippocampally mediated memory system and are difficult to extinguish. Cortical activity can inhibit the expression of these subcortically based emotional memories. The effectiveness of this inhibition depends, in part, on physiological arousal and neurohormonal activity. These formulations have implications for both the psychotherapy and the pharmacotherapy of PTSD.[MLM MEDLINE]
Keywords: Neurobiology Posttraumatic Stress Disorder Practice PTSD Theory
Accuracy Verified: Yes
113. Klaff, F. (2012, October). Bonding the pieces: Treating children unglued by family disruptions - An integrated EMDR-family systems approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Major family structural changes, as in divorce and adoption, impact children’s adjustment. Integrating neuroscience research, the AIP-EMDR model and family systems theory, a comprehensive therapeutic approach facilitates treatment of the child’s whole experience. Videotaped case material demonstrates effectiveness of the EMDR treatment component, addressing interpersonal and intrapersonal experiences for adopted brothers Antwon, 4 and Tony,7, exposed to past poverty, drugs,abuse and murder; and Gina, 8, impacted by divorce, current family instability, alcoholism,and other unrevealed ghosts. These children are representative of the complex cases therapists must deconstruct, with sometimes disturbing or complicating revelations emerging as treatment progresses.
Keywords: Children Family Systems Approach
Accuracy Verified: Yes
114. Gannon, J. P. (2011, April). A brain-based peak performance model using meditation, EMDR and cardio imagery and rehearsal. Peak Performance Systems, San Francisco.
Language: English
Format: Other
Abstract:
This pilot study investigated the effectiveness of a new model of peak performance training based on applications of brain research to stimulate mental skill acquisition leading to enhanced performance capabilities. Brain-based techniques such as Mindfulness Meditation (MM), Eye Movement Desensitization and Reprocessing (EMDR) and Cardio Imagery and Rehearsal (CIR) appear to stimulate various neurological processes including alpha and theta brain waves, higher interhemispheric coherence and reduced sympathetic nervous system arousal. Clinical application of these techniques in a preliminary pilot study with a variety of performers was shown in follow-up self-assessments to have enhanced performance outcomes on seven measures including reduced performance anxiety and self-consciousness, enhanced concentration and focus, improved memorization of performance routines and enhanced overall performance goals. The idea that specific performance routines can be installed using these brain-based techniques that enhance peak performance functioning on demand was supported by these findings.. However, the results of this pilot study are preliminary and further studies using a larger subject sample, empirically validated test measurements and independent control groups are necessary before these findings can be corroborated.
Keywords: Brain-Based Peak Performance Brainscripting Cardio Imagery and Rehearsal Flow Interhemispheric Coherence Mindfulness Meditation Neurofeedback Neuroplasticity Performance Anxiety Pilot Study
Accuracy Verified: Yes
115. Borstein, S. S. (2009). Brief adjunctive EMDR. Journal of EMDR Practice and Research, 3(3), 198-204. doi:10.1891/1933-3196.3.3.198.
Language: English
Format: Journal
Abstract:
Question: How can I provide brief adjunctive EMDR as a
consultation service to other therapists’ clients?
ANSWER FROM SUZANNE S. BORSTEIN:
Eye movement desensitization and reprocessing
(EMDR) has been demonstrated to be an effective treatment
for posttraumatic stress disorder (PTSD), and its
application to other psychological problems has been
documented as well (Maxfi eld, 2007). As the effectiveness
of EMDR is increasingly documented not only in
the professional literature but also in the popular press,
therapists and clients alike have become curious about
whether EMDR might be helpful in their work. [Excerpt]
Keywords: Brief Adjunctive
Accuracy Verified: Yes
116. Rossello-Mir, J., Revert-Vidal, X., Obrador, P., & Cardell, E. (2007, June). Brief EMDR protocol versus bilateral stimulation in the treatment of spider phobia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR, that includes bilateral stimulation, causes the desensitization and reprocessing of traumatic memories, thus reducing anxiety, distress, fear, and other symptoms related with several anxiety disorders. Previous results show it is effective in reducing symptoms of PTSD, panic disorder, public speaking anxiety, etc. Relying on some previous results we think that a brief EMDR protocol could be applied to relieve symptoms of specific phobias.
To investigate this issue, we study the efficacy of a new brief EMDR protocol in the treatment of spider phobia. Furthermore, our design tries to clarify the controversy about which components of the EMDR procedure are relevant for patient’s improvement. More specifically, we compare the effectiveness of our brief procedures with that of simple bilateral stimulation that is, without eye movements, which necessity to obtain therapeutic outcome has been questioned.
We randomly assign twenty volunteers, female university students with spider phobia to one of three groups. We applied the brief EMDR protocol to the first one and bilateral stimulation to the second one, being the third group the control one. To assess the effectiveness of both treatments, in addition to apply traditional questionnaires, we designed a specific emotional Stroop task in order to make use of this tool to evaluate, before and after each treatment, the selective attentional biases, that seem to play an important role in the etiology and maintenance of anxiety disorders. We discuss the differences found in our results in reference to the controversy aforementioned and how they can help to understand the EMDR mechanism of action.
Keywords: Bilateral Stimulation BLS Brief EMDR Spider Phobia
Accuracy Verified: Yes
117. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that
resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved
out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist
Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish
the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation
and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements
through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy
movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the
context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks
to amplify client assets and resources and minimize client liabilities and shortcomings.
Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for
creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They
believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the
problem situation for which the client originally sought help.
These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will
experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems
presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem,
the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has
attempted to resolve the problem thus far.
Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward
changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is
most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will
engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation.
A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They
collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to
handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than
his/her past.
The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being
handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce
clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors
surrounding the problem situation and involves the use of a variety of skills.
A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in
her/his own ability to function effectively without the therapist.
This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists
find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of
perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it
is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative
solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction.
In the ever-changing world of mental health, this is no small achievement.
Keywords: MRI Brief Therapy
Accuracy Verified: Yes
118. Scheck, M. M., Schaeffer, J. A., & Gillette, C. (1998, January). Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. Journal of Traumatic Stress, 11(1), 25-44. doi:10.1023/A:1024400931106.
Language: English
Format: Journal
Abstract:
To study the efficacy of eye movement desensitization and reprocessing (EMDR) with traumatized young women, 60 women between the ages of 16 and 25 were randomly assigned to 2 sessions of either EMDR or an active listening (AL) control. Factorial ANOVA interaction effects and simple main effects for outcome measures (Beck Depression Inventory, State-Trait Anxiety Inventory, Penn Inventory for PTSD, Impact of Event Scale, Tennessee Self-Concept Scale) indicated significant improvement for both groups and significantly greater pre-post change for EMDR-treated participants. Pre-post effect sizes for the EMDR group averaged 1.56 compared to 0.65 for the AL group. Despite treatment brevity, the posttreatment outcome variable means of EMDR-treated participants compared favorably with nonpatient or successfully treated norm groups on all measures. [Author Abstract]
Keywords: Americans Battery Child Abuse Effects Emotional Abuse Females Empirical Study Follow-up Study Incest Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Stressors Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
119. Chemtob, C., Nakashima, J., & Carlson, J. (2002, January). Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: A field study. Journal of Clinical Psychology, 58(1), 99-112. doi:10.1002/jclp.1131.
Language: English
Format: Journal
Abstract:
Effective psychological intervention is needed to help children recover from disaster-related PTSD. This controlled study evaluated the effectiveness of a brief intervention for disaster-related PTSD. At one-year follow-up of a prior intervention for disaster-related symptoms, some previously treated children were still suffering significant trauma symptoms. Using a randomized lagged-groups design, we provided three sessions of Eye Movement Desensitization and Reprocessing (EMDR) treatment to 32 of these children who met clinical criteria for PTSD. The Children's Reaction Inventory (CRI) was the primary measure of the treatment's effect on PTSD symptoms. Associated symptoms were measured using the Revised Children's Manifest Anxiety Scale (RCMAS) and the Children's Depression Inventory (CDI). Treatment resulted in substantial reductions in both groups' CRI scores and in significant, though more modest, reductions in RCMAS and CDI scores. Gains were maintained at six-month follow-up. Health visits to the school nurse were significantly reduced following treatment. Psychosocial intervention appears useful for children suffering disaster-related PTSD. Conducting controlled studies of children's treatment in the postdisaster environment appears feasible. [Author Abstract]
Keywords: Americans Brief Psychotherapy Child Treatment Disasters Elementary School Students Empirical Study Follow-up Study Health Care Utilization Hurricanes Hurricane Iniki Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT School Age Children Survivors Treatment Effectiveness Victim Service
Accuracy Verified: Yes
120. Sabey, A. (2001, May). Can EMDR be used within a client-centred (non-directive) play therapy sessions?. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The purpose of this exploratory study was to see whether EMDR could he incorporated into a
Client-Centred model of Play Therapy, to enable children and adolescents to more rapidly
process traumatic memories, thereby enhancing the therapeutic process. The Client-Centred
(non-directive) Play Therapy model is now well recognised as a way of helping children and
adolescents who have experienced psychological trauma to work through their experiences in
a way that is both empowering and non-threatening. It is based on Rogerian principles
(Rogers 1951), with the philosophy that given the right therapeutic conditions the children,
like adults, have an innate drive towards health. The child leads the way, and the therapist
follows. I have struggled to see how EMDR can fit comfortably within a client-centered play
therapy model, although I recognise that Shapiro describes the model as client-centred.
To test a hypothesis that EMDR could be integrated into a client-centred play therapy
approach, three children were identified. All 3 were waiting for some regular weekly client-centred
play therapy sessions, within the Child and Adolescent Mental Health Service, in
West Yorkshire. The subject of the study were two girls, one aged 8 years old and the other
aged 14 years with a mild learning disability, and a boy who was 13 years old. All three had
experienced complex psychological trauma including sexual abuse.
My dilemma was whether it was in fact possible to introduce EMDR within the sessions, and
if so, how to do this in a way that enhanced the therapeutic process and did not intrude. The
sessions were set up introducing the EMDR protocol alongside setting up the client-centred
play therapy sessions. Each child was offered 10-12 weekly sessions. In this presentation I
will summarise my findings and hope to show how possible ways the two approaches can be
integrated.
Keywords: Children Play Therapy Poster
Accuracy Verified: Yes
121. Rosen, G. M., & Lohr, J. (1997, January/February). Can eye movements cure mental ailments?. National Council Against Health Fraud Newsletter, 20(1), 1.
Language: English
Format: Newsletter
Abstract:
Argues that the null hypothesis should be applied to claims that eye movement desensitization and reprocessing (EMDR) can successfully treat PTSD.
[Reprinted in Skeptical Briefs, 1997, 7, 12]
Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
122. Rodriguez, T. (2013, January/February). Can eye movements treat trauma?. Scientific American Mind, 23(6), 9-9.
Language: English
Format: Magazine
Abstract:
The article focuses on the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating post-traumatic stress disorder (PTSD). Research supports the concept of using eye movements in reducing the symptoms of PTSD. Researchers note that eye movements strip the patients' troubling memories of vividness and its distress. They discover the outperformed tones of eye movements in mitigating memories' vividness and emotional intensity level.
Keywords: Eye Movements Memory Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
123. Greenwald, R. (2007, September). Case conceptualization and treatment planning for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Want to do more/better EMDR? Trauma-informed case foundation and treatment planning enable the therapist to systematically pursue treatment activities that help the client: a) understand why trauma resolution is important; b) have the motivation to do it; and c) develop the coping skills and affect tolerance for successful EMDR. Participants will practice structured methods to understand a client from a trauma perspective and to apply the trauma-informed treatment framework to one of their own cases. Data documenting these methods’ effectiveness will be presented, including reduced therapist distress, increased empathy and confidence, and improved behaviors with challenging clients.
Keywords: Case Conceptualization
Accuracy Verified: Yes
124. Goldman, J., & Coane, J. (2010, October). A case of strategic collaboration: Two therapists and one DDNOS patient in end phase treatment. Presenttion at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
A colleague, experienced in DID treatment, was
invited to collaborate by the primary therapist in the
end phase of treatment to facilitate patient movement
through the introduction of EMDR. The nature of the
collaborative relationship, its influence on transference
and countertransference, the contribution of the
different genders of the two therapists, as well as
issues of launching the patient more fully into adult
life as influenced by the collaboration will be explored. The rationale for introducing EMDR as well as its specific contribution will be explicated. The argument for therapeutic collaboration, as related to the patients
history and treatment process, will also be addressed.
Participants will be able to :
♦♦ List the indications for initiating adjunctive treatment.
♦♦ assess the effects of collaboration.
♦♦ appraise the treatment trajectory to decide
when to bring in another modality.
Keywords: DDNOS
Accuracy Verified: Yes
125. Kim, D., & Kim, K-I. (2004, January). A case series of eye movement desensitization and reprocessing (EMDR) in 30 psychiatric patients: Korean experience. Journal of the Korean Neuropsychiatric Association, 43(1), 113-118.
Language: English
Format: Journal
Abstract:
Objectives: Eye Movement Desensitization and Reprocessing (EMDR) is an emerging psychotherapeutic technique for posttraumatic stress disorder and other conditions associated with psychological trauma. The effectiveness of this technique has been reported among North American and European populations; however, research on it's effectiveness among other ethnocultural groups is sparse. This is the first clinical study of EMDR in Korea with 30 Korean psychiatric patients in two clinical settings. METHODS: Diagnostically heterogeneous group of 30 psychiatric patients underwent a mean of 3.13 (95%CI=2.54-3.73) sessions of EMDR. The Clinical Global Impression-Change scale (CGI-C) was administered one week and six months after the termination of treatment. Results: Participants had a mean CGI-C score of 1.80 (95%CI=1.44-2.16). We designated as 'responders' those who were 'very much improved' or 'much improved' on the CGI-C, 23 (77%) After six months, 19/23 (83%) still characterized as remaimed responders. All the patients with posttraumatic stress disorder, phobia, and grief reaction were responders, and those with personality disorder nonresponders. Results for depressive and other disorders were mixed. Conclusion: Despite methodological limitations, results from this study suggest that the EMDR can be applied to Korean psychiatric patients.
Keywords: Korea Psychiatric Patients
Accuracy Verified: Yes
126. Cartwright, L. (2000, September-October). Case Studies: Expanding our tool kit: A new technique that compliments TFT and EMDR. Family Therapy Networker, 24(5), 71-82.
Language: English
Format: Magazine
Abstract:
In recent years, increasing numbers of therapists have discovered the effectiveness of neurologically based therapy techniques, such as Eye Movement Desensitization and Reprocessing (EMDR) and Thought Field Therapy (TFT), not only for trauma, but for a wide range of problems, including anxiety, anger, grief and phobias. Like most therapeutic approaches, however, they provide remarkable results for one client and little or no results for another, no matter how skilled the therapist. Even more mysterious, they can significantly help a client with one problem, but not with a different problem. For instance, Sarah, age 40, had been suffering from depression for five years. The depression was triggered by the death of her father, loss of a good-paying job due to downsizing and her fiance's breaking off their engagement--all within a one-year period. After six months of increasing anxiety and worsening depression (accompanied by low energy, disinterest in life and withdrawal from social situations), Sarah entered therapy. Biweekly sessions for the next three years, which frequently included EMDR, significantly reduced her anxiety, but did not alleviate the depression. Nor did antidepressants. Years before, I had had a similar experience. EMDR had sharply reduced my obsessive-compulsive symptoms, but didn't help my depression. TFT eliminated recurring anger, but also didn't help my depression.
In the course of five years of research into neurologically based approaches, I happened upon a working hypothesis that explains such inconsistent results. The side-to-side eye movements of EMDR that activate the left and right hemispheres of the brain seem to help people resolve problems based on a lack of communication between the left and right hemispheres of the brain. The tapping, or front/back stimulation of acupuncture points, in TFT is effective when there is a lack of communication between the front and back of the nervous system (controlled by the energy center, well known to acupuncturists and martial artists, that lies below the navel). And since we are three-dimensional creatures, I hypothesized that some problems stem from a lack of communication between the top and bottom of the nervous system as well, which I correlate with the brain and the enteric nervous system of the digestive tract (the source of gut feelings). Working from this hypothesis, I have also developed processes to reintegrate the top/bottom dimension.
I have found that although certain emotions tend to be based within a given neurological dimension (indecisiveness is often in left/right, anxiety in front/back and depression in top/bottom, for example), a client may experience any emotion as a block within any dimension or combination of dimensions. As a result, depending upon both the client and the specific problem being addressed, a therapist might need to use techniques that facilitate integration of the left/right, front/back and/or top/bottom dimensions of the nervous system. When a client is blocked within two or three dimensions of the nervous system, working within just one dimension will sometimes activate healing across the entire nervous system. If this does not happen, it is then necessary to work in the remaining dimensions.
From these hypotheses I developed a system called Shifting Consciousness through Dimensions (SCtD), which provides therapists ways to assess the dimension(s) the client is blocked in, processes to identify, if necessary, which dimension to start with and specific integrating techniques for each dimension.
Keywords: TFT Thought Field Therapy
Accuracy Verified: Yes
127. Loris, M., & Johnson, D. R. (2001, December). Case study: Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatment. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract: This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.
Keywords: Counting Method Prolonged Exposure Poster
Accuracy Verified: Yes
128. Cohen, A. (1997, October). Case study: EMDR in hospital intervention. EMDRIA Newsletter, 2(5), 7, 13-16.
Language: English
Format: Newsletter
Abstract:
The therapeutic effectiveness of EMDR has bee well document since 1989, but the technique is far from reaching optimal utilization in the clinical and psychological world. The following is a case in which the improvement of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in the theoretical training sessions were brought home most strongly and many more priceless pieces of advice for those who wish to be of assistance to someone involved in a traumatic incident were made clearly apparent.
Keywords: Hospital Intervention
Accuracy Verified: Yes
129. Hornsveld, H. K., & Berendsen, S. A. (2009). Casusboek EMDR, 25 voorbeelden uit de praktijk [EMDR book case, 25 examples from practice]. Uitgeverij, Belgium: Bohn Stafleu Van Loghum.
Language: Dutch
Format: Book
Abstract:
Ongeveer twintig jaar geleden, werd EMDR (Eye Movement Desensibilisatie and Reprocessing) ontwikkeld als een vorm van Post Traumatische Stress Stoornissen (PTSS). Na aanvankelijke scepsis is opgenomen in EMDR (inter) nationale richtlijnen voor de behandeling van PTSS en is ook in vele andere klachten van de aanvragen. In zaak Boek EMDR therapeuten beschrijven 25 Nederlandse aansprekende voorbeelden uit hun praktijk die ze met succes gebruikt EMDR. Zo geven ze de lezer een kijkje in de keuken van hun praktijk en neemt een deel van het mysterie rond deze behandeling optie weg. De ervaringen van de cliënten beschreven tonen niet alleen de effectiviteit van EMDR, maar ook de efficiëntie van deze vorm van therapie.
Approximately twenty years ago, EMDR (Eye Movement Desensitisation and Reprocessing) was developed as a form of Post Traumatic Stress Disorders (PTSD). After initial skepticism has been included in EMDR (inter) national guidelines for the treatment of PTSD and is also in many other complaints of applications. In Case Book EMDR therapists describe 25 Dutch appealing examples from their practice which they successfully used EMDR. Thus they give the reader a glimpse into the kitchen of their practice and take some of the mystery surrounding this treatment option away. The experiences of the clients described not only show the effectiveness of EMDR, but also the efficiency of this form of therapy.
Accuracy Verified: Yes
130. Herbert, C. (2002, June). A CBT-based therapeutic alternative to working with complex client problems. European Journal of Psychotherapy, Counseling & Health, 5(2), 135-144.
Language: English
Format: Journal
Abstract:
This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.
Keywords: CBT Cognitive Behavioral Therapy Countertransference Distress Phenomenology Physical Manifestations Psychoanalysis Psychotherapy Psychoanalytic Psychotherapy Psychological Distress Psychosomatic Phenomena Self Destructive Behavior Self Harm Somatoform Disorders Thinking Trauma Therapy
Accuracy Verified: Yes
131. Herbert, C. (2002, May). A CBT-based therapeutic alternative to working with complex client problems. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract: This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.[Taylor-Francis]
Keywords: CBT Cognitive Behavioral Therapy Counseling Psychotherapy
Accuracy Verified: Yes
132. Miller, P., McGowan, I., McLaughlin, D., & Paterson, M. (2010, April). Cessation of symptoms associated with dissociative schizophrenia following EMDR. Presentation at 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract: Background: Despite over a 100 years experience with schizophrenia it is still only a minority of individuals who make a full recovery. Schizophrenia is a severe enduring mental illness (SMI) and the weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide.
Aim: The aim of the presentation is to highlight the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia. Using a case study approach we will demonstrate the effectiveness of EMDR in relieving the symptoms of dissociative schizophrenia.
Case Study: In Patient ‘M’ using an EMDR paradigm integration was achieved using only outpatient therapy – 12 sessions, over the course of one year. Medication was used initially but made no impact on the psychotic phenomena; even when used within normally efficacious levels and duration. Naltrexone was used to help manage dissociation (Frewen & Lanius, 2006) and to facilitate Patient ‘M’ in engaging in EMDR. Patient ‘M’ is now nearly three years symptom free and medication free.
Conclusion: EMDR is effective in symptoms associated with dissociative symptoms.
Learning Outcomes By the end of the session participants will be able to; Gain an greater understanding of the clinical presentation of dissociative schizophrenia Discuss the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia
Keywords: Dissociative Schizophrenia
Accuracy Verified: Yes
133. Burns, M. (2009, March). The challenges of using EMDR with refugee and asylum seeking children/adolescents. Symposium conducted the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
This paper discusses the use of EMDR with refugee and asylum seeking
children and adolescents using clinical case examples and shares the clinician’s own personal
reflections on the lessons learned.
The challenges of working with this group are explored drawing on research findings as well
as the clinician’s experiences. Language and cultural differences can act as barriers to
assessing children’s mental health or their suitability for EMDR even though in some cases it
might be thought of as the treatment of choice. Working with Interpreters is often a key
feature of this therapeutic work. The challenges are discussed with direct reference to The
British Psychology Society’s recently published guidelines. There are ongoing stresses for these children and young people associated with displacement and their current situation in
the UK. These stresses contribute to their psychological distress.
Fear of being sent home or mistrust may also prevent them from providing full and accurate
information hindering the clinician from obtaining an accurate assessment or trauma
history.
The importance of good therapeutic skills as the basis of an EMDR Approach is highlighted
drawing upon a host of interventions (behavioural, physical, cognitive and motivational) to
support clients in building up their own resources so that they can manage their distress
between sessions. The therapist’s role in managing expressed emotions within the sessions is examined, not forgetting the impact of this on the therapist.
Keywords: Adolescents Asylum Children Refugees Symposium
Accuracy Verified: Yes
134. Inoue, N., Nawa, J., Katoh, T., & Shirakawa, M. (2010, July). Changes in personality functioning over the course of eye movement desensitization and reprocessing trauma therapy: Findings on the early changes. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Objective: Although eye movement desensitization and reprocessing (EMDR) is said not only to reduce trauma-related
symptoms but also to enhance ability to function in life, its effectiveness in other than reducing trauma-related symptoms
has yet to be verified. The objective of this study was to explore the broad range of effectiveness of EMDR, especially changes
in the personality functioning during the early phase of treatment. Methods: Using the non-randomized design, we assessed
and compared the treatment changes in subjects treated with EMDR and subjects who participated in the psycho-education
course of trauma. Eligible subjects were adult women who experienced human-caused trauma such as domestic violence,
rape, or childhood abuse. The Rorschach Comprehensive System (CS) was used as the first outcome measure to evaluate
personality functioning, and self-report questionnaires and a clinical interview for trauma-related symptoms were used as
the secondary outcome measures. Subjects of both groups were assessed at the time of enrollment in the study and 4 months
after the enrollment. We completed the evaluation of 5 and 6 subjects in the EMDR and the control group, respectively.
Results: The CS index for self-esteem and self-concern was improved in the EMDR sample compared with the controls.
Women treated with EMDR showed increased openness to internal and external stimuli (assessed by CS F%), whereas some
women in the control group even developed a tendency to avoid internal and external stimuli after 4 months. Conclusion:
The differences of early changes in personality functioning between the EMDR group and the controls will be discussed in
detail.
Keywords: Changes in Personality Functioning Poster
Accuracy Verified: Yes
135. Oh, D., & Choi, J. (2004). Changes in the regional cerebral perfusion after EMDR: A SPECT study of two cases. Journal of the Korean Society of Biological Psychiatry, 11(2), 173-180.
Language: Korean
Format: Journal
Abstract:
Over the last decade, EMDR(Eye Movement Desensitization and Reprocessing) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, neurobiological mechanism of EMDR has not been well understood. Authors report SPECT findings of two patients of PTSD before and after EMDR.Brain 99mTc-ECD-SPECT was performed before and after EMDR treatment. To evaluate the significance of changes in the regional cerebral perfusion, t-test was conducted on the resulting images using SPM99 . In addition, clinical scales(CAPS, CGI, STAI) were employed to asses the changes in the clinical symptoms of the patients. After EMDR treatment, each showed significant improvement in clinical symptoms. The cerebral perfusion increased in bilateral dorsolateral prefrontal cortex, and decreased in the temporal association cortex. The differences in the cerebral perfusion between patients after treatment and normal controls decreased. These changes appeared mainly in the limbic area the and the prefrontal cortex.These results suggest that EMDR may show the therapeutic effect through 1) improvement in the emotional control by increased activity in the prefrontal cortex, 2) inhibited hyperstimuli on amygdala by deactivation of the association cortex, 3) inhibition on past trauma related memory, and 4) keeping the functional balance between the limbic area and the prefrontal cortex. This case report needs further replication from studies with larger sample. [Author Abstract]
Keywords: Brain Imagining Adults Females Koreans Motor Vehicle Accidents Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD: Rape SPECT Survivors Treatment Effectiveness
Accuracy Verified: Yes
136. Oh, D. H., & Choi, J. (2007). Changes in the regional cerebral perfusion after eye movement desensitization and reprocessing: A SPECT study of two cases. Journal of EMDR Practice and Research, 1(1), 24-30. doi:10.1891/1933-3196.1.1.24.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, the neurobiological mechanism of EMDR has not been well understood. This study reports changes in the resting regional cerebral blood flow after successful EMDR treatment in 2 patients with PTSD. Brain 99mTc-ECD-SPECT (Technetium 99m-ethyl cysteinate dimmer-single photon emission computerized tomography) was performed before and after EMDR, and, in addition, a pre- and posttreatment comparison was made with 10 non-PTSD participants as a control group. After EMDR, cerebral perfusion increased in bilateral dorsolateral prefrontal cortex and decreased in the temporal association cortex. The differences between participants and normal controls also decreased. Changes appeared mainly in the limbic area and the prefrontal cortex. These results are in line with current understanding of neurobiology of PTSD. EMDR treatment appears to reverse the functional imbalance between the limbic area and the prefrontal cortex. [Author Abstract]
Keywords: Adults Brain Imaging Females Koreans Motor Traffic Accidents Neuroimaging Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Rape RCBF Regional Cerebral Blood Flow Single Photon Emission Computerized Tomography Survivors Treatment Effectiveness
Accuracy Verified: Yes
137. Wesselmann, D. (2013, April). Changing the lives of children with reactive attachment disorder behaviors through EMDR treatment. Keynote presented at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.
Language: English
Format: Conference
Abstract:
Many children exhibit severe and challenging behaviors such as aggressive outbursts, arguing and defiance, lying, stealing, and sexualized behaviors due to very early life relational trauma. EMDR Integrative Team Treatment involves family therapy and EMDR. With intervention from family therapy and EMDR Attachment Resource Development, parents can provide better emotional support, allowing their children to open up emotionally. As the EMDR therapist implements therapeutic attunement, storytelling, empowerment interweaves, and role-plays, hurt children can find healing and hope. Videos will supplement this presentation.
Keywords: Children Reactive Attachment Disorder
Accuracy Verified: Yes
138. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be
insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in
opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including
individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing.
Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by
a babysitter, along with the EMDR treatment of her older brother who bullied her.
Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on
the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include
interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after
EMDR treatment.
A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be
presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's
functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and
behaviors to be used later as content for installations.
A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to
undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold
girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal,
some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately,
the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his
younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening.
Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some
individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for
each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to
his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and
threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the
therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video.
The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man
with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to
the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following
session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her
next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough.
Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a
car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that
he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to
access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on,
to express concerns about missing his mother.
Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This
case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to
healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained
by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion,
EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.
Keywords: Case Presentations Children
Accuracy Verified: Yes
139. 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
140. The Australian Psychological Society (2010, August). Clarification of evidence base for eye movement desensitisation and reprocessing (EMDR). InPsych Bulletin .
Language: English
Format: Magazine
Abstract:
In the June edition of InPsych, an article summarising a recent APS review of evidence-based psychological interventions for mental health disorders did not sufficiently highlight the high level of evidence for the effectiveness of Eye Movement Desensitisation and Reprocessing (EMDR) in the treatment of posttraumatic stress disorder (PTSD). In particular, a summary table of psychological interventions with the highest level of research evidence (according to National Health and Medical Research Council criteria) should have prominently presented EMDR for the treatment of PTSD in the body of the table. As EMDR had not been systematically included in the review of psychological interventions, a footnote to the table stated the high level of efficacy of EMDR for PTSD. This oversight has been corrected in the online version of the InPsych article (www.psychology.org.au/publications/inpsych/2010/june/murphy/#s3) and a summary of the research evidence for EMDR from 19 randomised controlled trials will be included in a revision of the full evidence-based psychological interventions review document.
Keywords: Evidence Base
Accuracy Verified: No
141. Loris, M., & Johnson, D. R. (2001, December). Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatments. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
This case discussion will examine the intervention of EMDR (Shapiro, 1989),
Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting
Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent
treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in
press) comparing these three treatments finds that the efficacy of the three treatments
is supported and that the element of imaginal exposure may be the critical therapeutic
factor. The presentation of these three cases focuses on the issue of client’s treatment
preference and client personality traits as factors which may interface with imaginal
exposure in treatment efficacy.
Keywords: Imaginal Exposure Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
142. Powers, M. (1997, January 27). Clients swear by post-trauma therapy, but experts divided. Memphis, TN: The Commercial Appeal, A1.
Language: English
Format: Newspaper
Abstract:
Enter eye movement desensitization and reprocessing (EMDR), a decade-old therapeutic technique that sounds ridiculously simple.
Keywords: General Memphis Overview
Accuracy Verified: Yes
143. Figley, C. R., Carbonnell, J., Boscarino, J., & Chang, J. (1999, Summer). A clinical demonstration model for assessing the effectiveness of therapeutic interventions: An expanded clinical trials methodology. International Journal of Emergency Mental Health, 1(Part 3), 155-164 .
Language: English
Format: Journal
Abstract:
Both the evaluation of current treatment interventions and the innovation of new ones are vital to maintaining a viable clinical profession. In the field of psychology, however, often there are serious challenges facing these worthy endeavors. This article reviews several problems and limitations with evaluation of innovative psychotherapy treatments in clinical practice and suggests a strategy to overcome these. This approach, which we term the "Systematic Clinical Demonstration Methodology" (SCDM), combines the skills of clinicians with the rigors of clinical trials methods and permits concurrent clinical innovation and scientific evaluation. Here we suggest that the SCDM approach allows innovative practitioners to assist in the development and evaluation of promising clinical interventions by working closely with clinical trials researchers. This allows innovative clinicians to demonstrate new treatment approaches, while clinical researchers evaluate the effectiveness and safety of these interventions using clinical trials methods that incorporate qualitative data. We suggest that this approach can result in the development and evaluation of new treatment innovations more quickly and cost effectively than traditionally has been the case. In addition, some limitations commonly associated with clinical trials, such as not treating patients typically found in clinical practice, failing to treat patients with multiple disorders, or treating patients from different cultural or sociodemographic groups, can be more effectively addressed. Our experiences with using this method to evaluate different psychotherapy treatments for PTSD are presented as an example of this new approach. [Author Abstract]
Keywords: Brief Psychotherapy Methodology Neurolinguistic Programming NLP Outcomes Research Posttraumatic Stress Disorder PTSD Random Controlled Trials RCT Systematic Clinical Demonstration Methodology TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness
Accuracy Verified: Yes
144. Opdyke, D. C. (1995, May). Clinical efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of posttraumatic stress disorder. Georgia State University. AAT 9608510.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has gained notoriety as a brief treatment for PTSD. In EMDR, clients repeatedly bring up traumatic events in memory and visually track stimuli moving back and forth in front of them. Previous group studies of EMDR have had methodological problems, however. The present study attempted to (1) assess EMDR's effectiveness compared to an Eye Focus treatment controlling for eye movement; (2) compare both treatments to a wait-list control; and (3) rate therapist characteristics to check experimenter bias.20 participants suffering from PTSD were randomly assigned to either EMDR or Eye Focus (EF) treatments, and immediate treatment or wait-list conditions. After two 90-minute treatment sessions, outcomes were assessed on subjective measures of anxiety (SUDs) and cognitive beliefs (VOCs). The mean SUDs pre-post differences on matched pairs t-tests indicated significant reduction of disturbance for both the EMDR group, p < .001, and the Eye Focus group, p < .001. VOC ratings showed similar treatment gains. Two-factor analyses assessed changes across groups (2 administrations x 2 treatment groups) on two standardized measures, the Impact of Event Scale (IES) and the Modified PTSD Symptom Scale (MPSS). The IES showed a main effect for treatment F (2, 18) = 16.45, p < .001, while wait-list remained unchanged F (2, 18) = 1.09, p > .05. A significant interaction F (2, 18) = 6.69, p < .05 supported treatment efficacy. EMDR and EF participants improved equally on the IES, i.e., no differences for type of treatment, F (2, 18) = 0.54, p > .05. The MPSS also showed a main effect for treatment, F (2, 18) = 6.46, p < .05, with wait-list unchanged, F (2, 18) = 0.27, p > .05. This interaction was not significant, p =.10. Further, both EMDR and EF groups demonstrated improvement on the MPSS. Results suggest that (1) EMDR and Eye Focus are both effective in reducing some self-reported PTSD symptoms; (2) EMDR and Eye Focus scores improved significantly compared to wait-list; and (3) ratings of experimenter bias suggested that the EMDR and Eye Focus participants were treated equally by the therapist. Future comparison studies should use larger samples, independent assessors, and equally-trained independent therapists. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(11-B), May 1996, pp. 6402
Keywords: Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
145. Rhoads, J., Pearman, T., & Rick, S. (2007, October). Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Archives of Psychiatric Nursing, 21(5), 249–256. doi:10.1016/j.apnu.2007.05.002.
Language: English
Format: Journal
Abstract:
It has been almost 2 years since Hurricane Katrina struck the Gulf Coast.
These 2 years can be characterized by constant struggle and pain as the people
try to reattain some semblance of life as they knew it before Katrina struck.
Some have chosen to leave their ancestral homes, homes where they were
raised and where they, in turn, raised their own families. Those who did leave
are able, in some way, to reestablish some semblance of normality, but those
who stayed showed manifestations of and dealt with psychological trauma.
These manifestations include regression, inattentiveness, aggressiveness, somatic
complaints, irritability, social withdrawal, nightmares, and crying. Longer
lasting effects may include depression, anxiety, adjustment disorders, and
interpersonal or academic difficulties. These postdisaster manifestations can
linger or remain hidden until well after the traumatic event and could persist
for years. This article presents issues about the effects of Katrina on the mental
health of the people of New Orleans. It discusses the profile of posttraumatic
stress disorder and presents evidence-based review of interventions the health
care provider can implement to care for thosewho continue to suffer the effects
of this horrific disaster.
Keywords: Hurricanes Intervention Katrina Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
146. Grygo, M. (2008). A clinical trial of motivation-adaptive skills-trauma resolution (MASTR) therapy with conduct disordered adolescent boys. University of Manitoba, Winnipeg, Manitoba Canada. AAT NR35998.
Language: English
Format: Dissertation/Thesis
Abstract:
Conduct disorder and other disruptive behaviours represent the most common form of child and adolescent psychopathology referred for treatment by parents and teachers. A number of studies conducted in university research centers have demonstrated meaningful treatment gains especially with preadolescents with conduct disorder. However, studies conducted with older adolescents, especially those with comorbid disorders, as well as studies conducted in community-based clinic settings have been mostly unsuccessful. With a few exceptions, the extant treatments have not made any special effort to address effects of traumatic experiences that research has demonstrated to be very prevalent among conduct disordered children and adolescents. Motivation-Adaptive Skills-Trauma Resolution (MASTR) therapy developed by Ricky Greenwald (2002a) has shown promising results in his open trial study. MASTR is a complex treatment approach which addresses several key areas crucial in treating adolescents with conduct disorder: development/enhancement of motivation for treatment, development/enhancement of anger management and problem solving skills, and treatment of past trauma effects. The present study evaluated the effectiveness of MASTR therapy with 10 adolescent boys with conduct disorder placed in a residential treatment facility. This study combined single subject and qualitative research methodologies to offer a detailed look into the implementation and evaluation of MASTR therapy in a residential treatment centre. Foremost, this study demonstrates the formidable problems of conducting treatment research with this population in this kind of setting. Results suggested that, when it can be sufficiently implemented, MASTR therapy may be an effective treatment method producing some meaningful changes in behaviour for some severely disturbed adolescents with conduct problem. The study also demonstrated that EMDR may be an effective treatment for reducing emotional distress associated with past trauma in adolescents with conduct disorder. Factors associated with the limited success of this treatment study are identified and discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 69(1-A), 2008, pp. 109.
Keywords: Adolescent Boys Clinical Trial Conduct Disorder Empirical Study MASTR Motivation-Adaptive Skills-Trauma Resolution Therapy Quantitative Study
Accuracy Verified: Yes
147. Dean, G. L., Fenstermaker, D., & Anderson, K. J. (1991, November). Clinical use of eye movement desensitization/reprocessing (EMD/R) in recall and reprocessing of traumatic material in MPD patients PTSD treatments grow in evidence, effectiveness. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL and Monitor on Psychology, 39(1), 40-42.
Language: English
Format: Conference
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: No
148. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.
Language: English
Format: Journal
Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder
(PTSD)? In this paper we review many of the current pharmacological and psychological interventions
available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations.
There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye
movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE
possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of
nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives),
but there is no evidence that these treatments are less effective. Pharmacotherapy is promising
(especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of
medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of
combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to
conduct more randomized clinical trials research and effectiveness studies in military and Department of
Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and
propose several recommendations to help guide clinicians’ treatment selections.
Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD
Accuracy Verified: Yes
149. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.
Language: English
Format: Journal
Abstract:
Behavioral and cognitive psychotherapies are the most widely studied
psychological interventions for anxiety disorders. In the present article, the
results of ten years of meta-analytic studies on psychotherapies for the
various anxiety disorders are reviewed and the relative effectiveness of
cognitive and behavioral therapeutic methods is examined. Meta-analytic
results support the effectiveness of combined cognitive and behavioral
approaches for anxiety disorders. Pure behavioral therapies also are effective
and appear to work as well as combined treatment for some disorders.
Due to the small number of outcome studies involving pure cognitive
treatments, reliable conclusions about the effectiveness of this approach
cannot be offered. Additional theoretical and practical considerations are
discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441,
2004.
Keywords: Anxiety GAD Generalized Anxiety Disorder Meta-Analysis Obsessive-Compulsive Disorder OCD Panic Disorder Social Phobia Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
150. Ho, M. S. K., & Lee, C. W. (2012). Cognitive behaviour therapy versus eye movement desensitization and reprocessing for post-traumatic disorder: Is it all in the homework then?. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 253-260. doi:10.1016/j.erap.2012.08.001.
Language: English
Format: Journal
Abstract:
Introduction:
Treatment of choice for post-traumatic stress disorder (PTSD) is either eye movement desensitization and reprocessing (EMDR) or trauma-focused cognitive behaviour therapy (TFCBT).
Objective:
The aim of the present meta-analysis was to determine whether there are any differences between these two treatments with respect to efficacy and efficiency in treating PTSD.
Method:
We performed a comprehensive literature search using several electronic search engines as well as manual searches of other review papers. Eight original studies involving 227 participants were identified in this manner.
Results:
There were no differences between EMDR and TFCBT on measures of PTSD. However, there was a significant advantage for EMDR over TFCBT in reducing depression (Hedge's g = 0.63). The analysis also indicated a difference in the prescribed homework between the treatments. Meta-regression analyses were conducted to examine the relationship between hours of homework and gains in depression and PTSD symptoms.
Conclusion: These findings are discussed in terms of efficacy and cost-effectiveness and the use of homework in therapy.
Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
151. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99. doi:10.1016/S0887-6185(98)00041-3 .
Language: English
Format: Journal
Abstract:
Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables (ScienceDirect).
Keywords: Adults Americans Empirical Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
152. Otto, M. W., Penava, S. J., Pollack, R. A., & Smoller, J. W. (1996). Cognitive-behavioral and pharmacologic perspectives on the treatment of posttraumatic stress disorder. In M. H. Pollack, M. W. Otto, & J. F. Rosenbaum (Eds.). Challenges in clinical practice: Pharmacologic and psychosocial strategies (pp. 219-260). New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
The following sections consider biologic and cognitive-behavioral perspectives on PTSD and strategies for its treatment. Pharmacologic strategies examined to date have included treatment with beta-adrenergic blockers and alpha-adrenergic agonists, benzodiazepines, antikindling agents, mood stabilizers, and various antidepressants. Exposure-based treatments have been included in a number of approaches to the disorder, but have received the most direct attention in cognitive-behavioral conceptualizations. Each of these interventions has the potential to change one aspect or a constellation of PTSD symptoms, and must be evaluated relative to the number of symptom domains that each affects. [Text, p. 222]
Keywords: Behavior Therapy Cognitive Therapy Drug Therapy Literature Review Neurobiology Psychopharmacology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
153. Jayatunge, R. M. (2008). Combating tsunami disaster through EMDR. Journal of EMDR Practice and Research, 2(2), 140-145. doi:10.1891/1933-3196.2.2.140.
Language: English
Format: Journal
Abstract:
After the 2004 tsunami devastation in Sri Lanka, many citizens experienced severe psychological reactions. The effectiveness of EMDR is illustrated in the treatment of 7 of these individuals: 3 children and 2 adults with PTSD symptoms and 2 adults with depressive symptoms. After 3-8 sessions of EMDR the symptoms were eradicated and these clients were free from their depressive feelings, anxieties, intrusions, and nightmares, were able to function normally, and were able to lead productive lives. These outcomes replicate those in the research literature demonstrating that EMDR is an efficacious treatment for PTSD in general, with specific utility for disaster-related PTSD. It is recommended that future controlled studies be conducted to evaluate the effectiveness of EMDR in the immediate aftermath of disasters and to assess its effectiveness with major depressive disorder. [Author Abstract]
Keywords: Adults Children Disaster Recent Events South Asia Sri Lanka Tsunami
Accuracy Verified: Yes
154. Grandison, P. (2007). A combined approach: Using EMDR within a framework of solution focused brief therapy. Educational and Child Psychology, 24(1), 56-64.
Language: English
Format: Journal
Abstract:
This paper reports on a qualitative, exploratory
study that creatively combined two therapeutic approaches: eye movement desensitisation and reprocessing (EMDR) and solution focused brief therapy. It was expected that the use of techniques drawn from solution focused brief therapy could help children to facilitate and enhance the use of techniques within EMDR. In particular, techniques focusing on current and future positive resource installation were utilised. Five primary school children age 9 to 11 years were identified by class teachers and parents as presenting as shy, anxious and lacking self-confidence. The group intervention took place in school over six sessions. Within the group setting, the children targeted their own individual area that they wished to improve. Data were collected during and after each session and post-intervention. Increases in children’s self confidence and an improvement in targeted areas were reported by children, parents and teachers. Children found the intervention helpful and were able to identify particular aspects of solution
focused brief therapy and EMDR that were useful.
Keywords: Anxiety Brief Psychotherapy Children's Techniques Educational Psychology Empirical Study Group Intervention Group Psychotherapy Primary School Children Problem Solving Psychotherapeutic Techniques Qualitative Study Self-Confidence Shyness Solution Focused Brief Therapy Timidity
Accuracy Verified: Yes
155. Hartung, J. G., & Galvin, M. D. (2002). Combining eye movement desensitization and reprocessing (EMDR) and energy therapies. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed) (pp. 179-197) NewYork: W. W. Norton.
Language: English
Format: Book Section
Abstract: Observing that there has been a rapid increase in the number of practitioners trained in both eye movement desensitization and reprocessing (EMDR) and the energy psychotherapies, the authors describe ways to combine these modalities to increase their effectiveness. Topics include correcting psychological reversals prior to initiating and during EMDR; muscle testing with EMDR; EMDR along with energy therapies to limit the severity and disruption of abreaction, dissociation, "looping," and blocking beliefs; treatment of addiction; using one method to further client receptivity to use of the other; self-use of EMDR and the energy techniques; and, among others, energy training for paraprofessional crisis teams for use in residential programs with EMDR clients. [Adapted from Introduction]
Keywords: Energy Psychotherapy Latin Americans Psychotherapeutic Processes Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
156. van Ommeren, M. (1996, October). Comment on Greenwald (1996): The assessment of fidelity to the EMDR treatment protocol. Professional Psychology: Research & Practice, 27(5), 529. doi:10.1037/0735-7028.27.5.529.
Language: English
Format: Journal
Abstract:
Comments on R. Greenwald's (see record 83-27577) article in which he argues that fidelity to the eye movement desensitization and reprocessing (EMDR) protocol is the critical factor that determines whether a treatment outcome study will show that EMDR is effective. M. Van Ommeren recommends the formation of a panel that can make assessments as to whether or not the treatments used in EMDR outcome studies have fidelity. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Letter Methodology Professional Criticism Treatment Effectiveness
Accuracy Verified: Yes
157. Lipke, H. (2003, December). Comment on Hembree and Foa (2003) and EMDR. Journal of Traumatic Stress, 16(6), 573-574. doi:10.1023/B:JOTS.0000004081.85114.05.
Language: English
Format: Journal
Abstract:
The role of eye movements in EMDR therapy is not yet clear. However, it is clear that Hembree and Foa's uncritical report of evidence nonsupportive of the importance of eye movement, or other sensory/motor activity in EMDR, suggests this is a closed issue, not an open issue as the research actually indicates. This uncritical interpretation by Hembree and Foa poses the danger of unjustly steering scientists and clinicians away from consideration of EMDR as a distinct method of treatment, and of attempting to better understand its mechanism of effect. [Text, p. 573] [Pilots]
Keywords: Comment Letter Professional Criticism Reply Treatment Effectiveness
Accuracy Verified: Yes
158. Hoyt, M. F. (1999, July). Comment on L'Abate. The Family Journal, 7(3), 224-226. doi:10.1177/1066480799073004 .
Language: English
Format: Journal
Abstract:
No abstract available.
Keywords: Commentary Computer Applications Oral Communication Therapeutic Processes Written Communication
Accuracy Verified: Yes
159. Cummings, N. A. (1999). Comment on L'Abate: Psychotherapist future shock. The Family Journal, 7(3), 221-223. doi:10.1177/1066480799073003.
Language: English
Format: Journal
Abstract:
No abstract available.
Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication
Accuracy Verified: Yes
160. Lipke, H. (1999). Comments on "thirty years of behavior therapy . . ." and the promise of the application of scientific principles. the Behavior Therapist, 22(1), 11-14.
Language: English
Format: Newsletter
Abstract:
In the summer of 1997 Behavior Therapy published a "Special Issue" titled
"Thirty Years of Behavior Therapy: Promises Kept, Promises Unfulfilled". In
introducing the articles Forsythe and Hawkins suggested that there are many venues
in which the issues raised could be further discussed. I accept this suggestion as an
invitation, and offer the following comments on one of behavior therapy's promises,
that of commitment to scientific principles in evaluating the effectiveness of methods of
psychotherapy.
Keywords: Efficacy
Accuracy Verified: Yes
161. Lopez, L., & Occhipinti, S. (2008). Cómo orientarse en el Proceso Terapéutico [Fit into the therapeutic process]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 4, EMDR: avances en teoria y tecnica [EMDR: Advances in theory and technique] (1st ed) (pp. 97-113) Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract:
No abstract available.
Keywords: Therapeutic Process
Accuracy Verified: Yes
162. Cervera, M., & Acinas, P. (2012, June). Como puede la combinacion entre el EMDR y la imaginacion tartar casos con sept complejo, problemas de apego y disociacion? [How can EMDR and imagination combined, treat cases with complex PTSD, attachment and dissociative symptoms?]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: Spanish
Format: Conference
Abstract: ABSTRACT:
La integración del EMDR con el uso de la imaginación
(See Far CBT, Lahad) como un abordaje para
el tratamiento de SEPT Complejo.
El uso de la imaginación con cartas terapéuticas
dentro de la Realidad Fantástica es una estrategia
poderosa para estos pacientes. El EMDR ha sido
ampliamente investigado y aprobado como una de
las terapias más efectivas en este campo.
ABSTRACT:
Integrate EMDR with the use of Imagination (See
Far CBT, Lahad) as an approach to treat Complex
Trauma with PTSD.
The use of Imagination with therapeutic cards
within the world of Fantastic Reality is a new powerful
coping strategy for these patients. EMDR has
been widely researched in this area.
Keywords: Attachment Dissociation Poster
Accuracy Verified: Yes
163. Sharpley, C. F., Montgomery, I. M., & Scalzo, L. A. (1996). Comparative efficacy of EMDR and alternative procedures in reducing the vividness of mental images. Scandinavian Journal of Behaviour Therapy, 25(1), 37-42. doi:10.1080/16506079609456006.
Language: English
Format: Journal
Abstract:
Nordisk Tidskrift för Beteendeterrapi: Data evaluating the effectiveness of EMDR suggest that, although it appears to be an effective treatment for many types of PTSDs, the major support comes from limited-subject case studies. To further investigate this issue, the relative efficacy (in comparison to simpler procedures) of EMDR for reduction of the vividness of subjects' memories was investigated in a non-clinical sample. Results indicated that EMDR was more successful than comparable techniques in reducing the intensity of subjects' mental images. [Author Abstract]
Keywords: Australians Empirical Study Males Treatment Effectiveness Treatment Outcome/Clinical Trial Young Adults
Accuracy Verified: Yes
164. van Etten, M. L., & Taylor, S. (1998). Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis. Clinical Psychology and Psychotherapy, 5(3), 126-144. doi:10.1002/(SICI)1099-0879(199809).
Language: English
Format: Journal
Abstract:
A meta-analysis was conducted on 61 treatment outcome trials for PTSD. Conditions included drug therapies (TCAs, carbamazepine, MAOIs, SSRIs, and BDZs), psychological therapies (behaviour therapy, Eye-Movement Desensitization and Reprocessing (EMDR), relaxation training, hypnotherapy, and dynamic therapy), and control conditions (pill placebo, wait-list controls, supportive psychotherapies, and non-saccade EMDR control). Psychological therapies had significantly lower drop-out rates than pharmacotherapies (14% versus 32%), with attrition being uniformly low across all psychological therapies. In terms of symptom reduction, psychological therapies were more effective than drug therapies, and both were more effective than controls. Among the drug therapies, the SSRIs and carbamazepine had the greatest effect sizes, although the latter was based upon a single trial. Among the psychological therapies, behaviour therapy and EMDR were most effective, and generally equally so. The most effective psychological therapies and drug therapies were generally equally effective. Differences across treatment conditions were generally evident across symptom domains, with little matching of symptom domain to treatment type. However, SSRIs had some advantage over psychological therapies in treating depression. Follow-up results were not available for most treatments, but available data indicates that treatment effects for behaviour therapy and EMDR are maintained at 15-week follow-up. [Author Abstract]
Keywords: Antimanic Drugs Benzodiazepine Derivatives Hypnotherapy Meta Analysis Monoamine Oxidase Inhibitors Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Relaxation Therapy Selective Serotonin Reuptake Inhibitors Treatment Effectiveness Tricyclic Derivatives
Accuracy Verified: Yes
165. Taylor, S., Thordarson, D., Maxfield, L., Fedoroff, I., Lovell, K., & Ogrodniczuk, J. (2003, April). Comparative efficacy, speed, and adverse effects of three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Consulting & Clinical Psychology, 71(2), 330-338. doi:10.1037/0022-006X.71.2.330.
Language: English
Format: Journal
Abstract:
The authors examined the efficacy, speed, and incidence of symptom worsening for 3 treatments of PTSD: prolonged exposure, relaxation training, or eye movement desensitization and reprocessing (EMDR; N = 60). Treatments did not differ in attrition, in the incidence of symptom worsening, or in their effects on numbing and hyperarousal symptoms. Compared with EMDR and relaxation training, exposure therapy (a) produced significantly larger reductions in avoidance and reexperiencing symptoms, (b) tended to be faster at reducing avoidance, and (c) tended to yield a greater proportion of participants who no longer met criteria for PTSD after treatment. EMDR and relaxation did not differ from one another in speed or efficacy (Pilots).
Keywords: Adults Empirical Study Exposure Therapy Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness Witnesses
Accuracy Verified: Yes
166. Williams, K. (2006, August). A comparative experimental treatment outcome study: Female survivors of sexual assault suffering from posttraumatic stress disorder, depression, and trauma-related guilt – self-report and psychophysiological measures. Trinity Western University, Langley, British Columbia, CAN.
Language: English
Format: Dissertation/Thesis
Abstract:
Diverse psychotherapeutic approaches for treating trauma-related sequelae have emerged over the last several decades in response to the widespread prevalence of sexual assault and resultant posttraumatic stress disorder among women (PTSD). In a recent formal study (Grace, 2003), a newer treatment called one eye integration (OEI) has been shown to be effective for traumatized individuals. The purpose of this study was to build upon those findings by comparing the effectiveness of two treatments for reducing PTSD symptoms with a breathing, relaxation, autogenics, imagery, and grounding (BRAIN) control condition. Twenty-seven female rape or sexual assault survivors who met the criteria for PTSD according to the Diagnostic and Statistical Manual of Mental Disorders-Text-Revision, (DSM-IV-TR; APA, 2000) were randomly assigned to three groups: (a) a neurologically-based therapy called OEI, (b) an information processing model referred to as cognitive processing therapy-revised (CPT-R), or (c) a control condition (BRAIN), PTSD, depression, and trauma-related guilt symptoms were assessed pretreatment, posttreatment and at 3-month follow up, and qualitative electroencephalography (qEEG) brainwave patterns of two regions of the scalp (frontal and parietal) were measured pre and posttreatment. The following dependent measures were used: Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory II (BDI-II), and t he Trauma-Related Guilt Inventory (TRGI). Though there were no significant differences in PTSD symptoms between groups from pretreatment to post treatment assessments, a significant difference occurred between pretreatment and 3-month follow up, with OEI manifesting greater reductions than CPT-R or BRAIN. There were no significant differences between groups in depression, but there was a reduction in BDI-II scores over time. Reduction in guilt-related symptoms occurred on several scales and subscales for all three groups over time from pretreatment of posttreatment assessments, though not significantly by group. A significant difference was found for the Global Guilt subscale at 3-month follow up, with greater improvement for the OEI group. Preliminary results from cortical brain activity assessments indicate typical qEEG asymmetry patterns for PTSD and depression, though there were no significant group differences apart from minor post hoc analyses. Implications of these findings for clinical work and directions for future research were discussed.
Keywords: Depression Female Guilt Posttraumatic Stress Disorder PTSD Sexual Assault Survivors
Accuracy Verified: Yes
167. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .
Language: Farsi (Iran)
Format: Journal
Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients.
Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests.
Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up.
Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months.
Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.
Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD
Accuracy Verified: Yes
168. Seidler, G. H., & Wagner, F. E. (2006, November). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi:10.1017/S0033291706007963.
Language: English
Format: Journal
Abstract:
Background: Eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive-behavioral therapy (CBT) are both widely used in the treatment of PTSD. There has, however, been debate regarding the advantages of one approach over the other. This study sought to determine whether there was any evidence that one treatment was superior to the other. Method: We performed a systematic review of the literature dating from 1989 to 2005 and identified 8 publications describing treatment outcomes of EMDR and CBT in active-active comparisons. 7 of these studies were investigated meta-analytically. Results: The superiority of one treatment over the other could not be demonstrated. Trauma-focused CBT and EMDR tend to be equally efficacious. Differences between the two forms of treatment are probably not of clinical significance. While the data indicate that moderator variables influence treatment efficacy, we argue that because of the small number of original studies, little benefit is to be gained from a closer examination of these variables. Further research is needed within the framework of randomized controlled trials. Conclusions: Our results suggest that in the treatment of PTSD, both therapy methods tend to be equally efficacious. We suggest that future research should not restrict its focus to the efficacy, effectiveness, and efficiency of these therapy methods but should also attempt to establish which trauma patients are more likely to benefit from one method or the other. What remains unclear is the contribution of the eye movement component in EMDR to treatment outcome. [Author Abstract]
Keywords: Adults Cognitive Therapy Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
169. Jaberghaderi, N., Greenwald, R., Rubin, A., Zand, S. O., & Dolatabadim, S. (2004, September-October). A comparison of CBT and EMDR for sexually abused Iranian girls. Clinical Psychology and Psychotherapy, 11(5), 358-368. doi:10.1002/cpp.395.
Language: English
Format: Journal
Abstract:
14 randomly assigned Iranian girls ages 12-13 years who had been sexually abused received up to 12 sessions of CBT or EMDR treatment. Assessment of post-traumatic stress symptoms and problem behaviours was completed at pre-treatment and 2 weeks post-treatment. Both treatments showed large effect sizes on the post-traumatic symptom outcomes, and a medium effect size on the behaviour outcome, all statistically significant. A non-significant trend on self-reported post-traumatic stress symptoms favoured EMDR over CBT. Treatment efficiency was calculated by dividing change scores by number of sessions; EMDR was significantly more efficient, with large effect sizes on each outcome. Limitations include small N, single therapist for each treatment condition, no independent verification of treatment fidelity, and no long-term follow-up. These findings suggest that both CBT and EMDR can help girls to recover from the effects of sexual abuse, and that structured trauma treatments can be applied to children in Iran. [Author Abstract]
Keywords: Brief Psychotherapy CBT Child Abuse Cogntiive Behavorial Therapy Cognitive Therapy Elementary School Students Empirical Study Females Incest Iranians Manual-Based Treatments Posttraumatic Stress Disorder Preadolescents PTSD Quantitative Study Rape Random Clinical Trial RCT Survivors Treatment Effectiveness
Accuracy Verified: Yes
170. Narimani, M., Ahari, S. S., & Rajabi, S. (2008). Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder. Journal of Applied Sciences, 8(10), 1932-1937. doi:10.3923/jas.2008.1932.1937.
Language: English
Format: Journal
Abstract:
This research aims to determine efficacy of two therapeutic methods and compare them: Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavioral Therapy (CBT) for reduction of anxiety and depression for Iranian combatant afflicted with Post traumatic Stress Disorder (PTSD) after imposed war. Statistical population of current study includes combatants afflicted with PTSD that were hospitalized in Isas Hospital of Ardabil province or were inhabited in Ardabil. These persons were selected through simple random sampling and were randomly located in three groups. The method was extended test method and study design was multi-group test-retest. Used tools include hospital anxiety and depression scale. This survey showed that exercise of EMDR and CBT has caused significant reduction of anxiety and depression. [Author Abstract]
Keywords: Anxiety Anxiety Disorders CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Depressive Disorders Iranians Middle Aged Posttraumatic Stress Disorder PSTD Treatment Effectiveness Veterans War
Accuracy Verified: Yes
171. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]
Keywords: Adults Arousal Child Abuse Exposure Therapy Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
172. Nazari, H., Momeni, N., Jariani, M., & Tarrahi, M. J. (2011, November). Comparison of eye movement desensitization and reprocessing with citalopram in treatment of obsessive-compulsive disorder. International Journal of Psychiatry in Clinical Practice, 15(4), 270-274. doi:10.3109/13651501.2011.590210.
Language: English
Format: Journal
Abstract:
Objective. Obsessive-compulsive disorder (OCD) is one of the chronic anxiety disorders that interfere with routine individual life, occupational and social functions. There is controversy about the first choice of treatment for OCD between medication and psychotherapy. Aim. the aim was to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) compared with medication by citalopram in treatment of OCD. Methods. This randomized controlled trial was carried out on 90 OCD patients that randomly were assigned into two groups. They either received therapeutic sessions of EMDR or citalopram during 12 weeks. Both groups blindly were evaluated by the Yale-Brown scale before and after the trial period. Results. Pretreatment average Yale-Brown score of citalopram group was about 25.26 as well as 24.83 in EMDR group. The after treatment scores were 19.06 and 13.6, respectively. There was significant difference between the mean Yale-Brown scores of the two groups after treatment and EMDR was more effective than citalopram in improvement of OCD signs. Conclusion. It is concluded that although both therapeutic methods (EMDR and Citalopram) had significant effect in improving obsessive signs but it seems that in short term EMRD has better effect in improvement of final outcome of OCD.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
173. Ironson, G., Freund, B., Strauss, J., & Williams, J. (2002, January). Comparison of two treatments for traumatic stress: A community-based study of EMDR and prolonged exposure. Journal of Clinical Psychology, 58(1), 113-128. doi:10.1002/jclp.1132.
Language: English
Format: Journal
Abstract:
This pilot study compared the efficacy of two treatments for PTSD: Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who completed at least one active session of treatment after three preparatory sessions. Results showed both approaches produced a significant reduction in PTSD and depression symptoms, which were maintained at three-month follow-up. Successful treatment was faster with EMDR as a larger number of people (7 of 10) had a 70% reduction in PTSD symptoms after three active sessions compared to 2 of 12 with PE. EMDR appeared to be better tolerated as the dropout rate was significantly lower in those randomized to EMDR versus PE (0 of 10 vs. 3 of 10). However all patients who remained in treatment with PE had a reduction in PTSD scores. Finally, Subjective Units of Distress (SUDS) ratings decreased significantly during the initial session of EMDR, but changed little during PE. Postsession SUDS were significantly lower for EMDR than for PE. Suggestions for future research are discussed. [Author Abstract]
Keywords: Empirical Study Meta Analysis Methodology Posttraumatic Stress Disorder Prolonged Exposure PTSD Random Clinical Trial RCT Treatment Effectiveness
Accuracy Verified: Yes
174. 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
175. Staff. (2000). Complex PTSD in children II: Therapeutic interventions. Cavalcade Productions, Inc., Nevada City, CA.
Language: English
Format: Video
Abstract:
In this video series, Bessel van der Kolk and other clinicians from The Trauma Center, along with therapists Joyanna Silberg and Frances Waters, describe the assessment tools and therapeutic approaches that they have found most useful in working the severely traumatized in children. The clinician's role in such cases often includes working with parents or guardians as well as children, and can extend far beyond the therapy room to encompass psychoeducation and advocacy. For children with complex PTSD, safety must be established both externally and internally. Maintaining internal safety can be an especially difficult task when the child is highly dissociative. The presenters discuss ground techniques that can help a child to stay safe and stable, and describe the therapeutic modalities "play, talk, art, and group therapy" that they have found useful. Topics include controlling aggression, accessing emotions, changing the trauma story, and using EMDR.
Keywords: Children Clinical Judgment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Intervention Posttraumatic Stress Disorder PTSD Therapeutic Processes Treatment
Accuracy Verified: No
176. Herbert, C. (2012, October). Complex trauma: Road to psychiatric dysfunction or path toward posttrauma growth?. Keynote at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
Healthcare service providers, as well as, mental health practitioners, frequently associate the suffering of complex trauma with pathology, mental illness, personality disorders and severe psychiatric dysfunction. Clients are perceived as difficult to treat, interventions are guided by the nature of the psychiatric diagnosis and therapy focuses on crisis management and on helping clients to achieve reductions of symptoms that account for the psychiatric diagnosis. Although symptom reduction can be of great value and importance to sufferers, sole focus on this misses the great potential to engage a person in a transformative process that can lead to considerable inner strengthening, alignment and positive growth, as a result and in spite of their early traumatic experiences. This keynote introduces a shift in perspective away from the traditional focus on psychiatric dysfunction toward a model of positive growth for clients suffering from Complex Trauma and Dissociative Identity Disorder (DID). It is proposed that development of empathic empowerment of the individual toward greater personal authenticity, honesty, accountability and compassion can open the path toward posttrauma growth. However, in order to achieve such development specific parameters must be fulfilled. These parameters, which include therapist factors, the nature of the therapeutic relationship, an underlying therapeutic framework for working with complex trauma and the guiding principles and ingredients that nurture growth rather than dysfunction, will be outlined and illustrated through the use of client vignettes.
Keywords: Complex Trauma Posttraumatic Growth
Accuracy Verified: Yes
177. 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
178. Brunet, J. (2009, Octobre). Complications thérapeutiques suite au traitement EMDR chez un vétéran traumatisé [Therapeutic complications following treatment in a veteran trauma EMDR]. Journal International de Victimologie [International Journal of Victimology], 1(1), 1-5.
Language: French
Format: Journal
Abstract:
Il s'agit d'une étude de cas concernant une personne ayant vécu un épisode dissociatif sévère suite à une séance EMDR. Un seul article bref a, à ce jour, documenté les réactions adverses susceptibles d'être induites par EMDR... Sans parti pris, il semble essentiel à l'auteur de réfléchir sur les contre-indications que peuvent susciter la psychothérapie EMDR, tout comme sont étudiées les contre-indications des autres psychothérapies.
Keywords: Contraindications Brief Psychotherapy Trauma Veterans
Accuracy Verified: Yes
179. Meneses, J. A. (2008). Comprobación de la efectividad del EMDR en la reducción de la Ansiedad Extrema a los exámenes académicos [Checking the effectiveness of EMDR in reducing extreme anxiety to academic examinations . In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 4, EMDR: Avances en teoria y tecnica [EMDR: Advances in theory and technique] (1st ed) (pp. 209-220). Buenos Aires: TdeA Ediciones.
Language: Spanish
Format: Book Section
Abstract:
No abstract available.
Keywords: Test Anxiety
Accuracy Verified: Yes
180. Allen, J., & Lewis, L. (1996, Spring). A conceptual framework for treating traumatic memories and its application to EMDR. Bulletin of the Menninger Clinic, 60(2), 238-263.
Language: English
Format: Journal
Abstract:
With burgeoning interest in trauma has come a proliferation of interventions for the treatment of intrusive memories. At this stage of development, uniformity of clinical practice in the trauma field is neither possible nor desirable. The literature suggests that a wide range of treatment interventions are effective. But diversity in practice does not preclude coherence in conceptualization. This article presents a general theoretical framework to provide clinicians and patients with a rationale for treating intrusive symptoms of PTSD. To illustrate the applicability of the framework, the authors critique Shapiro's recent theoretical explanation of Eye Movement Desensitization and Reprocessing (EMDR), an exemplary cognitive-behavioral approach to the treatment of trauma. EMDR merits careful theoretical reappraisal, because it has become a highly popular and seemingly effective technique that currently rests on an unsound neurobiological theoretical foundation. [Author Abstract]
Keywords: Hallucinations Intrusive Thoughts Memory Impairment Neurophysiology Professional Criticism Psychotherapeutic Processes PTSD Treatment Effectiveness
Accuracy Verified: Yes
181. Codina, C., & Olivia, A. M. (2012, June). Concordancia corazon y cerebro [Heart and brain concordance]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract: Abstract:
Si bien es cierto que el EMDR tiene como objetivo el procesamiento de la información perturbadora hacia un estado adaptativo, no lo es menos que una exhaustiva y previa preparación de la persona, con el fin de asegurar sus recursos internos, facilita muchísimo el trabajo, cooperando en gran medida al éxito del mismo. Considero, por tanto, cuestión de responsabilidad terapéutica nutrir previamente al paciente con un amplio y efectivo surtido de ejercicios que refuercen su sentimiento de seguridad y confianza. En este sentido, la aportación de mi experiencia puede mostrar que: fomentar el desarrollo de la “Consciencia Psicocorpórea”(1) deviene el gran aliado no solamente de los seres humanos implicados en el proceso terapéutico, sino también del EMDR, el método terapéutico en sí. Llegué al EMDR impulsada por comprender ¿Qué ocurría? cuando en el proceso de solución, efectuando Constelaciones Familiares(2), los ojos cerrados del cliente(3) , a menudo, se movían como en la fase REM del sueño. Necesitaba una explicación. En el 2003 la encontré en un libro de David Servan-Schreiber sobre EMDR, generando un nuevo interrogante fruto del cual nace el trabajo: CONCORDANCIA CORAZÓN & CEREBRO CARMEN CODINA, EL EJERCICIO 5C.
Abstract: While the EMDR aims at disturbing information processing towards an adaptive state, the fact remains that a thorough and after preparation of the person, in order to ensure its internal resources, greatly facilitates the work, cooperating greatly to the success. I consider, therefore, a matter of responsibility to nurture therapeutic advance for patients with a wide and effective range of exercises to strengthen their sense of security and confidence. In this sense, the contribution of my experience may show that: encourage the development of "Psicocorpórea Consciousness" (1) becomes not only a great ally of the humans involved in the therapeutic process, but also of EMDR, the therapeutic method itself. I came to understand EMDR driven by What happened? when the settlement process, making Constellations (2), the closed eyes of the customer (3) often moved as in REM sleep. I needed an explanation. In 2003 I found a book by David Servan-Schreiber about EMDR, creating a new question which arises fruit of work: MATCHING HEART & BRAIN CODINA CARMEN, THE EXERCISE 5C.
Keywords: Poster
Accuracy Verified: Yes
182. Cerquetani, S. (2011). Conheça o EMDR: Uma nova terapia para traumas [Learn about EMDR: A new therapy for trauma]. Viva Saúde. Retrieved from http://revistavivasaude.uol.com.br/saude-nutricao/103/conheca-o-emdr-uma-nova-terapia-para-traumas-a-240723-1.asp on 12/15/2011..
Language: Portuguese
Format: Magazine
Abstract:
Em 1984, Rosana Leite sofreu um acidente de carro e rompeu os tendões da mão direita, e não dirigiu à noite por mais de 15 anos. Já Silvia Guz lesionou o tendão do cotovelo na mesma circunstância, quase perdeu os movimentos do braço e sentia dores constantes. Apesar dos tratamentos convencionais, as lembranças e as dores de ambas não desapareciam. Mas, com a técnica terapêutica Eye Movement Desensitization and Reprocessing (Dessensibilização e Reprocessamento por meio dos Movimentos Oculares - EMDR), elas conseguiram superar seus traumas num tempo mínimo.
In 1984, Rosana Milk suffered a car accident and broke the tendons of his right hand, and did not drive at night for more than 15 years. Silvia Guz already injured the tendon of the elbow in the same condition, almost lost his arm movements and was in constant pain. Despite conventional treatment, the memories and the pain did not disappear either. But with the therapeutic technique Eye Movement Desensitization and Reprocessing (via Desensitization and Reprocessing Eye Movement - EMDR), they managed to overcome their trauma in minimum time.
Keywords: Automobile Accident General Overview
Accuracy Verified: Yes
183. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.
Language: French
Format: Dissertation/Thesis
Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.
Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.
Keywords: Domestic Violence
Accuracy Verified: Yes
184. Negadi, F., Jouvent, R., & Pelissolo, A. (2007, July). Contribution of EMDR's cognitive approach: A case of driving phobia. Journal International de Victimologie, 5(3), 146-152.
Language: English
Format: Journal
Abstract:
Most studies evaluating the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) therapy for various problems have focused on the importance of eye movements and largely ignored the fact that EMDR is an integrative therapeutic approach in which the cognitive approach plays a large part. The case study presented here includes an evaluation of the efficacy of EMDR, on various standardised evaluation scales, for a patient with driving phobia due to a traumatic event. The treatment of this patient was largely based on a cognitive approach (cognitive interweave) and the reprocessing of dysfunctional information according to the EMDR thérapy. The outcome one month after treatment was favourable, with the absence of phobic avoidance and a marked improvement in the patient's mood.
Keywords: Cognitive Interweave Driving Phobia Dysfunctional Belief
Accuracy Verified: Yes
185. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.
Language: English
Format: Journal
Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).
Keywords: Americans College Students Empirical Study Experimental Stressors Females Phobia Psychophysiology Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
186. Schnurr, P. P. (1999, Winter). Control groups in psychotherapy research. PTSD Research Quarterly, 10(1), 1, 8.
Language: English
Format: Newsletter
Abstract:
Discusses the inferences that can be drawn from studies of
psychotherapy effectiveness, based on the type of therapy control
group that is used, with particular attention to eye movement
desensitization and reprocessing. [FAL]
Keywords: Methodology Psychotherapy Treatment Effectiveness
Accuracy Verified: Yes
187. Power, K. G., McGoldrick, T., & Brown, K. W. (1999). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring versus waiting list in the treatment of posttraumatic stress disorder. Report to the Scottish Home and Health Department, Edinburgh, Scotland.
Language: English
Format: Publication
Keywords: Adults Brief Psychotherapy British Cognitive Therapy Exposure Therapy Females Males Posttraumatic Stress DIsorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
188. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2002, August). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring, versus waiting list in the treatment of post traumatic stress disorder. Journal of Clinical Psychology and Psychotherapy, 9(5), 299-318. doi:10.1002/cpp.341.
Language: English
Format: Journal
Abstract:
A total of 105 patients with PTSD were randomly allocated to eye-movement desensitization and reprocessing (EMDR) (n = 39) versus exposure plus cognitive restructuring (E + CR) (n = 37) versus waiting list (WL) (n = 29) in a primary care setting. EMDR and E + CR patients received a maximum of 10 treatment sessions over a 10-week period. All patients were assessed by blind raters prior to randomization and at end of the 10-week treatment or waiting list period. EMDR and E + CR patients were also assessed by therapists at the mid-point of the 10- week treatment period and on average at 15 months follow-up. Patients were assessed on a variety of assessor-rated and self-report measures of PTSD symptomatology including the Clinician Administered PTSD Scale (CAPS), the Impact of Events Scale (IOE) and a self-report version of the SI-PTSD Checklist. Measures of anxiety and depression included the Montgomery Asberg Depression Rating Scale (MADRS), the Hamilton Anxiety Scale (HAM-A), and the Hospital Anxiety and Depression Scale (HADS). A measure of social function, the Sheehan Disability Scale, was also used. Drop-out rates between the three groups were 12 EMDR, 16 E + CR, and 5 WL. Treatment end-point analyses were conducted on the remaining 72 patients. Repeated measures analysis of variance of treatment outcome at 10 weeks revealed significant time, interaction, and group effects for all the above measures. In general there were significant and substantial pre-post reductions for EMDR and E + CR groups but no change for the WL patients. Both treatments were effective over WL. The only indication of superiority of either active treatment, in relation to measures of clinically significant change, was a greater reduction in patient self-reported depression ratings and improved social functioning for EMDR in comparison to E + CR at the end of the treatment period and for fewer number of treatment sessions for EMDR (mean 4.2) than E + CR (mean 6.4) patients. At 15 months follow-up treatment gains were generally well-maintained with the only difference, in favour of EMDR over E + CR, occurring in relation to assessor-rated levels of clinically significant change in depression. However, exclusion of patients who had subsequent treatment during the follow-up period diminished the proportion of patients achieving long-term clinically significant change. In summary, at end of treatment and at follow-up, both EMDR and E + CR are effective in the treatment of PTSD with only a slight advantage in favour of EMDR. [Author Abstract]
Keywords: Adults Brief Psychotherapy British Cognitive Therapy Exposure Therapy Females Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
189. Bauman, W., & Melnyk, W. (1994, Mar). A controlled comparison of eye movements and finger tapping in the treatment of test anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 29-33. doi:10.1016/0005-7916(94)90060-4.
Language: English
Format: Journal
Abstract:
15 pairs of introductory statistics students, matched on initial test anxiety, were randomly assigned to eye movement desensitization (EMD) or control (finger tapping) conditions to test whether EMD effectively treats test anxiety and, if so, whether eye movement is the critical factor. Both groups had significant decreases in subjective units of disturbance during treatment, suggesting that another source of attenuation of elicited anxiety may be as effective as eye movement in reducing anxiety. There was a significant decrease in Test Anxiety Inventory Emotionality Scale scores from pretest to follow up for both groups, but mixed results on the Worry Scale and total anxiety scores. [Author Abstract]
Keywords: Adults Anxiety Disorders College Students EMD Life Experiences Survivor Treatment Effectiveness
Accuracy Verified: Yes
190. Karatzias, T., Power, K., Brown, K., McGoldrick, T., Begum, M., Young, J., Loughran, P., Chouliara, Z., & Adams, S. (2011, June). A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder: Eye movement desensitization and reprocessing vs. emotional freedom techniques. Journal of Nervous Mental Disease, 199(6), 372-378. doi: 10.1097/NMD.0b013e31821cd262.
Language: English
Format: Journal
Abstract:
The present study reports on the first ever controlled comparison between eye movement desensitization and reprocessing (EMDR) and emotional freedom techniques (EFT) for posttraumatic stress disorder. A total of 46 participants were randomized to either EMDR (n = 23) or EFT (n = 23). The participants were assessed at baseline and then reassessed after an 8-week waiting period. Two further blind assessments were conducted at posttreatment and 3-months follow-up. Overall, the results indicated that both interventions produced significant therapeutic gains at posttreatment and follow-up in an equal number of sessions. Similar treatment effect sizes were observed in both treatment groups. Regarding clinical significant changes, a slightly higher proportion of patients in the EMDR group produced substantial clinical changes compared with the EFT group. Given the speculative nature of the theoretical basis of EFT, a dismantling study on the active ingredients of EFT should be subject to future research.
Keywords: EFT Emotional Freedom Technique Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
191. Soberman, G. B., Greenwald, R., & Rule, D. L. (2002). A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. Journal of Aggression, Maltreatment and Trauma, 6(1), 217-236. doi:10.1300/J146v06n01_11.
Language: English
Format: Journal
Abstract:
We suggest that trauma contributes to the development and persistence of conduct problems, and should be addressed. Eye movement desensitization and reprocessing (EMDR) was selected as a promising trauma treatment. 29 boys with conduct problems in residential or day treatment were randomized into standard care or standard care plus 3 trauma-focused EMDR sessions. The EMDR group showed large and significant reduction of memory-related distress, as well as trends towards reduction of post-traumatic symptoms. The EMDR group also showed large and significant reduction of problem behaviors by 2-month follow-up, whereas the control group showed only light improvement. These findings provide support for EMDR's use as a trauma treatment for boys ages 10-16, as well as support for the hypothesis that effective trauma treatment can lead to reduced conduct problems in this population. [Author summary]
Keywords: Adolescents Control Study Disruptive Behavior Disorders Empirical Study Males Preadolescents Random Clinical Trial RCT Treatment Effectiveness
Accuracy Verified: Yes
192. Rothbaum, B. O. (1997, Summer). A controlled study of eye movement desensitization and reprocessing in the treatment of posttraumatic stress disordered sexual assault victims. Bulletin of the Menninger Clinic, 61(3), 317-334.
Language: English
Format: Newsletter
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new method developed to treat PTSD. This study evaluated the efficacy of EMDR compared to a no-treatment wait-list control in the treatment of PTSD in adult female sexual assault victims. 21 subjects were entered and 18 completed. Treatment was delivered in 4 weekly individual sessions. Assessments were conducted pre- and posttreatment and 3 months following treatment termination by an independent assessor kept blind to treatment condition. Measures included standard clinician- and self-administered PTSD and related psychopathology scales. Results indicated that subjects treated with EMDR improved significantly more on PTSD and depression from pre- to posttreatment than control subjects, leading to the conclusion that EMDR was effective in alleviating PTSD in this study. [Author Abstract]
Keywords: Adults Americans Empirical Study Females Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Survivors Treatment Effectiveness
Accuracy Verified: Yes
193. Marcus, S., Marquis, P., & Sakai, C. (1997, Fall). Controlled study of treatment of PTSD using EMDR in an HMO setting. Psychotherapy, 34(3), 307-315. doi:10.1037/h0087791.
Language: English
Format: Journal
Abstract:
67 individuals diagnosed with PTSD were randomly assigned to either Eye Movement Desensitization and Reprocessing (EMDR) treatment or Standard Care (SC) treatment. Participants were assessed pretreatment, after 3 sessions, and at the completion of treatment using the Symptom Checklist-90, Beck Depression Inventory, Impact of Events Scale, Modified PTSD Scale, Spielberger State-Trait Anxiety Inventory, and Subjective Units of Disturbance. In addition, an independent evaluator assessed participants using DSM-III-R criteria for PTSD including Global Assessment of Functioning at the 3 data points. The individuals in the EMDR treatment group showed significantly greater improvement with greater rapidity than those in the SC treatment group on measures of PTSD, depression, anxiety, and general symptoms. Participants who received EMDR treatment used fewer medication appointments for their psychological symptoms and needed fewer psychotherapy appointments. [Author Abstract]
Keywords: Adults Americans Empirical Study Managed Care Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
194. Heijmans, S. (2008, Januari). Controversie rondom EMDR, Een literatuuronderzoek naar de effectiviteit van EMDR [Controversy surrounding EMDR, a literature review on the effectiveness of EMDR]. Universiteit van Tilburg, Netherlands.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Over de effectiviteit van EMDR bestaat veel controversie. Deze thesis bevat een
kritisch overzicht van de literatuur met betrekking tot de effectiviteit van EMDR. Er wordt
gekeken naar de procedure die EMDR handhaaft en er worden mogelijke verklaringen
gegeven voor de werking van EMDR. Vervolgens wordt de effectiviteit van EMDR
onderzocht bij verschillende soorten aandoeningen en vergeleken met andere
behandelingsvormen. Onderzoek laat zien dat EMDR effectief is bij de behandeling van
PTSS. Ook bij fobieën is EMDR gedeeltelijk effectief. Hier wordt echter voornamelijk een
afname geconstateerd op cognitief niveau en niet gedragsmatig. In vergelijking met
cognitieve gedragstherapie lijkt EMDR evenredig effectief te zijn. Wanneer EMDR echter
vergeleken wordt met exposure therapieën is het niet geheel duidelijk welke
behandelingsvorm het meest effectief is. Exposure therapie is effectiever in de afname van
herbeleving en vermijdingsgedrag, maar EMDR gaat efficiënter te werk. In de discussie
worden vervolgens aanbevelingen gegeven voor toekomstig onderzoek.
There is a lot of controversy about the effectiveness of EMDR. This thesis consists of
a critical overview of the literature concerning the effectiveness of EMDR. First this thesis
will look at the procedure that EMDR maintains and possible explanations for how EMDR
works will be given. Next the effectiveness of EMDR will be researched to see if it differs
between the different diseases. EMDR will also be compared to other treatments. Research
shows that EMDR is an effective treatment when treating PTSD. When treating phobias,
EMDR is partly effective. The effectiveness here is mainly a decrease on a cognitive level and
not a behavioural one. In comparison to CBT EMDR seems to be equally effective. But when
we compare EMDR to exposure treatment it is not fully clear which treatment is the most
effective. Exposure therapy is more effective when it comes to a decrease in reliving and
avoidance, but EMDR has a greater efficiency. At last there will be given recommendations
for future research.
Keywords: Literature Review
Accuracy Verified: Yes
195. Joseph, S. A. (2002, May). Counterpoint: Emperor's new clothes?. The Psychologist, 15(5), 242-243.
Language: English
Format: Magazine
Abstract:
Argues that present-day scientific knowledge is inadequate to warrant the existence of a fully developed therapeutic approach based on eye movements or any other dual-attention task.
A comment on: Francine Shapiro and Louise Maxfield, "In the blink of an eye," Psychologist 15(3): 120-124 (March 2002. [Pilots]
Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Treatment
Accuracy Verified: Yes
196. Dworkin, M. (2001, June). Countertransference and the intersubjective: Directions for treating traumatized clients with EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
EMDR therapists and their clients are always influencing each other in the therapeutic relationship. Attention needs to be paid to the subtle nuances of malattunement, its danger, and the opportunities inhent for potentiating healing.
Keywords: Countertransference Trauma Treatment
Accuracy Verified: Yes
197. Johnson, D. R., & Lubin, H. (2006). The counting method: Applying the rule of parsimony to the treatment of posttraumatic stress disorder. Traumatology, 12(1), 83-99. doi:10.1177/153476560601200106.
Language: English
Format: Journal
Abstract:
A study is described comparing Prolonged Exposure, Eye Movement Desensitization and Reprocessing, and the Counting Method with 51 multiply-traumatized women. Measures of PTSD were significantly reduced by all three methods, but differences among the methods were negligible. Because the Counting Method utilizes only imaginal exposure as a therapeutic element, support is given to the more parsimonious conclusion that imaginal exposure may be both the necessary and sufficient factor in therapeutic effect, countering a trend in the field toward more complex, multi-faceted treatment packages. [Author Abstract]
Keywords: Adults Counting Method Exposure Therapy Females Imaginal Exposure Multiple Traumatic Events Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Survivors Treatment Effectiveness Women
Accuracy Verified: Yes
198. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
199. Holden, S. (2011, October). A creative look at cognitive interweaves. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
Process Oriented Psychology’s founder, Arnold Mindell developed a therapeutic style assuming that everything that happens is meaningful and that the seed of the solution to a disturbance or problem lies within the problem itself.
I will illustrate ways in which subtle signals from unintended, yet meaningful behaviours in EMDR can be woven back into a client’s awareness, and with the help of a little amplification, can provide a Creative Interweave, that helps to move the client on when processing is blocked.
(Author abstract)
Keywords: Cognitive Interweave
Accuracy Verified: Yes
200. Dattilio, F. (2001). Crisis intervention techniques for panic disorder. American Journal of Psychotherapy, 55(3), 388-405.
Language: English
Format: Journal
Abstract:
Panic disorder is estimated to affect more than 4% of the U.S. population. It is assumed that this incident rate increases during crisis situations. While the professional literature is replete with references on the treatment of panic disorders, few authors address the use of nondrug treatment in conjunction with crisis intervention. This article provides an overview of the latest nonpharmacologic interventions for panic along with a description of their effectiveness in reducing the onset of symptomatology as well as preventing relapse during crisis.
Keywords: Crisis Intervention Non-drug Treatment Panic dsiorder Nonpharmacological Interventions
Accuracy Verified: Yes
201. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.
Language: English
Format: Journal
Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
202. Spates, C. R., Waller, S., & Koch, E. I. (2000, Summer). A critique of Lohr et al's (1998) review of EMDR and Lipke's commentary: Of messages and messengers. the Behavior Therapist, 23(7), 148-154.
Language: English
Format: Newsletter
Abstract:
Our goals are as follows: (a) to propose what we believe is a reasonable context within which to evaluate data pertinent to EMDR; (b) to examine how the evidence fits within an evaluation of the more general treatment outcome literature on PTSD; (c) to suggest a constructive direction for future research. [Adapted from Text, p. 148]
A comment on: Jeffrey M. Lohr, David F. Tolin, and Scott O. Lilienfeld, "Efficacy of eye movement desensitization and reprocessing: implications for behavior therapy", Behavior Therapy 29(1): 123-156 (Winter 1998) [20817] and Howard J. Lipke, "Comments on 'Thirty years of behavior therapy..." and the promise of the application of scientific principles", Behavior Therapist 22: 11-14 (1999).
Keywords: Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
203. Lee, C. (2008). Crucial processes in EMDR - More than imaginal exposure. Journal of EMDR Practice and Research, 2(4), 262-268. doi:10.1891/1933-3196.2.4.262.
Language: English
Format: Journal
Abstract:
The processes that underlie the effectiveness of eye movement desensitization and reprocessing (EMDR)
are examined by evaluating the procedural differences between it and exposure therapy. Major factors
include the degree of emphasis placed on reliving versus distancing in the therapies and the degree to
which clients are encouraged to focus on direct trauma experiences versus experiences associated with
the trauma. Research results indicate that, unlike traditional imaginal exposure, reliving responses in
EMDR did not correlate with symptom improvement. Instead, consistent with an information processing
model, the degree of distancing in EMDR was significantly associated with improvement. A case study
is described to highlight these methodological divergences in the respective therapies relating to reliving.
Finally, the research regarding the possible sources of the distancing response within EMDR was
examined. The results indicate that the distancing process was more likely to be an effect produced by
eye movements than by any therapist instructions. Theoretical and research evaluations indicate that the
mechanisms underlying EMDR and traditional exposure therapy are different.
Keywords: Exposure Therapy Information Processing Posttraumatic Stress Disorder PTSD Reliving
Accuracy Verified: Yes
204. Spierings, J. (2001, May). Cultural adaptations of EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
In this presentation the concept of "intercultural competence" is developed. A structured way
is introduced to develop a therapeutic relationship with clients from another culture in order
to build up trust and to bridge cultural differences in styles of processing and expression of
emotion. The eight phases of EMDR will be reviewed and screened for necessary
adaptations, leading to a series of practical guidelines, useful metaphors, rituals, and helpful
concepts.
The presentation will be illustrated with case examples, both successful and less successful.
Keywords: Cultural Adaptations
Accuracy Verified: Yes
205. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.
Language: English
Format: Journal
Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.
Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan
Accuracy Verified: Yes
206. Maxfield, L. (2002, June). Current research perspectives: What we know and don’t know about EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Besides providing an overview of current EMDR research, this presentation examine related clinical implications. Although EMDR is efficacious in PSTD treatment, different studies have achieved a range of results. Factors that might account for this disparity are examined, and their therapeutic relevance is emphasized. Possible explanations for poor outcomes in phobia/panc disorder studies are discussed, with treatment recommendations highlighted. Although fingings for the contribution of eye-movements are inconclusive, this research suggests aspects of dual attention stimulation that could be clinically monitored. Finally, suggestions are made to assist clinicians in objectively assessing client progress and evaluating edivence from their own practices.
Keywords: Research
Accuracy Verified: Yes
207. Maxfield, L. (2007). Current status and future directions for EMDR research. Journal of EMDR Practice and Research, 1(1), 6-14. doi:10.1891/1933-3196.1.1.6.
Language: English
Format: Journal
Abstract:
This review provides the groundwork for a basic understanding of articles written about eye movement desensitization and reprocessing (EMDR), including a brief overview of theory and practice. It documents EMDR's established efficacy in the treatment of PTSD and specifies specific subsets of this population in need of further investigation. The article also provides a review of recent studies evaluating a range of EMDR's clinical applications and outlines new directions for research investigations and for developments in clinical practice. It concludes with an overview of current research evaluating pre- and post-neurobiological changes, and mechanisms of action. Specific recommendations for future areas of investigations are outlined, and rigorous evaluation is strongly encouraged. [Author Abstract]
Keywords: Efficacy Information Processing Literature Review Mechanism of Action Research Needs Review Treatment Effectiveness
Accuracy Verified: Yes
208. Spector, J., & Read, J. (1999, July). The current status of eye movement desensitization and reprocessing (EMDR). Clinical Psychology and Psychotherapy, 6(3), 165-174. doi:10.1002/(SICI)1099-0879(199907).
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing therapy (EMDR) has increasingly been proposed as an effective therapeutic procedure for post-traumatic stress disorder and other mental health problems. However, views on EMDR in the research literature have been polarized. Reasons for this are explored as is the nature and theoretical basis of EMDR. Fifteen controlled studies thus far published on EMDR and PTSD are reviewed, and it is concluded that (i) EMDR is an effective psychotherapy, (ii) EMDR's relative efficacy in comparison to behavioural exposure therapies has yet to be established, (iii) the role of eye movements and laterality in attentional focus remains controversial and (iv) a direct link between the theoretical basis of the therapy and observable psychological and neurobiological changes has yet to be established. [Wiley]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy
Accuracy Verified: Yes
209. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro.
Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato.
Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite.
In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.
The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.
Accuracy Verified: Yes
210. de Jongh, A. & ten Broeke, E. (2007). De behandeling met EMDR: Informatie voor cliënten [Treatment with EMDR (information for clients)]. Psychopraxis, 9(1), 36-38. doi:10.1007/BF03072328.
Language: Dutch
Format: Journal
Abstract:
. Bijlage GGZ Voorlichting.
Eye Movement Desensitization and Reprocessing, afgekort tot EMDR, is een therapie voor mensen die last blijven
houden van de gevolgen van een schokkende ervaring, zoals een verkeersongeval of een geweldsmisdrijf. Het is een
relatief nieuwe therapie. Een eerste versie ervan werd in 1989 beschreven door de ontwikkelaarster ervan, de Amerikaanse
psychologe Francine Shapiro. In de jaren daarna werd deze procedure verder uitgewerkt en ontwikkelde
EMDR zich tot een volwaardige en effi ciënte therapeutische methode. In deze bijdrage zullen we deze methode
nader bespreken.
Mental Health Information annex.
Eye movement desensitization and reprocessing, EMDR for short, is a therapy for sufferers remain
account the effects of a shocking experience as a traffic accident or a violent crime. It is a
relatively new therapy. A first version was described in 1989 by its developer claims, the U.S.
psychologist Francine Shapiro. In subsequent years, this procedure was further elaborated and developed
EMDR is a full and to establish efficient therapeutic method. In this paper we will approach
further discussion.
Accuracy Verified: Yes
211. Leenarts, L. E. W., Doreleijers, Th. A. H., Lindauer, R. J. L., Lodewijks, H. P. B., & Vermeiren, R. R. J. M. (2011, April). De effectiviteit van een traumabehandeling bij getraumatiseerde meisjes in gesloten jeugdinstellingen [The effectiveness of trauma treatment in traumatized girls in closed juvenile institutions]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Achtergrond: Uit onderzoek blijkt dat
in jeugdzorginstellingen geplaatste meisjes vaak
getraumatiseerd zijn en mede hierdoor ernstige
problemen vertonen in het verdere leven. Onderzoek
(Hamerlynck 2008) toont aan dat 85% van de
meisjes een of meer trauma’s heeft meegemaakt
en dat dit gerelateerd is aan zowel openlijke als
heimelijke agressie. Hieruit blijkt de noodzaak om
meisjes in jeugdzorginstellingen bij opname te
onderzoeken op trauma en agressie, ze te behandelen
en om traumabehandelingen te onderzoeken
op hun effectiviteit en op de gevolgen op lange termijn.
Doel: Het doel van het huidige onderzoek
is de effecten vast te stellen van een traumabehandeling
bij meisjes die in een jeugdzorg-plusinstelling
geplaatst zijn. De behandeling die
geëvalueerd wordt, is een stabilisatiefase (met als doel het reduceren van traumagerelateerde klachten) aangevuld met eye movement desensitisation and
reprocessing (emdr).
Methoden: Gebruik wordt gemaakt van
een quasi-experimenteel onderzoeksdesign. De
experimentele groep bestaat uit meisjes die hebben
deelgenomen aan de stabilisatiefase gevolgd
door emdr. De controlegroep bestaat uit meisjes
die treatment as usual (tau) ontvangen. Verschillende
meetmomenten zullen plaatsvinden. De
Childhood Trauma Questionnaire ( ctq) wordt
gebruikt om traumageschiedenis te onderzoeken en de Trauma Symptom Checklist for Children (tscc)
wordt gebruikt om traumaklachten te bevragen.
Resultaten: Tijdens het Voorjaarscongres
zullen de eerste resultaten bekend zijn en
gepresenteerd worden.
Conclusie: Op basis van literatuur kan
verondersteld worden dat een geprotocolleerde
stabilisatiefase gevolgd door emdr effectiever is in de reductie van traumagerelateerde klachten dan
tau bij meisjes in gesloten jeugdzorginstellingen.
Background: Research shows that
girls are often placed in youth welfare institutions
traumatized and because of this serious
exhibit problems later in life. Research
(Hamerlynck 2008) shows that 85% of the
one or more girls experienced trauma
and that this is related to both overt and
covert aggression. This highlights the need to
girls in child welfare institutions in recording
research on trauma and aggression, treat them
and trauma treatments to investigate
their effectiveness and the long-term consequences.
Purpose: The aim of the present study
to determine the effects of trauma treatment
girls in a youth-plus set
placed. The treatment
evaluated, a stabilization phase (with the aim of reducing trauma-related symptoms) supplemented with Eye Movement Desensitisation and
reprocessing (EMDR).
Methods: Use is made of
a quasi-experimental research design. The
experimental group consists of girls who have
participated in the stabilization phase followed
by EMDR. The control group consists of girls
that treatment as usual (TAU) received. Various
measurement points will occur. The
Childhood Trauma Questionnaire (CTQ) is
used to examine trauma history and the Trauma Symptom Checklist for Children (TSCC)
is used to search for trauma symptoms.
Results: During the Spring Congress
the first results are known and
presented.
Conclusion: Based on literature can
believed that food allergies
stabilization phase followed by EMDR is more effective in reducing trauma-related symptoms than
tau girls in secure youth institutions.
Keywords: Girls Juvenile Insitutions Trauma
Accuracy Verified: Yes
212. Ligeon, S. N. (2011). De invloed van oogbewegingen en klikjes op de naarheid en levendigheid van negatieve herinneringen [The influence of eye movements and clicks into the nature and vibrancy of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract: Eye movement desensitization and reprocessing (EMDR) is a widely applied therapy for posttraumatic stress disorder (PTSD). In this therapy patients make eye movements while recalling traumatic memories. It is suggested that EMDR taxes working memory and this reduces ratings of the vividness and emotionality of traumatic memories. Although this has been studied extensively for the effectiveness of eye movements, research on bilateral beeps is scarce. Whit a sample of 42 students we compared the effectiveness of eye movements and bilateral beeps. Results indicate that eye movements are more effective in reducing vividness and emotionality of negative memories. Indirectly testing a mechanism proposed by the Working Memory Theory, we found that participants with a larger working memory focused their attention more on the memory as compared to students with a smaller working memory. In sum we conclude that bilateral beeps are inferior to eye movements in the reduction of vividness and emotionality of memories
Keywords: Intrusive Memory Posttraumatic Stress Disorder PTSD Startle Reflex Working Memory
Accuracy Verified: Yes
213. Rassin, E., Muris, P., & Merckelbach, H. (1996). De pijndempende werking van eye movement desensitization and reprocessing (EMDR) is beperkt [The pain attenuation of EMDR is limited]. Directieve Therapie, 16(3), 274-284. doi:10.1007/BF03060149 .
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd in 1989 door Shapiro geïntroduceerd als een therapeutische techniek voor Posttraumatische stress–stoornis (PTSS). Sindsdien hebben diverse EMDR–;therapeuten geopperd dat deze interventie ook toepasbaar is bij andere trauma–gerelateerde klachten. In een studie van Hekmat, Groth en Rogers (1994) is geclaimd dat EMDR effectief is bij de behandeling van pijn. In het onderhavige onderzoek is deze claim verder onderzocht. Daartoe werden 45 gezonde vrijwilligers onderworpen aan 8 elektrische prikkels. De proefpersonen werden verdeeld over 3 groepen: een groep die behandeld werd met EMDR, een groep die ter afleiding van de prikkels naar een cartoon keek, en een controlegroep waarbij geen verdere interventie werd uitgevoerd. Zowel fysiologische als subjectieve reacties op de pijnprikkels werden geregistreerd. Op geen enkele effectmaat werden verschillen tussen de drie groepen gevonden. In de discussie wordt dit resultaat in een breder perspectief geplaatst.
Eye Movement Desensitization and Reprocessing (EMDR) was introduced by Shapiro in 1989 as a therapeutic technique for posttraumatic stress disorder (PTSD). Since then several EMDR, therapists suggested that this intervention is also applicable to other trauma-related symptoms. In a study by Hekmat, Groth and Rogers (1994) has claimed that EMDR is effective in treating pain. In the present study further investigated this claim. For this purpose, 45 healthy volunteers subjected to 8 electrical stimuli. The subjects were divided into 3 groups: one group treated with EMDR, a group that as a distraction from the stimuli to a cartoon look, and a control group with no further intervention was performed. Both physiological and subjective responses to pain stimuli were recorded. In no effect size differences were found between the three groups. In the discussion, this results in a wider perspective.
Keywords: Pain Attenuation
Accuracy Verified: Yes
214. Veeninga, A., & Hafkenscheid, A. (2005, December). De plaats van EMDR in debehandeling van posttraumatische stressstoornis [EMDR in the treatment of posttraumatic stress disorder]. Gedragstherapie, 38(4), 275-284.
Language: Dutch
Format: Magazine
Abstract:
In korte tijd heeft bereikt, EMDR enorme populariteit als de behandeling van keuze voor posttraumatische stress-stoornissen, zelfs in afwezigheid van een wetenschappelijk geldige theorie over de werkingsmechanismen. Advocaten vaak vet maken claims met betrekking tot effectiviteit. Ze suggereren dat EMDR is vrij eenvoudig uit te voeren om, en dat EMDR weinig last voor de patiënt heeft. Er is enig bewijs dat EMDR is zo effectief als cognitieve gedragstherapie in de behandeling van PTSS. Echter, de hoge verwachtingen met betrekking tot effectiviteit zijn nog niet bevestigd. Als de 'EMDR beweging' beweert dat de status van een officieel en wetenschappelijk gevalideerde psychotherapeutische methode, is onderzoek nodig dat zich kan identificeren met de specifieke effecten van de procedure ten opzichte van de niet-specifieke effecten van psychotherapie.
In short time EMDR has achieved enormous popularity as the treatment of choice for posttraumatic stress disorders, even in absence of a scientifically valid theory on its working mechanisms. Advocates frequently make bold claims regarding effectiveness. They suggest that EMDR is rather simple to perform, and that EMDR has little burden for the patient. There is some evidence that EMDR is as effective as Cognitive Behaviour Therapy in the treatment of PTSD. However, high levels of expectation with regard to effectiveness are not yet confirmed. If the ‘EMDR movement’ claims the status of an official and scientifically validated psychotherapeutic method, research is needed that can identify the specific effects of the procedure relative to the non-specific effects of psychotherapy.
Keywords: Posttraumatic Stress Disorder Psychotherapy Psychotherapeutic Techniques PTSD
Accuracy Verified: Yes
215. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. "Online First".
Language: Dutch
Format: Journal
Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer.
Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental.
Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.
The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue.
Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership.
All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.
Keywords: Mindfulness and Meditation Training, MTT
Accuracy Verified: Yes
216. Littel, M. (2013, April). De rol van emotionaliteit op de effectiviteit van EMDR [The role of emotionality in the effectiveness of EMDR]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Als tijdens het ophalen van een autobiografische herinnering een andere taak wordt uitgevoerd die het werkgeheugen belast, zoals het maken van oogbewegingen, wordt de herinnering waziger terug opgeslagen: de levendigheid en emotionaliteit van de herinnering neemt af. Dit fenomeen kan verklaren waarom EMDR zo goed werkt als behandeling voor PTSD. Al het onderzoek dat tot nu toe gedaan is naar de effecten van oogbewegingen op herinneringen maakte gebruik van emotionele (positieve/negatieve) herinneringen. In de huidige presentatie zal worden ingegaan op de rol van deze emotionaliteit op de effectiviteit van EMDR.
Uit onderzoek blijkt dat emotionele gebeurtenissen beter en gedetailleerder in het geheugen worden opgeslagen dan neutrale gebeurtenissen. Dit gebeurt als gevolg van verhoogde emotionele arousal, ofwel verhoogde afgifte van diverse stoffen in het brein, met als belangrijkste noradrenaline. Als noradrenaline wordt geblokkeerd met medicatie worden emotionele gebeurtenissen namelijk even slecht onthouden als neutrale.
Ook tijdens het ophalen van emotionele herinneringen ontstaat er emotionele arousal. En het blokkeren van noradrenaline na het ophalen van een emotionele herinnering zorgt ervoor dat deze minder intens wordt terug opgeslagen in het geheugen. Emotionaliteit zorgt dus voor betere geheugen (re)consolidatie.
De vraag is nu of het feit dat de in EMDR opgehaalde herinneringen emotioneel geladen zijn belangrijk is voor de effectiviteit van EMDR. En zo ja, zorgt de emotionele arousal die vrijkomt er dan voor dat de wazig-gemaakte herinneringen beter worden opgeslagen in het geheugen? Of werkt het op een andere manier?
In de huidige presentatie zullen de resultaten worden besproken van een studie waarin onderzocht is of ook levendige neutrale herinneringen, net als emotionele herinneringen, door oogbewegingen minder levendig kunnen worden. Voorts zullen plannen besproken worden voor een studie naar oogbewegingen waarin emotionele arousal gemanipuleerd wordt. Ook zullen wetenschappelijke en klinische implicaties worden besproken.
If during the retrieval of autobiographical memories another task that taxed working memory, such as making eye movements, the reminder is stored back blurred: the vividness and emotionality of the memory decreases. This phenomenon may explain why EMDR works so well as a treatment for PTSD. All the research done so far has been on the effects of eye movements made use of emotional memories (positive / negative) memories. In the current presentation will discuss the role of emotionality on the effectiveness of EMDR.
Studies show that emotional events better and more detailed in the memory than neutral events. This happens due to increased emotional arousal, or increased release of various substances in the brain, the main noradrenaline. If norepinephrine is blocked with medication emotional events are remembered because as bad as neutral.
During the retrieval of emotional memories creates emotional arousal. And blocking norepinephrine after getting an emotional memory makes it less intense back stored in memory. Emotionality thus provides better memory (re) consolidation.
The question now is whether the fact that the EMDR retrieved emotionally charged memories are important for the effectiveness of EMDR. And if so, will the emotional arousal released sure the blurry-made memories are better stored in memory? Whether it works in a different way?
In the current presentation, the results are discussed from a study which investigated is whether vivid memories neutral, like emotional memories, by eye movements may be less vivid. Further plans will be discussed for a study of eye movements in which emotional arousal is manipulated. Also, scientific and clinical implications are discussed.
Keywords: Emotionality
Accuracy Verified: Yes
217. Dautovic, E. (2013, April). De toepassing van EMDR bij volwassenen met een complexe PTSS en een licht verstandelijke beperking: Practice en evidence based [The application of EMDR in adults with complex PTSD and mild intellectual disabilities: Evidence-based and practice]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Mensen met een verstandelijke beperking hebben een verhoogde kans op het meemaken van, voor hen, ingrijpende life-events en in het verlengde hiervan een verhoogd risico op het ontwikkelen van een posttraumatische stressstoornis (PTSS). De prevalentie van PTSS blijkt significant hoger te zijn bij mensen met een verstandelijke beperking (VB) dan bij mensen zonder VB. Daarnaast valt in de praktijk, bij deze populatie, de hoge prevalentie van complexe PTSS op.
EMDR is een effectieve behandeling voor PTSS bij mensen zonder VB. Ook wordt EMDR al breed ingezet voor de behandeling van (complexe) PTSS bij mensen met een VB. Er is echter nog maar weinig onderzoek gedaan naar de effectiviteit van EMDR bij deze populatie.
Bij Kristal, centrum voor psychiatrie en verstandelijke beperking, wordt EMDR al een aantal jaar toegepast in de behandeling van volwassenen met een complex trauma en een (lichte) verstandelijke beperking. Hierbij wordt het EMDR-behandelprotocol voor jeugdigen, zoals door de VEN uitgegeven, trouw gevolgd. Dit, echter altijd in combinatie met een stabiliserende pre-treatment, welke onze doelgroep weerbaarder moet maken voor de spanning die een traumabehandeling kan opwekken.
Naast de praktische toepassing, welke deze benadering practice based maakte, heeft binnen Kristal tussen 2010 en 2013, synchroon aan de behandeling, een pilot-onderzoek naar de effectiviteit van deze behandeling gelopen. Dit met het doel deze benadering ook evidence based te maken.
People with intellectual disabilities have an increased chance of experiencing, for them, major life events and by extension an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD was significantly higher in people with intellectual disabilities (VB) than in those without VB. Furthermore falls in practice, in this population, the high prevalence of complex PTSD.
EMDR is an effective treatment for PTSD in people without VB. Even though EMDR is widely used for the treatment of (complex) PTSD in people with VB. However, there is little research on the effectiveness of EMDR in this population.
In Crystal, center for psychiatry and mental retardation, is EMDR for a number of years in the treatment of adults with complex trauma and a (mild) mental retardation . Here the EMDR treatment protocol for young people, as issued by the VEN, faithfully followed. This, however, always in combination with a stabilizing pre-treatment, which our audience resilient to make the stress of trauma treatment can generate.
Besides the practical application, which this approach practice based made, has within Crystal between 2010 and 2013, synchronously treatment, a pilot study on the effectiveness of this treatment occurred. This with the aim of this approach is to make evidence-based.
Keywords: Adults Intellectual Disabilities Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
218. Hornsveld, H., & de Jongh, A. (2011, April). De werkgeheugentheorie: Resultaten en klinische implicaties [The working theory: Results and clinical implications]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Er zijn verschillende theorieën om de gunstige effecten van EMDR te verklaren. De laatste jaren wijst onderzoek op dit terrein steeds meer in de richting van de zogenaamde werkgeheugenhypothese. Niet in de laatste plaats vanwege het onderzoek van Marcel van den Hout, Iris Engelhard en Hellen Hornsveld aan de Universiteit Utrecht. Dit onderzoek kreeg in 2010 in de VS de EMDR Award for Outstanding Research.
In deze presentatie zullen Hellen Hornsveld en Ad de Jongh samen ingaan op dit onderzoek en met name op de klinische implicaties van deze bevindingen. Ook zullen zij nieuwe data presenteren van een onderzoek naar het verschil tussen de effectiviteit van oogbewegingen en ‘klikjes’ binnen een klinische populatie. Aan dit onderzoek hebben een groot aantal leden van de Vereniging EMDR Nederland meegewerkt.
De volgende thema’s zullen in deze presentatie aan bod komen.
1. Het gebruik van klikjes in plaats van oogbewegingen.
2. Het gebruik van ‘flash forwards’ en de nieuwe toepassingen die hierdoor ontstaan binnen
het ‘linksom model’ bij de behandeling van angststoornissen.
3. Het gebruik van bilaterale stimulatie bij RDI, de veilige plek, en positief afsluiten.
Sommige van deze onderwerpen zullen worden geïllustreerd door middel van videoclips. Vanzelfsprekend zal hierbij ook gelegenheid zijn voor discussie.
There are several theories to explain beneficial effects of EMDR. In recent years research in this area points increasingly towards the so-called working memory hypothesis. Not least because of the investigation of Marcel van den Hout, Iris Engelhard and Hellen Hornsveld at Utrecht University. This study was in 2010 in the U.S. EMDR Award for Outstanding Research.
This presentation will Hellen Hornsveld and Ad de Jongh together and discuss this study in particular the clinical implications of these findings. They will also present new data from a study of the difference between the effectiveness of eye movements and "clicks" in a clinical population. In this study have many members of the Association EMDR Netherlands participated.
The following topics will be discussed in this presentation.
1. The use of clicks rather than eye movements.
2. The use of 'flash forwards' and the resultant new applications within
the 'left' model in the treatment of anxiety disorders.
3. The use of bilateral stimulation of RDI, the safe place and positive conclusion.
Some of these issues will be illustrated by video clips. Obviously this will also be opportunity for discussion.
Accuracy Verified: Yes
219. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.
Language: English
Format: Dissertation/Thesis
Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]
Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
220. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.
Language: English
Format: Journal
Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.
Keywords: Aggression Trauma Treatment
Accuracy Verified: Yes
221. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]
Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization
Accuracy Verified: Yes
222. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.
Language: Dutch
Format: Conference
Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan.
De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma:
• Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt.
• Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik).
De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.
Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them.
The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma:
• On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops.
• On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse).
The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.
Keywords: Debriefing
Accuracy Verified: Yes
223. Merson, J. (1999, October 9). Deep impact. Sydney, Australia: Sydney Morning Herald, Good Weekend, 55.
Language: English
Format: Newspaper
Abstract:
In fact, there are now a wide range of therapeutic approaches to treating stress-related disorders. One which has some features in common with the cognitive behavioural approach of trying to desensitise traumatic memory is called Eye Movement Desensitisation and Reprocessing (EMDR).
Keywords: Gary Fulcher General Overview
Accuracy Verified: Yes
224. Arnezeder, K. (2001). Der beziehungsaspekt in der EMDR-behandlung [The relationship aspect of EMDR treatment]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Als Psychotherapeut bin ich in verschiedenen Methoden ausgebildet und diese therapeutische Sozialisation hat in mir die Identität eines „Beziehungsarbeiters“ geschaffen. Meine erste Begegnung mit EMDR war – wie könnte es anders sein – eine traumatische. Beim Schmökern im Buchladen hat mich die Lektüre eines Transskriptes einer EMDRBehandlung in Erschrecken und Erstaunen über die mangelnde Dialogbereitschaft der behandelnden Therapeutin versetzt. Die Klientin berichtet in diesem Transskript von einer traumatischen Erfahrung und die Therapeutin äußert sich dazu in der Form von: „Ja, sehr gut!“ und: „Bleiben Sie dabei!“ Offensichtlich bin ich in eine – wie ich heute weiß – „Reprozessierungsphase“ eines EMDRStandard- Protokolls geraten, und die weitere Lektüre hat suggeriert, dass es bei dieser Methode nicht auf den therapeutischen Dialog und all das ankomme, worin ich mich bislang habe schulen lassen, sondern auf einen durch Augenbewegungen initiierten inneren Verarbeitungsprozess. Inzwischen habe ich beides verarbeitet: sowohl mein Erschrecken als auch mein Erstaunen. Geblieben ist das Interesse an der Bedeutung der therapeutischen Beziehung im Rahmen der EMDR-Behandlung.
As a psychotherapist I am trained in various methods and this therapeutic socialization has created in me the identity of a "worker relationship. My first encounter with EMDR was - how could it be otherwise - a traumatic. Browsing in a bookstore I was reading a script of a Trans EMDRBehandlung in shock and surprise at the lack of dialogue of the treating therapist added. The client reported in this transcript of a traumatic experience and the therapist expresses this in the form of: "Yes, very good," and "Stay there!" Obviously I'm in a - as I now know - "Reprocessing phase" EMDR Standard a protocol advised and further reading has suggested that this method not to the therapeutic dialogue and all that matters is what I have so far can train, but on one eye movements initiated by internal processing. Meanwhile, I had processed both: both my shock and my astonishment. What remains is the interest in the importance of the therapeutic relationship in the context of the EMDR treatment.
Keywords: Transmission Dimension
Accuracy Verified: Yes
225. Schad, N. J. (2011, März). Der soldat, das einstztrauma und EMDR: Spezielle aspekte der behandlung [The soldier, trauma and EMDR: Specific aspects of treatment]. EMDRIA-Day in Berlin, Deutschland.
Language: German
Format: Other
Abstract:
Der Vortrag basiert auf den Erfahrungen einer psychologischen Psychotherapeutin in der Arbeit mit in Auslandseinsätzen traumatisierten deutschen Soldaten. Es werden sowohl die speziellen Stressoren im Einsatz als auch die charakterlichen Merkmale der Soldaten in der Patientenrolle sowie die notwendigen Fähigkeiten auf therapeutischer Seite ausgeführt. Auslösende und die PTBS aufrechterhaltende Bedingungen im Rahmen der Institution deutsche Bundeswehr sowie die daraus resultierenden Probleme und Vorteile werden benannt. Der Vortrag beschäftigt sich mit diversen Herausforderungen, die sich hier im Rahmen einer EMDR-Behandlung stellen wie etwa der Frage nach Schuld und Scham.
The talk is based on the experience of a psychological psychotherapist in working with traumatized German soldiers in missions abroad. There are both the specific stressors in the use of character and the characteristics of the soldiers in the patient role and the skills necessary to run therapeutic side. Triggering and sustaining conditions of PTSD within the institution German Bundeswehr and the resulting benefits and problems are identified. The lecture will deal with various challenges that arise here as part of an EMDR treatment such as the question of guilt and shame.
Keywords: German Bundeswehr Soldier Trauma
Accuracy Verified: Yes
226. Mendez Carrillo, F. M., Quiles Sebastian, M. J., & Ortigosa, J. M. (2002). Desensibilización por movimiento de ojos y reprocesamiento: Una década después [Eye movement desensitization and reprocessing: A decade later]. Psiquis, Revista de Psiquiatria, Psicologia Medica y Psicosomatica 23(1), 39-47.
Language: Spanish
Format: Journal
Abstract:
Zehn Jahre nach Francine Shapiro hat ihren ersten Artikel über Eye Movement Desensitization und die Wiederaufbereitung Methode (EMDR), Interesse an der therapeutischen Anwendung, theoretische Fundierung und physiologischen Mechanismen beteiligt ist gestiegen. Der vorliegende Beitrag führt eine bibliometrische Analyse der wissenschaftlichen Produktion zu dieser Methode ein Jahrzehnt nach ihrer Präsentation in der wissenschaftlichen Gemeinschaft. Die wichtigsten Ergebnisse zeigen, dass die produktivsten Jahre 1996, ist Deutschland das Land, dass die meisten veröffentlichte mit dem Thema und der Autor mit der größeren Anzahl von Literaturangaben Hinsicht ist Francine Shapiro. Auf der anderen Seite ist posttraumatischen Belastungsstörungen der Pathologie, in der EMDR wurde hauptsächlich beantragt hat.
Ten years after Francine Shapiro edited her first article about Eye Movement Desensitization and Reprocessing method (EMDR), interest in the therapeutic application, theoretical basis and involved physiological mechanisms has increased. The present article carries out a bibliometric analysis on the scientific production about this method a decade after its presentation to the scientific community. The main results indicate that the most productive year is 1996, United States is the country that has published most with regard the subject and the author with the greater number of bibliographical references is Francine Shapiro. On the other hand, posttraumatic stress disorder is the pathology in which EMDR has been principally applied.
Accuracy Verified: Yes
227. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: No
228. Bae, H., & Daeho, K. (2012). Desensitization of triggers and urge reprocessing for an adolescent with internet addiction disorder. Journal of EMDR Practice and Research, 6(2), 73-81. DOI: 10.1891/1933-3196.6.2.73.
Language: English
Format: Journal
Abstract:
This case study reports the successful treatment of Internet addiction in a 13- year-old male using four
45-minute sessions of the desensitization of triggers and urge reprocessing (DeTUR) protocol—an addiction
protocol of eye movement desensitization and reprocessing (EMDR; Popky, 2005). This protocol
uses EMDR procedures to process current triggers and positive future templates, but it does not identify
or directly address any past trauma. At baseline, the participant showed a moderate level of Internet addiction
(scoring 75 on Young’s Internet Addiction Test [IAT]) and moderate depression (26 on the Beck
Depression Inventory [BDI]). During assessment, he identified 7 triggers for Internet gaming and rated
the associated urge to engage in the activity with scores of 3–9 on the level of urge scale (0 5 lowest,
10 5 strongest). Using the DeTUR protocol, the level of urge for each trigger was reduced to 2, which
the participants defined as “not being able to think about or crave for the game.” After treatment, his
symptoms had declined to nonclinical levels (38 on IAT and 6 on BDI) and he was able to restrict his
time on the Internet to an hour per day. These therapeutic gains were maintained at 6- and 12-month
follow-up. The DeTUR may be a good treatment option for Internet addiction and further controlled
studies
are needed.
Keywords: Adolescents DeTUR Game Addiction Internet Addiction
Accuracy Verified: Yes
229. Schmidt, S. J., & and Hernandez, A. (2007). The developmental needs meeting strategy: Eight case studies. Traumatology, 13(1), 27-48. doi:10.1177/1534765607299913 .
Language: English
Format: Journal
Abstract:
This study investigates the merits of the Developmental Needs Meeting Strategy (DNMS), a relatively new ego state therapy. The DNMS is based on the assumption that many presenting problems are due to wounded ego states stuck in childhood because of unmet developmental needs. DNMS protocols endeavor to identify and heal the wounded child parts most responsible for a presenting problem. When internal Resource ego states, which serve as competent caregivers, meet the wounded ego states' developmental needs, the wounded ego states become unstuck and heal. Eight participants were recruited from the private practice caseloads of 3 DNMS therapists. All participants reported significant improvement in the targeted problems, with gains maintained at follow-up. These findings suggest that the DNMS has therapeutic potential. [Sage]
Keywords: Developmental Needs Developmental Needs Meeting Strategy Ego State Therapy Introjects Psychodynamic
Accuracy Verified: Yes
230. Laub, B., & Weiner, N. (2011). A developmental/integrative perspective of the recent traumatic episode protocol. Journal of EMDR Practice and Research, 5(2), 57-72. doi:10.1891/1933-3196.5.2.57.
Language: English
Format: Journal
Abstract:
The recent traumatic episode protocol (R-TEP) is an adaptation of the eye movement desensitization reprocessing (EMDR) standard protocol to the acute phases following trauma. In this article, the R-TEP structure and procedures were analyzed from a developmental/integrative perspective. It is proposed that the therapist's developmental understanding and attunement can enhance the therapeutic dyad and can promote flexible decision making while using the R-TEP procedures. One case illustration of a recent trauma intervention demonstrates the advantage of developmental attunement in using the R-TEP. This perspective enables the therapist to pace the various styles of processing as they relate to the different stages of the memory consolidation process.
Keywords: AIP Model Early EMDR Intervention EEI Memory Consolidation Process R-TEP Recent Events Recent Trauma Recent Traumatic Episode Protocol
Accuracy Verified: Yes
231. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.
Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma
Accuracy Verified: Yes
232. Various. (2000, November - December). Dibattito sulla EMDR (Eye movement desensitization and reprocessing) [Debate on EMDR (Eye movement desensitization and reprocessing)]. Avvenuto nelle liste "Psicoterapia" di Psychomedia (PM-PT) e Ipsico.
Language: Italian
Format: Other
Abstract:
Estratto: Ho letto con interesse questo scambio annunci sulla tecnica EMDR. L'EMDR ha anche parlato della recente riunione di Moiano, organizzata da Psicologi per i PeopleOn "modelli di intervento in psicologia di emergenza". Come Moiano, vorrei che potesse approfondire un discorso sul tema, proprio perché in psicologia dello stress post-traumatico, l'EMDR è uno dei temi più controversi discussi da una dozzina di anni. A partire dal accuse "scioccanti" di Francine Shapiro, il creatore del metodo con cui la grande maggioranza delle forme di PTSD regrediti rapidamente con alcune sessioni sono associati con i movimenti oculari saccadici evento traumatico 'immagini, ha sviluppato una linea di grandi dimensioni di ricerca si propone di empiricamente testare la reale efficacia del metodo. I risultati di questi studi sono almeno ambigui. Ciò è sottolineato con forza, come in diverse occasioni i ricercatori indipendenti riuscito a replicare i risultati eccezionali che l'insegnamento EMDR IncorporatedThe azienda vende negli Stati metodo di insegnamento Uniti, hanno pubblicato.
Excerpt: I read with interest this exchange listings on the EMDR technique. EMDR has also spoken of the recent meeting of Moiano, organized by Psychologists for the PeopleOn "models of intervention in emergency psychology". As Moiano, I wish it could deepen a discourse on the subject, precisely because in the psychology of post-traumatic stress, EMDR is one of the most controversial topics discussed by a dozen years now. Starting from the allegations "shocking" of Francine Shapiro, the creator of the method by which the vast majority of forms of PTSD regressed rapidly with some sessions are associated with eye movements saccadic 'imagery traumatic event, has developed a large line of research seeks to empirically test the real effectiveness of the method. The results of these trials are at least ambiguous. This is strongly emphasized, as on several occasions independent researchers failed to replicate the outstanding results that teaching EMDR IncorporatedThe company sells in the United States teaching method, have published.
Accuracy Verified: No
233. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998)
EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw.
Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen.
EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999)
Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994).
EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000)
EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).
That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).
Keywords: Chronic Pain Chronic Pain Protocol Protocol
Accuracy Verified: Yes
234. Wagner, F. E., & Seidler, G. H. (2005). Die wirksamkeit von EMDR im direkten vergleich zur kognitiv-behavioralen therapie in der behandlung von PTSD: Eine metaanalytische betrachtung [The efficacy of EMDR in the treatment of PTSD compared to cognitive-behavioral therapy: A meta analytical examination]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 3(2), 61-72.
Language: German
Format: Journal
Abstract:
In dieser metaanalytischen Betrachtung werden EMDR und kognitiv-behaviorale Therapie direkt miteinander verglichen. Mittlerweile liegen hierzu sieben Originalarbeiten vor. Unsere Ergebnisse legen nahe, dass beide Therapieformen eine ähnlich hohe Wirksamkeit besitzen. Die Überlegenheit einer Behandlungsmethode ist mit der momentanen Datenlage jedoch nicht nachweisbar. Dennoch scheint es Moderatorvariablen zu geben, welche die Therapieeffektivität beeinflussen. Die geringe Anzahl der Originalstudien lässt jedoch eine nähere Untersuchung dieser Faktoren gegenwärtig nicht sinnvoll erscheinen.
In this meta-analytical examination we directly compared EMDR to cognitive-behavioral therapy. At present there are seven original studies concerning the subject. Our results suggest that both treatments tend to be equally effective. The superiority of one treatment over the other cannot be proved with our data. Nonetheless there seem to be moderator variables that influence the treatment efficacy. But the small number of original studies makes a closer examination of these variables rather pointless. [Author Summary]
Keywords: Cognitive Therapy Exposition Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
235. Schubbe, O. (2000). Die wirksamkeit von EMDR: Zur behandlung posttraumatischer störungen [The effectiveness of EMDR]. Institut für Traumatherapie.
Language: German
Format: Other
Abstract:
Der steile Weg von EMDR zur wissenschaftlichen Anerkennung war von Anfang an von großer Begeisterung und heftigen wissenschaftlichen Kontroversen begleitet. Shapiros erste Berichte (1989a, 1989b) mit Darstellungen der Vorgehensschritte beschrieben bedeutsame Besserungen der Posttraumatischen Belastungsstörung (PTBS) nach einer einzigen Sitzung "Eye Movement Desensitization" (EMD). Auf dem Hintergrund, dass PTBS bis dahin als schwer behandelbar und die Behandlungsmethoden als langwierig, anstrengend und begrenzt wirksam galten (Solomon, Gerrity, & Muff, 1992), stieß EMDR zunächst auf skeptische Zurückhaltung. Zu diesem Zeitpunkt gab es nur noch eine weitere Wirksamkeitsstudie zur Therapie von PTBS, in der Peniston (1986) 45 Sitzungen Entspannung und Systematische Desensibilisierung plus Biofeedback mit einer Kontrollgruppe ohne Therapie verglichen und nur bei einzelnen Symptomen [Albträume, Muskelanspannung, Angst] von PTBS einen signifikanten Rückgang festgestellt hatte. Im Jahr der ersten Untersuchung von Francine Shapiro wurden noch drei weitere Untersuchungen zur Behandlung von PTBS veröffentlicht, von denen keine auch nur annähernd vergleichbare Behandlungserfolge berichten konnte.
The steep path of EMDR to the scientific recognition was accompanied by the beginning of great enthusiasm and fierce scientific controversies. Shapiro's first reports (1989a, 1989b) with descriptions of the action steps described significant improvement of post-traumatic stress disorder (PTSD) after a single session "Eye Movement Desensitization (EMD). On the background of PTSD until then treated as serious and the treatment methods were considered to be lengthy, exhausting, and have limited effect (Solomon, Gerrity, & Muff, 1992), EMDR struck first on skeptical restraint. At this time there was only one additional efficacy study for the treatment of PTSD, in the Peniston (1986) 45 meetings, relaxation and systematic desensitization plus biofeedback with a control group compared with no therapy and only in individual symptoms [nightmares, muscle tension, fear] of PTSD a significant decrease was noted. In the first investigation by Francine Shapiro, three other studies have been published for the treatment of PTSD, which was able to report not even close to comparable treatment results.
Keywords: Effectiveness Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
236. Leeds, A. M. (1992, May). Difficult cases. EMDR Network Newsletter, 2(1), 7.
Language: English
Format: Newsletter
Abstract: H
ave you experienced atypical responses
to EMDR, lack of progress,
even outright therapeutic failures?
You are invited to submit your challenging
clinical problems to "Difficult
Cases." "Difficult Cases" will be a
regular column in future EMDR Network
new letter^. Your proposed solutions
are welcome, but are not necessary.
Remember, you are not the
only one encountering these problems.
Keywords: Difficult Cases
Accuracy Verified: Yes
237. Vanderlinden, J., & van Bellinghen, M. (2007). Dilemma’s voor de therapeut: De behandeling van een onder doodsbedreiging verkrachte vrouw [Dilemmas for the therapist: Treatment of a raped woman under death threat]. Directieve Therapie, 27(2), 58-62. doi:10.1007/BF03056845 .
Language: Dutch
Format: Journal
Abstract:
In dit artikel wordt de behandeling beschreven van een vrouw met een ernstige eenmalige traumatische ervaring. Na een moeizame start waarbij de cliënte aanvankelijk psychiatrisch-psychotherapeutisch wordt begeleid, komt er een spectaculaire verbetering na één sessie EMDR. Deze verbetering houdt echter slechts tijdelijk stand, onder meer omdat cliënte zich plotseling erg bedreigd voelt ten gevolge van een gerechtelijke beslissing. Deze tijdelijke terugval illustreert hoe de maatschappelijke en juridische context bijdragen aan het verwerken van ernstige traumatische gebeurtenissen. Tot slot volgt een reflectie op allerlei therapeutische dilemma’s bij planning van deze traumabehandeling.
This article describes the treatment of a woman who was victim of a severe traumatic experience. Since a psychotherapeutic and psychiatric approach only resulted in a small amelioration, an EMDR session was planned resulting in a spectacular improvement. The improvement however was temporarily undone when the woman received a judicial notice stating that her offender was taking the case to Supreme Court. This setback illustrates how social and judicial context attributes to the processing of extreme traumatic experiences. The article concludes with a reflection on the therapeutic dilemmas concerning this trauma treatment.
Keywords: Death Threat Rape Women
Accuracy Verified: Yes
238. Baardseth, T. P. (2012, May). Direct comparisons of cognitive-behavioral treatments and bona fide non-cognitive-behavioral treatments for adult anxiety disorders: A meta-analysis. University of Wisconsin, Madison, WI.
Language: English
Format: Dissertation/Thesis
Abstract:
Despite growing evidence that all treatments intended to be therapeutic (i.e., bona fide
treatments) are equally efficacious, the question of relative efficacy persists. In fact, cognitivebehavioral
treatments (CBT) have gained a more favorable status over non-CBT treatments for
adult anxiety disorders. However, the assertion that CBT treatments are superior is premature
due to conceptual and methodological issues affecting the extant CBT research. This metaanalysis
addressed these limitations by consensually identifying CBT treatments and determining
the true relative efficacy of bona fide CBT and bona fide non-CBT treatments for adult anxiety
disorders. The study employed strict inclusion criteria to identify randomized clinical trials that
contained at least one direct comparison of a bona fide CBT treatment and a bona fide non-CBT
treatment. Additionally, 91 CBT experts from the Association of Behavioral and Cognitive
Therapists (ABCT) were surveyed to identify the bona fide treatments as CBT or non-CBT.
Thirteen clinical trials met inclusion criteria. CBT treatments and non-CBT treatments were
found to be equally efficacious across targeted and non-targeted outcome measures. Additional
analyses revealed that researcher allegiance did not account for the significant heterogeneity. The
results are consistent with the increasing evidence for uniform efficacy among treatments
intended to be therapeutic, and stand in contrast to assertions for the superiority of CBT
treatments for adult anxiety. This meta-analysis contributes to the growing body of research
revealing that a particular therapeutic approach is not more effective than another treatment
when intended to be therapeutic.
Keywords: Adults Anxiety Disorders Meta-Analysis
Accuracy Verified: Yes
239. Charbit, J. (2007, September). Discussion: Quel est l’effet spécifique des mouvements oculaires? [What is the specific effect of eye movements?]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 527-528 .
Language: French
Format: Journal
Abstract: Réponse du Rapporteur – Depuis son élaboration, l’EMDR (Eye Movement Desensitization and Reprocessing), en tant que technique psychothérapique brève, a suscité des études aussi
nombreuses que diverses. S’inscrivant dans différentes perspectives, les auteurs de ces recherches ont axé leurs travaux soit pour démontrer l’efficacité de cette technique par rapport à d’autres traitements aussi bien pharmacologiques que psychothérapiques,
soit pour souligner l’importance de certaines
composantes spécifiques à l’EMDR comme la bilatéralisation des mouvements oculaires (MO) [ou d’autres stimuli], soit,
enfin, pour jeter les bases d’un modèle neuropsychologique pouvant constituer un cadre théorique explicatif.
Rapporteur's answer - Since its development, EMDR
(Eye Movement Desensitization and Reprocessing), as Technical brief psychotherapy, has also prompted studies numerous and diverse. As part of different perspectives, the authors of these studies have focused either to demonstrate the effectiveness of this technique over
to other treatments as well as pharmacological psychotherapy, either to emphasize the importance of certain components specific to EMDR as bilateralization eye movement (MO) [or other stimuli] or, finally, to lay the groundwork for a neuropsychological model
may constitute a theoretical explanation.
Keywords: Eye Movements
Accuracy Verified: Yes
240. Chen, C. H. & Chang, S. H. (2009). Dismantling effect of eye movement and positive cognition components of EMDR on the treatment of cockraoch phobias. National Taiwan University, Taipei, Taiwan.
Language: English
Format: Dissertation/Thesis
Abstract:
This dismantling study investigated the therapeutic effects of eye movement and
positive cognition components on phobias. Forty female Ss with cockroach phobias
received a single therapy session. The therapy conditions constituted a 2 (eye
movement/non eye movement) × 2 (treatment procedure: positive cognition
installed/negative cognition prolonged) between subject design. The results revealed
that all groups showed significant therapeutic effects according to macro therapeutic
indices and with regard to some micro indices such as SUDs, HRs and VOCs for
negative cognition. However, VOCs for positive cognition were significantly
increased only for the eye movement group. The findings suggested that although
exposure itself might be effective in treating phobias, eye movement could further
promote participants’ VOCs for positive cognitions at the second treatment stage,
probably by facilitating information processing.
Keywords: Coackroach Phobia Dismantling Study Positive Cognition
Accuracy Verified: Yes
241. Lanius, U. F. (2001, June). Dissociation processes and EMDR: Staying connected. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular; 2) apply effective treatment planning, target selection, and the use of both body-oriented (bottom-up processing); 3) learn to utilize interventions intended to minimize dissociative symptoms; and 4) learn techniques that aid clients in becoming reconnected, once dissociative processes have occurred.
Keywords: Dissociation
Accuracy Verified: Yes
242. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.
Language: English
Format: Newsletter
Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.
Keywords: Dissociation
Accuracy Verified: Yes
243. Lanius, U. F. (2004, September). Dissociative processes and EMDR – Staying connected. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
A model is proposed, based on recent research in neuroscience and the neurobiology of dissociation and attachment, that guides therapeutic interventions in general and EMDR treatment in particular. Participants will become familiar with specific interventions intended to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected, once dissociative processes have occurred. That is, a comprehensive therapeutic approach is described to aid clients with dissociative symptoms to stay connected, and in some cases reconnect with their healing process, thereby enhancing the likelihood of efficient information processing during EMDR treatment.
Keywords: Dissociation
Accuracy Verified: Yes
244. Fraser, G., & Welburn, K (1999, November). Dissociative table technique: Guided imagery strategy for PTSD with dissociation. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
In keeping with the theme of bridging gaps across disciplines, the
Dissociative Table Technique brings to this trauma conference a
strategy from the field of dissociative disorders. This therapeutic
adjunct has been used by many therapists over the past 10 years
for managing dissociated ego states in trauma victims who also
have dissociation as part of their clinical picture. This strategy has
been used with dissociative disorders, Ego-State therapy and more
recently in conjunction with EMDR for patients having dissociative
state alterations in addition to their PTSD. This guided
imagery strategy provides a protocol for clinical intervention in
such clients and will provide an additional therapeutic adjunct for
trauma workers when PTSD is complicated by dissociative pathology.
Based on gestalt, guided imagery and hypnosis strategies, the
Dissociative Table Technique assists the clinician to bring order to
the random dissociation which can complicate therapy in such
cases. Also clients can be taught to become aware of and integrate
dissociated ego states. This strategy must be carefully considered as
it can have a profound effect on the dissociative processes. It is
advised that it only be employed by clinicians whose fields permit
hypnosis-based therapy.The workshop will commence with a therapeutic
rationale for this technique followed by an outline of the
clinical application. Included will be a video introducing the technique
in a clinical case. The video will be followed by a second
speaker discussing possible applications to EMDR. Useful suggestions
for utilizing EMDR in this trance-prone population (those
with dissociation in addition to PTSD) will be addressed in addition
to presenting clinical examples in which the Dissociative Table
Technique was integrated with EMDR in appropriate clinical
groups.
Keywords: Dissociative Table Technique Dissociation Guided Imagery Poster Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
245. Muret, M. (2010, April). Dissociative vs. associative techniques to treat dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
In the past two decades, various effective techniques have been developed for the treatment of trauma: EMDR, EMI, EFT, OEI, NLP, SE, etc. These different techniques inevitably raise the question: “Which techniques should be used for which patients? “ Because dissociative disordered patients may react to trauma work with dissociative detachment, a "low impact" technique is needed. Thus, therapeutic approaches that employ a certain degree of dissociative distancing seem to be well-suited to dissociative patients. Richard Bandler (NLP) and, more recently, Cary Craig (EFT) have developed calm, nondramatic ways to address trauma and solve problems. EMDR, a more associative method, seems better suited to stable patients who possess good resources. This workshop will present a continuum that locates techniques along a scale of increasing degrees of confrontation. Special attention will be given to EFT (Emotional Freedom Techniques), an easy-to-learn method. Techniques for reinforcing the Somatic Self during EMDR sessions will be explained. The second part of this workshop will present a conceptualization for these techniques, based on the works of Stephen Porges, Ellert Nijenhuis and Mihaly Csikszentmihalyi (Flow Theory).
Learning Outcomes The attendee will learn to consider the danger(retraumatization) of an intervention. According to the kind of patient and situation, he will be better able to choose the best available technique. For newcomers a basic methode of EFT will be taught, that can be later used in simple cases. Through a "participative" teaching the attendee will understand and integrate difficult abstracts concepts like: polyvagal model, structural dissociation, mental tension, ...
Keywords: Associative Techniques Dissociation Dissociative Technqiues
Accuracy Verified: Yes
246. Freyberger, H. J., & Spitzer, C. (2005, Juli). Dissoziative störungen [Dissociative disorders]. Der Nervenarzt, 76(7), 893-900. doi:10.1007/s00115005-1956-z .
Language: German
Format: Magazine
Abstract:
Die dissoziative Störungen und Konversion sind mit erheblichen klassifikatorischen, diagnostische und therapeutische Schwierigkeiten, die nur in den historischen Kontext der Diskussion über die Hysterie verstanden werden kann, verbunden. Auch die Einstufung in die ICD-10 und DSM-IV ist heterogen. Prävalenzraten zwischen etwa 3% in der allgemeinen Bevölkerung und bis zu 30% in klinischen Populationen, jedoch beziehen sich auf die große klinische Bedeutung. Realtraumatisierungen eine wichtige Rolle in der Pathogenese. High Komorbiditätsraten mit anderen psychischen Störungen eine Tendenz zu chronischen somatischen Erkrankung und ein Konzept (insbesondere bei Patienten mit Erkrankungen erschweren Umwandlung) der psychotherapeutischen Behandlung. Dies erlaubt die Behandlung Ziele sind sowohl psychodynamische und kognitiv-verhaltenstherapeutischen in Abhängigkeit entwickelt, möglicherweise mit den Techniken der Trauma-Therapie, wie EMDR (Springer).
The dissociative and conversion disorders are associated with significant classificatory, diagnostic and therapeutic difficulties that can be understood only in the historical context of the discussion on hysteria. Even the classification in ICD-10 and DSM-IV is heterogeneous. Prevalence rates of between about 3% in the general population and up to 30% in clinical populations, however, refer to the great clinical significance. Realtraumatisierungen have an important role in the pathogenesis. High Komorbiditätsraten with other mental disorders, a tendency to chronic somatic disease and a concept (especially in patients with conversion disorders complicate) the psychotherapeutic treatment. This allows the treatment goals are designed both psychodynamic and cognitive-behavioral dependence in, possibly with the techniques of trauma therapy such as EMDR (Springer).
Keywords: Chronicity (Disorders) Comorbidity Conversion Disorder Diagnosis Dissociative Disorders Epidemiology Etiology Psychotherapy Somatization
Accuracy Verified: Yes
247. Mills, S., & Hulbert-Williams, L. (2012, September). Distinguishing between treatment efficacy and effectiveness in post-traumatic stress disorder (PTSD): Implications for contentious therapies. Counselling Psychology Quarterly, 25(3), 319-330. doi:10.1080/09515070.2012.682563.
Language: English
Format: Journal
Abstract:
Research psychologists often complain that practitioners disregard research evidence whilst practitioners sometimes accuse researchers of failing to produce evidence with sufficient ecological validity. We discuss the tension that thus arises using the specific illustrative examples of two treatment methods for post-traumatic stress disorder: eye movement desensitisation and reprocessing and exposure-based interventions. We discuss the contextual reasons for the success or failure of particular treatment models that are often only tangentially related to the theoretical underpinnings of the models. We discuss what might be learnt from these debates and develop recommendations for future research.
Keywords: Clinical Medicine Patient-Centered Care Posttraumatic Stress Disorder Practice Psychotherapists' Attitudes PTSD Research
Accuracy Verified: Yes
248. Mosquera, D., & González-Vázquez, A. (2012, March-April). Disturbo borderline di personalità, trauma e EMDR [Borderline personality disorder, trauma and EMDR]. Rivista di Psichiatria, 47(2 Suppl. 1):26S-32S. doi: 10.1708/1071.11736. .
Language: Italian
Format: Journal
Abstract:
Gli autoriesaminano i diversi criteri diagnostici per il disturbo borderline di personalità, leggendoli secondo la prospettiva del modello dell’elaborazione adattiva dell’informazione e indicandoli come guida all’esplorazione e ricerca di ricordi traumatici di natura relazionale, che hanno a che fare con la storia di attaccamento e che possono essere affrontati grazie al lavoro terapeutico con l’EMDR.
The authors step by the diagnostic criteria for Borderline Personality Disorder, viewing them from the perspective of the Adaptive Information Processing e pointing them as a guide for exploration and search of traumatic interpersonal events connected to attachment story and which can be addressed by the therapeutic work with EMDR.
Keywords: Attachment Borderline Personality Disorder Complex PTSD C-PTSD Trauma
Accuracy Verified: Yes
249. Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P. P., Turner, S., & Yule, W. (2010, March). Do all psychological treatments really work the same in posttraumatic stress disorder?. Clinical Psychology Review 30(2), 269–276. doi:10.1016/j.cpr.2009.12.001.
Language: English
Format: Journal
Abstract:
A recent meta-analysis by Benish, Imel, and Wampold (2008, Clinical Psychology Review, 28, 746-758) concluded that all bona fide treatments are equally effective in posttraumatic stress disorder (PTSD). In contrast, seven other meta-analyses or systematic reviews concluded that there is good evidence that trauma-focused psychological treatments (trauma-focused cognitive behavior therapy and eye movement desensitization and reprocessing) are effective in PTSD; but that treatments that do not focus on the patients' trauma memories or their meanings are either less effective or not yet sufficiently studied. International treatment guidelines therefore recommend trauma-focused psychological treatments as first-line treatments for PTSD. We examine possible reasons for the discrepant conclusions and argue that (1) the selection procedure of the available evidence used in Benish et al.'s (2008)meta-analysis introduces bias, and (2) the analysis and conclusions fail to take into account the need to demonstrate that treatments for PTSD are more effective than natural recovery. Furthermore, significant increases in effect sizes of trauma-focused cognitive behavior therapies over the past two decades contradict the conclusion that content of treatment does not matter. To advance understanding of the optimal treatment for PTSD, we recommend further research into the active mechanisms of therapeutic change, including treatment elements commonly considered to be non-specific. We also recommend transparency in reporting exclusions in meta-analyses and suggest that bona fide treatments should be defined on empirical and theoretical grounds rather than by judgments of the investigators' intent. Copyright © 2009 Elsevier Ltd. All rights reserved.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
250. Vanderlinden, J. (2010, May/June). Do different psychopathological pathways into eating disorder necessitate different therapeutic goals and/or approaches?. European Eating Disorders Review, 18(3), 161–164. doi:10.1002/erv.1022 .
Language: English
Format: Journal
Abstract:
This paper presenst a plea for a more flexible therapeutic approach which focuses not only on the underlying cognitions, behaviours and emotions related to the eating disorder, but an approach that adapts its focus depending also on the psychopathological pathway which has led to the development of the eating disorder.
Keywords: Eating Disorders Pathogenesis Psychotherapy
Accuracy Verified: Yes
251. Tym, R., Dyck, M., & McGrath, G. (2000, July-August). Does a visual perceptual disturbance characterize trauma-related anxiety syndromes?. Journal of Anxiety Disorders, 14(4), 377-394. doi:10.1016/S0887-6185(00)00029-3.
Language: English
Format: Journal
Abstract:
The i-test was developed to assess the visual-perceptual disturbances (VPDs) frequently reported by anxious patients. Persons with the disturbance report a specific abnormal illusion of movement when they maintain a fixed gaze at the i-test stimulus. Base rates for positive responses to the i-test and for reports of a "recurrent specific memory" (RSM) of a fear experience were obtained in psychiatric outpatient (n = 301) and community (n = 128) samples. In each case, approximately one fifth of participants had a positive response to the i-test and one fifth of participants reported an RSM of fear. A positive response to the i-test is observed in women more frequently than in men. Among psychiatric patients, approximately 90% of patients who report one symptom also report the other symptom; among community members, the concordance rate is approximately 33%. When psychiatric patients with both an abnormal illusion of movement response and an RSM of trauma are treated with eye movement desensitization, both symptoms are removed in 70% of cases; when these patients undergo some other form of treatment, both symptoms are removed in 30% of cases. These results indicate that the i-test is an effective way of identifying VPDs associated with psychopathologic conditions; the association between the abnormal illusion of movement and reports of recurrent specific memories of fear experiences suggests that the VPD may be a marker of traumatic stress syndromes. [Author Abstract]
Keywords: Adolescents Adults Assessment Children Depressive Disorders Females Males Injuries Memory Retrieval Techniques Posttraumatic Stress Disorder PTSD Somatic Symptoms Survivors Treatment Effectiveness Visual Hallucinations Witnesses
Accuracy Verified: Yes
252. Cahill, S. P., Carrigan, M. H., & Frueh, B. C. (1999, January-April). Does EMDR work? And if so, why?: A critical review of controlled outcome and dismantling research. Journal of Anxiety Disorders, 13(1-2), 5-33. doi:10.1016/S0887-6185(98)00039-5.
Language: English
Format: Journal
Abstract:
Research on Eye Movement Desensitization and Reprocessing therapy (EMDR) was reviewed to answer the questions “Does EMDR work?” and “If so, Why?” This first question was further subdivided on the basis of the control group: (a) no-treatment (or wait list control), (b) nonvalidated treatments, and (c) other validated treatments. The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety. Second, EMDR appears at least as effective or more effective than several nonvalidated treatments (e.g., relaxation, active listening) for posttraumatic stress reactions. Third, despite statements implying the contrary, no previously published study has directly compared EMDR with an independently validated treatment for posttraumatic stress disorder (e.g., therapist-directed flooding). In the treatment of simple phobia, participant modeling has been found to be more effective than EMDR. Fourth, our review of dismantling studies reveals there is no convincing evidence that eye movements significantly contribute to treatment outcome. Recommendations regarding further research directions are provided(ScienceDirect).
Keywords: Anxiety Disorders Literature Review PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
253. Tallis, F., & Smith, E. (1994, May). Does rapid eye movement desensitization facilitate emotional processing?. Behaviour Research and Therapy, 32(4), 459-461. doi:10.1016/0005-7967(94)90010-8 .
Language: English
Format: Journal
Abstract:
Recent years have seen considerable interest in rapid eye movement desensitization (REMD), a novel procedure for the treatment of traumatic memories and related conditions. REM is usually administered as a component of a broader therapeutic procedure, now termed eye movement desensitization and reprocessing (EMDR). On the basis of previous and largely uncontrolled work, it is not clear to what degree therapeutic gains can be attributed exclusively to REMD. Following exposure to a contrived trauma, Ss were allocated to one of three conditions: REMD; slow eye movement desensitization (SEMD); and stationary-imagery (SI; i.e. no eye movement). Emotional processing was significantly impaired in the REMD group compared to the SEMD and SI groups. No significant differences were found between the SEMD and SI groups. [Author Summary]
Keywords: Experimental Stressor Random Clinical Trial RCT Survivors Young Adults
Accuracy Verified: Yes
254. Shapiro, F. (1995, September/October). Doing our homework. Family Therapy Networker, 19(5), 49-53.
Language: English
Format: Journal
Abstract:
Michael Lerner's call to arms at last spring's Family Therapy Network Symposium (see page 44) challenged therapists to become a greater moral force in the world and to take more responsibility for the collective good. Lerner stirred an audience of 2,500 therapists with his impassioned appeal for the mental health community to mobilize politically, yet 1 was struck by an important omission in his address there was little mention of our own individual and collective responsibility for the current crises feeing our profession. I don't think therapists can take the moral high ground with anyone when we haven't cleaned up our own house.
I remember hearing about a conversation in which a therapist who said he did family therapy was asked where he was trained. "What's the big deal?' he replied. "I'm a therapist and 1 was born into a family. What more do I need?" I asked the person who told the story, "How did you respond to that?" She shrugged and said, "Nothing. You know how people are. It goes on all the time."
In a field that prides itself on its mavericks and creative innovators, from Freud to Milton Erickson, doing therapy without training is often viewed as an indicator of a willingness to reject stultifying orthodoxies and break with outmoded clinical traditions. But the argument that individual clinicians need the autonomy to work intuitively can often become an excuse for not bothering to become thoroughly prepared and knowledgeable about what has already been developed.
As the originator of a new therapeutic approach called Eye Movement De-sensitization and Reprocessing (EMDR), I have had the opportunity to get a close-up view of how therapists incorporate new clinical methods into their practices. After publishing a controlled study on EMDR in 1989, I decided to teach it to licensed mental health professionals as an experimental procedure. This way, as we awaited further research, clinicians could use EMDR judiciously, careful to employ other procedures if the method did not work. However, I soon began getting reports about clients who appeared to be harmed by EMDR and discovered that they had been treated with improvised versions of the method taught to their therapists by past participants in EMDR trainings. Some participants had even trained lay hypnotists and massage therapists in their version of EMDR. There seemed to be little understanding that you are not qualified to teach something you just learned. My psychiatrist friends laughed at my shock and said, "Why are you surprised? Haven't you heard of 'See one, do one, teach one?" Advertisements for "eye movement therapy" started appearing around the country taught by people who had never been fully trained themselves. Some even started to run workshops based on their reading of the two-page procedure section of my eight-year-old research publication.
The intentions of these therapists may have been benign, but the consequences for their clients were sometimes disastrous. One young woman who had been raped was treated by a therapist who had heard that EMDR was useful for treating trauma. Without any other information, preparation or procedural safeguards, the therapist started using the eye movement component of EMDR, without any real grasp of the method. The young woman appeared to calm slightly, but when she returned home, she started crying uncontrollably, ended up in a fugue state and had to be hospitalized. When I told the story to another therapist, his response was, "Clients do that all the time. How do you know it wouldn't have happened anyway?" The answer is I don't, but I know that there is much less likelihood of a client being hurt if clinicians are well trained in their methods. As long as we shrug off the use of methods by colleagues who haven't been adequately trained in them, we have to accept part of the responsibility for their results.
Accuracy Verified: Yes
255. Samec, J. R. (2005, December). Dorothy's dilemma: A patient with an insecure base for treatment. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
A traumatized adolescent, sensitive to rejection and exposed to real threat by the perpetrator who caused past traumatisation, would seem to have an insecure base for therapeutic treatment. Such a patient may have difficulty developing resources according to the Eye Movement Desensitization and Reprocessing (EMDR)-resource installation procedure and accepting EMDR-cognitive interweaves. Treatment of such a patient demonstrates that therapy is possible, if the patient is given the possibility to confront the perpetrator in an imaginary anticipatory situation and process that event with EMDR, even though not all past and current issues have been completely treated.[Author abstract]
Keywords: Adolescents Client Readiness Cognitive Interweave Resource Installation Trauma
Accuracy Verified: Yes
256. Samec, J. R. (2005, Februari). Dorothys dilemma, När en patient inte har en trygg bas för behandling [Dorothy’s Dilemma: A patient with an insecure base for treatment]. EMDR Tidningen.
Language: Swedish
Format: Newsletter
Abstract:
James R. Samec, leg. psykoterapeut med privat verksamhet i Stockholm och Norrtälje. Han är
också verksam vid barn- och ungdomspsykiatriska mottagningen i Norrtälje. Artikeln är en
omarbetad version av den som publicerades i EMDR-tidningen i februari 2005. Författaren tackar
också leg. psykoterapeut Lotta Landerholm för hennes ovärderliga och insiktsfulla observationer.
Hur gör man när en patient vägrar att berätta om vad hon har varit utsatt för, vem som utsatt henne
för det och hotar henne i hennes aktuella liv? Denna artikel illustrerar hur psykodynamisk
psykoterapi med Eye Movement Densensitization and Reprocessing (EMDR) ger möjlighet att
bearbeta ett trauma utan att psykoterapeuten vet vem och vad patienten har varit utsatt för och hur
en omvänd applicering av EMDR kan hjälpa en patient som fortfarande är utsatt för den förövaren
som orsakade traumatiseringen.
A traumatized adolescent, sensitive to rejection and exposed to real threat by the perpetrator who caused past traumatisation, would seem to have an insecure base for therapeutic treatment. Such a patient may have difficulty developing resources according to the Eye Movement Desensitization and Reprocessing (EMDR)-resource installation procedure and accepting EMDR-cognitive interweaves. Treatment of such a patient demonstrates that therapy is possible, if the patient is given the possibility to confront the perpetrator in an imaginary anticipatory situation and process that event with EMDR, even though not all past and current issues have been completely treated.
Keywords: Adolescents Client Readiness Cognitive Interweave Resource Installation Trauma
Accuracy Verified: Yes
257. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with traumatized clients can be overwhelming
for the therapist, especially when the trauma is complex, involves
dissociative symptoms or different personality states, fragmented
memories or client affect is intense and poorly regulated. My
experience as a supervisor of EMDR practitioners has shown that
it is not uncommon for therapists, in an attempt to be helpful to
the traumatized clients, to unintentionally use strategies, which
are experienced as re-traumatizing or which lead to an increase
in their clients’' survival based coping strategies, including the
further strengthening of the ANP (Apparently Normal Personal-
~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop
highlights different therapeutic challenges, which often arise
for therapists when working with trauma and introduce strategies
that EMDR practitioners can use in their work with such
clients. This workshop embeds the principles of Positive Growth
Therapy (PGT - Herbert, 20071, which encompasses combined
knowledge from a variety of disciplines, including positive psychology,
information-processing theory, neurobiology, somatic
psychology, developmental psychology and attachment theory,
mindfulness and others. These strategies, designed to nurture
growth rather than dysfunction, are linked to specific therapeutic
factors relevant to the work with trauma, such as different types
of trauma, the nature of dissociation, the therapeutic pathway
toward integration. the concept of safety, the importance of resource
installation, individual pacing of therapy and the window
of tolerance, different types of processing, and the integration of
rational and experiential processing systems and others, which
will be explored in the course of this workshop
This workshop offers opportunities for both, EMDR therapists,
who are fairly new to the trauma field and would like to enhance
and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop
as an opportunity to re-view, further refine or validate
their current ways of working.
The specific learning objectives for this workshop are:
1. To find out about specific therapeutic factors that is relevant
to the work with trauma.
2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity.
This workshop is unique in the way in which it transcends specific
(and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to
EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.
Accuracy Verified: Yes
258. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. European Journal of Psychotraumatology, Supplement 1, 189. doi:10.3402/ejpt.v2i0.7237189.
Language: English
Format: Journal
Abstract:
From my clinical work over the past 4 years a case series of 15 women patients, all detained in a secure hospital for
periods of up to 30 years discharged after EMDR therapy. Some cases discussed in depth, others factor analysed as
case series. Drug modulation permitted intensive therapy. The factors of complex stress disorder are beeing
discussed and its simlarity to borderline personality disorder. The effects of long term instititutionalisation after
detention in security. The responsible clinician as ‘‘goaler and therapist’’ as well as therapeutic pitfalls are being
explored. The psychopathology of the flashback is contrasted with the psychpathology of the alter (dissociative
identity). Prognostic factors and outcomes are being presented. The implications for personality disorder as a
diagnosis contrasted with complex PTSD will be evaluated.
Keywords: Borderline Personality Disorder BPD Drug Modulation
Accuracy Verified: Yes
259. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.
Language: English
Format: Book
Abstract:
A new therapy using a saccadic eye-movement desensitisation
.EMD procedure has recently been introduced to treat posttraumatic
stress disorder, a disorder that has been difficult to treat
in the past. This paper reports the treatment of a woman with posttraumatic
stress disorderusing the EMD procedure. She was
treated with only two sessions of EMDR lasting approximately
one hour and a half. The 90 day follow-up showed that the treatment
gains were maintained and after a year the positive
therapeutic effects were stable.
These results show the efficacy and efficiency of EMDR method
in the treatment of chronic traumatic memories.
EMDR perspectives
reports recent research on the adaptative and maladaptative
consequences of the experience of trauma. It is suggested that
EMDR generates directions for future research and is helping in
the treatment of patients with impaired ego-strength. The
procedure fits well in a psychodynamic oriented setting : EMDR
through the flow of associations, is developing an awareness,that
might help the client to establish a contact with the internal representation.
Keywords: Accelerated Information Processing Adaptative Resolution AIP Desensitization Dissociation Negative Cognition
Accuracy Verified: Yes
260. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives:
Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general.
Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP);
Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention;
Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and
Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.
Keywords: Early Intervention Theory EEI Mass Disaster
Accuracy Verified: Yes
261. Lueger-Schuster, B., & Olff, M. (2008, June). Early intervention following traumatic events. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
On successful completion of the workshop, participants will be able to:
· Describe the commonly used approaches to early intervention following
traumatic events and the rationale behind them including blanket
intervention, targeted interventions and the timing of them. Describe specific interventions including critical incident stress debriefing,
psychological debriefing, psychological first aid, critical incident stress
management, trauma risk management, supportive counselling and trauma
focused cognitive behavioural therapy.
Discuss the current evidence base for the effectiveness of early interventions
following traumatic events.
Keywords: Early Intervention
Accuracy Verified: Yes
262. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
Although most human service professionals believe in the utility of early intervention
post-trauma to prevent development of chronic psychological problems, there is little
agreement as to the appropriate forms of care. A range of psychological interventions
has been advocated for use with various traumatized populations within days or weeks
of their trauma exposure, including education about trauma and stress reactions,
critical incident stress debriefing (CISD), cognitive-behavioral brief intervention
packages, EMDR, and psychopharmacological interventions. Currently, prospective
research studying response to trauma and beginning within hours or days of the
traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing
development of PTSD. Recent support for such interventions is developing at the same
time that the evidence for the most popular early intervention, debriefing, is being
called into question. In this panel discussion, four members of the recently initiated
ISTSS “Early Interventions” Special Interest Group will describe their personal views as
to what the next generation of early intervention services will look like, how existing
models of early intervention should be improved based on current research and theory,
and how improved services can be implemented in real-world settings.
Keywords: Early Intervention Future Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
263. Schneider, K. J. (2012, October). Editor’s Commentary. Journal of Humanistic Psychology, 52(4), 372-374. doi:10.1177/0022167812451236.
Language: English
Format: Journal
Abstract:
An introduction is presented in which the editor expresses gratitude to two authors who have contributed to the journal and discusses various reports published within the issue including one by David Shumaker on existential-integrative therapy with adolescents, another by Jamie Marich on eye movement desensitization reprocessing (EMDR) treatment and one by Rachel Starr on validity in therapeutic inquiry..
Keywords: Therapeutics
Accuracy Verified: Yes
264. Meneses, J. A. (2007). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes academicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de esmeraldas, durante el ano 2.006 [Effectiveness of EMDR in reducing extreme anxiety to academic examinations in the students of the sixth technical institute courses "Eloy Alfaro" emerald city, during the year 2006]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El EMDR, es un método psicoterapéutico, efectivo para reducir la ansiedad extrema a los exámenes académicos, a niveles normales, en un 88.8%, de los casos, en 9.25 sesiones de tratamiento, como promedio, con un nivel de confianza del 95 y 99%, en las alumnas de los sextos cursos, del Instituto Tecnológico “Eloy Alfaro, de la ciudad de Esmeraldas, durante el año 2.006. OBJETIVOS DE APRENDIZAJE:
1. Demostrar que EMDR, es efectivo también para reducir la ansiedad extrema a los exámenes académicos.
2. Informar que EMDR, reduce además a niveles normales los sistemas de respuestas de ansiedad cognitiva, fisiológica, y motora y la ansiedad a la evaluación.
3. Concienciar que EMDR, provoca también cambios cognitivos, emocionales y conductuales, como por ejemplo, el aumento de la autoestima y de la autoeficacia.
4. Comunicar que, luego del estudio de seguimiento, se estableció que EMDR, es efectivo en la reducción de la ansiedad extrema a los exámenes, en forma estable, es decir sin que se produzcan recaídas o sustitución de síntomas
In this study, which is kind of explanation, then use the hypothetical-deductive method with a quasi-experimental design with experimental and control group, formed at random, with pre and post treatment, with statistical processing of data, with the Student t test, and ANOVA before and after treatment, and once tested the hypothesis, it was established that:
EMDR is a psychotherapeutic method, effective in reducing extreme anxiety to academic tests to normal levels in 88.8% of the cases, treatment sessions 9.25, on average, with a confidence level of 95 and 99 % of pupils in the sixth course, the "Eloy Alfaro" Technological Institute in Esmeraldas City Ecuador during the year 2006.
LEARNING OBJECTIVES:
1. Show that EMDR is also effective to reduce extreme anxiety to academic exams.
2. Report that EMDR also reduces systems to normal levels of anxiety responses cognitive, physiological, and motor and anxiety evaluation.
3. Awareness that EMDR also causes cognitive, emotional and behavioral, for example, increased self-esteem and self-efficacy.
4. Report that, after the follow-up study established that EMDR is effective in reducing extreme anxiety tests in stable form, ie without the occurrence of relapse or symptom substitution.
Keywords: Anxiety Eloy Alfaro Students
Accuracy Verified: Yes
265. Meneses, J. A. (2007, Novembro). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes académicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de Esmeraldas, Ecuador, durante el año 2.006 [Effectiveness of EMDR in reducing extreme anxiety, academic tests, students in the sixth high school courses technological "Eloy Alfaro" City Esmeraldas, Ecuador, during the year 2006]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizaje:
• Demostrar que EMDR es efectivo también para
reducir la ansiedad extrema a los exámenes
académicos.
• Informar que EMDR reduce además a niveles
normales los sistemas de respuestas de
ansiedad cognitiva, fisiológica, y motora y la
ansiedad a la evaluación.
• Concienciar que EMDR provoca también
cambios cognitivos, emocionales y conductuales,
como por ejemplo: el aumento de la
autoestima y de la autoeficacia.
• Comunicar que luego del estudio de seguimiento,
se estableció que EMDR, es efectivo
en la reducción de la ansiedad extrema a los
exámenes, en forma estable, es decir, sin que
se produzcan recaídas o sustitución de
síntomas.
Learning Objectives:
• Demonstrate that EMDR is effective also for
reduce extreme anxiety tests
academics.
• Inform that EMDR also reduces levels
normal response systems
cognitive anxiety, physiological, and motor and
evaluation anxiety.
• Raise awareness that EMDR also results
cognitive, emotional and behavioral
such as: increased
self-esteem and self-efficacy.
• Communicate that after the follow-up study
established that EMDR is effective
in reducing the extreme anxiety
examinations, in a stable, ie without
relapses occur or replacement of
symptoms.
Keywords: Ecuador Test Anxiety
Accuracy Verified: Yes
266. Smith, S. (2003, Spring). The effect of EMDR on the pathophysiology of PTSD. International Journal of Emergency Mental Health, 5(2), 85-91.
Language: English
Format: Journal
Abstract:
The process of understanding PTSD has been a long and difficult one. It is safe to say our understanding of this disorder is incomplete, and our exploration into its pathophysiology is fairly recent. As with any disorder of the brain, the complexities of PTSD are extensive and require integrating cognitive, functional, and chemical components. Given this complexity, it is no wonder that treating PTSD has also been a challenge. Treating a disorder whose components are not fully understood is similar to shooting in the dark. Some shots have hit their mark and some have missed. More than ten years after its conception, the question of whether Eye Movement Desensitization and Reprocessing (EMDR) is a hit or a miss is still debated. If understanding the pathophysiology of PTSD is still recent, understanding the possible physiology behind EMDR is just beginning. This paper will define PTSD, explain some aspects of its physiology, and present some hypotheses as to why EMDR may be a successful treatment for PTSD. [Author Abstract]
Keywords: Literature Review Posttraumtic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
267. Nakahara, T., Nakahara, K., Uehara, M., Koyama, K., Li, K., Harada, T., Yasuhara, D., Taguchi, H., Kojima, S., Sagiyama, K., & Inui, A. (2007, May). Effect of juggling therapy on anxiety disorders in female patients. doi:doi:10.1186/1751-0759-1-10. BioPsychoSocial Medicine, 1(10), 1-4.
Language: English
Format: Journal
Abstract:
Aims: The aim of this study was to investigate the effect of juggling therapy for anxiety disorder
patients.
Design and Method: Subjects were 17 female outpatients who met the DSM-IV diagnostic
criteria for anxiety disorders. Subjects were treated with standard psychotherapy, medication and
counseling for 6 months. For the last 3 months of treatment, subjects were randomized into either
a non-juggling group (n = 9) or a juggling therapy group (juggling group: n = 8). The juggling group
gradually acquired juggling skills by practicing juggling beanbags (otedama in Japan) with both hands.
The therapeutic effect was evaluated using scores of psychological testing (STAI: State and Trate
Anxiety Inventry, POMS: Profile of Mood Status) and of ADL (FAI: Franchay Activity Index)
collected before treatment, 3 months after treatment (before juggling therapy), and at the end of
both treatments.
Results: After 6 months, an analysis of variance revealed that scores on the state anxiety, trait
anxiety subscales of STAI and tension-anxiety (T-A) score of POMS were significantly lower in the
juggling group than in the non-juggling group (p < 0.01). Depression, anger-hostility scores of POMS
were improved more than non-jugglers. In the juggling group, activity scores on the vigor subscale
of POMS and FAI score were significantly higher than those in the non juggling group (p < 0.01).
Other mood scores of POMS did not differ between the two groups.
Conclusion: These findings suggest that juggling therapy may be effective for the treatment of
anxiety disorders.
Keywords: Anxiety Disorders Females
Accuracy Verified: Yes
268. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.
Language: English
Format: Dissertation/Thesis
Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract]
Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.
Keywords: Adults Americans Battery Empirical Study Females Posttraumatic Stress Disorder Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness
Accuracy Verified: Yes
269. Uribe, M. E. R., Ramirez, E. O. L., & Mena, I. J. (2010, May). Effect of the EMDR psychotherapeutic approach on emotional cognitive processing in patients with depression. The Spanish Journal of Psychology, 13(1), 396-405. doi:10.1017/S1138741600003966.
Language: English
Format: Journal
Abstract:
The current investigation, framed within the emotional cognitive science field, was conducted with three patients with major depression. They participated in a therapeutic process which involved EMDR (Eye Movement Desensitization and Reprocessing). Data were obtained in the clinical practice through a longitudinal one subject study design, including: emotional valence identification within affective priming experiments; and depressive emotional representation studies, the data of which was analyzed using multidimensional scaling. The first ones had the purpose of observing the therapeutic impact over the emotional cognitive bias mechanism regarding depresogenic words related to traumatic experiences; and the second, to analyze modifications on depressive schemata. The results showed that EMDR had a positive effect both on emotional cognitive processing and on long-term memory conceptual organization. In the discussion section, interesting remarks are made on the incorporation of emotional cognitive science tools to the EMDR clinical practice
Keywords: Depression Emotional Cognitive Processing
Accuracy Verified: Yes
270. Becich, H. A. (1995). The effect of varying the rate of the eye movements in eye movement desensitization reprocessing (EMDR) with battered women. California School of Professional Psychology, Los Angeles, CA. AAT 9531596.
Language: English
Format: Dissertation/Thesis
Abstract:
The rapid saccades used in eye movement desensitization reprocessing (EMDR) have been reputed to be critical to its efficacy. To evaluate this hypothesis, the rate of the eye movements was varied in this study. Subjects included 27 battered women who were rated PTSD-positive by a modified version of the Symptom Checklist (MSC). Participants were randomly assigned to one of three groups: EMDR Fast, EMDR Slow or Control.Prior to treatment, subjects completed the Revised Impact of Events Scale (IES). Treatment involved one experimental session lasting up to 90 minutes. Dependent variables included the Subjective Units of Distress (SUDs) (derived from the Subjective Units of Disturbance Scale), the Validity of Cognition (VOC) and the Vividness of Traumatic Image (VTI) Scales as well as the Intrusion subscales of the MSC and the IES. At post-treatment one week later, subjects again provided responses to the five dependent variables and, for ethical reasons, were provided another session of treatment at the EMDR Fast rate if their SUDs were 2 or greater. Results of the mixed, two factor analyses indicated no differences between the groups. Hence, the outcomes showed that the rapid eye movements did not provide a differential treatment effect as hypothesized. All groups experienced improvement on the SUDs and VTI Scales and the MSC Intrusion subscale, supporting occurrence of an exposure effect. This investigation was the first controlled EMDR study conducted with battered women, as well as the first experiment on this procedure using a clinical population in which the rate of the eye movements was varied. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(5-B), Nov 1995, pp. 2854
Keywords: Adults Americans Battery Empirical Study Follow-up Study Females Posttraumatic Stress DIsorder PTSD Spouse Abuse Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
271. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .
Language: English
Format: Journal
Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
272. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
273. Smith, G. (2004, September). Effectively applying 8 phases of EMDR to any age child or adolescent. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
This workshop will provide a comprehensive system for effectively applying the eight phases of the EMDR protocol with any age client. Participants will learn: 1) Three critical components of effective EMDR Case Conceptualization with children; 2) Steps to take in the Preparation Phase to ensure optimal client safety and treatment effectiveness; 3) Age-based variations for doing BLS and obtaining the Picture, NC, PC, VOC, Emotions, SUDS, and Physical Sensations; 4) Strategies for facilitating optimal processing with children, including strategies for intervention when processing is blocked or looping; 5) Closure and reevaluation strategies for enhancing treatment effectiveness with children.
Keywords: 8 Phases Adolescents Children
Accuracy Verified: Yes
274. Hechler, T., Blankenburg, M., Dobe, M,, Kosfelder, J., Hübner, B., & Zernikow, B. (2010, January). Effectiveness of a multimodal inpatient treatment for pediatric chronic pain: A comparison between children and adolescents. European Journal of Pain, 14(1), 97.e1–97.e9, DOI: 10.1016/j.ejpain.2009.03.002.
Language: English
Format: Journal
Abstract:
Objectives: To evaluate short and long-term treatment outcome of children (7-10 years) in comparison to adolescents (11-18 years) with disabling chronic pain following multimodal inpatient pain treatment.
Patients and Methods: Thirty-three children and 167 adolescents underwent multimodal inpatient pain treatment. Standardized assessment of pain-related variables, disability, coping, and use of analgesics was performed at admission, 3- and 12-month follow-up.
Results: Children and adolescents displayed similar pain-characteristics at admission. Adolescents demonstrated significantly higher disability and passive pain coping. Children relied more on others when in pain. All core variables (i.e., pain intensity, pain-related disability, school absence and pain-related coping) decreased significantly in both children and adolescents after 3 months. Both groups maintained this decline 12 months later. More than half of the children and adolescents demonstrated a 50%-reduction in pain intensity after 3 months, and almost 60% after 12 months. Use of analgesics was significantly reduced at 3-month follow-up with no additional changes after 12 months. While age did not exert any impact on results, there were significant gender differences in pain intensity and school absence. Girls demonstrated higher pain intensity and higher school absence 1 year following treatment.
Conclusions: Children display similar pain-characteristics to adolescents when entering inpatient treatment. A multimodal inpatient program appears to stop the the long-term vicious cycle of disability and pain for both children and adolescents. The demonstrated gender differences raise issues for further research and the possibility of additional pain management strategies for girls.
Keywords: Adolescents Children Multimodal Inpatient Treatment Pediatric Chronic Pain
Accuracy Verified: Yes
275. Borstein, S. S. (2009, August). The effectiveness of brief adjunctive EMDR: A pilot study. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
A pilot study was conducted to assess the effectiveness of brief adjunctive EMDR treatment, in the naturalistic
setting of an outpatient clinical office. All clients referred for adjunctive EMDR were considered for this study. A
total of 14 individuals were accepted for treatment and completed that treatment, utilizing the standard EMDR
protocol. Length of treatment was four to thirteen 50 minute sessions (mean = 8.8 sessions). Each subject was
administered five self-report measures pre- and post-treatment. In addition, referring therapists were asked to rate
the intensity of one to three presenting problems, pre- and post-treatment. Four out of five self-report measures
indicated statistically significant improvement, with significance greater than .001. The effect size was Large or
Very Large for those four measures.
Keywords: Adjunctive Treatment Brief Adjunctive EMDR Treatment Poster
Accuracy Verified: Yes
276. Aytun, O. A. (2010, June). The effectiveness of EMDR and support group treatment model in smoking cessation. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The purpose of this study is to assess the effectiveness
of a treatment model in cigarette cessation. Among the
volunteers who enrolled to participate in the study, 15 participants
were selected as our subject group in terms of their
scores in Fagerstrom Test for Nicotine Dependence (middle or
upper level of dependency). The participants of this study attended
9 weeks of treatment including a preliminary session in the first week following 8 EMDR sessions (once a week) and 4
group sessions (once every two weeks). The 5 follow up sessions
(15-day, a month, 3 month. 6 month. 1 year foilow-up)
are included in the study to evaluate the efficacy of the model
and the relapse rate of the subjects. EMDR (Eye Movement Desensitization
and Reprocessing) DeTUR Protocol (Popky, 1993)
and a support group format is used as treatment methods.
Hughes-Watsukami Withdrawal Questionnaire, STAI, Traumatic
Life Events Questionnaire (TLEQ) and Fagerstrom Test for Nicotine
Dependence is the instruments of this study.
Keywords: Group Treatment Smoking Cessation Symposium
Accuracy Verified: Yes
277. Rubin, Al., Bischofshausen, S., Conroy-Moore, K., Dennis, B., Hastie, M., Melnick, L., Reeves, D., & Smith, T. (2001, July). The effectiveness of EMDR in a child guidance center. Research on Social Work Practice, 11(4), 435-457. doi:10.1177/104973150101100402 .
Language: English
Format: Journal
Abstract:
Objective: This study evaluated the effectiveness of adding EMDR to the routine treatment regimen of child therapists. Method: 39 child guidance center clients were randomly assigned to an experimental group that received EMDR plus the center's routine treatment package or a control group that received only the center's routine treatment package. Results: Analyses of variance found no significant differences in Child Behavior Checklist scores between groups. Subanalyses conducted for 33 clients with elevated pretest scores found moderate effect sizes that approached, but fell short of, statistical significance. Conclusions: These findings raise doubts about notions that EMDR produces rapid and dramatic improvements with children whose emotional and behavioral problems are not narrowly connected to a specific trauma and who require improvisational deviations from the standard EMDR protocol. Further research is needed in light of the special difficulties connected to implementing the EMDR protocol with clients like those in this study. [Sage]
Keywords: Affective Disorders Behavior Problems Effectiveness Emotional & Behavioral Problems Empirical Study Treatment Treatment Effectiveness Evaluation Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
278. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.
Language: English
Format: Journal
Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
279. Edmond, T. E., Rubin, A., & Wambach, K. G. (1999, June). The effectiveness of EMDR with adult female survivors of childhood sexual abuse. Social Work Research, 23(2), 103-116.
Language: English
Format: Journal
Abstract:
A randomized experimental evaluation found support for the effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse. 59 women were assigned randomly to one of three groups: (1) individual EMDR treatment (six sessions); (2) routine individual treatment (six sessions); or (3) delayed treatment control group. A MANOVA was statistically significant at both posttest and follow-up. In univariate ANOVAs for each of four standardized outcome measures EMDR group members scored significantly better than controls at posttest. In a three-month follow-up, EMDR participants scored significantly better than routine individual treatment participants on two of the four measures, with large effect sizes suggestive of clinical significance. [Author Abstract]
Keywords: Adults Americans Brief Psychotherapy Child Abuse Empirical Study Females Follow-up Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Self Efficacy Survivors Treatment Effectiveness
Accuracy Verified: Yes
280. Beere, D. B. (2009). The effectiveness of EMDR with the dissociative disorders: A research study leading to the development of an EMDR protocol for DID. Manuscript in preparation.
Language: English
Format: Journal
Keywords: DID Dissociative Disorders Dissociative Identity Disorder Research
Accuracy Verified: No
281. Kannan, L., & Mehrotra, S. (2010, July). Effectiveness of EMDR with those undergoing traumatic divorce. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
A contested divorce in an eastern cultural context qualifies to be classified as a traumatic event. Those experiencing this
ongoing trauma often undergo PTSD and Depression. EMDR with its standard and current events protocol serves to mitigate
both the anxiety and depressive symptoms significantly. This study looks at adapting EMDR for divorcing families in court,
clinical and private settings.
Participants will learn
1. Differences in cognition of marriage in different cultures such as western, Eastern and Middle Eastern and potential
problems, which are culture specific.
2. What constitutes marital trauma and traumatic divorce in the Eastern context
3. The impact of marital trauma in terms of clinical presentation as well as non clinical parameters of well being such as self-esteem, general health, locus of control and quality of life among those undergoing EMDR.
4. How to use EMDR with those undergoing marital trauma with divorce proceedings and cultural implications.
5. Adaptations in the EMDR to the court environment as well as other setting where such clients may present themselves
Keywords: Divorce
Accuracy Verified: Yes
282. Lothlorien (2010, December). The effectiveness of EMDR: A literature review. (Author) Online .
Language: English
Format: Dissertation/Thesis
Abstract:
This literature review has been conducted to study the effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) in treating trauma. Articles for this literature review were chosen using the Google Scholar database with OhioLink applying keywords such as EMDR, EMDR and trauma, and EMDR effectiveness. Articles were also found using the EMDR International Association website at http://emdria.org. Most articles were chosen due to their relevance to the research question. Other factors that were considered were the quality of the research, timeliness, the number of times an article was cited by others, and accessibility. . Of these ten articles, 2/10 (20%) were literature reviews, 2/10 (20%) were conceptual articles, and 6/10 (60%) were empirical studies. All of the empirical studies (6/6 or 100%) were quantitative. All empirical studies cited in the literature review (6/6 or 100%) used primary data based on observation. Five out of the six (83%) empirical studies used and experimental design. One out of six (17%) used a quasi-experimental design. In the six empirical studies, the mean sample size was 51. The smallest sample size was 22, and the largest sample size was 88. Based on the articles studied for this review, EMDR is found to be an effective treatment for trauma. It has also been found to work faster than other therapies. Some studies also showed it to be more easily tolerated by clients than other therapies. Major limitations to this review are the number of publications included, the fact that only articles available in full text form via OSU affiliates were selected, and time available for the literature review. Based on the conclusion that EMDR is an effective mode of treatment for trauma survivors, social workers conducting therapy with this population would benefit from learning the technique and incorporating it in their repertoire of therapies.
Keywords: Literature Review Research Methods Trauma
Accuracy Verified: Yes
283. Dunn, T. M. (1995). Effectiveness of eye movement desensitization and reprocessing (EMDR) in a non-clinical population. University of Cincinnati, OH.
Language: English
Format: Dissertation/Thesis
Abstract:
Panic disorder, worsening of depression and relapse of alcohol symptoms (Pitman, et al.).
A relatively new technique for treating PTSD is reported to result in lasting reduction of
anxiety, changes in the cognitive assessment of memory and cessation of flashbacks, intrusive
thoughts, and sleep disturbances. Eye Movement Desensitization and Reprocessing (EMDR) is
an experimental treatment for PTSD which is reported to have almost immediate, long lasting
effects (Shapiro, 1989a). EMDR involves having the patient engage in a series of
therapist-directed saccadic eye movements accompanied by cognitive exercises. The treatment
may take less than an hour to administer and, it is claimed, may completely eliminate some of the
more severe symptoms associated with PTSD and can have long lasting effects (one subject
showed desensitization a year later [Shapiro, 1989a.1) Shapiro found the treatment to produce
the best effect if performed while the patient is recalls a disturbing memory of the traumatic event.
Keywords: Non-clinical Population
Accuracy Verified: Yes
284. Williams, C. J. (2001). The effectiveness of eye movement desensitization and reprocessing (EMDR) in the treatment of psychologically traumatized individuals: A literature review. University of Wisconsin - Stout.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this literature review was to investigate the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized individuals primarily diagnosed with Post Traumatic Stress Disorder (PTSD). In this investigation an overview of Eye Movement Desensitization and Reprocessing (EMDR) as well as other approaches in the treatment of traumatized individuals was explored. Included in this investigation is a critical review of controlled research and the use of EMDR. Finally, the information is summarized and recommendations are offered based upon information gathered.
Keywords: Literature Review Trauma
Accuracy Verified: Yes
285. Kilgarriff, N. G. (2000). Effectiveness of eye movement desensitization and reprocessing and mindfulness meditation in the treatment of dysthymic disorder. Argosy University, Chicago, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Dysthymic Disorders Treatment
Accuracy Verified: Yes
286. Fleming, J. (2012). The effectiveness of eye movement desensitization and reprocessing in the treatment of traumatized children and youth. Journal of EMDR Practice and Research, 6(1), 16-26. doi:10.1891/1933-3196.6.1.16.
Language: English
Format: Journal
Abstract:
This article provides a summary of all the studies that have investigated eye movement desensitization and reprocessing (EMDR) treatment of traumatized children and adolescents. The effectiveness of the treatment is revealed in more than 15 studies. This article considers the differences between Type I and Type II traumas and specifically examines the effects of EMDR on traumatic stress experienced by children and youth following Type I and Type II traumas. There is a considerable body of research evaluating EMDR treatment of Type I traumas, showing strong evidence for its efficacy, but there are few studies that have specifically investigated EMDR treatment of Type II traumas. The effect of EMDR on various symptoms and problem areas is also examined. Recommendations are made for the clinical application of EMDR and for further research.
Keywords: Children Posttraumatic Stress Disorder PTSD Review Trauma Treatment
Accuracy Verified: Yes
287. Koch, E. (2005, November). Effectiveness of interrupted or “dosed” exposure procedures. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.
Language: English
Format: Conference
Abstract: EMDR is also an empirically validated treatment for PTSD. However, several dismantling studies have demonstrated that portions of the treatment can be removed without a detrimental effect on treatment outcome. The one component that has not been investigated is the form of exposure utilized, i.e., interrupted or “dosed” exposure. An overview of the EMDR dismantling studies will be presented along with a review of those studies that directly compared the effectiveness of prolonged exposure and EMDR. This presentation will highlight the theoretical basis and empirical observations that dosed exposure may have advantages over prolonged or continuous exposure. The potential mechanisms of action involved in “dosed” exposure procedures will be discussed.
Keywords: Dosed Exposure Procedures Poster
Accuracy Verified: Yes
288. Farkas, L., Cyr, M., Lebeau, T. M., & Lemay, J. (2010, May). Effectiveness of MASTR/EMDR therapy for traumatized adolescents. Journal of Child and Adolescent Trauma, (3)2, 125-142. doi:10.1080/19361521003761325 .
Language: English
Format: Journal
Abstract:
This study examined MASTR/EMDR, a trauma-focused treatment for traumatized youth taken in charge by youth protective services. Participants were 40 adolescents (ages 13-17) exhibiting conduct problems, internalizing and externalizing behaviors and who have been exposed to maltreatment. Participants were randomly assigned to MASTR/EMDR treatment or to a routine care condition. Self-report questionnaires and semi-structured interviews were administered to participants and one of their parents/caregivers at three points in time: pre-treatment, post-treatment (12 weeks) and follow-up (12 weeks). Repeated measures ANCOVAs showed that participants in the experimental group had significant improvements in their trauma symptoms and behavioral problems compared with the control group at the post-treatment evaluation. These effects were maintained at a 3-month follow-up. Results support the effectiveness of MASTR/EMDR.
Keywords: Adolescents Conduct Disorders MASTR
Accuracy Verified: Yes
289. Lamphear, M. H. (2011). Effectiveness of the post critical incident seminar in reducing critical incident stress among law enforcement officers. Walden University, Minnesota. 3454138.
Language: English
Format: Dissertation/Thesis
Abstract:
Summative program evaluation was used to examine the effectiveness of the Post Critical Incident seminar (PCIS) in reducing traumatic stress symptoms of law enforcement officers (LEOs). Previous trauma theory research indicated when not addressed, the impact of such trauma leads to serious physical and mental health problems. The use of the PCIS with the study population had not been evaluated. This study was conducted, using archival data, to address this gap. The sample consisted of LEOs in the southeastern US. Officers participated in either PCIS-only or PCIS + EMDR (eye movement desensitization and reprocessing) groups and were also categorized according to time since the incident. The Impact of Events Scale-Revised (IES-R) was administered at the start of each PCIS and again at 6 months. Dependent t tests were used to demonstrate significant pre/post decreases in IES-R scores for both groups. Of clinical concern at pretest, the IES-R scores for the PCIS + EMDR group were reduced to below the scale's threshold for clinical concern. Regression analyses were used to also document significant links connecting the time since the incident, type of incident, and gender with IES-R scores. These preliminary findings lend support for the PCIS, with implications for social change and further study: With continued research and recommendations, the PCIS can be enhanced to best help LEOs remain healthy and fit for duty, resulting in a safer society.
Keywords: Critical Incidents Law Enforcement Officers Peer Support Posttraumatic Stress DIsorder Psychology Stress PTSD Recent Events Trauma
Accuracy Verified: Yes
290. Hornsveld, H. (2010, April). Effectiviteit oogbewegingen door recent onderzoek ondersteund, maar klikjes niet. Wat betekent dit voor de praktijk? [Effectiveness eye movements supported by recent research, but no clicks. What does this mean for practice?]. In Heikele kwesties en voortschrijdend inzicht [Delicate issues and progressive insight]. Plenaire gepresenteerd op de 4e EMDR Association UK Conferentie, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Keywords: Eye Movements Plenary
Accuracy Verified: Yes
291. Benjamin, A., Rodenburg, R., Stams, G. J., Meijer, A. M., & Jongeneel, R. (2007. Effectiviteit van EMDR bij kinderen gekoppeld aan mogelijkheden van EMDR voor mensen met een verstandelijke beperking. Een meta-analyse naar de effectiviteit van EMDR voor kinderen en een casus waarin de mogelijkheden van EMDR voor mensen met een verstandelijke beperking worden onderzocht [Effectiveness of EMDR in children linked to capabilities of EMDR for people with intellectual disabilities. A meta-analysis of the effectiveness of EMDR for children and a case in which the possibilities of EMDR for people with intellectual disabilities are examined]. Amsterdam: Universiteit van Amsterdam, pedagogische en onderwijskundige Wetenschappen (Masterscriptie Orthopedagogiek).
Language: Dutch
Format: Dissertation/Thesis
Keywords: Children Intellectual Disabilities
Accuracy Verified: Yes
292. 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
293. Nettz, S. L. (1995, August). Effects of a single session of EMDR, flooding, and a credible placebo treatment on traumatic memories in male veterans. Illinois Institute of Technology, Chicago, IL. AAT 9614404.
Language: English
Format: Dissertation/Thesis
Abstract:
This study explored the effectiveness of a single session of three different treatments for traumatic memories. Subjects were 45 adult males, randomly assigned to Eye Movement Desensitization and Reprocessing (EMDR), Flooding, or Placebo therapy (Modified Avoidance Response Conditioning [ MARC]). Self-report and physiological measures were employed to measure treatment effectiveness. Subjects completed the following pre-treatment inventories: Michigan Alcohol Screening Test, Impact of Event Scale, State-Trait Anxiety Inventory, Questionnaire on Mental Imagery, and the Treatment Credibility Questionnaire. Post-treatment measures included self-report measures (Subjective Units of Distress [ SUDs] and Treatment Credibility Questionnaire) and physiological measures (heart rate, skin conductance, and skin temperature). Treatments were rated as equally credible before and after the session. Both EMDR and Flooding produced a significant decrease in the self-report of anxiety compared to the Placebo (MARC) group. Neither heart rate or skin conductance channels showed a significant change for any of the three groups during post-treatment assessment phases. However, skin temperature was significantly lower for the Flooding group compared to the MARC group during two post-treatment phases, suggesting that the Flooding group was more physiologically aroused than Placebo (MARC) subjects. Findings suggest that during Flooding, exposure to disturbing elements of a trauma is associated with physiological arousal, which in turn leads to lessening of subjective distress. However, a different mechanism may account for EMDR treatment effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(1-B), Jul 1996, pp. 0687
Keywords: Adults Emotional Trauma Empirical Study Evaluation Male Memory Military Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans
Accuracy Verified: Yes
294. Brennstuhl, M. J., & Tarquinio, C. (2012, June). Effects of an specific EMDR protocol for the treatment of chronic pain [Los efectos de un protocolo específico de EMDR para el tratamiento del dolor crónico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Treatment
of
chronic
pain
stays
problematic.
The
complex
part
of
cognitive,
behavioral
and
emotional
in
chronic
pain
makes
treatment
complicated.
Since
few
years,
many
authors
have
argued
on
a
traumatic
symptomatology,
which
is
responsible
of
chronic
pain
(reactive
symptom
of
PTSD)
(Bioy
&
Fouques,
2002;
Ferragut,
2007,
2010),
or
that
chronic
pain
may
induce
a
trauma
(Burloux,
2004).
This
argumentation
brought
to
us
to
envisage
the
EMDR
therapy
for
the
treatment
of
chronic
pain.
This
research
aims
to
test
the
effectiveness
of
treatment
of
chronic
pain.
We
have
elaborated
a
new
protocol,
which
focuses
on
specificities
on
chronic
pain
problematic.
This
protocol
focuses
on
pain
and
physical
sensation.
Inspiration
on
Mark
Grant
Protocol
(Grant,
2009),
R-‐Tep
and
Google
research
(Shapiro
&
Laub,
2009)
isn’t
unnoticed.
Chronic
pain
can
be
approached
like
an
elaborated
trauma,
because
it’s
always
happening.
So,
as
with
recent
event
trauma,
we
can
find
the
most
difficult
moment.
It’s
why
we
proposing
a
protocol
based
on
focusing
symptom:
pain.
Ten
patients
were
treated
with
this
new
EMDR
protocol,
specific
on
chronic
pain.
After
every
session,
and
at
the
end
of
the
treatment,
the
effects
of
this
protocol
on
chronic
pain
and
traumatic
symptomatology
were
evaluated
and
show
significant
improvement.
The
objective
is
double:
a
significant
improvement
was
made
reducing
chronic
pain
and
associated
symptoms
(depression,
anxiety...),
and
also
use
this
protocol
in
a
prevention
move
and
stop
chronicity
of
pain
in
the
beginning.
El
tratamiento
del
dolor
crónico
sigue
siendo
problemático.
Los
elementos
cognitivos,
conductuales
y
emocionales
complejos
dificultan
su
tratamiento.
Desde
hace
algunos
años,
muchos
autores
han
debatido
sobre
una
sintomatología
traumática
que
sería
la
responsable
del
dolor
crónico
(síntoma
reactivo
del
TEPT)
(Bioy
&
Fouques,
2002;
Ferragut,
2007,
2010)
o
que
el
dolor
crónico
puede
inducir
trauma
(Burloux,
2004).
Esta
controversia
nos
ha
llevado
a
contemplar
el
empleo
de
EMDR
para
el
tratamiento
del
dolor
crónico.
Esta
investigación
pretende
comprobar
la
efectividad
[de
EMDR]
del
tratamiento
del
dolor
crónico.
Hemos
elaborado
un
protocolo
nuevo
que
se
centra
en
las
especificidades
del
dolor
crónico
problemático.
Este
protocolo
se
centra
en
el
dolor
y
la
sensación
física.
No
pasa
desapercibida
la
inspiración
del
protocolo
de
Mark
Grant
(Grant,
2009),
R-‐Tep
e
investigación
en
Google
(Shapiro
&
Laub,
2009).
Se
puede
abordar
el
dolor
crónico
del
mismo
modo
que
el
trauma
elaborado,
dado
que
es
constante.
Por
lo
tanto,
al
igual
que
un
evento
reciente,
podemos
identificar
el
momento
más
difícil.
Por
eso
proponemos
un
protocolo
que
se
basa
en
centrarnos
en
el
síntoma:
el
dolor.
Diez
pacientes
fueron
tratados
con
este
nuevo
protocolo
de
EMDR,
específico
para
el
dolor
crónico.
Tras
cada
sesión
y
al
finalizar
el
tratamiento,
se
evaluaron
los
efectos
de
este
protocolo
sobre
el
dolor
crónico
y
la
sintomatología
traumática;
los
resultados
han
mostrado
una
mejoría
significativa.
El
objetivo
es
doble:
por
un
lado,
lograr
una
mejora
significativa
y
reducir
el
dolor
crónico,
así
como
los
síntomas
asociados
(la
depresión,
ansiedad...),
y
por
el
otro
lado,
usar
este
protocolo
como
estrategia
preventiva
y
poner
fin
a
la
cronificación
del
dolor
desde
un
principio.
Keywords: Chronic Pain
Accuracy Verified: Yes
295. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological
counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects
of Early EMDR Intervention (EEI) on the victims of a terrorist
bombing in Gungoren, Istanbul. Subjects were the victims of
a terrorist bombing in Gungoren, Istanbul. The participants
were selected from a pool of children and adults, who lived in
Gungoren and scored high on the Turkish version of 'Impact of
Event Scale' (IES) and PTSD Symptom Checklist. The subjects
were contacted 2 days after the bomb attack so that we were
able to measure the event impact right after the traumatic experience,
which will help us to demonstrate how EMDR affects
the impact of the event more accurately.
Eye Movement Desensitization (EMD) as an EEI technique was
used to treat the child participants, whereas Recent Traumatic
Event Protocol (R-TEP) which incorporates the EMD and Recent
Event (RE) protocols, was received by the adult participants
The therapists (EMDR certified therapists, who were receiving
supervision) met with the participants weekly to work only on
the trauma of the bombing and participants completed impact
of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study
is completed with a three month follow-up. Analyses of the
data collected from the participants demonstrates the level of
effectiveness of EMDR in children and adults, in prevention of
PTSD and the use of EMDR as a crises intervention tool.
Keywords: Acute Stress Bombing Early Interventions EMD Istanbul Recent Events R-TEP Symposoium Terrorism
Accuracy Verified: Yes
296. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University, Kalamazoo, MI. AAT 9732881.
Language: English
Format: Dissertation/Thesis
Abstract:
Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.
Keywords: Anxiety Disorders College Students Empirical Study Life Experiences Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
297. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.
Language: English
Format: Dissertation/Thesis
Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.
Accuracy Verified: Yes
298. Johnson, M. D. (1996, June). Effects of eye movement desensitization and reprocessing on test anxiety. Texas Woman's University, Denton, TX. AAT 9716578.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was introduced (Shapiro, 1989) as a treatment for traumatic memories. The necessity of eye movements or another activating stimuli in the treatment of test anxiety and the effectiveness of EMDR as a treatment for test anxiety is the focus of the present study. This study screened subjects for adequate study skills and the presence of test anxiety, and randomly assigned 45 subjects to one of three conditions: EMDR, EMDR with no activating stimuli (EMDR/NS; eyes closed), and a no treatment control group. The results of this study suggest that EMDR and EMDR/NS were equally effective in treating test anxiety and more effective than the control group as measured by the Achievement Anxiety Test, the Emotionality scale of the Test Anxiety Inventory (TAI), the Subjective Units of Disturbance scale, and the Validity of Cognition scale. Test performance and the Worry Scale of the TAI were not significantly impacted by the treatment groups. The inability of EMDR to impact the worry scale or the test performance of subjects in this study draws into question the usefulness of EMDR as a treatment of test anxiety. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(12-B), Jun 1997, pp. 7730.
Keywords: Empirical Study Test Anxiety
Accuracy Verified: Yes
299. Lee, C. W., & Drummond P. D. (2008, June). Effects of eye movement versus therapist instructions on the processing of distressing memories. Journal of Anxiety Disorders, 22(5), 801-808. doi:10.1016/j.janxdis.2007.08.007.
Language: English
Format: Journal
Abstract:
The effectiveness of components of eye movement desensitization and reprocessing (EMDR) was tested by randomly assigning 48 participants to either an eye movement or an eye stationary condition and to one of two types of therapist instructions (reliving or distancing). Participants were university students (mean age 23) who were asked to recall a personal distressing memory with measures of distress and vividness taken before and after treatment, and at follow-up. There was no significant effect of therapist's instruction on the outcome measures. There was a significant reduction in distress for eye movement at post-treatment and at follow-up but overall no significant reduction in vividness. Post hoc analysis revealed a significant reduction in vividness only for the eye movement and distancing instruction condition. The results were consistent with other evidence that the mechanism of change in EMDR is not the same as traditional exposure.
Keywords: Empirical Study Eye Movement Follow-Up Study Quantitative Study Randomized Comparison
Accuracy Verified: Yes
300. Farkas, L. (2008, December). The effects of motivation-adaptive skills-trauma resolution (MASTR) - Eye movement desensitization and reprocessing (EMDR) on traumatized adolescents with conduct problems. Universite de Montreal, Canada. AAT NR55659.
Language: English
Format: Dissertation/Thesis
Abstract:
Objective.- This dissertation explored the effectiveness of a treatment package, Motivation-Adaptive Skills-Trauma Resolution (MASTR) in combination with Eye Movement Desensitization and Reprocessing (EMDR). This intervention was assessed in a sample of traumatized adolescents manifesting conduct problems (CPs) admitted to youth protective services. CP adolescents have been found to be particularly treatment-resistant and the treatments used with them often neglect to target the trauma that many of these youths have faced. Therefore, it seemed promising to implement a trauma-focused treatment with these youths that accounts for their resistance to treatment. MASTR-EMDR was studied with this population due to the favorable findings in the few studies assessing its use with high-risk populations. In addition to examining the effects of this treatment with CP youth exposed to various types of trauma, a particular focus was given to victims of sexual abuse (SA). This type of trauma seemed particularly suited for EMDR due to its circumscribed nature, which may be more easily worked through in this treatment that targets one trauma at a time.
Method.- Participants in the first study were 40 adolescents (ages 13-17) exhibiting CPs and exposed to trauma in youth protective services. A subsample (n = 30), consisting of victims of SA, was included in the second study. Participants in both studies were randomly assigned to MASTR-EMDR treatment or to a wait list condition where they were offered routine care. Self-report questionnaires and semi- structured interviews were administered to participants and one of their parents or caregivers by independent evaluators at three points in time: pre-treatment, post-treatment (12 weeks later) and follow-up (12 weeks after post-treatment). These measures evaluated trauma history, trauma-related sequelae, CPs, social competence and internalizing problems. The MASTR-EMDR sessions were administered once a week over a 12 week period, with each session lasting a maximum of 1.5 hours.
Results.- ANCOVAs and repeated measures ANCOVAs were used to assess treatment effects and the maintenance of gains at a 3-month follow-up. As predicted, MASTR-EMDR led to significant gains in outcome measures compared to routine treatment with both samples. In addition, gains were maintained at follow-up.
Conclusions.- This dissertation supports the use of MASTR-EMDR in populations exposed to general trauma and SA who exhibit CPs. This research was innovative in its implementation of a novel treatment-approach in youth protective services, where empirically-supported treatments are necessary and sometimes lacking. Therefore, the results have both clinical and scientific value and can help pave the way toward more trauma-focused treatments for CP youth, more evidence-based practices in youth protective services as well as enrich current understanding of the effects of this treatment approach.[Author Abstract]
Keywords: Conduct Problems Protective Services Psychotherapeutic Techniques Trauma Treatment Outcome Youth
Accuracy Verified: Yes
301. Stapleton, J. A., Taylor, S., & Asmundson, G. J. (2006, February). Effects of three PTSD treatments on anger and guilt: Exposure therapy, eye movement sensitization and reprocessing, and relaxation training. Journal of Traumatic Stress, 19(1), 19-28. doi:10.1002/jts.20095.
Language: English
Format: Journal
Abstract:
This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing (EMDR), and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of PTSD treatment. 15 PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required. [Author Abstract]
Keywords: Adults Anger Canadians Exposure Therapy Guilt Longitudinal Study Posttraumatic Stress Disorder PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
302. Largo-Marsh, L. K., & Spates, C. R. (2002, December). The effects of writing therapy in comparison to EMD/R on traumatic stress: The relationship between hypnotizability and client expectancy to outcome. Professional Psychology: Research & Practice, 33(6), 581-586. doi:10.1037//0735-7028.33.6.581.
Language: English
Format: Journal
Abstract:
Many psychologists encourage clients to engage in journal writing to supplement individual psychotherapy. Empirical evidence supports the use of writing when targeted at traumatic memories. The most thoroughly researched writing strategy suggests that writing is most effective when it targets a specific memory along with the emotional components of that memory. Effective writing therapy is thus procedurally similar to effective exposure therapy for fear and traumatic memories. This investigation examined structured writing as a self-contained treatment by comparing it to eye movement desensitization and reprocessing, and it was found to be effective. [Adapted from Author Abstract]
Keywords: Adults Empirical Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Therapeutic Writing Treatment Effectiveness
Accuracy Verified: Yes
303. Malz, S. (2003). Effektivitaet von eye movement desensitization and reprocessing (EMDR) bei posttraumatische belastungsstorung (PTBS) eine theoretische untersuchung des aktuellen forschungsstandes [Effectiveness of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder (PTSD), a theoretical investigation of the current state of research]. Marburg University, Germany.
Language: German
Format: Dissertation/Thesis
Keywords: Posttraumatic Stress Disorder PTSD Research
Accuracy Verified: Yes
304. Oppermann-Schmid, F. (2010, Oktober). Effektivität der behandlung mit EMDR bei traumafolgestörungen in der allgemeinarztpraxis [Effectiveness of treatment with EMDR for trauma related disorders in the general practice]. EMDRIA Deutschland e.V.Rundbrief, 21, 24-25.
Language: German
Format: Newsletter
Abstract:
Patienten mit Traumafolgestörungen suchen meistens frühzeitig ihren Hausarzt auf. Das liegt
einerseits daran, dass der Hausarzt in unserem Gesundheitssystem für den Erstkontakt
kurzfristig zur Verfügung steht und gegebenenfalls zum Facharzt weiterleitet. Zum anderen
besteht meist eine langjährige und tragfähige Beziehung: Vertrauen zum Hausarzt seitens des
Patienten und ein guter Einblick in die persönliche und gesundheitliche Situation des Patienten
seitens des Hausarztes.
Patients with traumatic stress disorders often look to their GP early. This is
One reason that the doctor in our health care system for the first contact
available at short notice and, where appropriate, will forward to the specialist. On the other
there is usually a long and lasting relationship: trust on the part of the family doctor
Patients and a good insight into the personal and health situation of the patient
by the family doctor.
Keywords: General Practice Practice Theory Trauma
Accuracy Verified: Yes
305. Hensel, T. (2006, April). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Kindheit und Entwicklung, 15 (2), 107-117. doi:10.1026/0942-5403.15.2.76.
Language: German
Format: Journal
Abstract:
EMDR (eye movement desensitization and reprocessing) has proved to be an independent, effective, and empirically validated approach for the treatment of chronic post-traumatic stress disorder (PTSD) in adults. This work provides an overview of the status of research into the use of EMDR in traumatized children and adolescents. The available randomized controlled studies are summarized and assessed for their methodistic value. The empirically supported and effective treatment is described. The results show - albeit on a narrow empirical basis - that EMDR, when used in children and adolescents, demonstrates a Comparable effectiveness in symptom reduction and efficiency (limited treatment duration) to that observed in adults. Issues relating to the integration of the treatment into the existing care structure are discussed.
Keywords: Adolescents Bilateral stimulation Care Children Chronic Illness Chronic PTSD Effectiveness Emotional Trauma Empirically Supported Treatment Empirical Study Psychologically Traumatized Children Quantitative Study Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
306. Hensel, T. (2005, September). Effektivität von EMDR bei psychisch traumatisierten kindern und jugendlichen [Effectiveness of EMDR with psychologically traumatized children and adolescents]. Jahrestagung der deutschsprachigen gesellschaft für psychotraumatologie DeGPT, Dresden .
Language: German
Format: Conference
Abstract: EMDR ist als ein effektives und ökonomisches Verfahren zur Behandlung von chronischer PTBS bei Erwachsenen anerkannt. Dieses Poster verdeutlicht die Effektivität von EMDR bei psychisch traumatisierten Kindern und Jugendlichen. Die kontrollierten Studien sind inhaltlich und in ihrer methodologischen Güte beschrieben und ausgewertet worden. Es sind sowohl singulär traumatisierte Kinder und Jugendliche nach einer Naturkatastrophe bzw. einer Explosion, wie auch sequentiell traumatisierte Kinder und Jugendliche mit sexuellem Missbrauch und Gewalterfahrungen behandelt worden. Alle Studien weisen EMDR als hoch effektiv aus. Dies gilt gleichermaßen für die Reduktion der PTB wie auch der komorbiden Symptome (Depression, Angst). Bemerkenswert ist, dass in den beiden Behandlungsvergleichen mit bewährten kognitiv-behavioralen Verfahren EMDR bei gleicher Effektivität signifikant effizienter war. Dies repliziert Ergebnisse aus dem Erwachsenenbereich (van Etten & Taylor, 1998). Obwohl die geringe Anzahl an Studien die Generalisierbarkeit der Ergebnisse einschränkt, scheint EMDR über alle untersuchten Alterstufen hinweg ein einheitliches Wirkprofil vorzuweisen.[Author abstract]
EMDR is recognized as an effective and economical method for the treatment of chronic PTSD in adults. This poster illustrates the effectiveness of EMDR with psychologically traumatized children and adolescents. Controlled studies are described and evaluated in terms of content and its methodological quality and has been. They are both singular traumatized children and adolescents after a natural disaster or an explosion, as well as sequentially traumatized children and adolescents treated with sexual abuse and violence. All the studies point out EMDR to be highly effective. This applies equally to the reduction of the PTB as well as the comorbid symptoms (depression), anxiety. It is noteworthy that cognitively in the two treatment comparisons with best-behavioral procedures with the same effectiveness of EMDR was significantly more efficient. This replicates results from the adult participants (Van Etten & Taylor, 1998). Although the small number of studies limits the generalizability of the results, it seems EMDR track record across all age groups studied a single-action profile. [Author abstract].
Keywords: Adolescents Children Poster Trauma
Accuracy Verified: Yes
307. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
308. Fleming, J. (2013). Efficacité de l’EMDR dans le traitement d’enfants et d’adolescents traumatisés [Effectiveness of EMDR in the treatment of traumatized children and adolescents]. Journal of EMDR Practice and Research, 6(1), 16–26. doi:10.1891/1933-3196.7.1.E12.
Language: French
Format: Journal
Abstract:
On trouvera ici un résumé de tous les articles qui ont étudié le traitement par l’EMDR d’enfants et
d’adolescents traumatisés. L’efficacité du traitement est établie par plus de quinze études. Le présent
article examine les effets de l’EMDR sur le stress traumatique d’enfants et d’adolescents après des traumas
de type I et II. Si un nombre considérable d’études évaluent le traitement des traumas de type I par
l’EMDR, apportant des preuves solides de son efficacité, rares sont celles qui ont investigué spécifiquement
le traitement EMDR des traumas de type II. L’auteur examine aussi l’effet de l’EMDR sur divers
symptômes et difficultés. Elle donne enfin des recommandations pour l’application clinique de l’EMDR,
et pour des recherches futures.
This paper provides a summary of all items that have studied the EMDR treatment of children and
adolescents traumatized. The effectiveness of treatment is determined by more than fifteen studies. this
article examines the effects of EMDR on traumatic stress in children and adolescents after trauma
Type I and II. If a considerable number of studies evaluating the treatment of type I trauma
EMDR, providing strong evidence of its effectiveness, few have specifically investigated
EMDR trauma treatment of type II. The author also examines the effect of EMDR on various
symptoms and difficulties. She finally gives recommendations for the clinical application of EMDR
and for future research.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Trauma Treatment Review
Accuracy Verified: Yes
309. Taylor, S. (2004). Efficacy and outcome predictors for three PTSD treatments: exposure therapy, EMDR, and relaxation training. In S. Taylor (Ed.), Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives (1st ed.) (pp. 13-37). NewYork: Springer Publishing.
Language: English
Format: Book Section
Abstract:
In a study that directly compared exposure therapy, EMDR, and relaxation training in patients with PTSD, we simply provided patients with a verbal description of PTSD and its treatment, then assessed the patient's treatment goals, and discussed how the treatment was relevant to the goals. For patients who do not drop out of treatment, our findings suggest that the most consistent predictor of good outcome is whether or not the patient receives exposure therapy, and that the severity of reexperiencing symptoms is an important predictor of treatment outcome, largely because relaxation training has a poorer outcome when these symptoms are severe. The efficacy of exposure and EMDR does not appear to be affected by the severity of reexperiencing. These findings provide further support for the efficacy of exposure and, to a limited extent, support the use of EMDR. Our findings, however, suggest that exposure is a first-line psychosocial treatment for PTSD. [Adapted from Text, pp. 16, 34] [Pilots]
Keywords: Adults Exposure Therapy Manual-Based Treatments Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
310. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention
tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants
with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements,
or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment,
post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs)
than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session.
Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets;
heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were
more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that
eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the
processing of negative memories. Implications for clinical practice, directions for future research, and the importance of
building bridges between East & West whilst conducting EMDR research will also be discussed.
Keywords: Dual Attention Psychophysiological Correlates
Accuracy Verified: Yes
311. Schubert, S. J., Lee, C. W., & Drummond, P. D. (2011, January). The efficacy and psychophysiological correlates of dual-attention tasks in eye movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 25(2011), 1-11. doi:10.1016/j.janxdis.2010.06.024.
Language: English
Format: Journal
Abstract:
This study aimed to investigate the psychophysiological correlates and the effectiveness of different dual-attention tasks used during eye movement desensitization and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single session of EMDR without eye movements, or EMDR that included eye movements of either varied or fixed rate of speed. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress than EMDR-without eye movements. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Findings indicate that the eye movement component in EMDR is beneficial, and is coupled with distinct psychophysiological changes that may aid in processing negative memories.
Keywords: Eye Movements Autobiographical Memory Psychophysiology Orienting Response
Accuracy Verified: Yes
312. de Bont, P. (2011, August-September). Efficacy and safety of prolonged exposure or EMDR-treatment for PTSD with patients with a vulnerability for psychosis. A multiple baserate N=10 single case design. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Objectives: Untill now, only a small number of studies have
investigated the safety and effects of psychological treatment for
PTSD in psychotic patients. The main aim of this study was to
explore the effects of two psychological, highly manualized,
guideline PTSD treatments: EMDR and prolonged exposure.
Another important aim was to determine if negative side effects
would occur as a result of therapy. Among clinicians fear exists of
harming vulnerable patients with confronting therapeutic
procedures, thus risking psychotic exacerbation, suicidal behaviour
or other adverse events.
Methods: In a N=10 single case study design the effects of
psychological PTSD treatment were studied in psychiatric patients
who suffer from psychoses. Participants were randomly assigned
to either EMDR or Prolonged Exposure. Weekly measurements of
PTSD and psychotic symptoms prior to, during and after
treatment, gave a strong impression of how symptoms respond to
treatment. The treatment in both conditions consisted of 12
sessions of 90 minutes. Adverse events were monitored weekly.
Before, directly after and 3 months after treatment all subjects
were tested more extensively for the variables PTSD and
psychosis, and for three secondary outcome measures cognitive
style, social functioning and quality of life.
Results: The results show that PTSD-treatment can be quite
effective for both PTSD and even some of the psychotic symptoms.
PTSD symptoms dropped considerably, in a number of cases
below the point of still having a PTSD. In some cases treatment
helped diminish the occurence of harming voices. Not one patient
became psychotic as a result of therapy, not even patients that
went through the guided reliving of traumatic psychotic events
during Prolonged Exposure. No suicide attempts occured.
Occasional minor adverse events with medication occurred, but
results taken as a whole the treatments were obviously safe.
Conclusion: This study shows that PTSD-treatment in psychotic
patients is a serious option, next to medical treatment. It can be
done safely, effectively and in a manualized fashion. No
information can be derived from this study as to which of the two,
Prolonged Exposure or EMDR, can be best applied in specific
situations. Both seem to be equal in the limited number of cases.
Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium
Accuracy Verified: Yes
313. Kristjansdottir, H., Blondahl, M., Sigurosson, E., Sigurosson, J. F., & Salkovskis, P. M. (2011, August-September). Efficacy of cognitive behavioral therapy in the treatment of mood and anxiety disorders in adults - Review. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Introduction: Cognitive behavioural therapy (CBT) represents
the form of psychotherapy which has the most research data to
build on in the treatment of mental disorders for adults.
Method: In this review we will introduce CBT and present the
results of pertinent outcome research for mood and anxiety
disorders. Efficacy at the end of the treatment will be discussed,
as well as long term effectiveness and the efficacy of combined
treatment with medication and CBT
Results: The results of this review show that CBT is an effective
treatment for mood and anxiety disorders; depression,
dysthymnia, GAD, panic disorder, social phobia, OCD, PTSD and
specific phobia. Results of follow-up studies also show that the
efficacy of CBT lasts for a considerable time after the termination
of treatment. CBT is more effective than other forms of
psychotherapy except for behaviour activation and interpersonal
therapy in treatment for depression and EMDR in treatment for
PTSD. When CBT is compared with medication (SSRI) results
reveal that CBT is as effective or more effective than medication.
This is true except for the treatment of dysthymnia, especially
when the long-term effects are considered. Results are
contradictory regarding whether medication improves or reduces
the efficacy of CBT, e.g., there are indications that the medication
reduces the efficacy of CBT for some disorders, like panic disorder.
Discussion: It is clear that CBT is an effective treatment for most
common mental disorders. Side effects are almost never a
problem and long-term success is a good. Further research is
needed on combined treatment – CBT and medication.
Conclusion: Numerous studies support the efficacy of CBT for
common mood and anxiety disorders and its good long term effects.
Accuracy Verified: Yes
314. Swiney, U. M. (2004). The efficacy of EMDR for survivors of a natural disaster: Intervention after Hurricane Floyd. University of North Carolina at Chapel Hill. AAT 3129821.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing (EMDR) is considered effective for civilian PTSD, but no controlled evaluation of EMDR, or any other treatment for PTSD, has been conducted with adults in a natural disaster context. Following Hurricane Floyd, 8 individuals from disaster-torn North Carolina communities were randomly assigned to 6 sessions of EMDR or a 1-month waiting list followed by treatment. All of the predominantly Caucasian, female participants met DSM-IV criteria for PTSD, and half reported moderate to severe levels of depression. Participants completed standardized self-report measures of PTSD, depression, and anxiety before and after the waiting period, or before, during (Session 4), and after the 6-week intervention. The principal investigator (PI) and blind assistants conducted a PTSD symptom interview before and after treatment and waiting period. Weekly progress was monitored with additional PTSD and depression self-report measures. The PI, a Level II-trained EMDR therapist, provided treatment. Treatment integrity, assessed by undergraduate assistants following an established checklist, was good.Compared to the untreated control condition, EMDR produced significantly larger decreases in self-reported PTSD and depression symptoms, and tended to promote greater improvement in observer-rated PTSD. However, random effects regression analyses of the secondary PTSD measure failed to detect a significant difference between the two groups. In contrast, random regression analyses confirmed a significant decrease in depression during treatment compared to the control condition. Controlled effect sizes for PTSD symptoms were large and compared favorably to research with other trauma populations. Nevertheless, despite sizeable reductions in symptoms, many clients continued to report elevated levels of PTSD even after treatment. In addition, despite random assignment, the average age of the two groups differed, and age was non-significantly but negatively associated with change in PTSD symptoms. This association, and the small size of this sample, limit the interpretation and generalizability of these findings. Thus, while results tentatively support extending EMDR to disaster survivors with depression and PTSD, this work is best considered as preliminary data. Research with a larger sample remains necessary to better evaluate both the impact of treatment and the potentially more complex treatment needs of this population. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(4-B), 2004, pp. 2116.
Keywords: Adults Americans Depressive Disorders Females Hurricane Floyd Hurricanes Posttraumatic Stress Disorders PTSD Random Clinical Trial RCT Recent Events Survivors Treatment Effectiveness
Accuracy Verified: Yes
315. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ
from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was
given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to
be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an
extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation
of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long
term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic
data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was
administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their
therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months.
Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques
including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social
relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.
Keywords: ACEH Survey
Accuracy Verified: Yes
316. Jeffres, M. J. (2003). The efficacy of EMDR with traumatized children. Fielding Graduate Institute, Santa Barbara, CA. AAT 3100543.
Language: English
Format: Dissertation/Thesis
Abstract:
This study evaluated the effectiveness of up to five 60-minute sessions of eye movement desensitization and reprocessing (EMDR) for children (ages 8-12) who had suffered one or more traumas. Participants (N = 48) were randomly assigned to either an EMDR experimental group or a waiting list control. They were provided treatment by one of five therapists, all of whom were experienced, independent clinicians having received Level 2 training in the EMDR technique. The therapists followed Shapiro's protocol for children and were in 90% compliance with the protocol. The participants were carefully screened according to Shapiro criteria. This study was unique in that it included an integrated outcome measure (UCLA PTSD Index), consisting of an assessment of PTSD criteria and a rating of symptoms, reported by both parent and child. Analysis of pre-post changes consisted of two 2 x 3 ANCOVAs, one each for the child and adult report. The analysis of covariance revealed a main effect for the covariate (the pretest total PTSD Score), a main effect for group, and a significant group x time interaction effect, for both the child and adult report. Post hoc (Scheffe) analysis revealed that participants maintained the benefits of treatment at 1-month follow-up. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(8-B), 2004, pp. 4042.
Keywords: Emotional Trauma Empirical Study Eye Movements Quantitative Study
Accuracy Verified: Yes
317. Jayatunge, R. M. (2006). The efficacy of EMDR – A study based on Sri Lankan combatants. New Hope, PA: EMDR Humanitarian Assistance Programs.
Language: English
Format: Other
Abstract:
This paper discusses the therapeutic effects of EMDR or Eye Movement Desensitization
and Reprocessing. EMDR is a relatively new trauma management method that has been
used to treat Sri Lankan combatants with PTSD and other trauma related disorders. The
feasibility of this mode of therapy is summarized. Practical trauma management issues in
the field setups are reviewed and some case examples are provided. EMDR is considered
to be an effective treatment for PTSD and Sri Lankan combat veterans diagnosed with
combat related PTSD (uncontrolled study; 18 males) showed significant improvements
from pre- to posttreatment following EMDR.
Keywords: Combatants Posttraumatic Stress Disorder PTSD Sri Lanka
Accuracy Verified: Yes
318. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.
Language: English
Format: Dissertation/Thesis
Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347
Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
319. Jensen, J. A. (1992). Efficacy of eye movement desensitization and reprocessing as a treatment for PTSD symptoms of Vietnam combat veterans. University of Wisconsin, Madison, WI. AAT 9221917.
Language: English
Format: Dissertation/Thesis
Abstract:
The efficacy of eye movement desensitization and reprocessing (EMD/R) was compared with that of a control (no treatment) condition in the treatment of Vietnam combat veterans with postraumatic stress disorder. 27 volunteer subjects were randomly assigned to the EMD/R and control conditions, with 13 EMD/R and 12 control subjects completing the entire study. Two therapists trained in EMD/R, and three trained interviewer/testers contributed in running the study.Prior to random assignment, subjects indicated one PTSD-related goal for the study. They were also assessed on a measure of present PTSD symptoms, a measure of subjective anxiety, and a measure of belief in a positive cognition related to war trauma. They were then randomly assigned to conditions, with EMD/R subjects receiving three treatment sessions within a week. Approximately 17 days after the initial assessment, each subject was retested on the measures of PTSD symptoms, subjective anxiety, and of the desired positive cognition. At this time, goal attainment was also assessed, and another general PTSD instrument was given. Statistical analysis of both test-retest and posttest only measures indicated a general lack of effectiveness of EMD/R with the subjects in this study. While EMD/R was effective and statistically superior to the control condition in reducing in-session subjective anxiety, neither condition was effective in improving scores on the two PTSD symptom measures, in contributing to goal attainment, or in increasing subjects' beliefs in their stated desired positive cognition regarding war trauma. This study's lackluster results are in sharp contrast to the considerable success reported in Shapiro'soriginal EMD/R study incorporating few combat veterans. With certain procedural diversions acknowledged, this study's findings provide little support for widespread use of EMD/R as an intervention for Vietnam combat veterans' PTSD symptoms. Implications are that combat veterans with PTSD may comprise a population with distinctly chronic and disturbing symptomotology, and that the brief and novel EMD/R procedure may not be successful with such a population. [Author Abstract]
Keywords: Americans Males Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
320. de Jongh, A., van den Oord, H., & ten Broeke, E. (2002, December). Efficacy of eye movement desensitization and reprocessing in the treatment of specific phobias: Four single-case studies on dental phobia. Journal of Clinical Psychology, 58(12), 1489-1503. doi:10.1002/jclp.10100.
Language: English
Format: Journal
Abstract:
A series of single-case experiments was used to evaluate the application of Eye Movement Desensitization and Reprocessing (EMDR) to traumatically induced dental phobia. Following two to three sessions of EMDR treatment, three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs concerning dental treatment, and significant behavior changes. These gains were maintained at six weeks follow-up. In all four cases, the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. The findings support the notion that EMDR can be an effective treatment alternative for phobic conditions with a trauma-related etiology. [Author Abstract]
Keywords: Adults Case Report Dental Procedures Females Follow-up Study Males Phobia Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
321. Hollwig, K. E. (2002). Efficacy of eye movement desensitization and reprocessing in the treatment of trauma and anxiety disorders. California State University, Long Beach, CA. AAT 1409202.
Language: English
Format: Dissertation/Thesis
Abstract:
This study evaluated the efficacy of Eye Movement Desensitization and Reprocessing for treating trauma and anxiety disorders in adult, adolescent, and child clients with or without a dissociative disorder.
Participants comprised 23 California-licensed mental health professionals who possessed at least a master's degree in the mental health field and specifically had been trained in EMDR by the EMDR Institute. Each participant completed a survey questionnaire developed specifically for this study.
Results indicated significant differences between EMDR and the other surveyed therapeutic approaches for overall level of efficacy in treating trauma in adults and adolescents. Significant differences between EMDR and two other approaches for treating child trauma were also revealed. A significant difference was found between EMDR and one other approach for overall level of efficacy in treating anxiety in adults and adolescents. No significant differences were found between therapeutic approaches for treating child anxiety. Directions for future research are discussed.
Keywords: Anxiety Disorders Trauma
Accuracy Verified: Yes
322. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]
Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness
Accuracy Verified: Yes
323. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.
Language: English
Format: Journal
Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]
Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
324. Lytle, R. A., Hazlett-Stevens, H., & Borkovec, T. D. (2002). Efficacy of eye movement desensitization in the treatment of cognitive intrusions related to a past stressful event. Journal of Anxiety Disorders, 16(3), 273-288. doi:10.1016/S0887-6185(02)00099-3.
Language: English
Format: Journal
Abstract:
Much of the Eye Movement Desensitization and Reprocessing (EMDR) efficacy research has been widely criticized, limiting scientific understanding of its therapeutic components. The present investigation of Eye Movement Desensitization (EMD) effectiveness included undergraduate students reporting current intrusive cognitions concerning a traumatic event. Forty-five participants received a single treatment session of either: (a) EMD, as described by Shapiro [J. Behav. Ther. Exp. Psychiatry 20 (1989b) 211], (b) an identical procedure which employed eye fixation on a stationary target, or (c) non-directive counseling. Standardized self-report, subjective rating, Daily Diary, and intrusive thought sampling measures were collected before and after treatment. Results indicated that participants in the eye fixation group reported marginally (p<.052) fewer cognitive intrusions than the non-directive group 1 week following treatment. No significant differences between the EMD and non-directive conditions or between the EMD and eye fixation conditions on this measure were found. During the treatment session, both desensitization groups were superior to the non-directive group in reducing reported vividness of the mental image of the original event. However, the non-directive group improved to the level of the two other groups by the following week. Rapid saccadic eye movements were therefore unrelated to immediate treatment effects for this sub-clinical sample, and non-directive treatment largely yielded eventual outcomes equivalent to the two desensitization conditions (Pilots).
Keywords: Biologic Markers College Students Intrusive Thoughts Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Witnesses
Accuracy Verified: Yes
325. Renfrey, G. (1993). The efficacy of eye movement desensitization in the treatment of trauma related imagery and cognitions: A partial dismantling procedure. Western Michigan University, Kalamazoo MI. AAT 9412220.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated the effects of eye movement desensitization (EMD) on post-traumatic sequelae, and attempted a partial dismantling of the procedure to determine the necessity of EMD's characteristic eye movements. 23 persons participated in three groups: (1) those receiving standard EMD, (2) those receiving a variant of EMD in which eye movements were engendered through a light tracking task, and (3) those receiving a variant of EMD in which fixed visual attention replaced eye movements. All participants had experienced traumata as defined by the DSM-III-R and were having intrusive symptoms of PTSD at pre-treatment. All but two met full DSM-III-R criteria for PTSD. Each received two to six treatment sessions.Dependent variables included heart rate changes, subjective units of distress ratings, validity of both initial and targeted trauma-related cognitions during trauma-related imagery, overall frequency and intensity scores on the Clinician Administered PTSD Scale, anxiety and depression T-scores on the Symptom Checklist (SCL-90-R), and scores on the Impact of Events Scale. Assessments were conducted at pre- and post-treatment and at a one- to three-month follow-up. All three interventions produced significant, positive changes in all dependant measures between pre- and post-treatments. Further, these changes were maintained at follow-up. No significant differences between groups were observed. These changes were of comparable magnitude to those reported elsewhere, but were brought about through a greater number of treatment sessions. It was concluded that EMD does bring about fairly rapid therapeutic changes in those post-traumatic sequelae measured, though not as efficiently as most previous reports have suggested. Further, it was concluded that the eye movements peculiar to EMD are not a necessary component of the procedure. The similarities and differences between the present findings and previous reports are discussed, as are the limitations and implications of the present study. Recommendations for future work are made. [Author Abstract]
Keywords: Clinical Trial Partial Dismantling Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
326. Sellers, J. L. (1997, October). Efficacy of the eye movement desensitization procedure as compared to accelerated massed desensitization in the treatment of test anxiety. California School of Professional Psychology, San Diego, CA. ATT 9729659.
Language: English
Format: Dissertation/Thesis
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure had been widely promoted as an effective anxiety reducing treatment, yet the methodology of many studies has not been adequate to clearly investigate the procedure (Lohr, Kleinknecht, Conley, Dal Cerro, Schmidt, & Sonntag, 1992) and comparison treatments have been inappropriately applied (Lohr, Kleinknecht, Tolin & Barrett, 1995). This study compared EMDR and Accelerated Massed Desensitization (AMD), which has been empirically supported as a short term intervention in the treatment of test anxiety. All participants were screened for participation and 38 were determined test anxious, according to the Test Anxiety Inventory (TAI; Spielberger, 1980). No subjects were involved in any form of relaxation training or taking any medications to reduce anxiety at the time of their participation. All participants were recruited from college and university classes in the Orange and San Bernardino counties and were paid $10 for their participation. Six therapists and the primary investigator conducted therapy sessions for both treatments. All therapists completed the EMDR training, completed relevant reading materials for the AMD procedure, and followed protocols for both procedures throughout the therapy sessions. Participants were randomly assigned to either the EMDR or AMD treatment condition and a therapist. Participants completed the state portion of the State-Trait Anxiety Inventory (STAI; Spielberger, 1983) and the Subjective Units of Distress scale (SUD; Wolpe, 1982) measures at pre and post treatment and at pre and post in-class exam. Participants received two sessions of treatment for each of the conditions. This study hypothesized that the EMDR treatment would significantly reduce anxiety as measured by the STAI and the SUD as compared to the AMD treatment. This study also hypothesized that EMDR would significantly reduce anxiety in both treatment and in vivo settings. Supplementary hypotheses predicted that the AMD treatment would reduce anxiety in both the treatment and in vivo settings. Results indicated that students in the AMD condition experienced more anxiety reduction than students in the EMDR condition. However, both treatments were effective in reducing anxiety in both the treatment and in vivo setting, as measured by the STAI and SUD scales. These results suggest that both treatments may be effective for reducing anxiety. However, the AMD treatment led to greater reductions in anxiety, as compared to the EMDR treatment. It is suggested that further research of the EMDR procedure include suitable comparison groups in order to assess its effectiveness and allow clinicians to choose appropriate treatments based on empirical support. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(4-B), Oct 1997, pp. 2139.
Keywords: College or University Students Identified As Test Anxious Efficacy of Eye Movement vs Accelerated Massed Desensitization for Treating Test Anxiety Psychotherapeutic Techniques Sellers Test Anxiety
Accuracy Verified: Yes
327. Shapiro, F. (1989, April). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2(2), 199-223. doi:10.1007/BF00974159.
Language: English
Format: Journal
Abstract:
The aim of the study was to determine the effectiveness of the recently developed Eye Movement Desensitization (EMD) procedure on traumatic memory symptomatology. 22 subjects suffering from symptoms related to traumatic memories were used in the study. All had been victims of traumatic incidents concerning the Vietnam War, childhood sexual molestation, sexual or physical assault, or emotional abuse. Memories of the traumatic incident were pivotal to the presenting complaints which included intrusive thoughts, flashbacks, sleep disturbances, low self-esteem, and relationship problems. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, and (3) presenting complaints. These measures were obtained at the initial session and at 1- and 3-month follow-up sessions. The results of the study indicated that a single session of the EMD procedure successfully desensitized the subjects' traumatic memories and dramatically altered their cognitive assessments of the situation, effects that were maintained through the 3-month follow-up check. This therapeutic benefit was accompanied by behavioral shifts which included the alleviation of the subjects' primary presenting complaints. [Author Abstract]
Keywords: Americans Anxiety Combat Incest Memories Molestation Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Survivors Trauma Veterans Vietnam War
Accuracy Verified: Yes
328. Stapleton, J. A., Taylor, S., & Asmundson, G. J. G. (2007, Spring). Efficacy of various treatments for PTSD in battered women: Case studies. Journal of Cognitive Psychotherapy, 21(1), 91-102. doi:10.1891/088983907780493287.
Language: English
Format: Journal
Abstract:
Spousal abuse and other forms of domestic violence can lead to PTSD. Little is known about how to best treat this form of PTSD. The current case series, based on data collected as part of a larger clinical trial, was designed to evaluate the effectiveness of exposure therapy, Eye Movement Desensitization and Reprocessing (EMDR), or relaxation therapy. 3 women with battered-spouse-related PTSD were assigned to one of these treatments. The patient receiving exposure responded well to treatment and no longer met the criteria for PTSD at post-treatment or at 3-month follow-up. The battered women in the other two conditions continued to meet the criteria for PTSD at post-treatment and at follow-up. The patterns of treatment response were similar to those experienced by individuals with other forms of PTSD (N = 42) examined in the larger trial. The results of these case studies encourage further studies of exposure therapy for battered-spouse-related PTSD. [Author Abstract]
Keywords: Adults Battered Women Canadians Exposure Therapy Domestic Violence Empirical Study Females Follow-Up Study Posttraumatic Stress Disorder PSTD Quantitative Study Relaxation Training Spouse Abuse Survivors Treatment Effectiveness
Accuracy Verified: Yes
329. Cruz, M. R. (2010, Octubre/Noviembre). Eficácia del EMDR como técnica terapêutica en mujeres que presentan depresion por abuso sexual, que acuden al Hospital Cantonal de Sangolqui a consulta externa en el año 2007 [Effectiveness of EMDR as a therapeutic technique in women with depression, sexual abuse, who come to the Cantonal Hospital in outpatient Sangolqui in 2007]. Presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: Spanish
Format: Conference
Keywords: Cantonal Hospital Depression Sangolqui Sexual Abuse Women
Accuracy Verified: Yes
330. Fátima Panangeiro, M. F., Torres, A. F. S., Fernandez, R. M., & Trajano, S. R. (2012, Novembro). Eicácia do EMDR na prevenção e cura do transtorno de estresse pós-traumático em vítimas de terremoto [Efficacy of EMDR in the prevention and treatment of PTSD with victims of an earthquake]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Introdução: Sabemos que quando uma pessoa vivencia um incidente crítico, essa exposição tem impacto considerável sobre seu funcionamento global. Assim, para assegurar a recuperação dos militares brasileiros que estavam no Haiti, escolhemos a técnica EMDR criada pela Dra.Francine Shapiro, que encontra respaldo teórico em descobertas recentes no campo neuropsicológico para realizar as intervenções. Justificativa: O EMDR é uma técnica eficaz, que permite que o trauma armazenado na memória de curto prazo passe para a memória de longo prazo, uma vez que com os estímulos criam-se novas conexões neurais que trazem alívio, paz e aceitação. Atualmente existem mais de 20 estudos randomizados que apoiam sua eficácia. Objetivo: Avaliar a eficácia da técnica EMDR na recuperação de vítimas de terremoto no Haiti, que apresentavam Transtorno Estresse Pós-Traumático e/ou Transtorno Estresse Agudo. Método: O estudo foi realizado com 14 militares sobreviventes do terremoto ocorrido no Haiti em janeiro de 2010, divididos em dois grupos: A (soterrados) e B (não soterrados). Foram utilizados para avaliação: entrevista inicial entrevista inicial e final, os testes IES- Escala de Impacto de Eventos e ISSL - Inventário de Sintomas de estresse de Lipp (antes e após a intervenção), EMDR, e reencontro (follow-up) seis meses após o último atendimento. Resultados: De acordo com os resultados obtidos no IES, os sujeitos que tinham o nível de estresse entre grave, moderado e leve, passaram após a intervenção para o nível leve e recomendado. Em relação aos sintomas físicos e emocionais (flashbacks, insônia, pesadelos, agressividade, instabilidade de humor e aumento no consumo de álcool), os sujeitos não apresentavam mais a queixa ao término das intervenções. Conclusões: Com base nos resultados apresentados podemos afirmar que o EMDR é uma técnica eficaz para resolução do transtorno estresse pós-traumático, assim como na sua prevenção, em vítimas de terremoto.
Introduction: We know that when a person experiences a critical incident, such exposure has considerable impact on their overall functioning. Thus, to ensure the recovery of the Brazilian military who were in Haiti, we choose the EMDR technique created by Dra.Francine Shapiro, who finds theoretical support in recent discoveries in the field to perform neuropsychological interventions. Rationale: The EMDR is an effective technique that allows the trauma stored in short-term memory to pass the long-term memory, since with the stimuli it creates new neural connections that bring relief, peace and acceptance. Currently there are more than 20 randomized trials that support its effectiveness. Objective: To evaluate the efficacy of EMDR technique in the recovery of victims of the earthquake in Haiti, which had Post Traumatic Stress Disorder and / or Acute Stress Disorder. Method: The study was conducted with 14 military survivors of the earthquake in Haiti in January 2010, divided into two groups: A (buried) and B (not buried). All patients were evaluated: initial initial interview and final interview, tests IES-Impact of Events Scale and ISSL - Symptom Inventory stress Lipp (before and after the intervention), EMDR, and reunion (follow-up) six months after the last treatment. Results: According to the results of the IES, the subjects who had the stress level between severe, moderate and mild, passed after the intervention to the level recommended lightweight. Regarding the physical and emotional symptoms (flashbacks, insomnia, nightmares, aggression, mood instability and increased consumption of alcohol), subjects no longer had the complaint at the end of the interventions. Conclusions: Based on the presented results we can state that EMDR is an effective technique for resolution of post-traumatic stress disorder, as well as its prevention, earthquake victims.
Keywords: Acute Stress Disorder Brazil Earthquake Haiti Military Posttraumatic Stress Disorder Prevention PTSD Treatment Victims
Accuracy Verified: Yes
331. de Jongh, A., ten Broeke, E., & van der Meer, K. (1995). Eine neue entwicklung in der behandlung von angst und traumata: “Eye movement desensitization and reprocessing (EMDR)” [A new development in the treatment of anxiety and trauma: Eye movement desensitization and reprocessing (EMDR)]. Zeitschrift für Klinische Psychologie, Psychopathologie und Psychotherapie, 43(3), 226-233.
Language: Dutch
Format: Journal
Abstract:
Dit artikel presenteert een nieuwe ontwikkeling op het gebied van de psychotherapie: Eye-Movement Desensibilisatie and Reprocessing (EMDR). Dit recent ontwikkelde procedure belooft snelle en effectieve behandeling van angst-gerelateerde klachten, met inbegrip van PTSS (DSM-III-R). In essentie leidt de therapeut een serie van snelle en ritmische oogbewegingen. EMDR vergemakkelijkt cognitieve veranderingen en blijvende daling van de angst. Zoals aangegeven door middel van onderzoek en geïllustreerd door casuïstiek, kan EMDR effectief te zijn in een sessie. Tot nu toe is er geen definitieve verklaring voor de effectiviteit van deze methode. [Auteur Abstract]
This article presents a new development on the field of psychotherapy: Eye-Movement Desensitization and Reprocessing (EMDR). This recently developed procedure promises rapid and effective treatment of anxiety related complaints, including PTSD (DSM-III-R). In essence the therapist induces a series of rapid and rhythmic eye-movements. EMDR facilitates cognitive changes and lasting decrease of anxiety. As indicated by research and illustrated by case histories, EMDR can be effective in one session. Until now there is no definitive explanation for the effectiveness of this method. [Author Abstract]
Keywords: Adult Anxiety Disorders Dental Procedures Females Males Posttraumatic Stress Disorder PTSD Rape Survivors
Accuracy Verified: Yes
332. Marx, C. (2007, Janvier). Éjaculation rapide: Une nouvelle piste thérapeutique avec l’eye-movement desensitization and reprocessing (EMDR) [Premature ejaculation: A new therapeutic with eye-movement and reprocessing Ddsensitizer (EMDR)]. Médecine Sexuelle, 1(1), 52-55.
Language: French
Format: Journal
Abstract:
Cet article est le fruit d’une étude personnelle basée sur
une technique psychothérapique nouvelle, l’Eye-
Movement Desensitization and Reprocessing (EMDR),
appliquée à la prise en charge de l’éjaculation précoce.
Le protocole thérapeutique a comporté trois consultations
d’une heure, à trois semaines d’intervalle environ,
précédées d’une première consultation visant à expliquer
la méthode et recevoir l’accord des patients. Parmi
11 cas traités, 8 ont vu s’améliorer leur sexualité (le critère
d’amélioration était le passage à une durée de rapport
intravaginal « acceptable » pour les deux partenaires,
avec disparition de l’anticipation négative).
Deux patients n’ont remarqué aucun changement. Le
dernier a dû interrompre son traitement pour une raison
non liée à celui-ci. Cette expérience pilote est encourageante,
et encourage à poursuivre cette recherche sur un
échantillon plus large de patients.
This is the report of a pilot study of Eye-Movement
Desensitization and Reprocessing (EMDR), a new psychotherapeutic
method initially proposed as treatment
of Post-Traumatic Stress Disorder, in 11 men with
Premature Ejaculation. After an initial visit aiming to
explain the principles and modalities of this therapy,
and to collect the patients’ consent, each man attended
3 therapeutic sessions of one hour duration at 3 weeks
interval. Eight of the 11 patients reported an increase in
the duration of vaginal penetration till a length acceptable
for both partners, and a disappearance of their
negative anticipation. These results are encouraging,
and justify to continue this research on a larger sample
of patients.
Keywords: Premature Ejaculation Sexotherapy
Accuracy Verified: Yes
333. Artigas, L., & Jarero, I. (2005, March). El abrazo de la mariposa [The butterfly hug]. Revista de Psicotrauma para Iberoamérica, 4(1), 30-31.
Language: Spanish
Format: Journal
Abstract:
E.M.D.R. Son las siglas de Eye Movement Desensitization and Reprocessing, que se podría traducir como Desensibilización y reprocesamiento por medio de movimiento oculares. Se trata de un tratamiento psicoterapéutico innovador utilizado para tratar un amplio rango de patologías. Originalmente fue diseñado por F. Shapiro en 1987 para tratar el estrés postraumático y su eficacia fue probada experimentalmente para casos de abusos infantiles, violaciones, veteranos de la guerra de Vietnam y otros trastornos. Su éxito fue tan rotundo que se multiplicaron las investigaciones sobre su capacidad de curar otras patologías, demostrándose su utilidad en los trastornos que implican ansiedad, dolor crónico, duelos y fobias. Cientos de estudios de casos han sido publicados y la amplia investigación experimental realizada en EEUU y en Europa El abrazo Mariposa es una técnica de Auto control.
E.M.D.R. Stands for Eye Movement Desensitization and Reprocessing, which could be translated as Desensitization and Reprocessing Eye Movement. This is an innovative psychotherapy used to treat a wide range of pathologies. Originally designed by F. Shapiro in 1987 to treat PTSD and its effectiveness was tested experimentally for cases of child abuse, rape, veterans of the Vietnam War and other disorders. Its success was so resounding that multiplied the research on their ability to cure other diseases, proving its usefulness in disorders involving anxiety, chronic pain, grief and phobias. Hundreds of case studies have been published and extensive experimental research conducted in the U.S. and Europe The butterfly hug is a technique of self-control.
Keywords: Butterfly Hug
Accuracy Verified: Yes
334. Molero-Zafra, M., & Perez-Marín, M. (2009, June). El duelo, la familia, el trauma y el EMDR: Analisis de un caso clínco [Grief, the family, trauma and EMDR: analysis of a clinical case]. Mosaico, 42, 28-35.
Language: Spanish
Format: Magazine
Abstract:
El objetivo de este articulo es mostrar como el acercamiento terapéutico del EMDR puede integrarse en la terapia familiar y narrative favoreciendo y potenciando su poder para restablecer el proceso de duelo. Para ello presentamos el análisis de una caso de duelo complicado tratado con protocolo de EMDR e incluido en un proceso terapéutico de terapia familiar y narrativa.
The aim of this paper is to show how EMDR therapeutic approach can be integrated into family therapy and narrative encouraging and enhancing their power to restore the grieving process. We present the analysis of a case of complicated grief treated with EMDR protocol and included in a therapeutic process of family therapy and narrative.
Keywords: Family Grief Narrative Therapy Trauma
Accuracy Verified: Yes
335. Uribe, M. E. R., & Ramirez, E. O. L. (2006, Diciembre). El efecto de la terapia EMDR en el tratamiento de la información negativa en los pacientes que sufren depresión [The effect of EMDR therapy on the negative information processing on patients who suffer depression]. Revista Electrónica de Motivación y Emoción (REME), 9(23-24).
Language: English
Format: Magazine
Abstract:
Una investigación de las ciencias cognitivas sobre la depresión se presenta. En concreto, los pacientes con depresión mayor fueron obligados a participar en un proceso terapéutico que involucró la metodología EMDR (Eye Movement desensibilización y reprocesamiento) y los experimentos de facilitación afectiva, lo que demuestra el impacto terapéutico sobre el procesamiento emocional cognitiva acerca de la información pertinente negativo de eventos traumáticos. Los resultados mostraron un cambio significativo y también que hubo participantes que implementaron un filtro cognitivo para eliminar las palabras negativas autobiográficas. Además, se implementó un sesgo para facilitar el reconocimiento de los positivos, así como los estímulos negativos. En la sección de debate, las coincidencias entre las evaluaciones conscientes e inconscientes se analizan sobre la superación de la depresión en esta terapia.
A cognitive science research on depression is presented. Specifically, patients
with mayor depression were required to participate in a therapeutic process
which involved the EMDR methodology (Eye Movement Desensitization and
Reprocessing) and affective priming experiments, which showed the therapeutic
impact over the emotional cognitive processing about relevant negative
information of traumatic events. Results showed a significant change and also
that there were participants who implemented a cognitive filter to eliminate the
autobiographic negative words. Further, it was implemented a bias to facilitate
the recognition of positive as well as negative stimuli. In the section of
discussion, coincidences between conscious and unconscious evaluations are
analyzed about overcoming of depression under this therapy.
Keywords: Depression
Accuracy Verified: Yes
336. Salvador, M. C. (2010). El trauma psicologico: Un proceso neurofisiologico con consecuencias psicologicas [Psychological trauma: A neurophysiological process with psychological consequences]. Revista de Psicoterapia, 20(80), 5-16.
Language: Spanish
Format: Journal
Abstract:
En este artículo se argumenta el impacto y las secuelas del trauma psicológico en el organismo y sus repercusiones a nivel neurofisiológico. El trauma psicológico, cuando se experimenta disociación, se registra en el sistema de memoria implícita y procedimental de manera somato-sensorial, manifestando alteraciones significativas en multitud de sistemas de funcionamiento fisiológico que posteriormente actúan como mecanismos de mantenimiento y recuerdo. Se presenta una base para el enfoque del trabajo terapéutico sobre los fenómenos fisiológicos como introducción y base al abordaje con técnicas neurofisiológicas como el EMDR y Brainspotting.
This article argues the impact and consequences of psychological trauma on the body and its impact on neurophysiological level. The psychological trauma when experiencing dissociation, is recorded in the system of implicit memory and procedural manner somatosensory, showing significant changes in many physiological functioning systems then act as maintenance mechanisms and memory. We present a basis for the focus of therapeutic work on the introduction and physiological phenomena based on the approach to neurophysiological techniques such as EMDR and Brainspotting.
Keywords: Neurophysiology
Accuracy Verified: Yes
337. Uribe, M. E. R., & Ramírez, E. O. L. (2006, Diciembre). El uso del escalamiento multidimensional en el análisis del procesamiento adaptativo de la información mediante la psicoterapia EMDR, en personas con depresión [The use of multidimensional scaling in the adaptative processing information analysis through EMDR on subjects with depression]. Revista Electrónica de Motivación y Emoción (REME), 9(23-24). Retrieved from http://reme.uji.es/articulos/numero23/article4/article4.pdf on 4/5/2008.
Language: Spanish
Format: Journal
Abstract:
La presente investigación
enmarcada en el campo de la ciencia
cognitiva de la emoción, se llevó a cabo
en la práctica clínica mediante estudios
de caso longitudinales con dos
pacientes diagnosticadas con
depresión mayor. Ellas participaron en
un proceso terapéutico que involucró la
aproximación EMDR (por sus siglas en
inglés -Eye Movement Desensitization
and Reprocessing-) y en tres estudios
de representación emocional
depresogénica, cuyos datos se
analizaron mediante la técnica de
escalamiento multidimensional. Las
gráficas obtenidas permitieron observar
el impacto de la terapia en la
organización en memoria a largo plazo de la información relacionada con sus
experiencias traumáticas. Los
resultados muestran que se confirmó la
hipótesis y que sí se afectaron los
niveles representacionales de la
información emocional. En la sección
de la discusión se hacen señalamientos
interesantes sobre la integración de las
herramientas de la ciencia cognitiva de
la emoción a la práctica clínica.
A cognitive science research on depression is presented. Specifically, patients
with mayor depression were required to participate in a therapeutic process
which involved the EMDR methodology (Eye Movement Desensitization and
Reprocessing) and affective priming experiments, which showed the therapeutic
impact over the emotional cognitive processing about relevant negative
information of traumatic events. Results showed a significant change and also
that there were participants who implemented a cognitive filter to eliminate the
autobiographic negative words. Further, it was implemented a bias to facilitate
the recognition of positive as well as negative stimuli. In the section of
discussion, coincidences between conscious and unconscious evaluations are
analyzed about overcoming of depression under this therapy.
Keywords: Cognition Depression Emotion Multidimensional Scaling
Accuracy Verified: Yes
338. Grbesa, G., Simonovic, M., & Jankovic, D. (2010, April). Electrophysiological changes during EMDR treatment in patients with combat-related PTSD. Annals of General Psychiatry, 9(Supplement 1), S209. doi:10.1186/1744-859X-9-S1-S209.
Language: English
Format: Journal
Abstract:
1st International Congress on Neurobiology and Clinical Psychopharmacology and European Psychiatric Association Conference on Treatment Guidance
Background
Efficiency of the EMDR procedure is based on a presumption of neuropsychological changes in therapeutic process.The aim of the investigation is to scann and give evidence of electroactivity changes, during the process of EMDR procedure and after finishing it.
Materials and methods
We have recorded a continual polygraph EEG, before, during and after EMDR therapy, in patient with combat-related PTSD.
Results
Before the treatment, EEG recorded basic activity of low voltage (attenuation) of 20 μV, frequency of beta range (17-26 Hz), bioccipital, with no pathologic activity. Patient had prominent vegetative symptoms (anxiety, heart rate 100/min). Background activity immediately after the treatment records the amplitude values of around 50 μV, frequency of around 11-12 Hz. After the end of the treatment background activity possesses the amplitude value of about 37 μV, holding the persistence in frequency.
Conclusions
If the EMDR treatment is successful, sudden increase of amplityde activity is noted imensly. This sharp border line, which signifies normal activity, appears in 2-3 seconds affter the desensitize phase. The investigation suggest that from neurophysiological point of view, cortex (in EMDR procedure), works according to the principle "all or nothing". If there is processing of traumatic memory, the activity gets completly normal. If the therapy is not successful, there are numerous artefacts, because of increased muscle activity. This kind of activity, in our investigation is marked as "Artefact therapy".
The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment.
Acknowledgements
The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment.
References
EEG Asymmetry and its Clinical Correlates in PTSD, Steven Silverstein, Stewart Shankman Lea Williams, Patrick Hopkinson, Richard Bryant
Keywords: Combat Electrophysiological Change Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
339. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
"The
Body
Keeps
the
Score"
(B.
v.d.
Kolk,
1996)
Clients
who
suffer
from
traumatic
stress
are
often
afraid
about
disturbing
and
painful
somatic
symptoms.
Structural
dissociation
alienates
from
body
reactions.
Nevertheless
it
is
the
body
that
"holds"
the
discomfort
and
painful
memory
of
neglect
and
violence.
Trauma
Survivors
tend
to
perceive
their
body
as
hostile.
They
suffer
from
Alexithymia
deficiency
of
interpreting
the
meaning
of
body
reactions
and
muscle
activation.
Trauma
Survivors
are
easily
irritated
and
tend
to
react
with
rage
on
very
slight
provocations
and
freeze
when
they
are
frustrated.
Even
minor
problems
cause
fear
and
helplessness.
The
Polyvagal
Theory
(S.
Porges
2010)
proves
the
neurological
aspect
of
behavioral
patterns.
Neurozeption
describes
how
we
perceive
others
in
a
neurological
way.
Certain
behavioral
patterns
are
established
through
life
experiences.
This
research
underlines
Francine
Shapiros
AIP
model
and
confirms
the
importance
of
a
body
orientated
approach.
We
know
that
experiencing
the
effect
of
eye
movement
-‐
and
other
bilateral
stimulation,
is
a
gentle
and
powerful
way
to
bring
the
voice
of
the
body
into
the
therapeutic
space.
EMDR
helps
to
integrate
cognitive,
emotional
and
body
sensations.
Using
movement
and
body
orientated
skills
in
difficult
processes
f.e.
with
severely
and/or
early
traumatised
clients,
even
enhances
the
effect
of
EMDR.
Content
of
the
Workshop:
Short
theoretical
implications:
Polyvagal
Theory
and
AIP
Model.
Stabilisation
and
Movement
-‐
creating
a
„Moving
Container“:
How
to
create
a
safe
place
of
relationship
and
attachment
between
the
client
and
the
therapist
by
using
movement
and
bodywork?
The
body
is
the
most
powerful
resource:
How
to
use
movement
to
access
this
power.
How
to
recognize
and
dissolve
dissociation
by
body
and
movement
awareness.
EMDR
Process
and
Movement
:
How
to
widen
the
„window
of
tolerance“
by
using
movement
and
deeper
levels
of
body
consciousness.
Adding
a
fourth
level
of
attention
to
the
EMDR
process:
cognition
-‐
emotion
-‐
body
scan
-‐
movement.
Movement
and
reflex
feedback
as
interweave
technique
in
difficult
processes.
Methods
used
in
the
Workshop:
Lecture
and
Video
Presentation.
Practical
demonstration
of
some
movement
orientated
techniques.
Discussion.
“El
cuerpo
lleva
la
cuenta”
(B.
v.d.
Kolk,
1996),
los
clientes
que
sufren
de
estrés
traumático
tienen
a
menudo
miedo
sobre
sus
síntomas
somáticos
preocupantes
y
dolorosos.
La
disociación
estructural
aliena
las
reacciones
del
cuerpo,
sin
embargo
es
el
cuerpo
el
que
“mantiene”
el
disconfort
y
el
recuerdo
doloroso
de
negligencia
y
violencia.
Los
supervivientes
a
un
trauma
suelen
tender
a
percibir
su
propio
cuerpo
como
hostil.
Sufren
de
Alexitimia,
deficiencias
para
interpretar
las
señales
corporales
y
la
activación
muscular.
Son
fácilmente
irritables
y
tienden
a
reaccionar
con
ira,
con
leves
provocaciones
y
se
“congelan”
cuando
están
frustrados.
Incluso
problemas
de
fuerza
menor
causan
miedo
y
desesperanza.
La
teoría
polivagal
(S.
Porges
2010)
prueba
el
aspecto
neurológico
de
los
patrones
de
comportamiento.
La
neurocepción
describe
cómo
percibimos
a
los
otros
desde
un
punto
de
vista
neurológico.
Ciertos
patrones
de
comportamiento
están
establecidos
a
través
de
las
experiencias
vitales.
Esta
investigación
se
basa
en
el
modelo
SPIA
de
Francine
Shapiro
y
confirma
la
importancia
del
enfoque
orientado
al
cuerpo.
Sabemos
que
al
experimentar
el
efecto
de
la
estimulación
ocular,
y
otras
estimulaciones
bilaterales,
es
un
camino
poderoso
y
suave
para
traer
la
voz
del
cuerpo
dentro
del
espacio
terapéutico.
EMDR
facilita
la
integración
cognitiva
emocional
y
corporal.
Usar
el
movimiento
y
las
habilidades
orientadas
al
cuerpo
en
los
procesos
difíciles
con
clientes
traumatizados,
severamente
o
tempranamente,
incluso
amplifica
el
efecto
terapéutico
del
EMDR
Contenido
del
taller:
Implicaciones
teóricas:
Teoría
Polivagal
y
modelo
SPIA
Estabilización
y
movimiento
–
Crear
un
“recipiente
de
movimiento”
Cómo
crear
un
lugar
seguro
en
relación
al
apego
entre
el
cliente
y
el
terapeuta
usando
movimiento
y
trabajo
corporal.
El
cuerpo
es
el
recurso
más
poderoso:
Cómo
usar
el
movimiento
para
acceder
a
este
poder.
Cómo
reconocer
y
disolver
la
disociación
en
el
cuerpo
y
la
atención
al
movimiento.
Procesamiento
EMDR
y
movimiento:
Cómo
ampliar
la
"ventana
de
tolerancia"
mediante
el
uso
de
movimientos
y
niveles
más
profundos
de
la
conciencia
del
cuerpo.
Añadir
un
4
nivel
de
atención
al
procesamiento
de
EMDR:
Cognición-‐Emoción-‐
Escáner
corporal-‐movimiento.
Keywords: Body Oriented Therapeutic Interweaves
Accuracy Verified: Yes
340. Oren, U. (2002, November). EMDR. פסיכואקטואליה(Psychoactualia).
Language: Hebrew
Format: Journal
Abstract:
היא שיטת טיפול אינטגרטיביתEMDR ( Eye Movement Desensitization and Reprocessing) היא שיטת טיפול אינטגרטיבית שהוכיחה את יעילותה בטיפול במגוון של תלונות נפשיות הקשורות בין היתר לטראומה ולחרדה. מחקרים רבים מראים ששיטת EMDR מסוגלת להביא לעיבוד מהיר של זכרונות טראומטיים, המביאים לשינויים קוגניטיביים ורגשיים יציבים, ולהקלה ניכרת בסימפטומים התנהגותיים-גופניים. השיטה פותחה בסוף שנות ה-80 על ידי הפסיכולוגית האמריקנית ד"ר פרנסין שפירו ומאז עברו את ההכשרה עשרות אלפי מטפלים בכל העולם, ומתוכם למעלה מ- 750 מטפלים בישראל.
EMDR (Eye Movement Desensitization and Reprocessing) is a method of handling the tremendous attested the effectiveness in treating a variety of complaints related psychological trauma, among others. Many studies show that EMDR able to bring quick processing of traumatic memories, leading to changes in a stable, and emotional and behavioral-physical symptoms significantly.
Accuracy Verified: Yes
341. Schubbe, O. (2006). EMDR. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Eine Ärztin gewinnt einen verlorenen Teil ihrer Biografie zurück; ein Mann kann nach einer Geiselnahme wieder Sicherheit erleben; eine Bäckersfrau drückt den stummen Schrecken über den KZ-Tod ihrer Großeltern zum ersten Mal mit Pinsel und Farbe aus. Solche Momente geben mir das Gefühl, von meinen Klienten ganz viel zurückzubekommen. Sie rücken die Perspektive zurecht und geben den Blick auf das Wesentliche frei. Seit ich EMDR einsetze, sind sie viel häufiger.
Unter Fachleuten steht EMDR für "Eye-Movement Desensitization and Reprocessing", unter Klienten auch für "einmal musst du ran", in jedem Fall aber für eine psychotherapeutische Zusatzmethode zur geschützten Verarbeitung traumatischer Erfahrungen.
EMDR besteht aus den acht Phasen nach Francine Shapiro. Die beiden ersten und letzten entsprechen dem in der Traumatherapie üblichen Vorgehen, während die Schritte drei bis sechs eine typische EMDR-Sitzung ausmachen. Am Anfang stehen wie üblich Anamnese und Behandlungsplanung (erste Phase). Nach den Leitlinien zur Behandlung posttraumatischer Störungen (Flatten u.a. 2001) gehört an den Anfang außerdem eine Phase der inneren und äußeren Stabilisierung (zweite Phase). Erst danach folgen die EMDR-Sitzungen im engeren Sinne, bestehend aus der Anfangseinschätzung der Symptomatik (dritte Phase), der zentralen (vierten) Phase der Neuverarbeitung, der Verankerung des erreichten Zustandes (fünfte Phase) und der Prüfung der Restbelastung auf Körperebene - kurz: Körpertest (sechste Phase). Wie in jeder traumatherapeutischen Arbeit wird bei EMDR besonderer Wert auf einen guten Abschluss der Sitzung gelegt (siebte Phase). Und ob die mit EMDR erreichte Veränderung stabil geblieben ist, wird zu Beginn der Folgesitzung überprüft (achte Phase).
Es wird nun die Arbeit mit drei Klienten beschrieben, einer Augenärztin, einem Top-Manager und einer Bäckereiangestellten. Die unterschiedlichen Fälle illustrieren in verschiedenen Facetten, wie ich die Phasen von EMDR in therapeutisches Handeln umsetze. Namen und Details habe ich zum Schutz der Klienten geändert.
A doctor will recover a lost part of her biography, a man can experience after a hostage-taking back security, a baker's wife pressed the silent alarm at the concentration camp deaths of their grandparents for the first time with a brush and color. Such moments make me feel to get back from my clients very much. You adjust the perspective and give a view of the essentials. Since I use EMDR, they are much more common.
Among experts EMDR stands for Eye Movement Desensitization and Reprocessing, "among clients for" once you have ran, and in any case for a psychotherapeutic method for secure additional processing of traumatic experiences.
EMDR consists of eight phases by Francine Shapiro. The two first and last correspond to the normal practice in trauma therapy, while accounting for three to six steps a typical EMDR session. In the beginning, as usual, are medical history and treatment plan (first phase). According to the guidelines for the treatment of post traumatic disorders (Flatten et al 2001) belongs also to the beginning of a phase of internal and external stability (second phase). Only after the EMDR sessions follow in the strict sense, consisting of the initial assessment of symptoms (third phase), the central (fourth) phase of the reprocessing, anchoring the achieved state (fifth phase) and the testing of residual stress on the body level - in short: Body Test (sixth phase). As in any trauma therapy work is placed in EMDR special importance to a successful conclusion of the meeting (seventh phase). And whether the change reached EMDR has remained stable, is checked at the beginning of the next meeting (sixth phase).
It is now working with three clients described, an eye doctor, a top manager and a bakery employee. The different cases illustrate different facets of how I transpose the phases of EMDR in therapeutic action. I have changed names and details to protect the client.
Accuracy Verified: Yes
342. Blore, D., & Holmshaw, D. (2009). EMDR "blind to therapist protocol". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 233-240). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which divulging information might be uncomfortable to the individual prior to the use of EMDR. It has been used to treat train engineers, airplane pilots, ship captains, police officers, prison guards, doctors, nurses, paramedics, and firemen—workers characterized by the need to make life-and-death decisions for which they are personally responsible. In other words, those who have memories associated with not being in control at precisely the time when they are responsible for being in control. Another client group that can often have difficulties with divulging information is child abuse survivors where the client fears overwhelming or disgusting the therapist with the nature of the material to be treated. In such instances the protocol is very successful and can be a useful addition to the therapist's repertoire. It helps build the therapeutic relationship by demonstrating to the client that the therapist has trust in them. Once the client has seen how the therapist copes with material being raised, the Standard EMDR Protocol would be used. The Blind to Therapist Protocol Script is presented. [PsycINFO Database]
Keywords: EMDR Blind to Therapist Protocol Script Survivors Therapeutic Relationship Traumatic Memories
Accuracy Verified: Yes
343. Quinn, G. (2012, June). EMDR & acute stress syndrome/EMDR in early intervention - Immediate ERP treatment following trauma. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Victims
of
immediate
trauma
often
exhibit
“silent
terror”
or
extreme
stress
and
often
are
likely
to
develop
PTSD.
The
Emergency
Response
Procedure
(ERP),
described
in
the
Humanitarian
Assistance
Program’s
(HAP)
Disaster
Manual
and
Marilyn
Luber’s:
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
was
developed
to
deal
with
victims
of
natural
and
manmade
disaster
within
minutes
to
hours
of
exposure
to
trauma.
Learning
objectives:
Participants
in
this
workshop
will
learn
how
to
respond
to
clients
in
the
immediate
aftermath
of
trauma,
utilizing
ERP.
This
will
be
understood
within
the
overall
context
of
the
principles
of
Psychological
First
Aid.
This
same
basic
approach
can
be
applied
in
the
event
of
strong
abreaction
during
the
initial
phase
of
history-‐
taking
and
prior
to
the
Preparation
Phase
of
EMDR
or
at
other
times
of
treatment
when
patients
exhibit
strong
emotional
reactions.
Similarly,
treatment
with
ERP
may
also
be
considered
for
patients
exhibiting
this
“silent
terror”
or
extreme
stress
during
initial
treatment
by
first
responders
at
the
scene
of
an
accident
or
in
ambulances
en
route
to
medical
facilities.
A
pilot
study
(in
press)
will
be
presented
showing
effectiveness
at
possibly
preventing
PTSD
2
years
later
compared
to
“treatment
as
usual”
Las
víctimas
del
trauma
inmediato
frecuentemente
exhiben
“terror
silencioso”
o
estrés
extremo
y
a
menudo
son
susceptibles
de
desarrollar
TEPT.
El
Procedimiento
de
Respuesta
en
Emergencia
(ERP),
descrito
en
el
Manual
de
Catástrofes
de
los
Programas
de
Asistencia
Humanitaria
(HAP)
y
en
el
libro
de
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
ha
sido
desarrollado
para
lidiar
con
víctimas
de
desastres
naturales
y
causados
por
el
hombre
a
los
minutos
u
horas
de
haber
sido
expuesto
al
trauma.
Objetivos
de
aprendizaje:
Los
participantes
de
este
taller
aprenderán
cómo
responder
a
los
clientes
en
los
momentos
siguientes
al
trauma,
utilizando
PRE.
Esto
se
entenderá
en
el
contexto
general
de
los
principios
de
los
Primeros
Auxilios
Psicológicos.
Este
mismo
enfoque
básico
se
puede
utilizar
en
el
caso
de
una
abreacción
fuerte
durante
la
fase
inicial
en
la
que
se
realiza
la
historia
del
paciente
y
antes
de
la
Fase
de
Preparación
de
EMDR
o
en
otras
ocasiones
durante
el
tratamiento
cuando
los
pacientes
muestran
reacciones
emocionales
fuertes.
De
manera
similar,
el
tratamiento
con
PRE
puede
considerarse
también
para
pacientes
que
muestran
este
“terror
silencioso”
o
estrés
extremo
durante
el
tratamiento
inicial
llevado
a
cabo
por
los
servicios
de
asistencia
en
emergencias
en
la
escena
del
accidente
o
en
las
ambulancias
de
camino
a
las
instalaciones
médicas.
Un
estudio
piloto
(en
prensa)
será
presentada
mostrando
la
efectividad
de
la
posibilidad
de
prevenir
el
TEPT
2
años
después
comparándolo
con
“tratamiento
habitual.”
Keywords: Acute Stress Syndrome Early Intervention
Accuracy Verified: Yes
344. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed for overcoming craving. Treatment is
based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol
supported by cue exposure catalyses the recovery process as follows: In the very beginning the
participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then
they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught
to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the
power of desensitisation and reprocessing followed by one ideodynamic strategy influences the
intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that
new experience the clients acquire greater and deeper knowledge about their personal drinking
triggers. They also find out which strategy is the most effective one for each specific trigger. A
strategy, which works well with one trigger, may not work with a different one. Workshop
participants will learn the system of using cue exposure as a powerful cognitive interweave. This
program is designed to improve the treatment of various types of addiction, such as gambling, etc.
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Cue Exposure
Accuracy Verified: Yes
345. Herbert, C. (2008, June). EMDR & positive psychology. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
There has been increasing academic interest and growth in the field of Positive
Psychology in recent years. Despite this, applied Clinical Psychology, Psychiatry and
much of therapeutic practice and academic research in Europe remains focused on
the diagnosis and treatment of pathology and dysfunction and the reduction in
symptoms frequently used as the sole outcome measure. Most of EMDR research and
practice also follows this pattern. While, achievement of symptom relief is clearly of
great importance, often especially situations, which confront individuals with great
inner pain, such as a life crisis or present or past trauma, have the potential to move a
person into a process of enormous inner growth and positive life development. People
can become more authentic, accepting and loving of themselves. This, in turn,
frequently, has a very positive effect on people’s functioning in life, including
improvements in their interpersonal relationships, feelings of inner happiness and
greater contentment and fulfilment. This workshop introduces concepts and findings
from the field of Positive Psychology and explores how these can be incorporated into
the practice of EMDR to facilitate positive inner growth, the development of a more
authentic Self and help individuals attain greater, personal meaning in their lives.
Keywords: Positve Psychology
Accuracy Verified: Yes
346. Korn, D. (2010, April). EMDR & the treatment of adult survivors of childhood abuse and neglect: EMDR aanpassingen voor disregulatie bij Complexe PTSS [EMDR adaptations dysregulation in complex PTSD]. Keynote presented at the 4th EMDR Association Netherlands Conference, Nijmegen, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Wanneer clienten met vroege, chronische traumatisering door middel van EMDR behandeld worden, moet de therapeut vaak als een soort ‘psychobiologische regelaar’ functioneren, om ervan verzekerd te zijn dat cliënten binnen hun Window of Tolerance blijven. De EMDR therapeut dient daarvoor actief te zijn in het bepalen van het optimale tempo van het verwerkingsproces gedurende de EMDR zitting. Dit is van belang om toegang te kunnen krijgen tot de eerder gedissocieerde kennis, gedragsmatige impulsen, gevoelens, en/of sensaties, en deze te kunnen blijven verdragen. De therapeut moet in staat zijn de signalen van disregulatie (bv hyper/hypo-arousal, bevriezen, dissociëren) te herkennen en door middel van specifieke interweaves erop in te kunnen spelen, om de cliënt in het proces te houden en te helpen met het verwerken van diverse aspecten met betrekking tot verantwoordelijkheid, veiligheid en keuze.
Deze keynote zal een kader neerzetten voor het werken met complexe PTSS en disregulatie. Een aantal specifieke technieken, gericht op het omzeilen van therapeutische valkuilen bij deze chronisch getraumatiseerde cliënten, zullen kort worden besproken. Dit zal verduidelijkt worden door middel van opnames van EMDR sessies waarin er van moment tot moment de interacties tussen de therapeut en de cliënt geanalyseerd zullen worden.
In de eendaagse workshop op de maandag na het congres zal veel uitvoeriger ingegaan worden op de ‘hoe, wat, wanneer en waarom vragen’ in de behandeling van Complexe PTSS.
When clients with early, chronic trauma treated by EMDR, the therapist often as a kind of 'psychobiological regulator "function, to satisfy itself that its customers remain within their Window of Tolerance. The EMDR therapist is therefore to be active in determining the optimal pace of the process during the EMDR session. This is important in order to be granted access to the previously dissociated knowledge, behavioral impulses, feelings, and/or sensations, and to continue to bear. The therapist should be able to dysregulation of signals (e.g. hyper / hypo-arousal, freezing, dissociate) to recognize specific interweaves through it in order to respond to the client in the process to keep and help in processing various aspects of responsibility, security and choice.
This keynote will provide a framework drop for working with complex PTSD and dysregulation. Some specific techniques designed to circumvent these therapeutic pitfalls in chronically traumatized clients, will be briefly discussed. This will be clarified by means of recordings of sessions in which EMDR is from moment to moment interactions between therapist and client will be analyzed.
The one-day workshop on the Monday after the congress will be much more detailed presentation on the 'how, what, when and why questions "in the treatment of Complex PTSD.
Keywords: Abuse Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Keynote Neglect
Accuracy Verified: Yes
347. Shapiro, F., & Sherwel, C. (2004). EMDR (Eye movement desensitization and reprocessing): Desensibilizacion y reprocesamiento por medio de moimiento ocular [EMDR (Eye Movement desensitization and reprocessing): Desensitization and reprocessing of eye movement]. México: Pax México.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, how EMDR has become more elaborate treatment for posttraumatic stress disorder (in other disturbances). EMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, EMDR incorporates various aspects of systemic therapies, psychodynamic, experiential, behavioral and physical. It consists of eight phases that include the use of eye movements and other forms of left-right stimulation.
Is effective in treating post-traumatic stress disorder and reprocess disturbing thoughts and memories or psychological problems of survivors of trauma, sexual abuse, crimes of war fighting, as well as phobias and disorders caused by life experiences and provides in a short time effects clinical deep and stable.
With detailed descriptions and transcripts, the author guides the clinician through every stage of therapeutic treatment, from selection of clients to the application of the method and its integration into a comprehensive clinical treatment.
Written in an accessible, this book is an invaluable guide both for experienced clinicians in the EMDR treatment to people who just know the method, and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
348. Kavakci, O., Dogan, O., & Kugu, N. (2010, September). EMDR (Göz hareketleri ile fuyarsızlaştırma ve yeniden işleme): Psikoterapide farklı bir deçenek [EMDR (eye movement desensitization and reprocessing): A different option in psychotherapy]. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 23(3), 195-205. doi:doaj.org/doaj?func=openurl&genre=article&issn=10188681&date=2010&volume=23&issue=3&spage=195.
Language: Turkish
Format: Journal
Abstract:
Göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and
Reprocessing), son yıllarda oldukça ilgi çeken terapi yöntemlerinden biridir. Bu ilginin bir nedeni, özellikle
Travma Sonrası Stres Bozukluğu (TSSB) tedavisindeki etkinliğinin pek çok çalışma ile gösterilmiş olmasıdır.
EMDR, bilgi işleme süreçlerini kolaylaştıran ve travmatik anı parçalarının bütünleşmesini sağlayan yenilikçi
bir terapi yöntemidir. Bu yaklaşımla bilginin gelecekte daha iyi işlevsellik sağlayacak şekilde işlenmesi sağlanır.
Son yıllarda, tedavi kılavuzlarında ve meta analizlerinde EMDR, önerilen tedaviler arasında belirtilmektedir.
Travma ve sonrası bozuklukların görülme sıklığı oldukça yüksektir. Buna karşın, Türkçe alanyazında bu
bozuklukların tedavi seçenekleri ile ilgili yayınlar oldukça sınırlıdır. EMDR’nin etki mekanizması henüz tam olarak
aydınlanmamıştır. Shapiro bir uyumsal bilgi işleme modeli önermiştir. Daha sonra, çeşitli araştırmacılar
laboratuvar ve görüntüleme yöntemlerine dayanan çeşitli nörobiyolojik modeller önermişlerdir. Bu çalışmada,
EMDR ve sekiz evresi açıklanmış, bir olgu örneği, seans kayıtları ile sunularak uygulaması gösterilmiş ve
bu tekniğin çalışma biçimi açıklanmış, etki mekanizması ile ilgili önerilen nörobiyolojik modeller özetlenmiş,
Türkiye’de EMDR ile yapılan az sayıdaki yayın gözden geçirilmiştir. Bu tekniğin ruh sağlığı çalışanlarının uygulamalarına
daha çok girmesi, hem uygulayıcıların psikiyatrik bozukluklar üzerindeki yetkinliklerini arttıracak hem
de travma ve benzeri bozukluklardan yakınan hastalara hızlı iyileşme şansı verecektir.
In recent years, there has been an interest in using the EMDR (Eye Movement Desensitization and
Reprocessing) therapy. One of the reasons for this interest may be its effectiveness shown by numerous
studies, especially, conducted with individuals who suffer from Post Traumatic Stress Disorder (PTSD).
The EMDR is known to be an innovative approach that accelerates information processing and facilitates
the integration of fragmented traumatic memories. This process is stated to allow better integration of
the information that a person has to handle in the future. Recent practice guidelines and meta-analyses
have designated the EMDR as a first-line treatment for trauma. Although the prevalences of trauma
and trauma related disorders are high in Turkey, there has been a limited number of published studies
highlighting treatment options. The EMDR’s mechanism of action has not yet been fully explained. Shapiro
has proposed an adaptive information processing model. Later, based on laboratory and neuroimaging
methods, a number of neurobiological models have been suggested. The present study explained the
EMDR and its eight-phases. A case example with session records was provided to show the application
and operation of the technique. After that, leading neurobiological models which attempt to explain the
mechanisms of action of the EMDR were summarized. Finally, few studies conducted in Turkey using the
EMDR were reviewed. Given the effectiveness of the EMDR regarding trauma and related disorders, the
utilization of the technique by a broad number of mental health professionals may not only increase the
professionals’ competency on psychiatric disorders, but also may provide patients suffering from these
disorders a chance to recover in a relatively short period of time.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD Therapy
Accuracy Verified: Yes
349. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.
Language: Danish
Format: Dissertation/Thesis
Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering
og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress
Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og
Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR
da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet
af flere internationalt anerkendte forskere. Derudover en betydelig
stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv
måde at behandle PTSD.
I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af
opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår
at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske
fejl og mangler i metoder til forskning og objektivitet. Som EMDR
synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige
Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet,
to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af
PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet,
som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for
EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD
har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser
er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer,
der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret
personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation
gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling
kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort
diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR,
vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være
fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen
rundes af med en bred debat og en efterfølgende konklusion.
Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede
symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks
negative og invaderende tanker og derfor EMDR kan anbefales som en mulig
valg af behandling, og bekvemt som et supplement. At den teoretiske fundament
af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering
terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.
This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization
and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress
Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The
Cure of PTSD. Worldwide several national health organizations recommend EMDR
as the treatment for clients suffering from PTSD, and this recommendation is supported
by several internationally recognized academics. Additionally a considerable
large number of researches have been published, showing that EMDR is an effective
way of treating PTSD.
At first, the preliminary question should be easy to answer, had it not been due to
the cutting contrast found in several other published researches and articles claiming
that EMDR is not effective and is next to being a fraud. This criticism indicates academic
errors and deficiencies in methods of research and objectiveness. As EMDR
seems to divide the academic societies into “who´s for and who´s against”, the preliminary
question is not answerable at first. In approaching an answer to the question,
two theoretical parts will be represented. In the first main part, the diagnosis of
PTSD will be taken through. The diagnosis is rather new and contains a complexity,
which is necessary to uncover, before presenting the theoretical foundation of
EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD
has replaced the concept of crisis in practice, whereas former separated diagnoses
are included in PTSD today. As an example it has led to, mentally stable persons,
who have been traumatized, are diagnosed with the same diagnosis as traumatized
persons suffering from severe personality disorders. For example this constellation
makes it difficult to research the efficiency of the therapies, as the same therapies
can result differently according to which group of persons in question. Having taken
the diagnosis of PTSD through, the second theoretical main part which is on EMDR,
will be presented. At first, in this part, the theoretical foundation of EMDR will be
presented to obtain a better perspective of the following criticism. The dissertation
closes with a broad discussion and a subsequent conclusion.
Among others, the dissertation concludes that EMDR works effectively on isolated
symptoms of PTSD to quite some length. EMDR works effectively on flashbacks,
negative and invading thoughts and therefore EMDR is recommendable as a possible
choice of therapy, conveniently as a supplement. That the theoretical foundation
of the effectiveness of EMDR should not be only a variant of cognitive exposure
therapy is, however, very frail and lacks an independent evidence-based research.
Keywords: Literature Review
Accuracy Verified: Yes
350. Hensel, T. (2008). EMDR - Eye movement desensitization and reprocessing. In M. A. Landolt & T. Hensel, (Hg) Traumatherapie bei Kindern und Jugendlichen [Trauma therapy in children and adolescents] (s. 61-83) Gottingen: Hogrefe.
Language: German
Format: Book Section
Abstract:
Im vorliegenden Buch werden in einer umfassenden Übersicht die aktuellen Methoden der Traumatherapie im Kindes- und Jugendalter detailliert vorgestellt. Namhafte und erfahrene Vertreter der verschiedenen Therapieverfahren präsentieren die theoretischen Grundlagen, das therapeutische Vorgehen sowie den Stand der wissenschaftlichen Evidenz der einzelnen Methoden und illustrieren den Therapieansatz anhand von Fallbeispielen. Dargestellt werden sowohl ambulante als auch stationäre Behandlungsansätze, wie beispielsweise die traumafokussierte kognitiv-behaviorale Therapie, EMDR, die Narrative Expositionstherapie für Kinder, die traumazentrierte Spieltherapie, die psychodynamisch imaginative Traumatherapie für Kinder usw.
Erstmalig im deutschen Sprachraum liegt damit eine praxisnahe und umfassende Übersicht über die verschiedenen Verfahren der Traumatherapie im Kindes- und Jugendalter vor. Das Buch kann nicht nur von Psychotherapeuten mit Gewinn gelesen werden, sondern gibt auch allen anderen Fachpersonen, die mit traumatisierten Kindern arbeiten, wichtige Informationen zur Behandlung von Traumafolgestörungen.
In this book are presented in detail in a comprehensive overview of the current methods of trauma treatment in childhood and adolescence. Well-known and experienced representatives of the various treatment methods present the theoretical bases, the therapeutic approach, and the available scientific evidence of each method and illustrate the therapeutic approach with case studies . Shown are both outpatient and inpatient treatment approaches, such as cognitive- behavioral therapy traumafokussierte, EMDR, narrative exposure therapy for the children who traumazentrierte play therapy, the psychodynamic imaginative trauma therapy for children, etc.
For the first time in the German language so that there is a practical and comprehensive overview over the different methods of trauma treatment in childhood and adolescence. The book can be read with profit not only by psychotherapists, but also all other professionals who work with traumatized children, important information for the treatment of traumatic stress disorders.
Keywords: Children Adolescents
Accuracy Verified: Yes
351. Plassmann, R., & Seidel, M. (2003, May). EMDR - Group therapy with patients having eating disorders. In Eating Disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
We understand a therapeutic group, here the EMDR-group, analog to the opinion of Watzlawick et al., Koffka and Grinberg as a multiplicity that is more than only the sum of the individuals. An individual is a part of a group, who expresses himself in the collective „we". Even if the individual expresses himself at first individually, the remarks turn into collective-appearances with basic-convictions–and assumptions. This group-structure, labeled by the authors as a dynamic collective-constellation, is based on unconscious processes projecting and introjecting identification. The group-member takes in those feelings and impulses of the others that are similar to the own emotions, and perceives them due to the experienced reinforcement more severely. Simultaneously the individual projects his objects of the unconscious imagination on the others and tries to reproduce the specific pattern of his difficult interpersonal relationships.
Keywords: Binge Eating Eating Disorders Symposium
Accuracy Verified: Yes
352. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Accuracy Verified: Yes
353. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Keywords: Trauma-Based Disorders
Accuracy Verified: Yes
354. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]
This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]
Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
355. Schubbe, O. (2001). EMDR - Supervision. Institut für Traumatherapie.
Language: German
Format: Other
Abstract:
Angeregt durch meine eigene Supervisionserfahrung und meine Rolle als Ausbilder für EMDR möchte ich meine Form der Supervision der therapeutischen Arbeit mit EMDR vorstellen. Ich wünsche mir, durch einen kollegialen Austausch zu neuen, und weiter verbesserten Konzepten zu gelangen. Die Grundhaltung der Psychotherapie mit EMDR spiegelt sich auch in der Supervision dieser Tätigkeit:
•im transparenten professionellen Rahmen,
•im ressourcengeleiteten Ansatz und,
•im strukturierten Vorgehen. Der Inhalt der EMDR-Supervision unterscheidet sich von üblicher Fallsupervision durch den hohen Stellenwert:
•von traumaspezifischer Gegenübertragung,
•der Notwendigkeit von Burnoutprävention, und
•der Wiederholung von Ausbildungsinhalten.
Nach einer Darstellung des äußeren Rahmens und des ressourcenorientierten Vorgehens schildere ich in der EMDR-Supervision besonders häufig angesprochene Themen.
Inspired by my own supervision experience and my role as trainers of EMDR, I would like to introduce my form of supervision of therapeutic work with EMDR. I want to go through a collegial exchange of new concepts and further improved. The stance of the psychotherapy with EMDR is also reflected in the supervision of this activity: • in transparent professional framework, • ressourcengeleiteten approach and, • the structured approach. The content of the EMDR supervision differs from the usual case supervision by the high priority: • from specific traumatic countertransference, burnout • the need for prevention, and • the repetition of course content. After a description of the outer framework and the resource-oriented approach I describe in the EMDR Supervision particularly common issues raised
Keywords: Supervision
Accuracy Verified: Yes
356. Zimmermann, P., Guse, U., Barre, K., & Biesold, K. (2005, Juni). EMDR - Therapie in der bundeswehr - Zurwirksamkeit untersuchung posttraumatischer belastungsstörungv [EMDR in the German armed forces - Therapeutic impact of inpatient therapy of posttraumatic stress disorder / EMDR]. Krankenhauspsychiatrie, 16(2), 57-63. doi:10.1055/s-2004-830275.
Language: German
Format: Journal
Abstract:
In dieser retrospektiven Studie 89 deutsche Soldaten, die als stationäre zur posttraumatischen Belastungsstörung behandelt wurden, zwischen 1998 und 2002 untersucht wurden. Nach einer mittleren von 29 Monaten mit Fragebögen They Were neu bewertet. Behandelt wurden 20 Patienten mit EMDR Konnte bis 14 Patienten mit einer unterstützenden Behandlung verglichen werden. Die Ergebnisse (Jes SOUTH. Voc) direkt nach der Behandlung und in der Langzeit-Follow-up waren deutlich überlegen in der EMDR-Gruppe im Vergleich zu den Kontrollen. Traumatisierte Soldaten in Out-of-area-Einsätze eher eine bessere als die kurzfristigen Ergebnisse Traumatisierte Soldaten in Deutschland haben. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)
In this retrospective study 89 German soldiers being treated as inpatients for a posttraumatic stress disorder between 1998 and 2002 were investigated. After a mean of 29 months they were reevaluated with questionnaires. 20 patients treated with EMDR could be compared to 14 patients with a supportive treatment. The results (Isa. SUD. VoC) directly after treatment and in the long-term follow-up were significantly superior in the EMDR group compared to the controls. Soldiers traumatized in out-of-area missions tended to have a better short-term outcome than traumatized soldiers in Germany. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Empirical Study Inpatient Therapy Hospitalized Patients Longitudinal Study Military Veterans Posttraumatic Stress Disorder, PTSD, Psychotherapy, Stress Quantitative Study Retrospective Study
Accuracy Verified: Yes
357. Simon, U. H. (2006). EMDR - Therapie in der bundeswehr, untersuchung zur wirksamkeit bei postraumatischer belastungsstörung - [EMDR - Therapy in the Bundeswehr (Federal Defence Force), study on the effectiveness of post-traumatic stress disorder]. Ulm University, Germany.
Language: English
Format: Dissertation/Thesis
Keywords: Bundeswehr Federal Defence Force Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
358. Roques, J. (2008, Mai). EMDR - Une révolution et un changement de paradigme thérapeutiques [EMDR – A therapeutic revolution and paradigm shift]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
La présentation comporte trois volets. Le premier volet présente le fondement neurologique de l’EMDR qui est centré sur les réseaux neuronaux de la mémoire - ce qui permet une compréhension nouvelle des phénomènes dissociatifs et qui fait ressortir le potentiel du traitement en EMDR. Le deuxième volet aborde les applications de ce cadre théorique à l’ensemble des manifestations pathologiques : traumatismes simples et
complexes, intoxications psychiques, épisodes psychotiques brefs et même certains cas de début de schizophrénie. Le troisième volet démontre à quel point l’EMDR bouleverse notre compréhension de la pathologie et de son traitement et de ce fait, constitue un véritable changement de paradigme thérapeutique. Cette compréhension nouvelle des phénomènes neuropsychologiques sous-jacents, telle que soulevée par l’EMDR, permet de distinguer ce qui est utile de ce qui ne l’est pas dans la plupart des psychothérapies.
This opening workshop will focus on three axes :
1) The neurological basis of EMDR that focuses on the memory’s neural networks – which in turn allow a fresh understanding of dissociative phenomena and shows the potential of EMDR treatment.
2) The application of this theoretical understanding to the various expressions of psychopathology: simple versus complex PTSD – psychic poisoning – brief psychotic episodes- even certain cases of early schizophrenia.
3) As a conclusion, how EMDR shook up our understanding of pathology and its treatment, and how it provided the impetus toward a genuine paradigm shift. This new understanding of the underlying psychoneurologic phenomena brought on by EMDR helps us to determine what may be useful or not in the various psychotherapies.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
359. Titze, M. (1997). EMDR - Unterstützte thematisierung bei psychodynamisch fundierten fokaltherapien [EMDR - Supported theming in-depth psychodynamic focal therapy]. In C. T. Eschenröder: EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 179-188). Tübingen: DGVT-Verlag.
Language: German
Format: Book Section
Abstract:
Lange Zeit galt eine im Sinne der psychoanalytischen Standardmethode durchgeführte Langzeittherapie als qualitativ besonders hochstehend. Dabei ließ sich argumentieren, dass die entscheidenden Eckpfeiler des analytischen Prozesses (Erinnern, Wiederholen, Durcharbeiten) einer zeitaufwendigen Methodik (freie Assoziation, "gleichschwebende Aufmerksamkeit" und regressionsfördernde Zurückhaltung / Schweigen des Analytikers, Übertragungs- und Widerstandsdeutungen usw.) bedürfen (vgl. Thomä & Kächele, 1989). Eine unbestreitbare methodische Schwäche dieser Vorgehensweise resultiert allerdings aus dem Verzicht auf eine aktive Strukturierung durch den Analytiker. Dies kann dazu führen, dass sich manche Klienten in der realen therapeutischen Beziehung allein gelassen bzw. nicht ernst genommen fühlen. Eine nicht selten mehrjährige Behandlungsdauer kann zudem eine Unzufriedenheit hervorrufen, die dann zu realen Widerstandstendenzen auf Seiten des Klienten führen wird, wenn ein spürbarer Behandlungserfolg ausblieb (vgl. dazu Eschenröder, 1986, Kap. 11). Doch es sind nicht allein solche Einwände, die zu einer Relativierung der Bedeutung von analytischen Langzeittherapien geführt haben. Es waren auch reale ökonomische Gegebenheiten, die diese Bedeutung in den letzten Jahren zunehmend in Frage gestellt haben. Nachdem nämlich, zunächst in den Vereinigten Staaten, die Versicherungen dazu übergegangen sind, nur eine stark begrenzte Anzahl psychothe-rapeutischer Leistungen zu erstatten, kam es auch im Bereich der Tiefenpsychologie zu einer verstärkten Hinwendung gegenüber kurzzeittherapeutischen Verfahren (vgl. Goleman, 1981).
Long considered a standard in the sense of the psychoanalytic method carried out as long-term therapy of particularly high standing. It could be argued that the crucial cornerstone of the analytical process (remembering, repeating, working through) a time-consuming method require (free association, evenly suspended attention "and regression-promoting restraint / silence of the analyst, transference and resistance interpretations, etc.) (see Thoma & Kächele, 1989). One undoubted methodological weakness of this approach, however, results from the absence of an active structure by the analyst. This can cause that some clients feel in the real therapeutic relationship alone and not taken seriously. An often multi-year duration of treatment may also cause discontent that will lead to real resistance tendencies on the part of the client when a substantial treatment effect failed to (cf. Eschenröder, 1986, Chapter 11). But it is not only an objection that led to a relativization of the importance of long-term analytic therapies. There were also real economic conditions that have made this meaning in recent years increasingly in question. After that is to report first in the United States, the insurance companies have started, only a very limited number of psychotherapy therapeutic services were also provided in the field of depth psychology (1981 cf. Goleman,) to an increased turn over short-therapeutic procedures.
Keywords: Focal Therapy
Accuracy Verified: Yes
360. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag.
In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn.
Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt.
Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen.
Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.
On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior.
In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance.
When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration.
Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease.
Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.
Keywords: Forensic Examination Violent Behavior
Accuracy Verified: Yes
361. 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
362. Darker-Smith, S. (2011, October). EMDR and borderline personality disorder and use of B2T protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
The adaptation of the order of the EMDR 8-phase standard protocol to target specific abandonment issues first and primarily limits the therapy interfering behaviours which lengthens overall therapeutic intervention duration and acts as a road-block (Leahy etc.) to therapy. Specifically, using a blind-to-therapist protocol for this client group once fears of abandonment (often acted out in the therapeutic dynamic) is addressed, then the risk of empathy-enhancing exaggerations is reduced. (Author abstract)
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
363. Black, A. (2010, March). EMDR and CBT - Burt and Ernie or Punch and Judy? - a joint treatment approach with complex children and adolescent trauma. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Are EMDR and CBT sworn enemies or best friends? This
workshop will through teaching, case presentation and small group exercises explore how
Cognitive Behavioural Therapy (CBT) and EMDR can function as a seamless therapeutic
treatment model with children and adolescents of all ages.
Participants will:
• Develop an understanding of what factors constitute complex trauma in children
and adolescents and the hurdles it presents to effective treatment in EMDR.
• Discover what strategies the CBT model can offer in relation to engagement, goal
setting and relapse prevention as part of EMDR treatment.
• Practise designing behavioural experiments for children and adolescents to equip
them to test and apply their new learning following EMDR reprocessing.
• Learn how to utilise the CBT cycle model in providing a rationale for EMDR
treatment for children, adolescents and parents and post EMDR treatment
understanding and consolidation of change.
Keywords: CBT Cognitive Behavior Therapy Joint Treatment Approach Adolescents Children Cognitive Behaviorial Theapy Trauma Treatment Approach
Accuracy Verified: Yes
364. Herbert, C. (2001, May). EMDR and CBT interweave. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Cognitive interweaves are strategic interventions, whose utilisation relies upon therapist
recognition of their necessity at given times during the EMDR procedure, and their effective
use requires skilled therapeutic judgement and the introduction of the appropriate clinicianled
cognitive material in order to counteract the blocked processing. The use of cognitive
interweaves therefore diverges from the established EMDR protocol by introducing therapist generated
material rather than just following the clients spontaneously processed material. It will be argued in this presentation that, due to the divergence from the established EMDR
protocol, the effective implementation of cognitive interweaves, requires the knowledge of
additional therapeutic strategies, predominantly those used in Cognitive Behaviour
Therapeutic (CBT) approaches, which may not be readily accessible to EMDR practitioners
not trained in this approach. This presentation aims to bridge the gap between the
traditionally 'too-heavily protected' territories of CBT and EMDR, by introducing some CBT
strategies, such as 'Socratic Questioning (Padesky, 1993)' or the Cognitive 'Separation of the
Past from the Present (Herbert & Wetrnore, 1999'), which might be usefully drawn on, in
order to generate effective cognitive interweaves during the use of EMDR. Clinical examples from the presenter's work, as an UKCP Accredited Cognitive Behavioural Therapist and a
Level 2 trained EMDR Practitioner, with clients suffering from complex PTSD, will be
explored.
Keywords: CBT CBT Interweave Cognitive Behavioral Therapy Cognitive Interweave
Accuracy Verified: Yes
365. Smyth, N. J., & Poole, A. D. (2002). EMDR and cognitive-behavior therapy: Exploring convergence and divergence. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 151-180). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Since first introduced by Shapiro, eye movement desensitization and reprocessing (EMDR) has been the subject of considerable interest, debate, and controversy within the behavioral literature. In this chapter, EMDR is examined from a behavioral perspective with the goal of exploring connections between it and behavior therapy. Since its initial introduction as an intervention for PTSD, EMDR has been expanded and is used to treat a range of other disorders. The present discussion centers on its application in the management of PTSD for two reasons: First, PTSD is the diagnostic category on which the majority of research studies have focused. Second, empirical research has determined that EMDR and cognitive-behavioral therapy (CBT) are efficacious in the treatment of PTSD; they seem to be equally effective, although EMDR may be more efficient.The chapter begins with a brief consideration of the development and essential principles of behavior therapy and of the manner in which behavioral approaches have conceptualized PTSD. This context is essential to understanding how EMDR is conceptualized from a behavioral perspective. The relationship between EMDR and behavior therapy is then explored and mechanisms for its apparent effectiveness considered. Finally, contributions of behavior therapy to EMDR and of EMDR to behavior therapy are discussed, including challenges that each poses to the other. [Text, pp. 151-152]
Keywords: Adults Cognitive Therapy Posttraumtic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
366. Grant, M., & Just, A. (2000, September). EMDR and compassionate psychotherapy: A new treatment for chronic pain. EMDRIA Newsletter, 5(3), 4.
Language: English
Format: Newsletter
Abstract:
Since its inception as a treatment for trauma,
there have been increasing reports of EMDR
being efficacious with pain . (McCann, 1992,
Hekmat Groth & Rogers, 1994, Wilson, Becker
and Tinker,1997, Grant 2000). EMDR is an
integrative method with many different
components. One of these is the therapeutic
relationship. Compassion is also an essential
element of any effective intervention (Rubins,
1986, Waldman & Waldman, 1996). However,
it is often confused with empathy or pity,
indicating the need for a definition based on a
concept analysis (Just, 1998). Given its
importance in the therapeutic process, and the
effects of social isolation on chronic pain
sufferers, it is remarkable how little
consideration is given to this topic.
Keywords: Chronic Pain Pain Control
Accuracy Verified: Yes
367. 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
368. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This presentation addresses how creativity has
been interwoven into the discovery and
development of EMDR, as well as how EMDR is
an effective tool in unblocking and enhancing
creativity. Dr. Shapiro's discovery of EMDR and
her development of the EMDR Protocol, are
examined as underpinnings of EMDR and
Creativity. EMDR processing will also be
examined as an essentially creative process at the
core of healing trauma-based blocks. The
therapeutic relationship in EMDR is discussed as
a co-creative process. This presentation addresses
creative enhancements EMDR's healing tools
including: "open listening" - avoiding
assumptions while attending to all in-the-moment
verbal and non-verbal client communications, creative use of eye movements with flowing hand
movements and shifting rates of speed, integrating
music and nature sounds into left/right auditory
stimulation and enhancing of body sensations with
color and imagery. This presentation also
addresses using EMDR in addressing issues of
creativity. Creative blocks are regularly reported
by both artists and non-artists and often cripple
and traumatize the artist, and interfere with the
creativity of diallng living of non-artists. Using
EMDR protocol to target creative blocks is
discussed, as well as the contribution of trauma
to these blocks. The EMDR future template is
discussed as a tool for enhancing creativity with
artists free of significant blocks. This includes
actors, singers, dancers, writers and graphic
artists. Mini-practica and demonstrations are used
to operationalize the concepts presented in lecture and handout format.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
369. 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
370. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.
Keywords: Creativity
Accuracy Verified: Yes
371. McNeal, S. A. (2001, July). EMDR and dream interpretation. Presentation at the International Association for the Study of Dreams, Santa Cruz, CA.
Language: English
Format: Conference
Abstract:
This paper describes a method of dream interpretation useful in psychotherapy.The therapist can use the treatment method EMDR (eye-movement desensitization and reprocessing) for processing dream images. The associations elicited in this manner provide a wealth of significant material for psychotherapy as well as resulting in meaningful dream interpretation.
Learning Objectives:
1) To present a new method of dream interpretation
2) To describe the protocol so that others could use it
3) To indicate how this method can enhance therapeutic results
Evaluation questions:
1) How does this use of EMDR differ from the standard use of EMDR with dream imagery?
2) Summarize briefly how EMDR is used for dream interpretation?
3) What are the advantages and disadvantages of this method of dream interpretation?
EMDR and Dream Interpretation
When utilizing EMDR to resolve a trauma, one of the four target areas in the standard EMDR protocol is the nightmare image. During reprocessing, the nightmare image often changes to reveal the real life experiences that are part of the traumatic material. If processing is complete, the nightmare image will not reoccur.
Theoretically, the periods of REM sleep when dreaming occurs are thought to be natural survival mechanisms whereby experiences from the day are synthesized and stored in memory. It has been speculated that nightmares are the mind's attempts to metabolize trapped information. Because trauma can also produce interrupted and dysfunctional REM sleep, nightmares may reoccur indefinitely without resolution taking place. EMDR has been shown to effectively process nightmare images so that reoccurring nightmares cease.
Less has been reported in the EMDR literature regarding dream images that are not nightmarish and do not reoccur. It is usually assumed that if the dreaming process is natural and healthy without nightmares or interrupted sleep, then it is not to be tampered with and is not a focus of treatment. However, EMDR can be very helpful in processing information from dreams, even when the dream images may not appear to be relevant. Case material will be presented to demonstrate how EMDR can be useful in processing dream images during the normal course of treatment as well as contributing to the resolution of specific traumas.
Keywords: Dreams
Accuracy Verified: Yes
372. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation.
The transition is usually seamless in well-adjusted people, but where there has been
disrupted attachment or sustained early life trauma the result is often the formation of
particular ego states, also known as alters, parts, or schema modes. These states perform
roles usually geared towards survival, but in adulthood they can be dysfunctional.
Depending upon a client’s early life experiences some ego states can be malevolent, wanting
bad things for the client such as willing them to suffer in some way.
It is necessary for clients to remain safe during EMDR sessions and contained between
sessions. There is a need, therefore, to learn techniques to work with more difficult clients
so they too can benefit from EMDR. It is also helpful to know how to deal with blocked
processing due to the interference of an ego-state.
This workshop provides an overview of dissociation and a review of models to explain it.
There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical
case material is used to illustrate learning points. Through demonstration and practice
participants will learn how to access ego states in a controlled way and effect therapeutic
change. In the latter part of the day, participants will see a video of a live case where EST is
used effectively to moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand the forms of dissociation
Understand the concept of ego state therapy.
Learn how to access ego states in a controlled way and effect therapeutic change.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy Trauma
Accuracy Verified: Yes
373. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders.
It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state.
This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand how complex trauma and dissociative disorders impact EMDR processing
Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol.
Learn how to access ego states in a controlled way and effect therapeutic change and stability.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
374. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.
Keywords: Complex Trauma Dissociation Ego State Therapy
Accuracy Verified: Yes
375. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
376. Protinsky, H., Flemke, K., & Sparks, J. (2001, June). EMDR and emotionally oriented couples therapy. Contemporary Family Therapy, 23(2), 153-168. doi:10.1023/A:1011193518301.
Language: English
Format: Journal
Abstract:
When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples. [Springer]
Keywords: Empirical Study Family Therapy Literature Review Marital Problems Nonclinical Case Study Psychotherapeutic Processes Survivors Treatment Effectiveness
Accuracy Verified: Yes
377. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2003, January). EMDR and exposure plus cognitive restructuring are found effective in treating PTSD. Clinician's Research Digest, 21(1), 2.
Language: English
Format: Newsletter
Abstract: Compared the effectiveness of eye movement desensitization and reprocessing (EMDR) versus exposure plus cognitive restructuring (ECR) versus a waiting list (WL) in treating posttraumatic stress disorder. This research appeared in Clinical Psychology and Psychotherapy, 9, 299-318.
Keywords: Cognitive Restructuring Exposure Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
378. Robredo, J. (2011, June). EMDR and gender violence. Brief and intensive treatment for children exposed to gender violence. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
The Instituto de Psicotrauma de Alicante and the Social Services of San Juan use, since 2008, a brief intervention protocol for minors exposed to gender violence. This protocol is based on the therapeutic paradigm of EMDR©.
First results on a sample of 28 children from 4 to 12 years old were the disappearance of posttraumatic stress disorder and depression, the remission of concomitant behavior disorders (disobedience, aggression), and the improvement of the affective link with their mother.
In our last study, the sample was bigger and the treatment protocol evolved to be an intensive one, lasting three weeks.
Learning objectives:
This workshop’s aim is to show such protocol and our last study. We will present to the participants:
1.Characteristics of gender violence in mothers and symptoms in their children.
2.Relevance of the EMDR paradigm and the Structural Dissociation of Personality Theory by Onno van der Hart.
3.Assessment instruments.
4.Evidences of the structural dissociation in the children.
5.Treatment protocol.
6.Handling of sessions with mother and child.
7.Work with the dysfunctional beliefs of mothers.
8.Techniques to work with the cognitive interweaves of the child.
9.Techniques to identify and work the dissociation in the child.
10.Data and conclusions of the study
Keywords: Children Gender Violence
Accuracy Verified: Yes
379. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
380. Gilligan, S. (2002). EMDR and hypnosis. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 225-238). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
During the past decade, EMDR has emerged as a very promising therapeutic approach for treating trauma-related problems. It seems to allow for the integrated processing of experiential learning that has been "stuck" or "frozen" in the course of a person's experience. Although its effectiveness seems clear, many questions still remain regarding the way it works and its relationship to other therapeutic modalities. This chapter examines whether EMDR is related to a hypnotic trance and whether hypnotic forms of treatment can be used in conjunction with EMDR. [Text, p. 225]
Keywords: Adults Hypnotherapy Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
381. McNeal, S. (2001, January-April). EMDR and hypnosis in the treatment of phobias. Eye movement and desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 263-274. doi:10.1080/00029157.2001.10404281.
Language: English
Format: Journal
Abstract:
Clinical hypnosis and EMDR have both been employed in the treatment of phobias.
EMDR has been a controversial treatment method with the research showing
mixed results concerning its efficacy. Many studies have shown the effectiveness
of hypnosis in the treatment of phobias, but no studies have directly compared
hypnosis to EMDR. This paper discusses each approach to treatment, with special
emphasis on EMDR. Relevant research and current theories are reviewed along
with questions raised and recommendations for future research. (ASCH)
Keywords: Hypnotherapy Phobias Review
Accuracy Verified: Yes
382. Whalen, J. E. (1999, September). EMDR and hypnosis: A theoretical and clinical investigation. University of Tennessee, Knoxville, TN. AAT 9923344.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a controversial new treatment for anxiety disorders that is proported to evince rapid and lasting treatment gains. EMDR theorists argue that humans have an innate biological drive to process events and their memories into adaptive and useful forms. Traumatic memories become "stuck" and unprocessed, resulting in a host of psychopathological symptoms. EMDR's curative power rests primarily in the eye movements. Shapiro argues that the eye movements directly access and alter traumatic memories at a neurophysiological level. Memories are then processed down into adaptive forms, with a concomitant abatement of symptoms. Research supports the clinical efficacy of EMDR. However, there is much debate as to the actual mutative element in the EMDR protocol. Support for eye movements playing a curative role is meager and equivocal. This study examines the proposition that the primary mutative component of EMDR is response to suggestion. Specifically, this study proposes that the EMDR treatment protocol is laced with suggestion for improvement. Highly hypnotizable individuals will respond to these suggestions even though EMDR is an explicitly nonhypnotic treatment. That is, subjects will improve to the extent they respond to suggestion. Further, this study tests the viability of Shapiro's eye movement theory. An eye movement condition is compared to an eye fixation condition in terms of treatment outcome. Results indicate a positive correlation between subjects' hypnotizability and treatment outcome. In addition, eye movement conditions were as efficacious as eye fixation conditions where treatment outcome is concerned. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1319.
Keywords: Anxiety Disorder Anxiety Disorders Effectiveness Empirical Study Hypnotic Susceptibility Hypnotizability Treatment Outcomes Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
383. MacMahon, R. (2003). EMDR and its use in treating attachment disorder. Author.
Language: English
Format: Other
Abstract:
EMDR is an acronym for Eye Movement Desensitization and
Reprocessing, a remarkable form of psychotherapy that is being widely used to
treat trauma and PTSD (post-traumatic stress disorder). EMDR combines
elements from several therapeutic approaches with bilateral stimulation to
facilitate hemispheric processing in the brain. Controlled studies support the
efficacy of EMDR, making it not only the most thoroughly researched method
ever used in the treatment of trauma, but also useful in a variety of applications
from phobias to eating disorders.
Keywords: Attachment Disorder
Accuracy Verified: Yes
384. Rasolkhani-Kalkorn, T., & Harper, M. L. (2006, March). EMDR and low frequency stimulation of the brain. Traumatology, 12 (1), 9-24. doi:10.1177/153476560601200102.
Language: English
Format: Journal
Abstract:
Laboratory research on animals indicates that the potentiation of synapses in various areas of the limbic system is the primary step in fear memory formation. Depotentiation of these synapses can result in erasure or modification of these memories. The principal mechanism for depotentiation is induction of low frequency stimulation (LFS). This research has also shown that during memory recall, potentiated circuits within the limbic system become labile, and more vulnerable to depotentiation. The authors propose that LFS can be induced in the human brain during eye-movement desensitization and reprocessing therapy (EMDR), and that this can lead to quenching or modification of fear memory traces. Hence, the authors theorize that this process is the main biological basis for the therapeutic effects of EMDR. [Author Abstract]
Keywords: Neurophysiology Transcranial Magnetic Stimulation
Accuracy Verified: Yes
385. Spierings, J. (2000, May 6). EMDR and mourning. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
This presentation consists of the following two parts:
I. The normal mourning process:
Defintions, phases, mourning tasks and characteristics
General treatment principles, EMDR and other treatment techniques
Therapeutic attitude and your own grief reactions as a therapist
II. The complicated mourning process:
Definitions, high-risk factors, diagnostic criteria and clinical indicators
Patterns of complicated mourning
For each pattern: specialized treatment techniques, EMDR protocols and treatment plans
Keywords: Complicated Grief Grief Mourning Protocol
Accuracy Verified: Yes
386. St-André, E. (2009, August). EMDR and OCD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Obsessive Compulsive Disorder (OCD) is a chronic illness with recurrent obsessions, persistent thoughts and compulsions, such as repetitive behaviors that are performed after obsessions. Current treatment for such a disorder includes antidepressants (SSRI, with additional treatment such as antipsychotics) and psychotherapy, usually cognitive behavioral approaches. Nevertheless, there is a lack of available evidence for the long-term effectiveness of psychological treatment (Cochrane Reviews on OCD treatment will be cited). EMDR can be useful in a severe case of OCD and might be of interest for other therapists struggling with OCD cases in their caseload.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
387. McGoldrick, T., Begum, M., & Brown, K. W. (2008). EMDR and olfactory feference syndrome: A case series. Journal of EMDR Practice and Research, 2(1), 63-68. doi:10.1891/1933-3196.2.1.63.
Language: English
Format: Journal
Abstract:
Olfactory reference syndrome (ORS) is an illness currently considered a delusional disorder under the DSM-IV criteria. Patients believe that they emit a foul odor, causing them great emotional distress and negative social consequences. Its etiology is inadequately understood, and there is generally a poor response to pharmacological and psychotherapeutic interventions. This article describes the treatment of four consecutive cases of ORS whose pathological symptoms had endured for 8-48 years. The administration of EMDR consisted of processing the various life experiences that appeared to cause and/or trigger the pathology. The EMDR sessions resulted in a complete resolution of symptoms in all four cases, which was maintained at follow-up. Given the rapid and sustained results, we offer a hypothesis based on the Adaptive Information Processing (AIP) model to explain the etiopathology and remission. [Author Abstract]
Keywords: Adaptive Information Processing Model Adults AIP Case Report Delusional Disorder Females Olfactory Reference Symptoms ORS Shame Stressors Survivors Trauma Treatment Effectiveness
Accuracy Verified: Yes
388. Matthess, H., & Woller, W. (2010, June). EMDR and personality disorders. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Over the last few years, causal relationships between childhood traumatic experiences and the development of personalities have been increasingly discussed. An understanding of personality disorders as a consequence of attachment trauma creates new therapeutic approaches for patients who are considered difficult to treat, though urgently in need of therapy.
First of all, the workshop will present an overview of possible neurobiological causes responsible for evolutionary principles of specific patterns of experiencing and behaviour in personality disorders. Most of their features can be explained as being natural reactions to extreme traumatic stress: unresolved traumatic experiences that cannot be encoded chronologically are, to a varying degree, subjectively experienced as separated from the personality. Other features of personality disorders, such as emotion regulation and mentalization function, can be understood as being a consequence of attachment trauma as well.
Following this, a treatment conception will be presented that combines elements from trauma therapies with aspects of a psychodynamic understanding of attachment relationships. Among others, the problems of personality-disordered patients related to regulating closeness and distance, resulting from their fears of intimacy and abandonment, will be addressed. Finally, the implications of the discussed topics for EMDR treatment will be considered.
Keywords: Personality Disorders
Accuracy Verified: Yes
389. de Jongh, A. (2008, September). EMDR and phobias: Treatment of fears and phobias with eye movement desensitization and reprocessing (EMDR)[EMDR bei angst: Und panikstörungen]. Pre-Congress presentation at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been shown to be a structured, noninvasive, time-limited, and evidence-based treatment for the processing of memories of traumatic conditioning events and related symptomatology.
There is a growing body of evidence showing the effectiveness of EMDR for specific phobias, a group of conditions that have been found to be more prevalent than any other group of psychiatric disorders studied.
This workshop focuses on EMDR as a treatment approach for fear reactions related
to - and avoidance of - specific objects and situations. The participants will learn:
1) about the fascinating possibilities of using EMDR in their work
2) how EMDR can be applied with clients who suffer from fears and phobias
3) to assess clients with patterns of fearful avoidance and to identify strategically important memories of earlier negative learning experiences for processing
4) to integrate EMDR interventions into a general (hypno)therapeutic approach.
This will be illustrated by segments of video taped treatment sessions of clients suffering from a broad diversity of phobias (e.g., dental phobia, vomiting phobia, shark phobia).
Keywords: Phobias Dental Phobias Shark Phobias Vomiting Phobias
Accuracy Verified: Yes
390. Wachtel, P. (1999, June). EMDR and psychoanalysis: An intriguing interface. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) the key differences in the ways that psychoanalytic and cognitive-behavioral therapists view the objectives of therapy and understand what is troubling the patient or client; 2) the key differences in the ways that psychoanalytic and cognitive-behavioral therapists approach the task of evaluating the effectiveness of the therapy they do; 3) the ways that EMDR has incorporated a cognitive-behavioral epistemology and assumption set; 4) the ways that introducing some of the perspectives of the psychoanalytic approach can enrich and add to the repertoire of EMDR; and 5) the ways that introducing aspects of EMDR can enrich and add to the repertoire of psychoanalytic therapists.
Keywords: Psychoanalysis
Accuracy Verified: Yes
391. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.
Language: English
Format: Book
Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
392. Nadel, B. (2009, April 18). EMDR and somatic experiencing: A body-expansive integration. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
This workshop will explore EMDR and Somatic Experiencing as different p


