Francine Shapiro Library - EMDR Bibliography Links
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1. 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
2. Whisman, M., Bruzzesi, D., Ogren, D., Korn, D., Moore, P., Murphy, J., Hoffman, S., & Rouanzoin, C. (2001, June). "Once upon a trauma in Austin". Skit presented at the annual meeting of the EMDR International Association, Austin, Texas.
Language: English
Format: Other
Abstract:
Cerebella, a gifted facilitators, is teaching a level I training in Austin when fire alarms in the hotel lobby suddenly create fear and panic in our heroine.
Unable to overcome her trauma on her own, she seeks the help of a renknown EMDR therapist, Dr. Bilatera, a senior associate in the Clinical and Research Mental Health Institute of Dewey, Treat Em and Howe.
Narrator - Marcia Whisman,
Amy Glia - Donna Bruzzesi,
Hipo Campia - David Ogren,
Video Cortexa - Debbie Korn,
Anterior Cingulata - Peggy Moore,
Broca Aria - Jerry Murphy,
Prefrona Lobia - Sue Hoffman,
Dr. Bilatera - Curt Rouanzoin, and
Imprimatur - His excellency, the most cerebral Mens Sana
Keywords: Skit
Accuracy Verified: Yes
3. 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: Yes
4. シャピロ、フランシーヌ [Shapiro, Francine]. (2004). 眼球運動脱感作と再処理：基本的な考え方、プロトコル、および手順 [Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures]. 大阪：Niheisha [Ōsaka: Niheisha].
Language: Japanese
Format: Book
Abstract:
"この雑誌は、この本の初版（1996年世＃4頁99〜100）の主要な貢献として賞賛した。この新しい版は大幅に拡大され、更新された、反対の一部の研究者は、EMDRしなければならなかったことは多くを解決。結果は恐怖症の治療に有用な補助ステップバイステップの歴史的、理論的、実用的な導入され、心的外傷後ストレス障害を投稿してください。"-初版臨床老年学者称賛、"この実用的な本が重要であるの決定的なプレゼンテーションとしてEMDR法....臨床医は、その詳細な説明をお迎えいたします....いくつかの事例や五注釈転写物はきれいにし、メソッドの機微を示していますセラピストのクライアントは、ロールを中心に"-現代心理学は"書き込みは一般的には明らかである具体的な手順とサンプルのフレーズを説明するために典型的なケースのイラストでバランスのガイドラインは....利点の説明は特別な注意が、可能性のある副作用の説明で全体のバランスが期待されるセラピストによって使用されるように、困難な集団が発生したと手続きバリエーションは必要ありません。"- プライベート実践心理の"非常に数年間で、EMDRも進められている数多くの追加のアプリケーションとの（心的外傷後ストレス障害のための最も広く研究治療に奇妙な音新技術から成長してきた)....数最近のではなく、説得力のある研究が正当かつ強力な治療法としてEMDR確立している"-専門心理学-レビュー
"This journal praised the first edition of this book (1996 XVI #4, pp. 99-100) as a major contribution. This new edition is greatly expanded and updated, addressing many of the objections that some researchers have had to EMDR. The result is a step-by-step historical, theoretical, practical introduction to a useful adjunct for the treatment of phobia and post traumatic stress disorder."--Clinical Gerontologist PRAISE FOR THE FIRST EDITION "This pragmatic book is important as the definitive presentation of the EMDR method....Clinicians will welcome its detailed explanation....Several case examples and five annotated transcripts nicely illustrate subtleties in the method and the therapist's client-centered role."--Contemporary Psychology "The writing is clear with general guidelines balanced by exemplary case illustrations to illustrate specific procedures and sample phrases to be used by the therapist....The description of the benefits to be expected is balanced throughout by descriptions of the special precautions, possible side effects, difficult populations encountered and procedural variations needed."--Psychotherapy in Private Practice "In a very few years, EMDR has grown from a bizarre sounding new technique to the most extensively researched treatment for PTSD (with numerous additional applications also being pursued)....A number of recent, rather convincing studies have established EMDR as a legitimate and powerful treatment."--Professional Psychology -- Review
Accuracy Verified: Yes
5. 方新 [Fang Xin] (2005年{November]月). 精神创伤和EMDR [Psychotrauma and EMDR]. 論文發表在第四屆泛亞太地區心理衛生學術研討會論文 [Presentation at the 4th Asia Pacific Rim Regional Seminar on Mental Health].
Language: Chinese
Format: Conference
Abstract:
有关EMDR的简介EMDR培训项目演讲者将结合自己的许多病例来介绍这些理论，她还将示范如何使来访者趋于稳定的技术。有关EMDR的简介4EMDR培训项目演讲者将结合自己的许多病例来介绍这些理论，她还将示范如何使来访者趋于稳定的技术
For an introduction to EMDR. EMDR training program will combine their speakers to introduce many cases these theories, she will demonstrate how to make visitors stabilizing technology. For an introduction to 4EMDR EMDR training program will combine their speakers to introduce many cases these theories, she will demonstrate how to make visitors stabilizing technology.
Keywords: Trauma
Accuracy Verified: Yes
6. Spierings, J. (2011, August). (Non) cognitive interweaves in EMDR. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Working with severely damaged clients we can hardly expect EMDR-processing to go smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients process their traumatic material. A more active approach is called for to bring trauma resolution. In EMDR this type of intervening is called ‘(cognitive) interweaving’. The therapist may need to intervene on the process level with process interweaves, in order to keep the client within his window of (affect)tolerance.Or the therapist has to intervene on the content level with content interweaves, when the client gets stuck in a specific problem is unable to solve with the information he has available. In this workshop the participant learns to use process interweaves to modulate the arousal level of the client. In addition to this a toolkit of useful content interweaves is presented, cognitive and non-cognitive, e.g. sensory, physical, humorous, symbolic and spiritual interweaves. The presentation includes metaphors for all kinds of blocks, bits and pieces of psycho-education for specific stuck points, unorthodox, creative or hilarious interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness.
Keywords: (Non) Cognitive Interweaves
Accuracy Verified: Yes
7. Opperman-Schmid, F. (2010, June). 5 years of EMDR in a general practioners practise. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study describes the use of eye movement desensitization
and reprocessing in clients suffering from posttraumatic
stress symptoms after recent traumatic experience.
Between November 2003 and July 2009, 45 clients of a general
medicine practise with stress reactions and inability to work after
a recent traumatic event were treated with EMDR.
The number of active EMDR sessions varied from 1 to 5 sessions.
After this short time of active treatment, everyone of these clients
was free of symptoms and able to take up work again. After
a three months period, those clients were reinvestigated. Up to
this time, none of them had suffered from symptoms of distress
or accumulation of trauma memories or inability to go to work.
The study shows an interesting aspect in EMDR treatment:
general practitioners are the first to be consulted by clients with
recent trauma.
EMDR is shown to be very effective in treatment of stress symptoms
after recent trauma.
Consequently, an early intervention with EMDR reduces stress
symptoms and the period of inability. This is to promote interest
and awareness specially among general practitioners with
psychotherapy training.
Keywords: Acute Stress Symposium
Accuracy Verified: Yes
8. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.
Keywords: Model Poster Preverbal Trauma Theory
Accuracy Verified: Yes
9. 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
10. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.
Language: English
Format: Journal
Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.
Keywords: Adaptive Information Processing AIP Cognitive Interweave Three-Pronged Approach Types of Targets Unblocking Strategies
Accuracy Verified: Yes
11. 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
12. Waldon, A. (2008, February). Adios pensamientos y sentimientos feos, Manual de EMDR para ninos [Goodbye yucky thoughts and feelings, An EMDR workbook for children] . Lulu.com.
Language: Spanish
Format: Book
Abstract:
Translated from English by Maria Elana Aduriz, Utilizando este cuaderno, el psicoterapeuta de niño EMDR indica el cliente de niño por el protocolo de EMDR. Las ilustraciones visualmente atrayentes basadas en los dibujos de niños son utilizadas para favorecer el niño a dibujar imaginal y recursos existentes para la fuerza, para la maestría, y para el consuelo. Utilizando estos dibujos, el terapeuta prepara al niño para procesar un trauma. Entonces, después de que el niño dibuje un lugar seguro, el terapeuta utiliza el cuaderno para ayudar al niño identifica los pensamientos, las emociones, y las sensaciones del cuerpo relacionadas al trauma. El niño está entonces listo para la Fase 4, la insensibilización y volver a tratar del trauma. El cuaderno continúa ayudando al terapeuta indica el cliente de niño por las fases restantes del protocolo, terminando con un Certificado del Logro para el niño para mantener. Las instrucciones para el terapeuta y hojas de trabajo para las notas del terapeuta son incluidas.
Using this book, the child psychotherapist EMDR client indicates the child EMDR protocol. The visually appealing illustrations based on drawings by children are used to encourage the child to draw imaginal and resources for the strength, expertise, and for comfort. Using these drawings, the therapist prepares the child to process trauma. Then, after the child draw a safe place, the therapist uses the notebook to help the child identify the thoughts, emotions, and sensations of the body related to trauma. The child is then ready for Phase 4, the stunning and come back to the trauma. The book continues to help the therapist tells the client as a child for the remaining phases of the protocol, ending with a Certificate of Achievement for the child to maintain. The instructions for the therapist and worksheets for the therapist's notes are included.
Keywords: Children
Accuracy Verified: Yes
13. Grand, D. (1998, July). Advance clinical seminar: Innovation and integration in EMDR based diagnosis, technique, teaching, performance enhancement and creativity. Presentation at the annual meetng of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to understand and utilize EMDR based diagnosis; 2) be able to utilize both forming of "questioning interweaves" and reflection of clients questions for processing; 3) gain an in depth understanding of the rationale and use of auditory and tactile modes of EMDR stimulation; 4) have working knowldge of advanced conceptualizations of parallel protocols, processing interaction between internalized selves and longer term EMDR; 5) have an expanded knowledge of issues in teaching EMDR, such as individual and group supervision and presenting seminars; 6) gain an understanding of a developmental model of performance and techniques for application of EMDR to performance enhancement and sports psychology; and 7) develop comprehensive understanding of issues of creativity and EMDR. This will include both the client's and therapist's creativity in the EMDR process, as well as se of EMDR for creativity enhancement.
Keywords: Creativity Performance Enhancement
Accuracy Verified: Yes
14. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.
Keywords: Children
Accuracy Verified: Yes
15. 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
16. Browning, C., & Omaha, J. (2001, June). Affect management skills training (AMST): Basic and advanced techniques. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
AMST blends EMDR, imagery, and ego state therapy to assist clients in developing affect tolerance and can be used with extremely vulnerable clients to prepare them for safe EMDR processing. Practicum and video demonstration will be used.
Keywords: Affect Management Skills Training Affect Tolerance AMST Ego State Therapy
Accuracy Verified: Yes
17. Edalatian-McCain, N. (2008, September). AIP model and treatment of clients with dissociative symptoms or disorders. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Principles derived from Adaptive Information Processing, the theoretical basis of EMDR that are particularly relevant to working with clients with dissociation are discussed. These include principles that explain the development of dissociation, as well as those that inform treatment. Using case vignettes, these principles are applied to all phases of EMDR treatment, from case conceptualization to re-processing of traumas. It is shown how AIP informs the therapist of the prerequisites for successful trauma processing, needed resources, in-session tools, how to guide the client through reprocessing of the traumatic material in an adaptive way, and how to prevent re-traumatization.
Keywords: Adaptive Information Processing Model AIP Model Dissociative Disorders Dissociative Symptoms
Accuracy Verified: Yes
18. 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
19. 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
20. 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
21. 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
22. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. doi:10.1016/j.brat.2007.05.006.
Language: English
Format: Journal
Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]
Keywords: Adults Americans Cognitive Processes Cognitive Therapy College Students Evidence Based Treatment Exposure Empirically Supported Treatment Patient Preference Posttraumatic Stress Disorder Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Selective Serotonin Reuptake Inhibitors Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
23. 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
24. Zangwill, W. M. (1993, March). And still more. the Behavior Therapist, 16(3), 89.
Language: English
Format: Newsletter
Abstract:
This article continues "More thoughts on EMDR training" by J. Kleinman
Accuracy Verified: Yes
25. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .
Language: English
Format: Journal
Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks
Keywords: Acupuncture Anxiety Bi-Digital O-Ring Test Dental Phobic Patients Pharmacological sedation Preferred Patterns Visual Pathway
Accuracy Verified: Yes
26. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.
Keywords: Impulse Control Mindfulness Poster Self Harm
Accuracy Verified: Yes
27. 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
28. Forgash, C. (2008). Applying EMDR and ego state therapy in collaborative treatment. In C. Forgash and M. Copeley, (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 313-341). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter will describe the application of the collaborative treatment model to clients who undergo EMDR and ego state therapy with a specialist in addition to their regular therapy. EMDR and ego state therapy specialists are uniquely positioned to assist primary therapists in resolving stalled therapies and enhancing the treatment provided by the primary therapist. We will explore in this chapter the issues that become problematic over time in a course of therapy, which clients are good candidates for collaborative EMDR and ego state treatment, how to develop an effective working relationship with the primary therapist, and how to avoid problems that may arise out of this dual relationship. A detailed case study will illustrate each step of the treatment, from the initial contact with the primary therapist through the conclusion of the adjunct therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Collaborative Treatment Ego State Therapy
Accuracy Verified: Yes
29. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children: EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Level I. Targeting of Physical Symptoms or Triggers.
Installing of Positive States
Use this level when:
client readiness and safety factors are met.
the experience of the symptom(s) is distressing to the client.
a limited number of therapy sessions is available.
the client does not necessarily have an awareness of the causes or
functions of the symptoms.
the client is not aware of a trauma related to the symptom.
w the assessment does not reveal trauma related to the symptom.
w trauma or other complicating issues are identified but the client's
stability or circumstances does not tolerate Level I1 or 111, and client
and therapist can devise ways to contain upsetting issues which may
come up.
the client wants to try for symptom relief without deeper processing. [Excerpt]
Keywords: Injury Physical Illness
Accuracy Verified: Yes
30. Piffaut, A. M. (2007, Juin). Apport de l'EMDR dans le traitement de l'hyperacousie, des vertiges et des acouphenes, ORL psychosomatique [EMDR in the treatment of hypercousy, vertigo, and acouphens. Psychosomatic ORL]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Je voudrais partager avec vous mon bonheur de pratiquer l'EMDR et de la communication des résultats dans ma spécialité (ORL Ear Nose Throat) associée à une compétence dans phoniatrique. Je n'ai jamais réussi à guérir des patients présentant une hyperacousie douloureuse à l'aide de l'analyse transactionnelle et de la thérapie comportementale et cognitive. Ces personnes ont tendance à s'isoler, cesser de travailler, devenir ou sont socialement phobique. J'ai reçu des patients dans l'incapacité de travail. Ils sont obligés de porter un casque pour se protéger des bruits extérieurs. Leur situation est aggravée par l'acouphène, car si elles s'isoler pour se protéger contre le bruit qu'ils perçoivent encore plus leurs acouphènes.
Depuis que j'utilise l'EMDR, ces personnes ne guérir. L'autre jour, une personne qui avait souffert de l'hyperacousie pendant douze ans et même dû arrêter de travailler à cause d'elle, m'a fait écrire un document dans lequel je l'ai noté sous sa dictée qu'elle se trouva guérie. Ce certificat a été destiné à son médecin de l'entreprise afin d'éviter l'incapacité, un processus qui était en cours. Depuis, elle a pu circuler dans un train dans la zone entre deux voitures (pas loin de 100 dB) et n'a pas souffert. Un enfant, même crié à côté d'elle et elle n'a pas non plus se sentir quelque chose de désagréable. Elle est étonnée et je le suis aussi
L'objectif était de supporter le bruit intense d'une formation en passant sur un pont alors qu'elle était sous le pont. Il a été la pire situation pour elle parce que la plus intense en termes de décibels. Elle étudie plusieurs canaux dans sa mémoire jusqu'à ce qu'elle se souvenait d'un avortement horrible. Les bruits, les mots de l'équipe médicale, tous les souvenirs audience ont été poignées. C'est seulement avec l'EMDR que j'ai réussi à traiter les hyperacousie jusqu'à disparition. J'ai reçu cette personne 7 fois ¾ d'heure. Avant l'EMDR, j'ai parfois reçu jusqu'à deux ans, ces patients à la vitesse d'une session tous les deux pue et il a eu, au mieux, une amélioration de leur confort. Le bonheur de ce dernier patient était telle que j'ai eu à le partager. Depuis, elle va sur les forums de discussion pour encourager les personnes qui souffrent de ce trouble.
I would like to share with you my happiness to practice EMDR and to notice it results in my specialty ENT (Ear Nose Throat) associated to a competence in Phoniatric. I never managed to cure patients presenting a painful hyperacusis by using the transactional analysis and the behavioral and cognitive therapy. These persons tend to isolate themselves, stop working, become or are socially phobic. I received some patients in incapacity to work. They are obliged to wear a helmet to protect themselves from outside noises. Their situation is aggravated by tinnitus because if they isolate themselves to protect themselves from the noise they perceive even more their tinnitus.
Since I use EMDR, these persons do cure. The other day, one person that had been suffering of hyperacusis for twelve years and even had to stop working because of it, made me write a document where I noted under her dictation that she found herself cured. This certificate was intended for her company doctor to avoid the incapacity, a process that was in progress. Since then, she was able to circulate in a train in the zone between two cars (not far from 100 DB) and did not suffer. A child even screamed next to her and she also didn’t feel anything unpleasant. She is astonished and so am I.
The target was to bear the intense noise of a training passing on a bridge while she was under the bridge. It was the worst situation for her because the most intense in terms of decibels. She investigates several canals in her memory until she remembered a horrible abortion. The noises, the words of the medical team, all the hearing recollections were handles. It is only with EMDR that I managed to treat the hyperacusis until it disappearance. I received this person 7 times ¾ of an hour. Before the EMDR, I sometimes received up to two years these patients at the rate of a session every two reeks and it led to at best an improvement of their comfort. The happiness of this last patient was such that I had to share it. Ever since, she goes on forums of discussion to encourage the persons who suffer from this disorder.
Keywords: Hyperacusis Vertigo
Accuracy Verified: Yes
31. 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
32. Leutner, S. (2012). Arbeit mit inneren anteilen im EMDR-prozess: stärkung der bindungsfähigkeit [Working with inner components in the EMDR process: Strengthening the binding ability]. Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: Swedish
Format: Conference
Abstract:
Arbeta med EMDR och AIP-modell har mycket liknande målsättningar i det att de syftar till att stärka den inre processen av kunden och komma över effekterna av trauma. Det visas att en kombination av båda metoderna ger terapeuten med ett kraftfullt verktyg. Det diskuteras som inre delarna kan spela en roll vid bearbetning trauma. Här har vi inte bara titta på patientens sida, men också vid sidan av terapeut och hans eller hennes ego-stater, tyder inte bara patienten tar hand om traumatiserade ego-stater och kommer i kontakt med inre hjälpare, men terapeuten också tar hänsyn till vilka av hans / hennes ego-stater som kan vara till hjälp eller behöver skydd samtidigt tillämpa EMDR-protokollet
Working with EMDR and the AIP-Model have very similar goals in that they aim to strengthen the inner process of the client and overcome the effects of trauma. It is shown that the combination of both methods provides the therapist with a powerful tool. It is discussed which inner parts can play a part in processing trauma. Here we do not only look at the patient's side, but also at the side of the therapist and his or her ego-states, suggesting not only the patient takes care of traumatized ego-states and gets into touch with inner helpers, but the therapist, too takes into consideration which of his/her ego-states may be helpful or need protection whilst applying the EMDR protocol.
Keywords: Adaptive Information Processing AIP Attachment Ego State Therapy Ego States
Accuracy Verified: Yes
33. Royle, L., & Kerr, C. (2010, March). Are EMDR therapists at greater risk of developing secondary traumatic stress disorders?. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Therapists who come
into contact with traumatised individuals are at risk of absorbing their distress resulting in
their own psychological injury. There is a variety of factors that increase the likelihood of
this happening and it can be argued that the EMDR therapist is exposed to many more of
these factors than the generic therapist or counsellor. The presenters hope to raise
awareness of these risks as the first step in addressing them and reducing the stigma in
admitting to secondary trauma.
As well as being provided with a theoretical overview of secondary trauma, participants in
this workshop will be encouraged to consider their own level of risk and practical steps
they can take to reduce this. The workshop will provide an overview of psychological
injury constructs including Compassion Fatigue, Vicarious Trauma and Burnout along with
a description of signs and symptoms of secondary trauma. Current recommendations for
treatment options are outlined and an example is given of how EMDR can be used to
successfully treat secondary trauma in the therapist.
Keywords: Burnout Compassion Fatigue Vicarious Trauma Secondary Traumtic Stress
Accuracy Verified: Yes
34. 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
35. 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
36. 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
37. 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
38. Tobin, B. (2006, Fall). Art therapy meets EMDR: Processing the paper-based image with eye movement. Canadian Art Therapy Association Journal, 19(2), 27-38.
Language: English
Format: Journal
Abstract:
This paper examines the role of the visual image in psychotherapy, and explores connections between how art therapists use physical images, and how EMDR practitioners use mental images in assisting emotional growth and healing. It outlines a clinical program in which EMDR eye-movement activity is integrated with the art therapist's use of paper-based images, and considers the merits of such a synthesis. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Art Therapy Eye Movements Imagery Psychotherapy Visual Perception
Accuracy Verified: Yes
39. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
While most research on PTSD has studied subjects exposed to single
trauma, in clinical practice the vast majority of treatment seeking
patients have histories of multiple traumas, usually interpersonal,
abuse. This gives rise to complex clinical pictures, of which
PTSD is just one dimension. The Trauma Center in Boston is a
large, multidisciplinary, developmentally focused Clinic which specializes
in the treatment of traumatized children and adults. Our
clinic uses a developmentally based assessment tool which helps in
the staging of appropriate treatment interventions. Special emphasis
is placed on providing patients with skills to deal with complex
trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource
installation, SIT, and body-oriented methods, in which patients are
taught skills to increase their internal locus of control. We will
review the rationale for various psychopharmacological interventions
and the role of groups to enhance the capacity for mutual
relationships. All treatment occurs on the foundation of continuity
of care with one individual therapist who follows the patient’s
progress,explores life issues, helps deal with re-enactment behaviors,
and does trauma-specific treatment, such as EMDR or CBT
for alleviation of trauma-specific symptoms. This conference will
explore these issues in depth and discuss in detail the staging and
applications of various treatment techniques in clinical practice.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD
Accuracy Verified: Yes
40. 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
41. Cavazos, M. A. (2012, June). Atracción al mismo sexo no deseada como sintomatología de memorias traumáticas: presentación de tres casos tratados con EMDR [Not desire same sex attraction as traumatic memories symptomatology: Three cases treated with the EMDR approach]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
The cases presented show three patients that searched for clinical help,
since they lived their sexual attraction as something dysfunctional and ego dystonic.
The therapist clinically conceptualized this symptomatology as a probable result of
traumatic memories, conceptualization which was finally adequate.
This presentation will show three not desired sexual attraction cases treated with the
EMDR approach. Cases follow-up - two months to one year and a half after treatment
completion- is presented in a testimonial video from each client. Treatment phases
1,3,5,7 and 8 will clearly show similarities in the three client’s symptoms as well as the
process evolution through traumatic memories reprocessing.
Los
casos
que
se
presentan
se
refieren
a
tres
pacientes
que
llegaron
a
consulta
debido
a
que
vivían
su
atracción
sexual
como
algo
disfuncional
y
ego-‐
distónico,
de
ahí
que
la
terapeuta
conceptualizó
clínicamente
que
esa
sintomatología
se
podría
deber
a
memorias
traumáticas,
conceptualización
que
resultó
ser
acertada.
Estos
pacientes
fueron
tratados
con
el
abordaje
psicoterapéutico
EMDR,
con
un
seguimiento
-‐que
va
desde
los
2
meses
al
año
y
medio
de
haber
terminado
su
proceso
psicoterapéutico.
Se
presentará
un
video
testimonial
de
cada
uno
de
los
pacientes
y
se
hablará
sobre
las
fases
1,
3,5,7,
y
8
del
tratamiento,
en
donde
se
podrán
observar
con
claridad
la
similitud
y
coincidencia
en
la
sintomatología
de
los
tres
pacientes,
así
como
la
evolución
del
proceso
a
través
del
reprocesamiento
de
las
memorias
traumáticas
con
EMDR.
Keywords: Same Sex Attraction
Accuracy Verified: Yes
42. Nickerson, M. (2012, October). Attachment at the societal level: Reprocessing internalized stigma and oppression. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Attachment challenges also occur at the societal level as individuals seek to integrate in a meaningful way into social groups and the larger society. An added dimension of clinical work awakens with a cultural context lens that understands social identity and addresses the traumatic impact of social marginalization and oppression. The AIP model successfully predicts that internalized stigma and oppression can be dismantled by building inner resources, reprocessing memories associated with experiencing discrimination and integrating new knowledge about social dynamics. Practical EMDR based strategies will be portrayed with clinical examples, videotaped sessions and the validating feedback from over 60 EMDR therapists who explored these issues in training practicums.
Keywords: Attachment Internalized Stigma Oppression
Accuracy Verified: Yes
43. Cummings, P. (2004, September). The attachment repair model (ARM) – One year later. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is one comprehensive fix after all else fails within the basic EMDR Model. The importance of neurological functioning, at an ego state level, must be repaired before the processing of traumatic event work is sustainable. Within various descriptions of the ARM, the basic EMDR protocol is expanded into a secondary goal of sustained neurological integration at a traumatic event(s) level. Learning about the ARM will peek a therapist’s thinking about their larger role as an emotionally attuned healer versus the more established role of facilitator of trapped life experience(s).
Keywords: Attachment Repair Model
Accuracy Verified: Yes
44. 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
45. 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
46. Uddane, L. (2004, March 14). Author looks at alternative self-help techniques. Orange County, CA: The Orange County Register, Life, HF3.
Language: English
Format: Newspaper
Abstract:
Eye Movement Desensitization and Reprocessing. Servan-Schreiber believes that in a short period, EMDR may help people cope with difficult memories. In a typical session, the patient is asked to remember the painful, debilitating memory and visually focus on the moving hand of the therapist or moving set of lights. It's not clear how EMDR works, so it's a controversial approach.
Keywords: Orange County Self-Help Techniques
Accuracy Verified: Yes
47. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
“Where I am? I am somewhere between heaven and
earth, but I don't know where exactly." "My therapist waited
for my anger, but it just isn't there...nowhere” – “I can't imagine
anything helpful when I feel bad, I just don't have the
energy... it's all too much for me." – “I just want to give up...”
Reaction to traumatic events can vary a lot. This is true even
when a PTSD has been diagnosed. Contrary to the 'classical'
hyper-arousal response to traumatic memories there is also a
different pattern of response that is characterized by a lack of
an increase in heart rate, and very different pattern of neural activations,
despite having a severe case of acute and subsequent
PTSD'[l] and may go along with (peri- and posttraumatic) dissociation,
emotional numbness, exhaustion, withdrawal and
depression. The above statements belong to people with this
pattern of response who have experienced subsequent difficulties
already in the stabilization phase of their trauma-therapy.
First, I will present an understanding of this symptomatology,
the hypothesis being a predominance of the dorsal vagal system
(see: Polyvagal Theory [2] and activation of the early withdrawal
reflex (or: fear-paralysis reflex). This goes along with
particular cognitive and especially emotional and physical features.
Second, I will present a way to work with this condition, taking
into account that the completion of "interrupted action." In this
case does not imply an outward (fight or fight response) but an
inward orientation withdrawal).
EMDR with an adjusted protocol and tactile bilateral stimulation
provides the way to process and pull through this interrupted
(or unsatisfied) organismic withdrawal and the fear mostly associated
with this process. Returning from this deep and primary
withdrawal from life brings back the energy and the patient
turns back towards life; vagal predominance subsides and the
stuck impulse to withdraw releases.
1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual
Differences in a Husband and Wife Who Developed PTSD After
a Motor Vehicle Accident: A Functional MRI Case Study. Am J
Psychiatry 160:4. April 2003, p. 668.
2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic
substrates of a social nervous system. International Journal of
Psychophysiology, 42, 123-146.
Learning objectives:
1. Recognize dorsal vagal predominance and primary withdrawal
after trauma,
2. Understand the different orientation of interrupted action/
trauma scheme, 3. Know how to help withdrawal-patients to stabilize and
process with adjusted EMDR-protocol and tactile or auditory
bilateral stimulation.
New and unique: Identifying this withdrawal-type of traumatic
reaction and scheme, understanding it with the help of Polyvagal
Theory and development of EMDR- adjusted protocol and
way to process this.
Keywords: Primary Withdrawal Symposium
Accuracy Verified: Yes
48. Gierasch, M., Greenwald, R., Shapiro, R., & Schubbe, O. (2005, September). Becoming an EMDRIA-approved trainer. Presentation at the annual meeting of EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Four EMDRlA Approved Providers of basic EMDR training, Molly Gierasch,
Ricky Greenwald, Robin Shapiro and Oliver Schubbe, will speak about their
unique experience of becoming trainers and their particular approach, including
training settings and trainee populations, in teaching EMDR. The panel will
address the present EMDRlA process and criteria for potential Approved
Providers of basic EMDR training and the networking, sharing of resources,
and support that has evolved over the last few years for all EMDRlA Approved
Providers of basic EMDR training.
Keywords: Approved Providers Trainer Training
Accuracy Verified: Yes
49. Kaplan, S., Wolper, B., Knipe, J., Gierasch, M., & Preston, J. (2006, September). Becoming an EMDRIA approved trainer. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The members of this panel will speak about their
unique experiences in becoming Trainers of basic
EMDR and their approaches to teaching basic
EMDR to particular populations in particular
settings: EMDR-HAP training, independent
training, Medical University and University
Graduate School settings, and the challenges and
rewards of training. The panel will address the
process and requirements for becoming an
EMDRIA Approved Trainer and will describe the
networking, sharing of resources, and support that
are available for new, as well as for all, EMDRIA
Approved Trainers.
Keywords: Approved Trainer
Accuracy Verified: Yes
50. EMDRIA Standards and Training Committee. (2002, June). Becoming an independent EMDRIA approved instructor. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for Approved Instructors in EMDR or those who plan to pursue this designation. Becoming an Approved Instructor in EMDR requires an even greater commitment to mastery of EMDR's processes, procedures, theories, and research. It also entails the skills necessary to impart this information, to untrained clinicians, in such a way, that allows them to responsibly practice. This workshop will cover the steps necessary to become an EMDRIA Approved Instructor. It will offer ideas for getting started, for meeting the new EMDRIA criteria, for developing instructional tools and for managing the course structure to maximizing success. A question and answer session will be available to help with specific questions.
Keywords: Approved Instructor Training
Accuracy Verified: Yes
51. Hurley, E. C. (2012, February 28). Being a veteran can be hazardous to your health. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1299884.html on 2/28/2012.
Language: English
Format: Other
Abstract:
What are effective treatments for chronic pain? Due to the multi-dimensional aspects of pain, a number of treatment approaches have been used. They take into account the cognitive, affective, behavioral, social, and physical aspects of pain. Cognitive-behavioral therapy (CBT), hypnosis, acupuncture, and biofeedback training have all been used. While EMDR therapy was originally utilized in the treatment of PTSD the neurobiological similarities with PTSD patients and chronic pain disorders has led therapists to use EMDR in the treatment of a broad range of disorders including chronic pain, anger, anxiety, and depression (Silver, Rogers, & Russell, 2008). Studies have found EMDR effective in the treatment of chronic pain (Mazzola, Calcagno, Goicochea, Pueyrredon, Leston, & Salvat, 2009; Shapiro, 2012) [Excerpt]
Keywords: Blog Military Posttraumatic Stress Disorder PTSD Stress Veterans War
Accuracy Verified: Yes
52. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.
Language: English
Format: Journal
Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.
Keywords: Nightmares Posttruamatic Stress Disorder PSTD
Accuracy Verified: Yes
53. Greenwald, R. (1997). A better approach to training: Why you should teach EMDR in your home town?. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net/ on 12/27/2008.
Language: English
Format: Other
Abstract:
The controversy about EMDR training previously focused on whether it was necessary. In this paper I argue that the current model of training is not sufficient. I propose a higher standard of training, taking advantage of locally-based trainers who can offer more personal attention and supervised practice over an extended period.[Author abstract]
Keywords: Training
Accuracy Verified: Yes
54. Strauss, A. (2012, March 16). Better than therapy?. Harper's Bizarre. Retrieved from http://www.harpersbazaar.com/beauty/health-wellness-articles/emdr-psychotherapy-0312 on March 19, 2012.
Language: English
Format: Magazine
Abstract:
Finally, my therapist suggested that I try a form of psychotherapy called EMDR, or Eye Movement Desensitization and Reprocessing. A bilateral stimulation therapy designed to unlock negative memories, feelings, and emotions, EMDR is a controversial technique involving lights, sounds, and tapping that purportedly helps the brain process traumatic experiences. This sounded like mumbo jumbo to me but I was desperate. I would have stripped naked and run down Fifth Avenue if you had told me it would help.
Accuracy Verified: Yes
55. Gaudiano, B. A. (2004, January 4). Beware of weird, wacky psychotherapy treatments. Salt Lake City, UT: The Deseret News, All, Viewpoint, AA08.
Language: English
Format: Newspaper
Abstract:
There's also a treatment for post-traumatic stress called Eye Movement Desensitization and Reprocessing. Similar to techniques used in other effective treatments for this condition, EMDR therapists ask clients to review the traumatic events repeatedly in their minds until their anxiety dissipates. What makes EMDR unique is that the therapist also moves index and middle fingers rapidly from left to right in front of the client, who is asked to visually track the movement while imagining the scene. But research shows that the eye movements appear to be completely superfluous, as people who are asked to keep their eyes still while recounting the events improve just as much as those who do the eye-wiggling.
Keywords: General Overview Salt Lake City
Accuracy Verified: Yes
56. Maxwell, E. (1994). Beyond deficiency motivation: EMDR, peak experiences, and transcendence. EMDR Network Newsletter, 4(1), 6.
Language: English
Format: Newsletter
Abstract:
When I initially heard of EMDR, I was
totally uninterested. I was happy with
my repertoire of skills and simply could
not be bothered. However, the reports
of colleagues who had the training
were so exceptional I thought it was
time to have a look. I still was not
prepared to waste my precious hours
on a training, and my way around this
was to experience EMDR myself. I
had genuine difficulties isolating a
problem since I was at a particularly
fulfilling stage of my life; however, I
finally settled on a minor irritation
that I was having with one of my
clients. That session, plus two others,
moved me very rapidly to a decision to
move into private practice, to implementing
that decision, and to currently
experiencing a life of ease, gentle pacing,
and tranquility that I had no previous vision
of being possible. In fact,
there has been a total life style
transformation. I now work only three
days a week, have time to follow the
joyous explorations of my toddler for
hours, am writing a novel, and am experiencing considerable relaxation
of the Puritan work ethic. The starting
point had been a life style I had
previously perceived as fulfilling and
perfectly for me.
Accuracy Verified: Yes
57. Armstrong, R. (2012, October). Beyond the basics: Developing your EMDR practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
Drawing on my professional practice and research, with children, young people and adults, this presentation aims to provide information about a range of approaches to the implementation of EMDR therapy, combining theory and practice. There will be time for discussion among participants to share their own discoveries of EMDR refinements that work with different client groups.
Keywords: Implementation Practice Research Training
Accuracy Verified: Yes
58. 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
59. Blore, D. (2009, October). Blind to therapist protocol. Presentation at the 2nd EMDR Autumn Workshop Conference, Leeds, UK.
Language: English
Format: Conference
Abstract:
The Blind to Therapist (B2T) Protocol (Blore & Holmshaw 2006, 2009), is aimed at helping provide EMDR in special circumstances – particularly where the client is unwilling to describe a target image either because the client fears that the therapist will be disgusted or overwhelmed by the content - as in sexual abuse trauma, and/or where the client is reluctant to relinquish further perceived control for the purposes of conducting EMDR. In essence, the B2T protocol abandons the idea of 'client avoidance' and modifies EMDR so as to accommodate avoidance until the client is ready to identify traumatic material.
Keywords: Blind to Therapist Protocol
Accuracy Verified: Yes
60. Knipe, J. (1998). Blocking belief questionnaire. Jim Knipe, Ph.D.
Language: English
Format: Other
Abstract:
Sometimes a client's blocking belief will be right out their and apparent to both the
client and therapist, and it can be useful to ask some version of the question, "Even though you believe (e.g. you can never get over this problem), would it be alright with you if you did?" If the client say "Yes," then "stay with that" and EM. (Excerpt)
Keywords: Blocking Beliefs Questionnaire
Accuracy Verified: Yes
61. 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
62. 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
63. Borstein, S. S. (2008, September). Brief adjunctive EMDR: How to work collaboratively and quickly with referrals for EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many of us have been asked to provide some EMDR to a colleague’s client. How do we decide whether to accept such a referral, define our role, and conceptualize the work? This workshop presents a model of brief adjunctive EMDR consultation, a focused application of standard EMDR therapy, provided by the EMDR consultant to clients in collaboration with their referring therapist. The workshop offers guidelines for identifying appropriate referrals and for maintaining a collaborative stance with referring therapists. Ethical issues and potential pitfalls will be discussed. Small group activities and handouts will help participants to implement the model.
Keywords: Adjunctive Therapy Referrals
Accuracy Verified: Yes
64. Borstein, S. (2011, August). Brief adjunctive EMDR: How to work collaboratively and quickly with referrals for EMDR. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Non-EMDR-trained clinicians sometimes ask if “a little EMDR” might help their clients. This workshop presents a specific model of Brief Adjunctive EMDR that can accelerate progress in traditional therapy, help the client and the primary therapist to clarify stuck points, and enrich ongoing work. Screening criteria are offered and potential pitfalls are outlined, along with ways to prevent or resolve these problems. An active collaborative relationship with the referring therapist is essential in this model; ways to develop collaboration are discussed. Participants will receive sample forms to educate prospective clients, inform referring therapists, guide case conceptualization, and measure treatment outcomes.
Keywords: Brief Adjunctive Therapy Referrals
Accuracy Verified: Yes
65. Borstein, S. S. (2006, September). Brief adjunctive EMDR: A collaborative consultation model. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Non-EMDR trained clinicians sometimes ask if
"a little EMDR" might help some of their clients.
When painful feelings about a single incident continue to intrude or interfere with otherwise
productive psychotherapy, a short trial of EMDR
may indeed resolve the impasse. By narrowly targeting specific traumatic memories or intrusive
material, adjunctive EMDR can accelerate
progress in traditional therapy, help the client and
the primary therapist to clarify stuck points, and
enrich the ongoing work. This workshop will
describe a model of brief adjunctive EMDR
consultation, a focused application of standard
EMDR therapy, provided by the EMDR
consultant to clients in collaboration with their
referring therapist. In this model, adjunctive
EMDR does not replace or intempt ongoing
therapy. It is complementary to the primary therapy
relationship. The workshop will include guidelines
for identifying appropriate referrals and for
maintaining a collaborative stance with referring
therapists. Ethical issues will be addressed, and
potential pitfalls will be discussed. The presenter
will describe a pilot study of this model, including
qualitative and quantitative measures of outcome.
Keywords: Consultation
Accuracy Verified: Yes
66. 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
67. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Cambodia Thailand Tsunami Typhoon
Accuracy Verified: Yes
68. Laliotis, D. (2009, August). Building on the basics: An EMDR refresher course. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This course is for EMDR therapists who would like to deepen their understanding of EMDR principles, protocols and procedures. Whether you feel the need for a review because you haven’t been using EMDR recently or you would like to enhance your active EMDR practice, this course is for you. From the three-pronged approach to applications of resource installation and cognitive interweave, you will come away from this course more confident in your ability to integrate EMDR into your clinical practice. You will see videotapes of real cases and will have an opportunity to discuss, in depth, case conceptualization and treatment planning issues and how to incorporate the informational plateaus of responsibility, safety and choices throughout the course of treatment. We will also address the unique demands of being an EMDR therapist and how to successfully navigate the inherent challenges of a powerful and effective psychotherapy approach.
Accuracy Verified: Yes
69. Boèl, J. (2000, September). The butterfly hug plus drawings: Clinical and self-care applications. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify several vicarious traumatization and negative countertransference issues which commonly arise when working as a therapist with trauma victims; 2) demonstrate the use of countralateral self-stimulation and drawings based on a standard EMDR protocol applied to stressful work-related issues; and 3) describe the use of contralateral self-stimulation and drawings based on a standard EMDR protocol may be modified with individuals or groups of adults or older children.
Keywords: Butterfly Hug Drawings Groups Contralateral Self-Stimulation Work-Related Stress
Accuracy Verified: Yes
70. Williams, M. E. (2010, July 23). Can anything cure the trauma of my mugging?. Salon. Retrieved from http://www.salon.com/life/life_stories/?story=/mwt/feature/2010/07/23/emdr_after_a_mugging 7/23/2010.
Language: English
Format: Magazine
Abstract:
I knew about Eye Movement Desensitization and Reprocessing therapy from one of my best friends, Lily Burana. I had watched it do wonders for her and her combat-veteran husband, and I'd read her enthusiastic account of the experience in her memoir "I Love a Man in Uniform." As she explains, "In the course of a year, I got married, my husband went to war, we moved to a new post and my father died. To say everything hit the fan was an understatement. I'd been sitting in the therapist's chair for a year and not getting better; I was just getting better at telling my story. With EMDR, it started to work right away."
Accuracy Verified: Yes
71. Gaudiano, B. A. (2004 January 4). Can be depressing. Monterey County, CA: The Monterey County Herald, Commentary, F1.
Language: English
Format: Newspaper
Abstract:
There's also a treatment for post-traumatic stress called Eye Movement Desensitization and Reprocessing. Similar to techniques used in other effective treatments for this condition, EMDR therapists ask clients to review the traumatic events repeatedly in their minds until their anxiety dissipates. What makes EMDR unique is that the therapist also moves index and middle fingers rapidly from left to right in front of the client, who is asked to visually track the movement while imagining the scene. But research shows that the eye movements appear to be completely superfluous, as people who are asked to keep their eyes still while recounting the events improve just as much as those who do the eye-wiggling.
Keywords: General Monterey County Overview
Accuracy Verified: Yes
72. 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
73. Talen, J. (1998, April 21). Can trauma be relieved by the wave of a hand? The controversy over eye movement therapy. Washington, DC: The Washington Post, Health, Z12.
Language: English
Format: Newspaper
Abstract:
"When I started teaching EMDR in 1990, I dubbed it experimental because I didn't want therapists using it without training and then hurting their patients," Shapiro said in a telephone interview. "But there's been eight years of research that shows that it effectively treats post-traumatic stress disorder better than anything out there."
Keywords: General Overview Washington, DC
Accuracy Verified: Yes
74. 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
75. Adler-Tapia, R., & Settle, C. (2009, August). Case conceptualization: Decision points in EMDR with children for attachment, dissociation, and concurrent diagnosis including OCD, ADHD, and PTSD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This presentation will focus on illustrating decision points in EMDR in case conceptualization with children involving complex diagnoses. Videotapes will include sessions with young children diagnosed with post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), attachment traumas, Traumatic Brain Injury (TBI), dissociation and other diagnoses. This is an interactive workshop where participants are encouraged to bring questions about the protocol and challenging issues in practice. Areas to be discussed: how attachment affects the progression of EMDR, at what point does dissociation impact the protocol, and at what point does the therapist consider installing mastery, resource development, or the Inverse Protocol.
Keywords: ADHD Attachment Disorders Attention Deficity Hyperactivity Disorder Case Conceptualization Children Dissociation Inverse Protocol Obsessive Compulsive Disorder OCD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
76. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.
Language: English
Format: Journal
Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a
therapist requests assistance regarding a challenging case and responses are written by three experts. In
this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist
from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment
for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what
concerns she should be aware of. The first expert, Carol Forgash, provides some general information about
pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding
with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma
protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew
Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring
the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of
posttraumatic stress should understand that there is a high probability that EMDR will improve maternal
quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that
these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated
EMDR during pregnancy have found positive effects but pertained to women with posttraumatic
stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted,
women have been informed about possible risks and benefits, and, given their informed consent, they
should be able to choose to commence EMDR therapy during pregnancy.
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Pregnancy PTSD Tornado
Accuracy Verified: Yes
77. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.
Language: English
Format: Journal
Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article,
an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case
in which a man, “George,” was referred for EMDR for treatment of a depression that began more than
2 years previously. After all his reported traumatic memories were completely processed with EMDR,
George remains severely depressed and the therapist asks how to proceed effectively with treatment.
Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list
of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their
appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the
treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the
therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol.
The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if
the client indicates that he or she has little to no disturbance and explains how to develop and implement
a “restorative life span target sequence.”
Keywords: Consultation Depression Treatment
Accuracy Verified: Yes
78. Boore, J. (1993, Fall/Winter). Case history: A client unable to track. EMDR Network Newsletter, 3(2), 17-18.
Language: English
Format: Newsletter
Abstract:
I recently worked with a woman in
her early forties who, for the better
part of our sessions, could not track
my moving fingers. She presented as
highly distraught and reported that
her husband of 14 years had just left
the marriage the week before our session.
This woman, who has been a
therapist for nearly two decades, wandered
distractedly about my office,
touching things, and barely able to
speak. She has no known medical
problems, other than myopia, and
takes no meciications. I had used
EMDR with her six months earlier on
her fear of flying with no noticeable
(to me) tracking difficulty, although
she commented on how difficult tracking
was for her then.
Keywords: Case Report Tracking
Accuracy Verified: Yes
79. Bodian, S. (1995). A case of past-life interweave. EMDR Network Newsletter, 5(2), 3-4.
Language: English
Format: Newsletter
Abstract:
Although I spent 10 years as a Buddhist monk and meditation teacher before becoming a therapist, I have always considered myself an agnostic on the issue of reincarnation. So it was much to my surprise, and without any prompting on my Part, that one of my clients recently had a past-life experience during an EMDR session and
then spontaneously wove the experience into the reprocessing of a childhood memory.
Keywords: Past Life Interweave
Accuracy Verified: Yes
80. 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
81. Lipke, H., & Botkin, A. (1992, Winter). Case studies of eye movement desensitization and reprocessing with chronic post-traumatic stress disorder. Psychotherapy: Theory, Research, Practice, Training, 29(4), 591-595. doi:10.1037/00333204.29.4.591.
Language: English
Format: Journal
Abstract:
Five hospitalized Vietnam combat veterans with chronic PTSD were treated with Eye Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic procedure. Changes in previously refractory symptoms of intrusiveness and arousal were noted for some subjects. The variability of effects was examined in terms of subject variables and therapist training with the procedure. REM sleep findings and studies of cognitive concomitant of waking eye movement were considered in efforts to understand EMDR effects. The overall results suggest that: (1) EMDR can be a powerful clinical tool in the treatment of PTSD, and (2) further research is strongly recommended. [Author Abstract]
Keywords: Adults African Americans Empirical Study European Americans Males Middle Aged Psychiatric Inpatients PTSD Veterans Vietnam War
Accuracy Verified: Yes
82. 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
83. Smith, T. (1993, Spring). A case study. EMDR Network Newsletter, 3(1), 19-20.
Language: English
Format: Newsletter
Abstract:
Following my Level I training, I had a long laundry list of issues that I wanted to tackle with EMDR. Bear in mind that I have received approximately three years of one- to tow-times-per-week talk therapy from three different clinicians ranging in orientation, as well as a complete psychoanalysis four times per week for 4.5 years.
Keywords: Case Study
Accuracy Verified: Yes
84. 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
85. ten Broeke, E. (2009). Casus 11 – ‘Ze moeten me niet… en dat is terecht’: Zelfbeeldreparatie bij een sociaal angstige jonge vrouw [Case 11 - “They do not like me ... and rightly so": Self-image repair in a a socially anxious young woman.]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 169-178). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_17.
Language: Dutch
Format: Book Section
Abstract:
Suzanne is 30 jaar als ze zich aanmeldt voor behandeling van al lang bestaande en zich steeds verder uitbreidende angst en onzekerheid in het contactmet mensen. Het is niet de eerste keer dat zij behandeling zoekt. Een aantal jaren eerder werd zij behandeld met een min of meer geprotocolleerde cognitieve gedragstherapie binnen een Riagg. De resultaten vielen echter tegen en hoewel zij een aantal zinvolle gedragsveranderingen doorvoerde en zich had getraind in een meer realistische manier van denken, staakte zij teleurgesteld de behandeling. Niet in het minst omdat de behandelaar geen mogelijkheden zag de behandeling aan te passen aan het specifieke van Suzannes klachten. Nu zoekt Suzanne opnieuw hulp. Ze heeft via-via gehoord dat EMDR – in combinatie met cognitieve gedragstherapie – vaak goede resultaten geeft bij (sociale) angst.
Suzanne is 30 years when they register for treatment of longstanding and ever expanding contactmet fear and insecurity in people. It is not the first time they seeking treatment. A few years earlier she was treated with a more or less within a manualized cognitive behavioral Mental Health. The results were, however, opposed and even though they had implemented a number of meaningful changes in behavior and had trained in a more realistic way of thinking, disappointed they stopped the treatment. Not least because the therapist saw no possibility of treatment to suit the specific complaints of Suzanne. Now looking for help again Suzanne. She has heard through-via EMDR - in combination with cognitive behavioral therapy - often with good results (social) anxiety.
Keywords: Self-Image Social Anxiety Women
Accuracy Verified: Yes
86. 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
87. 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
88. Grand, D. (2007, Novembro). Cenas temidas no EMDR [Scenes feared in EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Neste workshop, David Grand vai mostrar como
você pode se conectar com seus clientes mais
difíceis, resistentes e não respondentes ao EMDR, usando a modalidade de role-play. David convida
a todos que tragam seus casos mais desafiadores.
Ele fará as demonstrações com você no papel de
cliente e ele no papel de terapeuta. Trata-se uma
das formas mais divertidas e poderosas de
aprimorar suas habilidades com EMDR.
In this workshop, David Grand will show how
you can connect with their customers more
tough, durable and non-respondents to the EMDR method of using the role-play. David invites
everyone to bring their most challenging cases.
He will make statements to you in the role of
customer and he in the role of therapist. It is a
of the most fun and powerful
hone your skills with EMDR.
Keywords: Role-Playing
Accuracy Verified: Yes
89. Royle, L. (2012, October). The challenges of integrating EMDR basic training into the context of your own practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The workshop will look at common challenges faced by therapists when beginning the task of integrating EMDR basic training into their existing practice and skills. It will discuss how therapists often react to this challenge (including ‘giving up’ and ‘protocol drift’) and offer suggestions on how to overcome this. The specific difficulties encountered by those with different theoretical backgrounds will be highlighted. This workshop is aimed at novice EMDR therapists who may be feeling apprehensive about applying their new skills.
Accuracy Verified: Yes
90. 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
91. Paterson, M. C. (2008). Changing cognitive schemas through EMDR and ego state therapy. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 121-139). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Often clients require extensive preparatory work to ensure that they have the ego strength to allow them to experience EMDR. Failure to do this may result in harm to the client and litigation against the therapist. Ego strengthening is required where the client's personality is less than totally integrated, usually indicated by the presence of enduring irrational beliefs and behavior. Such beliefs exist despite extensive evidence to the contrary; for example, a man may believe he is worthless and a failure despite being in a stable marriage and also holding a college degree. Similarly, irrational beliefs often prevent clients from progressing in therapy due to the blocking action they exert on cognitive processing. This chapter examines maintenance fo irrational beliefs and behaviors and a case study that looks at a former police officer in Northern Ireland. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Schemas Ego State Therapy
Accuracy Verified: Yes
92. 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
93. Greenwald, R. (1999, June). Child and adolescent special interest group. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
This special interest group is devoted to fostering the development and availablity of EMDR for children and adolescents. Possible SIG sponsored activities may include: information clearinghouse; development of practice and training standards; protocols for speical populations; education of professional, school, medical, and lay communities; peer support for research and writing; and advocacy for underserved child/adolescent populations. At this meeting we will discuss and begin to plan the first activities to be sponsored by this group.
Keywords: Adolescents Children SIG
Accuracy Verified: Yes
94. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models
Accuracy Verified: Yes
95. Adler-Tapia, R. L. (2012, June). Child psychotherapy: Integrating developmental theory into clinical practice. New York, NY: Spring Publishing.
Language: English
Format: Book
Abstract:
Children are often diagnosed and medicated without the consideration that their symptoms may actually be a healthy response to stressful life events. This integrative guide for mental health practitioners who work with children underscores the importance of considering the etiology of a child's symptoms within a developmental framework before making a diagnosis. By providing advanced training and skills for working with children, the book guides the therapist, step-by-step, through assessment, case conceptualization, and treatment with a focus on the tenets of child development and a consideration of the impact of distressing life events.
The book first addresses child development and the evolution of child psychotherapy from the perspectives of numerous disciplines, including recent findings in neurodevelopment trauma, attachment, and neurobiology. It discusses assessment measures, the impact of divorce and the forensic/legal environment on clinical practice, recommendations for HIPAA compliance, evidence-based best practices for treating children, and the requirements for an integrated treatment approach. Woven throughout are indications for case conceptualization including consideration of a child's complete environment. This book provides an integrative approach to child psychotherapy from the perspective of healthy development through the lens of EMDR.
Keywords: Children
Accuracy Verified: Yes
96. 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
97. Gelinas, D., & Lipke, H. (2007). Clinical Q & A. Journal of EMDR Practice and Research, 1(1), 62-65. doi:10.1891/1933-3196.1.1.62.
Language: English
Format: Journal
Abstract:
A contribution to the "Clinical Q&A" column, in which master clinicians answer questions posed by readers who are requesting assistance with clinical challenges. The question to which the authors are replying is "I recently took the EMDR training, but I'm having trouble getting started with EMDR. What do you suggest?" [Adapted from Text, p. 62] [Pilots]
Keywords: Professional Training Psychotherapeutic Processes
Accuracy Verified: Yes
98. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
99. Grimmett, J., Hartung, J., Galvin, M. D., & Gray, S. (2012, October). Clinician experiences with EMDR: Factors influencing attrition and retention. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Over 70,000 clinicians worldwide have participated in extensive EMDR training in the past 20 years, but, as with other therapies, not all trained clinicians continue to practice newly acquired techniques.
Whether or not a clinician uses a given treatment modality seems to be a complicated issue, the literature can be organized along the lines of five themes: (a) therapists' pre-training factors, (b) the training itself, (c) clients' experiecnes before and during EMDR, (d) post-training skill development, and (e) socio-enviromental contributors to therapist attrition and retention
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
100. Allen, W. (2002). Coaching amateur athletes: From frozen to fearless. In L. Grodzki (Ed.), The new private practice: Therapist-coaches share stories, strategies, and advice (pp. 178-191). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
This chapter presents a case study in which the coach, who works with amateur athletes, addresses the fear of an amateur horseback rider who broke her arm horseback riding but wanted to continue the sport. The author describes how she set the goals of addressing and diffusing the upsetting mindset; installing a cognitive-behavioral link to support new skill integration and application; and looking at the client's riding through the lens of an amateur but competitive athlete to see how she could best make certain training decisions. She discusses her tools and techniques, including eye movement desensitization and reprocessing (EMDR), neurolinguistic programming, shamanic healing, and Buddhist meditation, and presents an extract from her first EMDR session with her silent thinking about the process as it unfolded. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
Keywords: Athletic Performance Buddhism Buddhist Meditation Coaches Coaching Amateur Athletes Emotional Trauma Fear Goals Horses Neurolinguistic Programming NLP Professional Development Shamanic Healing Shamanism Therapists
Accuracy Verified: Yes
101. Lakey, J. (2007, February). Cognitive behavioral therapy and eye movement desensitization and reprocessing: A comparative analysis for the treatment of post-traumatic stress disorder. St. Gregory’s University: Shawnee, OK.
Language: English
Format: Dissertation/Thesis
Abstract:
Post-Traumatic Stress Disorder is the primary mental health issue resulting in
tours of duty in combat operations. The soldiers returning home from these operations
often require treatment in dealing with many of their physical and emotional changes.
The therapist who treats these brave men and women needs to understand the treatment
methods available for the successful recovery of their clients. After identifying the terms
necessary to understand the principles and the historical and etiological background of
the disorder and the treatments available, this paper will illuminate several treatment
modalities and their success rates in the treatment of PTSD. Cognitive Behavioral
Therapy and Eye Movement Desensitization and Reprocessing will be the primary focus
of comparison through out this work.
Keywords: Comparative Analysis Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
102. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
103. Oglesby, C., Foster, S., Sime, W., North, T. C., & Lendl, J. (1999). Collaborative partnerships in sport psychology applications of EMDR: High performance and trauma recovery. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.
Language: English
Format: Conference
Abstract:
Clinicians who have grown to accept and support Eye
Movement Desensitization Reprocessing (EMDR) have
begun to diversify the types of trauma populations in which
EMDR is applied. Psychology of injury researchers have
suggested, on the basis of their work, that an exciting new
direction in sport psychology is the implementation and
testing of new interventions aimed at modifying risk factors
for athletes. It has also been suggested that extant models of
athletic injury may reasonably be re-interpreted to account for
other traumatic stressors, additional to injury, in sport. EMDR
may reduce stress and trauma reactions in sport participants.
EMDR, however, has been developed as a clinical tool and
there are limitations on entrance to training in the approach.
There are myriad ways, however, in which valuable
partnerships may be formed, among psychologists, sport
psychologists, and educational sport psychology consultants
to use EMDR on behalf of clients. This symposium, within its
five sections, will report on many such collaborations. The
following are the objectives of the session: (a) provide a brief
overview of the research and theory base for EMDR and its
use in performance work; (b) describe case reports of
successful partnerships among EMDR-trained sport
psychologists and variably trained professionals from sport
performance.
Keywords: Performance Enhancement Sports Psychology Symposium
Accuracy Verified: Yes
104. Barfoot, K. M., Casey, M. C., & Callaway, A. J. (2012, July). Combined EEG and eye-tracking in sports skills training and performance analysis. Presentation at the World Congress of Performance Analysis of Sport IX, University of Wooster.
Language: English
Format: Conference
Abstract:
The use of mobile EEG brainwave monitoring and eye-tracking recorded synchronously
during the training of sports skills offers significant opportunities but creates challenges.
Opportunities:
¨ Measuring neurocognitive activity and visual focus in real time which can be used to
provide immediate feedback to the coach, in ‘real world’ settings, for optimising training
protocols for the individual athlete.
¨ Use of sound output (‘sonification’) in proportion to EEG regions of interest as a
neurofeedback mechanism for athlete self-training.
¨ Application of visualisation protocols and ‘EEG-driven’ PC games where game feedback
based on state of mind is used to optimise mental state prior to performance.
¨ Examining the relationship between eye movement and neuro activity (e.g. saccades and
gamma waves) and in athlete coaching interventions such as sports visual scanning
strategies, Eye Movement Desensitisation & Reprocessing (EMDR) therapy, focussed
relaxation, etc.
Challenges:
¨ The recording of EEG during gross motor behaviour is subject to non-brain artefacts in
the raw (time-domain) EEG, due to the much larger (than EEG) electrical voltages
arising from muscle and eye movements. Practical approaches and signal processing
(frequency domain spectrum) techniques to address these problems will be discussed.
¨ The synchronisation of data recorded on different types of equipment (e.g. EEG, eyetracker,
video, sound, EMG, etc.) with different ‘clocks’ and diverse data formats is
difficult – both in terms of time-stamping the original recordings across all the systems
and playing them back synchronously for subsequent performance analysis. Progress on
creating real-time data export methods which allow synchronous data recording and
playback will be reported.
Examples of studies carried out in archery, golf, motorsport, football and skiing will be
discussed, with a focus on archery where:
¨ Measurements were taken from intermediate, county level, near elite and elite archers.
¨ Archery was chosen to demonstrate the real-time and in-situ quantification of neural
activity compared with target-based measures of performance that archery provides, over a
range of time-spans and skills.
¨ Results demonstrate that there are significant and measurable changes in EEG patterns
during a shot with evidence suggesting that the patterns vary as a function of skill level,
but not simply as a function of score.
Significance of each of these studies for goal-directed learning and performance enhancement
are discussed.
Keywords: EEG Eye Tracking Performance Analysis Sports Skills
Accuracy Verified: Yes
105. 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
106. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.
Language: English
Format: Journal
Abstract:
An in-depth comparative case study was conducted of two attempts at
diffusion of an empirically supported, but controversial, psychotherapy: eye
movement desensitization and reprocessing (EMDR). One Department of Veterans
Affairs (VA) treatment setting in which there was substantial uptake was
compared with a second VA setting in which it was not adopted. Qualitative
interviews were conducted with 10 mental health clinicians at the first
site, and 19 at the second. Critical selling points for EMDR were a highly
regarded champion, the observability of effects with patients, and
personally experiencing its effects during a role training session.
Compatibility with existing psychotherapist practices and values further
allowed the therapy to become embedded in the organizational culture. At the
second site, a sense that EMDR was not theoretically coherent or compelling
overwhelmed other considerations, including its empirical status.
Comparative studies contrasting settings in which innovative therapies are
implemented versus those in which they were rejected may aid in refining
theories of and strategies for dissemination.
Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy
Accuracy Verified: Yes
107. 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
108. 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
109. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
110. 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
111. Jaberghaderi, N., Greenwald, R., Rubin, A., Dolatabadi, S., & Zand, S. O. (2002, November). A comparison of CBT and EMDR for sexually abused Iranian girls. Poster presented at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Fourteen randomly assigned Iranian girls ages 12-13 who had been sexually
abused received up to 12 sessions of CBT or EMDR treatment.Assessment
of post-traumatic stress symptoms and problem behaviors were completed
at pre-treatment and 2 weeks post-treatment. Both treatments showed very
large effect sizes on the post-traumatic symptom outcomes, and a modest
effect size on the behavior outcome, all statistically significant. A non-significant
trend on self-reported post-traumatic stress symptoms favored EMDR
over CBT.Treatment efficiency was calculated by dividing effect size by number
of sessions; EMDR was significantly more efficient. Limitations include small
N, single therapist for each treatment condition, and lack of long-term followup.
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 other cultures.
Keywords: CBT Cognitive Behavioral Therapy Girls Iran Poster Sexual Abuse
Accuracy Verified: Yes
112. Vienot, R. C. (1999, June). A comparison of EMDR and biofeedback/stress inoculation training in treating test anxiety. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to identify issues and problems in treating test anxiety; 2) be able to identify the basic components of both the EMDR and biofeedback/stress inoculation training protocols used in this study; 3) learn the EMDR protocol used in treating test anxiety; 4) learn how EMDR, biofeedback/stress inoculation training, and a no-treatment group compare in treatment effect size on six dependent variables; and 5) learn how EMDR, biofeedback/stress inoculation trainlng and a no-treatment group compare in clinical significance on five dependent variables.
Keywords: Biofeeback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
113. Cook-Vienot, R., & Taylor, R. J. (2012). Comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Journal of EMDR Practice and Research, 6(2), 62-72. doi:10.1891/1933-3196.6.2.62.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) and Biofeedback/Stress Inoculation Training (B/SIT)
treatment and no treatment (NT) were compared in reducing test anxiety. Thirty college students with high
test anxiety were randomly assigned to each condition. Pre-post assessments were conducted using the
Test Anxiety Inventory (TAI), State-Trait Anxiety Inventory (STAI), Rational Behavior Inventory (RBI), and
Autonomic Perception Questionnaire (APQ). Treatment therapists were licensed professionals with at least
2 years experience in their respective modality. Statistical analysis using a two-way analysis of variance with
repeated measures found significant interactions between time (pre-post) and treatment conditions for all
measures except the RBI. Post hoc Newman–Keuls analyses were conducted on the change scores, indicating
that both EMDR and B/SIT significantly reduced test anxiety. EMDR generally outperformed B/SIT.
Keywords: Biofeedback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
114. Vienot, R. C. (1998, July). A comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Union Institute and University, Cincinnati, OH. AAT 9822000.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) treatment, Biofeedback/Stress Inoculation Training (B/SIT) treatment, and no treatment (NT) were compared in treating test anxiety. Subjects (30) reporting test anxiety were randomly assigned to EMDR, B/SIT or NT. Treatment consisted of three 90 minute sessions using B/SIT and one 45 minute session/three 75 minute sessions using EMDR. Treatment therapists were licensed psychologists, counselors or social workers with two to twenty years experience using EMDR or B/SIT. Subjects in the NT group were offered treatment following the study. Six dependent variables were measured pre/post: trait and state anxiety (State Trait Anxiety Inventory, STAI-T.S.), test anxiety (Test Anxiety Inventory, TAI-T.W.E.), rationality of personal beliefs (Rational Behavior Inventory, RBI), negative self statements (TAI-W) and self report of physiological response (Autonomic Perception Inventory, APQ) using.05 level. ANOVAs were performed followed by a Newman-Keuls Multiple Comparison. There was a significant interaction between pre-post tests and type of group on all dependent measures except the RBI. EMDR showed a tendency toward greater improvement from pre to post test than B/SIT and NT. There were no significant differences between groups on the pre test. Post group means indicated: (a) STAI-S, there was no difference between the groups; (b) STAI-T and APQ, EMDR and B/SIT had a greater reduction than NT; (c) TAI-E, EMDR showed more reduction than B/SIT and NT; (d) TAI-T and W, there were differences between all three groups with EMDR showing the most reduction. A meta-analysis was performed to determine clinical significance. Prior to treatment all three groups were above the normative effect size of 1 SD. The NT group showed no change on post tests. The EMDR group showed a larger reduction in effect size than B/SIT. Based on the data both EMDR and B/SIT reduced test anxiety with EMDR generally outperforming B/SIT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0430.
Keywords: Biofeedback/Stress Biofeedback Training Empirical Study Inoculation Training Stress Management Test Anxiety Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
115. Jaberghaderi, N., Dolatabadi, S., & Zand, S. O. (2002, Winter). A comparison of eye movement desensitzation and reprocessing and stress inoculation training (SIT) for sexually abused girls. Advances in Cognitive Science, 3(4), 16-26.
Language: English
Format: Journal
Abstract:
Fourteen sexually abused girls aged 12-13, were randomly assigned to receive either EMDR or SIT. Participants and their parents completed Child Report of Post Traumatic Symptoms (CROPS), and Parent Report of Post Traumatic Symptoms (PROPS), pre and post treatment.
Results indicated that there was significant influence only on the PROPS. But there was a significant impact on both these instrument (CROPS & PROPS), with EMDR. In evaluating CROPS and PROPS, factor analysis with SIT illustrated that, externalizing and internalizing symptoms in PROPS and avoidance thoughts and behaviors in CROPS were treated. Further the results gathered from factor analysis with EMDR, showed that internalizing and somatic symptoms in PROPS and self harm, depression feelings and also somatic symptoms in CROPS improved as well. Clinical findings also suggested that EMDR and SIT did not have any significant differences in treating posttraumatic symptoms. Factor analysis found that, EMDR was more effective than SIT in treating somatic symptoms of sexually abused girls.
Keywords: Iran Sexual Abuse SIT Stress Inocculation Training
Accuracy Verified: Yes
116. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD
(C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do
not feel competent to treat the more complex presentations many clients exhibit when they come for help. The
presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of
C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization,
learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR
treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives:
• Identify the three stages of C-PTSD recovery
• Identify 6 core components of C-PTSD treatment
• Apply the AIP model to C-PTSD and case conceptualization
• Learn and practice multiple grounding and containment exercises to be utilized before, during and after
EMDR treatment
• Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients
Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
117. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD
(C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do
not feel competent to treat the more complex presentations many clients exhibit when they come for help. The
presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of
C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization,
learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR
treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives:
• Identify the three stages of C-PTSD recovery
• Identify 6 core components of C-PTSD treatment
• Apply the AIP model to C-PTSD and case conceptualization
• Learn and practice multiple grounding and containment exercises to be utilized before, during and after
EMDR treatment
• Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients
Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
118. 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
119. 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
120. Waayer, M., & Feijtel, M. (2006, November). Context en timing bij EMDR behandelingen met adolescenten [Context and timing of EMDR treatment with adolescents]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Pubers en adolescenten, leeftijd tussen 12 en 18 jaar kennen intensieve, snel wisselende ontwikkelingsfasen waarbij het veel afstemming van de therapeut vraagt hoe hij of zij contact kan aangaan met de jongere en zijn ouders.
Deze jongeren komen slechts zelden met een eigen hulpvraag bij de GGZ. Meestal trekken de ouders aan de bel, soms school, soms een andere hulpverlener.
Om met adolescenten te kunnen werken is het essentieel dat we aansluiting zoeken en vinden bij de jongere zelf en hoe die zijn probleem ervaart, ook al kan deze probleemdefinitie lijnrecht tegenover de aanmeldingsreden staan. Als er een hulpvraag is gevonden die erkent kan worden door de jonger zelf en door zijn ouders/opvoeders heeft de behandeling meer bodem om te kunnen starten.
Een indicatie voor EMDR-behandeling vraagt altijd om goede voorlichting en uitleg. Bij jongeren speelt vervolgens mee dat de identiteitsontwikkeling en de daarmee gepaard gaande onzekerheidsgevoelens er vaak aan bijdraagt dat EMDR als een “ vreemde gang van zaken” wordt beschouwd. De therapeut moet genoeg vertrouwen in zichzelf en de therapie hebben om de jongere ook het vertrouwen te geven om in proces te durven gaan. Soms gaat dit in golfbewegingen.
Het effect van de behandeling kan om dezelfde reden ontkend worden door de jongere zelf ( er zijn dingen veranderd maar dat kan natuurlijk nooit komen door dat rare gedoe, dat komt vast door die nieuwe verkering die nu zo gelukkig maakt) en belangrijk is dan om ook de context van de jongere erbij te betrekken. Ouders, brusjes of/en vrienden en school kunnen belangrijke informatiebronnen zijn om een goede inschatting te maken over het eventuele effect van de behandeling.
Timing wanneer een EMDR-behandeling kan starten zal rekening moeten houden met schoolvakanties, proefwerken, PTA’s, (examen)feesten…omdat het belangrijk is om niet teveel risico te nemen op verbreking van het verwerkingsproces.
Teenagers and adolescents, aged between 12 and 18 years have intense, rapidly varying stages of development where it is much matching the therapist asks how he or she can enter into contact with juveniles and their parents.
These young people are rare with an own demand for care in mental health. Usually the parents pull the bell, school sometimes, sometimes another helper.
To be able to work with adolescents is essential that we seek and find connections with the young people themselves and what they are experiencing problems, even though this problem definition are diametrically opposed to notification reason. If there is a demand for care is found to be acknowledge by the younger self and his parents / guardians, the more soil treatment to start.
One indication of EMDR therapy always requires good information and explanation. Among young people is then that the identity development and the associated uncertainty feelings that often contributes EMDR as a "foreign affairs" is seen. The therapist must have enough confidence in himself and the therapy to the young people the confidence to dare to go to trial. Sometimes this in waves.
The effect of the treatment can be denied for the same reason the young people themselves (there are some things changed but that can obviously never get through the crazy stuff that is established by the new traffic that is so happy) and also important is to the context of the younger involvement. Parents, siblings and / or friends and school information important to a good estimate on the possible effect of the treatment.
Timing when an EMDR treatment will have to start with school, papers, PTA's, (exam) parties ... because it's important not to take too much risk of breaking the process.
Keywords: Adolescents Juveniles
Accuracy Verified: Yes
121. Greenwald, R., McClintock, S. D., & Bailey, T. D. (In press). A controlled comparison of progressive counting and eye movement desensitization & reprocessing. Journal of Aggression, Maltreatment, & Trauma.
Language: English
Format: Other
Abstract:
Ten therapists who were already trained and experienced in eye movement desensitization
& reprocessing (EMDR) received training in progressive counting (PC), a newer trauma
resolution method. Nineteen volunteers with single-incident trauma or loss were assigned to a
therapist and then randomized to treatment condition; 15 completed treatment to termination
criteria or until the fourth session. Participants in both conditions experienced significant
reductions in PTSD symptoms, memory-related distress, and presenting problems at one week
post-treatment, maintained at 12-week follow-up, with no significant differences in outcomes,
treatment efficiency, or dropout rate. The preliminary findings of this pilot study suggest that PC
is an efficient, well-tolerated, and effective trauma treatment that is relatively easy for therapists to
master.
Keywords: CBT Cognitive Behavior Therapy Exposure Loss Progressive Counting Trauma Treatment
Accuracy Verified: No
122. Chard, K. M., & Gilman, R. (2005, August). Counseling trauma victims: 4 brief therapies meet the test. Current Psychiatry, 4(8). 50, 55-58, 61-62, 64.
Language: English
Format: Magazine
Abstract:
Therapists once believed trauma survivors required years of treatment, yet we now know that relatively brief cognitive-behavioral interventions can yield long-term gains in psychosocial and psychological function. Many psychiatric patients meet diagnostic criteria for PTSD, including: 33% of women experiencing sexual assault, 30% of male war veterans, and 30% of the 5 million U.S. children exposed to trauma each year. The authors offer recommendations on how to prepare traumatized adults and children for cognitive-behavioral therapy (CBT) and discuss four tested models -- prolonged exposure (PE), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), and stress inoculation training (SIT) -- that psychiatrists may find effective when treating PTSD. [Adapted from Text] [Pilots]
Keywords: Brief Psychotherapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
123. Dean, B. (2010, July 4). Counselors to get training for treating post-traumatic stress. Military, Oklahoma Military News and Articles, NewsOK.
Language: English
Format: Newspaper
Abstract:
Experts said that's what life is like for soldiers who return from war with post-traumatic stress disorder. With about 3,400 Oklahoma National Guardsmen set to deploy to Afghanistan next year with the 45th Infantry Brigade Combat Team, Guard leaders want to make sure those soldiers can get the help they need when they return to the state.
Accuracy Verified: Yes
124. Seubert, A. (2008, June). The courage to feel. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Courage to Feel is a practical and inspiring workshop, designed to give the clinician
the experience and tools for guiding our clients into emotional expertise. It is not
simply a theoretical training that gives you a lot of information about emotions.
Because the emotional journey cuts through what is foreign territory for many of our
clients, there is need of a map, a hands-on, practical guide that clients can refer to
when learning how to do this “feelings thing”. To meet this need, this master
workshop offers four concrete steps to emotional competence and seven skills in
achieving them, all tried and proven over 25 of clinical practice. This training also
teaches the use of such a trauma-informed phase model, as well as bilateral
stimulation to reinforce learning, through video clips and in vivo practice. Andrew’s
first book, The Courage to Feel: a Practical Guide to the Power and Freedom of
Emotional Honesty, will be available through Infinity Publishing by May of 2008.
Keywords: Emotions
Accuracy Verified: Yes
125. Seubert, A. (2007, June). The courage to feel: The power of emotional competency within the EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Much of affect education is focused on managing and tolerating emotions. What is missing on the in this is an emphasis on the positive reasons for having feelings and how they work (objective #1). We need to be able to sell our clients on the importance of emotional expertise and honesty if they are to heal. They need to develop the courage to feel, but won’t do this if feelings don’t make sense.
Because the emotional journey cuts through what is foreign territory for many of our clients, there is also a need for a map, a hands-on practical guide that clients can refer to when learning how to do this “feeling things.” For this I have developed the Four Steps to emotional competence, very teachable and very learnable (Objective #2).
Specific skills are needed to implement the Four Steps. These include the practice of awareness (the sine qua non of any therapy), breath work, visualizations, resource development and anchoring, grounding techniques, trance busters and the L.I.D.S. strategy for managing strong feelings(Objective #3). Many of these will be practiced during the workshop.
Finally, it is important for the therapist to have a trauma treatment phase model in mind in order to know where this affect education fits in and when it may need to be revisited (Objective #4). The use of EMDR to reinforce learning will be demonstrated and/or practiced during the learning of the seven skills (Objective #5).
Accuracy Verified: Yes
126. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco, CA: 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
127. Spierings, J. J. (2008, June). Creative cognitive interweaves with EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Working with severely damaged clients, we can hardly expect EMDR-processing to go
smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients
process their traumatic material. A more active approach is called for to bring traumaresolution.
In EMDR this type of intervening is called ‘(cognitive) interweaving’. The
therapist may need to intervene on the process level with process interweaves, in
order to keep the client within his window of (affect) tolerance. Or the therapist has to
intervene on the content level with content interweaves; when the client gets stuck in
a specific problem he is unable to solve with the information he has available. In this
workshop the participant learns to use process interweaves to modulate the arousal
level of the client. In addition to this a toolkit of useful content interweaves is
presented, cognitive and non-cognitive, e.g. sensory, physical, and religious
interweaves. Metaphors for all kinds of blocks, bits and pieces of psycho-education for
specific stuck points, unorthodox, creative or hilarious interweaves to get round
resistance, and interweaves to bring reconciliation and forgiveness.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
128. Spierings, J. (2012, April). A creative new look at interweaves / Un regard nouveau et créatif sur le tissage (Interweaves). Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Working with severely damaged clients, ‘just staying out of the way’ is not enough to help these clients process their traumatic material. A more active approach is called for to bring trauma resolution. In EMDR, this type of intervening is called '(cognitive) interweaving’. In this presentation, a distinction will be made between process and content interweaves. The process interweaves are designed to keep the client within their window of affect tolerance. Or, the therapist may intervene on the content level, when the client gets stuck in a specific problem they are unable to solve with the available information. Content interweaves may be either cognitive or non-cognitive, e.g. sensory, physical, humorous, symbolic and spiritual interweaves. The presentation includes metaphors for all kinds of blocks, bits and pieces of psycho-education for specific stuck points, unorthodox, creative or hilarious interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness.
Learning objectives:
1.To understand the concept of interweaves and when they are used
2.To understand the difference between process and content interweaves
3.To learn to use process interweaves to modulate the arousal level of the client
4.To develop a toolkit of useful content interweaves including both cognitive and non-cognitive examples, e.g. sensory, physical, humorous , symbolic and spiritual interweaves.
Keywords: Interweaves
Accuracy Verified: Yes
129. Martin, A. J. (2003, September). The credibility of EMDR: Perspectives of a patient and therapist. Poster presented at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Credibility
Accuracy Verified: Yes
130. Lv, Q. (2010, July). Crisis intervention and trauma therapy in China. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
We reviewed the development of crisis intervention and trauma therapy in China since 1980s.
During the past three decades, there is a gradual increase of concern and awareness among different level of Chinese
government and the society for the need of human-focused disaster intervention.
The Chinese crisis intervention and trauma therapy team’s experiences and studies have supported the fact that prompt and
adequate intervention will significantly reduce the negative effect of disaster or trauma.
It’s essential to develop the crisis intervention and trauma therapy teams systematically at different sites of the country to
provide emergency intervention service at local areas.
Formal and special training are needed to provide to all health and rescue-related workers involved in the disaster. This is
based on the fact that immediate care and intervention require a large number of trained staff after disaster.
Finally, it ‘s essential to study and improve the culturally suitable crisis intervention programs and trauma therapy.
Keywords: China Crisis Intervention
Accuracy Verified: Yes
131. Hillman, J. L. (2002). Crisis intervention and trauma, New approaches to evidence-based practice. New York, NY: Kluwer Academic/Plenum Publishers.
Language: English
Format: Book
Abstract: R
ecent findings from an American Psychological Association task force suggest that one in four therapists will experience patient suicide, and that one in eight will feel threatened by patient violence during their career. Experts from this task force have also noted that clinicians receive virtually no formal training or coursework in crisis intervention. Despite the increasing need for professional services among members of the general population, current practitioners have few texts available that provide step-by-step, detailed information about how to engage in crisis intervention, and how to integrate recent, empirical research findings into theory and practice. This volume helps bridge this critical gap by providing a theoretically advanced, yet practical guide to crisis intervention.
Particular attention is given to the role of violence within our culture, patient suicide, school and workplace violence, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, domestic violence, and the neurophysiology of trauma, as well as the needs of typically underserved patient populations including minority group members, older adults, gays and lesbians, and children. The text also features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine. [Springer]
Keywords: Crisis Intervention Trauma
Accuracy Verified: Yes
132. Nurse, A. R., & Rouanzoin, C. C. (1995). Criteria for special EMDR training standards (for other than University/Professional Schools and Agency/Internship Instruction). Presentation at the annual meeting of the EMDR International Association, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is a psychological method/intervention that should only be used by licensed
mental health professionals adequately trained in EMDR. The Training and
Standards Committee has the authority and responsibility to recommend to the
Board of EMDRIA, and hence to the public and inquiring agencies (e.g., managed
care, licensing boards, insurance companies) those training programs that meet the
following criteria.
Keywords: Training Standards
Accuracy Verified: Yes
133. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
134. 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
135. 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
136. Tol, W. A., Jordans, M. J. D., Regmi, S., & Sharma, B. (2005, June). Cultural challenges to psychosocial counselling in Nepal. Transcultural Psychiatry, 42(2), 317-333. doi:10.1177/1363461505052670.
Language: English
Format: Journal
Abstract:
This article describes the way in which the practice of psychosocial
counselling was adapted culturally to the context of Nepal within the
Centre for Victims of Torture, Nepal (CVICT). After a brief description of
the Nepali setting and CVICT’s counselling and training approach and the
relationship of its psychosocial counselling intervention with existing
methods of dealing with psychosocial problems, the cultural challenges of
implementing psychosocial counselling and our response to them are
sketched along with concepts deemed important in psychosocial counselling.
A discussion follows in which the authors’ stance on the export of
psychosocial counselling to non-western cultures is outlined.
Keywords: Centre for Victims of Torture Cross-Cultural Nepal Training
Accuracy Verified: Yes
137. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders.
The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and
screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR
therapist should be prepared to manage.
Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment
guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves.
A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with
histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the
reduction of distress for events or experiences already known.
Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions.
The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between
50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred
including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in
treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to
the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and
that as research in this population continues, strategies for overcoming problem areas can be developed.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
138. Oppenheim, H.-J. (2010, June). The cutting must stop: A way out of the stabilisation versus reprocessing paradox with a DID-patient. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In this workshop I will discuss and illustrate by video
fragments, the steps of trauma reprocessing with a very instable
DID patient. The patient was suffering from sudden severe
self-cutting that took place outside the patient's own consciousness.
It was clear that an Emotional part of the Personality (EP)
was tormented by a severe trauma, and in response, acted very
aggressively. Because of the great danger of self-harm, which
man could become life-threatening, the cutting had to be stopped
as soon as possible. Therapist and patient were trapped in the
well known paradox: to reprocess the trauma there had to be
enough stability, but to create enough stability the trauma had
to be solved. It was clear that in this period of her life the patient
couldn't bear any trauma reprocessing. This workshop offers a
way out of this paradox. I will show how to establish enough
safety for all the parts of the personality who are involved, increasing two of the Apparently Normal parts of the Personality (ANP's). For one of the ANP's, safety meant that she didn't have
to witness the story about the trauma, she still didn't know. The
workshop will demonstrate how to establish a working alliance
with the aggressive part (EP) who is indirectly responsible for the
severe cutting. Finally, after all these preparations, the trauma
reprocessing by using EMDR on this EP can be started.
The participants will learn:
a. How to work from a Structural Dissociation view. The importance of an active attitude for the therapist, like a
film director, in getting in contact and working together with the
different parts of the personality, to reach the necessary goal;
c. That trauma processing is at least partly possible in absence
of the 'main part' of the personality which can contribute to
stabilization in order to reprocess the trauma completely.
been This workshop provides an opportunity to escape from the
]paradox: reprocessing a trauma requires stability but stability
]requires a reprocessed trauma. It is always thought that for reprocessing
a trauma the ONP('s) must be involved, This workshop
will show that if only parts of the personality, without the
ANP, undergo the reprocessing, it can lead to a remarkable reduction
of dangerous symptoms. The completing of the trauma
reprocessing with the ANP can be postponed to the moment
that the patient feels sufficiently stable.
Keywords: DID Dissociatve Identity Disorder Stabilization
Accuracy Verified: Yes
139. de Roos, C., & Beer, R. (2010). De kracht van een behandeling: EMDR bij kinderen en jeugdigen [The strength of a treatment: EMDR with children and youth]. Cogiscope, 2(10), 28-31.
Language: Dutch
Format: Magazine
Abstract:
Welke gezichten gaan er schuil achter de hardwerkende behandelaren van psychotrauma,
wat zijn hun drijfveren, waarom kozen ze voor het vak en waar zijn ze door
beïnvloed? Eli ten Lohuis interviewt psychotherapeuten Carlijn de Roos en Renée
Beer, pioniers in het toepasbaar maken van de behandelmethode Eye Movement
Desensitization and Reprocessing (EMDR) voor kinderen en jeugdigen.
Carlijn de Roos is klinisch en kinder- en jeugdpsycholoog. Zij werkt sinds 2000 bij
GGZ Kinderen en Jeugd, Rivierduinen te Leiden, waar zij coördinator is van het door
haar opgerichte Psychotraumacentrum. Tevens richtte zij mede de Vereniging EMDR
Nederland (VEN) op, waarvan zij thans voorzitter is.
Renée Beer, ook klinisch en kinder- en jeugdpsycholoog en gedragstherapeut, werkt
als coördinator van het Centrum voor Traumagerelateerde Stoornissen van De
Bascule, Academisch Centrum voor Kinder- en Jeugdpsychiatrie, te Amsterdam.
Which faces are hidden behind the hardworking practitioners of psychological trauma,
what are their motivations, why they chose the profession and where they are by
affected? Eli at Lohuis interviews psychotherapists Carlijn the Rose and Renee
Beer, pioneers in the applicability of the treatment method Eye Movement
Desensitization and Reprocessing (EMDR) for children and adolescents.
Carlijn the Rose is a clinical psychologist and child and youth. She works since 2000
Mental Health Children and Youth, Rivierduinen Leiden, where she is coordinator of the by
its established Psychotrauma Center. Also, she founded the Association co EMDR
Netherlands (VEN), of which she now chairs.
Renee Beer, and also clinical child and adolescent psychologist and behavioral therapist, works
as coordinator of the Center for Trauma Related Disorders of the
Bascule, Academic Centre for Child and Adolescent Psychiatry, Amsterdam.
Keywords: Adolescents Children
Accuracy Verified: Yes
140. Cornil, L. (2013, April). De kracht van het NU in EMDR [The power of NOW in EMDR]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze uiteenzetting brengt een theoretisch-filosofische kijk op het tijdsconcept in EMDR. Sinds het prille begin speelt het tijdsconcept een centrale rol in de EMDR benadering. Aan de basis van het AIP model ligt het idee dat geheugennetwerken vervrozen zijn in de tijd (Shapiro 1995). De informatie is op een disfunctionele manier gestockeerd in het vervrozen nu en kan op elk moment worden getriggerd. In EMDR hebben patiënten (en therapeuten) het moeilijk om het NU van de negatieve cognitie te pakken te krijgen. Patiënten begrijpen niet wat gevraagd wordt en raken verward wanneer therapeuten vragen wat ze nu over zichzelf denken als ze denken aan toen. In de EMDR basistraining wordt aangegeven dat het vinden van een adequate negatieve cognitie een moeilijk deel is van het EMDR protocol, maar wel een noodzakelijk deel.
Het NU is wat op dit moment gebeurt. Er is geen verleden, enkel de huidige perceptie van het verleden. Net zoals er geen toekomst is, enkele de huidige perceptie van mogelijkheden. Het heden is datgene waarmee men zich identificeert: wat je ziet, geloof je: wat je op een gegeven moment gewaarwordt, wordt de realiteit van het NU. Wanneer de patiënt getriggerd wordt in de perceptie van het kind, wordt de patiënt het kind en de tijdsperceptie wijzigt.
Het punt dat in deze uiteenzetting naar voor wordt gebracht, is dat verandering ontstaat wanneer de patiënt stopt met zich te vereenzelvigen met het verleden dat daardoor het NU wordt. In EMDR wordt de patiënt door de therapeut uitgenodigd om dingen te laten gebeuren en te merken wat er verandert. Tijd heeft beweging nodig om te bestaan: de wijzers van de klok, de zon in de lucht, de rimpels die verschijnen op de huid verwijzen allemaal naar tijd. In plaats van de pijnlijke informatie op een afstand te proberen houden, die zich bevindt in de niet-tijd zonder beweging, wordt de patiënt juist uitgenodigd om de beweging te observeren die kan ontstaan door de positie van de dubbele aandacht in te nemen: één voet in de reële tijd en één voet in de niet-tijd. We zullen linken met mindfullness aangeven.
This statement brings a theoretical-philosophical perspective on the concept of time in EMDR. Since the very beginning the concept of time plays a central role in the EMDR approach. At the base of the AIP model is the idea that in the memory networks vervrozen time (Shapiro, 1995). The information is stored in a dysfunctional way vervrozen now and can be triggered at any time. In EMDR, patients (and therapists) is difficult to the NOW of the negative cognition to catch. Patients do not understand what is required and get confused when therapists ask what they think about themselves when they think of when. In the EMDR basic training indicated that finding an adequate negative cognition is a difficult part of the EMDR protocol, but a necessary part.
The NOW is what is currently happening. There is no past, only the current perception of the past. Just as there is no future, some of the current perception of opportunities. The present is that with which one identifies: what you see, you believe what you become aware at any given time, the reality of the NOW. When the patient is triggered in the perception of the child, the patient is a child and time perception changes.
The point in this discussion forward is brought, is that change occurs when the patient stops to identify with the past that result it is NOW. In EMDR, the patient by the therapist invited to make things happen and to notice what is changing. Time needs movement to exist: the clockwise direction, the sun in the sky, the wrinkles that appear on the skin all refer to time. In place of the painful information try to keep at a distance, which is located in the non-time without movement, the patient is invited to precisely observing the movement which may be caused by the position of the double attention to take: a foot in real time, and a foot in the non-time. We will link with mindfulness state.
Keywords: Present Focus
Accuracy Verified: Yes
141. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke.
Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS.
In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geïllustreerd aan de hand van voorbeelden en videomateriaal.
The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like.
Physical symptoms are also now increasingly being recognized as one of the effects of PTSD.
This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.
Keywords: Body Psychophysiological Responses Somatic
Accuracy Verified: Yes
142. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. doi:10.1007/s12483-011-0016-6.
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
143. Struik, A. (2010, April). De zes testen, een stabilisatie methode voor chronisch getraumatiseerde en dissociatieve kinderen [The six tests, a stabilization method for chronically traumatized children and dissociative]. Presentatie Aan de Vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
De zes testen, een stabilisatie methode voor chronisch getraumatiseerde en dissociatieve kinderen.
De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken.
In deze presentatie zal ik ‘De zes testen’ demonstreren, een stabilisatie methode voor kinderen en een bewerking van de drie testen (Spierings, 2008). De zes testen helpen de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Aan de hand van casuïstiek wordt dit proces en het gebruik van stabilisatietechnieken gedemonstreerd. De kinderen moeten technieken leren om emoties te reguleren en stress te verminderen. Dan wordt het hechtingssysteem geactiveerd, zodat ze stress kunnen reguleren door steun te zoeken. Zo vermindert de noodzaak tot dissociatie. Door problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd om naar de trauma’s te kijken en met EMDR te starten. Dan worden nog aanpassingen in het EMDR protocol besproken voor dissociatieve kinderen om ze in het desensitisatie proces te houden en wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling.
Spierings, J. (2008). Stabilisatie, een gestructureerd programma voor taxatie en interventie. In: Ten Broeke, E. De Jongh, A., & Oppenheim, H. Praktijkboek EMDR. Amsterdam: Harcourt
The six tests, a stabilization method for chronically traumatized and dissociative children.
The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seem to function properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they are forgotten. They have no more trouble. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For among these seemingly well-functioning exterior, is a constant alert, anxious and lonely child. This child can not attach and the lack of secure attachment is devastating for the development. This is often visible only by explicitly to search.
In this presentation I will "The six tests" demonstrate a stabilization method for children and an adaptation of the three tests (Spierings, 2008). The six tests help the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. Using case studies this process and the use of stabilization techniques are demonstrated. The children must learn techniques to regulate emotions and reduce stress. Then the attachment system is activated, so they can be regulated by stress to seek support. Thus reduces the need for dissociation. Due to problems experienced by the child to link past experience the child is motivated to look at the trauma and EMDR to start. Then further adjustments to the EMDR protocol for dissociative children to discuss them in the desensitization process and discusses how to keep EMDR can be integrated into a phased treatment.
Spierings J. (2008). Stabilization, a structured program of assessment and intervention. In: Ten Broeke, E. De Jongh, A., & Oppenheim, H. EMDR Practice Book. Amsterdam: Harcourt
Keywords: Children Dissociation Six Tests Stabilization
Accuracy Verified: Yes
144. Rana, M. (2010, July). Dealing with psychotrauma in war against terror: East meets West through EMDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The ‘War on Terror’ on the borders of Pakistan and Afghanistan has committed almost two hundred thousand troops on
either side with more than five million civilians directly affected by terrorist acts, bombings, blasts, drone attacks, and air
strife. Children, women, and men of all ages report to health facilities in hundreds with psycho trauma ranging from acute
stress reactions, posttraumatic stress disorders, dissociation, depression, anxiety and Medically Unexplained Symptoms
(MUS). The health professionals with hardly any training in handling of psycho trauma are clueless about how to deal with
these cases.
A handful of mental health professionals trained by EMDR UK and EMDR Europe experts, through a humanitarian assistance
programme are the only trained human resource currently available to deal with these massive numbers of survivors. A
strategic placement of this grossly limited number of trained EMDR human resource ( four females, six males), in the war zone
has helped scores of soldiers to return to the battlefield, hundreds of children to return to their schools, dozens of families to
return to normality and many adults to return to work. The elementary yet devoted and dedicated EMDR services in the war
torn regions of Swat, Wazirastan, Kohat and tertiary care services at Rawalpindi are a result of a timely collaboration between
EMDR trainers from West providing training in EMDR to psychiatrists, psychologists, nurses and social workers of Pakistan;
indeed a fine example of ‘Building Bridges between East & West through EMDR’.
Keywords: Psychotrauma Symposium: Terror War
Accuracy Verified: Yes
145. 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
146. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have
trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned
from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in
detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural
competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The
presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and
ethically utilize EMDR with clients.
An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs
(HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and
December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on
several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided
narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The
crucial steps in establishing and implementing this training program are explained, with a summary of the subjective
impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This
information may be useful to future cross-cultural humanitarian efforts following large-scale disasters.
This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs
in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery
following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster
and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations.
Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric
epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They
pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies
and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006)
delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of
the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic,
and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and
needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for
Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following
the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami
survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite
specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than
1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions
that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue
to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate
funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in
traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a
variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A
project like this is expensive. IRT received.
Keywords: Asia HAP Humanitarian Assistance Programs Trainings
Accuracy Verified: Yes
147. Curry, S. (2006, June). Decisions, decisions…Forks in the road in EMDR: What, when and who. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Following EMDR training, clinicians experience a steep learning curve when they attempt to implement the protocol with clients. Anecdotal evidence points to a significant reduction in numbers of EMDR trained clinicians actually utilizing it correctly with clients on a regular basis. EMDR is much more complex than it first appears; therefore those who use the protocol only occasionally or loosely will miss significant opportunities to grasp the subtleties and effective application. There is a need, even for experienced EMDR clinicians, to learn and apply a structured way of identifying the decisions we make both before and as we proceed through the protocol. A growing body of researcs exists to back up our decisions; however, some choices are made based on intuition and clinical judgment. Topics will include a self-evaluation (passions and expertise); why we sharpen our phone skills up-front; rationales for tightening up intake and case conceptualization; decisions during preparation, safe place, resource development, assessment, desensitization, and later phases of the protocol; decisions regarding cognitive interweaves; and decisions regarding time management and flexing a treatment plan. Participants will be encouraged to sharpen their thinking about how they do EMDR with their clients, by means of identifying the most important "forks in the road" before and during treatment; be able to name at least one decision point pertaining to each of the Phases covered; and finally, to provide a rationale for the choices they do make at these critical moments.
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
148. Curry, S. (2006, September). Decisions, decisions…Forks in the road in EMDR: What, when, and why. Presentation at an annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: F
ollowing EMDR training, clinicians experience
a steep learning curve when they attempt to
implement the protocol with clients. Anecdotal
evidence points to a significant reduction in
numbers of EMDR trained clinicians actually
utilizing it correctly with clients on a regular basis.
EMDR is much more complex than it first
appears; therefore those who use the protocol only
occasionally or loosely will miss significant opportunities to grasp the subtleties and effective
application. There is a need, even for experienced
EMDR clinicians, to learn and apply a structured
way of identifying the decisions we make both
before and as we proceed through the protocol. A
growing body of researcs exists to back up our
decisions; however, some choices are made based
on intuition and clinical judgment. Topics will
include a self-evaluation (passions and expertise);
why we sharpen our phone skills up-front;
rationales for tightening up intake and case
conceptualization; decisions during preparation,
safe place, resource development, assessment,
desensitization, and later phases of the protocol;
decisions regarding cognitive interweaves; and
decisions regarding time management and flexing
a treatment plan. Participants will be encouraged
to sharpen their thinking about how they do
EMDR with their clients, by means of identifying
the most important "forks in the road" before and
during treatment; be able to name at least one
decision point pertaining to each of the Phases
covered; and finally, to provide a rationale for the choices they do make at these critical moments. 8
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
149. Kiessling, R. (2009, August). Demystifying the cognitive interweave. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Frequently, clinicians perceive that the cognitive interweave stems from either a well-constructed table of ‘cause and effect’ criteria or is magically ‘conjured’ up by a wizardry clinician. This practical, down-to-earth, basic workshops will ‘demystify’ the cognitive interweave for all clinicians who have completed the Basic Training. Participants will understand the cognitive interweave and how it seamlessly integrates into the AIP model, how preparing for the cognitive interweave begins at intake and continues to develop throughout the client’s reprocessing, and how to utilize their own clinical ‘wizardry’ skills ‘on-the-fly’ when needed to assist clients in successfully reprocessing their traumatic experiences.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
150. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.
Language: Serbian
Format: Conference
Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama.
Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.
Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people.
When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.
Keywords: Doţ ivjeli Preţ ivjela
Accuracy Verified: Yes
151. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]
Keywords: Addiction Addictions Behavior Problems Behavior Therapy Bilateral Stimulation Compulsions Craving Desensitization of Triggers Dysfunctional Behaviors Information Processing Model Psychotherapeutic Techniques Urge Reduction Protocol
Accuracy Verified: Yes
152. Tareen, S., Farrell, D., Keenan, P., & Poole, D. (2008, June). Developing EMDR in Pakistan. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
In October 2005 a devastating earthquake swept through Northern Pakistan causing untold destruction. In March
2007 an EMDR Humanitarian Assistance Programme Training went out to Abbotabad to train a group of mental
health workers in EMDR who were specifically dealing with earthquake survivors. This paper will provide an
account as to how the trainings progressed.
Accuracy Verified: Yes
153. Blore, D. C., Holmshaw, E. M., Swift, A., Standart, S., & Fish, D. M. (2013). The development and uses of the “blind to therapist“ EMDR protocol. Journal of EMDR Practice and Research, 7(2), 95-105. doi:10.1891/1933-3196.7.2.95.
Language: English
Format: Journal
Abstract:
The blind to therapist (B2T) protocol (Blore & Holmshaw, 2009a, 2009b) was devised to circumvent client unwillingness to describe traumatic memory content during eye movement desensitization and reprocessing (EMDR). It has been used with at least six clinical presentations:
• Reassertion of control among “executive decision makers“
• Shame and embarrassment
• Minimizing potential for vicarious traumatization
• Cultural issues: avoiding distress being witnessed by a fellow countryman
• Need for the presence of a translator versus prevention of information “leakage“
• Reducing potential stalling in processing: client with severe stammer
This article details the history, development, and current status of the protocol, and provides case vignettes to illustrate each use. Clinical issues encountered when using the protocol and “dovetailing“ the B2T protocol back into the standard protocol are also addressed.
Keywords: Aphasia Blind to Therapist Protocol Client-Centered Approach EMD Guilt Shame
Accuracy Verified: Yes
154. Geller, P.A. (1999, Fall). Developmental considerations in using EMDR with adolescents. EMDRIA Newsletter, Child and Adolescent Issue, Special Edition, 4(4), 4-8.
Language: English
Format: Newsletter
Abstract:
Children,adolescents, and EMDR: A closer look
Doing psychotherapy, including EMDR, with adolescents presents a particular set of challenges for the therapist.
Keywords: Adolescents
Accuracy Verified: Yes
155. 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
156. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Inhoud van de workshop: Dissociatie
en trauma zijn nauw met elkaar verbonden.
Dissociatieve stoornissen worden toch vaak niet
herkend en dissociatieve stoornissen bij kinderen
gelden als controversieel. Kinder- en jeugdpsychiaters
leren in de opleiding weinig over dissociatieve
stoornissen.
In de workshop wordt aandacht besteed aan
het herkennen van dissociatieve stoornissen bij
(seksueel) getraumatiseerde kinderen en aan de
behandeling ervan, geïntegreerd in de traumabehandeling.
Ernstig getraumatiseerde kinderen
hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een
goede traumabehandeling. We bespreken de
internationale richtlijnen en recente literatuur
over diagnostiek en behandeling van dissociatieve
stoornissen bij kinderen. Neurobiologische aspecten
van vroegkinderlijke traumatisering en de
gevolgen hiervan voor het kind worden behandeld.
Verschillende behandelmethoden zoals eye
movement desensitisation and reprocessing (EMDR) en
differentiatiefasetherapie worden besproken.
Vorm:
—— Aan de hand van presentaties worden de theorie
en de praktijk van de diagnostiek en het behandelen
van dissociatieve stoornissen bij kinderen
en jeugdigen besproken.
—— We tonen beeldmateriaal van diagnostiek en
behandeling van dissociatieve stoornissen bij
kinderen en jeugdigen.
—— Uitwisselen van ervaring en kennis, inbrengen
van casuïstiek en discussie.
Leerdoel:
—— Aan het einde van de workshop erkent de deelnemer
het belang van herkennen en behandelen
van dissociatieve stoornissen bij getraumatiseerde
kinderen en jeugdigen.
—— De deelnemer vergroot zijn kennis van diagnostiek
en behandeling van dissociatieve stoornissen
van kinderen en jeugdigen, waarbij hij op de
hoogte is van de recente literatuur.
stressstoornis (PTSS) en hechtingsstoornis.
Dissociatieve problematiek kan ook verward
worden met onder meer obsessieve-compulsieve
stoornissen (ODD), aandachtstekortstoornis met
hyperactiviteit (ADHD) en vele andere kinderpsychiatrische
stoornissen en zo het resultaat van
therapieën bemoeilijken. Wij gaan er daarom vanuit
dat herkennen en behandelen van dissociatieve.
Contents of the workshop: Dissociation
and trauma are closely linked.
Dissociative disorders are often not yet
recognized and dissociative disorders in children
construed as controversial. Child and adolescent psychiatrists
learning in the training little dissociative
disorders.
The workshop focuses on
recognition of dissociative disorders
(Sexual) traumatized children and the
its treatment, integrated into the trauma treatment.
Severely traumatized children
often have multiple diagnoses, such as post traumatic stress is essential for the success of a
good trauma treatment. We discuss the
International guidelines and recent literature
about diagnosis and treatment of dissociative
disorders in children. Neurobiological Aspects
of early childhood trauma and
consequences for the child to be treated.
Various treatments such as eye
Movement Desensitisation and Reprocessing (EMDR) and
phase modulation therapy are discussed.
Form:
- Based on the theory presentations
and practice of diagnosis and treatment
of dissociative disorders in children
and adolescents are discussed.
- We show footage of diagnosis and
treatment of dissociative disorders
children and adolescents.
- Share the experience and knowledge, contribute
of cases and discussion.
Objective:
- At the end of the workshop, the participant acknowledges
the importance of recognizing and treating
of dissociative disorders among traumatized
children and adolescents.
- Participants increased their knowledge of diagnosis
and treatment of dissociative disorders
of children and youth, taking on the
aware of the recent literature.
stress disorder (PTSD) and attachment disorder.
Dissociative problem can also confused
are including obsessive-compulsive
disorder (ODD), attention deficit
hyperactivity disorder (ADHD) and many other children's psychiatric
disorders and as a result of
therapies difficult. We therefore assume
that recognition and treatment of dissociative.
Keywords: Adolescents Children Dissociative Disorders Sexual Abuse
Accuracy Verified: Yes
157. Plassmann, R. (2007). Die kunst des lassens: Psychotherapie mit EMDR fur erwachsene und kinder [The art of giving. EMDR for adults and children]. Reihe: edition psychosozial, Giessen: Psychosozial-Verlag.
Language: German
Format: Book
Abstract:
Das Buch beschreibt auf sehr lebendige Weise, mit vielen Fallbeispielen, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt haben und uns Möglichkeiten an die Hand gegeben haben, die vorher nicht bestanden. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht.Wie fördert man seelische Heilungs- und Wachstumsprozesse? Vor dieser Herausforderung steht die wissenschaftliche Psychotherapie seit nunmehr 100 Jahren. Entscheidende Fortschritte sind in den letzten Jahren durch die neuen Methoden der modernen Traumatherapie möglich geworden. Gleichzeitig hat uns die moderne Hirnforschung Einblick gegeben, wie das Gehirn emotionale Belastungen verarbeitet. Die EMDR-Technik (Eye Movement Desensitization and Reprocessing) konzentriert sich der Patient auf ein belastendes Erlebnis während seine Augen gleichzeitig den Handbewegungen des Therapeuten folgen, wodurch eine entlastende Wirkung eintritt. Das Buch beschreibt mit vielen Fallbeispielen auf sehr lebendige Weise, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt und uns neue Möglichkeiten an die Hand gegeben haben. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht, bei Essstörungen, Borderlinestörungen, Traumafolgestörungen und bei allen durch emotionale Überlastung entstandenen Erkrankungen.
The book describes in lively fashion, with many case studies provided as EMDR and modern brain research and therapy in a completely new basis have and have given us opportunities to the hand that were not there before. It explains the workings of the expert and the scientific basis and potential patients, as its way through the healing process aussieht.Wie promotes spiritual healing and growth it processes? That is the challenge the scientific psychotherapy is now 100 years since. Decisive progress in recent years made possible by new methods of modern trauma therapy. At the same time our modern brain research has given insight into how the brain processes emotional stress. The EMDR technique (Eye Movement Desensitization and Reprocessing) focuses the patient on a stressful experience at the same time as his eyes follow the hand movements of the therapist, making an exculpatory effect occurs. The book describes many case studies have a very vivid way, as the modern brain research and the EMDR psychotherapy on an entirely new basis, and given us new opportunities to the hand. It explains the workings of the expert and the scientific basis and potential patients, as you look way through the healing process by eating disorders, borderline personality disorders, trauma disorders, and in all subsequent congestion caused by emotional disorders.
Accuracy Verified: Yes
158. Leeds, A. M. (1992, December). Difficult cases. EMDR Network Newsletter, 2(2), 7-9.
Language: English
Format: Newsletter
Abstract:
An EMDR clinician, who prefers to remain anonymous, describes a case in which there has been only limited progress in three years of therapy. The therapist has used EMDR several times with little apparent effect.
Keywords: Difficult Cases
Accuracy Verified: Yes
159. Lester, N. (2011, April). The dilemmas of private practice. Mental Health Practice, 4(7), 7.
Language: English
Format: Newsletter
Abstract:
Nurse Nicola Lester who works as a therapist outside the NHS, explains how she reconciled the need to earn a living with an urge to care for others.
Keywords: NHS
Accuracy Verified: Yes
160. 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
161. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.
Language: English
Format: Journal
Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.
Keywords: Anxiety Depression
Accuracy Verified: Yes
162. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.
Language: English
Format: Magazine
Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: Yes
163. Hembree, E., Foa, E., Dorfan, N., Street, G., Kowalski, J., & Tu, X. (2003, December). Do patients drop out prematurely from exposure therapy for PTSD?. Journal of Traumatic Stress, 16(6), 555-562. doi:10.1023/B:JOTS.0000004078.93012.7d.
Language: English
Format: Journal
Abstract:
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic PTSD. Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitivebehavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Dropouts
Accuracy Verified: Yes
164. Lockhart, S. (2009, June 16). Do the eyes have it?. Psychology Today.
Language: English
Format: Magazine
Abstract:
A few years ago, my friend Ally, who had a somewhat unwarranted confidence in my knowledge of Things Psychological, asked if I knew anything about EMDR; she had suffered some severe childhood trauma, and was thinking of trying it. "EMDR?" I asked, "Is that a new street drug?" I guess that showed her what I knew. She explained that her therapist had suggested this relatively new technique, Eye Movement Desensitization and Reprocessing, that had been shown to ease symptoms of Post Traumatic Stress Disorder (PTSD) in soldiers and rape victims. From what she understood, the therapist would help her to focus on her devastating memories of childhood abuse while directing her eyes to twitch rapidly from side to side. This, according to her shrink, would help her to better "process" her memories. "Sounds like hypnotism," I expertly analyzed. "Who knows, maybe it will work." More recently, when I wrote here about the neurobiological advantages of emotionally "finding a safe place," several readers also wrote in to ask me about EMDR. Now I understand why people want an expert opinion (and I'm no expert, by the way): a heap of controversy surrounds this popular technique.
Accuracy Verified: Yes
165. 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
166. Tate, K. (2003). Does naturally occurring EMDR-like phenomena in the work environment increase employment risk for survivors of violent crimes?. Mental Health Santuary. Retrieved from http://www.naturalhealthweb.com/articles/tate1.html on 3/29/2013.
Language: English
Format: Other
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a controversial yet exciting therapy that assists many, including survivors of violent crimes to process their experiences so that they can move forward in their healing. The therapist deliberately stimulates left-right brain processing while facilitating an environment similar to that experienced while dreaming. It is particularly effective in treating people with post traumatic stress disorder.
While this carefully constructed set of circumstances is beneficial in the hands of a qualified EMDR practitioner and in a safe environment, is it possible that the very factors which lead to healing in EMDR therapy present themselves unawares outside the clinical environment causing post-traumatic stress episodes? The actual triggers leading to a post traumatic stress episode vary, but perhaps upon inspection a naturally occurring commonality mimicking the EMDR phenomenon is present.
Although eye movements are the most commonly used external stimulus employed by EMDR therapists, they also use auditory tones, tapping, or other types of tactile stimulation. Are there naturally occurring corollaries in the everyday environment which would make it difficult for a survivor of violent crime to function in their day to day duties? Are work tasks unknowingly triggering the beginnings of an EMDR session without the presence of an EMDR practitioner to facilitate the information processing? Is a post-traumatic stress response the result? Survivors of violent crimes are at high risk for employment. Does Naturally Occurring EMDR-Like Phenomena in the Work Environment Increase Employment Risk for Survivors of Violent Crimes?
Keywords: Posttraumatic Stress Disorder PSTD Survivors Violent Crimes
Accuracy Verified: Yes
167. 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
168. Manfield, P., & Snyker, E. (2002, June). Don’t go with that!. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
One of the beauties of EMDR is that, in most cases, clients can simply begin each set of eye movements by focusing on their associations from
the previous set. The therapist simply says, "Go with that." This workshop will identify clients for whom "Go with that" will probably not
work, clients who use avoidance or dissociation to defend against painful affect or who associate loosely and cause targets to "pancake." We will
use video and transcripts to illustrate a variety of interventions and techniques to handle these more challenging clients and situations.
Accuracy Verified: Yes
169. Colmenares, C. (2000, July 11). Doorway to healing?. Nashville, TN: The Tennessean, Living, 1D.
Language: English
Format: Newspaper
Abstract:
Then a sixth therapist, Nashville psychologist Wallace Reynolds, suggested EMDR, eye movement desensitization reprocessing, a relatively new psychotherapy technique that opens the boxes where monsters dwell so the mind can flick the switch and send them scattering.
"It's not magic, just accelerated processing," Reynolds says.
Indeed it's not magic in fact, it's smoke and mirrors, say scientists who dispute not only the efficacy of EMDR but the theories behind it.
Keywords: General Nashville Overview Wallace Reynolds
Accuracy Verified: Yes
170. 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
171. Rogers, S. (2006, December). Drifting away from EMDR. EMDRIA Newsletter, 11(4), 7-8.
Language: English
Format: Newsletter
Abstract:
Those who have attended Francine Shapiro’s Plenary Addresses
in recent EMDRIA Conferences are aware of her wish that
EMDR clinicians accurately reproduce the EMDR procedure
and understand her Adaptive Information Processing model. This
concern was sparked by the frequency of phone calls to the EMDR
Institute from clients who had been treated with variations of the
EMDR protocol with poor results. Also, here in Pennsylvania, we
have had several veterans come into our treatment program claiming
that they had been treated with EMDR and it didn’t work. When
we asked for a description of the treatment, it was clear that the
therapist had added elements to the desensitization phase, such as
affi rmations, positive imagery, and relaxation techniques.
Keywords: Cautions Practice Theory
Accuracy Verified: Yes
172. Hembree, E., Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. In N. Feeney (Chair), Is exposure therapy for PTSD helpful or harmful? Symposium conducted at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment
dropout? We will examine clinical impressions and research in this area. First,
clinical perspectives on the tolerability of exposure will be presented.Then,
three empirical papers will explore: dropout rates for exposure, symptom
exacerbation in women undergoing imaginal exposure, and factors that influence
treatment choices.
Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the
treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing
outcome literature, a concern that this treatment may exacerbate
symptoms and lead to premature dropout has been voiced on the basis of a
few reports. In the present paper, we examined the hypothesis that treatments
that include exposure will be associated with a higher dropout rate
than treatments that do not include exposure. A literature search identified
17 controlled studies of cognitive behavioral treatment for PTSD that
67
Concurrent Sessions–Saturday,November 9
Saturday: 1:00 p.m.–2:15 p.m.
included data on dropout. The results indicated no difference in dropout
rates among exposure therapy, cognitive therapy, stress inoculation training,
and EMDR.These findings are consistent with previous research about the
tolerability of exposure therapy.
Keywords: Dropout Rate Symposium
Accuracy Verified: Yes
173. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
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
174. Manfield, P. (2013, May). Dyadic resourcing: Creating a foundation for treating early trauma [La dyade comme ressource: Créer une base solide pour traiter les traumas de la petite enfance]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing
of very early trauma with severely deprived clients, including those with attachment disorders. The goal of
this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child
relationship. This workshop will address the basic principles and processes central to this form of resourcing,
including each of the five steps involved in establishing this resource. The process will be illustrated using clinical
videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be
provided.
Learning Objectives:
• Explain why cognitive interweaves are often not helpful to clients with attachment disorders
• List 15 possible sources of resource figures a client might have that the client can feel a present affective
connection to.
• List 8 techniques that can be used to help a client feel more intensely connected to a resource.
• Describe 4 indications that clients are NOT assuming an outside observer role and are instead overly
identifying with their child selves.
• Describe how the “morphing” process minimizes a client’s resistance to feeling nurtured.
Cet atelier présente la dyade comme ressource, une approche conçue pour faciliter le retraitement en EMDR pour
les traumas de la petite enfance chez des clients qui ont été sévèrement négligés dont ceux avec un trouble de
l’attachement. L’objectif de ce processus est d’aider le client à se connecter au niveau affectif à une expérience
intérieure d’être dans une relation nourrissante parent-enfant. Cet atelier portera sur les principes de base et
les processus centraux de cette forme de ressourcement incluant les 5 étapes pour établir cette ressource. Le
processus sera illustré à l’aide de vidéos de transcription sur les ressources et une démonstration en direct. Il
fournira aussi des ‘’liens’’ afin d’avoir accès gratuitement à des formations sur les ressources.
Objectifs d’apprentissage:
• Expliquer pourquoi les tissages cognitifs ne sont pas aidant pour les clients ayant un trouble de l’attachement
• Une liste de 15 figures ressourçantes pour le client et pour lesquelles il peut ressentir une connexion sur le
plan affectif.
• Une liste de 8 techniques qui peut être utiliser afin d’aider le client à se sentir de plus en plus connecter à une
ressource.
• Décrire 4 indications que le client n’adopte pas une position d’observateur mais plutôt qu’il soit vraiment
identifié avec leurs ‘’soi’’ d’enfant.
• Décrire comment le processus de ‘’morphing’’ peut diminuer la résistance au sentiment d’être nourrit
affectivement
Keywords: Dyadic Resourcing Morphing Resource Figures
Accuracy Verified: Yes
175. Manfield, P. (2011, August). Dyadic resourcing: EMDR with difficult clients. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing of very early trauma with severely deprived clients, including those with attachment disorders. The goal of this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child relationship. This workshop will address the basic principles and processes central to this form of resourcing, including each of the five steps involved in establishing this resource. The process will be illustrated using clinical videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be provided.
Keywords: Difficult Clients Dyadic Resourcing
Accuracy Verified: Yes
176. Bisson, J. (2006, June). Early intervention method as an EMDR method. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Recommendation
• All chronic PTSD sufferers should be
offered a course of trauma-focused CBT
or EMDR, normally on an individual OP
basis, regardless of time since trauma.
• Usually 8-12 sessions, some at 90
minutes.
• May need to be longer than 12 sessions if
multiple trauma, co-morbidity, traumatic
bereavement…
• Training and competence essential.[Excerpt]
Keywords: Recents Events Protocol
Accuracy Verified: Yes
177. Bar-Sade, E. (2003, May). Early trauma: Revisited and revised through EMDR, the narrative story and the implementation of attachment theory concepts. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
If we regard adult psychotherapy as the basis for a kind of attachment relationship in which the client seeks proximity by having a physical and emotional closeness with the therapist through which the client tries to create a”safe haven” soothing him or her when upset while providing a sense of security, child therapists often regard child-psychotherapy as a means to develop an attachment relationship between child and caregiver, whenever possible. It is a common assumption, that in child-psychotherapy, especially while dealing with trauma, the therapist must stress the importance of empowering the parental figure as an attachment figure and as a “secure base”.
Keywords: Attachment Theory Complex Trauma
Accuracy Verified: Yes
178. Biehle, D. A., & Keller, M. W. (2008, September). East meets west: Capacity building and EMDR training with mental health professionals in Aceh, Indonesia. Poster presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Other
Keywords: Aceh, Indonesia Poster Training
Accuracy Verified: Yes
179. de Jongh, A., & ten Broeke, E. (1993). Een nieuwe behandelingsmethode voor angst en trauma's: ‘Eye movement desensitization and reprocessing’ [A new treatment for anxiety and trauma: Eye movement desensitization and reprocessing]. Directieve Therapie, 13(2), 78-83. doi:10.1007/BF03060028 .
Language: Dutch
Format: Magazine
Abstract:
In deze bijdrage wordt een beschrijving gegeven van de achtergronden en principes van ‘Eye movement
desensitization and reprocessing’ ( EMDR), een recente ontwikkeling op het gebied van de psychotherapie. Deze
procedure wordt gepresenteerd als een snelle en effectieve behandelmethode voor aan angst gerelateerde klachten,
waaronder posttraumatische stress-stoornissen. Een belangrijk onderdeel van EMDR is dat de therapeut bij de cliënt
een aantal snelle en ritmische oogbewegingen uitlokt door hem te vragen zijn vinger te volgen, terwijl de cliënt een
beeld van de traumatische herinnering in gedachten houdt. Dit zou resulteren in cognitieve veranderingen en een
langdurige vermindering van angst, alsmede een verdwijnen van terugkerende herinneringen en indringende
gedachten. Zoals naar voren komt uit onderzoek en twee gepresenteerde gevalsbeschrijvingen (een geval van
extreme angst voor de tandheelkundige behandeling en een geval van seksueel misbruik), kan EMDR reeds effectief
zijn in slechts één zitting. Het artikel sluit af met evaluatieve opmerkingen en aanbevelingen met betrekking tot het
gebruik van deze behandelingsmethode in de praktijk.
In this article describes the background and principles of "Eye movement
desensitization and reprocessing "(EMDR), a recent development in the field of psychotherapy. This
procedure is presented as a rapid and effective treatment for anxiety-related symptoms,
including post-traumatic stress disorder. EMDR is an important part of the therapist to the client
a number of rapid and rhythmic eye movements provokes him by asking his finger to follow, while a client
image of the traumatic memory in mind. This would result in cognitive changes and a
lasting reduction of anxiety and a loss of recurrent and intrusive recollections
thoughts. As emerges from two studies and presented case studies (one case
extreme fear of dental treatment and one case of sexual abuse), EMDR can already effectively
in only one session. The article concludes with evaluative comments and recommendations regarding the
using this treatment method in practice.
Accuracy Verified: Yes
180. Cole, F. J. (1996, November). The effect of alpha theta brainwave production on self-efficacy in the treatment of substance abuse. California School of Professional Psychology, Fresno, CA. AAT 9734483.
Language: English
Format: Dissertation/Thesis
Abstract:
Two new brief treatments, Alpha Theta Brainwave Training (ATBT) and Eye Movement Desensitization and Reprocessing (EMDR) were compared to Systematic Muscle Relaxation (SMR) training during the treatment of 45 hospitalized veterans in the Chemical Dependency Treatment Program of the Fresno Department of Veteran Affairs Medical Center. Fifteen veterans were randomly assigned to three treatment groups, ATBT, EMDR, and SMR, to investigate whether these treatments affected self-efficacy, or confidence in the ability to resist the urge to drink. In behavioral change, self-efficacy levels are consistent predictors of short and long-term success. It was hypothesized that the greater the amount of time spent in theta brainwave frequency (4-8 Hz) during treatment, the greater the increase in self-efficacy. Brainwave activity, temperature, skin conductance and electromyographic levels were recorded during the treatment sessions. Measures of self-efficacy, self-efficacy expectancy, outcome expectancy, and level of overall physical and emotional symptoms were taken before and after treatment. Results indicated that all treatments increased self-efficacy and decreased overall physical and emotional symptoms in alcoholic subjects. Overall, there was no significant difference in the amount of time spent in theta brainwave frequency between groups, but results indicated that the treatments did produce a significant difference in the amount of time spent in theta brainwave frequency between the first and last treatment sessions in the groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2667.
Keywords: Brain Stimulation Drug Abuse Drug Rehabilitation Empirical Study Military Veterans Relaxation Therapy Self Efficacy Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
181. 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
182. Devilly, G. J. (2001, October). Effect size and methodological rigor in EMDR: A reply to Lipke's (2001) comment. the Behavior Therapist, 24(9), 195-196.
Language: English
Format: Newsletter
Abstract:
The author defends the conclusions regarding EMDR and the methodology used in his study of the distraction hypothesis for EMDR.
A reply to: Howard Lipke, "Response to Devilly's (2001) claims on distraction and exposure", The Behavior Therapist 24(9): 195-196 (October 2001) [25297]. [Pilots]
Keywords: Criticism Reply Exposure Therapy Methodology Professional Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
183. Silverman, S. J. (2011). Effecting peak athletic performance with neurofeedback, interactive metronome®, and EMDR: A case study. Biofeedback, 39(1), 40-42. doi:10.5298/1081-5937-39.1.08.
Language: English
Format: Journal
Abstract:
This case study chronicles the application and effects of a customized combination of therapies, including neurofeedback, Interactive Metronome® (IM), and Eye Movement Desensitization and Reprocessing (EMDR) created to help a professional athlete improve his brain function and performance. Brian, a 28-year-old professional baseball player, sought help for difficulty maintaining focus and concentration while playing baseball. He felt his challenges impeded his athletic performance, and he wanted to perform at the highest possible level during the upcoming spring training season. Brian's history combined with the results of a QEEG brain map led to a diagnosis of Attention Deficit Disorder–Inattentive Type. The individualized treatment program for Brian included neurofeedback to lower theta activity and increase beta, IM to improve coordination and timing, and EMDR to address his feelings of anger and lack of self-confidence. At the conclusion of his training, Brian described feeling “clear-headed” and was able to focus his mind when needed. His timing and coordination improved, and he showed a positive attitude about playing baseball and felt confident that he would perform well at spring training.
Keywords: Athelete Attention Deficit Disorder–Inattentive Type IM Interactive Metronome® Neurofeedback Performance ENhancement QEEG Brain Map
Accuracy Verified: Yes
184. 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
185. 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
186. 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
187. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18(3), 148-158.
Language: English
Format: Journal
Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.
Keywords: Horitzontal Eye Movements
Accuracy Verified: Yes
188. 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
189. 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
190. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models.
Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach.
Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT.
The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress.
This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement.
The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented.
Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
191. 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
192. 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
193. 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
194. 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
195. 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
196. 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
197. 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
198. 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
199. 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
200. 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
201. Holmshaw, M. (2008, June). EMDR & CBT work equally well for psychological trauma – Why?. Presentation at the annual meeting of the EMDR Europe Association, London, UK.
Language: English
Format: Conference
Abstract:
The use of EMDR, CBT or a combination of the two, in managing psychological ill health following road Traffic
Accidents (RTA): The Results and analysis of 1100 consecutive referrals. This paper determines the role of
trauma-focused psychological treatment in the management of psychological ill health following road traffic
accidents in the UK. RTA’s are the biggest cause of PTSD in this country. All consecutively referred patients with
possible psychological ill-health following a RTA were offered a comprehensive psychological assessment by an
established provider of trauma services in the UK. Those with significant psychological ill health were offered
trauma-focused psychological treatment, EMDR and/or CBT, in line with NICE (National Institute for Health and
Clinical Excellence) guidelines. During the psychological assessment a clinical diagnosis was made and a number
of psychometric scores were used. These comprised
1 DSM IV criteria for PTSD and illness severity,
2 General Health Questionnaire,
3 Impact of Event Scale,
4 Hospital Anxiety and Depression Scale.
Similar subjective and objective measurements were made after every fourth session of therapy and on
discharge. The results offer a breakdown of diagnoses, the number of patients who proceeded to treatment and
the type of treatment and outcome of such treatment. Of the 658 patients who proceeded to Trauma-focused
psychological treatment, patients had either EMDR by itself (31%), CBT by itself (36%) or a Combination of EMDR
and CBT (33%). Subjectively and objectively three out of four patients were completely relieved of their
symptoms or were much better. There was no significant difference between CBT and EMDR in terms of
treatment results. Closer analysis of the three subgroups revealed a number of variables which seemed to be
associated with failure of EMDR treatment and failure of CBT treatment. These variables will be discussed against
the background of the trauma focused CBT model of Clarke, D and Ehlers A, 2002. Recommendations will be made of ways to improve the outcome of EMDR Therapy and improving EMDR training.
Keywords: CBT Cognitive Behaviorial Therapy Trauma
Accuracy Verified: Yes
202. Galvin, M. (2003). EMDR & EP: Accelerating and decelerating strategies. In J. Hartung & M. Galvin, M. (Eds.), EMDR and energy psychology: Combining forces to optimize treatment. New York: Norton.
Language: English
Format: Book Section
Abstract:
A clinician may treat an agoraphobic
person in his or her house at first, thereby
delaying the additional stimulation, or the
more powerful triggers, involved with
having to leave home to go to the
therapist’s office for the initial sessions.
Keywords: Accelerating Strategies Decelerating Strategies
Accuracy Verified: Yes
203. MacDonald, H. (2008, October). EMDR & pain. Presentation at the 1st annual EMDR Yorkshire Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
This workshop will give participants an introduction to using EMDR with people who have persistent pain. The EMDR protocol (Grant and Threlfo 2002) can be
used to promote more successful management of pain, and can change pain sensations. Targets might also include the impact of the pain on life situation. The
workshop is aimed at people who have completed EMDR training, but who may not have applied it with this client group.
Keywords: Pain
Accuracy Verified: Yes
204. Burdett, C. (2010, March). EMDR & the law. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Shapiro (2001) notes that, “if a crime
victim, witness or police officer is being treated for a critical incident, it is essential to
establish whether a legal deposition or any specific kind of trial testimony is or may be
required of the individual”.
Eye Movement Desensitisation and Reprocessing can affect the memory process. For this
reason, it is important to discuss with the client, and with any lawyers or police officers
involved, how testimony might be affected.
The EMDR therapist must make clear to all concerned the potential effects of giving
treatment and delaying treatment. The client, lawyers and other interested parties can
then reach a decision on how to proceed.
The therapist needs to understand the legal implications of their actions if they are asked
to provide treatment under these circumstances. They also need knowledge of the
procedures involved and of the way these differ between civil and criminal cases. These
procedures will also differ between countries.
The dilemma can be the conflict between the client’s best interests and the upholding of
the law.
Reference:
Shapiro F (2001), Eye Movement Desensitisation and Reprocessing, 2nd Edition, Guilford Press NY, p98
Keywords: Law Court Cases
Accuracy Verified: Yes
205. 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
206. Gagnon, A. (2006). EMDR - L’introduction d’une nouvelle approche [EMDR - The introduction of a new approach]. Santé Mentale au Québec, 31(2), 257-261.
Language: French
Format: Magazine
Abstract:
L’amélioration continue de nos expertises pose un défi immense en
sciences cliniques. Si l’Art clinique s’affine avec l’expérience, la
Science avance aussi de son côté. À titre d’éducateur et de concepteur
de projets éducatifs, on demeure perplexe devant l’écart entre les intérêts
et les besoins réels de formation. Sans parler de la difficulté d’introduire
de nouvelles connaissances, face aux chapelles de gens « qui savent
mieux » ; ni, ce qui compte le plus, du défi de modifier les pratiques au
bénéfice des patients, enjeu éthique immense et souvent mal perçu.
Continuous improvement of our expertise poses a huge challenge in
Clinical Sciences. If Art is refined with clinical experience,
Scientific progress is also on his side. As an educator and designer
educational projects, we remain puzzled by the discrepancy between the interests
and the actual training needs. Not to mention the difficulty of introducing
new knowledge, meet the chapels of people "who know
better "or, what matters most, the challenge of changing practices in
benefit of patients, ethical issue, and largely unwelcome.
Accuracy Verified: Yes
207. 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
208. 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
209. Adler-Tapia, R. L., & Settle, C. S. (2009, March). EMDR and adaptive information processing theory: A comprehensive approach to child psychotherapy. Clinical Child Psychology and Psychiatry, (1), 12-15.
Language: English
Format: Journal
Abstract:
Whether you are first learning about Eye Movement Desensitization and Reprocessing
(EMDR) or you have participated in EMDR training, the goal of this article is to provide the
reader with a brief overview of strategies for using the full protocol with young children. To
understand the process by which the phases of the protocol are applied with child clients, it is
important to understand the theoretical underpinnings that Adaptive Information Processing
(AIP) theory creates as a foundation for healing and health with children. After discussing the
application of AIP to children, the chapter will continue with an overview of skills therapists can
use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with
references for additional study and training on using EMDR with children. Finally, therapists
will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through
developmentally suited language and interventions with even the youngest of clients.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
210. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
211. Cohen-Posey, K. (1998, March). EMDR and bibliotherapy. EMDRIA Newsletter, 3(1), 20-21.
Language: English
Format: Newsletter
Abstract:
I fell in love with EMDR after my Level I training in October of 1995 and have used it as much as possible since. Using it with people who have experienced trauma is like having a front row seat to the healing processes of the universe. I no longer struggler with the perennial question: “What do I do next?” When processing becomes stuck, cognitive interweaves usually come to me during an eye movement set.
Keywords: Bibliotherapy
Accuracy Verified: Yes
212. 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
213. 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
214. Spierings, J. (2013, June). EMDR and combined techniques in the treatment of (complicated) mourning. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Working with mourning clients can be difficult. To face the irrevocability of loss and to stand helpless and empty-handed as a therapist is a heavy burden. Sometimes it seems there is nothing we can do to help our clients. Yet there are many ways in which EMDR can contribute to help our clients to live a valuable life after a serious loss.
In this presentation the psychodynamics of complicated mourning are discussed. Treatment strategies and treatment techniques (both EMDR and combined techniques) are developed for specific patterns of complicated mourning (i.e. denied mourning, postponed mourning, chronic mourning, distorted mourning, traumatized mourning, somatized mourning).
Some non-EMDR techniques (rituals, Gestalt dialogue, writing assignments, imagination techniques) will be integrated into EMDR treatment. Also practical interventions to address resistance and affect regulation problems will be discussed.
Learning Objectives:
What are the key aspects of using EMDR with issues of grief and mourning;
Outline the core characteristics of stabilization and resourcing for this population;
Review the range of cognitive interviews that have an application when evidence of blocked processing is apparent with this client group
Keywords: Grief Mourning Resourcing Stabilization
Accuracy Verified: Yes
215. EMDRIA Standards and Training Committee. (2002, June). EMDR and consultation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for Approved Consultants in EMDR or those who plan to pursue this designation. Consultation in EMDR is essential to the development of competence in the use of EMDR procedures and the integration of the EMDR model into clinical practice. This course will cover the philosophy of consultation, the ethical and legal considerations, models of consultation, and the different ways in which the consultation process can be completed. A question and answer period will also be available.
Keywords: Consultation Standards and Training
Accuracy Verified: Yes
216. Gonzalez, A., & Mosquera, D. (2012, June). EMDR and dissociation: The progressive approach. A. I. [Amazon.co.uk].
Language: English
Format: Book
Abstract:
After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches.
In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders.
The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.
Keywords: Dissociation
Accuracy Verified: Yes
217. Dodgson, P. (2009, March). EMDR and diversity. Keynote presented at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract: In this keynote address, Philip Dodgson will outline some of the ways in which EMDR has been developed through the application of the Adaptive Information Processing model to new areas of clinical practice. Drawing on clinical material and published research, Philip will include case material from work in the National Health Service, private practice and the EMDR Humanitarian Assistance Program. Case material will include work with people in a setting of ongoing conflict, people involved in gender re-assignment, and people who experience hearing voices. EMDR and diversity will be explored not only in terms of current clinical work but also as a challenge for the future, both in clinical practice and in encouraging and training EMDR practitioners from a wide range of backgrounds.
Keywords: Diversity
Accuracy Verified: Yes
218. Ostacoli, L. & Bertino, G. (2010, June). EMDR and drawing: A tool to integrate post-traumatic dissociation and overwhelming emotions. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The difficulty of the management of overwhelming
emotions aid dissociative reactions are challenging for any EMUR
therapist dealing with complex traumas. As a complement
to the strategies already used in EMDR, drawing gives form to
The inner representations of the trauma, objectivizing it Thus the
person no longer relates only to something inside him/her, but
rather to something he/she can see and can concretely represent
and modify In the act of drawing, the patient makes an initial
reorganisation of the form of the trauma, and begins to differentiate
the adaptive ego, which has the tools and the ability to restructure
the experiences, and the traumatic emotional part that
suffers those experiences in a condition of Impotence and passivity
The person may rapidly access preverbal and motor-sensory
language, activating inborn creative skills. The use of this tool
enables us t0 access the traumatic material gently, limiting dissociative
reactions, bypassing avoidance and flight behaviour and
setting a distance from pan by objectivizing . A protective space
is created between the self and the part that holds the suffering.
p i n g a voice to the inner child. The patient is offered the possibility
of drawing what is occurring in the self's here and now, and given a choice of different graphic materials. At the end of the
drawing and assessment phase the person is asked to note what
has emerged, and a brief space of time may be allowed for description
without interpretation. The represented Image is treated
as the inner image in the classic protocol. To start, the patent is
asked to focus on the drawing, on the negative cognition and
on the bodily location of the emotional disorder, while bilateral
stimulation is applied. At the end of each set, the patient is asked
what he/she has noticed and the therapist verifies where the person
now is in the re-elaboration. If there is a change the person
may either work on the drawing, modifying it, or, if the change of
image is radical, may produce another drawing. After several sets,
an adaptive drawing emerge5 that may be installed as a resource.
The report presents the use of the tool in various psychopathological
conditions, with the support of video and graphic materials,
particularly focusing on how to manage dissociation.
Learning objectives:
1.To learn the use of drawing as a supplementary tool, through
graphic and video material of clinical cases.
2. To recognise the indications in which it provides added value
to the classical protocol.
3. to learn its use in various psychopathological conditions,
with particular emphasis on dissociative states.
The use of drawing as a supplementary tool within the EMDR
protocol gives form to the inner representation of the trauma, objectivising
it, and creates a bridge of communication between the
self and the blocked parts, after which it will be possible to return
to desensitizing and re-elaboration with the standard protocol.
Keywords: Dissociation Drawing Emotion
Accuracy Verified: Yes
219. 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
220. Silvestre, M., & Morris-Smith, J. (2010, June). EMDR and family therapy around the issue of domestic violence. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
During this pre-conference, we will discuss the integration of EMDR and family therapy through the work done with domestic violence cases. In these particular situations, the therapist is faced with complex clinical issues that require one to think and intervene at different levels: the victim, the children's victim, the perpetrator, the family dynamics. This complex clinical situation is challenging us to develop a multilevel way of thinking and working; it is a good example of integration between personal and interrelation issues. Such an integration proves to be a necessary process when faced with the trauma consequences of domestic violence, which we all know impact each family member greatly. We will look into attachment disorder, problems with affect regulation, safety issues and the transmission of perturbed family dynamics.
We will also discuss treatment planning and how to articulate work with one person and work with a family with regard to the therapist's affiliation.
Keywords: Domestic Violence Family Therapy
Accuracy Verified: Yes
221. 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
222. Bender, S., Hollander, H., & Accaria, P. (2001, June). EMDR and hypnosis. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) describe how EMDR and hypnosis differ; 2) utilize a muscle testing ideomotor signaling procedure to develop EMDR protocols; 3) apply Eriksonian training in the EMDR protocol; and 4) employ an aspect of EMDR, the eye movements, in an hypnotic protocol.
Keywords: Eriksonian Training Hypnosis Muscle Testing
Accuracy Verified: Yes
223. Sittig, K. J. (2008, September). EMDR and hypnotherapy: Integration of EMDR and hypnotherapy. An innovative, highly- efficient, resources – based method for PTSD - treatment [EMDR und hypnotherapie]. Preconference presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Treat the trauma without treating the trauma
The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely.
The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again!
This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the
SUR–scale, Subjective Units of Resources.
The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!
Previous knowledge is not necessary.
Keywords: Hypnotherapy
Accuracy Verified: Yes
224. 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
225. Chandarasiri, P. (2008, June). EMDR and play therapy in traumatised children. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
Young children who are not yet fully developed mentally can not differentiate the past traumatic memory from
the present reality and in metabolising disturbing trauma memories. Children usually mix their past experience
and the present through play to help them connect the pieces of experience into a narrative that is
understandable for them. Every piece of trauma in the past is integrated into their life and may adversely
influence their personality formation. Trauma work with children through play and EMDR techniques can be
helpful in preventing such distortion, especially among disable children. EMDR method was applied to a 10 years
old boy with learning disability. He was separated from his family and stayed at the residential home. He had his
past experience of witnessing domestic violence since early infancy. The injuries sustained by his mother had
caused great concern for him. He also experienced sexual abuse by another boy which was reflected in sex play
with his peers. He had attention problem, aggressive behaviours together with difficulty in regulating his moods.
Because of his limitation, he preferred to communicate his emotions through action and play rather than
verbally. His preoccupation was expressed through figures fighting that typically resulted in death. During the
play session, the therapist would intermittently take a pause with him and the bilateral tapping was applied
corresponding with the event in play, for example checking through the worst event, the negative event, the
positive event, the strength, the changes taking place in their mind and the play. Most of his play started with
the fighting and ended with the good figures won. The installation was applied at the end. His behaviours were
monitored at the residential home and at the school. It was found later that he could control his anger better and
he was able to tell the caretakers showing that he was aware of his feelings and his behaviours. The conclusion
can be drawn that the use of bilateral stimulation during play therapy has facilitated changes in his behaviours,
affects, and communication.
Keywords: Children Play Therapy
Accuracy Verified: Yes
226. Konuk, E., & Epozdemir, H. (2010, July). EMDR and strategic family therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo
Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed
the therapy world radically. The major shift was that:
• The theory was a theory of change. The emphasis was on change rather than to understand how and why problems
exist.
• The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way
the therapist approached the clients was Systemic or interactional.
• Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different
techniques that belong to other approaches without conflict and confusion.
• At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions.
So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly.
One of the approaches that EMDR therapists may integrate efficiently into their practice is Family Therapy. It may speed up
the therapy especially when both trauma and relationships are particularly having a role in the formation and maintenance
of the problem.
In this workshop, the participants will learn:
• The basic principles and techniques of Strategic Family Therapy,
• Why and how change occurs,
• When Strategic Family Therapy is called upon for help,
• How interventions are designed and implemented.
Keywords: Strategic Family Therapy
Accuracy Verified: Yes
227. Konuk, E. & Epozdemir, H. (2010, March). EMDR and strategic family therapy. Presentation at the XVIII World International Family Therapy (IFTA) Congress, Buenos Aires, Argentina.
Language: English
Format: Conference
Abstract: Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that Family and Marriage Therapists integrate efficiently into their practice is EMDR. Though EMDR (Eye Movement Desensitization and Reprocessing) is relatively new in the therapy world, now it is credited by many professional and governmental organizations as either “treatment of choice” or a valid psychotherapy approach. Especially when trauma is particularly have a role in the formation of the problem, then EMDR is a “life saver” for the therapist. In this workshop, the participants will learn: • The basic principles and techniques of EMDR and Strategic Family Therapy • Why and how change occurs • When EMDR is called upon for help • How interventions are designed and implemented The cases will be presented by live video recordings of sessions.
Keywords: Strategic Family Therapy
Accuracy Verified: Yes
228. Sabey, A. (2011, October). EMDR and strengthening children's emotional resilience. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
This workshop explores the assessment and development of emotional resilience within children. Case examples are used to demonstrate how EMDR may be integrated into child-centred therapy sessions, helping children to find ways to manage strong emotions, gain emotional literacy, fully utilise social networks and develop a toolbox of skills and resources. The resilience of the parent/carer, and that of the therapist is considered. The importance of attunement and collaboration within the therapeutic relationship is highlighted. (Author abstract)
Keywords: Children Emotional Resilience
Accuracy Verified: Yes
229. Shapiro, F., & Laliotis, D. (2011, June). EMDR and the adaptive information processing model: Integrative treatment and case conceptualization. Clinical Social Work Journal, 39(2), 191-200. doi:10.1007/s10615-010-0300-7.
Language: English
Format: Journal
Abstract:
EMDR is a comprehensive psychotherapy approach that is compatible with all contemporary theoretical orientations. Internationally recognized as a frontline trauma treatment, it is also applicable to a broad range of clinical issues. As a distinct form of psychotherapy, the treatment emphasis is placed on directly processing the neurophysiologically stored memories of events that set the foundation for pathology and health. The adaptive information processing model that governs EMDR practice invites the therapist to address the overall clinical picture that includes the past experiences that contribute to a client’s current difficulties, the present events that trigger maladaptive responses, and to develop more adaptive neural networks of memory in order to enhance positive responses in the future. The clinical application of EMDR is elaborated through a description of the eight phases of treatment with a case example that illustrates the convergences with psychodynamic, cognitive-behavioral, and systemic practice.
Keywords: Adaptive Information Processing AIP Integrative Treatment Memory Networks
Accuracy Verified: Yes
230. Bar-Sade, E. (2002, May). EMDR and the challenge of working with young children. EMDR Israel Association, Nazereth Ilit, Israel.
Language: English
Format: Other
Abstract:
Treatment of very young children who experienced trauma poses a challenge for the therapist using EMDR.
Very young children lack the ability to express their experiences verbally. In addition, their cognitive development is not mature enough to process their experiences via the cognitive channel. Their understanding of time is not developed enough to distinguish between past, present and future and they are not yet able to take an alternative perspective on experiences they have encountered, some of which may have been traumatic for them.
Keywords: Children
Accuracy Verified: Yes
231. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
232. Marquis, P. (2007, June). EMDR and the treatment of anxiety disorders. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Dr. Marquis will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interceptive exposure, psych-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. The diagnosis of Obsessive Compulsive Disorder, Hoarding, Trichotillomonia, Skin Picking, Panic Disorder, Social Anxiety Disorders, Phobias, Generalized Anxiety Disorder, Somatization Disorder and their interaction with underlying PSTD will be discussed and standard EMDR treatment protocols presented. This will be presented in context of the Adaptive Information Processing Model. Theoretical models will be presented. This treatment integrates the use of future template and behavioral feedback for success of anxiety treatment. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients scan integrate self-use of bilateral stimulation to increase treatment results. Case examples will be presented. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored. Dr. Marquis is the Anxiety Team Leader at Kaiser Hospital and has been practicing, teaching, and training EMDR internationally since 1991.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
233. Marquis, P., & Sprowls, C. (2011, August). EMDR and the treatment of anxiety disorders: Clinical applications using the anxiety protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Dr. Marquis and Dr. Sprowls will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing, (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interoceptive exposure, psycho-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients can integrate self-use of bilateral stimulation to increase treatment results. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
234. Lindsay, J. (1995, June). EMDR and the treatment of rape survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The study employed single case experimental design to test the efficacy of EMDR in the treatment of rape survivors. EMDR was
introduced sequentially to five subjects by five licensed psychotherapists with Level II EMDR training. Each subject received from
4 to 6 sessions depending upon her position in the sequence. Each met criteria for PTSD prior to treatment.
The study emphasized clinical significance, and with minor exceptions, all scores meet criteria for both clinical and statistical
significance.
Independent variables were the Beck Depression Inventory (BDI), the Brief Symptom Inventory (BSI), the Dissociative Experience
Scale (DES), the State-Traft Anxiety Inventory (STAI) and the PTSD Symptom Scale, Self-Report (PSC-SR). Pre- post- and followup
scores demonstrated dramatic changes (<.O1,DES<.05).
Subjects monitored PTSD symptomotology throughout the baseline, treatment and follow-up phases. The visual analog scales
which display these graphed data provide some interesting information regarding individual response to treatment and inter- and
intra- subject variability. These quantitative data were also analyzed with respect to qualitative data from pre- and post and followup
interviews and from clinical reports.
Keywords: Rape
Accuracy Verified: Yes
235. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its
effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the
application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of
EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic,
agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive
disorders.
The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style,
reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a
brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The
research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed
because they offer excellent support for EMDR and for particular forms of its application.
The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental
tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder.
The discussion will focus on important information in the history taking and personal contact with the client as well as the potential
targets for EMDR work with the various anxiety disorders.
In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental
tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various
anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use
of supplementals.
Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in
particular, therapist factors that can improve effectiveness.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
236. Horacek, C. (2005, Winter). EMDR as a therapeutic tool. The Conejo Connection, 4(1), 2-4.
Language: English
Format: Newsletter
Abstract:
The main feature of EMDR is that by bilaterally
stimulating the brain trauma, phobias and other disturbing
experiences are “reprocessed” to move from one part of
the brain to the higher-thinking cortical structures of the
brain, and seem to lose their power to be disturbing. This
is the “eye movement” part. In EMDR, the therapist
moves their fingers back and forth in front of the client’s
face and the client watches by moving their eyes (not
turning their head) left right, left right. However, it has
since been discovered that any type of bilateral stimulation
works—auditory, tactile, even walking up and down,
as the body moves first the left leg and then the right.
Accuracy Verified: Yes
237. Stevens, M. J., & Florell, D. (1999). EMDR as a treatment for test anxiety. Imagination, Cognition and Personality, 18(4), 285-296. doi:10.2190/FJWQ-HKQQ-UEJW-6VLH .
Language: English
Format: Journal
Abstract:
We assigned sixty-two test-anxious undergraduates to eye movement desensitization and reprocessing (EMDR), rational emotive therapy (RET), and information only, which were administered in a single session by trained, "blind" therapists. At posttest, EMDR was most effective in reducing distress whereas RET decreased global test anxiety more than information only. These results may reflect the differential impact of EMDR and RET on verbalized distress and on combined affective and cognitive dimensions of test anxiety, respectively. Perceptions of therapist credibility and helpfulness of treatment moderated the results. We discuss the clinical and research implications of these findings.
Keywords: Empirical Study Information Rational Emotive Behavior Therapy Test Anxiety
Accuracy Verified: Yes
238. Stevens, M. J., & Florell, D. W. (1997, August). EMDR as a treatment for test anxiety. Preentation at the annual meeting of the American Psychological Association, Chicago, IL..
Language: English
Format: Conference
Abstract:
We assigned sixty-two test-anxious undergraduates to eye movement desensitization and reprocessing (EMDR), rational emotive therapy (RET), and information only, which were administered in a single session by trained, "blind" therapists. At posttest, EMDR was most effective in reducing distress whereas RET decreased global test anxiety more than information only. These results may reflect the differential impact of EMDR and RET on verbalized distress and on combined affective and cognitive dimensions of test anxiety, respectively. Perceptions of therapist credibility and helpfulness of treatment moderated the results. We discuss the clinical and research implications of these findings.
Keywords: Information Rational Emotive Behavior Therapy Test Anxiety
Accuracy Verified: Yes
239. Farrell, D. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction
with the University of Birmingham, commenced in Northern
Pakistan in the aftermath of the earthquake that occurred in
the region October 2005. Presently over 75 mental health workers
have now been trained in EMDR in August 2009 six of these
Pakistani mental health workers had successfully completed their
EMDR Facilitator training. As a means of evaluating their EMDR
training a Q Methodology was utilised. Q-Methodology allows
a researcher to explore a complex phenomenon from a subject's
point of view by using a distinct approach which rates the value
of 25 statements in order from least to most desirable. These
statements related to EMDR clinical practice, cultural application
of EMDR. EMDR research development, and their experiences of
their EMDR training. Results highlighted important issues around
their training experience, how cultural sensitivities play an important
part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
Keywords: HAP Project Q-Methodology Pakistan Poster
Accuracy Verified: No
240. Rougemont-Bucking, A. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
Background: EMDR has been recognized to be an efficacious
treatment of Posttraumatic Stress Disorder (PTSD). Other,
more recent indications comprise anxiety disorders and substance
use disorders (SUD). With regard to SUD, the application of EMDR
iS very challenging as patients frequently suffer from many
comorbidities. Another concern is the fact that the dissociative
experiencing during EMDR-sessions can potentially weaken the
patients' coping strategies and provoke relapse through activation
of intense drug craving.
General procedure. Sessions were proposed once a week. Specific
techniques like 'Safe Place', the technique of absorption, heart coherence training and ClPOS were applied prior to proposition
of the standard EMDR-protocol. Drug consumption and craving
was regularly monitored by means of the patents' self-reports
and drug craving scores. The therapist was regularly supervised
on the basis of video recordings.
Patient 1: A 49 year old man being diagnosed for PTSD and dependency
of opiates and benzodiazepines asked to benefit form
EMDR with regard to his PTSD symptoms. Patient was abstinent
from heroine consumption but consumed midazolam 3 times per
week when entering the therapy. Initial evaluation showed an
Impact of Event Scale (IES) score of 60, a Dissociative Experiences
Scale (DES) score of 39.6 and a midazolam craving score of 14.
Patient 2 :A 37 old man was diagnosed for borderline personality
disorder and for dependency of opiates. Heroine consumption occurred 1 to 3 times per month when starting the therapy
EMDR based therapy was proposed as he complained about
pertinacious insomnia due to trauma-like events during his childhood.
Initial evaluation showed a DES score of 7.8 and a heroine
craving score of 17.
Global impression: EMDR based treatment of severely affected
SUD patients appears to be a difficult and challenging endeavor
However, some beneficial effects on general comfort and on drug
consumption can be observed. A long stabilisation phase seems
to be mandatory and the standard EMDR protocol needs to be
conducted with much flexibility as patients were not able to handle
intensive emotional stress for a long time period. There was
no provocation of a prolonged psychological crisis or of relapse.
Experiencing of emotional stress could be limited to the sessions
and dissociation could be absorbed with specific techniques without
increasing permanently drug craving.
Learning objectives:
1. EMDR-based treatment is feasible in severely affected drug
abusers
2. Extensive stabilisation of the patient using flexible adaptation
of EMDR-related techniques is mandatory
3. Dissociation occurring during treatment has to be addressed
carefully as it can easily bridge into drug craving and relapse
What is unique: EMDR-based treatment may be a suitable way
to treat patients who are still abusing drugs as these interventions
focus on maladaptive associations that arise from both trauma
and substance related cues.
Keywords: Drug Abusers Heroine Psychotraumatic Antecedents
Accuracy Verified: Yes
241. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [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:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied.
Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend.
Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.
Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area.
From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized.
When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
242. ten Broeke, T., & Oppenheim, H-J. (2008, Maart). EMDR bij de behandeling van complexe PTSS en ernstige dissociatie [EMDR in the treatment of complex PTSD and severe dissociation]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van patiënten met complexe PTSS ten gevolge van type 2 trauma, wordt de behandelaar geconfronteerd met twee grote problemen: 1) hoe een overzichtelijke structuur aan te brengen in de veelheid aan traumatische gebeurtenissen, en 2) hoe om te gaan met pathologische dissociatie.
In deze voordracht wordt in eerste instantie een aanpak gepresenteerd waarmee de therapeut en patiënt kunnen komen tot een zodanige
(hiërarchische) ordening van de traumatische gebeurtenissen, dat een gefaseerde en overzichtelijke behandeling mogelijk wordt.
Vervolgens zal nader ingegaan worden op het verschijnsel dissociatie en zal worden uitgelegd welke algemene technieken toegepast kunnen worden bij dissociatieve reacties. Ten slotte zal aan de hand van videobeelden worden gedemonstreerd hoe met een aangepast EMDR basisprotocol het mogelijk is om bij mensen met secundaire en tertiaire structurele dissociatie, door activatie van een alterpersoonlijkheid, het traumatisch materiaal waardoor de alterpersoonlijkheid is ontstaan a. te ontsluiten, b. te verwerken en c.
te integreren
When treating patients with complex PTSD as a result of Type 2 trauma, the therapist faces two major problems: 1) how an organized structure to the multitude of traumatic events, and 2) how to deal with pathological dissociation .
In this lecture primarily an approach is presented that the therapist and patient can come to such a
(Hierarchical) organization of the traumatic events that a phased and orderly treatment possible.
Will then be elaborated on the phenomenon of dissociation and will explain the general techniques can be applied to dissociative reactions. Finally, using video to demonstrate how a modified EMDR basic protocol it is possible in people with secondary and tertiary structural dissociation, through activation of an alter personality, traumatic materials which alter personality created a. to access, b. processing and c. integrate.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
243. Spierings, J. (2005, November). EMDR bij gecompliceerde rouw [EMDR with complicated grief]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
In de workshop komt het volgende aan de orde: basisconcepten en psychodynamiek van rouw, grondhouding van de therapeut, theorieën m.b.t. hechting en verlies, behandelstrategieën en behandeltechnieken (rituelen, EMDR, Gestalt, metaforen, schrijfopdrachten, spirituele interventies). Het theoretisch kader wordt naar de praktijk vertaald d.m.v. verhalen en casusmateriaal.
In the workshop, the following order: basic concepts and psychodynamics of mourning, the attitude of the therapist's theories on attachment and loss, treatment strategies and treatment techniques (ritual, EMDR, Gestalt, metaphors, writing, spiritual intervention). The theoretical framework is translated into practice through stories and case material.
Keywords: Complicated Grief
Accuracy Verified: Yes
244. de Roos, C., & Beer, R. (2003). EMDR bij kinderen en adolescenten: De klinische praktijk [EMDR in children and adolescents: The clinical practice]. Kind en Adolescent Praktijk, 2(1), 12-18.
Language: Dutch
Format: Journal
Abstract:
Om ontwikkelingsachterstanden
en chronische psychopathologie
te voorkomen zijn
voor kinderen die lijden onder
de gevolgen van traumatische
ervaringen, effectieve behandelmogelijkheden
van groot
belang (Chemtob, Nakashima
& Carlson, 2002). EMDR – Eye
Movement Desensitization
and Reprocessing – blijkt hierbij
goede diensten te bewijzen.
In dit artikel worden de
procedure en de diverse aanpassingen
beschreven die
nodig zijn voor de toepassing
van EMDR bij kinderen en
adolescenten. Toepassing bij
kinderen vraagt om een benadering
die is afgestemd op het
ontwikkelingsniveau van het
kind, hetgeen vooral tot uiting
komt in de attitude van de
therapeut en technische aanpassingen
in het protocol.
Gepleit wordt voor meer aandacht
in diverse opleidingen
voor het kunnen herkennen
van posttraumatische stressreacties
en adequate doorverwijzing
voor behandeling.
To developmental psychopathology and chronic prevention for children who suffer the consequences of traumatic experiences, effective treatment options are very important (Chemtob, Nakashima & Carlson, 2002). EMDR - eye movement desensitization and reprocessing - shows provide good service to prove. This article discusses the process and described various modifications required for the application of EMDR in children and adolescents. Application in children requires an approach tailored to the developmental level of the child, which is particularly reflected in the attitude of the therapist and technical changes to the protocol. Calling for more attention in various courses for the recognition of posttraumatic stress reactions and appropriate referral for treatment.
Keywords: Adolescents Children
Accuracy Verified: Yes
245. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze lezing gaat over het implementeren van EMDR
in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep:
• Meervoudige persoonlijkheidsstoornissen
• Meervoudig ernstig getraumatiseerd
• Verslavingsproblematiek
• Specifieke psychiatrische problematiek
• Forensische problematiek
• Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren.
Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.
This lecture is about the implementation of EMDR
In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target:
• Multiple personality disorder
• Multiple severely traumatized
• Addiction Problems
• Specific psychiatric problems
• Forensic issues
• Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors.
Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.
Keywords: TBS System of Treatment
Accuracy Verified: Yes
246. Aelen, F., & Chateau, K. (2005, November). EMDR bij systeemtherapie [EMDR therapy and systems]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de keuze systeemleden bij de behandeling te betrekken spelen, ook bij behandelaren, cognities een rol mee.
Cognities over de groei-en helingmogelijkheden die het gezin (van oorsprong) biedt en over zijn beperkende of zelfs schadelijke invloed op de ontwikkeling van individuen.
De systeemtherapeut beweegt zich in het -voor anderen soms onoverzichtelijke- moeras van kansen en gevaren voor het individu: zij heeft leren sturen en wijken, neemt risico’s om gedragsverandering te bewerkstelligen, maar stelt veiligheid voorop.
Hoe kan een individueel therapeut op een veilige manier systeemleden betrekken en waartoe kan een systeemtherapeut EMDR inzetten ?
Getraumatiseerd is een individu op zijn kwetsbaarst: Het besluit om systeemleden bij de behandeling te betrekken moet dan ook altijd in het voordeel van de getraumatiseerde cliënt zijn
Wanneer traumatisering heeft plaatsgevonden binnen het gezinssysteem van oorsprong (of wanneer de ouders niet bij machte zijn geweest om op traumatisering ‘van buiten’ adequaat te reageren) ontwikkelt een individu disfunctionele cognities over zichzelf en over zijn kernrelaties, die vaak generaliseren naar de wereld buiten het gezin. Dit is van invloed op o.m. latere partnerrelaties. Het betrekken bij de EMDR-behandeling van een ‘good enough’ partner kan de individuele cliënt helpen deze gegeneraliseerde cognities te vervangen door passender en meer productiever cognities.
In de workshop besteden we aandacht aan de vraag hoe een individueel therapeut op een veilige manier systeemleden kan betrekken bij de EMDR-behandeling en aan de vraag waartoe een systeemtherapeut EMDR kan inzetten.
Een eerste stap in het gebruik maken van de extra kansen die het systeemdenken biedt aan EMDR-therapeuten, is het, hypothetisch, in kaart brengen van de positieve en negatieve systeeminvloeden voor de cliënt middels het maken van het genogram . Dit om de effecten van de EMDR te plaatsen in de relationele leergeschiedenis van het individu.
Een tweede stap is het betrekken van liefdevolle en betrouwbaar geïnvolveerde partners (of vrienden) en het “verzilveren” van de EMDR met de kernrelatie, waarbij op natuurlijke wijze verbeteringen of soms (tijdelijke) moeilijkheden aan bod komen.
Een derde stap is het ineenweven van EMDR en systeemgesprekken, waarbij naast traumaverwerking gezonder verhoudingen het doel zijn en resultaten op beide gebieden elkaar logischerwijs versterken.
In select members for the treatment system involvement, here when medical professionals play a role with Cognitions.
Cognitions about the growth and healing potential of the family (or origin) and limiting or Has Been here Harmful Effects on the Development of Individuals.
The therapist moves the system to others-Sometimes-confuse Morass of opportunities and risks for the Individual: the therapist has learned to steer and districts, taking risks for behavior change, but does put safety first.
How Can an Individual therapist in a safe way to members and involvement System Which Can Deploy a system EMDR therapist?
A traumatized individuality to be vulnerable: The decision to members in the treatment system involvement Should therefore always in favor of the traumatized client
When trauma occurred HAS Within the Family System of Origin (or When parents are Unable to bone traumatization 'outside' appropriate response) initially develop an individuality Dysfunctional Cognitions about himself and his key relationships in loss or That Generalize to the world outside the family. This subsequent component seem ambiguous to partner relationships. The involvement of the EMDR treatment or a 'good enough' partner, an individuality to help client thesis generalized Cognition to replace more and more Productive Appropriate Cognitions.
In the workshop we focus on how an individuality in a safe system therapist members Can Participate in the EMDR treatment and to demand a System Which Can use EMDR therapist.
A first step in making use of the extra opportunities the system offers to think EMDR Therapists, it is, hypothetically, identify the positive and negative Influences on the client system through the creation of the genogram. That the effects of EMDR to place in the relational learning history of the individuality.
A second step is the involvement or permission and secure agreement of the partners (or friends) and "Redeem" the core relationship with EMDR, which Sometimes Naturally Speaking Improvements or (temporary) problems to be addressed.
A third step is weaving together of EMDR and system calls, which in addition to trauma and healthy relationships are the results in objectifying both areas reinforcement each other logically.
Keywords: Systems Therapy
Accuracy Verified: Yes
247. Forester, D. (2012, October). EMDR boot camp: An intensive refresher course. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
This is an EMDR skills refresher course designed for clinicians who have not had the ability to practice EMDR. This course is perfect for the clinician who took some time off following EMDR Basic Training or would like some hands on practice to build technical competence. Build confidence through a review of the AIP model, the 8 phases and 3 prong approach followed by a guided practicum experience to build your proficiency. With EMDR Boot Camp you will get a personal, hands on experience that will activate your Adaptive Information Processing and allow you to practice EMDR with confidence.
Keywords: Refresher Course
Accuracy Verified: Yes
248. Adler-Tapia, R., & Settle, C. (2008, February). EMDR butterfly hug/group protocol: Fidelity research manual. Hamden, CT : EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro's books (1995, 2001); and, the EMDR Group Protocol created by Dr. Ignacio Jarero and Dr. Lucina Artigas documented in Artigas,L., Jarero,I., Mauer,M., López Cano,T., & Alcalá,N.(2000); Jarero, Artigas, López Cano, Maure, & Alcalá, (1999). This manual also references the fidelity manual created by Korn, D.L. & Spinazzola, J. (January, 2001); and the fidelity scales created by Korn, D.L., Zangwill, W., Lipke, H. & Smyth, N. (January, 2001).
In addition, we have included information provided by Dr. Robert Tinker and Dr. Sandra Wilson regarding additional directions for the group protocol with children.
This protocol references the book and treatment manual, EMDR and the Art of Psychotherapy with Children (2008) by Dr. Adler-Tapia and Ms. Settle.
This is a fidelity manual created for use in research. The protocol will need to be adjusted for the environment, culture and unique needs of the participants. All resources are documented in the reference section of this manual.
This manual was donated to the EMDR Humanitarian Assistance Program in order to sustain and advance the EMDR HAPKIDS Project which supports programs providing EMDR for children by training therapists, conducting research, and most importantly, providing treatment for those children who are most in need.
Keywords: Butterfly Hug Group Protocol
Accuracy Verified: Yes
249. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5.
Language: English
Format: Newsletter
Abstract:
As a physician board-certified in Psychiatry,
Addiction Medicine, Addiction
Psychiatry, Sexology, Traumatology, and with
credentials in Massage Therapy, EMDR, and
as a Forensic Examiner, I have worked in
almost every practice setting imaginable and
with a broad variety of patients. Having been
based from a hospital, community clinic,
halfway-house residence, private office,
Veterans Administration Medical Center,
training institution, and doing outreach on the
streets, I am clinically familiar with the
behavioral challenges of children, adolescents,
young adults, old adults, couples, families, and
groups manifesting acute symptoms and
exacerbations of chronic disorders, with and
without chemical dependency, physical
problems, and sociological impairments. I like
to teach trainees, do interactive lectures, travel
and experience ‘difference.’ It is thus that I
have found myself a settled homeowner on
Saipan, a Manhattan-sized island that, as part
of the Commonwealth of the Northern Mariana
Islands (U.S.), is the farthest-flung American
overseas possession. Always the outsider; here
among the various tan tones of complexion
found among the indigenous of the western
Pacific, I have experimented with several
interventional strategies, both to establish
rapport and some trust and also to start creating
that unique and culturally competent treatment
modality that will foster growth among my
patients. Cognitive-behavioral approaches
generally work better than insight-oriented
ones because of the ‘here-and-now’ mindset
of Chamorros, Carolinians, Yapese, Chukese,
Pohnpeians, Kosraeans, and Filipinos who
comprise the population base here. Let me
briefly discuss one fascinating case. Twenty two
year old Chamolinian woman, married and
with three young children was involved in a
minor motor vehicle accident. This accident was
a spinoff of a more serious one primarily
involving two other vehicles. In a large truck
(Toyota T100), she was not hurt, and the two
children riding with her were also unharmed.
Keywords: Case Study Micronesia
Accuracy Verified: Yes
250. Manfield, P. (2003). EMDR casebook: Expanded (2nd Ed.). New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book picks up where formal EMDR training leaves off. Research has now shown that EMDR is powerfully effective in the treatment of residual psychological effects of a single-incident trauma. Through case studies, this book explores other areas where EMDR may be helpful, including long-term childhood abuse and complex PTSD. The eleven case reports illustrate the application of EMDR to a broad range of cases. The many clinical transcripts will help newly trained EMDR clinicians fell comfortable using EMDR with their clients and provide models for experienced EMDR clinicians to broaden their use of EMDR. The clear explanations of the treatment processes will demystify EMDR for both clinicians and clients.
The introduction includes basic descriptions of EMDR and the accelerated information processing model, as well as definitions of its terminology. Each of the following chapters begins with a discussion of the contributors background, the principles of the traditional treatment approach used before incorporating EMDR, and the ways he or she has integrated EMDR into that approach. The contributors, who represent various orientations, including psychodynamic, behavioral, cognitive, and systems, demonstrate the importance of procedural fidelity while extending EMDR protocols.
Keywords: Miscellanous
Accuracy Verified: Yes
251. Freitag, W., & Swan, S. (2011, August). EMDR consultation: Comprehensive review and new directions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Consultation is vital to the proper training and professional development of EMDR therapist. Effective consultation can aid in the development of highly competent EMDR therapists, which is always the goal. Although the general goals of consultation may seems clear; the purpose, role and implementation of consultation at the differing credential levels have caused confusion for many EMDRIA Approved Consultants (AC). This workshop will provide both comprehensive reviews of clinical and administrative issues of the four types of consultation conducted by Approved Consultants. The clinical review includes, but is not limited to, the level of competency, skills and capabilities that should be demonstrated at each credential level. The administrative review will include organizational strategies for effective evaluation and record-keeping, as well as the formal documentation requirements of EMDRIA.
Keywords: Consultation
Accuracy Verified: Yes
252. Lichti, J. (2009, May). EMDR consultation: Using practice research to develop best practices. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
This workshop is for Approved Consultants, Consultants-in-training and those considering becoming ACs. We will
review the context of EMDR consultation and identify the differences between therapy, consultation and
consultation-of-consultation [Objective 1]. The implications of the supervision/consultation literature will be reviewed
[Objective 2]. Tools, resources and recordings from actual consultations will be presented. Original research about
EMDR consultation will be reviewed. Best Practices emerging from the literature and EMDR consultation research
will be identified [Objective 3]. Participants will use all the above information to analyze their own consultation
practices [Objective 4] and discuss with peers how to improve their consultation services [Objective 5].
Keywords: Consultation
Accuracy Verified: Yes
253. Zabukovec, J., & Tetreault, M.A. (2006, September). EMDR consultation: How to be the best you can be. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The functions of EMDRIA Approved Consultants
include the provision of consultation and
supervision. However, consultation is not the same
as supervision. One of the areas of consultation is to provide guidance and training to applicants for EMDRIA Certification. There is support in the
literature that EMDR works best in a therapeutic
relationship, when fidelity to the method is
maintained. This workshop will address ways to
examine and assess the expectations of the
consultants-in-training, such as skills with case
conceptualization, knowledge and ability to implement the EMDR treatment method, and
ablllty to assert that knowledge with confidence.
This workshop hopes to build upon the skills that
consultants already possess, refining and upgrading their competencies. It is hoped that it will assist EMDRIA-Certification Applicants and Consultants-in-Training in determining their needs for consultaton.
Keywords: Consultation
Accuracy Verified: Yes
254. Shapiro, F. (1993). EMDR déjà vu. the Behavior Therapist, 16(8), 187-188.
Language: English
Format: Newsletter
Abstract:
The letter from Dr. Thomson in
Nova Scotia (the Behavior Therapist, Vol.
16, No. 4, pp. 113-114) addresses
some interesting issues. First of all, let
me say that I sympathize with his
travel problem. The Australians called
it the "tyranny of distance." Therefore,
after a half dozen clinicians flew
into the US to be trained, they coordinated
a series of workshops in Australia
later that year. During that first trip
to Australia we trained almost 500 clinicians
in EMDR, and another 350 clinicians
six months later. The simple
message here is "coordinate it and we
will come." The larger issue, however,
remains client safety and the consequent
need for quality control.
Keywords: Training
Accuracy Verified: Yes
255. EMDR Dissociation Task Force. (1994). EMDR Dissociation Task Force position paper. EMDR Institute, Pacific Grove, CA.
Language: English
Format: Publication
Abstract:
Ths paper will offer general guidelines in the application of EMDR with the
dissociative disorders, with paramount concern for client day. The intended audience is
the established clinician who is new to the diagnosis and treatment of dissociative
disorders. The paper is not intended to define standards of care or specific training
requirements or cenfication guidelines. Further, it is not intended to supercede expert
clinical judgment, or training in dissociative disorders or hypnosis.
Keywords: Dissociation Position Paper Task Force
Accuracy Verified: Yes
256. Terreri, L. (2005). EMDR e crisi d'astinenza [EMDR and withdrawal symptoms]. Bollettino per le Farmacodipendenze e l'Alcolismo del Ministero della Salute, 28(3/4), 25.
Language: Italian
Format: Newsletter
Abstract:
L’EMDR (acronimo di Eye Movement Desensitization
and Reprocessing) è un metodo clinico ben strutturato
che può integrare i programmi terapeutici aumentandone
l’efficacia. Francine Shapiro ha scoperto che alcuni tipi
di stimolazione esterna possono aiutare molto efficacemente
una persona a superare un evento traumatico o
emotivamente disturbante. Il metodo utilizza principalmente
i movimenti oculari prodotti in un paziente invitandolo
a seguire il movimento della mano del terapeuta
(ma anche altre forme di stimolazione destro/sinistra come,
ad esempio, il tapping sulle mani). L’EMDR si basa
sull’ipotesi che l’evento traumatico “congeli” l’informazione
nella sua forma ansiogena originale, nello stesso
modo in cui è stato vissuto. L’informazione bloccata,
“congelata” nelle reti neurali, continua a provocare vari
disturbi psicologici. Pensare ad un evento traumatico
mentre contemporaneamente il paziente esegue determinati
movimenti oculari, invece, genera l’effetto di riprendere
o accelerare l’elaborazione dell’informazione. L’EMDR
provoca una migliore comunicazione tra gli emisferi
cerebrali ristabilendo l’equilibrio eccitatorio/inibitorio e
permette il raggiungimento di una risoluzione adattiva,
integrata in uno schema cognitivo ed emotivo positivo,
dell’esperienza del paziente. Il metodo, quindi, permette
una desensibilizzazione rapida dei ricordi traumatici e
una ristrutturazione cognitiva che porta a una riduzione
significativa dei sintomi del paziente.
EMDR (which stands for Eye Movement desensitization
and Reprocessing) is a well-structured clinical method
that can integrate treatment programs increasing
effectiveness. Francine Shapiro discovered that certain
of external stimulation can help most effectively
a person to overcome a traumatic event or
emotionally disturbing. The method mainly uses
eye movements produced in a patient requesting
to follow the movement of the hand therapist
(But also other forms of stimulation right / left as,
For example, tapping on your hands). EMDR is based
on the assumption that the traumatic event "freeze" information
anxiety in its original form, the same
way it was lived. Information blocked
"Frozen" in neural networks, continues to cause various
psychological disorders. Think of a traumatic event
simultaneously while the patient performs certain
eye movements, however, creates the effect of return
or accelerate the processing. EMDR
leads to better communication between the hemispheres
restoring brain balance excitatory / inhibitory and
allows the achievement of adaptive resolution,
embedded in a positive emotional and cognitive schema,
experience of the patient. The method, therefore, allows
a rapid desensitization of traumatic memories and
a cognitive restructuring that leads to a reduction
significant symptoms of the patient.
Keywords: Withdrawal Symptoms
Accuracy Verified: Yes
257. Hartung, J. (2007, Novembero). EMDR e Psicologia de la Energía [EMDR and the psychology of energy]. Pós-Conferência presentación en el Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Spanish
Format: Conference
Abstract:
John Hartung, Psy.D. tem trabalhado há mais
de dez anos em 25 países como clínico e treinador
de EMDR. Defende o uso do EMDR para eliminação
de sintomas assim como para o aprimoramento
do pensamento, emoções e comportamentos
positivos. John tem observado que a aplicação
do EMDR pode avançar se outras estratégias forem
utilizadas em conjunto com EMDR, tais como
aquelas idealizadas para a contenção de emoções
intensas (“ab-reações”), que ocorrem
freqüentemente no EMDR. Com o aumento da
contenção emocional, certos riscos vinculados ao
emprego do EMDR por profissionais também são
reduzidos: 1) EMDR pode ser utilizado com
populações mais vulneráveis e que
tradicionalmente tem sido excluídas do
tratamento com esta abordagem, e 2) os
terapeutas têm menor relutância em expandir o
seu alcance. Entre as estratégias e táticas a serem discutidas
e apresentadas neste workshop estão:
respiração terapêutica e parassimpática,
treinamento em coerência cardíaca da tradição
Heartmath, métodos baseados na medicina
chinesa, e métodos especiais para o uso de
estimulação bilateral do EMDR de forma mais
lenta e menos intensa.
John Hartung, Psy.D. has worked for more ten years in 25 countries as an EMDR clinician and trainer. Advocates the use of EMDR for disposal
of symptoms as well as for the improvement
of thought, emotions and behaviors
positive. John has observed that the application
EMDR can move forward if other strategies are
used in conjunction with EMDR, such as
those envisioned for the containment of emotions
intense ("ab-reactions") that occur
frequently in EMDR. With increasing
emotional restraint, certain risks linked to
use of EMDR professionals are also
reduced: 1) EMDR can be used with
vulnerable populations and
has traditionally been excluded from
treatment with this approach, and 2) the
therapists are less reluctant to expand
their reach.
Among the strategies and tactics to be discussed
and presented in this workshop are:
breathing therapy and parasympathetic
training in cardiac coherence of tradition
HeartMath, methods based in medicine
Chinese, and special methods for the use of
bilateral stimulation of EMDR more
slow and less intense.
Keywords: Energy Psychology
Accuracy Verified: Yes
258. Hartung, J. (2007, Novembro). EMDR e psicologia positiva: Treinamento em resiliência, aprimoramento de desempenho e outros assuntos que nunca ouvimos na universidade [Positive psychology and EMDR: Training resilience, performance enhancement and other matters that we have never heard in the university]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract:
No treinamento profissional de um
psicoterapeuta, tende-se a focalizar aquilo que
está “errado” com clientes: psicopatologia,
transtornos de ajustamento, categorias
diagnósticas, mesmo abordagens de tratamento
baseiam-se na premissa de que nossos clientes
vêm nos ver apenas quando algo está errado com eles. O terapeuta, por sua vez, pode finalizar o
trabalho depois que os sintomas foram corrigidos,
ou ao menos reduzidos. Nos últimos anos, muitos
terapeutas (e seus clientes) têm prestando atenção
ao que está certo conosco; como podemos
incrementar nossos recursos pessoais e nossas
emoções positivas, com a finalidade de obter
maiores benefícios para nós mesmos e os outros
com quem convivemos.
In the professional training of an
psychotherapist, tends to focus on what
is "wrong" with customers: psychopathology,
adjustment disorders, categories
diagnostic, treatment approaches that
based on the premise that our customers
come see us only when something is wrong with them. The therapist, in turn, may end
work after the symptoms have been corrected,
or at least reduced. In recent years, many
therapists (and their customers) are paying attention to what is right with us, as we
increase our resources and our personal
positive emotions, in order to obtain
greater benefits for ourselves and others
with whom we live.
Keywords: Positive Psychology
Accuracy Verified: Yes
259. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo.
Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR.
Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate.
In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico.
Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico
Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo.
Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP.
Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.
As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application
therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to
prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.
Keywords: Panic Disorder
Accuracy Verified: Yes
260. Monteiro, A. M. (2012, Novembro). EMDR em posturas e movimento: Estados de ego e memórias não verbais [EMDR in posture and movement: Member of ego and non-verbal memories]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Neste trabalho serão apresentadas estratégias de exploração de postura e espaço para acesso a memórias não verbais, características de ICES incompletos e frequente expressão de Estados de Ego infantilizados, primitivos. Esses casos geralmente refletem transtornos dissociativos mais pronunciados, com desafios para terapeuta montar protocolo clássico.
In this work we will present strategies for posture and space for access to non-verbal memories, characteristics of ICES incomplete and frequent expression of Ego States childish, primitive. These cases generally reflect more pronounced dissociative disorders, with challenges to mount therapist classic protocol.
Keywords: Ego States Nonverbal Memories Posture Standard Protocol
Accuracy Verified: Yes
261. Schlattmann, N. (2006). EMDR en de allerkleinsten: Een gevalsbeschrijving [EMDR and the very young: A case study]. Kinder en Jeugdpsychotherapie, 33(3), 25-38.
Language: German
Format: Magazine
Abstract:
Voor de behandeling van de posttraumatische stress stoornis (PTSS) bestaan er
twee behandelmethoden waarvan de werkzaamheid voldoende is aangetoond:
gedragstherapie (imaginaire exposure) en Eye Movement Desensitization and
Reprocessing (EMDR) (de Jongh en ten Broeke, 2003). EMDR is in Amerika
door Shapiro ontdekt en ontwikkeld. In de 90’er jaren is deze
behandelmethode in Nederland geïntroduceerd. Oorspronkelijk is het een vorm
van psychotherapie voor volwassenen. In Amerika zijn onder anderen Lovett,
Tinker en Wilson begonnen om EMDR ook bij kinderen toe te passen. Het
eerste onderzoek naar de behandeling van kinderen met EMDR is in 1996
gepubliceerd door Chemtob (Lovett, 1999).
Inmiddels zijn er in Nederland verschillende artikelen geschreven over de
toepassing van EMDR bij kinderen (de Roos en Beer, 2003; Beer en de Roos,
2004). EMDR kan goed bij schoolgaande kinderen gebruikt worden. Er wordt
dan gewerkt met het kinderprotocol. Adolescenten, pubers en lagere
schoolkinderen worden nu vaak met EMDR behandeld als er sprake is van
PTSS. De toepassing bij peuters is minder bekend.
Hoe jonger het kind des te sneller therapeuten geneigd zijn om niet met het
kind zelf te werken. Dikwijls wordt dan volstaan met ouderbegeleiding.
Ouders krijgen adviezen hoe zij hun kind kunnen helpen bij de verwerking van
het trauma. Naast de ouderbegeleiding krijgt het kind zelf vaak helemaal geen
behandeling, terwijl behandeling van het kind wel datgene is waar ouders om
vragen. Het kind behandelen werkt directer en waarschijnlijk ook efficiënter en
effectiever.
Bij kinderen onder de vier jaar zijn een heleboel elementen uit het EMDR
protocol niet uitvoerbaar. Toch is het heel goed mogelijk om EMDR ook bij de
allerkleinsten te gebruiken, namelijk door middel van de “storytelling”
techniek van Lovett (1999). De hulp en inzet van ouders is daarbij een vereiste.
In dit artikel wordt deze techniek beschreven aan de hand van een
gevalsbeschrijving van een jongetje van drie jaar, Tommy. Het artikel begint
met een uiteenzetting van de voorgeschiedenis van de casus. Daarna wordt
aangegeven welke elementen van het EMDR protocol aangepast moeten
worden bij peuters en wordt de “storytelling” techniek, oftewel de verhalenmethode, beschreven. Dan volgt een weergave van het verhaal dat de
ouders van Tommy met behulp van de therapeut voor hem schreven.
Vervolgens wordt de behandeling van Tommy beschreven. Het artikel eindigt
met een conclusie.
For the treatment of post traumatic stress disorder (PTSD), there
two treatments for which efficacy has been adequately demonstrated:
behavioral therapy (imaginal exposure) and Eye Movement Desensitization and
Reprocessing (EMDR) (de Jongh and Ten Broeke, 2003). EMDR in America
discovered and developed by Shapiro. In the 90's, this
treatment method introduced in the Netherlands. It was originally a form
of psychotherapy for adults. In America, among others Lovett,
Tinker and Wilson began to EMDR in children applying. The
first research on the treatment of children with EMDR in 1996
published by Chemtob (Lovett, 1999).
There are now several articles on the Netherlands
use of EMDR in children (de Roos and Beer, 2003, Bear and Rose,
2004). EMDR may well be used in school children. It is
then worked with the children's protocol. Adolescents, adolescents and lower
school children are now often treated with EMDR when there is
PTSD. The application in toddlers is less known.
The younger the child the faster therapists tend not to
child to work. Often parent guidance are sufficient.
Parents get advice on how they can help their child in the processing of
the trauma. Besides the parent guidance, the child itself is often no
treatment, while treatment of the child does what is true for parents
questions. The child works deal more directly and probably more efficient and
effective.
In children under four years are a lot of elements from the EMDR
protocol is not feasible. Yet it is quite possible to EMDR also in
toddlers to use, namely through the storytelling
technique of Lovett (1999). The help and commitment of parents is a prerequisite.
This article describes the technique using a
case report of a boy of three years, Tommy. The article begins
with an account of the history of the case. Then
identifying the elements of the EMDR protocol adapted to
are young children and the storytelling technique, or the stories method described. Then follows a representation of the story that
Tommy's parents by the therapist wrote for him.
Then the treatment of Tommy described. The article ends
with a conclusion.
Keywords: Case Study Children
Accuracy Verified: Yes
262. Groenendijk, M. & Hoven, M. (2006, November). EMDR en PMT bij de behandeling van complexe PTSS [EMDR and PMT in the treatment of complex PTSD]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Tijdens deze workshop zal een uitgebreide videopresentatie over een EMDR-behandeling bij complexe PTSS. Bijzonder is dat de EMDR wordt uitgevoerd in een klinische setting met de psychomotore therapeut als co-therapeut.
Mariëtte Groenendijk en Marieke van de Hoven zullen ingaan op hun ervaringen met ernstig
getraumatiseerde patiënten en de 'beren op de weg' die daarbij kunnen optreden zoals dissociatie, uitvalsverschijnselen en herbelevingen.
During this workshop will provide a comprehensive video presentation on an EMDR treatment for complex PTSD. Particularly is that EMDR is conducted in a clinical setting with the psychomotor therapist as co-therapist.
Mariette Groenendijk and Marieke of the Courts will discuss their experiences with severe
traumatized patients and the "pitfalls" that might occur as dissociation, reliving and failure phenomena.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
263. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het
vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van
de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model
zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd.
De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek.
De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo.
Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.
This presentation will be presented a conceptual model for
Finding the key traumatic experiences (targets) that form the basis of
the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model
will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment.
The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues.
The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination.
This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.
Keywords: Schema Focused Therapy
Accuracy Verified: Yes
264. Maiberger, B. (2009). EMDR essentials: A guide for clients and therapists. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
1)In easy-to-understand terms, Barb Maiberger explains EMDR to clients and, in turn, equips clinicians with a shorthand way of explaining it to their own patients. Topics include understanding trauma and its symptoms, how and why EMDR works (and when it won't), how to find the right therapist, and sample relaxation exercises. 2)This book discusses eye movement desensitization and reprocessing (EMDR) therapy. Part I explains EMDR, the phases involved in treatment, the nature of trauma and its effect on memory. Theories about why EMDR works, how it can work for children, and safety issues are addressed. Part II provides illustrations from the author's experiences as an EMDR therapist, presenting client issues and how EMDR helped them. The author notes that the purpose of this book is to inform potential EMDR clients what to expect from EMDR therapy and how it may help in trauma healing. (PsycINFO Database)
Accuracy Verified: Yes
265. Koempel, G. (2012, April). EMDR et psycho-dynamique: Une belle entente! Deux langages pour un traitement intégré et efficace [EMDR and psychodynamic: A great deal! Two languages for an integrated and efficient treatment]. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: French
Format: Conference
Abstract:
Par la présentation détaillée d’un cas de burn-out, nous découvrirons ensemble comment une approche intégrée en psycho-dynamique et en EMDR enrichit la compréhension et le traitement du client et le travail du thérapeute. Nous insisterons sur l’alliance thérapeutique, la compréhension du client de sa propre psycho-dynamique comme une ressource et sur l’importance de la liste des évènements perturbateurs. Nous préciserons certains concepts psychanalytiques et rappellerons les concepts fondamentaux de l’EMDR afin d’identifier facilement leur utilisation lors de la présentation de cas. Attention! Il s’agit bien d’un cas de thérapie EMDR, infiltrée par une pensée psycho-dynamique.
Objectifs d’apprentissage:
1. Intégrer l’approche psycho-dynamique au traitement en EMDR (particulièrement lors de la phase 1 à 4)
2. Redécouvrir l’importance de dresser la liste des évènements perturbateurs avec tous les clients.
3. Établir comme nouvelle ressource la compréhension par le client de son propre enjeu psycho-dynamique.
4. Envisager l’alliance thérapeutique comme ressource principale pour le bon déroulement de la thérapie EMDR.
5. À travers l’exposé détaillé de séances de thérapie, suivre les 8 phases du traitement EMDR illustrant l’efficacité du modèle TAI.
For a detailed presentation of a case of burnout, we will discover together how an integrated psychodynamic and EMDR enhances the understanding and treatment of the client and the therapist's work. We will emphasize the therapeutic alliance, understanding the customer's own psycho-dynamics as a resource and the importance of disrupting the event list. We will specify certain psychoanalytic concepts and recall the basic concepts of EMDR to easily identify their use during the presentation of cases. Caution! It is indeed a case of EMDR, infiltrated by a psycho-dynamic thinking.
Learning Objectives:
1. Integrate the psychodynamic approach to treatment in EMDR (particularly in Phase 1 to 4)
2. Rediscover the importance of listing the disruptive events with all clients.
3. Establish as a new resource for understanding the customer's own stake psychodynamic.
4. Consider the therapeutic alliance as a key resource for the success of EMDR therapy.
5. Through the detailed presentation of therapy sessions, follow the eight phases of EMDR treatment model illustrating the effectiveness of TAI.
Accuracy Verified: Yes
266. Spierings, J., Oren, U., & Hofmann, A. (2008, June). EMDR Europe training standards: Past, present & future. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
It is a workshop with the emphasis on ‘working’. It is a meeting of Masterminds. The program
consists of a series of challenges, presented by Joany Spierings. Every challenge provokes a debate, a contest, where the participants are asked to come up with convincing arguments for their position. The challenges are based on actual developments of EMDR in the different countries in Europe, collected by Joany Spierings on behalf of the EMDR Europe Board. Her role is to present the challenges one by one, to watch over the process and to make sure the rules of the game are strictly
followed.
Keywords: Training Standards
Accuracy Verified: Yes
267. Meignant, M. (2012, April). EMDR for a child (EMDR training on the River Kwai). Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
During the EMDR training session, organized in Thailand by Trauma-Aid, HAP Germany and «Terre des Hommes» Germany , psychologist, Dagmar Eckers treated a young Indonesian boy called Ooz, who suffered from the Tsunami. His symptoms showed nightmares and a lack of concentration. This documentary film presents two sessions of EMDR on the 10 year-old child. It also shows the efforts of the EMDR trainers who, with the help of charitable organizations, trained the Burmese, Chinese, Indian, Indonesian and Thai therapists to become autonomous in practicing and teaching EMDR.
Learning objectives:
1. How to use EMDR to relieve the traumatic consequences of a disaster
2.The use of EMDR with a child in a different social and cultural setting. (the 8 phases of EMDR in this context)
Keywords: Children River Kwai Training
Accuracy Verified: Yes
268. Parnell, L. (2010). EMDR for anxiety and guilt. Vernon, CT: Fair Point Productions.
Language: English
Format: Video
Abstract:
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, Dr. Parnell worked with a woman who was overly anxious and concerned about her sons.
Accuracy Verified: Yes
269. Laurel Parnell, L., & Burns, M. (2010). EMDR for the traumatized caregiver. Vernon, CT: Fair Point Productions.
Language: English
Format: Video
Abstract:
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, the client is a woman bothered by a recent traumatic event: the serious/chronic illness of a close family member.
Keywords: Caregivers
Accuracy Verified: Yes
270. Jacob, P. (2012, Novembro). EMDR gerando frutos: Relato de caso [EMDR generating fruits: A case report]. In casos clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Já é sabido no meio científico ligado ao EMDR e percebido diariamente nos consultórios dos psicoterapeutas que utilizam essa técnica inovadora que a terapia por EMDR tem um alcance muitas vezes maior do que o inicialmente planejado. A presente apresentação objetiva relatar um desses casos: o caminho da psicoterapia de Ana (nome fictício), de trinta e seis anos de idade, desde seu pedido inicial de amenizar sua autocobrança excessiva, passando pelo momento em que percebeu que sua crença negativa mais atuante poderia ser um dos fatores que impediam sua fertilidade, até sua gravidez, antes imaginada como impossível. Após quase três anos de tentativas frustradas de engravidar naturalmente, Ana procurou uma clínica de reprodução humana. Nos sete anos seguintes Ana passou por vários tratamentos, entre eles duas inseminações com resultado positivo que resultaram em abortos retidos algumas semanas depois, e uma fertilização com sucesso até o final, a gestação da qual nasceu seu filho, hoje com cinco anos de idade. Embora sem um diagnóstico preciso, os médicos que a acompanharam durante todos esses anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada. Palavras-chave: EMDR; esterilidade; infertilidade; gestação.
4. 3. Depressão por Parto na Adoção: A Cura pelo EMDR
Roberta Vanessa Torres - Psicóloga Clínica, Especialista em Saúde Coletiva, Psicóloga Social em abrigos, Terapeuta de EMDR (em formação)
Esse trabalho anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada.
It is known in scientific circles connected to EMDR and perceived daily in the offices of psychotherapists who use this innovative technique that EMDR therapy has a range many times greater than originally planned. This presentation aims to report a case in point: the path of psychotherapy Ana (not her real name), thirty-six years old, since its initial order to mitigate their excessive autocobrança past the moment he realized that his negative belief more active could be one of the factors that hindered their fertility until her pregnancy before imagined as impossible. After nearly three years of failed attempts to conceive naturally, Ana sought a clinical human reproduction. In the seven years following Ana underwent various treatments, including two inseminations with positive outcome that resulted in miscarriages held a few weeks later, and a successful fertilization until the end of the pregnancy which was born his son, now five years old. Although without an accurate diagnosis, doctors who accompanied her all these years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated. Keywords: EMDR; sterility, infertility, pregnancy.
4th. 3rd. Depression by Calving in Adoption: Healing the EMDR
Roberta Vanessa Torres - Clinical Psychologist, Specialist in Public Health, Social Psychologist in shelters, EMDR Therapist (in training)
This work years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated.
Keywords: Case Study Fertility Pregnancy Sterility
Accuracy Verified: Yes
271. Luber, M. (2013, February). EMDR handbook for clients. Humanitarian Assistance Programme UK & Ireland (HAP UK&I).
Language: English
Format: Other
Abstract:
If you're interested, or already engaged, in EMDR therapy with a registered EMDR therapist, this is the ideal supporting guide to take you through preparation and the main work.
This is the electronic version of a simple EMDR Clients Handbook usually to be found on sale at EMDR Conferences and workshops in the UK and Ireland.
All proceeds go to support the work of EMDR HAP UK&I, taking trauma training to therapists in regions around the world of conflict or disaster.
Please visit the HAP UK&I website for more background information, at www.hapuk.org.
Keywords: Handbook
Accuracy Verified: No
272. Thomas, R., & Kafoury, A. (2008, Spring). EMDR HAP in India, Indian EMDR set to bloom. HAP What's Happening Now Newsletter, 4(3), Supplement to the Spring Newsletter.
Language: English
Format: Newsletter
Abstract:
In 1995 Dr. Sushma Mehrotra of Mumbai first read about a new therapy called EMDR. After studying all of the information available to her, she introduced it to the Bombay Psychological Association and then to the Bombay Psychiatric Society. To make sure she understood it correctly, Dr. Mehrotra established contact with EMDR training facilitator and HAP volunteer, Ann Kafoury. She later invited Ann to come to India to give a presentation on EMDR to mental health professionals. Since that time they have worked together to develop trainings and to bring EMDR to the people of India. Ann has served as the coordinator of EMDR HAP programs in India since that time.
Accuracy Verified: Yes
273. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
Keywords: HAP Training Tsunami
Accuracy Verified: Yes
274. Farrell, D., Tareen, S., & Keenan, P. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘War on terror’. Presentation at the 24th Annual Meeting of the International Society for Traumatic Stress Studies .
Language: English
Format: Conference
Abstract:
On Saturday 8th October 2005, a devastating earthquake
measuring 7.6 on the Richter scale struck northern Pakistan. The
magnitude of the earthquake wiped out entire villages and
communities, destroyed 400,000 houses and created over 73,000
fatalities and 135,000 people injured.
EMDR UK & Ireland, EMDR Europe, the British/ Pakistani
Psychiatric Association & the University of Birmingham supported
an eighteen month Humanitarian Assistance Programme to help
train forty-nine mental health workers, mainly psychiatrists and
psychologists from the earthquake affected areas, in the theory
and practice of EMDR in the management of psychological trauma.
This programme was one of the first University based HAP
trainings in EMDR ever to be undertaken.
This paper will provide an insight into the development and
progression of the trainings in light of the ongoing political
problems in Pakistan both in terms of post earthquake
reconstruction and the continued threat of terrorist attacks
throughout Pakistan. It will also consider cultural perspectives of
trauma and how this related to both EMDR and the conceptual
framework of PTSD. The paper will also highlight some of the
psychometric data acquired from survivors from the earthquake
areas and demonstrate the ways in which EMDR is being utilised
as a psychological treatment intervention in Northern Pakistan.
Keywords: Earthquake HAP Pakistan
Accuracy Verified: Yes
275. Farrell, D. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘war on terror’. Symposium conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
On Saturday 8th October 2005, a devastating earthquake
measuring 7.6 on the Richter scale struck northern Pakistan. The
magnitude of the earthquake wiped out entire villages and
communities, destroyed 400,000 houses and created over 73,000
fatalities and 135,000 people injured.
EMDR UK & Ireland, EMDR Europe, the British/ Pakistani
Psychiatric Association & the University of Birmingham supported
an eighteen month Humanitarian Assistance Programme to help
train forty-nine mental health workers, mainly psychiatrists and
psychologists from the earthquake affected areas, in the theory
and practice of EMDR in the management of psychological trauma.
This programme was one of the first University based HAP
trainings in EMDR ever to be undertaken.
This paper will provide an insight into the development and
progression of the trainings in light of the ongoing political
problems in Pakistan both in terms of post earthquake
reconstruction and the continued threat of terrorist attacks
throughout Pakistan. It will also consider cultural perspectives of
trauma and how this related to both EMDR and the conceptual
framework of PTSD. The paper will also highlight some of the
psychometric data acquired from survivors from the earthquake
areas and demonstrate the ways in which EMDR is being utilised
as a psychological treatment intervention in Northern Pakistan.
Keywords: Earthquake HAP Pakistan Symposium Terror
Accuracy Verified: Yes
276. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
To know the present status of EMDR in Asian countries:
Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people
were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India,
Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand.
Questions were on the origin of EMDR, the first training, the number of trainings so far, the number
of trained practitioners, credentials, academic organization, acceptance from government, media, and
professional world, future possibilities, and difficulties expected.
Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems
to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization
started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started
publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on
trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early
stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural
disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could
be a good opportunity to start mutual understanding and cooperation in Asia.
Keywords: Asia Keynote History
Accuracy Verified: Yes
277. Knipe, J., Hartung, J., Konuk, E., Colelli, G., Keller, M., & Rogers, S. (2003, September). EMDR Humanitarian Assistance Programs: Outcome research, models of training, and service delivery in New York, Latin America, Turkey and Indonesia. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Since 1995, there have been many programs to provide EMDR humanitarian assistance throughout the world, and from these programs, several lessons have been learned. In this presentation, we will describe four recent programs, which, viewed together, define an emerging model
of how to best initiate and structure programs of EMDR therapist training and direct service. In addition, EMDR outcome research from three of
the sites will be presented.
Keywords: Humanitarian Assistance Symposium
Accuracy Verified: Yes
278. Mehrotra, S. (2013, June). EMDR in Asia: Needs, challenges and way ahead. Keynote presented at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This paper tries to highlight the milestones of some of the Asian EMDR Associations and the evolution of EMDR Asia and the practices and challenges faced. Some of the issues are related to the parity of trainees’ qualifications with those from USA, Europe and within Asia. Similarly it impacts upon the training standards. Attention is also drawn to the cultural, language and economical diversity. The task ahead is to reinforce the uniformity of EMDR practice by developing accreditation procedures, standardization, training standards, contents and duration, selection criteria and requirements for the trainees and trainers, certification process, curriculum, linkages with associations, methods of supervision and consultation. UN agencies have a huge presence in Asia for developmental and relief work. UN agencies engaged in a wide range of the health spectrum could make a huge difference if they promoted the efficacy of EMDR for effective management of psychological health. This would include the use of EMDR not only for manmade and natural disasters, but also for other chronic and life threatening illnesses e.g. HIV, cancer and other psycho-social issues related to mental health.
Keywords: Asia Diversity Keynote
Accuracy Verified: Yes
279. Staff (1995). EMDR in Belgrade, former Yugoslavia. EMDR Network Newsletter, 5(2), 13.
Language: English
Format: Newsletter
Abstract:
Mental health workers feel overwhelmed and burned
out by the increased amount of motional disturbance brought on not only by direct experiences of war, but by Living at its edge. Because of this Barbara's discusses the need of more training of EMDR professionals who can assist the mental health workers and suffering refugees in the Serbian part of former-Yugoslavia.
Keywords: Serbia Refugees War Yugoslavia
Accuracy Verified: Yes
280. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.
Keywords: Combat Controlled Study
Accuracy Verified: Yes
281. Gonzalez, A., Seijo, N., & Mosquera, D. (2009, August). EMDR in complex trauma and dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR can be safely used during the stabilization phase in a group of severely traumatized patients, not only to install positive elements, but to process dysfunctional elements (not necessarily traumatic memories, but patient-therapist relationship problems, defenses, symptoms, dissociative phobias, etc.). To postpone standard protocol until the patient has been prepared to do it in the standard way implies that the patient must resolve many of their problems without the help of EMDR processing. We will try to “think in EMDR” about severe dissociation, rather than directly apply foreign theories to EMDR work. Protocol modifications include progression, fractionation, synthesis and direction.
Keywords: Complex Trauma Dissociative Disorders
Accuracy Verified: Yes
282. Greenwald, R. (2001). EMDR in der psychotherapie mit kindern und jugendlichen [EMDR in child and adolescent psychotherapy]. Auflage: Seiten, Kartoniert .
Language: German
Format: Book
Abstract:
EMDR ist eine psychotherapeutische Methode zur Behandlung traumatischer Erinnerungen. In seinem sehr gut lesbaren und informativen Buch beschreibt Ricky Greenwald, ein Pionier in der Anwendung von EMDR und einer der aktivsten Erforscher dieser Methode, wie EMDR zur Behandlung von Verlusterfahrungen, Ängsten, somatischen Problemen, Depression und Verhaltensproblemen von Kindern und Jugendlichen angewendet werden kann. "Das vorliegende Buch konzentriert sich auf den Einsatz von EMDR bei Kindern und Jugendlichen. EMDR ist eine noch recht neue Methode, und die meisten bei Kindern und Jugendlichen benutzten Varianten dieser Methode sind noch jüngeren Ursprungs. Der größte Teil des methodischen Materials, das in diesem Buch beschrieben wird, wurde bisher noch nicht veröffentlicht. Ich habe das Buch für all jene geschrieben, die lernen wollen, therapeutisch mit Kindern und Jugendlichen zu arbeiten, oder die ihre diesbezüglichen Kenntnisse erweitern wollen. Aus der Trauma-Orientierung bei der Durchführung einer Therapie in Verbindung mit verschiedenen Anwendungsbereichen von EMDR sind einige innovative und effektive Ansätze zu gängigen Behandlungsbereichen entwickelt worden. Die Anwendung von EMDR in der Therapie erfordert eine formelle Ausbildung und Supervision, wie sie ein Buch allein niemals leisten kann. Doch können Leser, die bereits an einer EMDR-Ausbildung teilgenommen haben, dieses Buch auch als Leitfaden für die Anwendung von EMDR zur Behandlung von Kindern und Jugendlichen benutzen." - Ricky Greenwald
EMDR is a psychotherapeutic method for the treatment of traumatic memories. Describes in his very readable and informative book Ricky Greenwald, a pioneer in the use of EMDR and one of the most active explorers of this method, how EMDR for treatment of loss experience, anxiety, somatic problems, depression and behavior problems in children and adolescents are applied. "This book focuses on the use of EMDR in children and adolescents. EMDR is still a very new method, and most children and adolescents used variants of this method are even more recent origin. The bulk of the methodological material, which in this Paper describes has not yet been published. I wrote the book for those who want to learn therapeutically with children and young people to work, or want to extend their knowledge in this regard. From the trauma reference for the implementation of a therapy in connection with different applications of EMDR are some innovative and effective approaches to common treatment areas have been developed. The use of EMDR in the treatment requires a formal training and supervision as a book alone can never achieve. But to readers who are already suffering from EMDR have participated without training to use this book as a guide for the application of EMDR to treat children and adolescents. " - Ricky Greenwald
Keywords: Adolescents Children Psychotherapy
Accuracy Verified: Yes
283. Eckers, D. (2010, June). EMDR in difficult circumstances - Working with a complex traumatized boy in Thailand. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In 2009 a training in psychotraumatology and EMDR
was conducted in Thailand with participants from Thailand, Indonesia, Burma, Kambodscha and other countries. During that
training of 8 days a 9-years-old boy was treated after some
stabilization with 'safe place' and special containment - with
EMDR. He was diagnosed with Asperger-syndrome (a form
of autism), was traumatized by the loss of a near relative, the
burning of his home, a car accident and by Tsunami. Time was
limited, the boy wasn't acquainted with the therapist, didn't
speak much English, needed his aunt to translate and was first
time in his life away from his home. But even in these conditions treatment was possible in 1 session stabilization and 3 sessions of EMDR The case will be demonstrated with the boy's
drawings and video clips of the stabilization phase and of the
EMDR session about Tsunami.
Learning objectives: 1. Understanding a client-adapted way to applicate EMDR in children. 2. Creative working with children in their cultural and individual context, What is essential in EMDR even with child-adapted and creative modifications?
Keywords: Adolescent Male Thailand Trauma
Accuracy Verified: Yes
284. Gonzalez, A., Mosquera, D., & Seijo, N. (2011, November). EMDR in dissociative disorders: The progressive approach. Presentation at the 26th Annual International Society for the Study of Trauma and Dissociation Conference, Montreal, QE .
Language: English
Format: Conference
Abstract: Abstract: After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches. In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders. The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
285. Cohen, A., & Lahad, M. (1999). EMDR in hospital intervention. In O. Ayalon, M. Lahad, A. Cohen (Ed.), Community stress prevention, v.3 (pp. 14-20). Kiriat Shmona: Community Stress Prevention Centre.
Language: English
Format: Book Section
Abstract:
The therapeutic effectiveness of EMDR has been wel1 documented since 1989, but the technique is far from reaching its optimal utilisation in the clinical and psychological world. I wish to present a case in which the improvement on the part of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in theoretical training sessions were brought home most strongly and many more priceless pieces of advice for people who wish to be of assistance to someone who has been involved in a traumatic incident were made so clearly apparent. [Text, p. 14]
Keywords: Adults Case Report Females Medical Procedures Multiple Traumatic Events Phobia Survivors Treatment Effectiveness
Accuracy Verified: Yes
286. Browning, C. (2000, March). EMDR in the inner city: Paterson, New Jersey. EMDRIA Newsletter, 5(1), 26.
Language: English
Format: Newsletter
Abstract:
During my Level I training, I couldn’t
help thinking about a family I’d treated
several years earlier while working in
Paterson, New Jersey, a
socioeconomically impoverished inner
city. The family was a grandmother and
four young grandchildren who had
recently been placed in her custody.
Their mother and little sister had been
brutally slaughtered with a knife by their
father while they were home. The four
surviving children were suffering from
nightmares about the incident, grief and
loss issues, and fears that their father
would get out of jail and come after them.
One of the children, a five-year-old girl,
had developed elective mutism. She had
narrowly escaped the same fate as her
mother and sister. The little girl had been
an eyewitness to the murders and as she
fled from her father, she slipped on her
mother’s blood and was nearly caught
by him. As I listened and learned at Level
I, I wished that I’d known EMDR when
I was working in Paterson.
Keywords: Family Violence: HAP Training
Accuracy Verified: Yes
287. Parnell, L. (1999). EMDR in the treatment of adults abused as children. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book offers practical information about the use of EMDR in a typical clinical setting and presents innovations that build upon the information in Shapiro's 1995 book. It not only teaches many practical techniques that help the therapist when a therapeutic impasse is reached but also provides a selection of treatment choices. Case material is used throughout the book to illustrate the techniques described and to provide the therapist with a deeper, more grounded understanding of different kinds of abuse cases. Included are suggestions I have used with my clients and collected from other sources over the last 8 years. [Text, pp. x-xi] [Pilots]
Keywords: Adults Survivors Child Abuse Incest Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Rape
Accuracy Verified: Yes
288. Horst, F. (2013, June). EMDR in the treatment of panic disorders with or without agoraphobia. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
At the department of Psychiatry at the St. Elisabeth Hospital in Tilburg, The Netherlands, several years ago a study (RCT) started investigating the treatment of panic disorder with or without agoraphobia. Within this study Eye Movement Desensitisation and Reprocessing (EMDR) is compared with Cognitive Behavioural Therapy (CBT).
Among other things, the goal is to determine whether EMDR is an effective treatment method for patients with a panic disorder with or without agoraphobia. IN this study EMDR is directly compared with a CBT treatment. In addition, this study examines the impact of both treatments on quality of life.
As a therapist in the EMDR condition of this study I would like to share my experiences with a protocolised treatment of panic disorders by means of EMDR. During the workshop, I will try to connect theory and practice. Since a large part of the EMDR treatments within this research is filmed, I will support my presentation with video material. Finally, I will present the first results of my research.
Learning objectives:
Describe if EMDR is an effective treatment method for PDA compared to CBT;
Describe the impact on QOL before and after both treatment methods;
Describe qualitative differences between both treatment methods; and
Share experiences with a protocolised treatment of panic disorders by means of EMD
Keywords: Agoraphobia Panic Disorders
Accuracy Verified: Yes
289. Whisman, M. (1996, June). EMDR in the Treatment of Panic, Phobia, and Obsessive Compulsive Disorders. Presentation at the EMDR International Association Annual Conference, Denver, CO.
Language: English
Format: Conference
Abstract:
I have been using EMDR to treat Anxiety Disorders for five years now. I
received my training back when Francine taught Level I herself. EMDR is to
mental health what penicillin was to medicine. It seemed to me that I had
traded in a jack hammer for a laser beam.
Keywords: Anxiety Disorders Obsessive Compulsive Disorders OCD Panic Disorders
Accuracy Verified: Yes
290. Martin, A. J. (2004, Winter). EMDR in the treatment of PTSD: A restrospective of a patient and therapist. Stress Points, Newsletter for the Australasian Society for Traumatic Stress Studies, 15-16.
Language: English
Format: Newsletter
Abstract:
EMDR (Eye Movement
Desensitization and Reprocessing)
is a therapy often used in the
treatment of PTSD. During EMDR
the patient focuses on emotionally
disturbing experiences while
stimulus such as eye
movement or finger-tapping.
This dual (internal/external) focus
is combined with frequent, briefsimultaneously focusing on an
external
periods of focusing on new
associations as they arise.
Throughout the therapy, the
therapist methodically rates the
patient’s SUDs (Subjective Units of
Disturbance) on a scale of 0 - 10,
(“0” being the lowest amount of
stress the patient is presently
experiencing about the target
issue; “10” being the highest); and
VoCs (Validity of Cognition) on a
scale of 1 - 7, (“1” being the
lowest amount of belief the
patient holds in a specific positive
statement about himself; “7”
being the highest amount - ie: the
positive statement is “completely
true.”)
Accuracy Verified: Yes
291. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK.
Language: English
Format: Conference
Abstract:
This presentation seeks to address some of the challenges of using EMDR
cross-culturally with highly traumatised clients who have been the victims of physical and/or
psychological torture. The presentation will review characteristics of torture and how the
helplessness experienced by victims physically and psychologically can help the therapist to
case conceptualization and encourage adaptive learning with interweaves to assist the
processing allowing adaptive linkage being made with dysfunctional memory storage.
EMDR is very effective where trauma survivors present with somatisation, dissociation and
frozen states but desensitization and reprocessing can only be embarked upon after
adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic
stabilization) will be covered and thereafter the basic EMDR protocol implemented with the
client focusing on damage to the self and the spirit.
Accuracy Verified: Yes
292. Rodriguez, G., Luber, M., Hofmann, A., Marquis, P., Sprowls, C., & Snyker, E. (1998, July). EMDR in the world: Training and practice in different cultures. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn to: 1) share different experiences of working in different cultures to help therapists in their work; 2) realize the possibilities of the EMDR method across different languages and cultures; 3) facilitate development training practices that are sensitive to preserve cultural differences.
Keywords: Multi-Cultural Practice Training
Accuracy Verified: Yes
293. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Dissociation is a normal human process. We all
dissociate. Some individuals are so severely and
chronically traumatized that, in order to survive,
they split their awareness into at least two levels
or streams of consciousness - one level being the
participant in the abuse drama and the other level
being an observer watching as if the abuse was
happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to
the reprocessing of their traumatic memories. This
presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and
complications of clinical treatment with
dissociative process; the nature of dissociative
process; screening for dissociation and the 'Red
Flags' of treatment concerns; the differential
diagnoses of dissociation - from dissociation
found in diagnostic categories other than
Dissociative Disorders (e.g., Mood Disorders,
Anxiety Disorders, PTSD) to DDNOS (ego states
work) and DID; the use of EMDR in the treatment
of dissociation in relation to trauma; therapist
attributes that help contribute to the successful
treatment of dissociative patients. Participants will
be encouraged to share their own insights and
difficulties in working with this very traumatized
population of individuals.
Keywords: Accelerated Information Processing Model AIP DID Dissociation
Accuracy Verified: Yes
294. Jackson, J. (2002, April 8). EMDR offers new treatment for trauma. Nursing Spectrum -- New England Edition, 6(2), 17.
Language: English
Format: Magazine
Abstract:
His therapist felt that Jack could be helped by a relatively new therapy, Eye Movement Desensitization and Reprocessing (EMDR). EMDR was originated in 1987 and has become a recognized means of helping those dealing with the effects of traumatic events. EMDR-centered therapy allows the mind to heal from psychological trauma in much the same way that the body heals from physical trauma. If an infection or foreign body interferes with physical healing, medical treatment can allow the normal healing process to continue. EMDR works to unblock emotional trauma so that the mind's natural healing process can continue. (Excerpt)
Accuracy Verified: Yes
295. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Peterson and Seligman (1984) developed a theory based on the psychological characteristic of optimism. They
discovered that a more pessimistic explanatory style is correlated with a deeper depression. The most optimistic
explanatory style for a bad event is external, specific and temporary. For a good event the explanatory style is
reverse. The pessimistic explanatory style evaluates the causes of bad and good events in the opposite way.
Seligman and al (1990) administrated the Attribution Style Questionnaire (ASQ) to swimmers. After negative
feedback, optimistic swimmers swim significantly faster compared to pessimistic swimmers. Goldwurm and al.
23
(2006) showed the efficacy of an optimism training proposed by Seligman. Andrew Leeds worked in 1997 on a
new protocol known as Resource Development and Installation (RDI). This protocol has been reported to be
useful in ego strengthening and stabilization. RDI protocol comes from EMDR that has been extensively
researched and proven effective for the treatment of trauma even on athletes (Graham, 2004). An expansion of
the basic EMDR protocol, called “EMDR Peak Performance protocol” has been developed by Lendl & Foster
(1997) for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced
by creative and performing artists, and for competition preparation and psychological recovery from injury in
athletes. This orientation leads us to go on with a nonpathologizing view developing optimistic client’s potential
with the elaboration of this new protocol that we call: the EMDR optimism protocol (Laizeau and Nousse 2008). It
has been developed on the basis of a study lead on rugbymen and swimmers. The aim of our study was to show
that this EMDR optimism protocol can easily improve athletic performance.
Keywords: Optimism Protocol
Accuracy Verified: Yes
296. Montes-Berges, B., Aranda, M., Castillo-Mayén, M. del R. (2011). EMDR Para el tratamiento de estrés postraumático en casos de violencia de género [EMDR for treatment of PTSD in cases of domestic violence]. Universidad de Jaén, Jaén, Spain.
Language: English
Format: Dissertation/Thesis
Abstract:
Introducción: La violencia de género es uno de los problemas sociales más graves de
nuestra sociedad tanto por su prevalencia (en el pasado año 2010 fueron asesinadas 74
mujeres, y se estima que alrededor del 11.1% de las mujeres andaluzas son maltratadas),
como por las consecuencias psicológicas que conlleva en las víctimas. Objetivos: En el
Gabinete de Psicología de la Universidad de Jaén, atendemos a las mujeres (alumnas, PAS
o PDI o familiares de éstos) que han sido o aún son víctimas de violencia de género, con el
objetivo prioritario de que superen las situaciones traumáticas y que estén preparadas
emocional y cognitivamente para llevar una vida plena con el desarrollo máximo de sus
capacidades. Durante la evaluación, entre otras escalas, las usuarias contestan al
cuestionario sobre Síndrome de Estrés Postraumático (Echeburúa, Corral, Amor,
Zubizarreta y Sarasúa, 1997), pues los episodios de violencia psicológica, sexual y física
extrema que la mayoría de ellas viven, ocasionan en el 100% de los casos este síndrome de
manera crónica y acusada. Metodología: Para tratar este síndrome se acomete el
entrenamiento en técnicas de respiración y relajación y posteriormente el tratamiento con
EMDR. Esta técnica consiste en el procesamiento de los sucesos que quedaron bloqueados
por el miedo sentido en el momento en que ocurrieron, mediante la movilización de los
ojos de manera simultánea a la escucha del episodio, tratando nuevamente de revivirlo.
Aplicamos esta técnica con 5 pacientes. Resultados: En todos los casos las usuarias
superaban la situación en 4 o 5 sesiones de 5 minutos cada una, de manera que
posteriormente, informaron de que la situación ya no les producía tristeza ni dolor, y que la
habían aceptado. Discusión: Estos resultados sugieren que esta técnica es eficaz y rápida
en la intervención de sucesos traumáticos de violencia de género, por lo que resulta
altamente recomendable para estos casos.
Introduction: Gender violence is one of the most serious social problems
our society because of its prevalence (in the past year 2010 were killed 74
women, and it is estimated that about 11.1% of women are battered Andalusian),
as for the psychological consequences on the victims involved. Objectives: In the
Cabinet of Psychology, University of Jaén, we look at women (students, PAS
or PDI or their relatives) who have been or still are victims of domestic violence, with
priority objective of exceeding trauma and who are prepared
emotionally and cognitively to lead a full life with the maximum development of their
capabilities. During the assessment, including scales, users answer the
questionnaire on PTSD (Echeburúa, Corral, Love,
Zubizarreta and Sarasua, 1997), because episodes of psychological, physical and sexual
extreme than most living, result in 100% of cases this syndrome
chronically and charged. Methodology: To treat this syndrome is undertaken the
training in breathing and relaxation techniques and subsequent treatment with
EMDR. This technique consists in processing events that were blocked
sense of fear at the time they occurred, by mobilizing the
eyes simultaneously listening to the episode, trying to revive him again.
We apply this technique in 5 patients. Results: In all cases the user
exceeded the 4 or 5 position in 5-minute sessions each, so that
subsequently reported that the situation no longer produce sadness or pain, and that the
had accepted. Discussion: These results suggest that this technique is effective and fast
intervention in the traumatic events of violence, so it is
highly recommended for these cases.
Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
297. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]
Keywords: Performance Enhancement Protocol
Accuracy Verified: Yes
298. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.
Language: English
Format: Conference
Abstract:
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.
Keywords: Panel Discussion
Accuracy Verified: Yes
299. [Kawamura, W.] (2009, May). EMDR sessions of a woman with obsessive-compulsive disorder. EMDR研究1（1）、四四44-五十二52 [Japanese Journal of EMDR Research and Practice, 1(1), 44-52].
Language: Japanese
Format: Journal
Abstract:
The subject of this paper is a woman with obsessive-compulsive disorder who had previously
worked as a nurse, and underwent EMDR treatment. She obsessively blamed herself, stating "The
patient might have died as a result of my mistake". Being convinced of her own guilt, she started
showing maladjustment, and subsequently quit working.
Her treatment showed modification that strayed from the regular course of standard EMDR
sessions due to the uniqueness of the target memories. In all EMDR sessions. she checked the
traumatic memories from first to last. The therapist had her visualize images of happiness from
her own experience and taught her a technique to suppress negative images. By expressing her
feelings in a protected clinical environment, she was able to recover the self-esteem.
Keywords: Obsessive Compulsive Disorder OCD Protocol Special Situations Target Memory
Accuracy Verified: Yes
300. Lombardo, M. (2012). EMDR target timeline. Journal of EMDR Practice and Research, 6(1), 37-46. doi:10.1891/1933-3196.6.1.37.
Language: English
Format: Journal
Abstract:
This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.
Keywords: Adaptive Information Processing AIP: Clinical Application Core Theme Time Line Treatment Target
Accuracy Verified: Yes
301. Zangwill, W., & Britt, V. (2006, September). The EMDR therapist as case consultant. Presentataion at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
As EMDR's reputation for powerful and effective
treatment grows, EMDR clinicians are
increasingly being asked to provide services as
consulting or adjunct therapists. These
consultations can be intensely productive and
stimulating if done properly; they can also be
counterproductive if not. This workshop will
provide the consulting therapist with specific
techniques for ethical and effective treatment of
the patient and guidelines for working with the
primary therapist. It will include: 1) setting
realistic goals with both the patient and the
primary therapist; 2) exploring the eight phases
of EMDR treatment from a consulting
perspective; 3) understanding the ethical issues
concerned with this type of treatment; 4) dealing
with treatment implications such as splitting and
transference; 5) how to avoid common pitfalls
such as judging the primary clinician's
performance; and 6) the satisfaction of developing
an ongolng productive, collegial relationships.
The workshop will provide a step-by-step
framework for consultation work, clear case
examples and didactic information woven into a
lively interactive format.
Keywords: Case Consultation
Accuracy Verified: Yes
302. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
Accuracy Verified: Yes
303. Ferrie, R. (2013, May). EMDR therapy and psychiatric medication. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Many clients who present for EMDR are medicated with psychiatric drugs. The question arises whether these
medications are helpful in the context of EMDR therapy or not. We as psychotherapists, by definition, are involved
in a dialogue about mental health with our clients; therefore, on the important subject of psychoactive medication
we have a responsibility to be informed ourselves and to share this information with our clients. This presentation
is intended to provide tools especially for the non-medical therapist to learn how to navigate the territory of
psychiatric drugs-use in a way that helps clients. Included in the presentation will be a discussion of individual
case studies of traumatized clients, who had first been treated with psychiatric medication and then sought EMDR
therapy; an examination of how psychiatric drugs help or hinder and how they compare to the EMDR therapy
approach; and evidence from the current literature which calls into question the assumption of mental disorders
being due to a chemical imbalance requiring life-long medication. The robustness of the EMDR protocol and how
helpful it has proven to be to clients who have dealt with being heavily medicated and suffering from attendant
side effects will be illustrated. Learning objectives:
• Critique the evidence-based literature on psychiatric medication and the now insupportable information, given
to clients and doctors, which excludes the findings of long-term harm caused by all classes of psychiatric
medication. Participants will be able to assess the importance of the few reliable long-term outcome studies
and compare the effectiveness of psychotherapy/EMDR with psychiatric drugs.
• Evaluate a series of cases studies of clients, previously traumatized, who were medicated with psychoactive
drugs when first seeking EMDR Therapy.
• Gain knowledge of the different available protocols designed to help clients to be safely weaned off
psychiatric medication.
• In the process of discussion, participants will compare their own and other participants’ experiences with
such medicated clients.
Keywords: Medication
Accuracy Verified: Yes
304. Sadatun, T. I. (2008, June). EMDR therapy for tsunami & armed conflicts survivors in Nanggroe Aceh Darussalam, Indonesia. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Indonesian Province of Nanggroe Aceh Darusalam (NAD) is a region which is facing a unique set of problems,
among which is the protracted internal conflict, exacerbated by the tsunami on December 26, 2004. These events
have generated a widespread impact on the lives of the communities. One of the most crucial issues to be
addressed aside from legal, security, social and economic problems is the matter of health, including mental
health. In regards to mental health issues, comprehensive steps have been formulated into various mental health
care programs. One of the most needed programs is establishment of an educational system rooted in Indonesia
for the treatment of the posttraumatic stress syndrome (PTSD) of victims of crises and catastrophes through the
implementation of specific methods of treatment with a focus on the introduction of EMDR. With great support
from BMZ- TDH-Germany, HAP-Germany and Trauma Aid, capacity building on EMDR training has been
developed. Even though EMDR is highly effective as trauma healing therapy it is also a complex treatment to be
addressed in this specific population like in the province of NAD. Further than time constrain, limited numbers of
trauma therapist available and high numbers of severe cases that urgently need to be treated, complexities also
arises from cultural and religious aspects. The society in NAD is marked by decade long isolation, violent conflicts
for political self-determination and the strict interpretation of the Islam. The Sharia (doctrine of the Islam
including moral and judicial duties) was introduced as part of the laws. Due to this condition, for the time being
stabilization technique in EMDR is the most common technique that can be of widely used. In this presentation,
varieties of stabilization technique that have been used in this population will be addressed. More specifically, as
culturally adjustable method in therapy, this presentation will also introduce several culturally acceptable
stabilization techniques such as combining religious rituals (chanting, reciting) as personal resource with
stabilization technique. These techniques might be useful for other population with similar culture and religion.
Keywords: Armed Conflicts Nanggroe Aceh Darussalam, Indonesia Poster Survivors Tsunami
Accuracy Verified: Yes
305. Tobias, M. (1999). EMDR therapy requires training and assessment. Vet Voice, 20(1), 26-29.
Language: English
Format: Newsletter
Abstract:
The use of EMDR with combat-related PTSD is discussed from the perspective of a therapist working in an outpatient Vet Center.
Keywords: Assessment Training
Accuracy Verified: No
306. Vogelmann-Sine, S., Sine, L., & Smyth, N. (1999, October). EMDR to reduce stress and trauma-related symptoms during recovery from chemical dependency. International Journal of Stress Management, 6(4), 285-290. doi:10.1023/A:1021996406108.
Language: English
Format: Journal
Abstract:
The following letter from S. Vogelmann-Sine, L. Sine, and N. Smyth discusses a unique application of a therapeutic method termed "eye movement desensitization and reprocessing (EMDR)" to chemical dependency, suggesting effects of EMDR additional to its impact on symptoms of current and prior stress/trauma in a patient's life. The method of EMDR ordinarily consists of a number of brief "desensitization" periods during a treatment session in which a patient focuses on imaginal material in relation to movements. These desensitization periods are interrupted by the therapist who will probe for associations and redirect the images for the next period. In addition, the EMDR involves "processing" of negative self-cognitions in relation to the stressor(s) and "installation" of positive self-statements in the course of therapy. Other components of the method are detailed by F. Shapiro(see record 1995-98132-000) in the reference cited by Vogelmann-Sine et al in their letter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Drug Dependency Emotional Trauma Human Patients Letter Stress Symptoms Trauma-Related Symptoms During Chemical Recovery
Accuracy Verified: Yes
307. Ralaus, D. (2005, June). EMDR training in a new country. In Psychotrauma and EMDR in China and Slovakia, Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Belgium, Brussels.
Language: English
Format: Conference
Abstract:
In Slovakia, as a country with socialist past, the problem of
psychotraumatology was underestimated. Thanks to the Humanitarian
Assistance Program-Europe (HAP], it was possible to bring the new
knowledge and skills to this field. At the beginning there was the EMDR
training in Germany for two psychiatrists from Slovakia, then the seminars
and supervisions in Slovakia with mentors from HAP, which still continue. The
result is 40 therapists with the training including Psychotraumatology in
general and EMDR Level I and II.
This talk offers you the review of a history of bringing psychotraumatology
and EMDR to our country, first results and feedback.
Keywords: China Psychotrauma Slovakia Symposium Training
Accuracy Verified: Yes
308. Vogelmann-Sine, S., Sine, L. F., & Popky, A. J. (1997, July). EMDR treatment for chemical dependency: Training for participation in a multisite study. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
309. Greenwald, R., Ricci, R. J., Clayton, C. A., Lebeau, T., Farkas, L., Cyr, M., & Lemay, J. (2007, September). EMDR treatment for sex offenders, substance abusers, and youth in care. Symposium conducted at the annual meeting of EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This symposium presents data from treatment studies of (1) sex offenders, (2) mentally ill substance abusers, and (3) acting-out youth in care. These populations have in common low affect tolerance, severe problem behaviors, and involvement in “the system”. Each treatment used a population-specific phase model approach including motivational interviewing, skills training, and trauma resolution (EMDR). This trauma-informed phase treatment approach appears to represent an advance in helping these treatment-resistant populations. Discussion will focus on the relationship between the client characteristics and treatment approaches in common across studies.
Keywords: Sex Offenders Substance Abusers Symposium Youth
Accuracy Verified: Yes
310. Phillips, K. M., Freund, B., Fordiani, J., Kuhn, R., & Ironson, G. (2009). EMDR treatment of past domestic violence: A clinical vignette. Journal of EMDR Practice and Research, 3(3), 192-197. doi:10.1891/1933-3196.3.3.192.
Language: English
Format: Journal
Abstract:
This case study describes the use of eye movement desensitization and reprocessing (EMDR) for a woman who met criteria for posttraumatic stress disorder (PTSD) related to past domestic violence. Outcome measures were used to assess the client's symptoms at intake, after the third and sixth active EMDR sessions, and at 1- and 3-month follow-ups. In addition to the use of outcome measures, at 3-month follow-up the client was evaluated by a therapist who was blind to the type of treatment the client had received. Results indicated that after nine active sessions of EMDR, the client no longer met criteria for PTSD and no longer endorsed symptoms of depression or intrusive thoughts. Thus, EMDR was successful in treating PTSD symptoms associated with past domestic violence, and effects were maintained at 3-month follow-up.
Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD Treatment Outcome
Accuracy Verified: Yes
311. Galvin, M. (2007, June). EMDR treatment tactics: Using the accelerating-decelerating model and energy psychology to enhance interventions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR therapists are frequently faced with two situations where treatment must be adjusted: blocked processing and incomplete sessions. The first is address in the Part I Training Manual under Facilitating Black Processing in Phase Four. That secion describes three situations: Where processing proceeds “favorably,” where the client over-responds, and where the client under-responds. The manual then describes decelerating tactics for addressing the second situation and accelerating strategies for addressing the third situation. We will use a format introducing an expansion of the TICES (Trigger, Image, Cognition, Emotion, Sensation) model for improves pacing of treatment. The expanded model draws on Multimodal Therapy and adds the modalities of Behavior, Interpersonal Aspects, and Drugs (actually all areas of health including diet, mediation, exercise, and the like). Clinicians can utilize the concepts to recognize when therapy has stalled (or is about to stall) because of client’s under responding and over responding in the sesson, and then apply appropriate interventions. The interventions are from EMDR, from other methods, and from Energy Psychology (EP). Increasingly, EMDR therapists are also practitioners of EP. The second challenging situation faced by EMDR therapists us when time is running out, yet the level of disturbance is still elevated. The Training Manual describes a procedure for closing such a session in Phase Seven, including a containment exercise. This workshop will show how EP techniques are an additional resource to bring to bear when dealing with incomplete sessions. There will be a description and demonstration of a couple of simple but powerful EP techniques. Participants can quickly learn these methods and will be able to immediately incorporate them into their practices. Handouts on the TICES/BID/Acceleration-Decelerating model and on the Energy Psychology techniques will be distributed.
Keywords: Energy Psychology Treatment Tactics
Accuracy Verified: Yes
312. Gimm, E. (2010, June). EMDR treatment with very young children. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The use of EMDR is extremely helpful especially in the
treatment of very young children. The presentation will demonstrate
the work with both an acute and a complex traumatized
child of the age under 4 years. The acute traumatized child (6
month old) was traumatized by medical treatment that was vitally
necessary. After the stay in the clinic the child expressed symptoms
of PTSD. The child was treated in 4 sessions: in 2 of these
sessions the baby got EMDR treatment with trauma narratives.
The complex traumatized child is a boy now 4 years old. The
EMDR treatment started when he was 2,7 years. As a baby he
was physically extremely abused and showed strong symptoms.
The participants will see that even in such a young child affect
bridges turn up during the EMDR-Treatment. Memories which
were dissociated till that moment came back and could be processed.
Work with a continuous trauma narrative that is illustrated
by the therapist will be presented and later work with the child
adapted EMDR standard protocol. 8y these two cases participants
will learn more about trauma focused diagnostics, treatment
possibilities and treatment course in very young children and babies;
the presentation will be illustrated by video clips.
Accuracy Verified: Yes
313. Shapiro, R. (2000, September). An EMDR two-hand interweave. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. .
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to employ two new methods of using a two-handed interweave with EMDR: (a) with eye movmeents or other therapist-applied bilateral stimulation, and (b) with client-directed bilateral stimulation; 2) be able to apply this two-handed interweave in a variety of treatment circumstances: (a) with clients who are experiencing ambivalence about a decision, (b) to contrast and sometimes integrate two ego states; (c) to differentiate between a projection on another, and the actual other person, (d) to differentiate between a negative cognition or introject and a true self, (e) to differentiate between a destructive cultural or familial belief or introject and a beneficial alternative, and (f) to tailor the two-hand technique to other circumstances; and 3) through practice, will be able to apply the two-handed interweave to another participant and have the experience of using it on themselves.
Keywords: Two-Hand Interweave
Accuracy Verified: Yes
314. Bambach, S. (1994). EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten menschen [EMDR and active future orientation in the treatment of complex trauma human]. Author.
Language: English
Format: Other
Abstract:
Die Ausbildung in EMDR (Eye Movement
Desensitization and Reprocessing) führte
mich über längere Zeit zu einer intensiven
Auseinandersetzung über die Vereinbarkeit
von EMDR mit meiner bisherigen traumatherapeutischen
Arbeit. Diese war und ist
stark geprägt durch die lösungs- und ressourcenorientierte
Therapie, wie ich sie
von Steve de Shazer, Insoo Kim Berg,
Yvonne Dolan und später in anderer Form
von Gunther Schmidt erlernt habe. Zentrale
Elemente der Arbeit mit traumatisierten
Menschen nach lösungsorientierten Konzepten
sind u. a. die aktive Unterstützung
der Klienten1 bei der Entwicklung einer
positiven Zukunftsvision, bei der Identifikation
der individuellen Kriterien für Therapieerfolg
und der kleinstmöglichen, aktiv
zu unternehmenden Schritte in diese Richtung.
Diese konsequent ressourcen- und
lösungsorientierte Arbeitsweise schien im
Widerspruch zur Traumafokussierung als
zentralem Moment von EMDR zu stehen.
The training in EMDR (Eye Movement Desensitization and Reprocessing) took me a long time to an intense debate about the compatibility of my recent trauma with EMDR therapy work. This was and is strongly influenced by the solution-and resource-oriented therapy, as I have of Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and I have learned later in another way, by Gunther Schmidt. Key elements of the work with traumatized people after solution-oriented concepts, including the active support of Klienten1 in developing a positive vision for the future, in the identification of the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented approach seemed to contradict the trauma as the central focus of EMDR are at the moment.
Keywords: Complex Trauma Future Orientation
Accuracy Verified: Yes
315. Jacobs, A., & de-Jongh, S. (2007). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen: Ein neuropsychotherapeutisches behandlungsprogramm [EMDR and biofeedback in the treatment of post-traumatic stress disorders]. Göttingen, Germany: Hogrefe. ISBN: 9783801720391.
Language: German
Format: Book
Abstract:
Das Manual stellt ein neu entwickeltes, multimodales neuropsychotherapeutisches Therapieprogramm zur Behandlung der posttraumatischen Belastungsstörung (PTB) vor. Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören spezielle kognitiv-behaviorale Interventionstechniken, Biofeedback-gestütztes Eye Movement Desensitization and Reprocessing (EMDR) sowie die gezielte Bereitstellung von Informationen über die Störungszusammenhänge für den Patienten. Mittels Biofeedback wird die elektrodermale Aktivität der Patienten während der EMDR-Sitzungen als Indikator für die autonome Erregung aufgezeichnet. Die bei der Traumaexposition implizit ablaufenden Prozesse werden somit an Therapeut und Patient zurückgemeldet. Dadurch ist es möglich, zu kontrollieren, ob das Ausmaß der autonomen Erregung soweit gesenkt werden konnte, dass eine erfolgreiche Verarbeitung und Abspeicherung der traumatischen Erinnerungen im expliziten Gedächtnissystem möglich wird. Studien belegen die Wirksamkeit des Programms. So zeigen Ergebnisse eine deutliche Reduktion der PTB Symptomatik sowie eine starke Abnahme der autonomen Erregung und der subjektiven Belastung.
The manual presents a newly developed multi-modal neuropsychotherapeutisches therapy program for treatment of post traumatic stress disorder (PTSD before). Based on recent findings from the neurosciences that suggest that a dissociation between implicit and explicit memory of trauma is the main basis of the PTB, different modules were integrated into the treatment program. These include specific cognitive-behavioral intervention techniques, biofeedback-assisted Eye Movement Desensitization and Reprocessing (EMDR) and the targeted provision of information about the disorder correlations for the patient. Biofeedback is recorded, the electrodermal activity of patients during the EMDR sessions as an indicator of autonomic arousal. The case of trauma exposure implicit processes involved are therefore reported to the therapist and patient. This makes it possible to check whether the degree of autonomic arousal could be lowered so far that a successful processing and storage of traumatic memories is possible in the explicit memory system. Studies show the effectiveness of the program. Results nevertheless show a significant reduction of symptoms and PTB a strong decrease of the autonomous arousal and subjective burden.
Keywords: Biofeedback Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
316. Rouanzoin, C. (2011, August). EMDR update and refresher course. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
This workshop is for any clinician who has received the Basic Training in EMDR through an EMDRIA-Approved Training. The workshop will review and update information on: AIP case conceptualization; the 8 phases of EMDR treatment; developing the Target Sequencing Plan; the three prongs of EMDR treatment; and the use of cognitive interweave for stuck processing.
The participants will also have an opportunity to improve their skills in the use of Floatbacks and Affect Scans. A practicum experience will help further consolidate these concepts.
Keywords: Adaptive Information Processing AIP Case Conceptualization Refresher Update
Accuracy Verified: Yes
317. Blanford, C., & Blanford R. (1991 December). EMDR used as a treatment in chronic pain. EMDR Network Newsletter, 1(2), 8.
Language: English
Format: Newsletter
Abstract:
My wife Carol returned from the EMDR
Level I Basic Training and posed a question
regarding the effectivenessof EMDR
on chronic pain. It seems that if we
believe that the eye movements in EMDR
produce something that assists or facilitates
the brain to reprocess thought,
memory, and emotions, then we can
speculate or hypothesize that the same
procedure could effect how the brain
processes chronic pain.
Keywords: Chronic Pain
Accuracy Verified: Yes
318. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India .
Language: English
Format: Conference
Abstract:
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization;
speed 1 deals with desensitizing future fears;
speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients
Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation.
If they slow down, it is because they have good enough reasons, whether conscious or not.
What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”
Keywords: Gearbox
Accuracy Verified: Yes
319. Hornsveld, H. (2008, Maart). EMDR werkt! Maar hoe? [EMDR works! But how?]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Het leidt geen enkele twijfel dat EMDR een effectieve behandelvorm is. EMDR is opgenomen in de guidelines van de International Society for Traumatic Stress Studies (ISTSS) waarbij zowel EMDR als Imaginaire Exposure (IE) als ‘treatment of choice’ bij de behandeling van PTSS gelden. Ook in de Nederlandse GGZ-richtlijnen (Trimbos Instituut, 2003) worden EMDR en imaginaire exposure (IE) genoemd als superieure behandelvormen voor PTSS. Rechtstreekse vergelijking van CGt en EMDR leverde echter wisselende resultaten op. Over het geheel genomen kan worden gesteld dat wat betreft effectiviteit er geen duidelijk verschil is vastgesteld tussen CGt en EMDR.
Dit is opvallend, omdat de procedures en de veronderstelde werkingsmechanismen bij IE en EMDR duidelijk verschillen. Bij IE wordt reliving essentieel geacht en bij EMDR distancing. Hier is echter nog nauwelijks expliciet onderzoek naar gedaan; het meeste onderzoek heeft zich tot nu toe gericht op de effectiviteit van EMDR en op de rol van de BLS. In deze presentatie zullen drie eigen experimenten worden besproken die worden uitgevoerd met masterstudenten van de Universiteit Utrecht naar het effect van reliving versus distancing. Het onderzoek bouwt voort op het werk van de Chris Lee en zijn collega’s. (Lee et al 2006)
In het onderzoek worden 3 experimenten uitgevoerd, waarbij de variabele distancing en reliving worden gevarieerd. Verondersteld wordt (vanuit de EMDR visie) dat responses tijdens de desensitisatiefase, die getuigen van distancing leiden tot meer verbetering dan responses die getuigen van reliving. Een tweede onderzoeksvraag die wij beogen te beantwoorden is of dit verschil groter is voor narigheid uit het domein “zelfwaardering” dan voor narigheid uit het “domein controle en machteloosheid”. Een derde onderzoeksvraag betreft de vraag of een verhoogde parasympatische (arousal onderdrukkende) activiteit (een reeds aangetoond effect van BLS) samengaat met veranderingen in SUD-niveau en levendigheid van de herinneringen.
De workshop is bedoeld voor therapeuten die geïnteresseerd zijn in de achtergronden van EMDR. Op zo eenvoudig mogelijke wijze zal een overzicht worden gegeven van de “state of the art” met betrekking tot de veronderstelde werkingsmechanismen. Dit zal worden geïllustreerd met bovengenoemd onderzoek en videomateriaal. Aan het eind van de workshop zal de therapeut zijn cliënten en collega’s iets meer kunnen zeggen dan “ dat EMDR de verwerking stimuleert door de linker en de hersenhelften beter te laten samenwerken, waardoor gevoel en verstand beter met elkaar verbonden raken.”
There is no doubt that EMDR is an effective form of treatment. EMDR is included in the guidelines of the International Society for Traumatic Stress Studies (ISTSS) where both EMDR and imaginal exposure (IE) as treatment of choice in the treatment of PTSD are. Also in the Dutch mental health care directives (Trimbos Institute, 2003) are EMDR and imaginal exposure (IE) identified as superior forms of treatment for PTSD. Direct comparison of CBT and EMDR yielded mixed results, however. Overall it can be stated that in terms of effectiveness there is no clear difference observed between CBT and EMDR.
This is striking because the procedures and mechanisms assumed by IE and EMDR markedly different. When IE is reliving considered essential to EMDR and distancing. There is still little research has been done explicitly, most research has hitherto focused on the effectiveness of EMDR and the role of the BLS. This presentation will discuss three own experiments conducted with master students of the University of Utrecht to the effect of relieving versus distance. The research builds on the work of Chris Lee and his colleagues. (Lee et al 2006)
In the study, three experiments, with variable distancing and reliving be varied. It is assumed (from the EMDR vision) that responses during desensitisatiefase, evidence of distancing lead to more improvement than responses that show reliving. A second research question we seek to answer is whether this difference is in trouble from the domain "esteem" than for trouble from the "domain control and powerlessness". A third research question concerns whether an increased parasympathetic (arousal suppressive) activity (an effect already demonstrated BLS) is associated with changes in SUD level and vividness of the memories.
The workshop is designed for therapists interested in the backgrounds of EMDR. In the simplest possible manner, an overview of the state of the art "regarding the supposed mechanisms of action. This will be illustrated with the above study and video material. At the end of the workshop, the therapist will have clients and colleagues can say little more than "that EMDR stimulates the processing by the left and the brain work better together, making sense and intellect more interrelated."
Accuracy Verified: Yes
320. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques
Accuracy Verified: Yes
321. Seubert, A. (2005). EMDR with clients with mental disability. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 293-311). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
Until recent times those with the dual diagnosis of mental retardation and mental health issues were deemed inappropriate candidates for counseling or psychotherapy. Dysfunctional behaviors and emotional displays generated by mood disorders, grief, or trauma were often written off as part of the mental disability, in what has come to be known as diagnostic overshadowing. Time, experience, and compassion have changed this. Counseling and psychotherapy have been shown to be "feasible and successful" with this population. Most effective are approaches that utilize and integrate concrete, experiential, and behavioral aspects of the treatment. The task and responsibility of the therapist is to follow the client's internal and interpersonal process as it reveals itself and find the ways, means, and language to facilitate this organic movement toward well-being. [Text, p. 293] [Pilots]
Keywords: Mentally Retarded Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
322. Keenan, L., Keenan, P., & Wright, C. (2007, June). EMDR with perinatal post traumatic stress disorder. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
For most people, childbirth is a time for celebration and joy. However, for some women it can prove a harrowing and traumtising experience. This may result in mothers developing Peri-Natal Post Traumatic Stress Disorder (PN-PSTD), (Slade, 2006)). The reported prevalence of PTSD following childbirth ranges from 1.5% to 6% (Beck, 2004). However, there is a general lack of awareness of this issue, encompassing all health care professions (General Practitioners, Health Visitors, Obstetricians, and non-specialist Psychiatrists) (Robinson, 2003)). This can lead to misdiagnosis and inappropriate treatments being offers (Czamocks & Slade, 2000). This paper will critically examine some of the common themes associated with PN-PTSD. It will explore how Eye Movement Desensitization and Reprocessing (EMDR) can and should be used as an effective treatment intervention (Madrid, Skolek, and Shapiro 2007). Evidence based practice and practice based evidence (case studies) will show how EMDR can be adapted for this client group. The presentation will also reflect on future training needs and research implications.
Keywords: Health Problems Perinatal Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
323. Cooper, A. (1995, June). EMDR with victims of trauma: Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive
training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills.
It is uncertain what percentage follow through in this regard.
Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys).
Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR
has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With
correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and
awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and
treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the
mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of
what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive
way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals.
Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those
professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they
work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree
that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the
challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a
successful course of therapy and a disaster.
Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many
therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1
responses which arise and how they are communicated to the patient.
In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with
victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and
what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate
certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will
engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e.,
countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or
less effective usage of EMDR.
Keywords: Trauma
Accuracy Verified: Yes
324. Lange, A., & van de Kerkhoff, K. (2001). EMDR zonder oogbewegingen is imaginaire confrontatie (EMDR (E + M) = IC) [EMDR without eye movements is imaginary confrontation (EMDR - (E + M) = IC)]. Directieve Therapie, 21(3), 246-256. doi:10.1007/BF03060261.
Language: Dutch
Format: Journal
Abstract:
Drie jaar na een verkeersongeluk had de hoofdpersoon uit deze gevalsbeschrijving nog last van storende, intrusieve gedachten en beelden. De – succesvolle – behandeling bestond uit slechts één sessie van anderhalf uur, waarvan Imaginaire Confrontatie (ic) de hoofdschotel was. De ic wordt op de voet gevolgd en vergeleken met Eye Movement Desensitization and Reprocessing (emdr), waarvan ook ‘one session treatment’-gevalsbeschrijvingen bekend zijn. In het nawoord kijken de behandelaar (eerste auteur) en de cliënte (tweede auteur) terug op de behandeling.
Three years after a traffic accident, the protagonist of this case report is irritating, intrusive thoughts and images. The - successful - treatment consisted of only a half hour session, which Imaginary Confrontation (ic) was the main dish. ICU is being closely monitored and compared to Eye Movement Desensitization and Reprocessing (EMDR), which also at one session treatment'-known case studies. In the afterword watch the therapist (first author) and the client (second author) returned to treatment.
Keywords: Grief Imaginary Confrontation Trauma
Accuracy Verified: Yes
325. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
Accuracy Verified: Yes
326. Hase, M. H. (2005, June). EMDR – Reprocessing of the addiction memory. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Substance abuse is always a challenge for the therapist. Substance abuse
and its sequelae often mean intense suffering for the individual and huge
costs for society. Established treatment modalities, as good as they are, lack
effectiveness. Recent research in the field of neuroscience has shown that
most experience is automatically processed on sub cortical levels, i.e. by
"unconscious" interpretations that are made outside of conscious awareness.
Insight and understanding have only a limited influence on the operation of
these sub cortical processes. These findings are also applicable on addicted
people and help to create a new approach. The concept of an addiction
memory is helpful (Wolffgramm 2000: Wolffgramm 2002). It can be
understood as a form of maladaptive memory and EMDR is the tool for
resolution (Shapiro 2001). In this workshop an overview over theory and the practical aspects of EMDR treatment for substance abusers will be given.
Theory in combination with video demonstration will facilitate the transfer of
knowledge into everyday therapy.
Keywords: Addiction
Accuracy Verified: Yes
327. Thordarson, D., Taylor, S., Maxfield, L.¸ Wilensky, M. S., Ladd, W. G., Lanius, U. F., Fedoroff, I. C., & Sochting, I. (2001, July). EMDR, exposure therapy, and relaxation training for PTSD: A controlled outcome study. Presentation at the World Congress meeting of Association for the Advancement of Behavior Therapy, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Keywords: Research
Accuracy Verified: Yes
328. Weston, D. L. (1992, Winter). EMDR, grief and mourning. EMDR Network Newsletter, 2(3), 9.
Language: English
Format: Newsletter
Abstract:
In the November, 1992 EMDR training, Dr. Shapiro stated that using EMDR in grief and mourning challenges the concept of how long mourning “should” last. This case example shows how EMDR has assisted in the process of mourning by dealing with some of the self-messages that create pain without denying the reality of the loss experience.
Accuracy Verified: Yes
329. Couto, M., Farate, C., Ramos, S., & Fleming, M. (2012, June). EMDR, setting and therapeutic relationship: A comparative study with CBT and psychoanalytic therapists. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain.
Language: English
Format: Conference
Abstract: The therapeutic efficacy of EMDR is increasingly documented in process and outcome studies. However there is an ongoing debate on whether this effectiveness is mainly due to EMDR therapeutic techniques or to other variables. Since EMDR technical procedures are also related to the way the therapist manages both the space and the therapeutic relationship with the patient there is a growing trend towards the study of the influence of contextual and therapist variables on treatment outcome. This study aims to compare the management of both setting and therapeutic relationship among experienced EMDR, CBT and psychoanalytic therapists. The data and sample correspond to a preliminary phase of a broader research project whose aim is the construction of a psychometric instrument of trans-theoretical nature (Management of the Setting Scale-MSS) aimed at the assessment of setting on therapeutic outcome.
Keywords: CBT Cogntive Behavior Therapy, Poster Psychoanalysis
Accuracy Verified: Yes
330. Yoeli, F., & Prattos, T. (2009). The EMDR-accelerated information resourcing (EMDR-AIR) protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 31-45). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The EMDR Accelerated Information Resourcing Protocol (EMDR-AIR Protocol®) is designed to accelerate the search for the resources necessary to resolve the client's current crisis or long-term issues. The idea evolved from the "Double-Hai" paradigm (Yoeli & Prattos, 2005), which is a short-term intervention for use with couples. The EMDR-AIR Protocol is designed to look for that learned generational reaction to trauma that the client is currently using to cope with the current situation while, at the same time, tapping into the historical strengths and resources that enabled survival. These resources are found through the rapid accessing of client history by using the Multi-Tiered Trans-Generational Genogram (MTTG). The MTTG is a format that brings life and new energy into your work with clients and into the life of your client. As the therapist and the client evolve the MTTG, the client teaches the therapist and himself about his richly textured history. Through the legacy of this history, the client gains clarity about his circumstances and an appreciation of life under the best and worst circumstances. Through the practitioner's interest and curiosity, the client learns the fascination that comes from viewing the dynamics of his family through the generations. The process creates a longer lasting effect, solidifying the results of the EMDR session [(PsycINFO Database Record (c) 2009 APA]
Keywords: Accelerated Information Resourcing AIR Protocol
Accuracy Verified: Yes
331. Lendl, J., & Kong, C. (2011, August). EMDR-AIP update and applications for EMDRIA approved consultants. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA certification, and for becoming a Consultant. Participants will be able to cite EMDRIA’s definition of EMDR and apply it in consultation sessions; describe the concept of Adaptive Information Processing (AIP) as it informs the EMDR psychotherapy methodology; explain the 8-Phase/3-Prong Protocol through the AIP lens; and describe several coaching methods for use in EMDR consultation. The workshop will include lecture, handouts, and role-play of consultation situations, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA certification requirements or how to become a consultant.
Keywords: Consultation
Accuracy Verified: Yes
332. Kong, C., & Lendl, J. (2012, October). EMDR-AIP update and applications for EMDRIA approved consultants. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA certification, and for becoming a Consultant. Participants will be able to: 1) cite EMDRIA’s definition of EMDR and apply it in consultation situations; 2) describe Adaptive Information Processing (AIP) Theory as it applies to EMDR psychotherapy, for use in consultation; and 3) explain the 8-Phase/3-Prong Protocol in EMDR for use in consultation situations. The workshop will include lecture, handouts, and role-play of consultation situation vignettes, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA certification requirements or how to become a consultant.
Keywords: Adaptive Information Processing AIP Consultants Updates
Accuracy Verified: Yes
333. Lendl, J., & Kong, C. (2010, September/October). EMDR-AIP update for EMDRIA approved consultants. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA Certification, and for becoming an Approved Consultant. Participants will be able to cite EMDRIA’s Definition of EMDR and apply it in consultation sessions; describe the concept of Adaptive Information Processing (AIP) as it informs the EMDR psychotherapy methodology; and explain the eight-Phase/three-Prong Protocol through the AIP lens. The workshop will include lecture, handouts, and role-play of consultation situations, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA Certification requirements or how to become an Approved Consultant.
Keywords: Adaptive Information Processing AIP Update
Accuracy Verified: Yes
334. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.
The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.
Keywords: Adolescents Children: Psychotherapy Trauma Treatment
Accuracy Verified: Yes
335. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering.
The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource.
The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique
Learning objectives:
To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases.
To recognise the indications in which it provides added value to the classical protocol.
To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases.
The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.
Keywords: Drawing Integration Organic Disease Complex Posttraumatic Stress Disorder Complex-PTSD C-PTSD
Accuracy Verified: Yes
336. Wesselmann, D., Schweitzer, C., Bruckner, D., & Armstrong, S. (2012, October). EMDR-family therapy integrative team approach for healing attachment trauma in children. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Children who have experienced early maltreatment and who have been relinquished or removed from birth families frequently exhibit severe and challenging behaviors. Therapists are caught in a Catch-22, as children require an emotionally supportive environment from caregivers to open up emotionally and address the traumas underlying their behaviors, and yet the child behaviors create feelings in the the parents that prevent them from being able to provide emotional support. The EMDR Integrative Team model allows for collaboration between a family therapist and an EMDR therapist in order to change parent-child patterns and create a “secure holding environment” for trauma therapy.
Keywords: Attachment Trauma Children Family Therapy Intergrative Approach
Accuracy Verified: Yes
337. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124.
Language: English
Format: Journal
Abstract:
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]
Keywords: Adults Children Cross-Cultural Treatment Humanitarian Efforts Indian Ocean Tsunami Mental Health Personnel Personal Narrative Professional Training Sri Lanka Sri Lankans Survivors Treatment Effectiveness Tsunamis
Accuracy Verified: Yes
338. Eschenroder, C. T. (2003). EMDR. La nuova tecnica sul movimento guidato degli occhi che fa superare traumi, fobie e ansia [EMDR. The new technique on the guided movement of the eyes that overcomes trauma, phobias and anxiety]. Red Edizioni, collana L'altra medicin, Libreria Universitaria.
Language: Italian
Format: Book
Abstract:
Emdr è una nuova psicoterapia che mediante precisi movimenti degli occhi, guidati dalle dita del terapeuta, permette in poco tempo di superare positivamente i traumi dovuti a esperienze particolarmente dolorose: incidenti gravi, abusi, violenze. Ma il suo campo di intervento si è ora allargato fino a comprendere le fobie, gli attacchi di panico, i disturbi dell'alimentazione, le tossicodipendenze.
EMDR is a psychotherapy that new form of specific eye movements, led by the fingers of the therapist, brings us quickly to overcome the traumas caused by positive experiences particularly painful accidents, abuse, violence. But its field of action has now expanded to include phobias, panic attacks, eating disorders, drug addiction.
Accuracy Verified: Yes
339. Balbo, M. (2006). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies]. Milano: McGraw-Hill.
Language: Italian
Format: Book
Abstract:
Negli ultimi anni, con l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) come approccio terapeutico consolidato, sono stati formati nel mondo più di 80.000 terapeuti di matrice psicoterapeutica diversa, 1600 soltanto in Italia. Un così ampio interesse per questo metodo potrebbe far rilevare che proprio nell’EMDR i terapeuti, seppure di differente formazione, abbiano ricercato e intravisto uno strumento per poter avviare un dialogo, costruttivo e non soltanto oppositivo, iniziando a considerare la patologia attraverso un nuovo e integrante punto di vista.
Il paradigma dell’Elaborazione Adattiva dell’Informazione messo a punto da Francine Shapiro parte dal presupposto che i fenomeni patologici dipendono da esperienze disturbanti del passato che avviano un modello permanente di emozioni, cognizioni, comportamenti e le strutture di identità che ne conseguono. Il paradigma, pertanto, offre una teoria unificante che può essere considerata come substrato per tutti gli orientamenti terapeutici quando si definisce la patologia come informazione immagazzinata in modo disfunzionale e che può essere adeguatamente integrata attraverso un sistema di elaborazione e risoluzione adattiva, attivato attraverso il protocollo EMDR.
Questo è il primo testo che affronti il tema assai vivo e di attualità dell’integrazione fra i diversi orientamenti psicoterapeutici attraverso un metodo eclettico quale l’EMDR. I contributi degli autori - rappresentanti delle principali scuole di pensiero attualmente presenti nel mondo della psicoterapia italiana - tracciano un percorso di lettura che dimostra come i costrutti teorici e il protocollo EMDR siano compatibili ed efficacemente integrabili con i maggiori nuclei teorici, tradizionali e innovativi. E sono proprio l’elaborazione dei vissuti e i nuovi e più adattivi insight dei pazienti che si attivano attraverso l’approccio EMDR a poter consentire ai terapeuti di capirsi e di utilizzare un linguaggio comune.
In recent years, with l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) as consolidated therapeutic approach have been trained in the world of 80,000 practitioners of different psicoterapeutica array, 1600 only in Italy. A so broad interest for this method could detect that your nell’EMDR therapists, albeit different training, have looked up and saw a tool to be able to start a constructive dialogue and not only oppositivo, beginning to consider the disease through a new and an integral point of view.
The Adaptive Information Processing model paradigm made to point by Francine Shapiro part from the assumption that the pathological phenomena depend on disturbing experiences of the past that initiate a permanent model of emotions, knowledge, attitudes and structures of identity that it entails. The paradigm, therefore, provides a unifying theory that can be considered as a substrate for all therapeutic guidelines when you define the pathology as information stored so dysfunctional and can be adequately integrated through a system of processing and adaptive resolution activated through the EMDR protocol.
This is the first text that tackles the issue very live and topical dell’integrazione between the different psychotherapy guidelines through an eclectic method such as EMDR. Contributions by authors - representatives of major schools of thought are currently in the world of Italian psychotherapy - draw a path of reading that shows how the theoretical constructs and EMDR Protocol are compatible and effectively integrate with the more theoretical, traditional and innovative nuclei. And its elaboration of the living and the new and more adaptive insight of patients that trigger through EMDR to allow practitioners understand you and use a common language.
Accuracy Verified: Yes
340. Dunne, T. (2009, June). EMDR: What do therapists believe?. In K. Zaal (Chair), Research. Symposium presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands .
Language: English
Format: Conference
Keywords: Research Symposium Therapist
Accuracy Verified: Yes
341. Staff (2011, Juni). EMDR: Belasting werkgeheugen verklaart werkzaamheid [EMDR: Tax memory activity states]. Psychopraktijk, 3(3), 38. doi:10.1007/s13170-011-0048-y.
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR)
is een omstreden behandelmethode. Eerst werd het
beschouwd als een ritueel met oogbewegingen, en later
als een vorm van korte exposure door het oproepen van
een traumatisch beeld. Echter, uit gecontroleerde studies bleek
dat EMDR een effectieve behandelmethode is voor post traumatisch
stress stoornis (PTSS; zie ook elders in dit nummer). EMDR
werd in de multidisciplinaire richtlijnen aanbevolen als eerste
keus behandeling bij PTSS naast imaginaire exposure. Adepten
van EMDR menen dat je het kunt toepassen bij elke willekeurige
stoornis, maar daar lijkt nog onvoldoende evidentie voor.
Vervolgens kwam er discussie waardoor EMDR überhaupt werkt.
Zou het een vorm van korte exposure kunnen zijn? Deze verklaring
bleek niet houdbaar. Vanuit de EMDR-therapeuten kwam
een theorie over bilaterale stimulatie van de beide hemisferen.
Een EMDR-therapeut kan dan niet alleen gebruik maken van
oogbeweging, maar ook van piepjes afwisselend in beide oren of
aanrakingen op beide handen. Maar experimenteel onderzoek
liet zien dat ook deze theorie niet houdbaar is.
Eye Movement Desensitization and Reprocessing (EMDR)
is a controversial treatment method. First, the
considered a ritual with eye movements, and later
as a form of short exposure by calling
a traumatic image. However, controlled studies showed
that EMDR is an effective treatment for post-traumatic
stress disorder (PTSD; see elsewhere in this issue). EMDR
was in the multidisciplinary guidelines recommended first
choice treatment for PTSD in addition to imaginal exposure. adepts
EMDR believe that you can apply to any
disorder, but there seems insufficient evidence for.
Next came a discussion which EMDR works anyway.
Could it be a form of short exposure be? this statement
proved untenable. From the EMDR therapists came
a theory of bilateral stimulation of both hemispheres.
An EMDR therapist can not only use
eye movement, but also of beeps alternately in both ears or
touches on both hands. But experimental research
showed that this theory is not tenable.
Keywords: Tax Memory
Accuracy Verified: Yes
342. Nisi, A. (2001, Augusto). EMDR: Considerazioni di un terapeuta (cognitivo) Comportamentale [EMDR: Considerations of a therapist (cognitive) behavioral]. Psicoterapia Cognitiva e Comportamentale, 7(2), 155.
Language: Italian
Format: Journal
Abstract:
Non disponibile astratto.
No abstract available.
Keywords: CBT Cognitive Behaviorial Therapy
Accuracy Verified: Yes
343. Φαίη Γαλάνη [Galani, F.] (2011). EMDR: Eye movement desensitization and reprocessing - Μια νέα ψυχοθεραπευτική μέθοδος [EMDR: Eye movement desensitization and reprocessing - A new psychotherapeutic method]. Womanity, 2, 58-61.
Language: Greek
Format: Magazine
Abstract:
Πρόκειται για μια καινούργια μέθοδο ψυχο-τραυματο-θεραπείας και όχι
για μια νέα ψυχοθεραπευτική προσέγγιση, καθώς η άσκησή της γίνεται
αποκλειστικά από ψυχολόγους με κλινική εμπειρία, στους οποίους
απαραίτητα πρέπει να έχει προηγηθεί βασική εκπαίδευση σε μια από τις
ποικίλες ψυχοθεραπευτικές κατευθύνσεις.
Εμπνεύστρια της μεθόδου είναι η Francine Shapiro το 1989, ανώτερη
επιστημονική ερευνήτρια στο Ινστιτούτο Πάλο Άλτο στην Καλιφόρνια,
συγγραφέας του πρώτου εγχειριδίου για το EMDR, η οποία έχει τιμηθεί για
το έργο της με το βραβείο "Διακεκριμένου επιστημονικού επιτεύγματος
στην ψυχολογία".
This is a new method of psycho-traumatic therapy and not
for a new psychotherapeutic approach, as the exercise becomes
exclusively by psychologists with clinical experience, which
necessarily be preceded basic training in one of the
various psychotherapeutic orientations.
Conceived method is the Francine Shapiro 1989, upper
scientific researcher at the Institute of Palo Alto, California,
author of the first handbook for EMDR, which has been honored for
her work with the award for "Outstanding Scientific Achievement
in psychology. "
Accuracy Verified: Yes
344. Muntter, A. (2002, July/August). EMDR: Eye movement desensitization and reprocessing - Strange name for a powerful psychotherapeutic intervention. M. D. News, West Michigan.
Language: English
Format: Newspaper
Abstract:
When a therapist friend told me
about EMDR, it was so unlike any
therapy I had ever known I was completely
baffled. Nonetheless, I underwent
the intensive training and to this
day am in awe of its powerful effects.
Although it doesn't work for everyone,
when it does work it can be an
Accuracy Verified: Yes
345. Beer, R., Ten Broeke, E., Hornsveld, H., de Jongh, A., Meijer, S., se Roos, C., & Spierings, J. (2011). EMDR: Oogbewegingen of een andere duale taak? [EMDR: Eye movements or any other dual task?]. Authors. Retrieved from http://www.emdr.nl/acrobat/EMDR%20Richtlijnen%20door%20trainers%202011DEF.pdf on 8/28/2012.
Language: Dutch
Format: Other
Abstract:
Naar aanleiding van alle nieuwe onderzoeksresultaten over EMDR en de rol van het werkgeheugen (zie
referentielijst), hebben de Nederlandse EMDR trainers (i.o.) zich gebogen over de consequenties van deze
resultaten voor de praktijk. Ze zijn daarbij tot de volgende richtlijnen gekomen, die ook vanaf heden
gedoceerd worden in de EMDR opleidingen.
Following the latest research on EMDR and the role of working memory (see
reference), the Dutch EMDR trainers (io) examined the consequences of this
results for the practice. They have reached the following guidelines come also from today
taught in the EMDR training.
Keywords: Eye Movements Dual Attention Working Memory
Accuracy Verified: Yes
346. Sweeney, S. (2013, January-April). EMDR: Recovering lives by moving out trauma. The Crazy Wisdom Community Journal, 54-60.
Language: English
Format: Newsletter
Abstract:
A methodology unique to EMDR [is] bilateral stimulation
of the brain’s hemispheres. While the client focuses on the
physical sensations, images, and negative thoughts related
to his traumatic event, his eyes follow the movements of
a light bar, or the therapist’s fingers, for about 30 seconds.
However, research into EMDR has discovered that moving
the eyes is not the only way for bilateral stimulation to occur.
Other methods, such as alternating tones played through
headphones or the therapist tapping the client’s hands one
after the other, have been found to be just as effective. [Excerpt]
Accuracy Verified: Yes
347. Prencipe, M. (2010). EMDR: Stato dell’arte e linee future di ricerca [EMDR: Current status and future lines of research]. Università degli Studi di Torino.
Language: Italian
Format: Dissertation/Thesis
Abstract:
“ Quando si vive un’esperienza davvero sgradevole, due sono le cose che si possono
fare, due sono le strade che si possono percorrere. Una è quella di guardare in faccia il
ricordo di quell’esperienza, continuare a pensarci, a parlarne e a provare sensazioni al
riguardo: può essere difficile, ma è come se ogni volta si desse a quel ricordo un
piccolo morso, lo si masticasse per bene e lo si digerisse. Esso allora entra a far parte
del nostro nutrimento e ci aiuta a crescere. E la parte che fa male si riduce sempre di
più. Quando si dice che attraverso i momenti difficili si diventa più forti, e a questo che
ci si riferisce. Purtroppo a volte la gente percorre l’altra strada. Il ricordo è così
doloroso, fa così male che lo si vuole solo scacciare, si vuole mettere un muro tra noi e
lui, ci si vuole soltanto sentire bene e riuscire a tirare avanti la giornata. Questo
funziona, almeno per un po’; ci dà sollievo. Ma il problema è che il ricordo non va via,
è sempre lì, fresco come il giorno in cui il fatto è accaduto, sempre pronto a
ripresentarsi per essere masticato completamente e digerito in modo da diventare parte
del passato. E poi, ogni volta, c’è qualcosa che ci fa ripensare a quel ricordo, come se
questo dicesse: ‘Ehi, ci sono anch’io, mi fai entrare adesso?’. Ecco un esempio, quasi
tutti noi, se camminando veniamo urtati incidentalmente da qualcuno, be’, forse ci
secchiamo un po’ per qualche secondo, ma non di più, basta un: ‘Mi scusi’, e tutto
finisce. Ma se la persona che viene urtata ha un mucchio di rabbia compressa dietro a
quel muro, avrà la nostra stessa minima normale reazione, con in più tutto quel
materiale che sta dietro al muro e che dice: ‘Anch’io’, per cui la persona sarà talmente
fuori dai gangheri da essere pronta a litigare. E’ questo il problema: il materiale che
sta dietro al muro; ci può saltare addosso in ogni momento e provocare in noi reazioni
eccessive, rendere difficili le cose facili. Così a volte la gente, quando si ammala per
via di questi problemi, va da un terapeuta per farsi aiutare. E con il suo aiuto riesce a
riafferrare ciò che ha cacciato dietro al muro: prende un pezzetto di quel ricordo, lo
mastica per bene, lo digerisce e diventa molto più forte. Con l’EMDR accade qualcosa
di molto simile a quanto succede con le altre terapie: si riesce a riprendere ciò che sta
dietro al muro, se ne prende un pezzo, lo si mastica per bene, tutto qui. Solo che con
l’EMDR si rivivono i vari pezzi del brutto ricordo molto più in fretta, magari si
ripercorre un intero ricordo in sole due sedute, talvolta in più, talvolta in
meno”(Greenwald, 2000, p.35).
"When you live a truly unpleasant experience, there are two things that you can
do, there are two ways you could go. One is to face the
memory of that experience, continue to think about it, talk about it and try to sensations
about it: it can be difficult, but it's as if every time you gave at the memory a
small bites, chew it well and it is digested. It then becomes part
of our nourishment and helps us grow. And the part that hurts is reduced more
more. When it is said that through the tough times you become stronger, and that this
it refers. Unfortunately sometimes people runs the other way. The memory is so
painful, it hurts so much that you just want to drive, you want to put a wall between us and
him, you only want to feel good and be able to get by the day. This
works, at least for a while ', gives us relief. But the problem is that the memory does not go away,
is always there, as fresh as the day on which the event took place, always ready to
recur to be chewed and digested completely in order to become part
of the past. And then, every time, there is something that makes us realize that memory, as if
this should say, 'Hey, I'm here too, let me in now?'. Here's an example, almost
all of us, if we come walking accidentally bumped by someone, well, 'maybe there
secchiamo a little 'for a few seconds, but no more, just a:' Excuse me ', and all
ends. But if the person who is hit has a bunch of repressed rage behind
that wall will have our very minimal normal reaction, plus all that
material behind the wall and says: 'I too', for which the person will be so
off the hinges to be ready to fight. And 'This is the problem: the material
behind the wall, there could pounce at any time and cause reactions in us
excessive, make difficult things easy. So sometimes, when people get sick for
Because of these problems, go to a therapist for help. And with his help can
recapture what has driven behind the wall: it takes a little bit of that memory, the
chew well, digests it, and it becomes much stronger. With EMDR something happens
very similar to what happens with other therapies: you can not take back what is
behind the wall, it takes a piece, chew it well, that's all. Only with
EMDR is reliving the various pieces of the bad memory much faster, maybe you
retraces an entire memory in just two sessions, sometimes more, sometimes in
less "(Greenwald, 2000, p.35).
Keywords: Research
Accuracy Verified: No
348. Roques, J. (2004). EMDR: Une révolution thérapeutique [EMDR: A revolutionary therapy]. Paris: Desclee de Brouwer.
Language: French
Format: Book
Abstract:
Voici une découverte thérapeutique qui bouleverse notre compréhension du fonctionnement psychique. Conçu en 1987 aux USA par Francine Shapiro pour guérir les traumatismes psychiques, l'EMDR permet de soigner aussi bien d'autres problématiques névrotiques (phobies, angoisses, états dépressifs, etc.). Cette méthode a été importée en France en 1994. Son efficacité a pu être vérifiée aussitôt en cabinet et en milieu hospitalier. Eye Movement Desensitization and Reprocessing ou EMDR peut se traduire par Désensibilisation et retraitement (de l'information) par les mouvements oculaires. Si le mouvement de l'œil revêt effectivement une grande importance dans la gestion neurologique de la mémoire, il n'en est pas l'unique ressort comme on pourrait le croire. D'autres modes complémentaires de stimulation sensorielle alternée du cerveau, mis en œuvre par un thérapeute expérimenté, peuvent activer pareillement le travail de cicatrisation psychique et de guérison. Ce livre a pour vocation d'éclairer et d'informer, mais aussi d'enseigner. Il est accessible à toute personne désireuse de comprendre la pathologie et son traitement. A vocation didactique, il s'adresse également aux professionnels du soin en raison de sa dimension théorique approfondie et de ses développements cliniques.
Here is a drug discovery that overturns our understanding of psychic functioning. Designed in 1987 by Francine Shapiro in the U.S. to heal the psychological trauma, EMDR can cure anything other neurotic problems (phobias, anxiety, depression, etc..). This method has been imported into France in 1994. Its effectiveness has been verified once in office and hospital. Eye Movement Reprocessing, or EMDR Desensitizer and may result in desensitization and reprocessing (of information) by eye movements. If the eye movement is actually of great importance in the management of neurological memory, it is not the only emerging as one might think. Other complementary modes of alternating sensory stimulation of the brain, implemented by an experienced therapist, may similarly activate the work of healing and psychic healing. This book aims to enlighten and inform, but also to teach. It is available to anyone wishing to understand the pathology and treatment. A didactic, it also addresses care professionals because of its theoretical dimension and depth of its clinical development.
Accuracy Verified: Yes
349. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..
Language: Dutch
Format: Book
Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
Accuracy Verified: Yes
350. Shapiro, F. (1991, August). EMDR: A cautionary note. EMDR Network Newsletter, 1(1), 3-4.
Language: English
Format: Newsletter
Abstract:
The responses to my article, "Eye Movement
Desensitization & Reprocessing:
From EMD to EMDR -- A New Treatment
Model for Anxiety and Related
Traumata" in the May 1991 (Vol. 14, No.
5) issue of the Behavior Therapist, have been both gratifying and, at times, disturbing.
After receiving numerous requests
for a "description of the revised
procedure," and upon rereading the article,
I can see that I did not make sufticiently clear
the fact that clients are at risk
if untrained clinicians attempt to use
EMDR.
Keywords: Cautions
Accuracy Verified: Yes
351. Mueser, K. T., & Herbert, J. T (1993, September). EMDR: Caveat emptor!. the Behavior Therapist, 16(8), 218-219.
Language: English
Format: Newsletter
Abstract:
The past year has witnessed a
flurry of letters to the Behavior Therapist
about Eye Movement Desensitization
and Reprocessing (EMDR) treatment.
Most of these letters address the controversy
over the methods used to
train clinicians in EMDR, such as the
requirement that participants in workshops
sign statements agreeing not to
share any of the training materials
with other clinicians. The recent surge
in interest in EMDR is reflected by the
explosive growch in training opportunities
and applications to diverse clinical
populations and syndromes (e.g.,
the children of alcoholics). Given such
widespread interest, it is troubling that
the most fundamental question about
EMDR-its efficacy-has received so
little attention.
Keywords: Letter
Accuracy Verified: Yes
352. Leeds, A. M. (2010). EMDR: Getting started - Guidelines for clinicians in selecting clients for initial application of EMDR following EMDR Level I training and preceding Level II training. EMDRIA Newsletter, 3(1), 7-11.
Language: English
Format: Newsletter
Abstract:
These suggested guidelines are offered in response to many questions raised by clinicians recently trained in EMDR about getting started with using EMDR in clinical practice. Because of the wide variation in clinical background, theoretical orientation, length of experience learning style, and clinical settings of those who attend EMDR training, these are general guidelines that will be more or less useful or different clinicians.
The original version of this article was published March, 1998.
This article addresses questions raised by clinicians in training or recently trained in EMDR regarding case finding and selection criteria for their initial applications of EMDR. Guidelines are offered for number of sessions of practice during training, for identifying and deferring more complex cases until more experience is gained, and for recognizing clients where reprocessing of disturbing memories should be postponed in favor of client stabilization. Three classes of clients and targets, with descriptive case examples, are proposed for initial application of EMDR during the training process. Clinicians are encouraged to thoroughly read Shapiro’s (2001) required text and other recently published books and journal articles and to actively participate in consultation with an EMDRIA Approved Consultant.
Keywords: Training
Accuracy Verified: Yes
353. Marsa, L. (2002, April 16). EMDR: Movement with meaning? Some psychologists think it's a potent therapy; others call it exaggerated. Burns Harbor, IN: Post-Tribune, All, Lifestyle, D1.
Language: English
Format: Newspaper
Abstract: W
atching a therapist's hands move back and forth in front of your face while recalling painful memories may seem an unlikely way to alleviate trauma. But hundreds of thousands of people have reportedly tried the technique, and some psychologists -- and their patients -- say it works.
The therapy, called eye-movement desensitization reprocessing, involves a combination of hand movements (or sometimes finger taps or sounds), accompanied by verbal commands. The patient follows the therapists' movements with his or her eyes while discussing the event or problem that led the patient to seek help.
Keywords: Burns Harbor General Overview
Accuracy Verified: Yes
354. Brogan, J. (2000, March 26). EMDR: New look in trauma therapy. Providence, RI: The Providence Journal, Health & Fitness, M-1.
Language: English
Format: Newspaper
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), an alternative to traditional talk
therapies, may seem bizarre.
Patients must follow the therapist's fingers waving before their eyes, as if they were trying to keep
track of a tennis match. Or they watch a blinking light traveling along a special light bar.
Keywords: General Overview Providence
Accuracy Verified: Yes
355. Carnes, J. (1994). EMDR: A part of the whole. EMDR Network Newsletter, 4(2), 5-7.
Language: English
Format: Newsletter
Abstract:
Since I took the first EMDR training
in September, 1993, I have been exploring
the outcome of EMDR as compared
to more traditional therapy, as
well as how EMDR works in conjunction
with more traditional techniques.
The following two cases include one in
which EMDR was all that was needed
at that time and one in which EMDR
was (and is) but apart of a longer and
more complicated process.
Keywords: Outcome
Accuracy Verified: Yes
356. Stickgold, R. (2002, January). EMDR: A putative neurobiological mechanism of action. Journal of Clinical Psychology, 58(1), 61-75. doi:10.1002/jclp.1129.
Language: English
Format: Journal
Abstract:
Numerous studies have provided evidence for the efficacy of eye movement desensitization and reprocessing therapy (EMDR) in the treatment of PTSD, including recent studies showing it to be more efficient than therapist-directed flooding. But few theoretical explanations of how EMDR might work have been offered. Shapiro, in her original description of EMDR, proposed that its directed eye movements mimic the saccades of rapid eye movement sleep (REM), but provided no clear explanation of how such mimicry might lead to clinical improvment. We now revisit her original proposal and present a complete model for how EMDR could lead to specific improvement in PTSD and related conditions. We propose that the repetitive redirecting of attention in EMDR induces a neurobiological state, similar to that of REM sleep, which is optimally configured to support the cortical integration of traumatic memories into general semantic networks. We suggest that this integration can then lead to a reduction in the strength of hippocampally mediated episodic memories of the traumatic event as well as the memories' associated, amygdala-dependent, negative affect. Experimental data in support of this model are reviewed and possible tests of the model are suggested. [Author Abstract]
Keywords: Cognitive Processes Mechanism of Action Neurobiology Posttraumatic Stress Disorder Psychophysiology PTSD Review Sleep Behavior Treatment Effectiveness
Accuracy Verified: Yes
357. Karpel, M. A. (2006, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
EMDR constitutes a valuable tool for couples
therapists when one or both partners are stuck in
repetitive, reactive cycles. This workshop describes
the circumstances in which EMDR is most likely to
be helpful in couples therapy. It examines the
benefits of EMDR through the lens of the repetition compulsion, with pariicular emphasis on common - and often intractable - impasses in in the treatment of couples. The origins of the repetition compulsion
in early failures of attunement are described, as in
the re-enactment of these experiences in the adult
couples relationship. Working with EMDR is nested
within the context of a resource-based approach to
couples therapy, emphasizing how emotional
reactivity and defensive withdrawal impede the
expression of empathy, trustworthiness, intimacy and repair in the couples relationship. Different formats for conducting EMDR (separately with one partner; separately with both partners; conjointly with both partners; or adjunctively with another therapist) are
presented, along with indicators, advantages and
disadvantages of each format. Special
considerations (such as when to introduce EMDR,
balancing alliances, sequencing sessions and
instructions to an observing partner) and
modifications of the standard protocol when EMDR
is used in the context of couples treatment are also
clarified. Finally, circumstances in which EMDR
is unlikely to be helpful or in which it is contraindicated are examined.
Keywords: Couples Therapy Repetition Compulsion
Accuracy Verified: Yes
358. Jones, K. R. (2006, June). EMDR: Warning on safe use. Therapy Today, 17(5), 23.
Language: English
Format: Magazine
Abstract:
For EMDR to be used safely, I strongly agree with the position emphasised during training with the EMDR Institute, that this is an adjunct technique which should only be integrated into existing and appropriate professional practice. Furthermore, practitioners should be qualified to carry out an effective mental health assessment, to screen potential clients for contraindicative effects (eg dissociation or psychosis) prior to treatment, as well as being competent to deal with adverse effects such as strong abreactions. Given the potential for harm with techniques such as EMDR, I believe that it is essential for practitioners to have a 'practising certificate' before offering this approach to clients, rather than simply undertaking 'some training' as noted by the author.
Keywords: Letter
Accuracy Verified: Yes
359. Shapiro, E. (1993, Fall/Winter). EMDR: Warts and all. EMDR Network Newsletter, 3(2), 4-5.
Language: English
Format: Newsletter
Abstract:
After my first training with Francine
in 1989, in Israel, I was excited by
this promising method and infected
with her enthusiasm. I went on to
use EMDR whenever I could in my
work at the Nazareth Ilite Educational
Psychological Service and in
my private practice, as well as during
my present sabbatical leave in London.
I often incorporated EMDR into
my work and felt comfortable and
confident with a wide range of clients,
ages, and difficulties and was
ready to explore further with the
method. Since my Level II training
in November of 1992, I have learned
to be more discerning, perhaps even
overcautious for the time being, in
applying EMDR. Reflecting over my
earlier years of bolder and freer uses
of EMDR, I did not encounter any
negative effects. The worst that happened
was that nothing much happened,
and this occurred in a minority
of cases (perhaps in less than
20%). Even with those cases, I had
noticed that there may have been a
tendency to underestimate positive
effects. One of the subtle difficulties
I observed assessing outcomes was
that the cognitive changes that occurred
were sometimes so spontaneous
and "naturally" that the client took
them for granted. I first notice this
phenomenon clearly in two cases.
Keywords: Outcome Positive Effects
Accuracy Verified: Yes
360. Quinn, G. (2006, August). Emergency room (ER) protocol. In Judi Guedalia & Francis Yoeli, EMDR Protocol for ER and Wards, Shaare Zedek Medical Center, Jerusalem, Israel.
Language: English
Format: Book Section
Abstract:
This section EMDR treatment immediately after a traumatic event. The treatment combines shock treatments with ingredients
From EMDR. This treatment protocol is not official yet and would like to bring a summary of our experience in treating victims of terrorism in the ICU. Representative of the protocol has been formulated so far (it probably will take some developments) as well as a case study illustrates the use of the protocol. Nurse in the ICU is Dr. Judy Gedalia receiving immediate training. Yoeli Francis on line. SCREENING
When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means.
The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.
Keywords: Emergency Room Protocol
Accuracy Verified: Yes
361. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635.
Language: English
Format: Journal
Abstract:
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT
Accuracy Verified: Yes
362. Weisz, J. R., Hawley, K. M., & Doss, A. J. (2004). Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders. Child and Adolescent Psychiatric Clinics of North American, 13, 729–815. doi:10.1016/j.chc.2004.05.006.
Language: English
Format: Journal
Abstract:
The term psychotherapy has come to be applied to a broad array of nonmedical
interventions designed to alleviate psychologic distress, reduce maladaptive
behavior, or increase deficient adaptive behavior through counseling,
interaction, a training program, or a predetermined treatment plan. Although the
specific term is relatively recent historically, the general idea is ancient. Roots of
psychotherapy can be found in the ageless tradition of helping by listening,
discussing, and questioning. Among the early Greek philosophers, Socrates
developed a method and a thesis that presaged some modern forms of psychotherapy.
His approach involved questioning others to provoke them to examine
their beliefs, with the goal of bringing them closer to truth. His method reflected
his ‘‘midwife thesis,’’ the notion that the philosopher’s role is to deliver the truth
that already is within others, much as the midwife delivers the baby that is within
a mother. This idea, of course, is not so different from the view many modern
therapists have of their own professional roles. Other approaches that fall under the ‘‘psychotherapy umbrella’’ do not involve talk therapies but rather procedures
that parents, teachers, and other adults use to limit disobedient or disruptive
behavior by boys and girls or to help youngsters focus attention or behave less
impulsively. The struggle by adults to shape, manage, and guide youth behavior
certainly predates even the ancient Greeks.
Keywords: Adolescents Externalization Internalization
Accuracy Verified: Yes
363. Scharf, C., Berliner, K., Meyers, M., Schwartberg, N., & Weinshel, M. (2006, September). Enhancing couples therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: Couples often have difficulties changing present day maladaptive patterns of interaction when they are triggered by past traumatic events and/or attachment traumas. This workshop will demonstrate ways in which EMDR can be incorporated into couples therapy in order to interrupt "stuck" cycles of interaction, decrease reactivity. and deepen connections. Our work is informed by a family systems perspective and attachment theory. There will be a theoretical discussion on how we use EMDR in couples work, as well as an experiential exercise illustrating these concepts. Clinician examples and videtape excepts from a year-long course of therapy will illustrate thc ongoing choices the therapist makes in incorporating EMDR in her work with a couple. We will also demonstrate how one partner's witnessing and the other's being witnessed during the processing enhances the healing of old wounds and opens up possibilities for new ways of relating.
Keywords: Couples Therapy
Accuracy Verified: Yes
364. Keller, M. (2010, July). Enhancing EMDR with mindfulness skills. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
“Enhancing EMDR with Mindfulness Skills”
1. Introduction and overview of the evolution of mindfulness practice.
2. Current uses of mindfulness in clinical practice.
3. Summary of research.
4. Similarities between mindfulness and EMDR:
a. Just noticing,
b. “Go with that”,
c. Becoming less reactive to mental content,
d. Living in the present.
5. Enhancing EMDR:
a. Increasing awareness of images, thoughts, emotions, and body sensations,
b. Increasing trust to allow the mind to spontaneously process memory networks,
c. Improving reprocessing between sessions,
d. Reducing reactivity to current and future distress,
e. Improve attunement of the therapist.
6. Brief mindfulness practice and conclusion.
Keywords: Mindfulness Skills
Accuracy Verified: Yes
365. Hartung, J. (2009). Enhancing postive emotion and performance with EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 339-375). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive quality, or hoping to fine-tune existing skills. The scripts accompany a model that has been taught in a number of countries to therapists, coaches, and human resource advisors. The model combines elements of coaching and psychotherapy. Coaches attend to a client's skills and deficits, look for solutions that are behavioral and strategic, and focus on the present and future while downplaying the past. Psychotherapists, on the other hand, attend to the client's internal experience: emotions, self-talk, beliefs, and other not-so-observable factors. The focus is largely on the past and present. It follows that the model will be most useful to persons who practice both coaching and psychotherapy. As a coach, the practitioner is familiar with the situation in which the client seeks to perform, whether the client hopes to run faster, lead more effectively, parent better, or study smarter. Competency issues for coaches have been detailed by Hays. As a psychotherapist, the practitioner—it will be assumed—will be comfortable using EMDR in the treatment of traumatic memories and other matters that interfere with the client's personal growth. This chapter provides appropriate scripts. [PsycINFO Database]
Keywords: Performance Positive Emotion Protocol
Accuracy Verified: Yes
366. Butler, K. (1993, November/December). The enigma of EMDR: Too good to be true?. Family Therapy Networker, 17(6), 19-31.
Language: English
Format: Magazine
Abstract:
Since 1987, when an unknown clinical psychology graduate student named Francine Shapiro discovered the technique while walking in a California park, more than 4,000 therapists in America, Israel and Australia have been trained in eye movement desensitization and reprocessing (EMDR), and it has captured the attention of respected therapists from widely divergent psychological traditions.This article discusses the effectiveness of such treatment, including clinical, research, professional and ethical issues. Emphasis is especially given to the importance of training therapists in its use. [Adapted from Text, p. 22]
Keywords: Professional Training
Accuracy Verified: Yes
367. Ginger, S. (2008, Juillet). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. International Journal of Psychotherapy, 12(2), 70-75.
Language: French
Format: Journal
Abstract:
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même.
Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite).
Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches.
Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanistes.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt. Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanists.
Keywords: Gestalt Therapy
Accuracy Verified: Yes
368. Ginger, S. (2007, Juin ). Enrichir la gestalt - Thérapie par l’EMDR [Enriching gestalt - EMDR therapy]. Document présenté au Congrès de l' European Association for Psychotherapy Europan (EA), Florence, Italie.
Language: French
Format: Conference
Abstract:
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? » — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même. Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite). Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches. Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde ; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanist.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "- Where I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections and changes in neurotransmitters), partly explaining its effectiveness.
When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt.
Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanist.
Keywords: Gestalt Therapy
Accuracy Verified: Yes
369. EPPD Task Group (2003, December). The EPPD Task Group introduced EMDRIA’s definition of EMDR. EMDRIA Newsletter, 8(4), 14-15.
Language: English
Format: Newsletter
Abstract:
The EMDRIA Board of Directors has charged the Educational Program and Professional Development (EPPD) Task Group with the task of
developing policies for all educational programs and professional development. These umbrella policies will provide consistency and creditability
throughout all programs to maintain the integrity of EMDR in training, practice, and research. All EMDRIA programs and products will be
aligned with the existing and emerging knowledge and scientific research on EMDR. To that end, the EPPD Task Group has completed a twotiered
definition of EMDR, which is rooted in the current scientific research on EMDR. The Tier One definition is designed for the general
public. The Tier Two definition is for EMDRIA use, to guide the development of all programs and products throughout the organization. The
Tier Two definition is also for external distribution and to be the basis for explaining EMDR to the public and other professionals. As the
foundation, this definition will direct EMDRIA in every aspect of the organization from training and continuing education programs in EMDR,
standards of practice, research, publications, and EMDRIA Member support programs, such as Clinician Support and Regional Coordinating
programs.
The EPPD Task Group introduces EMDRIA’s Definition of EMDR.
Keywords: Definition of EMDR
Accuracy Verified: Yes
370. Grand, D. (2007, Novembro). A Essência do EMDR [The essence of EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract: EMDR á uma abordagem poderosa que já trouxe
cura emocional a milhões de pessoas que
sofrem com traumas ao redor do mundo. Os
protocolos e procedimentos estão claramente
desenvolvidos e delineados, mas a essência do
EMDR permanece ainda por ser explorarada. Nesta
apresentação olhamos de forma profunda os
fatores que estão por detrás do EMDR, incluindo as capacidades inerentes do cliente, o ambiente
de contenção que o terapeuta provê, as qualidades
da relação terapêutica, a sabedoria da integração
mente-corpo e o uso da esperança, possibilidades,
espiritualidade e filosofia que emergem no
processo.
EMDR will be a powerful approach that has brought
emotional healing to millions of people who
suffer from trauma around the world. the
protocols and procedures are clearly
developed and designed, but the essence of
EMDR remains yet to be explorarada. in this
Presentation to look so deep
factors that underlie EMDR, including the inherent capabilities of the client, the environment contention that the therapist provides the qualities the therapeutic relationship, the wisdom of integration
mind-body and the use of hope, possibilities,
spirituality and philosophy that emerged in
process.
Accuracy Verified: Yes
371. Morrow, R. (2012, October). Essential skills for EMDR consultation. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
What skills do successful consultants utilize in consultation? Therapy, Training and Consultation have several overlapping skills, but each of these disciplines do contain some different skill sets. A good therapist does not necessarily make a good consultant. This presentation will attempt to tease out consultation specific skills that seem to improve the experience for both consultees and consultants. This presentation will include lecture, self evaluative experiences and role play.
Keywords: Consultation
Accuracy Verified: Yes
372. Gabarra, D. O. (2012, Novembro). Estados de ego e o EMDR em quadros dissociativos [Ego states and EMDR in dissociative frames]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
O objetivo da oficina é abordar como os processos de dissociação consciente de papéis ou estados de ego podem ser utilizados para potencializar a reintegração psíquica dos pacientes dissociativos. Pacientes dissociativos sempre foram um dos grandes temores dos terapeutas em EMDR para o uso da fase 3 em diante. Geralmente esses quadros requerem um grande tempo de preparação além de um manejo mais avançado e interventivo durante o reprocessamento. Entretanto, entre pacientes com alto grau dissociativo é comum encontrarmos pessoas com grande fragilidade psíquica, acesso a um pobre histórico de recursos, uma grande dificuldade em se expressar, perceber e nomear seus sentimentos além de grande dificuldade em relatar seus traumas. Então, como avançar no protocolo de EMDR com pessoas tão fragilizadas e que quase não nos dão dicas do conteúdo de seus traumas? Alguns critérios hipotéticos auxiliam a instrumentalizar tanto o profissional quanto o paciente a enfrentarem o reprocessamento. Primeiramente, (a) se diante de uma história de traumas intensos a pessoa sobreviveu e chegou até você, é porque ela tem recursos importantes, mesmo que tenha dificuldade de acessá-los. Um desses recursos é o próprio quadro dissociativo que a protege da intensidade dos traumas e possibilita a vida “apesar de...”. (b) Se essas partes estão tão distantes uma da outra, é porque elas tiveram um motivo para isso, mas talvez esse motivo já esteja no passado, e hoje podemos caminhar para uma conversa. (c) Sendo todos esses papéis ou egos são partes do eu, certamente eles querem algo de positivo para esse eu, mesmo que aparentemente seja difícil perceber isso. Essas hipóteses ou crenças positivas a respeito do paciente devem ser checadas com dados de realidade para que possam ser fortalecidas, mas, mais do que isso, é fundamental que elas "transpirem por todos os poros do corpo do terapeuta". Identificados os estados de ego presentes no evento traumático parece ser mais fácil seguir com a etapa do reprocessamento de deforma menos interventiva, principalmente quando não se tem o conteúdo do evento em questão. Obviamente que todo esse processo deve levar todo o tempo necessário e seguido de todos os
cuidados que a aplicação do EMDR demanda.
The goal of the workshop is to discuss how the processes of conscious dissociation of roles or ego states can be used to enhance the reintegration of the psychic dissociative patients. Dissociative patients have always been one of the great fears of EMDR therapists for use in phase 3 onwards. Generally these paintings require a great preparation time plus a more advanced and interventional management during reprocessing. However, among patients with high dissociative is common to find people with great fragility psychic, poor access to a historical resource, a great difficulty in expressing themselves, perceive and name their feelings besides great difficulty in reporting their trauma. So, how to advance the EMDR protocol with people so fragile and hardly give us hints of the contents of their trauma? Some hypothetical criteria help to equip both the professional and the patient to face the reprocessing. First, (a) in front of a history of severe trauma the person survived and came to you, it is because it has important features, even if you have difficulty accessing them. One of these features is the very dissociative disorder that protects the intensity of the trauma and allows life "although ...". (B) If these parties are so far apart, it's because they had a reason for that, but maybe that reason is already in the past, and today we can walk into a conversation. (C) Since all these roles and egos are part of me, surely they want something positive to me, although apparently it is difficult to realize this. These positive beliefs or assumptions about the patient be checked against data from reality so that they can be strengthened, but more than that, it is crucial that they "transpire from every pore of the body of the therapist." Identified ego states present at the traumatic event seems to be easier to follow with step of reprocessing deforms less interventionist, especially when you do not have the content of the event in question. Obviously, this entire process should take all the time necessary and followed by all
care that the application of EMDR demand.
Keywords: Advanced Management Dissociation Ego States
Accuracy Verified: Yes
373. Silver, S. (2009, August). Ethical issues for EMDR clinicians, consultants, trainers, and researchers. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR, as a psychotherapy, encounters numerous opportunities for issues of an ethical nature. But there are two additional areas that emphasize the need for a clear understanding of ethical conduct for EMDR clinicians, consultants, trainers, and researchers. The first area is the unique quality of EMDR work. Unlike other psychotherapies, to use an example, EMDR therapy may be conducted without the therapist knowing the specifics of the client’s particular experience. The second area is one that is extremely practical in its impact: though EMDR practitioners represent a variety of mental health disciplines, their professional organization, EMDRIA, largely has adopted the ethical code of the American Psychological Association, a code some may not have particular familiarity with. This workshop provides didactic instruction, case discussion, and small group exercises to explore the ethical issues relating to the use of EMDR.
Keywords: Ethics
Accuracy Verified: Yes
374. Greenwald, R. (1995). Evaluating Shapiro's stance on EMDR training. OnLine Journal of Psychology, 1(1), 130-134.
Language: English
Format: Other
Abstract:
Shapiro has enjoined clinicians not to use eye movement desensitization and reprocessing (EMDR), a treatment for traumatic memories, unless trained by her organization. Some have objected, especially on the grounds that sole-source training may interfere with independent research. However, those trained in EMDR agree that such training is important. Research findings have been consistently positive when treatment was conducted according to the full EMDR protocol taught by Shapiro, and negative only when that protocol was not used. Shapiro's stance has supported the effectiveness and research integrity of EMDR. [Author Abstract]
Keywords: Commentary Professional Training
Accuracy Verified: Yes
375. Tareen, M. S. (2010, July). The evaluation of an Urdu version of Impact of events scale - revised (UIES-R). Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Background: The study arose from an EMDR Humanitarian Assistance Programme training set up in response to the 2005
earthquake in Northern Pakistan. Part of this project set out to evaluate an Urdu version of IES-R. We wanted to evaluate the
work done by newly trained EMDR Practitioners and there was paucity of measurement tools in Urdu language. We decided
to translate IES-R and evaluate it. It will give us reliable scale to measure progress against treatment. The present study aims
to present this Urdu version of the IES-R as a psychometrically sound instrument for both research and clinical use in its
Urdu translation. Methods:Translation was completed in four stages. Two stages involved translation and two involved back
translation. Recruitment for the evaluation took place at a Medical School in Abbotabad, and involved (N=118) participants.
The inclusion criteria were that subjects must be fluent in both Urdu and English. Results: The results of Urdu and English
versions of IES_R and GHQ were compared for Linguistic Equivalence, conceptual equivalence, and scale equivalence. All
these measures showed no statistically significant differences. In conclusion the Urdu version of the IES-Revised can be used
for clinical populations in Pakistan with evidence of good reliability and satisfactory validity. In developing EMDR research in
Pakistan the utilisation of the U-IES-R will be an extremely useful addition.
Keywords: Impact of Events Scale - Revised UIES Urdi Version
Accuracy Verified: Yes
376. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved.
Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma
Keywords: Art Therapy Treatment
Accuracy Verified: Yes
377. Blue Cross Blue Shield of North Carolina. (2008, August). Evidence based guideline EMDR (eye movement desensitization and reprocessing). Blue Cross Blue Shield of North Carolina.
Language: English
Format: Publication
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a non-drug, non-hypnosis psychotherapy
procedure. It is used to treat post traumatic stress syndrome. It involves the patient moving the eyes rapidly
back and forth while following the therapist’s hands as they move side to side across the patient’s visual
field. During these eye movements, the therapist is guiding the patient to concentrate on a troubling memory
or emotion. This rapid eye movement, which occurs naturally during dreaming, is thought to speed the
patient’s movement through a healing process.
Keywords: Blue Cross Blue Shield of North Carolina Insurance Practice Guidelines
Accuracy Verified: Yes
378. Crystal, S. (2010, March). Evidence based practice and practice based evidence: Improving effectiveness and efficiency in EMDR practice. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
There have been over five “gold standard” studies supporting the importance of routine
measurement of outcome in clinical practice. However, no measures that take more than 5
minutes would appeal to clinicians. The Outcome Rating Scale (ORS or Child ORS) and the
Session Rating Scale (SRS or Child SRS) are both four-item measures developed to track
outcome and the therapeutic alliance, respectively. The measures have been tested and
correlated to other reputable measures for their robust reliability, validity and most
importantly feasibility. In addition, these measures are a clinical tool for the EMDR
practitioner as, it takes under a minute to score and, it helps to focus each session on what
is relevant for the client; giving us the opportunity to tailor and pace the protocol to a
better” fit” for each particular client; offering us a chance to improve our drop out rates.
Learning points:
1) Updated research information on the importance of using client’s feedback in
everyday practice;
2) Introduction of brief measures that can have immediate application in your EMDR
practice.
3) Learn about a system that can help you learn about and increase your
effectiveness as a therapist in comparison to a normative data of thousands of
practitioners.
4) How to download for free and to use routine outcome measures to monitor the
quality of the therapeutic relationship and to inform the fit between the EMDR
and the clients’ perceptions.
Keywords: Client Feedback ORS Outcome Measures Outcome Rating Scale Research Session Rating Scale SRS Gold Standard
Accuracy Verified: Yes
379. Aubert-Khalfa, S., Roques, J., & Blin, O. (2008). Evidence of a decrease in heart rate and skin conductance responses in PTSD patients after a single EMDR session. Journal of EMDR Practice and Research, 2(1), 51-56. doi:10.1891/1933-3196.2.1.51.
Language: English
Format: Journal
Abstract:
Patients with PTSD demonstrate abnormal psychophysiological responses to stressful events. Given that eye movement desensitization and reprocessing (EMDR) therapy appears to be a treatment of choice for trauma victims, the aim of the present study was to determine if psychophysiological responses to stress decreased after a single EMDR session. 6 PTSD patients were treated by an EMDR therapist. Their psychophysiological responses (heart rate and skin conductance) were recorded before and after the EMDR session under two conditions: (a) in a relaxed state and (b) while visualizing their own traumatic event. At the end of the session, all patients had a significant reduction in their PTSD symptoms, which confirms previous results demonstrating the efficacy of the EMDR approach. Second, after only one EMDR session, heart rate and skin conductance during the trauma recall decreased significantly as compared to a relaxing state. [Author Abstract]
Keywords: Adults Arousal Clinical Trial Electrodermal Activity Empirical Study French Heart Rate Posttraumatic Stress Disorder Psychophysiology PTSD Quantitative Study Skin Conductance Stressors Survivors Treatment Treatment Effectiveness
Accuracy Verified: Yes
380. Ginger, S. (2008, October). The evolution of psychotherapy in Europe. Presentation at the 5th World Congress of Psychotherapy, Beijing, China.
Language: English
Format: Conference
Abstract:
It is a great honour and pleasure for me to have been asked to present a brief overview of
the Evolution of Psychotherapy in Europe at this 5th World Congress of Psychotherapy in China,
in October 2008.
I shall begin with outlining the 5 main categories (mainstreams) of Psychotherapy; then,
recalling some information about Europe itself and its 50 very different countries; after that,
mentioning the development of the main psychotherapies actually practiced in Europe:
psychoanalysis and the different so called “new therapies.” I shall conclude with the sociological
dimension of psychotherapy and the need of specialized training institutes.
Keywords: EMDR History
Accuracy Verified: Yes
381. Blore, D. C., Farrell, D., & Clifford, C. (2008, June). The experience of post traumatic growth amongst road traffic accidents victims who have completed EMDR treatment: A status report on research. Poster presented at the annual meeting of the EMDR Europe Conference, London, England.
Language: English
Format: Conference
Abstract:
According to Tedeschi & Calhoun (1995; 2004 and 2006), Post Traumatic Growth (PTG) consists of five ‘domains’:
discovery of new possibilities in life; improvements in relating to others; an increased sense of personal strength;
greater appreciation of life and spiritual changes. The first author’s experience of treating Road Traffic Accidents
(RTA) victims with Eye Movement Desensitisation & Reprocessing (EMDR) suggests that the experience of PTG is
far wider and more complicated than Tedeschi & Calhoun’s domains. This paper reports on the current status of
a study whose aim is to identify PTG that may be occurring at any point from the immediate aftermath of an RTA
through to completion of EMDR. The study so far consists of 11 interviews utilising an Interpretative
Phenomenological Analysis (IPA) methodology. So far well over 50 PTG themes have emerged although only the
first hermeneutical analysis has been completed on the interviews analysed so far, it is currently difficult,
therefore, to establish the degree of ‘theme overlap’. However, new themes include growth ‘by proxy’ (growth in
those who have come into contact with the participants, but who have not themselves been traumatised by the
RTA); somewhat paradoxically, ‘pre-trauma growth’ apparently activated by a subsequent RTA; and a ‘cascade’ of
growth attributed to events subsequent to the initial trauma (such as the EMDR and the EMDR therapist). Some
implications of these themes are also discussed, particularly in relation to EMDR.
Keywords: Motor Vehicle Accidents Poster Posttraumatic Stress Disorder PTSD Victims
Accuracy Verified: Yes
382. Nicol, M. (2009, November). Experiences of peer supervision for EMDR in Lanarkshire. DCP in Scotland, 1, 23-26.
Language: English
Format: Newsletter
Abstract:
Following a decision by NHS Lanarkshire to provide funding for training in
Eye Movement Desensitisation and Reprocessing (EMDR) 11 professionals,
including clinical psychologists, counselling psychologists, a clinical associate and
a psychological therapist undertook the three-part training in 2008 and 2009 provided
by EMDR workshops, a leading UK EMDR training organisation and affiliated to the
European EMDR Network. The rationale for providing this training was to allow staff
to offer a variety of therapeutic interventions for individuals who have experienced
trauma. EMDR is an evidence-based treatment for trauma and is recommended by the
National Institute for Health and Clinical Excellence (NICE) guidelines as a treatment
for Post Traumatic Stress Disorder (PTSD). Whilst it is acknowledged that there
continues to be some debate within clinical psychology regarding the use of EMDR
and its scientific status, this will not be discussed within this article (see Van Etten &
Taylor, 1998; Davidson & Parker, 2001; and Chemtob et al., 2000 for more information).
As most of the therapists who undertook this training already had experience
of working with trauma, mostly within a Cognitive Behavioural Therapy (CBT) framework,
it was felt that providing an additional theoretical and practical framework for
working with these individuals would provide further client choice
Keywords: Lanarkshire Peer Supervision
Accuracy Verified: Yes
383. Turpin, R. C. (1999, August). An exploration of reported transpersonal/spiritual experiences during and after eye movement desensitization and reprocessing (EMDR) treatment of traumatic memories. California Institute of Integral Studies, San Francisco, CA. AAT 9962663.
Language: English
Format: Dissertation/Thesis
Abstract:
This research project sought to investigate if EMDR therapists observed their clients reporting transpersonal/spiritual experiences during or following EMDR. In addition, it sought to identify and explore the client and therapist factors that may influence the frequency with which these experiences are observed. One hundred sixty-nine questionnaires were mailed to EMDR facilitators throughout the United States and 50 were returned with usable data. Quantitative statistical analyses were performed on much of the questionnaire data and several significant associations and differences were found (p < .05). However, these significant associations and differences did not lead to more global statements regarding the factors that were analyzed. Interviews were conducted with 11 of the respondents in an attempt to shed light on these research questions. The results indicate that a number of EMDR therapists are observing their clients reporting transpersonal/spiritual experiences during or following EMDR. Several potentially important client and therapist factors were noted that may be influencing factors in therapists observing their clients reporting these experiences. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1099.
Keywords: Emotional Trauma Empirical Study Religious Experiences Therapists Transpersonal Psychology Transpersonal/Spiritual Experiences
Accuracy Verified: Yes
384. Brown, P. (2011, March). An exploration of the use of eye movement desensitization and reprocessing (EMDR) techniques within a solution focused brief therapy (SFBT) framework with children experiencing personal and school related problems. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This study was set in a mainstream primary school in Scotland where a group of children
had been identified by their class teachers and parents as presenting as quiet, shy, withdrawn and/or
anxious. The researcher was an educational psychologist in the local authority where the study took
place. 5 primary aged children at stages P5, P6 and P7 (aged 9 to 11 years) of the Scottish Primary
education system were involved in a group process which took place in their school, consisting of
6 sessions over the course of 2 months. The intervention combined elements from Eye Movement
Desensitization and Reprocessing (EMDR) and Solution Focused Brief Therapy (SFBT). This was a
strength based approach which aimed to focus on positive strengths and increase resilience.
The individual nature of the therapy required a flexible model. A qualitative research methodology
was used. The general aim of this research was to investigate this combined therapeutic process
within an applied psychology perspective. The research set out to study the experiences of a group
of children during and after they participated in the process. A further aim of the research was to
explore the process from my own perspective as the therapist and facilitator.
Data was collected during and after each session and post intervention data was collected from
children, parents and teachers. Interpretative Phenomenological Analysis (IPA) was used to analyse
the data. Findings indicated that the children found the intervention helpful and they were able to
identify particular aspects of SFBT and EMDR which they had found useful.
Keywords: Children School-Related Problems SFBT Solution Focused Brief Therapy
Accuracy Verified: Yes
385. Kennedy, J. (2013, April 24). Exploring alternate ways to deal with trauma. Truro Daily News, Colchester County, Nova Scotia.
Language: English
Format: Newspaper
Abstract:
I recently received EMDR training to add to my skill set of interventions to offer clients. What is EMDR, you might ask? It is the acronym for eye movement desensitization and reprocessing. This treatment was developed by Dr. Francine Shapiro to help those with trauma related disorders such as, PTSD (post traumatic stress disorder), whose natural ability to process traumatic experiences was compromised. The hypothesis is that EMDR bilateral stimulation (eye movements, audio beeps, tactile pulses) replicates REM sleep, which is presumed to assist the brain in processing the information it received during the day. The idea being that the eye movements, or other forms of bilateral stimulation, add to the therapy’s effectiveness by evoking neurological and physiological changes to aid in the reprocessing of the traumatic memories. [Excerpt]
Keywords: Adaptive Information Processing AIP General Overview
Accuracy Verified: Yes
386. Hembree, E. A., Rothbaum, B. O., & Foa, E. B. (2009). Expositionsfokussierte therapie der posttraumatischen belastungsstörung [Focused exposure therapy of post-traumatic stress disorder] . Posttraumatische Belastungsstörungen, II, 203-216. doi:10.1007/978-3-540-88489-7_12.
Language: German
Format: Book Section
Abstract:
Seit der letzten Auflage dieses Buches ist die Anzahl der Wirksamkeitsstudien kognitiver Verhaltenstherapien (KVT) der posttraumatischen Belastungsstörungen (PTBS) stark gestiegen. Die Befundlage aus diesen Studien ist eindeutig: Für KVT wie die Expositionstherapie, die kognitive Therapie, das Stressimpfungstraining sowie Kombinationen dieser Verfahren und die sog. Augenbewegungstherapie (EMDR) konnte wiederholt eine signifikante Reduktion der PTBS-, Depressivitäts- und Angstsymptomatik sowie weiterer problematischer Traumafolgen gezeigt werden.
Since the last edition of this book is the number of efficacy studies of cognitive behavior therapy (CBT) of post-traumatic stress disorder (PTSD) has risen sharply. The clinical findings from these studies is clear: For CBT, such as exposure therapy, cognitive therapy, stress inoculation training, and combinations of these procedures and the so-called eye movement therapy (EMDR) was repeated a significant reduction of PTSD, depression and anxiety symptoms and other problematic consequences of trauma shown be.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
387. Follette, V., & and Smith, A. (2004). Exposure Therapy. In A. Freeman, S. H. Felgoise, A. M. Nezu, C. M. Nezu, & M. A. Reinke (Eds.), Encyclopedia of Cognitive Behavior Therapy (pp. 185-188). Springer.
Language: English
Format: Book Section
Abstract:
Exposure therapy has increasingly been used in conjunction with other cognitive—behavioral therapies in a variety of formats and techniques, particularly in the treatment of anxiety disorders. Reasons for the addition of cognitive enhancements to exposure therapy include concerns for client well-being and/or an interest in increasing client willingness to engage the treatment. Other newer therapies such as CPT, ACT, and EMDR, while based in differing theoretical paradigms, incorporate cognitive and behavioral strategies that are consistent with exposure and cognitive change.
Several empirical studies support combinations of exposure and other cognitive—behavioral therapies. However, studies evaluating a possible augmenting effect of other CBT components have generally shown equally promising effects with exposure alone and exposure combined conditions. Further research is needed to more fully understand which components of other cognitive—behavioral therapies are most helpful in addressing concerns of using exposure therapy alone, and the manner in which exposure therapy can be most effectively integrated.
Keywords: Exposure Cognitive Processing Therapy Posttraumatic Stress Disorder PTSD Stress Inoculation Training
Accuracy Verified: Yes
388. Taylor, S. (2003, October-November). Exposure therapy, EMDR and relaxation. In M. Creamer (Chair), PTSD treatment outcome predictors. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .
Language: English
Format: Conference
Abstract:
Several psychosocial treatments appear to be effective in treating
posttraumatic stress disorder (PTSD). However, little is known about
the predictors of treatment outcome. It is possible that some variables
predict poor outcome for some treatments but not for others.
To investigate this issue, outcome predictors were examined for
three 8-session treatments: Exposure therapy (entailing prolonged
imaginal and in vivo exposure), relaxation training, and eye movement
desensitization and reprocessing (EMDR). Sixty people with
PTSD entered and 45 completed treatment. To our knowledge, ours
was the first EMDR study to meet all the Foa and Meadows Gold
Standards for methodologically sound outcome research.
Treatments did not differ in attrition or perceived credibility.
Predictors of treatment outcome in PTSD:
While psychological treatments for PTSD have developed considerably
in recent years, large variation in individual treatment response
is apparent. This symposium integrates research from the USA,
Canada, and Australia to examine the impact of personal characteristics,
childhood abuse history, and treatment setting as predictors
of response to cognitive behavioral interventions.
PTSD treatment outcome predictors: Exposure therapy, EMDR and relaxation: Exposure tended to be most effective, and EMDR and relaxation
did not differ in efficacy. Low patient ratings of treatment credibility
(assessed in session 2) predicted treatment dropout, regardless of
treatment type. Of the potential outcome predictors examined,
severe reexperiencing symptoms (assessed prior to treatment) predicted
poor outcome for relaxation training but not for the other
therapies. The best predictor of treatment outcome was whether or
not patients received exposure therapy.
Keywords: Exposure Therapy PSTD Outcome Predictors Relaxation Symposium
Accuracy Verified: Yes
389. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]
Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
390. Samec, J. R. (2007, Maj). Externalisering med EMDR för behandlingen av svår enkopres och traumatiserade barn med aggressivt beteende [Externalisation with EMDR for treatment of severe elimination and traumatized children with aggressive behavior]. Medlemsbladet. EMDR Tidningen: Föreningen EMDR Sverige, 9(1), 7-9.
Language: Swedish
Format: Newsletter
Abstract:
Enligt min erfarenhet, är Michael Whites
(1991) externaliserings metod för behandling
av enkopres (se bilagan för en beskrivning)
effektiv. Men med en mer komplicerad form av
enkopres, t.ex. långvarig enkopres hos äldre
barn, räcker externalisering inte alltid till.
Genom att kombinera externalisering med Eye
Movement Desensitization and Reprocessing
(EMDR), kan svårigheterna bearbetas snabbt
och effektivt med bestående resultat. Metoden
förutsätter att barnet har undersökts av en
läkare. Terapeuten bör vara uppmärksam på
eventuella trauman eller andra stressfaktorer
under anamnestagning. Metoden ger också bra
resultat med traumatiserade barn med
aggressivt beteende.
In my experience, Michael White
(1991) externalizing adjustment method for treatment
of enkopres (see annex for a description)
effective. However, a more complex form of
enkopres, e.g. prolonged enkopres elderly
children, enough externalization not always.
By combining outsourcing with Eye
Movement desensitization and Reprocessing
(EMDR), the difficulties can be processed quickly
and effectively with lasting results. The method
assumes that the child has been examined by a
doctor. The therapist should be aware of
any trauma or other stress factors
during history taking. The method also gives good
results with traumatized children
aggressive behavior.
Keywords: Aggression Children
Accuracy Verified: Yes
391. Kitchiner, N. J., Bisson, J. I., & Robert, N. (2005, October). Eye movement desensitisation and reprocessing is now recommended as one of the first-line treatments for post-traumatic stress disorder. Mental Health Practice, 9(7), 19-22.
Language: English
Format: Magazine
Abstract:
Interest in the area of traumatic stress has grown considerably since post-traumatic stress disorder (PTSD) was first classified as a mental health condition in 1980 by the American Psychiatric Association (APA 1980). The current classification can be viewed in Box 1. There is now a well-established literature on the effects of traumatic experience following a range of traumatic events. The National Institute for Health and Clinical Excellence (NICE 2005) has reviewed the evidence base for the treatment of PTSD and recommended trauma-focused cognitive behavioural therapy (TFCBT) and EMDR as the two first-line treatments for PTSD.
Keywords: Posttraumatic Stress Disorder Professional Training PTSD Treatment Effectiveness
Accuracy Verified: Yes
392. Shapiro, F. (1992, July). Eye movement desensitisation and reprocessing: a 'synclectic' view of rapid treatment effects. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure allows the therapist to accelerate treatment of anxiety-based complaints and self-esteem issues associated with traumatic memories. Taped segments of treatment sessions will be used to illustrate the procedure and facets of the unifying theory discussed below.
Keywords: Anxiety Synclectic Treatment Effects Unifying Theory
Accuracy Verified: Yes
393. Muris, P., & de Jongh, A. (1996, August). Eye movement desensitization and reprocessing. Kind en Adolescent, 17(3), 128-134. doi:10.1007/BF03060628.
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een nieuwe behandelingsmethode voor posttraumatische stress–stoornis en andere trauma–gerelateerde angstklachten. In essentie behelst EMDR het volgende: cliënten nemen een traumatische of aversieve herinnering in gedachten en voeren onderwijl oogbewegingen uit door de hand van de therapeut te volgen. Onder invloed van de oogbewegingen zouden negatieve herinneringen hun pathogene karakter verliezen en alsnog adequaat worden verwerkt. Na een beknopte uiteenzetting over de achtergrond van EMDR en de toepassing van deze techniek bij kinderen, wordt de procedure beschreven en toegelicht aan de hand van twee gevalsbeschrijvingen. Speciale aandacht gaat daarbij uit naar behandelingsaspecten die voor het gebruik van EMDR bij kinderen relevant kunnen zijn. EMDR lijkt een nuttige aanvulling op reeds beschikbare behandelingsvormen. Vooralsnog is een kritische houding echter geboden.
Eye Movement Desensitization and Reprocessing (EMDR) is a new treatment for post traumatic stress disorder and other trauma-related anxiety. EMDR involves essentially the following: clients take an aversive or traumatic memory in mind and implement the while eye movements in the hands of the therapist to follow. Under the influence of eye movements were negative memories lose their pathogenic character and still be properly processed. After a brief discussion of the background of EMDR and the application of this technique in children, the procedure is described and illustrated by two case reports. Special attention is paid to aspects of treatment for the use of EMDR in children may be relevant. EMDR appears to be a useful complement the available treatment modalities. For now, however, offered a critical attitude.
Keywords: Anxiety Case Report Children Female Phobias Spider Phobia Posttraumatic Stress Disorder PTSD Trauma-Related Anxiety
Accuracy Verified: Yes
394. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011.
Language: English
Format: Other
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered.
The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma.
EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.
Keywords: Intervention Summary
Accuracy Verified: Yes
395. Parnell, L. (1996). Eye movement desensitization and reprocessing (EMDR) and spiritual unfolding. Journal of Transpersonal Psychology, 28(2), 129-153.
Language: English
Format: Journal
Abstract:
The purpose of this article is to desctibe how EMDR functions therapeutically and explore some of the psychospiritual potentials that may have been associated with its use. EHtically, only licensed mental health professionals and interns who are supervised by EMDR-trained clinicians may practice EMDR. Once such professionals have completed such training, they will also need to apply all of their clinical skils to help their clients safely experience the deep and complex transformations that come about in the intensive sessions. For these reasons, non-therapists and therapist not formoally trained in EMDR should not attempt to use the eye movements of this procedure on themselves and others. (Author purpose]
Keywords: Psychospirituality
Accuracy Verified: Yes
396. ten Broeke, E., & de Jongh, A. (2007). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR) in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (2druk.), (pp. 231-252). Houten/Diegem: Bohn Stafleu van Loghum.
Language: Dutch
Format: Book Section
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren
tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als
een nieuwe methode voor de behandeling van PTSS en andere aan trauma
gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de
procedure is dat de patiënt wordt gevraagd de traumatische herinnering in
gedachten op te roepen en zich te concentreren op (1) het meest akelige
beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de
somatische reacties, waarna een afleidende stimulus wordt aangeboden.
Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts
alternerende handtaps. Maar de meest bekende en meeste gebruikte
methode – EMDR ontleent hieraan immers haar naam –is de patiënt te
vragen met de ogen de hand van de therapeut te volgen, terwijl deze een
aantal snelle bewegingen in het horizontale vlak maakt.
Eye Movement Desensitization and Reprocessing (EMDR) was introduced in the late
eighties by the American psychologist Shapiro (1989a) as
a new method for the treatment of PTSD and other trauma
related mental disorders. Distinctive aspect of
procedure is that the patient is asked the traumatic memory in
mind to recall and concentrate on (1) the most dismal
image, (2) the associated significance, (3) affect the current and (4) the
somatic responses, after which a distracting stimulus is presented.
Examples of such incentives are rhythmic, bilateral left and right show
alternating hand taps. But the most famous and most used
method - this is EMDR derives its name, the patient
questions through the eyes of the therapist to follow, while a
number of rapid movements in the horizontal plane makes
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
397. ten Broeke, E., & de Jongh, A. (1999). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR)in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (pp. 321-338). Houten/Diegem: Bohn Stafleu van Loghum.
Language: German
Format: Book Section
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren
tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als
een nieuwe methode voor de behandeling van PTSS en andere aan trauma
gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de
procedure is dat de patiënt wordt gevraagd de traumatische herinnering in
gedachten op te roepen en zich te concentreren op (1) het meest akelige
beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de
somatische reacties, waarna een afleidende stimulus wordt aangeboden.
Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts
alternerende handtaps. Maar de meest bekende en meeste gebruikte
methode – EMDR ontleent hieraan immers haar naam –is de patiënt te
vragen met de ogen de hand van de therapeut te volgen, terwijl deze een
aantal snelle bewegingen in het horizontale vlak maakt.
Eye Movement Desensitization and Reprocessing (EMDR) was late
eighty introduced by the American psychologist Shapiro (1989a) as
a new method for the treatment of PTSD and other trauma
related mental disorders. Distinctive aspect of
procedure is that the patient is asked the traumatic memory in
mind to recall and concentrate on (1) the most dismal
image, (2) the associated significance, (3) affect the current and (4) the
somatic responses, after which a distracting stimulus is presented.
Examples of such incentives are rhythmic, bilateral left and right show
alternating hand taps. But the most famous and most used
method - this is EMDR derives its name, the patient
questions with the eyes by the therapist to follow, while a
number of rapid movements in the horizontal plane makes.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
398. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012.
Language: English
Format: Other
Abstract:
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]
Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
399. Greenwald, R. (2001, 1999). Eye movement desensitization and reprocessing (EMDR) in child and adolescent psychotherapy. Northvale, New Jersey: Jason Aronson.
Language: English
Format: Book
Abstract:
This book serves several functions. First, it provides an introduction to a trauma-based integrative approach to child and adolescent psychotherapy, incorporating the selective use of EMDR. It also provides a practical reference for clinicians seeking both theoretical and technical guidance on how to use EMDR with children and adolescents, and it serves as a documented standard of care for training and research purposes. [Text, p. xxvi] [Pilots]
Keywords: Adolescents Children Stressors Survivors
Accuracy Verified: Yes
400. Ahmad, A. (2009, November). Eye movement desensitization and reprocessing (EMDR) in children. Presentation at the Globen Child and Adolescent Psychiatry, Stockholm.
Language: English
Format: Conference
Abstract:
During treatment, clients focus on the traumatic memory for 30 seconds at a time while the therapist provides a stimulus. For most clients, the therapist moves his hand slowly back and forth in front of the client (eye movement); for younger children, the therapist may, instead, tap the child's hand. The client reports on what comes up and clients are guided to refocus on that in the next stimulus session. During therapy visits, clients report on the level of distress they feel. In later phases, a positive thought is emphasized during the stimulus sessions. Afterward, clients are asked to focus on residual physical tensions they may feel in order to enhance relaxation.
Keywords: Children
Accuracy Verified: Yes
401. Lindsay, J. K. (1994). Eye movement desensitization and reprocessing (EMDR) in the treatment of rape survivors. University of Oregon. AAT 9519676.
Language: English
Format: Dissertation/Thesis
Abstract:
In the context of managed care, effective short-term treatment has become a priority for psychologists. This is particularly true for the recalcitrant symptoms of PTSD which are often associated with protracted treatment and disappointing outcome.This study investigated the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) as a short-term treatment for PTSD. The independent variable, EMDR, was introduced sequentially in a multiple baseline design across subjects. 5 survivors of rape who met DSM-III-R criteria for PTSD received 4 to 6 weekly sessions of EMDR provided by five licensed psychotherapists with Level 2 EMDR training. Treatment outcomes included (a) large reductions in symptomatology evident in self-monitored data and objective measures, (b) replication of treatment effect in 5 out of 5 subjects, (c) qualitative and behavior change data which corroborate treatment effect, and (d) analyses which demonstrate the clinical significance of the changes, as well as the statistical significance of the differences between pretreatment and follow-up scores (with a confidence level of .05 or beyond). The study suggests that EMDR is very effective for treating long-term, recalcitrant symptoms of PTSD which have not resolved with time or previous therapy. The study provides a methodological model for calibrating treatment and developing accountability for treatment efficacy which can be applied across treatments and settings. [Author Abstract]
Keywords: Adults Empirical Study Females Postttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
402. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N.L., & Muraoka, M. Y. (1998, January). Eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 11(1), 3-24. doi:10.1023/A:1024448814268.
Language: English
Format: Journal
Abstract:
Despite the clinical and social impact of PTSD, there are few controlled studies investigating its treatment. In this investigation, the effectiveness of two psychotherapeutic interventions for PTSD were compared using a randomized controlled outcome group design. 35 combat veterans diagnosed with combat-related PTSD were treated with either (a) 12 sessions of eye movement desensitization and reprocessing, EMDR (n = 10), (b) 12 sessions of biofeedback-assisted relaxation (n = 13), or (c) routine clinical care, serving as a control (n = 12). Compared with the other conditions, significant treatment effects in the EMDR condition were obtained at posttreatment on a number of self-report, psychometric, and standardized interview measures. Relative to the other treatment group, these effects were generally maintained at 3-month follow-up. Psychophysiological measures reflected an apparent habituation effect from pretreatment to posttreatment but were not differentially affected by treatment condition. [Author Summary]
Keywords: Adults Americans Arousal Biofeedback Training Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Treatment Effectiveness Veterans War
Accuracy Verified: Yes
403. de Jongh, A., & ten Broeke, E. (1996, April). Eye movement desensitization and reprocessing (EMDR): Een procedure voor de behandeling van aan trauma gerelateerde angst [Eye movement desensitization and reprocessing (EMDR): A procedure for the treatment of trauma-related anxiety]. Tijdschrift voor Psychotherapie, 22(2), 53-64. doi:10.1007/BF03079287.
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR ) is een relatief nieuwe procedure op het terrein van de psychotherapie. Ervaringen met EMDR geven aanleiding tot hoopvolle verwachtingen van de behandeling van diverse aan trauma gerelateerde angststoornissen, met name post–traumatische stress–stoornis (PTSS). Onderdeel van deze procedure is dat de therapeut bij de cliënt een aantal snelle en ritmische oogbewegingen uitlokt door te vragen zijn of haar vinger te volgen, terwijl de cliënt een beeld van de traumatische herinnering in gedachten houdt. In dit artikel worden de achtergronden en de principes van EMDR belicht en wordt de stapsgewijze procedure uitvoerig beschreven. Een gevalsbeschrijving van een cliënt met een paniekstoornis en een tandartsfobie laat zien dat EMDR kan leiden tot een langdurige vermindering van angstklachten. Tevens wordt ingegaan op de huidige stand van zaken van de wetenschappelijke ondersteuning van EMDR . Het toepassen van EMDR bij PTSSwordt door wetenschappelijk onderzoek gesteund, maar empirische ondersteuning voor de therapeutische effectiviteit van EMDR bij andere angststoornissen ontbreekt.
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new procedure in the field of psychotherapy. Experiences with EMDR give rise to hopes of treating various anxiety disorders related to trauma, especially post-traumatic stress disorder (PTSD). Part of this procedure is that the therapist and the client a number of rapid rhythmic eye movements provoked by asking his or her finger to follow, while the customer a picture of the traumatic memory in mind. This article describes the background and principles of EMDR and highlights the stepwise procedure in detail. A case report of a patient with a dental phobia and panic disorder showed that EMDR could lead to a prolonged reduction of anxiety. It also discusses the current state of the scientific support of EMDR. The use of EMDR in PTSSwordt supported by scientific research, but empirical support for the therapeutic efficacy of EMDR with other anxiety disorders is lacking.
Keywords: Clinical Case Study Dental Phobia Empirical Study Follow-up Study Panic Disorder Phobia Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
404. van Es, A. K. & Schoen, J. M. (2008, Juni). Eye movement desensitization and reprocessing (EMDR): Effect van instructies op de verwerking van nare herinneringen [Eye movement desensitization and reprocessing (EMDR): Effect of instructions on the processing of unpleasant memories]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Op basis van eerder onderzoek door Lee en Drummond (2007), heeft dit onderzoek onderzocht de invloed van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen. Bovendien, dit onderzoek onderzocht of het type van het trauma ook de manier waarop het geheugen wordt verwerkt invloeden. Het onderzoek is uitgevoerd door en onder studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement Desensibilisatie and Reprocessing (EMDR; Shapiro, 1989)-protocol werd gebruikt. De deelnemers (13 mannen en 23 vrouwen, gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van het geheugen was gedesensibiliseerd herbeleven door een van beide of afstand instructies. De resultaten tonen geen verschil in effectiviteit tussen afstand en herbeleven voorwaarden. Verder werden geen verschillen gevonden tussen de condities onmacht en schuld / schaamte. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en de voorwaarden van het type van het trauma worden aangepast. Verder is het aangeraden om een controle conditie toe te voegen aan het onderzoek, om te bepalen of de bilaterale stimuli doeltreffend zijn en of ze invloed op de effectiviteit van de therapeut instructies.
Based on previous research by Lee and Drummond (2007), this research has examined the influence
of the type of therapist instructions (reliving and distancing) on the processing of distressing
memories. Furthermore, this research examined whether the type of the trauma also influences the
way the memory is being processed. The research has been conducted by and among university
students. A detailed protocol – based on the original Eye Movement Desensitization and
Reprocessing (EMDR; Shapiro, 1989) protocol –was used. Participants (13 males and 23 females,
mean age 22.4 year) were asked to recall a distressing memory, after which the content of the
memory was desensitized by either reliving or distancing instructions. Results show no difference in
effectiveness between reliving and distancing conditions. Furthermore, no differences were found
between the conditions powerlessness and guilt/shame. Partly based on the used measures it can be
concluded that the manipulation of the conditions failed. For future research it is recommended that
the protocol be expanded and the conditions of the type of trauma be adjusted. Furthermore it is
recommended to add a control condition to the research, in order to determine whether bilateral stimuli
are effective and whether they influence the effectiveness of therapist instructions.
Keywords: Distancing Reliving Vividness
Accuracy Verified: Yes
405. Deen, M. L., & Droogendijk, J. S. (2008, Juli). Eye movement desensitization and reprocessing (EMDR): Effect van therapeutinstructies op psychologische en fysiologische maten [Eye movement desensitization and reprocessing (EMDR): Effect of therapist instructions on psychological and physiological measures]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Op basis van eerder onderzoek door Lee en Drummond (2007) heeft dit onderzoek onderzocht de invloed
van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen.
De hypothese was dat afstand instructies, instructies ten opzichte van herbeleven, zou leiden tot een
sterkere daling van subjectieve angst en nowness van het evenement. Bovendien was de verwachting dat
de levendigheid van het evenement zou afnemen tijdens de sessie, ongeacht de instructies. In elke
onder de sympathische en parasympathische activiteit van het zenuwstelsel wordt gemeten. Het was
verondersteld dat de sympathische activiteit zou een sterkere daling in de afstand conditie moet beschikken
in vergelijking met de toestand herbeleven. Een sterkere stijging werd verwacht voor de parasympathische activiteit
in de afstand staat, in vergelijking met de toestand herbeleven. Bovendien, aan het begin van de
zitting van de sympathische activiteit hoger zou zijn in het herbeleven conditie dan in de afstand
voorwaarde dat, in tegenstelling tot de parasympathische activiteit. Het onderzoek is uitgevoerd door en onder
universitaire studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement en Desensibilisatie
Reprocessing (EMDR; Shapiro, 1989) protocol - werd gebruikt. De deelnemers (12 mannen en 24 vrouwen,
gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van de
geheugen was gedesensibiliseerd door een herbeleving of afstand instructies. De resultaten tonen geen verschil in
doeltreffendheid (Suds, Nowness-Scale en levendigheid) tussen afstand en herbeleven voorwaarden.
Er was ook geen significant verschil gevonden in het sympathische (PEP) en parasympathische (HR-en
RMSSD) activiteit. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de
voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en het toevoegen van een
controle conditie aan het onderzoek. [Auteur abstracte]
Based on previous research by Lee and Drummond (2007) this research has examined the influence
of the type of therapist instructions (reliving and distancing) on the processing of distressing memories.
It was hypothesized that distancing instructions, compared to reliving instructions, would cause a
stronger decrease in subjective distress and nowness of the event. Furthermore it was expected that
the vividness of the event would decrease during the session, regardless of the instructions. In every
subject the sympathetic and parasympathetic activity of the nervous system is measured. It was
supposed that the sympathetic activity would have a stronger decrease in the distancing condition
compared to the reliving condition. A stronger increase was expected for the parasympathetic activity
in the distancing condition, in comparison with the reliving condition. Moreover, at the beginning of the
session the sympathetic activity would be higher in the reliving condition than in the distancing
condition, in contrast to the parasympathetic activity. The research has been conducted by and among
university students. A detailed protocol – based on the original Eye Movement Desensitization and
Reprocessing (EMDR; Shapiro, 1989) protocol – was used. Participants (12 males and 24 females,
mean age 22.4 year) were asked to recall a distressing memory, after which the content of the
memory was desensitized by either reliving or distancing instructions. Results show no difference in
effectiveness (SUDS, Nowness-Scale and Vividness) between reliving and distancing conditions.
There was also no significant difference found in the sympathetic (PEP) and parasympathetic (HR and
RMSSD) activity. Partly based on the used measures it can be concluded that the manipulation of the
conditions failed. For future research it is recommended that the protocol be expanded and to add a
control condition to the research. [Author abstract]
Keywords: Physiological Measures Psychological Measures Therapist's Instructions
Accuracy Verified: Yes
406. Greenwald, R. (1994, Spring). Eye movement desensitization and reprocessing (EMDR): An overview. Journal of Contemporary Psychotherapy, 24(1), 15-34. doi:10.1007/BF02306581.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy procedure which has been reported to dramatically increase efficiency in the treatment of psychological disturbances rooted in traumatic memories. Following a review of the research on EMDR's efficacy, clinical considerations are addressed, including the client's experience and the potential for negative effects or treatment failure. Finally, the role of EMDR in clinical practice is discussed. Initial reports are encouraging, and further research is recommended. Clinicians who choose to use EMDR are urged to obtain formal training. [Author Abstract]
Keywords: Treatment Effectiveness
Accuracy Verified: Yes
407. Marich, J. (2010, September). Eye movement desensitization and reprocessing in addiction continuing care: A phenomenological study of women in recovery. Psychology of Additive Behaviors, 24(3), 498-507. doi:10.1037/a0018574.
Language: English
Format: Journal
Abstract:
Traditional models of addiction treatment and relapse prevention fail to consider the role that unresolved trauma plays in an addicted woman's recovery experience. Implementing Eye Movement Desensitization and Reprocessing (EMDR) into the treatment process offers a potential solution to this problem. Ten women (alumnae of an extended-care treatment facility) participated in a semistandardized interview to share their experiences with active addiction, treatment, EMDR therapy, and recovery. With the use of A. P. Giorgi's descriptive phenomenological psychological method for analysis, four major thematic areas emerged from the interview data: the existence of safety as an essential crucible of the EMDR experience, the importance of accessing the emotional core as vital to the recovery experience, the role of perspective shift in lifestyle change, and the use of a combination of factors for successful treatment. All 10 women, to some degree, credited EMDR treatment as a crucial component of their addiction continuing-care processes, especially in helping with emotional core access and perspective shift. Implications emerge from the data on how to best implement EMDR into a comprehensive addiction treatment program.
Keywords: Client-Centered Therapy Client Safety Phenomenology Protocols Therapeutic Alliance Therapists Training
Accuracy Verified: Yes
408. Maxfield, L. (2002). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder. In C. R. Figley, (Ed.), Brief treatments for the traumatized: A project of the Green Cross Foundation (pp. 148-169). Westport, Connecticut: Greenwood Press.
Language: English
Format: Book Section
Abstract:
Since Eye Movement Desensitization and Reprocessing (EMDR) was introduced 12 years ago it has become the most researched treatment for PTSD and its efficacy has been widely recognized. EMDR is a comprehensive treatment protocol in which the client attends to emotionally disturbing material in short sequential doses while simultaneously focusing on an external stimulus (therapist-directed eye movements, hand-tapping, auditory tones). This chapter provides an overview of the development of EMDR and Shapiro's Adaptive Information Processing model, which hypothesizes that EMDR works by forging new links between elements of traumatic memories and adaptive information contained in other memory networks. The empirical evidence is examined, with summaries of 12 controlled studies: civilian participants demonstrated a 70 to 90% decrease in PTSD diagnosis after 3 to 4 EMDR sessions, and combat veterans a 78% decrease in PTSD diagnosis after 12 sessions. A concise explanation of the 8 phases of EMDR treatment process is augmented with multiple client vignettes. Finally, a case illustration provides a detailed description of the application of EMDR in the treatment of PTSD (Pilots). [Text, p. 148]
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
409. Shepherd. J., Stein, K., & Milne, R. (2000, July). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder: A review of an emerging therapy. Psychological Medicine, 30(4), 863-871. doi:10.1017/S0033291799002366.
Language: English
Format: Journal
Abstract:
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new form of psychotherapy for PTSD. We critically reviewed randomized controlled trials of EMDR. Methods: A wide range of electronic databases and reference lists of articles obtained were searched and relevant experts were consulted. Studies were critically appraised according to established criteria. Results: We found 16 published randomized controlled trials (RCTs) comparing EMDR with alternative psychotherapy treatments, variants of EMDR, and with delayed treatment groups. Studies were generally small (mean number of patients = 35) and of variable methodological quality, with only 5 reporting blinding of outcome assessors to treatment allocation, and in some cases with high loss to follow-up. In most cases EMDR was shown to be effective at reducing symptoms up to 3 months after treatment. In one case benefit was maintained up to 9 months and in another (uncontrolled) followup treatment effect was present at 15 months. 2 studies suggest that EMDR is as effective as exposure therapies, 3 claim greater effectiveness in comparison to relaxation training, and 3 claim superiority over delayed treatment groups. Of the studies examining specific treatment components, 2 found that treatment with eyes moving was more effective than eyes fixed, while 3 studies found the two procedures to be of equal effectiveness. CONCLUSION: The evidence in support of EMDR is of limited quality but results are encouraging for this inexpensive, simple therapy. Further research is warranted in larger samples with longer periods of follow-up. [Author Abstract]
Keywords: Health Care Costs Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
410. Salkovskis, P. (2002, February). Eye movement desensitization and reprocessing is not better than exposure therapies for anxiety of trauma. Evidence-Based Mental Health, 5(1), 13. doi:10.1136/ebmh.5.1.13.
Language: English
Format: Journal
Abstract:
Comment on: Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316; with the QUESTION: Is eye movement desensitisation and reprocessing (EMDR) effective for trauma or anxiety? Do the presence of eye movements, therapist training, or disorder influence effectiveness?
Keywords: Practice Theory Treatment Effectiveness
Accuracy Verified: Yes
411. Servan-Schreiber, D. (2002, July/August). Eye movement desensitization and reprocessing psychotherapy: A model for integrative medicine. Alternative Therapies in Health and Medicine, 8(4), 100-103.
Language: English
Format: Journal
Abstract:
Provides information on eye-movement desensitization and reprocessing (EMDR), one of the most widely studied treatment for posttraumatic stress disorder (PTSD). Reliance of the procedure on effective ingredients from well-established psychotherapies; Forms of stimulation used; Integrative approach to the patient-therapist relationship.
Keywords: Posttraumatic Stress Disorder Psychotherapy Techniques PTSD
Accuracy Verified: Yes
412. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187.
Language: English
Format: Dissertation/Thesis
Abstract:
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.
Keywords: Adjustment Disorder Empirical Study Exposure Therapy Nonclinical Case Study Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
413. Opdyke, D. C. (1997, March/April). Eye movement desensitization and reprocessing treatment of rape trauma: A case report -- eye movement desensitization and reprocessing (EMDR). Treating Abuse Today, 7(2), 9-12.
Language: English
Format: Magazine
Abstract:
Reports the successful use of EMDR by a male therapist in treating a 39 year old female rape survivor. [Pilots]
Keywords: Adults Case Report European Americans Females Rape Survivors
Accuracy Verified: Yes
414. Greenwald, R. (2006). Eye movement desensitization and reprocessing with traumatized youth. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 246-264). New York: Guilford Press. xx, 316 pp.
Language: English
Format: Book Section
Abstract:
This chapter provides an overview of how eye movement desensitization and reprocessing (EMDR) may be used to treat trauma/loss memories and related symptoms in children and adolescents. The literature on EMDR indicates not only that it works well, but that it may be more efficient than other methods. The reasons for its effect are unclear. Several cases are presented. It is important that clinicians receive formal training to use EMDR, and that it is integrated into a comprehensive trauma-informed treatment approach. [Text, p. 246]
Keywords: Bereavement Child Abuse Children Community Violence Effects Psychotherapeutic Processes Rape Survivors
Accuracy Verified: Yes
415. Yarvis, J. S., & Spivey, C. (2003, Fall-Winter). Eye movement desensitization and reprocessing: Ethical considerations of EMDR marketing, training, and research. The Scientific Review of Mental Health Practice, 2(2), 89-95.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has been both popularized and criticized in recent literature. Although a number of investigators continue to examine the efficacy of EMDR, few articles have critically evaluated the training practices and requirements for EMDR certification. This editorial is a qualitative and informal look into some of the training practices and requirements of EMDR level I training. The marketing of EMDR is discussed to identify ethical concerns relevant to EMDR's promotion. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Ethical Considerations Professional Certification Professional Standards Training Practices
Accuracy Verified: Yes
416. Edmond, T. E. (1998, August). Eye movement desensitization and reprocessing: Evaluating its effectiveness in reducing trauma symptoms in adult female survivors of childhood sexual abuse. University of Texas at Austin. AAT 9824929.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of the study was to evaluate, through the use of a randomized experimental design, the effectiveness of EMDR in reducing trauma symptoms in adult female survivors of childhood sexual abuse. No EMDR research to date has been exclusively comprised of adult survivors of childhood sexual abuse, a historically difficult treatment population. Additionally, while numerous clinical accounts of treatment with sexual abuse survivors have been published, controlled treatment research has rarely been done. Of the studies found that examine treatment efficacy exclusively with this population, none involved the use of random assignment.A sample of 60 adult female sexual abuse survivors were selected and randomly assigned to one of three groups: (1) individual EMDR treatment; (2) individual eclectic treatment; or (3) delayed treatment control group. The participating survivors' trauma symptoms were measured in pretests and posttests on standardized as well as subjective instruments that measured anxiety, posttraumatic stress, depression, negative beliefs about the sexual abuse, emotional distress and desired positive self beliefs. The survivors in the study assigned to the experimental or comparison treatment groups received six 90 minute individual sessions of either EMDR or eclectic therapy. The delayed treatment control group subjects were pretested, asked to delay treatment for six weeks, and after being post tested were assigned a therapist with which to work. Data analysis consisted primarily of multivariate and univariate analysis of variance. The posttest results indicated that EMDR was very effective in reducing the targeted trauma symptoms compared to the control group. Eclectic therapy at posttest was also found to be very effective, resulting in a lack of statistically significant differences between the experimental and comparison treatments. However, analysis conducted at the three month follow-up revealed that EMDR was significantly more effective than eclectic therapy at maintaining therapeutic gains. The results of this study suggest that while both EMDR and eclectic therapy, when applied as brief psychotherapy models of treatment for survivors, can produce significant alleviation of trauma symptoms, EMDR may provide more enduring resolution. These findings have important implications for both survivors and the service providers available to them. [Author Abstract]
Dissertation Abstracts International Section A: Humanities and Social Sciences. 59(2-A), Aug 1998, pp. 0617.
Keywords: Adults Child Abuse Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
417. Paulsen, S. L. (1993, October). Eye movement desensitization and reprocessing: Its role in the treatment of dissociative disorder. Multiple personality/dissociative states: Dissociation: the next ten years. International Society for the Study of Dissociation Fall Conference, Chicago, IL. Rush University.
Language: English
Format: Conference
Abstract:
Eye Movement Desenitization and Reprocessing (EMDR) is a procedure which uses saccadic eye movements as part of a protrocol to detoxify disturbing memories. EMDR has attracted significant attention because of its claims to facilitate recall of repressed material and to relieve the anxiety rapidly. Some patients are able to recall and resolve a disturbing memory during a single session of EMDR, although complex memories require longer. Shapiro (1989, 1991) first described the use of EMDR in patients with Post Traumatic Stress Disorder, and other case studies have described similar results (Wolpe and Abrams, 1991; Kleinknecht & Morgan, 1992). Prelimary studies in larger groups have been reported (Solomon, 1993; Daniels, 1993; Wilson, 1993). This session will discuss the use of EMDR in patients with dissociative disorders.
This session will present the use of EMDR in three areas of the treatment of dissociative disorders: 1) accessing dissociated BASK elements, 2) crisis management, and 3) abreaction. This will be followed by a discussion involving two senior clinicians, Dr. Walter Young, MD, and Richard Lowenstein, MD. A general question and answer will follow.
1. Sandra Paulsen, PhD., will open the session with a general introduction to EMDR and an overview of the general principles of treatment. Following this, she will present a conceptual framework for understanding the use of EMDR insociative disorders using Braun's BASK model. A videotape will be presented which demonstrates the reassociation, one at a time, of BASK elements.
2) Silke Vogelmann-Sine, PhD, will present cases illustrating the use of EMDR in the management of patients in crisis. It will be suggested that the relief provided by EMDR is long-lasting and that EMDR is a cost-effective way to prevent hospitalizations.
3) Steven Lazrove, MD, will discuss the use of EMDR in abreaction. It is proposed that EMDR allows the abreactive work to progress quiickly without traumatizing the patient. This hyposesis will be supported by the presentation of a case including a videotape of the patient's initial EMDR session.
The purpose of this symposium is to expose clinicians to the use of EMDR in dissociative disorders, only. It is not intended to substitute for formal training in use of EMDR.
Keywords: Dissociative Disorder
Accuracy Verified: Yes
418. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391. doi:10.1080/02791072.1994.10472458.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]
Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
419. Taylor, S. (2001, Augusto). Eye movement desensitization and reprocessing: Current debates and comparative efficacy. Psicoterapia Cognitiva e Comportamentale, 7(2), 169-178.
Language: English
Format: Journal
Abstract:
For over a decade, Eye Movement Desensitization and Reprocessing (EMDR) has been used to treat symptoms of PTSD. While EMDR advocates have been enthusiastic of this treatment, EMDR critics have raised several important concerns. This article examines claims presented in this journal by two comentators; one an EMDR critic and the other an EMDR advocate. One argues that dismantling studies that test the effects of bilateral stimulation will end the EMDR controversy. While such studies will provide useful information, such studies are incapable of resolving the controversy. This is because there are several contentious issues concerning EMDR. For clinicians treating PTSD, perhaps the most important question concerns the efficacy of EMDR compared to other therapies. This issue is not addressed in dismantling studies. The other commentator claims that EMDR is the treatment of choice for PTSD. While the literature suggests that EMDR is a useful intervention, the available data does not support their claim. EMDR appears to be no more effective than well-established behavioural and cognitive-behavioural therapies, and there is no consistent evidence that EMDR works more quickly than other therapies. There are currently no empirical guidelines for deciding whether the first choice of treatment should be EMDR or some other intervention, such as behvioural or cognitve-behavioural therapy. Patient preference and therapist expertise in one treatment versus another are important considerations. [Author Summary]
Keywords: Debates Eye Movements Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
420. Drexler, B. M. (1995). Eye movement desensitization and reprocessing: An exploration of use by licensed clinical social workers. California State University, Long Beach, CA. AAT 1377511.
Language: English
Format: Dissertation/Thesis
Abstract:
This exploratory-descriptive study presents an examination of Licensed Clinical Social Workers (LCSWs) who use Eye Movement Desensitization and Reprocessing (EMDR) and of clients with whom they use it. EMDR is a rapid exposure treatment protocol for trauma consisting of a therapeutic interview accompanied by therapist directed eye movements, and is conducted in the context of ongoing therapy.
Results of a mailed survey indicate that the 14 respondents are affluent experienced White/Anglo women working with White/Anglo women in eclectic private practices. They seek effective technologies of psychotherapy and view EMDR as such. They use EMDR with longer term treatments to help clients proceed with therapy when 'stuck'.
Additional research appears warranted.
Keywords: Practice Theory Use by Social Worker
Accuracy Verified: Yes
421. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed
by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety of disorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Performance Enhancement
Accuracy Verified: Yes
422. Goldstein, A., & Feske, U. (1993, Fall). Eye movement desensitization and reprocessing: An emerging treatment for anxiety disorders. ADAA Reporter, 1(4), 1, 12.
Language: English
Format: Newsletter
Abstract:
The eye movement desensitization and reprocessing (EMDR) procedure developed by Shapiro (1889a,b; 1991) is an imaginal exposure and cognitive reprocessing technique for treating negative affect associated with traumatic memories. EMDR requires that the client engage in recall via imagination of the disturbing event and focus on associated affect, cognitions, and body sensations while performing rapid saccadic eye movements by following the repetitive motion of the therapist's hand. After the eye movement set, which usually lasts for about 20 seconds, the client briefly reports on any changes in the image, or co-occurring experiences. The client then engages in the next set of eye movement during which he or she is to focus on any newly, spontaneously generated material. This cycle of imaginal exposure in conjunction with eye movement followed by the client's feedback is continued until the client no longer generates relevant associations, feels comfortable, and reports no discomfort in response to the original memory. At this point a positive cognition is paired with the original scene by having the client imagine the original scene, rehearse the positive statement covertly, and simultaneously engage in eye movement.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
423. Paulsen, S. L. (1995, March). Eye movement desensitization and reprocessing: Its cautious use in the dissociative disorders. Dissociation: Progress in the Dissociative Disorders, 8(1), 32-44.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is described in terms of clinical phenomena, the need for appropriate training in EMDR, and the consistency of neural network theory with BASK theory of dissociation. EMDR treatment failures occur in dissociative disorder patients when EMDR is used without making diagnosis of the underlying dissociative condition and without modifying the EMDR procedure to accommodate it. Careful informed consent and the use of the dissociative table technique can allow EMDR to move successfully to completion in a dissociative patient. Certain "red flags" contraindicate the use of EMDR for some dissociative patients. A protocol for EMDR with dissociative patients is offered, for crisis intervention (rarely appropriate), abreactive trauma work, and integration/fusion. The safety and effectiveness of EMDR's use in the dissociative disorders requires adequate preparation and skillful trouble-shooting during the EMDR. [Author Abstract]
Keywords: Adults Crisis Intervention Dissociative Disorders Females Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
424. Severe, N. D. (1998, July). Eye movement desensitization and reprocessing: Treatment application to post-traumatic stress disorder in a latency-aged multi-traumatized child. California School of Professional Psychology, San Diego, CA. AAT 9820480.
Language: English
Format: Dissertation/Thesis
Abstract:
This document presents an individual case study focusing on the qualitative application of the Eye Movement Desensitization and Reprocessing (EMDR) treatment to PTSD in a latency-aged multi-traumatized child. Theoretical, empirical and clinical descriptions of PTSD and EMDR are presented in order to understand childhood psychological trauma and its treatment. Further, an explanation of childhood psychic trauma is presented to distinguish between single event trauma (Type I Trauma) and multiple exposure to psychologically overwhelming events (Type II Trauma) as defined by Lenore Terr. Child abuse and specifically sexual abuse is described as an example of a Type II trauma that is closely related to the development of post-traumatic symptoms and reactions. EMDR is selected as the main cognitive behavioral treatment to help reduce PTSD symptoms in an 11-year-old male who has witnessed and experienced numerous interpersonal stressor related traumatic events.A clinical review of the child's EMDR focused treatment is summarized in a total of twenty-five sessions that follow Shapiro's EMDR 8-Step Treatment Model. Qualitative changes to the standard adult EMDR protocol made by the treating therapist are presented to illustrate how EMDR can be modified and adapted to work with latency age children. The results of the study suggest that EMDR may be a useful adjunct to an overall treatment plan aimed at ameliorating the traumatic symptoms and developmental difficulties associated with PTSD in children. The author emphasizes the need for the clinician using EMDR with children and adults to constantly target and assess the impact of present stressors and their role in the maintenance of PTSD symptomatology. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0438.
Keywords: Case Report Empirical Study Male Multiple Traumatic Events Nonclinical Case Study Posttrauamtic Stress Disorder Preadolescents PTSD Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
425. Datta, P. C. (1995). Eye movement desensitization reprocessing (EMDR) and clinical hypnosis (CH): Possible role of melatonin in the attenuation of trauma. In G. D. Burrows & R. Stanley, (Eds.) Contemporary International Hypnosis, Proceedings of the XIIIth International Congress of Hypnosis, Melbourne, Australia, August 6-12, 1994 (pp. 177-188). New York: Wiley.
Language: English
Format: Book Section
Abstract:
Eye movement desensitization and Reprocessing (EMDR), also called by some EMD or EMD/R, is a relatively new therapeutic procedure. This therapeutically beneficial procedure was originally designed and envisaged for the treatment of post-traumatic stress disorder (PTSD) by Dr. Francine Shapiro (Shapiro, 1989, a,b). Various subsequent studies showed that -4 sessions (ach of ½ to 2 hrs duration) of EMDR are effective in significantly reducing the traumatic memories and associated anxiety to negligible levels (Lipke & Botkin, 1992; Shapiro, 1989 a,b; Spector & Huthwaite, 1993). There are, however, scanty reports of lack of treatment outcome with EMDR which has been explained by the client’s lack of cooperation in following the procedure or the therapist’s lack of experience (Lipke & Botkin, 1992). Similar reports are available with many other effective therapeutic procedures including clinical hypnosis (CH), mainly where there is “fear of failure” or “anxiety to succeed” present in the client’s mind, in addition to lack of experience of the therapist (Hartland, 1982).
Accuracy Verified: Yes
426. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety ofdisorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Colloquium Performance Enhancement
Accuracy Verified: Yes
427. Foster, S., Lendl, J., & Wilson, D. (1992, July). Eye movement desensitization useful against anxiety, trauma. The California Psychologist, 20.
Language: English
Format: Magazine
Abstract:
The Eye Movement Desensitization
and Reprocessing (EMDR)
procedure, developed by Francine
Shapiro, Ph.D., was introduced as a
new rapid treatment for anxiety and
related traumata. Dr. Shapiro
serendipitously discovered that
lateral eye movements (saccades)
produced a decrease in distress
associated with dysfunctional
thoughts. The basic protocol for
integrating EMDR into clinical work
involves the client performing sets
of saccades (usually when tracking
the therapist's finger) while visualizing
a disturbing image, thinking a
disconcerning thought or focusing
on an unpleasant affect. The result is
- often a rapid working through of
even strong negative feelings, a
disappearance of the upsetting
images and a facilitation of cognitive restructuring of dysfunctional
thoughts.
Accuracy Verified: Yes
428. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.
Keywords: Eye Movements Mechanism of Action Neurobiology Poster Rorschach Test
Accuracy Verified: Yes
429. Taylor, S. (2002, January). An eye on EMDR, does controversial trauma therapy really work?: Con No miracle cure. Parkhurst Exchange, 20(1), 25.
Language: English
Format: Magazine
Abstract:
EMDR is a controversial but widely used method for treating PTSD and other psychiatric conditions. Controversy surrounding EMDR stems from two main sources. FIrst, it lacks convincing scientific rationale. The main intervention in EMDR requires the patient to recall trauma-related memories while also attending to some form of external oscillatory stimulation. This stimulation is typically induced by the therapist moving a finger from side to side, across the patient's field of vision, inducing eye movements. After each set of eye movements, the patient is asked to natice what memories, images, thoughts, or feelings arise, and then more sets of eye movements are induced until distress is reduced.
Keywords: Controversy Efficacy Flaw General Overview Outcome Studies
Accuracy Verified: Yes
430. Kreck, C. (1996, September 4). The eyes heal it: Therapy eases painful memories. Denver, CO: The Denver Post, Rockies, Living, G-01.
Language: English
Format: Newspaper
Abstract:
But a neurological process called Eye Movement Desensitization and Reprocessing as a possible cure for the disorder has piqued interest, and the WHO will send Denver psychiatrist Bert Furmansky across the world to see if the process can help some of the shell-shocked casualties of Afghanistan's civil war.
Discovered and developed by California psychologist Francine Shapiro over the last 10 years, EMDR requires no drugs, may take only three sessions with a trained therapist and isn't
language-based.
Keywords: Abused Children Denver Raped Women Regugees War Veterans
Accuracy Verified: Yes
431. Pinker, S. (2002, June 25). The eyes may have it. Toronto, Ontario: The Globe and Mail, Health, R7.
Language: English
Format: Newspaper
Abstract:
When Sophie read about EMDR in the newspaper, she immediately felt the psychotherapy approach might help her. It was worth a try. She'd been in what she calls regular therapy for several years to resolve divorce issues and had already tried hypnosis and massage therapy, even training as a massage therapist in the process. Despite all this time, effort and money, the 39-year-old communications executive - who chose a pseudonym to protect her privacy - felt little relief from early traumatic memories that were not only distorting her present experiences, but were likely at the root of her failed marriage as well, she said.
Keywords: General Ontario Overview
Accuracy Verified: Yes
432. Shapiro, F. (2004). Facilitator day. Watsonville, CA: EMDR Institute Inc.
Language: English
Format: Other
Abstract:
No abstract available.
Keywords: Facilitator Training Training Manual
Accuracy Verified: Yes
433. PR Newswire. (2001, January 1). Famed EMDR psychologist abandoned her patient in the middle of controversial treatment (EMDR) aimed at helping patient recover from significant childhood abuse. San Francsico, CA: PR News Wire, State and Regional News.
Language: English
Format: Newspaper
Abstract:
EMDR is a treatment modality for use with adults who have been abused as children, which is purported to help them clear their trauma more rapidly and to lead full, productive lives. In using EMDR treatment, a patient is asked to hold in mind an image of the trauma, a negative self-cognition, negative emotions and related physical sensations about the trauma. While doing so, the client is instructed to move their eyes quickly and laterally back and forth for about 15-20 seconds, following the therapist's fingers or some other stimulation device. The patient then reports the images, cognitions, emotions and physical sensations that emerge. This procedure continues until "desensitization" of the troubling material is complete and positive self-cognitions have replaced the previous negative self-cognition.
Keywords: General Overview San Francisco
Accuracy Verified: No
434. Greenwald, R. (1994). Family interventions to enhance child EMDR treatment. EMDR Network Newsletter, 4(2), 7-8.
Language: English
Format: Newsletter
Abstract:
Extensive clinical data suggest that
EMDR can be quite rapid and effective
with children under certain conditions
(Greenwald, in press-a, in
press-b). Desirable therapist qualities
include familiarity with an adequate
repertoire of child-oriented
EMDR techniques, as well as the ability
to develop rapport and enlist the
child's coop eration and perseverance.
Child qualities conducive to successful,
brief treatment include a relatively
limited trauma history, as well
as parental support for healing. This
paper will describe two simple family
interventions which can help to mobilize
parental support for the child's
healing.
Keywords: Children Family Interventions
Accuracy Verified: Yes
435. Wizansky, B. (2001, May). Fashioning EMDR targets with non co-operative Children: Tailoring the technique to the child. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Book Section
Abstract:
Utilising EMDR with non co-operative children presents a challenge to the therapist's
creativity and flexibility. Non co-operation may be based on any one of a number of issues,
such as generalised anxiety, strong need for control, fear of experiencing uncomfortable
emotions. This paper looks at several clinical manifestations of non co-operation in the
therapy room and discusses ways in which these reluctant children have been helped to
identify a target problem and process it.
Keywords: Children Non Co-operation
Accuracy Verified: Yes
436. Parnell, L. (2010). Fear of learning. Vernon, CT: Fair Point Productions.
Language: English
Format: Video
Abstract:
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, the client is a woman who had a life-long fear of learning. She felt anxious whenever she was in a classroom situation, feeling that she would fail and wouldn't be able to learn.
Keywords: Fear of Learning
Accuracy Verified: Yes
437. Mankuta, D., Aziz-Suleyman, A., Yochail, L., & Allon, M. (2012, November). Field evaluation and treatment of short-term psycho-medical trauma after sexual assault in the Democratic Republic of Congo. Israel Medical Assocation Journal, 14, 653-657.
Language: English
Format: Journal
Abstract:
Background: During the horrific war in the Democratic
Republic of Congo during the years 1996–2007 the number
of casualties is estimated to be 5.4 million. In addition, 1.8
million women, children and men were raped, many as a
social weapon of war. Many of these women still suffer
from post-traumatic stress disorder (PTSD) and mutilated
genitals.
Objectives: To assess a short-term interventional team for
the evaluation and treatment of sexual trauma victims.
Methods: The intervention program comprised four components:
training the local staff, medical evaluation
and treatment of patients, psychological evaluation and
treatment of trauma victims, and evacuation and transport of
patients with mutilated genitals. A diagnostic tool for posttraumatic
stress disorder (PTSD) – the Impact Event Scale
(IES) – was used. The psychological treatment was based
on EMDR (eye movement desensitization and reprocessing)
principles. Using questionnaires, the information was
obtained from patients, medical staff and medical records.
Results: Three primary care clinics were chosen for intervention.
Of the 441 women who attended the clinics over
a period of 20 days, 52 women were diagnosed with severe
PTSD. Psychological intervention was offered to only 23
women because of transport limitations. The most common
medical problems were pelvic inflammatory disease
and secondary infertility. Nine patients suffered genital
mutilation and were transferred for surgical correction. The
32 local nurses and 2 physicians who participated in the
theoretical and practical training course showed improved
knowledge as evaluated by a written test.
Conclusions: With the short-term interventional team model
for sexual assault victims the combined cost of medical and
psychological services is low. The emphasis is on training
local staff to enhance awareness and providing them with
tools to diagnose and treat sexual assault and mutilation.
Keywords: Congo IES Impact of Event Scale Sexual Assault Trauma Violence
Accuracy Verified: No
438. Everly, G. (2002, March/April). Finding help. Psychology Today, 35(2), 34.
Language: English
Format: Magazine
Abstract:
A less traditional approach called eye movement desensitization and reprocessing
(EMDR), which initially required patients to fix their eyes upon the therapist's rapidly
moving finger, instead now employs oscillating taps or tones while the patient
concentrates upon the traumatic event in the hope of becoming desensitized to it.
Controlled research on EMDR is largely supportive and many practicing clinicians
report positive results with their patients.
Keywords: General Overview Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
439. Glang, C. (1995). Finding the “PATH” in pathology: An approach to cognitive interweave. EMDR Network Newsletter, 5(2), 5-6.
Language: English
Format: Newsletter
Abstract:
One approach to using cognitive interweave
is to view the client's symptom as an ineffective attempt to meet a healthy need. If we can correctly identify the underlying need, we can
seek a more efficient route toward its
fulfillment . I think of this as finding
the "path" in pathology. The following
two cases illustrate how this strategy
can guide the therapist's thinking
in utilizing cognitive interweave.
Keywords: Cognitive Interweave
Accuracy Verified: Yes
440. Cahill, S., Foa, E., Rothbaum, B., & Resnick, P. (2004, November). First do no harm: Worsening or improvement after prolonged exposure. In A. Maercker & G. Berthold (Chairs), Beyond RCT research: Evaluating cmmon and new treatment components. Symposium conducted at the 20th International Society of Traumatic Stress Studies Conference, New Orleans, LA .
Language: English
Format: Conference
Abstract:
During the past years, PTSD treatment competencies raised tremendously
due to the development and evaluation in randomized controlled trials.
Exposure and cognitive restructuring techniques are basics of a variety of
effective psychotherapies. Our symposium discusses challenges, possible
shortcomings, implications, and new applications of efficacious techniques
(e.g., using the internet).
First do no harm: Worsening or improvement after
prolonged exposure: Despite a substantial body of research accumulated over the 15 years indicating
that exposure therapy programs are highly effective in reducing
PTSD symptom severity and associated anxiety and depression across a
wide range of trauma populations, few therapists utilize this treatment. One
reason offered by therapists for not providing this treatment is their concern
that exposure therapy may result in symptom worsening among individuals
with PTSD (Becker et al., 2003). The purpose of this study was to
investigate the frequency of symptoms worsening and symptom improvement
following Prolonged Exposure (PE), one particular exposure therapy
protocol developed for use in the treatment of PTSD, across five separate
treatment studies (Foa et al., 1991, 1999, in preparation; Resick et al., 2002;
Rothbaum et al., in preparation) and to compare it with other forms of cognitive
behavior therapy (stress inoculation training, cognitive processing
therapy, EMDR) and waitlist controls. Preliminary results based on two of
the five studies (Foa et al., 1999; in preparation) found worsening of PTSD
symptom in less than 1% of participants completing active treatment (N =
162) and 8% of participants completing waitlist (N = 39). PTSD symptom
improvement was found in 90% of participants completing cognitive behavior
therapy (N = 149) compared to 36% participants completing waitlist.
Keywords: Prolonged Exposure Symposium
Accuracy Verified: Yes
441. Fowler, K. B. (2007, January). The first symptoms of psychosis. Schizophrenia Bulletin, 33(1), 16-18. doi:10.1093/schbul/sbj025.
Language: English
Format: Journal
Abstract:
Episodes of significant depression have been a part of my life for as long as I can recall, but psychosis was unknown to me until I was in my mid-thirties, months after the birth of my second child. At first, all I recognized were the emerging symptoms of postpartum depression in the weeks after the birth: a familiar scenario, since it had also occurred with my first child. My doctor immediately prescribed 50mg of Prozac daily. I took the medication, felt much better, and continued to breastfeed my second daughter with no apparent problems. In fact, for about four months I felt better than I had in years. My therapist, an LCSW, was thrilled with my progress. She had been treating me with a technique called Eye Movement Desensitization and Reprocessing (EMDR). The therapy worked. In this article I present essays. These essays are my recollections of some of the new, and very foreign, moments in the beginning of that process, as my mind gradually turned from sane to psychotic. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: First Symptoms Psychosis Postpartum Depression Schizophrenia Symptoms
Accuracy Verified: Yes
442. Browning, C. (1999,September). Floatback and float forward: Techniques for linking past, present and future. EMDRIA Newsletter, 4(3), 12, 34.
Language: English
Format: Newsletter
Abstract:
The standard EMDR protocol calls for targeting the past origins of a disturbance, present day triggers and creating templates for appropriate behavior in the future (Shapiro, 1995). Some clients, however, may have difficulty connecting their current problems to past events. Similarly, other clients may have difficulty creating positive future templates, especially if the client is anxious about trying new behavior. For these problems the Floatback and Float-forward Techniques, developed by the EMDR Institute Trainer, William Zangwill, Ph.D., are effective methods for linking past, present and future in a clinical setting and providing the therapist with tools for competently addressing both of these issues.
Keywords: Floatback Float Forward
Accuracy Verified: Yes
443. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.
Language: Spanish
Format: Conference
Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas.
LA TÉCNICA DE FLOTAR HACIA ATRÁS
Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia.
Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente".
Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual.
Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica.
El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas.
Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas.
LA TÉCNICA DE FLOTAR HACIA DELANTE
Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR.
Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones.
Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?"
Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral.
Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares.
Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura.
A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.
EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues.
THE ART OF FLOATING BACK
Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently.
To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. "
Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material.
It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique.
The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations.
In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses.
THE ART OF FLOATING FORWARD
While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR.
To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions.
Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?"
Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation.
If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements.
Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe.
To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.
Keywords: Floatback Technique Float Foward Technique
Accuracy Verified: Yes
444. Grand, D. (2001, May). Flow EMDR - Advanced clinical practice. Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
Although the structured protocols and procedures of EMDR practice have provided therapists
with enhanced healing opportunities, the awkwardness of the procedure remains unnatural to
many EMDR therapists. However, EMDR can be modified to a more natural face-to-face
flowing treatment process.
This presentation will comprehensively examine flow EMDR and its dual naturalising
components of "essential listening" and extended bi-lateral stimulation. "Essential listening"
entails the therapists accepting that all potential answers reside in the clients system.
This information and the ensuing healing process is supported by the therapist suspending all meta
communications emanating from the client. Following this procedure, combined with the
targeted information of the protocol activated by bi-lateral stimulation, allows the client to
process information until they arrive at their "essential truths".
Flow EMDR also utilises longer sets and/or continuous bi-lateral stimulation afforded by
auditory and tactile stimulation. Innovations in eye movement, called ''paint brushing", will
also be demonstrated with varied pace, direction, pausing and distance. Auditory stimulation
will be reviewed as to its current modes and tactile stimulation will also be explored in terms
of tapping, pressing and mechanical activation.
Flow EMDR also actively integrates ego state work, part protocols, multiple protocols,
parallel protocols, self questioning interweaves, targeting of present mood states, resource
activation's of locating and installing positive body sensations and body processing enhanced
by colour and image associations.
This presentation will include lecture, clinical demonstratipn, audience participation and
extensive hand-out material.
Keywords: Essential Listening Flow EMDR
Accuracy Verified: Yes
445. Russell, M. C., & Friedberg, F. (2010). Formation, accès au traitement et recherche sur les interventions dans les cas de trauma dans les forces armées [Training, access to treatment and intervention research in cases of trauma in the military]. Journal of EMDR Practice and Research, 4(2), 18E-26E. doi:10.1891/1933-3196.4.2.E18.
Language: French
Format: Journal
Abstract:
Depuis 2001, les guerres en Irak et en Afghanistan exercent une pression considérable sur la médecine militaire pour gérer efficacement la demande croissante de soins en santé mentale du personnel déployé. Cet article examine la capacité du Ministère de la défense des Etats-Unis à fournir des services de santé mentale de qualité en fonction de la disponibilité (a) de la formation clinique, (b) des interventions en santé mentale et (c) de la recherche subventionnée portant sur les traitements de l'état de stress post-traumatique. Alors que des progrès notables ont été réalisés au niveau de l'accès au traitement cognitivo-comportemental et des études dans ce domaine, l'Intégration neuro-émotionnelle par les stimulations bilatérales alternées ou EMDR (Eye Movement Desensitization & Reprocessing) est beaucoup moins disponible - peut-être à cause de la controverse actuelle qui entoure la technique. Nous suggérons qu'une meilleure disponibilité des traitements comportementaux basés sur les données probantes, peut-être par le biais de la poursuite d'un récent programme régional de formation, serait bénéfique pour les vétérans qui y ont aujourd'hui peu accès.
Since 2001, wars in Iraq and Afghanistan is considerable pressure on military medicine to effectively manage the growing demand for mental health of deployed personnel. This article examines the capacity of the Ministry of Defence of the United States to provide mental health services quality depending on availability (a) of clinical training, (b) mental health interventions and (c) sponsored research into the treatment of posttraumatic stress disorder. While significant progress has been achieved in access to cognitive behavioral treatment and studies in this field, neuro-emotional integration by alternating bilateral stimulation or EMDR (Eye Movement Desensitization Reprocessing &) is much less available - perhaps because of the current controversy surrounding the art. We suggest that greater availability of behavioral treatments based on evidence, perhaps through the continuation of a recent regional training program would be beneficial for veterans who now have little access.
Keywords: Military Training Trauma Treatment
Accuracy Verified: Yes
446. Sime, W. (1999). From critic to consumer: Evolving personal conceptions of EMDR applications in sport psychology. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.
Language: English
Format: Conference
Abstract:
Initial responses of this presenter to EMDRIA years ago were
not favorable. Now there is cautious optimism that the
procedure is safe, valid, and effective. While multichannel
EEG wave forms do not reveal a significant change in brain
state before and after a bout of training, there may be more
quantifiable measures with newer brain mapping procedures.
Successful cases have been seen ranging from severely
injured athletes fearful of return to competition to an
obsessive/compulsive disorder involving exercise as the
repetitive, problematic behavior. Ironically, the procedure
itself is so routine that it probably is used unknowingly by
some elite athletes who have developed preperformance
routines that involve repetitive left/right motions or eye
movement. Regardless of the function, process, and
mechanism of action, it would appear that EMDR is a
promising technique that can be applied effectively with
athletes who have injury and/or performance breakdown
Keywords: Athletes Performance Breakdown Sports Psychology Symposium
Accuracy Verified: Yes
447. Scholz, R. (2010, June). From mass trauma to chosen trauma - some discriminations and their therapeutic relevance. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The paper is about what usually is referred to as collective
trauma and specifies this term. 'Collective trauma' here
is used as a generic term that covers mass trauma, so called
'simple' large group trauma and chosen trauma. These different
types are defined and the process and conditions are explored
that is needed to transform mass suffering into large group
trauma and then into chosen trauma. Emphasis is laid on the
process' time dimension, which is connected to different types
of memory (body memories, communicative memory, cultural
memory) modes of transition and functions for the psychic life
of a group and its members.
The basic assumption is that trauma always is relational and
thus contains a group dimension that is often ignored and to a
certain degree in some cases for practical reasons is ignorable in
treatment. But in the area of collective trauma this dimension
has to be put into the foreground to gain a sound understanding
from the processes involved.
The paper tries
- to provide EMDR-therapist with a theoretical background to
discriminate between different types of collective trauma,
- to foster an understanding of different types of memories
connected to these different trauma types,
- to convey the knowledge that different types of collective
trauma due to the different dynamics involved ask for different
types of actions,
- to give a tool to understand when and to what extend EMDR treatment
is the method of choice and what else or different is
needed in heaping people to overcome collective trauma.
The innovation is a classification of collective trauma connecting
it too different types of memories that cause different processes.
That allows getting out of the sometimes gloomy use of the term
"collective trauma". The high emotional as well as moral loading
always connected to traumatic experiences tend to obscure a
clear view on the processes at work. But a sound understanding
is needed to take appropriate measures in the different areas.
Keywords: Mass Trauma Symposium
Accuracy Verified: Yes
448. Logie, R. (2012, July). From nightmare to memories. Therapy Today, 23(6), 28-31 .
Language: English
Format: Journal
Abstract:
Eye movement desensitisation and reprocessing (EMDR) is a form of therapy mainly used in treatment of post-traumatic stress disorder and other trauma-related mental health problems. This article outlines the development of EMDR and its use as a psychological treatment, and describes the process of EMDR therapy sessions from the therapist's and client's perspectives. It reports that use of EMDR has become more diverse and looks in particular at its application in 3 areas: depression, obsessive compulsive disorder and pain. It discusses the effectiveness of EMDR treatment and research into its application. It also briefly explains how to train in EMDR.
Keywords: Behavior Therapy Mental Health Problems Posttraumatic Stress Disorder Psychotherapy PTSD Trauma
Accuracy Verified: Yes
449. Adler-Tapia, R. (2006, September). From research to practice: What the research has taught us about training therapists to use EMDR with young children. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Our initial research study explored the therapist's ability to demonstrate fidelity to the EMDR protocol with young children. While data collection focused on documenting fidelity to the EMDR protocol, ancillary data emerged that identified skills and training that therapists needed in order to successfully implement the full EMDR protocol in the treatment of children. The preliminary content analysis of the data from the research group identified six major themes that impact treating children with the full EMDR protocol that include therapist issues, client issues, treatment issues, parent/home environment issues, clinical environment issues and therapist training issues. This presentation will review the findings from the research with focus on teaching specific skills for therapists to improve their practice of using EMDR with young children. Therapists need to understand the implication of attachment and attunement in the therapeutic relationship, the impact of parents and the home environment on the treatment, and learn skills to teach children emotional literacy in order to improve the efficacy of EMDR in the treatment of young children. This presentation will summarize the advanced skills that therapists working with young children will need after completing basic training in EMDR. With consultation focused on EMDR and additional training in using EMDR with young children, the research study has demonstrated that therapists trained in child development and play therapy can successfully implement the full eight phases of EMDR with children.
Keywords: Children
Accuracy Verified: Yes
450. Royle, L., & Kerr, C. (2012). From the general to the specific—selecting the target memory. Journal of EMDR Practice and Research, 6(3), 101-109. doi:10.1891/1933-3196.6.3.101.
Language: English
Format: Journal
Abstract:
This article is an excerpt from the book Integrating EMDR Into Your Practice (Royle & Kerr, 2010), which is a hands-on guide to facilitate the successful integration of eye movement desensitization and reprocessing (EMDR) training into therapists' practice while recognizing that trainees come from a range of theoretical backgrounds. This excerpt focuses on identifying the appropriate target memory and its related negative cognition (NC) in preparation for desensitization. Clients and therapists need to understand the rationale for selecting a particular target utilizing prioritization and clustering techniques. The importance of the belief system is discussed and methods of identifying the initial targets are offered, including the floatback technique. Many practitioners experience difficulty in getting the right NC, and methods for drawing this out are illustrated. Final preparations prior to desensitization are considered as well as the importance of addressing client anxieties and expectations. Throughout the excerpt, case vignettes are used to outline cautions and common pitfalls encountered by the novice EMDR therapist.
Keywords: Client Anxiety Negative Cognition Preparation Phase Target Memory Treatment Plan
Accuracy Verified: Yes
451. van der Kolk, B. A. (2010, July). Frontiers of trauma treatment. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Trauma
Accuracy Verified: Yes
452. Adler-Tapia, R. L., & Settle, C. S. (2009, March). The full works. Counselling Children and Young People, 12-15.
Language: English
Format: Newsletter
Abstract:
Whether you are first learning about Eye Movement Desensitization and Reprocessing (EMDR) or you have participated in EMDR training, the goal of this article is to provide the reader with a brief overview of strategies for using the full protocol with young children. To understand the process by which the phases of the protocol are applied with child clients, it is important to understand the theoretical underpinnings that Adaptive Information Processing (AIP) theory creates as a foundation for healing and health with children. After discussing the application of AIP to children, the article will continue with an overview of skills therapists can use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with references for additional study and training on using EMDR with children. Finally, therapists will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through developmentally suited language and interventions with even the youngest of clients.
Keywords: Adaptive Information Processing AIP Children Child Psychotherapy
Accuracy Verified: Yes
453. Grey, E. (2010, April/May). Gaining clarity … Driving your EMDR practice with the adaptive information processing model. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
The EMDR clinician’s understanding of the tenets of the AIP model and EMDR protocol is necessary for effective case conceptualization and treatment. This workshop is designed to assist the therapist in translating this knowledge into practical application of the AIP by adding an element of fun. Dr Grey is skilled at using analogies and narratives to make highly technical neuroscientific information user-friendly and understandable. His style is down-to-earth and engaging as he “plays” with the information to make it fun and interesting. You will leave the workshop with a stronger understanding of the AIP, 8-Phase Protocol, and the three-pronged approach; and having learned creative tools to apply to EMDR case conceptualization and planning.
Keywords: Adaptive Information Processing Model AIP
Accuracy Verified: Yes
454. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
EMDR
with
people
suffering
from
complex
trauma
often
leads
to
difficulties
regarding
the
treatment
plan,
but
also
during
desensitization,
reprocessing,
with
a
risk
of
major
destabilization,
and
treatment
drop
outs.
Often,
many
targets,
especially
those
coming
from
early
childhood,
are
pre-‐verbal
in
nature
and
stay
therefore
implicit.
Should
we
then
renounce
in
doing
EMDR
with
these
people?
Is
it
possible
to
apply
EMDR
safely
and
without
getting
lost,
adjusting
to
each
person,
so
different
from
another,
and
their
life
events
somewhat
chaotic?
The
gearbox,
through
the
metaphor
of
a
journey
by
car,
suggests
a
hierarchical
processing
structure
to
navigate
through
therapy
with
people
suffering
from
complex
trauma,
which
allows
the
therapist
to
adapt
to
the
client,
his/her
life
context,
knowing
what
to
do,
and
why.
The
result
is
a
more
self-‐confident
therapist,
who
is
able
to
adapt
to
the
client,
being
so
more
flexible
and
safe
while
doing
EMDR.
By
integrating
the
current
knowledge
of
EMDR
for
complex
trauma,
the
gearbox
is
a
dynamic
and
adaptive
tool.
EMDR
en
personas
que
sufren
trauma
complejo
a
menudo
conlleva
dificultades
respecto
al
plan
terapéutico
y
también
durante
la
desensibilización
y
reprocesamiento,
con
el
riesgo
de
una
desestabilización
mayor
y
el
abandono
del
tratamiento.
Con
frecuencia,
muchos
de
los
objetivos
y,
muy
especialmente
los
que
tienen
su
origen
en
la
primera
infancia,
son
preverbales
y,
por
lo
tanto,
permanecen
implícitos.
¿Deberíamos
renunciar
al
uso
de
EMDR
con
estas
personas?
¿Es
posible
aplicar
EMDR
de
forma
segura
y
sin
perderse,
adaptándose
a
cada
persona,
tan
distintas
unas
de
otras,
así
como
a
sus
eventos
de
vida,
algo
caóticos?
“Gearbox”,
a
través
de
una
metáfora
de
un
viaje
en
coche,
sugiere
una
estructura
jerárquica
de
procesamiento
para
navegar
por
la
terapia
con
personas
que
sufre
trauma
complejo,
lo
que
permite
al
terapeuta
a
adaptarse
al
cliente,
el
contexto
de
su
vida,
sabiendo
qué
hacer
y
por
qué.
El
resultado
es
un
terapeuta
con
más
confianza
en
sí
mismo,
capaz
de
adaptarse
al
cliente,
con
mucho
más
flexibilidad
y
seguridad
mientras
utiliza
EMDR.
Al
integrar
los
conocimientos
actuales
de
EMDR
en
casos
de
trauma
complejo,
“la
caja
de
cambios”
es
una
herramienta
dinámica
y
adaptativa.
Keywords: Gear Box
Accuracy Verified: Yes
455. Hornsveld, H., & Berendsen, S. (2009). Geschiedenis en achtergronden [History and background]. In H. K. Hornsveld & S. Berendsen, Casusboek EMDR, 25 voorbeelden uit de praktijk , (1st Ed.), (pp. 17-25). Houten: Bohn Stafleu Van Loghum, 358 pages. doi:10.1007/978-90-313-7358-1_1.
Language: Dutch
Format: Book Section
Abstract:
‘Eye Movement Desensitisation and Reprocessing’ (EMDR) is een therapievorm die ontwikkeld is voor mensen die last hebben van de gevolgen van een ingrijpende gebeurtenis. Kenmerkend voor de effecten van een ingrijpende gebeurtenis is dat de persoon de herinnering niet kan loslaten; telkens komen beelden terug (soms als flashbacks of nachtmerries) en elke keer blijft de herinnering nare emoties oproepen, zoals angst, verdriet of walging. Tijdens de behandeling zal de EMDR-therapeut vragen weer aan de nare gebeurtenis terug te denken, inclusief de beelden, de gedachten en de gevoelens bij de herinnering. Als de herinnering zo goed mogelijk is opgehaald, starten de ‘eye movements’: de cliänt wordt gevraagd om met de ogen de hand van de therapeut te volgen die zich horizontaal heen en weer beweegt. Aan deze oogbewegingen dankt EMDR zijn naam, hoewel deze oogbewegingen tegenwoordig vaak vervangen worden door geluiden, die door een koptelefoon afwisselend links en rechts worden aangeboden. Bij kinderen worden vaak ‘handtaps’ gebruikt. Na elke set oogbewegingen (of andere stimuli) wordt er gevraagd wat er naar boven komt.
'Eye Movement Desensitisation and Reprocessing (EMDR) is a form of therapy developed for people who suffer from the effects of a dramatic event. Characterize the effects of a drastic event that the person can not release the memory, always come back images (sometimes as flashbacks or nightmares) and each time the memory remains nasty emotions like fear, sadness or disgust. During treatment, the EMDR therapist questions back to the bad event to remember, including images, thoughts and feelings at the memory. If the memory is retrieved as well as possible, start the 'eye movements': THE CUSTOMER will be asked to hand the eyes of the therapist to follow horizontally back and forth. These EMDR eye movement owes its name, although eye movements now often replaced by sounds, by an alternating left and right headphones are offered. When children are often "hand tapping 'is used. After each set of eye movements (or other stimuli) are asked what comes up.
Keywords: History
Accuracy Verified: Yes
456. Lipke, H., Rogers, S., & Errebo, N. (2005, September). Getting past “You weren’t there”: EMDR and the combat veteran. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
The EMDR trauma protocol was based, in part, on Shapiro's early work with combat veterans. In a time of ongoing military conflicts, private practitioners may be encountering the challenges of working with returning veterans for the first time. Using a combination of case examples, videotapes, and research, the presenters will discuss common characteristics of combat veterans, countertransference and other therapist issues, and integration and modification of the EMDR protcol.
Keywords: Combat Countertransference Veteran
Accuracy Verified: Yes
457. Wilensky, M. (2010, April/May). Getting stuck: Navigating through the protocol. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
The focus of this workshop will be the Basic Eight Phase Protocol and most specifically the Three Prongedness (Past, Present, Future) of EMDR. When the Basic Protocol is followed diligently many problems disappear. The presenter will draw on his experience as a supervisor and trainer of EMDR clinicians to demonstrate strategies to deal with mini-impasses in therapy. Questions are welcomed about : how to formulate a treatment plan and find the touchstone memories, how to get well-formed Negative and Positive Cognitions, things to do when reprocessing is stuck, what to do when clients have difficulty identifying emotions, evaluating VOC and SUDs and generating an image with appropriate detail? How does the clinician react when the client "loops" and doesn't seem to progress? Issues of secondary traumatization and vicarious traumatization of the therapist. These and other common questions will be addressed,with ample time for examples and a possible practicum. If EMDR is a church, then the presenter is close to a fundamentalist. We all drift. Let's get back to Basics.
Keywords: Basic Protocol Three-Pronged Approach
Accuracy Verified: Yes
458. Macdonald, H. (2009, October). Getting to grips with the pain protocol. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK.
Language: English
Format: Conference
Abstract:
The Pain Protocol workshop will focus on the practical application of the Pain Protocol (based on Grant and Threlfo 2002); in the context of evidence available regarding its effectiveness. The emphasis of the workshop will be on clinical work using the protocol, and sharing experiences in practice. It is aimed at participants who have completed EMDR training, but who may have not had extensive experience working with this client group using EMDR.
Accuracy Verified: Yes
459. Waldon, A. P. (2004). Goodbye yucky thoughts and feelings: An EMDR workbook for children. LuLu.com and EMDRResources.com.
Language: English
Format: Book
Abstract:
Using this workbook, the child EMDR psychotherapist guides the child client through the EMDR protocol. Visually appealing illustrations based on children's drawings are used to encourage the child to draw imaginal and existing resources for strength, mastery, and comfort. Using these drawings, the therapist prepares the child for processing a trauma. Then, after the child draws a safe place, the therapist uses the workbook to help the child identify the thoughts, emotions, and body sensations related to the trauma. The child is then ready for Phase 4, desensitization and reprocessing of the trauma. The workbook continues by helping the therapist guide the child client through the remaining phases of the protocol, finishing with a Certificate of Accomplishment for the child to keep. Instructions for the therapist and worksheets for the therapist's notes are included. [EMDRResources abstract]
Accuracy Verified: Yes
460. Schneider, C. & Gismondi, M. (1999, February). A guide to the neurodevelopmental "power therapies" and their use in the treatment of PTSD and related somatic complaints . Presentation at the Winter Brain Meeting, Plam Springs, CA.
Language: English
Format: Conference
Abstract:
In this four-hour workshop, we will combine hands-on technique demonstration with psychobiological theory concerning the state-of-the-art psychotherapeutic treatment of trauma and related somatization disorders.
Learning Objectives
(1) Understand the significance and evolution of the Power Therapies, i.e., those new or little known trauma psychotherapy techniques that offer significant improvements over traditional methods in terms of the speed, depth and permanence of trauma symptom
reduction while minimizing client retraumatiza