Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Traumatic Incident Reduction 2041 Results

1. Everly, G. S. Jr., & Lating, J. M. (2002). A clinical guide to the treatment of the human stress response, 2nd ed. Springer Publishing Company.

Language: English

Format: Book

Abstract:
This updated edition of A Clinical Guide to the Treatment of the Human Stress Response reflects the dramatic changes in this field over the past decade. This edition covers a range of new topics, including stress and the immune system, post-traumatic stress and crisis intervention, Eye Movement Desensitization and Reprocessing (EMDR), Critical Incident Stress Debriefing (CISD), Crisis Management Briefings in response to mass disasters and terrorism, Critical Incident Stress Management (CISM), spirituality and religion as stress management tools, dietary factors and stress, and updated information on psychopharmacologic intervention in the human stress response. As with the previous edition, this volume is designed as a comprehensive and accessible guide to both the clinically relevant physiology and treatment of the human stress response. Discussion of treatment protocols, using selected behavioral treatment strategies, is purposefully brief and clinically targeted. Supplemental information for practitioners includes a flow chart on the nature of stress physiology, a relaxation report form, specific protocols for teaching the relaxation response, a self-report checklist designed for health education purposes, and over 700 references. [Springer] Springer Series on Stress and Coping

Keywords: Human Stress Response

Accuracy Verified: Yes

2. Ardeman, G. (2001). An exploratory study examining changes in traumatic memories of a single traumatic event over the course of treatment using EMDR. University of East Anglia, Norwich, England.

Language: English

Format: Dissertation/Thesis

Keywords: Clinical Medicine

Accuracy Verified: Yes

3. Eschenroder, C. T. (2005). "Eye movement desensitization and reprocessing". In M. Linden & M. Hautzinger, Verhaltenstherapiemanual (5th ed.), (pp 163-167). Springer: Berlin Heidelberg. doi:10.1007/978-3-540-75740-5_31.

Language: German

Format: Book Section

Abstract:
"Eye Movement Desensitization and Reprocessing“ (EMDR) ist die Bezeichnung für eine psychotherapeutische Methode, die von der amerikanischen Psychologin Francine Shapiro entwickelt wurde (Shapiro 1998). Das Grundprinzip von EMDR besteht darin, dass die Person sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Körperempfindungen konzentriert, während gleichzeitig die Aufmerksamkeit auf einen äußeren Reiz gelenkt wird. Ursprünglich glaubte Shapiro, dass die Induktion von schnellen rhythmischen Augenbewegungen entscheidend für die Wirkung des Verfahrens sei; es zeigte sich aber, dass auch akustische oder taktile Stimulierungen eine ähnliche Wirkung haben. Dennoch wurde die Bezeichnung EMDR als "Markenname“ beibehalten.

"Eye Movement Desensitization and Reprocessing (EMDR) is the name of the psychotherapeutic method that was developed by American psychologist Francine Shapiro (Shapiro 1998). The basic principle of EMDR is that the person to a traumatic memory and the related thoughts and body sensations concentrated while the attention is directed to an external stimulus. Shapiro originally thought that the induction of rapid rhythmic eye movements essential for the effect of the procedure was, it turned out, however, that even acoustic or tactile stimuli have a similar effect have. Nevertheless, the term EMDR has been retained as a "brand name".

Keywords: Practice Theory

Accuracy Verified: Yes

4. Ouellette, D. W. (2007, September-October). "Getting the war out:" New paradigms for healing post-traumatic stress. Natural Life News & Directory.

Language: English

Format: Newsletter

Abstract:
EMDR is a psychotherapeutic approach developed by Francine Shapiro that uses dual attention stimulation, such as eye movements, bilateral sound, or bilateral tactile stimulation, to resolve symptoms resulting from exposure to a traumatic or distressing event. Clinical trials have demonstrated EMDR's efficacy in the treatment of PTSD. It has shown to be more effective than some alternative treatments and equivalent to cognitive behavioral and exposure therapies.Although some clinicians may use EMDR for various problems, its research support is primarily for disorders stemming from distressing life experiences.

Keywords: Combat Veterans War

Accuracy Verified: Yes

5. Lovett, J. M. (2002, June). "Hospital trauma" in children: When hurting is actually helping. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
"Hospital trauma" may result when medical procedures are painful or frightening, making a child feel threatened or helpless. This presentation will describe three cases of trauma resulting from necessary medical treatment. Participants will watch videos of clinical sessions and view slides which demonstrate ways to integrate EMDR with stories, artwork, and play for treating "hospital trauma." Treatment is aimed at reframing painful and frightening medical interventiions as actually helpful and important. Participants will be able to trace behaviors to their traumatic beginnings and to use EMDR-facilitated stories, plays, and artwork to help children recover from "hospital trauma."

Keywords: Children Hospitals Trauma

Accuracy Verified: Yes

6. Trobisch-Lutge, S. (2010, July). "I am a consequential damage of detention" - Protreacted non-determinability in the reconstruction of traumatic experiences in the descendants of victims of political persecution byt the SED dictatorship in the GDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The descendants of the political persecution by the SED dictatorship in the GDR are in many ways involved in the history of the persecution of their parents. 20 years after the “Wende” the reconstruction of parental distress is distinguished by a high degree of protracted non - determinability. The descendants own traumatic experiences often join fragmented, unsettling memory segments of the parental generation. Confusing persecution practices of the Stasi have often caused grave personal uncertainties and as a consequence, have spread doubts until today about the reliability of autobiographical memories. Internal decision making and processing while living under the conditions of a dictatorship - which included how to deal with their own children, and the external influences of the persecuted parental generation are, from the viewpoint of the descendants, difficult to distinguish from each other. A successful EMDR treatment is - in case of the emotional distress of the descendants of political traumatised people - connected to a process of resolving perplex memory contents. Perpetrator-victim-collusions, which are often found in affected families, add to a concatenation of cumulative traumatic events. The non - determinability in the reconstruction of traumatic experiences cause the formation of traumatic complexes which negatively influence future events in the life of the descendants. Based on interview details of a qualitative study with descendants of victims of political persecution by the SED dictatorship in which the possibilities of handling the more difficult determination of initial traumatic events are discussed. By means of this the author clarifies the central themes of a disconcerting reconstruction of the victim’s parental and own biography.

Keywords: GRD Political Persecution SED Dictatorship Victims

Accuracy Verified: Yes

7. 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

8. フランシーンシャピロ, マーゴット・シルクフォレスト, 市井雅哉 (翻訳) [Shapiro, F., and Forrest, M. S. (Ichii Masaya translator)] (2006年2月). トラウマからの解放:EMDR [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. 大阪：Nikeisha.

Language: Japanese

Format: Book

Abstract:
EMDR、または眼球運動脱感作と再処理、目の動きやハンドタップなどのリズミカルな刺激を利用して外傷の犠牲者を治療するための新しい非伝統的な、非常に短期的な治療法です。シャピロ氏は、臨床心理学者と仲間のアプローチを開発したカリフォルニア州パロアルトで、精神研究所で、これのようにわずか3として90分EMDRセッションは、患者の無効化の不安を軽減した例が報告されます。彼女は1987年に技術を開発する方法説明して、シャピロ氏は、治療について説明しますように機能するかについて、なぜ研究を支援し引き合いに出して推理。彼女はリズミカルな刺激は、プロセスのジャンプに固有の起動することを示唆していると、それらはとても自然治癒を始めることが立ち往生している外傷体験の処理を開始して犠牲者を有効にするには脳の情報処理システムを加速させます。ライターForrestは手法の有効性を実証する数多くのEMDRトレーニングを積んだセラピストによるケーススタディを掴んで提示？とりわけ、心的外傷後ストレスとベトナムのベテランは、夜の恐怖、レイプ被害者の母親と子供もほぼ悲しみに麻痺息子の死の翌年。他の研究は、終末期の患者の成功を支援麻薬中毒者を報告する。

EMDR, or eye movement desensitization and reprocessing, is a new, nontraditional, very short-term therapy for treating trauma victims that utilizes rhythmical stimulation such as eye movements or hand taps. Shapiro, a clinical psychologist and fellow at the Mental Research Institute in Palo Alto, Calif., who developed the approach, reports cases in which as few as three 90-minute EMDR sessions have relieved patients' disabling anxiety. Explaining how she developed the technique in 1987, Shapiro describes the treatment, theorizes about why it works and cites supporting research. She suggests that the rhythmical stimulation inherent in the process jump starts and accelerates the brain's information processing system to enable the victims to begin to process the traumatic experiences in which they have been stuck so that natural healing can begin. Writer Forrest presents gripping case studies from numerous EMDR-trained therapists to demonstrate the effectiveness of the technique?among others, a Vietnam veteran with post-traumatic stress, a child with night terrors, a rape victim and a mother still nearly paralyzed with grief a year after her son's death. Other studies report success helping drug addicts and the terminally ill.

Keywords: Practice Theory

Accuracy Verified: Yes

9. 市井雅哉 [Ichii Masaya]. (2000年5月). トラウマ記憶の処理--EMDR [Treatment of traumatic memories - EMDR]. Human Mind, 91, 2-7.

Language: Japanese

Format: Journal

Keywords: Trauma

Accuracy Verified: Yes

10. Dibajnia, P., Reza Zahirodin, A., & Gheidar, Z. (2012). اثر حساسيت زدایي چشمي حرکتي بر اختلال استرس پس از سانحه [Eye-movement desensitization influence on post-traumatic stress disorder]. Pejouhandeh Journal, 16(7), 322-326.

Language: Persian

Format: Journal

Abstract:
چکيده سابقه و هدف: ا ختلال پس از سانحه ) Post traumatic stress disorder ( با شيوع 5 تاا 15 درصادي در واول زنادگي 3( ماي تواناد اثرات سوء و زيانباري بر فرد و جامعه وارد كند. پژوهش حاضر با هدف بررسي اثرحساسيت زداياي شایي حركتاي Eye movement desensitization reprocessing ( در كاهش نشانه هاي PTSD در اين دسته از بيیاران انجام شده است. مواد و روشها: تعداد 13 بيیار مبتلا به PTSD به وور تصادفي انتخاب و بوسيله روش EMDR تحت درماان رارار گرفتناد. اولاعاات جیعيت شناختي و نوع يادآوري حادثه به وسيله دو پرسشنامه محقق ساخته جیع آوري گرديد. هیچنين ميازان ضاربان رلاف، فشاار خون و تعداد تنفس اين بيیاران ربل و بعد از EMDR اندازه گيري گرديد. داده هاا باه وسايله نارم افازار SPSS.16 و روشاهاي آمااري توصيفي و مجذوركا مورد تجزيه و تحليل ررار گرفتند. یافته ها: 50 % گروه مورد مطالعه در رده سني 19 تا 19 سال ررار دارند و 10 % را زنان تشكيل ميدهند. EMDR به وور باارزي ناوع و گونگي يادآوري سانحه را تغيير داد. ميزان فشار خون، ضربان رلف و تعداد تنفس به وور معناداري هیراه با يادآوري ساانحه افازايش

Background: The 5% to 25% prevalence of post-traumatic stress disorder (PTSD) during life-time can cause irrefutable harms an individuals and society. This research carried out to examine; or not eye movement desensitization and reprocessing (EMDR) treatment can improve PTSD symptoms. Materials and methods: 71 patients (56 females and 15 males) have been selected randomly. Demographic and kind of trauma-reminding information were collected by two questionnaires. Blood pressure, Heart beating and Breathing numbers before and after EMDR were measured. Data were analyzed by descriptive statistic and Q2 using SPSS software version 16. Results: 59% of patients were under 20-30 years old. 79% were females. According to the results, EMDR resulted to significant reduction of trauma reminding. Blood pressure, heart beating and breathing increased by trauma reminding significantly. ‍Conclusion: EMDR techniques promote improvement of negative symptoms of PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

11. محمد نريمانی * و سوران رجبی [Narimani, M., Ahari, S. S., & Rajabi, S.] (2010, Winter). مقايسه تاثير روش حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) با درمان شناختی ـ رفتاری (CBT) در درمان اختلال استرس [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder]. مجله علوم پزشکی دانشگاه آزاد اسلامی ، واحد پزشکی تهران، 19 (4), 236-245 [Medical Sciences Journal of Islamic Azad University, Tehran Medical Branch, 19(4(58)), 236-245].

Language: Persian

Format: Journal

Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويی، از روش های درمانی حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) و شناختی- رفتاری (CBT) در درمان اختلال استرس پس از ضربه (PTSD) استفاده می شود. هدف اين مطالعه بررسی تفاوت تاثير دو روش درمانی EMDR و CBT در اختلال استرس است. روش بررسی: در اين مطالعه مورد شاهدی 51 رزمنده مبتلا به PTSD بستری در بيمارستان ايثار اردبيل يا ساکن در شهر اردبيل به روش نمونه گيری تصادفی ساده انتخاب شدند و به صورت تصادفی به سه گروه تقسيم شدند.روش مطالعه، آزمايشی گسترش يافته و طرح تحقيق از نوع پيش آزمون ـ پس آزمون چندگروهی بود. ابزارهای مورد استفاده شامل آزمون خاطره های آزاردهنده، مقياس براشفتگی ذهنی، مقياس شناخت واره های مثبت و مقياس اضطراب و افسردگی بيمارستانی بود. يافته ها: روش های درمانی EMDR و CBT باعث کاهش معنی داری در متغيرهای خاطره های آزاردهنده، اضطراب و افسردگی و برآشفتگی ذهنی شد و ميزان اعتماد به شناخت واره مثبت به طور معنی داری افزايش يافت. روش درمانی EMDR در مقايسه با CBT در کاهش علايم PTSD رزمندگان ايرانی موثرتر بود، با اين وجود هر دو روش در کاهش علايم اين اختلال موثر بودند. نتيجه گيری: با توجه به اثر درمانی EMDR و CBT در درمان PTSD، پيشنهاد می شود به منظور پيشگيری و کاهش علايم اختلال استرس پس از سانحه جنگ در رزمندگان ايرانی از روش های درمانی فوق در مراکز درمانی استفاده شود.

Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. Materials and Methods : In this case-control study of 51 combat PTSD patients admitted to hospital or residing in the sacrifice of Ardabil Ardabil simple random sampling were selected randomly divided into three groups. Methods, expanded testing and research design type were tested before Chndgrvhy test. Test tools used included disturbing memories, anger scale, mental, cognitive scale Varh positive and the hospital anxiety and depression scale. Results : EMDR and CBT treatments significantly reduced the variables disturbing memories, anxiety and depression and mental frustration and level of confidence in recognizing the positive Varh significantly increased. EMDR therapy compared with CBT in reducing PTSD symptoms was more effective Iranian combatants, however, both methods were effective in reducing symptoms of this disorder. Conclusion : According to the therapeutic effect of EMDR and CBT in treating PTSD, is recommended to prevent and reduce symptoms of post traumatic stress disorder in war veterans of the Persian mentioned therapies used in treatment centers.

Keywords: Anxiety Anxiety Disorders CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Depressive Disorders Iranians Middle Aged Posttraumatic Stress Disorder PSTD Treatment Effectiveness Veterans War

Accuracy Verified: Yes

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

Language: Persian

Format: Journal

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

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

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

Accuracy Verified: Yes

13. محمد جواد احمدى زاده *، حسين اسکندری ، محمدرضا فلسفى نژاد و احمد برجعلی [Ahmadizadeh, M. J., Eskandari, H., Falsafinejad, M. R., & Borjali, A.] (2010, Fall). مقایسه اثر بخشی جنبش چشم "شناختی رفتاری" و " حساسیت زدایی بازفرآوری "مدل های درمان در بیماران مبتلا به جنگ پس از سانحه اختلال استرس [Comparison the effectiveness of “cognitive-behavioral” and “eye movement desensitization reprocessing” treatment models on patients with war posttraumatic stress disorder]. Iranian Journal of Military Medicine, 12(3), 173-178.

Language: Persian

Format: Journal

Abstract:
Aims: Post Traumatic Stress Disorder (PTSD) is an anxiety disorder which can develop after exposure to any event which results in psychological trauma. Cognitive-Behavioral Therapy (CBT) is the most commonly used treatment for the disease and Eye Movement Desensitization and Reprocessing (EMDR) is a more rapid, relatively recent method. This study was designed with the aim of comparing the efficacy of Cognitive- Behavioral Therapy and Eye Movement Desensitization and Reprocessing method on reduction of specific symptoms and recovery in patients suffering from PTSD due to war. Methods: This experimental study was performed in year 2008. 45 veterans suffering from PTSD were divided randomly into three CBT, EMDR and control groups. Each of the mentioned groups contained 15 members. Two questionnaires including PTSD checklist-military version and symptom checklist 90 revised were applied in order to collect data. Data was analyzed using inferential statistical tests by SPSS 16. Results: Scores of CBT group and EMDR group had a significant difference from control group scores. Conclusion: Both models are effective on reduction of symptoms in PTSD.

Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

14. 杜鹃 [Du Juan] ( 发表时间). 创伤后应激反应的相关因素分析及眼动疗法干预研究 [The analysis of related factors of post-traumatic stress and the research on EMDR intervention]. 山东大学.

Language: Chinese

Format: Book

Abstract:
5EMDR未来的方向对EMDR治疗持不乐观的文献亦较多，如有人指出目前关于EMDR的对照研究没有严格遵照科学的原则，故其有效性有待进一步考证〔34j。另外，关于EMDR在处理创伤的生理学症状所起的作用和机制的探讨，还不是很清楚，缺乏更多的实证研究。...

[2.1.5. The future of EMDR. There are also many articles which hold negative attitudes on EMDR treatment. Some people pointed that the current control study of EMDR does not follow strictly the scientific rules. Thus, proofs of its effectiveness are needed. Moreover, the exploration of the function and mechanism of EMDR in the treatment of traumatic physiology symptoms is still unclear and yet to be proved…]

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

15. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.

Language: Chinese

Format: Conference

Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)

Keywords: Complication Grief Personality Theory

Accuracy Verified: Yes

16. 太田茂行 [Ota Shigeyuki]. (2008年6月). 外傷的死別体験への支援太田茂行 [Support for traumatic bereavement]. こころのりんしょう第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 241-246].

Language: Japanese

Format: Journal

Keywords: Bereavement

Accuracy Verified: Yes

17. 田中究, 井上浩一 [Tanaka Kiwamu, and Inoue Koichi]. (1999). 子ども時代の虐待の記憶をEMDRで扱う ―記念日現象が明らかとなった季節性うつ病の一例― [EMDR treatment for childhood traumatic memories - A case of seasonal depression as an anniversary phenomenon]. こころの臨床ア・ラカルト, 18(1), 69-75 [Clinical Psychology: Various Aspects, 18(1), 69-75].

Language: Japanese

Format: Journal

Keywords: Anniversary Phenomenon Childhood Depression Traumatic Memories

Accuracy Verified: Yes

18. 平岡篤武 [Hiraoka Atsutake]. (2006). 子供のための福祉施設で子供とEMDRセッションは、性的逸脱行動を示したこと [EMDR sessions with a child in the welfare facility for children having shown sexual deviant behaviour]. Kodomo no Gyakutai to Negurekuto, 8(1), 29-38.

Language: Japanese

Format: Journal

Abstract:
ここでは子供のための福祉施設のケアの逸脱性行動を示す子とEMDRセッションについて報告されている。 1）半構造化面接をするため、自己観察は、被害者への思いやりの実現に向けて子供の可能性に関しての状況を明らかにするために、さらに犠牲者を間違って、積極的な海峡および/または支配の最終的な存在行うことで配置された。また、常軌を逸した性的行動の背後にある可能性経験に基づいて、以前の子供が性的虐待の被害者自身をしていたかどうかを確認する必要があった。 2）それが唯一の光/非重大な逸脱、人は性的虐待された逸脱子供の可能性に反映して、その存在に基づいて、必要と考えられるでしょう一般的にも。 3）は、事件の記録として性的虐待からフラッシュバックを説明し、EMDRは、性的逸脱行動が消失することが効果を適用した。過去のトラウマ記憶EMDR使用することで子供は開発中の通常のイニシアチブ-豊かな生活に戻ったことで、'安全なメモリに変更されました。 4）被害者にされて消えてしまった被害者を有するとの間のリンクとして、保護と介入手段を検討して児童相談センターや福祉施設からの協調努力のために、将来の必要性がある。 [著者抄録]

Here is reported about EMDR sessions with a child showing deviant sexual behaviour, in the care of the Welfare Facility for Children. 1) Semi-structured interviews were arranged in order to clarify the situation with regards to the child's potential for self-observation, compassion for the victim, realization of having done the victim wrong, further the eventual existence of dominating and/or aggressive straits. Further, based upon the possible sexual experience behind the deviant sexual behavior, there was a need to find out whether the child earlier had himself been a victim for sexual abuse. 2) Generally even if it only would be considered a light/non-serious deviance, one should, based upon its presence, reflect upon the possibility of the deviant child having been sexually abused. 3) As the case records describe flashbacks from sexual abuse, the EMDR was applied with the effect that the sexual deviant behaviour disappeared. By using EMDR the past traumatic memory was changed into a 'safe' memory, with the child having returned to normal initiative-rich life under development. 4) As the link between being victim and having victimized has disappeared, there is a future need for a coordinated effort from the Child Guidance Center and the Welfare Facility to consider the protection and intervention methods. [Author Abstract]

Keywords: Child Children Sexual Abuse

Accuracy Verified: Yes

19. 陈维樑, 吴薇莉 [Chen Wei-Liang & Li Wu-Wei]. 2010年第05期). 我所认识的EMDR陈维樑 [I know EMDR]. 西華大學學報(哲學社會科學版) 29卷5期 [West China University (Social Science Edition, 29(5))]. doi:cnki:sun:cdsf.0.2010-05-002 .

Language: Chinese

Format: Journal

Abstract:
EMDR是一种对治疗PTSD和其他创伤经历的心理治疗方法,这种方法的有效性得到了大量实证研究的支持。本文讨论了一些人们常问及的关于EMDR的基本问题,同时引用了一些案例和相关研究来帮助人们更好地理解和学习EMDR。

EMDR is the treatment of PTSD and other psychological treatment of traumatic experiences, the effectiveness of this approach are a lot of empirical research support. This article discusses some of the people often asked basic questions about EMDR, but cited a number of cases and related research to help people better understand and learn EMDR.

Keywords: Adaptive Information Processing Efficacy Studies Information Processing of Adaptability Study of Curative Effect

Accuracy Verified: Yes

20. Carlson, J. G., Chemtob, C. M., Rusnak K., Hedlund, N. L., Muraoka, M. Y., 齋藤康子, 齋藤巖 [Carlson, J. G., Chemtob, C. M., Rusnak K., Hedlund, N. L., Muraoka, M. Y., Saitou Yasuko, and Saitou Iwao]. (1997, December). 戦闘活動による心的外傷後ストレス障害に対する眼球運動性脱感作と再構成法(EMDR) [Reconstruction of eye movement desensitization and post-traumatic stress disorder due to combat operations (EMDR)]. バイオフィードバック研究 24, 50-64 [Biofeedback Research, 24, 50-64, 1997-12-20].

Language: Japanese

Format: Journal

Keywords: Combat Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

21. 市井雅哉 , 吉川久史 [Ichii Masaya, & Yoshikawa Hisashi] (2010). 教育講演 EMDR:外傷記憶を処理する心理療法--子どもへの適用,特に自閉症圏の子どもへの適用について (第50回日本児童青年精神医学会総会特集(1)スローガン:螺旋--共生社会への歩み) [Educational lecture: EMDR: The psychotherapy processing traumatic memories, applying to children, especially to autistic children] . 児童思春期精神医学日本誌、51（3）、275〜280 [Japanese Journal of child and Adolescent Psychiatry and Adjacent Areas, 51(3), 275-280].

Language: Japanese

Format: Journal

Keywords: Autism Children Trauma

Accuracy Verified: Yes

22. 張素凰、李元華 [Chang Sue-Hwang, & Li Yuan-Hua]. (2003年，10月). 眼動和情緒：眼球運動的作用在治療機制 EMDR的。 [Eye movement and emotionality: The role of eye movement in the therapeutic mechanism of EMDR]. 論文發表在第42屆大會的中國心理學會，輔仁大學，台灣 [Presentation at the 42nd annual conference of the Chinese Psychological Association, Fu-Jen Catholic University, Taiwan] NSC 91-2815-C-002-125-H.

Language: Chinese

Format: Conference

Abstract:
Shapiro 認為演動訊息在處理法（EMDR）治療程序中規律的多次快速動眼作業有助於創傷記憶的處理 (Shapiro, 1989a)，但其可能涉及的療效機制之研究尚少。本研究擬從工作記憶模式的角度來探討動眼作業在 EMDR 的療效機制。根據工作記憶模式(working memory model)，動眼作業可視為一種爭奪工作記憶中視覺和空間訊息處理能力(VSSP)系統資源的干擾作業。因此，當回憶創傷事件時，施以動眼作業可降低創傷受害者對於創傷事件記憶的清晰程度，並降低患者對於創傷事件的情緒反應，以達到某種程度的治療目的。實驗一（N = 120）採動眼作業（有、無）× 圖片的性質（正向、負向）× 時間（前測、後測）的三因子混合設計，依變項為圖片影像的清晰度與情緒感受度。實驗二（N = 120）採動眼作業（有、無）× 刺激材料的性質（圖片、影片）× 時間（前測、後測）的三因子混合設計，依變項同實驗一。實驗一與實驗二的結果皆顯示，如同工作記憶模式的預期，動眼作業造成VSSP 所同時處理的影像訊息的清晰度降低，此結果與工作記憶模式的預期一致。另外，本研究亦顯示動眼作業亦造成情緒感受度降低。上述結果顯示動眼作業可能具有臨床治療上的功效，且可藉由工作記憶模式瞭解其療效機制。本研究亦對結果所顯示的意義與未來研究方向提出討論

Eye‐movement desensitization‐reprocessing therapy (EMDR) has recently been the new effective technique to treat post‐traumatic stress disorder and other disorders. Contrasted with other psychotherapies, eye‐movements are the novel component. According to the working memory model, eye‐movements could reduce the vividness of distressing images and the intensity of the emotion associated with the images. In this study, we designed two experiments to test the effects of eye‐ movements on vividness and emotionality of imagery. In Experiment 1, with positive and negative photos as stimuli, the results showed that eye movements significantly reduced the vividness and emotionality of traumatic images. In Experiment 2, with negative photos and negative films as stimuli, we also found eye‐movements significantly reduced the vividness and emotionality of traumatic images. The implications and future research possibilities are discussed.

Keywords: Emotionality Eye Movements Posttraumatic Stress Disorder PTSD Vividness Working Memory

Accuracy Verified: Yes

23. 李元華 [Li Yuan-Hua]. (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然眼動對回憶的影響 [The therapeutic mechanism of eye movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學心理學研究所，台灣 [National Taiwan University Graduate Institute of Psychology, Taiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
李元華眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然眼動對回憶的影響臺灣大學
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色，過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外，同時也提出進一步的假設：雙側眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響，並且也記錄了參與者在回憶時自然眼動的方向性，即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組，眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs的方向性在正負向回憶中是一致的，整體來說偏右向次數大於左向，此並不符合情緒側化理論或情緒右腦理論。另外，相較於非眼動組，眼動組對鮮明度與情緒強度的下降程度最大，凝視組次之，自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異，而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大，此結果並不支持水平雙側眼動的特別療效，也不支持情緒側化理論，而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面，眼動組並無上升趨勢，但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.[Author abstract]

Keywords: Autobiographic Memory Eye Movement Valence-Specific Hypothesis

Accuracy Verified: Yes

24. 李元華 [Li YuanHua] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然眼動對回憶的影響 [The Therapeutic Mechanism of Eye Movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學，台灣 [National Taiwan University, Graduate Institute of PsychologyTaiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討的作用眼球運動在眼動脫敏和再加工（EMDR的）。以往的研究指出，眼球運動能降低生動性和情感中的圖像。除了複製以前的研究，本研究提出一個假設：雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中，減少了生動性和情感性的意象。參加者為 132台大本科生參加了普通心理學課程。本研究操縱三個條件眼球運動，以實現不同的效果中斷生動，情緒和心率在正面和負面的自傳回憶。它也記錄眼球運動方向的自發召回期間，即克萊姆斯（共軛側眼動）。這三個條件的實驗是眼球運動，僅僅是圖像的目光和條件。眼動條件分為水平和垂直運動的團體和凝視條件分為左，右的目光群體。結果表明，該方向的克萊姆斯在正面和負面的回憶是一致的，但數字的右向左凝視超過凝視。價的具體偏側假說和右半球假說的情感都是不支持的調查結果克萊姆斯。此外，最強的中斷生動，情感的是眼睛的運行狀況，其次是凝視條件，而僅僅是提高圖像的條件。生動性和情緒之間沒有顯著不同的水平和垂直眼球運動團體在眼球運動狀況，但是，中斷的生動性和情緒在右凝視組強於左側凝視小組。根據這些發現，特效水平眼球運動不支持，也不是價的具體偏側假說。然而，右半球假說可能得到支持。在負的回憶，心率沒有任何的趨勢，在眼球運動的條件，但越來越多的目光幾乎增加條件和單純的意象條件。總之，結果支持這一假設：雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中，減少了生動性和情感性的意象。最後，本研究探討的理論眼球運動在EMDR的，並提出一個綜合觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: Autobiographic Memory Valence-Specific Hypothesis

Accuracy Verified: Yes

25. 李元華, 張素凰 [Li Yuan-Hua, & Chang Sue Hwang] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然 [The therapeutic mechanism of eye movements in EMDR: the effect of interrupting spontaneous eye movements during recollections]. 臺灣大學:心理學研究所 [Taiwan: Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色，過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外，同時也提出進一步的假設：雙側眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132 名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響，並且也記錄了參與者在回憶時自然眼動的方向性，即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組，眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs 的方向性在正負向回憶中是一致的，整體來說偏右向次數大於左向，此並不符合情緒側化理論或情緒右腦理論。另外，相較於非眼動組，眼動組對鮮明度與情緒強度的下降程度最大，凝視組次之，自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異，而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大，此結果並不支持水平雙側眼動的特別療效，也不支持情緒側化理論，而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面，眼動組並無上升趨勢，但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: autobiographic Memory Eye Movements Valence-Specific Hypothesis

Accuracy Verified: Yes

26. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
陳致豪眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法（Eye Movement Desensitization and Reprocessing; EMDR）是Shapiro（1989a, 1989b）所發展的一套治療方法，最早被用來治療創傷後壓力疾患（post traumatic stress disorder; PTSD，後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾，不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除（dismantling）的方式，運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2（有眼動、無眼動）× 2（正向認知、減敏延長）受試者間設計，探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著，四組的療效相當。在治療階段中，受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降；對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標（心跳速率）在前測時顯著較基線時高，而在後測時回復至接近基線水準，但就微觀歷程分析，治療階段中各組之心跳速率變化為，在第一階段內逐漸上升，階段間休息時心跳速率略為降低，在第二階段開始又逐漸上升。本研究結果亦顯示，就微觀的治療歷程（micro process）而言，在正向認知的治療情境中，僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上，雖曝露法（exposure）本身便具有療效；但眼動能夠進一步促進受試者第二階段中正向認知的相信程度（可能藉由促進訊息處理）。就巨觀的療效指標而言，雖然單一治療次在各組皆有顯著的療效，但是正向認知對療效的影響無組別差異，該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論

Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy

Accuracy Verified: Yes

27. 陳致豪張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上，研討會焦慮症：心理素質，調解員和治療問題。政治大學，台北，台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].

Language: Chinese

Format: Conference

Abstract:
眼動減敏訊息再處理法（Eye Movement Desensitization and Reprocessing; EMDR）是Shapiro（1989a, 1989b）所發展的一套治療方法，最早被用來治療創傷後壓力疾患（post traumatic stress disorder; PTSD，後來也被認為對其他心理疾患具有療效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾，不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除（dismantling）的方式，運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2（有眼動、無眼動）× 2（正向認知、減敏延長）受試者間設計，探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著，四組的療效相當。在治療階段中，受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降；對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標（心跳速率）在前測時顯著較基線時高，而在後測時回復至接近基線水準，但就微觀歷程分析，治療階段中各組之心跳速率變化為，在第一階段內逐漸上升，階段間休息時心跳速率略為降低，在第二階段開始又逐漸上升。本研究結果亦顯示，就微觀的治療歷程（micro process）而言，在正向認知的治療情境中，僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上，雖曝露法（exposure）本身便具有療效；但眼動能夠進一步促進受試者第二階段中正向認知的相信程度（可能藉由促進訊息處理）。就巨觀的療效指標而言，雖然單一治療次在各組皆有顯著的療效，但是正向認知對療效的影響無組別差異，該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論。

[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.]

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium

Accuracy Verified: Yes

28. 熊野宏昭 [Kumano Hiroaki] (1992). 眼球運動により外傷的記憶の脱感作と再体制化を行う技法 [EMDR (Eye movement desensitization and reprocessing) - and re-organization techniques to desensitization of traumatic memories by oculomotor]. 心身医学、4、1331から1337 [Psychosomatic Medicine, 4(11), 1331-1337].

Language: Japanese

Format: Journal

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: Japanese

Format: Book

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

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

Keywords: Practice Theory

Accuracy Verified: Yes

30. 赵国秋汪永光王义强付素芬唐济生曹日芳 [Zhao Guoqiu, Wang Yongguang, Wang Yiqiang, FU Shufen, Tang Jisheng, & Cao Rifang] (发表时间). 胶济铁路交通事故伤员心理危机干预结果分析 [The Analysis of Intervention for Casualties in the Accident on Jiaoji Railway on April 28]. 中国首届心理咨询师大会暨心理危机干预研讨会论文集.

Language: Chinese

Format: Conference

Abstract:
对22名ASD患者进行EMDR治疗，比较EMDR治疗前后的心理行为反应的差异。结果：有22名达到ASD（急性应激障碍）诊断标准，ASD发生率为9.73%，伤员中主要以闯入、警觉性增高表现为主，并伴随着其它的负性情绪体验。女性组心理行为反应结果明显重于男性组，女性组ASD...

(Based on the treatment of EMDR for 22 ASD patients, the comparison of psychological and behavior reaction between and after the treatment is shown. Results: there were 22 patients who reached to the diagnosis standard of ASD (Acute Stress Disorder). The incident rate is 9.73%. The major reaction is the increase of intrusive thoughts and alertness, with some other negative emotional experiences. The result of the psychological and behavior reaction of the female group is evidently stronger than that of the male group. The female group…)

Keywords: Acute Stress Disorder ASD Jiaoji Railway

Accuracy Verified: Yes

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

Language: Korean

Format: Journal

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

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

Keywords: Tic Disorder Tourette’s Disorder Psychotherapy Stress

Accuracy Verified: Yes

32. Βεντουράτου, Δ. [Ventouratos, D.]. (2009). Εισαγωγή στην ψυχοτραυματολογία και στην τραυματοθεραπεία. : Η μέθοδος - EMDR [Introduction to psychotraumatology and trauma treatment and EMDR]. Πεδίο εφαρμογής Εκδόσεων, Αθήνα, Ελλάδα [Field Publications, Athens, Greece] .

Language: Greek

Format: Book

Abstract:
Συχνά, όταν βρισκόμαστε αντιμέτωποι με μια αιφνίδια στρεσογόνο εμπειρία, νιώθουμε απειλή και ανημπόρια. Αν οι προσπάθειές μας να την ξεπεράσουμε ψυχικά δεν επαρκούν, δημιουργούνται μέσα μας εσωτερικά ρήγματα. Συνήθως παγώνουμε ή απωθούμε κάθε ανάμνηση και κάθε συναίσθημα που σχετίζονται με το τραυματικό βίωμα. Οι συνέπειες αυτής της απώθησης είναι διάφορα ψυχοσωματικά συμπτώματα, φοβίες ή κατάθλιψη.
Το βιβλίο εισάγει για πρώτη φορά τον αναγνώστη στα εξειδικευμένα πεδία της ψυχοτραυματολογίας και της τραυματοθεραπείας, που ασχολούνται με την αντιμετώπιση και εξάλειψη των τραυματικών βιωμάτων στους ανθρώπους: η ψυχοτραυματολογία συμμαχεί με το υγιές εγώ και χτίζει με προσοχή μια θεραπευτική σχέση εμπιστοσύνης με στόχο την επεξεργασία και αφομοίωση του τραυματικού βιώματος.
Στο βιβλίο εξετάζεται ειδικότερα η πρωτοποριακή μέθοδος ΕΜDR της Francine Shapiro, που αποτελεί ένα πολύ ισχυρό εργαλείο στα χέρια του έμπειρου κλινικού με θεαματικά αποτελέσματα. Με τη μέθοδο αυτή το τραυματικό βίωμα νοηματοδοτείται και παίρνει τη θέση του σαν ένα ακριβό μαργαριτάρι στον θησαυρό των εμπειριών του ατόμου.

Often, when faced with a sudden stressful experience, one feels threatened and helpless. If our efforts to overcome psychologically inadequate, created through our internal divides. Usually freeze or repelled every memory and every emotion associated with the traumatic experience. The effect of this repulsion is different psychosomatic symptoms, phobias or depression. The book introduces for the first time the reader to specific areas of psychotrafmatologias and trafmatotherapeias, dealing with the treatment and elimination of traumatic experiences in people: the psychotrafmatologia allies with a healthy ego and carefully builds a therapeutic relationship of trust with the aim of treatment and assimilation of traumatic experiences. In particular the book examines innovative method of EMDR Francine Shapiro, which is a very powerful tool in the hands of an experienced clinician with spectacular results. With this method, the traumatic experience and arises only takes its place as an expensive pearl in the treasure the experience of the individual.

Keywords: Psychotraumatology Trauma Treatment

Accuracy Verified: Yes

33. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .

Language: English

Format: Conference

Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.

Keywords: Dissociation Dissociative Disorders

Accuracy Verified: Yes

34. Hennessey, V. (2010, April 10). 'Jane Doe 5' testifies in Pollacci rape hearing. Monterey County, CA: The Herald.

Language: English

Format: Newsletter

Abstract:
The woman said she believes she retrieved memories because her brain is healing from injuries sustained during the incident, not as a result of a controversial form of therapy called eye movement desensitization and reprocessing, or EMDR.

Keywords: Court Hearing Rape Retrieved Memories Testimony Trial

Accuracy Verified: Yes

35. 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

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

Language: English

Format: Conference

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

Keywords: Follow-up Traumatic Memory

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Plenary

Accuracy Verified: Yes

38. 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

39. Corcoran, M. (2001, July 5). 6-string therapy for Dale. Austin, TX: Austin American-Statesman Starr, Sec. XL ENT.

Language: English

Format: Newspaper

Abstract:
Out of hardship often comes great art. That's the message behind "Every Song I Write Is For You," the album by Dale Watson that hits stores July 24. The hard-core honky-tonker wears his heart on his sleeve -- literally, the sleeve of his CD, which features a picture of Teresa Lynn Herbert, the girlfriend he lost to a car accident Sept. 15. She crashed en route to Houston, where Watson had a gig. He had shut off his cell phone at lunch, and when he turned it back on a couple hours later, the caller ID showed that Herbert had called 13 times. "She had something she really wanted to tell me, but I'll never know what," says Watson, who plays every Monday at Ego's. The singer took the tragedy hard, and on New Year's Eve, he swallowed a handful of pills in a suicide attempt. After being evaluated by a psychiatrist, Watson was diagnosed with post-traumatic stress disorder and has been undergoing EMDR treatments. "After about 20 minutes, I'd felt like an 800-pound gorilla had been lifted off my shoulders," Watson says of the hypnosis-like therapy said to rejuvenate sleep-deprived patients. "For four months after Teresa's death, I'd relive it every day, all day. My mind was like a needle stuck in the groove of a record." Watson's next release was supposed to be a live album for Audium/KOCH, but he insisted that this "love song album with no apologies" come out first. "It was an easy album to write, but real hard to record."

Keywords: Austin General Overview

Accuracy Verified: Yes

40. Madoun, S., & Dumonteil, D. (2005). ABC de l'EMDR: La thérapie des émotions [ABC of EMDR: Therapy emotions]. Paris: Grancher.

Language: French

Format: Book

Abstract:
Tout au longe de notre vie, nous subissons des événements traumatisants : maladie, deuil, accident... S'en suivent stress, angoisse, dépression. Une nouvelle thérapie d'origine américaine vient de voir le jour : l'EMDR (Eyes Movement Desensitization and Reprocessing), ce qui signifie : mouvement oculaires de désenbilisation et de retraitement des informations négatives. Validée par un bon nombre d'études dont celle de l'Inserm, l'EMDR nous permet d'éliminer les effets néfastes des chocs émotionnels en favorisant l'apparition des émotions ainsi que leur évacuation. Au travers de récits étonnants, ce livre de référence nous fait comprendre les mécanismes de nos traumatismes, le dérèglement de notre cerveau émotionnel et les moyens de retrouver une vie sereine.

Throughout our lives, we experience traumatic events: illness, bereavement, accident ... Ensuing stress, anxiety, depression. A new therapy from the U.S. just to see the day: EMDR (Eyes Movement Desensitizer and Reprocessing), which means eye movement désenbilisation and reprocessing of negative information. Validated by many studies including that of Inserm, EMDR allows us to eliminate the adverse effects of emotional distress by encouraging the emergence of emotions and their evacuation. Through amazing stories, this reference book helps us understand the workings of our trauma, disruption of our emotional brain and the means to find a peaceful life.

Keywords: Anxiety Depression Stress

Accuracy Verified: Yes

41. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum

Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.

Keywords: Abortion Postpartum Depression

Accuracy Verified: Yes

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

Language: Italian

Format: Dissertation/Thesis

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

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

Keywords: Children Sexual Abuse

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Adoption Neglect Preverbal Trauma

Accuracy Verified: Yes

44. Lynn, B. (2000, September). Accessing pre-traumatic prenatal experience using EMDR: Uncovering a powerful resource of equanimity, integration, and self-esteem in the pre-traumatized self. EMDRIA Newsletter, 5(3), 6-7.

Language: English

Format: Newsletter

Abstract:
This article is a preliminary report on the remarkable results some of my clients and I have been achieving using EMDR to target prenatal trauma, with a focus on the discovery of an experience of the self prior to any trauma occurring and the enormous healing power that derives from revisiting and reactivating this extraordinarily positive pretraumatic experience. It is with some hesitation that I am reporting my experience with prenatal trauma processing, as I do not wish to be seen as on the fringe or even over the edge by my colleagues. However, I realize that I was able to overcome my prejudices -through examination of the facts- about the nature of prenatal experience, when memory begins, and how it can be accessed. I have found there is a body of scientific investigation and knowledge on prenatal experience and trauma, and that indeed we do experience and are influenced by our environment in the womb. We can learn from such experience, and therefore, can be traumatized prior to birth. The prenatal self can feel and record this experience. I refer the reader to www.birthpsychology.com/resources/ index.html for a list of publications on this matter. The various kinds of pre- and perinatal trauma and the deep healing that results when processed with EMDR will be the object of other articles by myself and Dr. Heather Pearson, who is also investigating this same field. What I intend to focus on here is the discovery of a pre-traumatic experience at the embryonic stage, which I have found to be a remarkably powerful internal resource for healing, already developed and installed, simply requiring reactivation. When I saw the powerful healing results of reactivation of this pre-traumatic experience in a number of relatively “stuck” clients, I felt ethically bound to report this immediately to other clinicians using EMDR so that others may benefit.

Keywords: Prenatal

Accuracy Verified: Yes

45. 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

46. Talwar, S. (2007, February). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.

Language: English

Format: Journal

Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee’s bilateral art and Michelle Cassou’s method of painting. A one-session example serves to illustrate its use.

Keywords: Arts Bilateral Art Body-Based Psychotherapy Expressive Arts

Accuracy Verified: Yes

47. Savneet, T. (2007). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.

Language: English

Format: Journal

Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee's bilateral art and Michelle Cassou's method of painting. A one-session example serves to illustrate its use.

Keywords: Art Therapy Art Therapy Trauma Protocol ATTP Creative Arts Therapy Creativity Emotions Memory Neurobiology Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

48. Huber, M., Siol, T., Herholz, K., Lenz, O., Köhle, K., & Heiss, W. D. (2001, December). Activation of thalamo-cortical systems in post-traumatic flashbacks: A positron emission tomography study. Traumatology, 7(4), 131-141. doi:10.1177/153476560100700402.

Language: English

Format: Journal

Abstract:
Trauma victims with post-traumatic stress disorder (PTSD) often experience ‘flashbacks’ that are described as being different from memories of other fearful biographic situations. We used Positron Emission Tomography and Statistical Parametric Mapping to compare in the same subject brain activation patterns during induced flashbacks with recall of fearful non-traumatic situations. During fearful recall there were significant activations of right precuneus. When traumatic memories were compared to neutral, right lingual gyrus, right thalamus / mamillary bodies, and right cerebellum were significantly activated. When brain activation during flashbacks was compared to simple fear, right mediodorsal thalamus (MD), right precuneus, and right cerebellum were significantly more active. With respect to recent experimental evidence concerning the function of thalamo-cortical systems, we hypothesize that post-traumatic flashback experiences are based on hyperactive thalamo-cortical ‘closed loop’ networks.

Keywords: Flashbacks Mediodorsal Thalamus PET Positron Emission Tomography Post-Trauamtic Stress Disorder PTSD Statistical Parameter Mapping Thalamo-Cortical Systems Trauma Victims

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

Accuracy Verified: Yes

51. Amano, T., Selyama, A., & Toichi M. (2012, June). The activity of the brain cortex measured by NIRS during EMDR session of phantom limb pain [La actividad del cortex cerebral medida por espectroscopía casi infrarroja (NIRS) durante una sesión de EMDR en Dolor de Miembro Fantasma]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
We are reporting the case of a female patient with severe chronic pain, which was successfully treated applying a phantom limb pain (PLP) protocol of the Eye Movement Desensitization and Reprocessing (EMDR). The patient is a seventy-‐ year-‐old female, who suffered from paralysis in the left lower limb due to an accident during an orthopedic operation for herniated disc. After the operation, she began to experience sharp pain in the paralyzed limb, and neither nerve blocks nor trials of medicine were effective for this pain. It continued for 8 years until a PLP protocol was applied. During the sessions of the protocol, her sharp pain gradually diminished and virtually disappeared at the end of the EMDR sessions. A follow-‐up interview, held three years after the sessions, confirmed no recurrence. The study was designed to examine the changes of frontal and temporal cortices in the blood flow in brain by NIRS during sessions of EMDR. During the recall of her trauma-‐related events, her heart rate and the blood flow increased in the area of the right superior temporal sulcus. Eye movement with the recall of traumatic events leads to a generalized decrease in brain blood flow. The results suggest that a PLP protocol may be an effective option for the treatment of chronic pain. It is probably because the technique, which is effective for post-‐traumatic stress disorder, can potentially dissolve traumatic pain memory. The findings on blood flow seem to suggest that EMDR is effective in treating PTSD by normalizing excessive cerebral activation, particularly in the right hemisphere, which is related to the memory of trauma.

Presentamos el caso de una mujer con dolor crónico severo tratado con éxito mediante un protocolo de desensibilización y reprocesamiento con movimientos oculares (EMDR) para dolor de miembro fantasma (DMF). Se trata de una mujer de setenta y dos años de edad que sufría una parálisis en la extremidad inferior izquierda debido a un accidente durante una intervención quirúrgica ortopédica por una hernia discal. Tras la operación, empezó a experimentar un dolor agudo en el miembro paralizado; ni los bloqueos nerviosos regionales ni las pruebas con fármacos fueron eficaces para tratar su dolor. Así siguió durante 8 años hasta la aplicación de un protocolo para el tratamiento del DMF. Durante las sesiones en las que se seguía el protocolo, el dolor agudo que sufría disminuía progresivamente y desaparición por completo al finalizar las sesiones de EMDR. Durante una entrevista de seguimiento a los tres años se confirmó la ausencia de una recurrencia del dolor. Se diseñó el estudio para examinar los cambios del flujo sanguíneo cerebral en las cortezas frontal y temporal mediante NIRS en las sesiones de EMDR. Durante el recuerdo de los eventos relacionados con el trauma, se aumentó la frecuencia cardiaca y el flujo sanguíneo en el área del sulco temporal superior derecho. Los movimientos oculares que se producen con el recuerdo de los eventos traumáticos conlleva una disminución generalizada del flujo sanguíneo al cerebro. Los resultados sugieren que un protocolo específico para DMF puede representar una alternativa efectiva para el tratamiento del dolor crónico. Probablemente se debe a que esta técnica que es efectiva en el trastorno por estrés post-‐traumático, tiene el potencial de disolver el recuerdo del dolor traumático. Los hallazgos sobre el flujo sanguíneo parecen sugerir que EMDR es efectivo en el tratamiento del TEPT al normalizar la activación cerebral excesiva, sobre todo en el hemisferio derecho, que guarda relación con el recuerdo del trauma.

Keywords: Brain Cortex NIRS Phantom Limb Pain

Accuracy Verified: Yes

52. 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

53. Fisher, J. A. (2000, November). Adapting EMDR techniques in the treatment of dysregulated or dissociative patients. Presentation at the International Society for the Study of Dissociation Annual Meeting, San Antonio, Texas.

Language: English

Format: Conference

Abstract:
Since its inception, EMDR [Eye Movement Desensitization and Reprocessing] has been understood by both clinicians and patients as a powerful vehicle for processing traumatic experience but one to be undertaken only when the patient has achieved some degree of stabilization (Shapiro, 1992). In DID and DDNOS patients, that baseline stability is also supposed to include a level of internal communication and consensus that would permit cooperation between parts of self about how to tolerate the memory processing and how to re-stabilize afterward. However, as any clinician who works with this population knows, some dissociative disorder patients never achieve that degree of internal coherence, and some have a long, rocky, tumultuous, exhausting road to travel before they get there. Faced with the DID or DDNOS patient who cannot tolerate affect or associations to traumatic memories; who cannot control switching, get grounded, or resolve internal struggles over power and control; who is unable to manage selfdestructive impulses; who cannot differentiate past and present experience; who is even unable to tolerate Resource Development (Korn & Leeds, 2002) or create a Safe Place inside—is there any way that EMDR can be helpful?

Keywords: Dissociation Dysregulation

Accuracy Verified: Yes

54. Miller, R., & Tay, K. H. (2009, August). Adapting the standard EMDR protocol for clients with mild mental retardation: Some guidelines and implications. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
EMDR as a psychotherapeutic approach has been shown to be effective. However, there is a paucity of studies examining the efficacy of EMDR for clients diagnosed with mild mental retardation. The DSM-IV defines mild mental retardation as below average intelligence (IQ between 70 and 55) along with some deficiencies in adaptive functioning skills demonstrated before age 18. The purpose of our clinical project was to explore the applicability of EMDR for our adult clients (n = 12; mean age 22.5) diagnosed with mild mental retardation by adapting the standard protocol. Studies showed that individuals with mental retardation learn and retain information more effectively when materials are presented to them in a visual, concrete, and interactive manner while utilizing the principles of positive reinforcements.
The prevalence of mental health problems and the wide range of clinical symptoms among these individuals have been reported in several studies. Additionally, these adults are misunderstood as being overly limited in their ability to reap any therapeutic benefit from counseling interventions. Prout and Strohmer (1998), for instance, argued that adults with mental retardation do benefit from counseling interventions. However, they stressed the need for more sophisticated or modified use of psychotherapeutic interventions. Psychotherapeutic techniques and models should be modified, if feasible, in regards to language and cognitive levels commensurate with the clients’ background.
Based on our clinical observations, the following are some examples of proposed guidelines to assist the EMDR clinicians in thinking more creatively when adapting the standard protocol.
1) Considerable amount of preparation at the onset of EMDR is necessary, as it plays a pivotal role in ensuring a successful outcome.
2) Visual depiction of the SUDs and VOCs on a scale of 0 through 5, or 0 through 10, depending on the client’s cognitive abilities is beneficial. Use of “faces” to depict concretely various levels of distress should be made.
3) The concepts of PC and NC may be too abstract for some in this population. We assist clients by operationally defining those concepts with the list of commonly used PCs and NCs in simpler language.
4) Coping resources are sometimes limited for these adults. Clients will benefit from having multiple reinforcements of self-soothing skills thorough the installation of the “safe place” and “resources”.
5) Positive reinforcements (e.g., frequent verbal reminders) should be used regularly in sessions throughout treatment. However, be mindful of clients’ desire to please the clinician.
6) Role-playing should be used when feasible throughout treatment, e.g., during the installation of future templates, as it heightens more sensory, affective, and behavioral modes of learning rather than verbal modality alone.
Based on the treatment outcomes reported by our clients, EMDR is an effective treatment option, as evidenced by sustained reduction in their level of distress to traumatic memories. Findings from this clinical project have practice and research implications. First, the standard protocol should be adapted for use with adults with mild mental retardation to achieve optimal gain. Second, empirical research is needed to provide further evidence for the efficacy of EMDR for adults with mild mental retardation.

Keywords: Mental Retardation

Accuracy Verified: Yes

55. Knipe, J. (2010, July). Adaptive information processing as a guiding framework for the treatment of addictive disorders and addictive behavior patterns. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Within our field, the term “addiction” has been used to describe not only chemical dependence but also entrenched, selfdefeating behavior patterns. Either type of addiction may develop in the context of traumatic experience. An impulse to engage in addictive behavior can be thought of as a part of a dysfunctionally-stored memory network connected with traumatic events. In this workshop, an Adaptive Information Processing model of addiction will be presented, including guidelines for treatment planning, preparation, resource installation, urge reduction, and (when necessary) transformation of the addict “identity.” The content of the presentation will be illustrated with video examples.

Keywords: Addictions Addictive Behaviors Addictive Disorders

Accuracy Verified: Yes

56. Twombly, J. (2001, June). Advanced adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants of this workshop will learn how to incorporate EMDR adaptations within treatment stages of Dissociative Disordered clients. They will also learn how to facilitate stability, present time, and height orientation, set up a protective format for processing traumatic material, and applications to ego state work.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

57. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors needs to be carefully evaluated. A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented which take into consideration clients' readiness, as well as the need to accelerate the recovery process. EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as to how such core issues can be targeted to accelerate the recovery process. A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive behaviors. The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing negative cognitions associated with grief and trauma. Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse") because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate "ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use disorder (i.e., functional, autonomous, or both). Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR protocol were employed are presented in detail.

Keywords: Addictions Substance Abuse Symposium

Accuracy Verified: Yes

58. Twombly, J. (2000, September). Advanced EMDR adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn how to incorporate EMDR and EMDR adaptations within the stages of treatment of Dissociative Disordered (DD) clients; 2) learn how to facilitate present time, and height orientation for clients with DDs; 3) learn how to set up a protective format for processing traumatic material with DD clients; and 4) learn how to apply EMDR adaptations in ego state work.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

59. Shapiro, E., & Laub, B. (2010, September/October). Advanced supervision & practicum session with the R-TEP (Recent traumatic episode protocol). Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:

Keywords: Recent Events Recent Traumatic Episode Protocol R-TEP

Accuracy Verified: Yes

60. 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

61. Omaha, J. (2006). Affect centered therapy for substance abuse of traumatic origin. In B. Carruth (Ed.), Psychological trauma and addiction treatment ( pp. 89-113). Binghamton, NY: Haworth Press.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Affect Centered Therapy Substance Abuse

Accuracy Verified: Yes

62. Nielsen, T. (1991). Affect desensitization: A possible function of REMs in both waking and sleeping states. Sleep Research, 20, 10.

Language: English

Format: Journal

Abstract:
Recent evidence (1) that rapid eye movements (REMs) elicited systemically during psychotherapy (Eye Movement Desensitization/Reprocessing (EMD/R) produce immediate and lasting alleviation of post-traumatic stress disorder (PTSD) symptoms suggests that the REMs of REM sleep may serve a similiar affect desensitization function (1.2). Although little is known about how EMD/R works, preliminary, positive results from an independent replication (3) and several independent clinical case studies (4.5) have been reported. Exploration of the relationships between EMD/R and REM sleep may thus prove useful in understanding how both RE/R and REM sleep function to modify affect.

Keywords: Affect Rapid Eye Movements REM

Accuracy Verified: Yes

63. Kirsch, A., & Seidler, G. (2007). Affekt und trauma: Mimisch affektive beziehungsregulation bei gewaltopfern in der EMDR therapie [Affect and trauma: Facial affective behavior and relationship regulation in violence victims during EMDR therapy]. Zeitschrift für Psychotraumatologie, Psychotherapiewissenschaft, Psychologische Medizin (ZPPM), 5(2), 53-66.

Language: German

Format: Journal

Abstract:
Es wird davon ausgegangen, dass Patienten mit PTBS ein spezifisches Interaktionsverhalten in die Beziehung implementieren, das sich im mimisch affektiven Ausdruck und insbesondere im affektiven Mikroverhalten ausdrückt. Das mimisch-affektive Verhalten wurde mit dem Emotional Facial Action Coding System (EMFACS) analysiert. EMFACS ist ein Kodiersystem zur Erfassung von mimischen Expressionen, die den Primäremotionen zugeordnet werden. Zusätzlich wurde das Blickverhalten der Interaktanden kodiert und mit den Emotionen in Beziehung gesetzt. Patienten mit einer akuten Traumatisierung zeigen eine Reduktion der gesamten mimischen Aktivität sowie der Primäremotionen. Bezogen auf das Blickverhalten findet sich bei den PTSD-Patienten ein reduziertes beidseitiges Anblicken. Das mimisch affektive Verhalten der Patienten wurde in der ersten und der letzten EMDR-Sitzung verglichen. Es zeigte sich eine leichte Erhöhung.

It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The facial affective behaviour was coded with the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. Patients with an acute trauma showed a reduction of overall facial expressions and a reduced frequency of facial affects. Taking the gazing behaviour into consideration it became obvious that PTSD patients showed decreased portion of mutual gaze. Furthermore the facial affective expression of the patients' first and last EMDR session was compared. A slight increasing of facial affective expression and also an increase of the psychic complains was found. [Author Summary]

Keywords: Crime Emotional Numbing Posttraumatic Stress Disorder PSTD Survivors

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

65. 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

66. 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.

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: Turkish

Format: Journal

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

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

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

Accuracy Verified: Yes

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

Language: English

Format: Publication

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

Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD

Accuracy Verified: Yes

69. 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

70. Yule, W. (2002). Alleviating the effects of war and displacement on children. Traumatology, 8(3), 160-180. doi:10.1177/153476560200800304.

Language: English

Format: Journal

Abstract:
The mental health of children is severely compromised by war and consequent displacement. Nations have a duty under various UN agreements to alleviate the effects of war on children’s mental health. This paper argues that fostering mental health in communities starts with re-establishing safety, basic health needs, education and recreation. School and other community leaders need education in recognising stress reactions and in providing basic first aid. Large-scale programmes need to be developed and validated for delivery following wars and disasters. Once such validated programme is described. Small group and individual work is also needed. As long as wars and disasters happen, so the international mental health community needs to prepare positively to meet the predictable, but usually unexpected needs.

Keywords: Displaced Children Large Scale Intervention Refugee Children Traumatic Events Traumatization UNICEF War

Accuracy Verified: Yes

71. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag. Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren. Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod. Werkvorm In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.

Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior. Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve. Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment. Form In the presentation combines theory and practice. Video images support the story.

Keywords: Infants Children Pre-Verbal Trauma

Accuracy Verified: Yes

72. Sack, M., Lempa, W., Steinmetz, A., Lamprecht, F., & Hofmann, A. (2008, October). Alterations in autonomic tone during trauma exposure using eye movement desensitization and reprocessing (EMDR) - Results of a preliminary. Journal of Anxiety Disorders, 22(7), 1264-1271. doi:10.1016/j.janxdis.2008.01.007.

Language: English

Format: Journal

Abstract:
EMDR combines stimuli that evoke divided attention – e.g. eye movements – with exposure to traumatic memories. Our objective was to investigate psycho-physiological correlates of EMDR during treatment sessions. A total of 55 treatment sessions from 10 patients with PTSD was monitored applying impedance cardiography. Onset of every stimulation/exposure period (n = 811) was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (HRV), pre-ejection period (PEP) and respiration rate were examined. At stimulation onsets a sharp increase of HRV and a significant decrease of HR was noticed indicating de-arousal. During ongoing stimulation, PEP and HRV decreased significantly while respiration rate significantly increased, indicating stress-related arousal. However, across entire sessions a significant decrease of psycho-physiological activity was noticed, evidenced by progressively decreasing HR and increasing HRV. These findings suggest that EMDR is associated with patterns of autonomic activity associated with substantial psycho-physiological de-arousal over time. [Author Abstract]

Keywords: Adults Germans Empirical Study Impedance Cardiography Posttraumatic Stress Disorder Psychophysiology PSTD Quantitative Study Survivors Treatment Effectiveness

Accuracy Verified: Yes

73. Staff. (2002, November/December). Alternative treatments for anxiety disorders: EMDR. Triumph Newsletter.

Language: English

Format: Newsletter

Abstract: The alternative therapy addressed in this article is Eye Movement Desensitization and Reprocessing (EMDR) developed by Francine Shapiro, Ph.D. in 1987. One day, while walking in a park, Dr. Shapiro made a connection between her involuntary eye movements and the reduction of her negative thoughts. She decided to explore this link and began to study eye movements in relation to the symptoms of Posttraumatic Stress Disorder (PTSD). PTSD is an anxiety disorder that is characterized by the development of symptoms after exposure to a traumatic event. Symptoms can include re-experiencing the event - either in flashbacks or nightmares - avoidance of reminders of the event, feeling jumpy, having difficulty sleeping, having an exaggerated startle response, and experiencing feelings of detachment.

Keywords: Anxiety Disorders General Overview

Accuracy Verified: Yes

74. Engelhard, I. M. (2011, April). Altrecht en de Universiteit Utrecht [Altrecht and Utrecht University]. Casusbesprekingen op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Beschrijving casus: Het Utrechtse samenwerkingsverband dat wordt besproken, betreft een samenwerking tussen Altrecht en de Universiteit Utrecht. Altrecht is een gespecialiseerde ggz-instelling in de regio Utrecht en heeft een lange historie op het gebied van wetenschappelijk onderzoek. Door naast het doen van patiëntenzorg, wetenschappelijk onderzoek te verrichten in samenwerking met universiteiten en andere onderzoeksinstituten ontstaat wisselwerking tussen de klinische en de onderzoekspraktijk die de patiëntenzorg ten goede komt. In diverse onderzoekslijnen (onder meer bipolaire stoornissen, agressie/gedragstoornissen, eetstoornissen, somatoforme stoornissen, ouderen) zijn onderzoekers actief wat zich onder meer uit in internationale publicaties. Om academisering te faciliteren, is Altrecht in 2006 een formele relatie aangegaan met de Universiteit Utrecht. Methoden: De wijze van samenwerken zal worden besproken en geïllustreerd aan de hand van een specifiek onderzoeksproject, te weten een gerandomiseerde en gecontroleerde studie naar de effectiviteit van eye movement desensitisation and reprocessing (EMDR) bij posttraumatische stressstoornis (PTSS). Regionale.

Case Description: The Utrecht partnership that is discussed, a joint venture between Altrecht and Utrecht University. Altrecht is a specialized mental health institution in the region of Utrecht and a long history in scientific research. By also doing patient care, scientific research in collaboration with universities and Other research results interact between clinical and research practice the patient benefit. In several lines of research (including bipolar disorder, aggression / conduct disorder, eating disorders, somatoform disorders, the elderly) are researchers what is itself actively in international inter alia, publications. In order to facilitate academic, Altrecht was in 2006 entered into a formal relationship with the University of Utrecht. Methods: The mode of cooperation will be discussed and illustrated using a specific research project, to out a randomized controlled study of the efficacy of Eye Movement Desensitisation and Reprocessing (EMDR) for post-traumatic stress disorder (PTSD). Regional

Keywords: Case Discussions

Accuracy Verified: Yes

75. Picciano, L. (2009, Fall). Alumni incorporate EMDR into psychodynamic treatment. GSAPP Alumni Newsletter, 10(2), 1,4.

Language: English

Format: Newsletter

Abstract:
EMDR is a treatment developed by Francine Shapiro (2001) to reprocess traumatic experiences that are “locked” in the nervous system and give rise to current symptomatology. It involves an eight stage protocol in which clients select a target memory and, with the clinician, assess its cognitive, somatic, and emotional components as well as associated level of distress. The memory is then reprocessed through bilateral stimulation (most commonly eye movements) of the brain until the level of distress is reduced. Shapiro developed the “information-processing model” to explain EMDR’s “…treatment effects in terms of the association of memory networks” (Shapiro, 2002, p. 29). The reprocessing allows the client to “digest” a stuck traumatic memory by connecting it with more adaptive memory networks in the brain. EMDR originated as a treatment for PTSD, but EMDR protocols now exist for a variety of issues, such as phobias and grief. Originally developed with adults, its use has also been extended to children, but with modifications in technique.

Keywords: Practice Theory

Accuracy Verified: Yes

76. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.

Language: English

Format: Book Section

Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]

Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness

Accuracy Verified: Yes

77. Wartik, N. (1994, Aug 7). The amazingly simple, inexplicable therapy. Los Angeles Magazine, 9.

Language: English

Format: Magazine

Abstract:
I've just seen a demonstration taped during the course of a recent study, of what's probably the most controversial psychotherapy in use today. In 1989, the first articles about an improbable-sounding tech nique for treating post-traumatic stress disorder (F'ISD) appeared in the psychological literature. PTSD. an anxiety disorder with a multitude of mental and physical symptoms, strikes after an ordeal such as rape. combat. chid abuse or natural disaster and can permanently scar a psyche. But with little more than a wave of the hand, it seemed, Eye Movement Desensitizatior. and Reprocessing (EMDR) could undo trauma's tormenting effects in a remarkably short time, sometimes in a single session. The procedure, originated by psychologist Francine

Keywords: General Mary Overview

Accuracy Verified: Yes

78. 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

79. 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

80. 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

81. Mehrotra, S., Raja, T., & Sawant, B. (2001). Analysis of drawings of children impacted by earthquake: The reproduction of visual imagery during EMDR therapy. Presentation at the Annual Conference of Bombay Psychological Association, Gujarat, India.

Language: English

Format: Conference

Abstract:
This study was based on the analysis of drawings produced during visual imagery as part of EMDR therapy with children of Bhuj and Bhachao. This study was conducted to understand the impact of a specific traumatic event and its expression in children in their drawings. The drawings used for the purpose of analysis were the protocols of reproduction of visual imagery brought out during therapy.

Keywords: Bhachao Bhuj Children Drawings Visual Imagery

Accuracy Verified: No

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

Language: English

Format: Conference

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

Keywords: Female Issues Pre Menstrual Post Menstrual Symposium

Accuracy Verified: Yes

83. O'Shea, K. (2009, May). Anger, imagination and EMDR. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Anger is typically associated with destructive behavior, yet it is frequently released non-destructively during EMDR sessions, via the imagination. Participants will learn 1) how to help clients accept anger as potentially necessary and valuable when learning from traumatic experiences (including the neuroscience that supports the existence of sub-cortical anger circuitry); 2) how to easily reset clients’ anger circuits; 3) Interweaves that facilitate its nondestructive release; 4) how to ensure anger has been fully released; and 5) ways to facilitate clients’ safe release of anger during and outside sessions.

Keywords: Anger Imagination

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Anger Imagination

Accuracy Verified: Yes

85. 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

86. Garcia, F. (2011, Julio). Aplicacion de EDMR en el tratamiento de distintos trastornos [Application of EMDR in the treatment of various disorders]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, España.

Language: Spanish

Format: Conference

Abstract:
EMDR es actualmente un acercamiento psicoterapéutico reconocido como tratamiento efectivo del trauma (American Psychiatric Association, 2004; Bisson y Andrew, de 2007; Bleich et al, 2002;. CREST, 2003; Foa et al, 2009; Niza, 2005). El trauma produce un cambio en nuestro sentido del yo, en nuestro sentido del significado del mundo, de su seguridad, de su racionalidad, existe un “antes y después” a nivel vivencial. La psicóloga Francine Shapiro observó que bajo ciertas condiciones el movimiento ocular puede reducir la intensidad de los pensamientos perturbadores, a partir de esta observación estudió científicamente este efecto y en 1989, informó del éxito al utilizar EMDR en el tratamiento de víctimas de trauma en el Journal of Traumatic Stress. Desde entonces, EMDR se ha desarrollado y ha evolucionado a través de las contribuciones de terapeutas e investigadores de todo el mundo. Estudios controlados en víctimas de Vietnam, abusos, accidentes, víctimas de catástrofes..., indican que EMDR es un método eficaz en el tratamiento del TEPT (trastorno por estrés postraumático), siendo también efectivo en el tratamiento de otras problemáticas como dolor crónico, trastornos psicosomáticos, problemas de apego, malos tratos y adopción.(Shapiro and Forrest, 1997; Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). El EMDR está basado en un modelo de "procesamiento adaptativo de la información" (Shapiro, 1991), que postula que la experiencia (los sentimientos, pensamientos y sensaciones) se transforma normalmente en aprendizaje adaptativo (Shapiro, 2001). Presentamos aquí este abordaje terapéutico, con una primera intervención que muestra las bases del EMDR y su aplicación en el dolor crónico y tres comunicaciones más en las que, a partir de la presentación de un caso, se mostrará la aplicación de los protocolos de tratamiento para los trastornos de la conducta alimentaria, problemas adaptativos en niños adoptados y la violencia doméstica en menores.

EMDR is now recognized as a psychotherapeutic approach effective treatment of trauma (American Psychiatric Association, 2004, Bisson and Andrew, 2007, Bleich et al, 2002,. CREST, 2003, Foa et al, 2009, Nice, 2005). The trauma causes a change in our sense of self, our sense of meaning of the world, their security, their rationality, there is a "before and after" to experiential level. The psychologist Francine Shapiro observed that under certain conditions eye movement can reduce the intensity of disturbing thoughts, from this observation scientifically studied this effect and in 1989, reported the successful using EMDR to treat trauma victims in the Journal of Traumatic Stress. Since then, EMDR has developed and evolved through contributions of therapists and researchers from around the world. Controlled studies in Victims of Vietnam, abuse, accident, disaster victims ... indicate that EMDR is a effective method in treating PTSD (PTSD), with also effective in treating other problems such as chronic pain disorders psychosomatic problems of addiction, abuse and adoption. (Shapiro and Forrest, 1997; Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). EMDR is based on a model of "adaptive processing of information "(Shapiro, 1991), which postulates that the experience (feelings, thoughts and feelings) becomes normally adaptive learning (Shapiro, 2001). We present here this therapeutic approach, with the first intervention shows the basics of EMDR and its application in chronic pain and three more communications where, from the case report will show the application of protocols of treatment for eating disorders, problems adaptive adopted children and domestic violence on children.

Keywords: Trauma

Accuracy Verified: Yes

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

Language: Spanish

Format: Dissertation/Thesis

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

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

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

Accuracy Verified: Yes

88. Hartung, J. (2008, Novembro). Aplicações de EMDR para o desenvolvimento de recursos, melhoria de desempenho e treinamento [Applications of EMDR to resource development, performance enhancement, and coaching]. Apresentação no II Congresso Ibero-Americano de EMDR, Brasilia, Brasil.

Language: Portuguese

Format: Conference

Abstract: The traditional focus of psychotherapists (and their clients) has been on pathology and symptom reduction. Professional therapists are becoming increasingly interested in applications of psychotherapeutic principles to prevention, growth, and other examples of what is being generically called “positive psychology”. EMDR clinicians, like other psychotherapists, are seeking more positive ways to practice, both to increase the services they offer, and to redefine themselves professionally. A focus on performance enhancement and coaching are two examples of how clinicians can offer services beyond symptom reduction. A model for using EMDR in positive applications, pilot tested in several countries, will be presented and demonstrated. The EMDR phases will be reconsidered in light of this positive focus: history taking has a greater focus on solutions; the safe place will be discussed as a tool for developing more specific and relevant resources; the TICES acronym will be expanded to include behavior and the therapy relationship; and greater flexibility will be suggested between the parallel processes of desensitization (of the traumatic past) and installation (of the positive future). This last comment relies on the assumption that participants are already skilled in the use of EMDR as a preferred treatment of trauma. The model to be presented has been successfully field tested in several countries in Asia, Europe, and the Americas.

Keywords: Coaching Performance Enhancement Resource Development

Accuracy Verified: Yes

89. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.

Language: French

Format: Journal

Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois (T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum, stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients endeuillés peuvent développer une dépression chronique.

The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement. The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death, irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings (m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2), then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially when it is known that 10 to 15% of the patient develops a chronic depression.

Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement

Accuracy Verified: Yes

90. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique à propos d'un cas d'agression sexuelle [EMDR applied to sexual traumatology: Evolution of psychopathological comorbidity in the case of sexual aggression]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 523-528. doi:10.1016/j.amp.2007.06.002.

Language: French

Format: Journal

Abstract:
L'accès thérapeutique des patients victimes d'agression sexuelle est souvent à travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légère ou modérée cas de SSPT, il ya des formes complexes où la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. À l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particulièrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brève et active, donnent de bons résultats dans le traitement de la symptomatologie traumatique. Peu d'études ont été menées sur l'évolution psychopathologique de patients ayant souffert d'agressions sexuelles et qui sont pris en charge par l'EMDR. Dans le cadre d'une étude de cas, les auteurs discutent des éléments indiquant une évolution rapide de la symptomatologie traumatique, l'évitement sexuel et de la régression de l'expression des signes de co-morbidité. [Auteur] Résumé

The therapeutic access of patients victims of sexual aggression is often through a double perspective: That of treating Post Traumatic Stress Disorder (PTSD) and of sexual avoidance. In light or moderate PTSD cases, there are complex forms in which co-morbidity is more evident and the rate of therapeutic failure is more important. At present active treatment methods based on exposure, more particularly EMDR (Eye Movement Desensitization and Reprocessing) considered as a brief and active therapy, give good results in the treatment of traumatic symptomatology. Few studies have been undertaken on the psychopathological evolution of patients having suffered from sexual attacks and who are being taken care of by EMDR. Within the framework of a case study, the authors discuss elements indicating a rapid evolution of traumatic symptomatology, of sexual avoidance and of regression of the expression of the co-morbidity signs. [Author Abstract]

Keywords: Brief Therapy Clinical Case Study Sexotherapy Sexual Trauma

Accuracy Verified: Yes

91. Solomon, R. M., & McNally, V. (1997, July). The application of EMDR to critical incident trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Critical Incident Recent Events Trauma

Accuracy Verified: Yes

92. Solomon, R. M. (1998, July). The application of EMDR to critical incident trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand what a critical incident is, and learn about the phases of the emotional aftermath; 2) learn about the application of EMDR to critical incident trauma; 3) learn about patterns of resolution that involves responsibility, present safety, and empowerment and self-efficacy; 4) learn what a Critical Incident Stress Debriefing (CISD) is, and its utilization after a critical incident; 5) learn how EMDR and CISD can be utilized together; 6) learn about integrating EMDR and CISD within an overall treatment approach.

Keywords: CISD, Critical Incident Critical Incident Stress Debriefing Recent Events

Accuracy Verified: Yes

93. Manfield, P., & Shapiro, F. (2003). The application of EMDR to the treatment of personality disorders. In J. F. Magnavita (Ed.), Handbook of Personality Disorders: Theory and Practice (pp. 304-330). New York: John Wiley & Sons.

Language: English

Format: Book Section

Abstract:
Since its inception in 1987, Eye Movement Desensitization and Reprocessing (EMDR) has evolved into an integrated approach to psychotherapy that synthesizes aspects of the major psychological orientations. As such, its comprehensive treatment effects span cognitive, somatic, and affective domains (Shapiro, 2002). Although most widely used to process single or multiple incident traumatic memories, it can be used effectively to treat many conditions. In this chapter, we describe the theoretical foundations of this approach and how it is used to treat personality disorders. A fundamental principle of the Adaptive Information Processing Model is that present disturbance and dysfunctional characteristics have their origins in past events; these antecedents, whether identified or not, can be processed to an adaptive resolution using EMDR. In treating personality disorders, the EMDR approach integrates procedures from many other orientations to stabilize clients and equip them to address their source memories. The accelerated processing of disturbing memories that takes place during EMDR makes it possible for clients to address and resolve their issues relatively rapidly. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Personality Disorders Psychotherapeutic Processes Theories

Accuracy Verified: Yes

94. Hase, M. (2004, June). Application of eye movement desensitization and reprocessing (EMDR) on severe posttraumatic stress disorder following a single traumatic event in elderly psychiatric patients. In single trauma and grief (L. Cornil, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Single traumatic events can lead to severe posttraumatic stress disorder (PTSD) with serious effects on some and psyche as well as on social functioning. Often our focus in diagnostics is limited on obvious traumatic experiences according to the ICD-10 or DSM-IV criteria of what a traumatic event should be. But trauma can be variant or masked by somatic illness or comorbid psychiatric disorder. Beside the straightforward PTSD cases, the clinician should pay attention to comorbidity and the effect of dysfunctionally stored, incompletely processed information in a variety of patients. PTSD seems to be underdiagnosed in elderly patients. This paper, as part of the symposium on the treatment of single traumatic events using EMDR, has it foundation in clinical practice and gives evidence on the importance if diagnosing for PTSD and applying appropriate treatment especially EMDR, in the subgroup of elderly patients. Two case examples of PTSD following a single traumatic event in the course of depressive illness and the course somatic illness illustrate important principles and give evidence of the successful application of EMDR in the treatment of PTSD following a single traumatic event with elderly patients. The guidelines for good clinical practice in the treatment of PSTD following a single traumatic event regarding EMDR standard protocol and procedural rules will be outlines. In some respects EMDR treatment has to be adapted to the special demands of the elderly. Some ideas will be formulated and discussed. The aim of the presentation is to encourage the clinician in engaging in active treatment of the sequelae of single traumatic events in general and specially to apply EMDR with elderly patients, hereby stimulating research on the application of EMDR with the elderly, a hitherto often neglected subgroup of patients.

Keywords: Elderly Grief Posttraumatic Stress Disorder PTSD Single Trauma Symposium

Accuracy Verified: Yes

95. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
According to the latest statistical evidence Post-Partum Depression develops in approximately 13% of women during the second -third month after childbirth with symptoms lasting between few weeks and a year and risks of relapse. Unlike the Baby Blues (affecting 70% of mothers, with onset in the 3'd - 6" day after delivery and spontaneous recovery within approximately two weeks), likely to be caused basically by hormone modifications in the immediate aftermath of childbirth. PPD development would seem to be solely determined by psychological factors: the experience of childbirth, the surfacing of unresolved problems in the relationships with attachment figures, the change in the woman's role both in the social sphere and within the couple relationship, the fear of being unable to adequately attend to the new responsibilities (both in terms of skills and of the ability to cope with the additional workioad), etc. Consequently, women experiencing childbirth as a traumatic experience are more destabilized by the event, and therefore. at a higher risk of developing PPD. Childbirth requires the deployment of many personal resources. A woman in labor must be able to bear the pain, while having to "push", 1.e. contrast the automatic antalgic reaction (which would close the delivery channel) and "meeting the pain", during the "expulsion" phase. Considering that "Peak Performances" require moving out of a person's comfort zone and stretching a person's boundaries, childbirth experience can be rightfully considered a "Peak Performance". This work describes RDI application times and modes during Delivery Preparation in order to strengthen the different personal resources needed by pregnant women to experience her childbirth as an ego syntonic experience. In this sense, RDI associated with EMDR can be considered an actual Primary Prevention intervention, capable of teaching women something positive about themselves, thus effectively offsetting the onset of PPD. Furthermore the results of the application of this technique collected during the Post-Partum phase on 48 women will be discussed. Learning objectives: 1 identification of the specific issues predisposing the development of PTSD due to Childbirth and of Post-Partum Depression. 2. Framing Childbirth as a Peak Performance. 3 Learning RDI (Resource Development and Installation) application through Bilateral Stimuli during Delivery Preparation Courses.

Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium

Accuracy Verified: Yes

96. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva. A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc. Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP. Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”. Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.

The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.

Keywords: Postpartum Depression RDI Resource Development and Installation

Accuracy Verified: Yes

97. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.

The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.

Keywords: Chronic Pain Perceptual Deficits

Accuracy Verified: Yes

98. De Sensi Fontera, A. (2008, Novembre). Applicazione dell’EMDR i soggetto di 9 anni affetto da ADHD [Applying EMDR the subject of 9 years with ADHD]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’EMDR è stato applicato in un caso di una ragazza d’anni nove, Iris, affetta da ADHD (DSM – IV F90. 0). L’EMDR è stato integrato in un percorso di psicoterapia classica e con interventi sull’interazione dei sistemi Famiglia, Sanità, Scuola. L’EMDR è stato rivolto anche alle figure parentali per elaborare alcuni degli eventi traumatici che avevano contribuito allo sviluppo del disturbo nella bambina e, in particolare, per la madre sulla diagnosi. Il ruolo dell’EMDR è stato significativo nella risoluzione dei sintomi e ha contribuito all’efficacia dell’intervento complessivo. E’ stato particolarmente efficace per la risoluzione della “coazione a ripetere” e per l’integrazione intrapsichica della personalità d’Iris.

EMDR has been applied in a case of a girl of nine years, Iris, who suffers from ADHD (DSM -- IV F90. 0). EMDR has been integrated into a course of psychotherapy and classical interventions interaction of the family system, Health, School. EMDR has been addressed also to the figures parental to process some of the traumatic events that had contributed to the development of disorder in children and, in particular, for the mother on the diagnosis. The role of EMDR was significant in the resolution of symptoms and has contributed to the effectiveness of the intervention overall. It 'been particularly effective for the resolution of the "repetition compulsion" and Integration Intrapsychic personality of Iris.

Keywords: ADHD Attention Deficit Hyperactivity Disorder Children

Accuracy Verified: Yes

99. De Marco, A. (2008, Novembre). Applicazione dell’EMDR nel lutto complicate-resoconto di un caso clinico [Application EMDR in complicated grief-reporting of clinical case]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’articolo si propone di evidenziare l’efficacia dell’EMDR nei casi di lutto, in particolare quando questo evento implica un trauma psicologico, che interferisce con il normale processo di elaborazione della perdita. Si delinea allora una situazione definita “lutto complicato o traumatico”, che determina una elaborazione complessa dell’evento luttuoso bloccandone la sua risoluzione. Una perdita traumatica sconvolge le capacità di coping della persona e pregiudica le sue facoltà di adattamento, aumentando il disagio e complicando l’elaborazione dell’evento. Laddove il lutto acuto è dominato dal trauma, l’impiego dell’EMDR facilita il passaggio il passaggio attraverso le varie fasi dell’elaborazione del lutto e favorisce l’assimilazione e l’adattamento alla perdita. Ad illustrare quanto enunciato dal punto di vista teorico viene presentato un caso clinico, nel quale un lutto complicato, strettamente connesso a sintomi depressivi, viene sbloccato e ricondotto ad un normale processo di elaborazione grazie all’applicazione dell’EMDR su un solo targhet specifico. La paziente, una giovane donna di 24 anni, presentava un disturbo distimico di gravità moderata, con spunti ansiosi. Non prendeva psicofarmaci. Qualche anno prima le era stato diagnosticato un disturbo di panico con agorafobia e aveva assunto Lexotan per un certo periodo. Sono stati somministrati appositi test psicologici, all’inizio e al termine della terapia finalizzata all’elaborazione del lutto. Un altro re-test è stato fatto a distanza di un anno circa.

The article aims to highlight the effectiveness of EMDR in cases of bereavement, particularly when this event involves a psychological trauma, which interferes with the normal process of elaboration of the loss. It then outlines a situation as "complicated grief or traumatic, determines a complex event processing mournful blocking its resolution. A traumatic loss upsets the coping skills of the person and impairs his ability to adaptation, increasing the discomfort and complicating the development of the event. where the mourning is dominated by acute trauma, the use EMDR facilitates the passage through the various stages of mourning and promotes assimilation and adaptation to loss. Illustrate what is stated by the theoretical point of view is presented a clinical case in which a complicated grief, which is closely linked to depressive symptoms, is unlocked and returned to a normal process by applying EMDR on one target specific. The patient, a young woman of 24 years, had a dysthymic disorder of moderate severity, with ideas anxious. Not taking psychotropic drugs. A few years earlier had been diagnosed with panic disorder with agoraphobia and had taken Lexotan for a certain period. Appropriate psychological tests were administered at the beginning and end of therapy aimed elaboration of mourning. Another re-test was done at a distance of about one year.

Keywords: Complicated Grief Poster

Accuracy Verified: Yes

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

Language: Italian

Format: Dissertation/Thesis

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

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

Keywords: Counterfactual Thinking Informational Processing

Accuracy Verified: Yes

101. Ahmad, A., & Sundelin-Wahlsten, V. (2007, September). Applying EMDR on children with PTSD. European Child & Adolescent Psychiatry, 17(3), 127-132. doi:10.1007/s00787-007-0646-8.

Language: English

Format: Journal

Abstract:
Objective: To find out child-adjusted protocol for eye movement desensitization and reprocessing (EMDR). Methods: Child-adjusted modification were made in the original adult-based protocol, and within-session measurements, when EMDR was used in a randomized controlled trial (RCT) on thirty-three 6–16-year-old children with post-traumatic stress disorder (PTSD). Results: EMDR was applicable after certain modifications adjusted to the age and developmental level of the child. The average treatment effect size was largest on re-experiencing, and smallest on hyperarousal scale. The age of the child yielded no significant effects on the dependent variables in the study. Conclusions: A child-adjusted protocol for EMDR is suggested after being applied in a RCT for PTSD among traumatized and psychosocially exposed children (Springer).

Keywords: Case Studies Children Child Psychiatry Empirical Study Posttraumatic Stress Disorder Psychotherapy PTSD Quantitative Study Randomize Control Trial RCT Trauma Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

103. de Jongh, A. (2000, May 6). Approaches to using EMDR for the treatment of phobias. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This workshop focuses on the clinical application of EMDR with specific phobias. There are a number of advantages in using EMDR for the treatment of specific phobias compared to other approaches, such as exposure in vivo. One of the most important advantages seems to be the possibility to utilize EMDR under circumstances where the critical elicitors cannot be reproduced or simulated in real life (e.g., certain sexual, illness or death situations) or, more generally, for which phobic stimuli are hard to obtain. However, unlike patients suffering with PTSD, after deconditioning of an anxiety associated with a traumatic incident, phobic individuals till have to anticipated future anxiety evoking situations. This has important implications for treatment. For example, contrary to its application with PTSD, the treatment of specific phobias with EMDR should not be concluded until clients are prepared for future interactions with (former) anxiety-eliciting stimuli or situations. This may involve acquisition of adaptive coping skills, such as mental strategies to relax or to distract oneself, and the use of exposure (in vivo) techniques. Participants of this workshop will learn when and how to apply EMDR with specific phobias and integrate this into general (cognitive-behavioral) treatment approach. This approach is illustrated by several videotaped treatments.

Keywords: Phobias

Accuracy Verified: Yes

104. Bossini, L., Fernandez, I., & Mantero, M. (2006 Settembre-Dicembre). Approcci psicoterapeutici specifici [Specific psychotherapeutic approaches]. NÓOς, 12(3), 221-230.

Language: Italian

Format: Magazine

Abstract:
Verrà illustrata l’applicazione delle principali metodiche d’intervento psicoterapeutico come l’approccio cognitivo-comportamentale e la psicoterapia ad orientamento psicodinamico nel trattamento del Disturbo post-traumatico da stress (DPTS). Particolare rilievo verrà dato alla illustrazione di interventi psicoterapeutici specifici e all’Eye Movement Desensitization and Reprocessing (EMDR) che si è rivelato uno degli interventi più mirati al nucleo psicobiologico del DPTS.

The application of main psychotherapeutic approaches, such as cognitive behavioral and psychodynamic therapies, in the field of post-traumatic stress Disorder (PTSD) is described. A particular stress is put on approaches specific to PTSD. Among them Eye Movement Desensitization and Reprocessing (EMDR) is considered as a mean of intervantion closely aimed to the psychobiological core of the disorder.

Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

105. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder (PTSD) and other anxiety disorders, yet we still do not fully understand by which process or mechanisms it might work. We consider a number of models implicating orienting or investigatory reflexes as a significant contributor to the success of EMDR as a treatment method. A series of experiments were designed to test the predictions derived from these models, examining the physiological effects of eye-movements following auditory challenge compared to an eyes-stationary condition. A significant physiological de-arousal effect is observed in conditions requiring eye-movements similar to those used in the EMDR protocol. We go on to consider the implications for this de-arousal effect in the treatment of PTSD and present preliminary data from a case series designed to examine the unique contribution of EMDR when used with treatment resistant clients. A range of psychometric and psychophysiological process and outcome measures were utilised in this study, providing a detailed evaluation of change over the course of the treatment design. Specialised software was developed for use in this study, in addition to a computerised test and software is provided, along with data obtained from this test.

Keywords: De-Arousal

Accuracy Verified: Yes

106. 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

107. Devilly, G. J., Spence, S. H., & Hill, C. V. (1994). Are eye movements necessary when treating post traumatic stress with the eye movement desensitisation and reprocessing procedure?. World Congress of Behavioral and Cognitive Therapies. Copenhagen, Denmark.

Language: English

Format: Conference

Keywords: Eye Movements Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

108. 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

109. 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

110. Cohn, L. (1994, March). Art therapy. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
New modes of thempy, before they are completely tried and defined, challenge the professional status quo as well as our individual skills and preconceptions. Eye Movement Desensitization Reprocessing (EMDR)presents just such a challenge: the method, barely three years old, has shown excellent results in the treatment of post-traumatic stress disorder (PTSD), but is as yet incompletely documented, and the reasons for its success remain open to speculation (Shapiro, 1989). Even so, only by continually exploring new techniques can art therapists adjust to advances in mental health care.

Keywords: Art Therapy

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: DVA Outcome Policy PTSD Research Therapy Treatment Vietnam Veterans

Accuracy Verified: Yes

112. Brock, S. E. (2009). Assessing and intervening with PTSD. Presentation at the National Association of School Psychologists (NASP) Annual Convention.

Language: English

Format: Conference

Abstract:
Preface 1 PTSD necessarily involves exposure to a traumatic stressor. 2 A traumatic stressor can generate initial stress reactions in just about anyone. 3 However, not everyone exposed to these events develops PTSD. 4 Among those who develop PTSD, significant impairments in daily functioning (including interpersonal and academic functioning) are observed. 5 Developmentally younger individuals are more vulnerable to PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

113. 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

114. Sack, M., Lempa, W., & Lamprecht, W. (2007). Assessment of psychophysiological stress reactions during a traumatic reminder in patients treated with EMDR. Journal of EMDR Practice and Research, 1(1), 15-23. doi:10.1891/1933-3196.1.1.15.

Language: English

Format: Journal

Abstract:
This study investigates changes of stress-related psychophysiological reactions after treatment with EMDR. 16 patients with PTSD following type I trauma underwent psychometric and psychophysiological assessment during exposure to script-driven imagery before and after EMDR and at 6-month follow-up. Psychophysiological assessment included heart rate (HR) and heart rate variability (HRV) during a neutral task and during trauma script listening. PTSD symptoms as assessed by questionnaire decreased significantly after treatment and during follow-up in comparison to pretreatment. After EMDR, stress-related HR reactions during trauma script were significantly reduced, while HRV indicating parasympathetic tone increased both during neutral script and during trauma script. These results were maintained during the follow-up assessment. Successful EMDR treatment may be associated with reduced psychophysiological stress reactions and heightened parasympathetic tone. [Author Abstract]

Keywords: Adults Germans Manual-Based Treatments Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

115. Pham, T., & Willocq, L. (2005, June). Assessment of traumatic stress among incarcerated homicide perpetrators. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Homicide perpetrators present a high prevalence of major mental disorders, particularly major depression associated with a substance diagnostic, and schizophreny (Cote & Hodgins, 1992). Recently, it has been suggested that the homicide behaviour itself may be conceived as a traumatic event generating multiple symptoms (Gray, et a1., 2003; Pollock. 1999}. This study assesses the relations between homicide and traumatic stress in a Belgian prison population, on the basis of a self-report questionnaire (SASRQ). Therapeutic implications of the results and relevance of EMDR practice in homicide populations will be discussed.

Keywords: Homicide Incarceration Perpetrators Poster

Accuracy Verified: Yes

116. Roberts, A. R. (2002, Spring). Assessment, crisis intervention, and trauma treatment: The integrative ACT intervention model. Brief Treatment & Crisis Intervention, 2(1), 1-21.

Language: English

Format: Journal

Abstract:
This article presents a conceptual three-stage framework and intervention model that should be useful in helping mental health professionals provide acute crisis and trauma treatment services. The ACT model stands for Assessment, Crisis Intervention, and Trauma Treatment. This new model may be thought of as a sequential set of assessments and intervention strategies. The ACT intervention model integrates various assessment and triage protocols with the seven-stage crisis intervention model, and the ten-step acute traumatic stress management protocol. In addition, this article introduces and briefly highlights the other eight narrative, theoretical, and empirically based papers in this issue that focus on mental health and crisis-oriented intervention strategies implemented within 1 month after the September 11, 2001, terroristic mass disaster at the World Trade Center and the Pentagon.

Keywords: ACT Model Assessment Assessment Crisis Intervention Triage Crisis Assessment Crisis Intervention Trauma Treatment

Accuracy Verified: Yes

117. 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

118. 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

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

Language: English

Format: Conference

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

Keywords: Attachment Repair Early Trauma Temporal Integration

Accuracy Verified: Yes

120. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as healers.

Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol

Accuracy Verified: Yes

121. 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

122. 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

123. El Khoury-Malhame, M., Lanteaume, L., Beetz, E. M., Roques, J., Reynaud, E., Samuelian, J. C., Blin, O., Garcia, R., & Khalfa, S. (2011, September). Attentional bias in post-traumatic stress disorder diminishes after symptom amelioration. Behavior Research and Therapy, 49(11), 796-801. doi:10.1016/j.brat.2011.08.006.

Language: English

Format: Journal

Abstract:
Background: Avoidance and hypervigilance to reminders of a traumatic event are among the main characteristics of post-traumatic stress disorder (PTSD). Attentional bias toward aversive cues in PTSD has been hypothesized as being part of the dysfunction causing etiology and maintenance of PTSD. The aim of the present study was to investigate the cognitive strategy underlying attentional bias in PTSD and whether normal cognitive processing is restored after a treatment suppressing core PTSD symptoms. Methods: Nineteen healthy controls were matched for age, sex and education to 19 PTSD patients. We used the emotional stroop and detection of target tasks, before and after an average of 4.1 sessions of eye movement desensitization and reprocessing (EMDR) therapy. Results: We found that on both tasks, patients were slower than controls in responding in the presence of emotionally negative words compared to neutral ones. After symptoms removal, patients no longer had attentional bias, and responded similarly to controls. Conclusion: These results support the existence of an attentional bias in PTSD patients due to a disengagement difficulty. There was also preliminary evidence that the disengagement was linked to PTSD symptomatology. It should be further explored whether attentional bias and PTSD involve common brain mechanisms.

Keywords: Attentional Bias Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

124. Cocco, N., & Sharpe, L. (1993, December). An auditory variant of eye movement desensitization in a case of childhood post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 373-377. doi:10.1016/0005-7916(93)90062-2.

Language: English

Format: Journal

Abstract:
The present paper reports a case study documenting the success of a child-appropriate variant of eye movement desensitization (EMD) in the treatment of PTSD. Although there have been numerous case studies and some preliminary controlled trials of this method in adult cases of PTSD, there does not appear to be any information on its use in children. The available literature suggests that it is a more rapid and less traumatic treatment than traditional exposure based therapies. The present paper describes a child-appropriate auditory variant of eye-movement desensitization applied to a case of childhood PTSD. [Author Summary]

Keywords: Case Report Males Preschool Age Children Posttraumatic Stress Disorder PTSD Robbery Survivors Terrorism

Accuracy Verified: Yes

125. Krause, R., & Kirsch, A. (2006, Oktober). Auf das verhältnis zwischen traumatisierung, amnesie und symptom stress - Eine empirische pilotstudie [On the relationship between traumatization, amnesia and symptom stress - An empirical pilot study]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 52 (4), 392-405.

Language: German

Format: Journal

Abstract:
Ziele: In der vorliegenden Studie untersuchten wir mimisches Verhalten bei akut traumatisierten Patienten, EMDR-Therapie. Darüber hinaus untersuchten wir, ob eine Abnahme der emotionalen Betäubung wurde aufgrund einer Verringerung der Symptome. Amnestische Tendenzen waren als Moderator-Variable benutzt. Methode: Das mimisch affektive Verhalten wurde kodiert mit dem Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Die Gesichts-affektive Verhalten der Patienten das erste und letzte EMDR-Sitzung wurde verglichen. Ergebnisse: Ein signifikanter Anstieg in Mitten affektive Verhalten sowie eine Zunahme der psychischen Beschwerden gefunden. Darüber hinaus hat die Reduzierung der amnestischen Tendenzen nicht zu einer Verringerung der Symptome führen. Schlussfolgerungen: Unter dem Einfluss der Behandlung ist es möglich, den Zugang zu episodische affektive Gedächtnis zu verbessern. Dennoch kann einen positiven Einfluss nicht am Ende der Behandlung bezeichnet werden.

Objectives: In the present study we examined facial affective behavior in acutely traumatized patients undergoing EMDR therapy. Furthermore, we analyzed Whether a decrease in emotional numbing was due to a reduction of symptoms. Amnestic tendencies were used as a moderator variable. Methods: The facial affective behavior was coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. The facial affective behavior of the patient's first and last EMDR session was compared. Results: A significant increase in facial affective behavior as well as an increase in mental complaints were found. Furthermore, the reduction in amnestic tendencies did not result in a reduction of symptoms. Conclusions: Under the influence of the treatment it is possible to improve access to episodic affective memory. Nevertheless, a positive influence can not be denoted at the end of the treatment.

Keywords: Amnesia Empirical Study Facial Affective Behavior Facial Expressions Memory Quantitative Study Trauma Traumatization Treatment

Accuracy Verified: Yes

126. Eschenroder, C. T. (1995). Augenbewegungs-desensibilisierung und verarbeitung traumatischer erinnerungen: Eine neue behandlungsmethode [Eye movement desensitization and the processing of traumatic memories: A new method of treatment]. Verhaltenstherapie und Psychosoziale Praxis, 27 (3), 341-373.

Language: German

Format: Magazine

Keywords: Traumatic Memories

Accuracy Verified: Yes

127. Eschenroder, C. T. (1995). Augenbewegungs-desensibilisierung und verarbeitung: Eine methode zur behandlung von posttraumatischen stoerungen und aengsten [Eye movement desensitization and processing: A method for treating post-traumatic stress and anxieties]. Autogenes Training & Progressive Relaxation, 12, 19-21.

Language: German

Format: Journal

Keywords: Anxieties Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

128. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: German

Format: Conference

Abstract:
This paper describes how trauma therapy including body awareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achieve the ability to self-regulate activation of the autonomic nervous system and hence, to attain access to states in which patients can maximize their resources. This procedure is based on neurobiological findings and exemplified with case studies. The approach complements other trauma therapeutic interventions, regardless of the theoretical orientation, and can be combined with techniques like, for instance, EMDR.

Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism

Accuracy Verified: Yes

129. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 .

Language: German

Format: Magazine

Abstract:
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.

Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.

Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism

Accuracy Verified: Yes

130. Freiha, T. (2002, Mai). Aus einer EMDR-sitzung mit einem 7 jahre altern jungen – Eine intrusion einer unaussprechlichen traumatischen erinnerung [From an EMDR session with a young age 7 years - an intrusion of an unspeakable traumatic memory]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland.

Language: German

Format: Conference

Abstract:
Chairs: Sochaczewski, E. & Meusers, M.

Keywords: Children Video Demonstration

Accuracy Verified: Yes

131. Kirsch, A., & Seidler, G. H. (2004). Ausdruck und erleben von emotionen bei der posttraumatischen belastungsstörung: Erste ergebnisse einer studie mit gewaltopfern [Expression and experience of emotion in patients with posttraumatic stress disorder: First result of a study with victims]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, ZPPM 2(1), 45-60.

Language: German

Format: Journal

Abstract:
Emotionale Betäubung (EN) in PTSD ist ein Cluster von schwächenden Symptomen mit Problemen in der Erfahrung und dem Ausdruck von Emotionen. EN ist in drei separate diagnostischen Kriterien dargestellt: deutlich vermindertes Interesse an wichtigen Aktivitäten, Gefühle der Ablösung oder Entfremdung von anderen, und eingeschränkte Bandbreite des Affekts. Die funktionale Beziehung zwischen anderen Klassen von PTSD Symptome und EN ist nicht gut verstanden. In diesem Artikel werden verschiedene Studien diskutiert werden. Es wird davon ausgegangen, dass Patienten mit psychischen Erkrankungen eine spezifische Wechselwirkung Muster implementieren, die in der Gesichts-affektiven Ausdruck und äußerte sich vor allem in Gesichts-affektiven Mikro-Verhalten. Das Ziel der vorliegenden Pilot-Studie war die Analyse von Gesichts-affektive Verhalten von Patienten mit PTSD im Vergleich zu gesunden Personen. Erste Ergebnisse der ersten EMDR-Sitzungen auf Video aufgezeichnet von Patienten und psychodynamischen Interviews von gesunden Personen (keine psychische / psychiatrische Störungen nach ICD-10) wurden mit dem codierten Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Danach wurden diese Analysen mit Blickverhalten verbunden. PTSD Patienten zeigten eine Verringerung der gesamten Mimik und eine verminderte Häufigkeit von Gesichts wirkt im Vergleich zu gesunden Personen. Unter dem Blickverhalten in Betracht, wurde es offensichtlich, dass PTSD Patienten zeigten Anteil sank gegenseitigen Blick im Vergleich zu gesunden Personen. Außerdem war der Gesichtsausdruck affektiven Ausdruck von vier Patienten (Eltern, die durch den gewaltsamen Tod ihrer Kinder beraubt) erste und letzte EMDR-Sitzung verglichen. Eine leichte Erhöhung des Gesichts affektiven Ausdruck gefunden wurde. [Autor Summary)

Emotional numbing (EN) in PTSD is a cluster of debilitating symptoms involving problems in the experience and expression of emotion. EN is represented in three separate diagnostic criteria: markedly diminished interest in significant activities, feelings of detachment or estrangement from others, and restricted range of affect. The functional relationship between other classes of PTSD symptoms and EN is not well understood. In this article different studies will be discussed. It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The aim of the presented pilot-study was the analysis of facial-affective behaviour of patients with PTSD in comparison to healthy persons. First results of videotaped first EMDR sessions of patients and psychodynamic interviews of healthy persons (absence of mental/psychiatric disorder according to ICD-10) were coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. PTSD patients showed a reduction of overall facial expressions and a reduced frequency of facial affects in comparison to healthy persons. Taking the gazing behaviour into consideration, it became obvious that PTSD patients showed decreased portion of mutual gaze compared to healthy persons. Furthermore, the facial affective expression of four patients' (parents bereaved by the violent deaths of their children) first and last EMDR session was compared. A slight increasing of facial affective expression was found. [Author Summary]

Keywords: Crime Emotional Numbing Interpersonal Interaction Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Treatment Guidelines

Accuracy Verified: Yes

134. Dale, S. (2010, April). Baby ache: Applications for EMDR in infertility, miscarriage, and perinatal loss. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
Infertility, miscarriage, and perinatal loss can be among life’s most deeply painful experiences. Losses associated with these life events can be traumatic. For individuals and couples accessing fertility treatments, pre-existing trauma and phobias can complicate their efforts to achieve a successful pregnancy. This presentation outlines common emotional responses to infertility and reproductive loss. It reviews the role of EMDR in treatment of trauma and phobias and applies this knowledge to clients experiencing difficulty conceiving and/or maintaining a pregnancy. Case studies illustrate how EMDR has been used with this client group.

Keywords: Infertility Miscarriage Perinatal Loss

Accuracy Verified: Yes

135. 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

136. Chillot, R., & Smith, S. (1994, December). Banish nightmarish memories with the wave of a hand. Prevention, 46(12), 73-75.

Language: English

Format: Magazine

Abstract:
Discusses the alternative psychological therapy, Eye Movement Desensitization and Reprocessing (EMDR). Its use for people suffering from post-traumatic stress-disorder; Francine Shapiro, Ph.D., developer of EMDR; Why patients watch a waving hand while focusing on the troubling memory; Research in EMDR's favor that was presented at the American Psychological Association convention in August 1994.

Keywords: General Overview

Accuracy Verified: Yes

137. Laing, D. (2002, April 23). Beat trauma in a blink. London, England: The Times, Features.

Language: English

Format: Newspaper

Abstract:
A therapy which mimics Rapid Eye Movement during deep sleep is proving highly effective in the treatment of Post Traumatic Stress Disorder and repressed psychological pain. Denise Laing reports

Keywords: General Overview

Accuracy Verified: Yes

138. Fisher, J. A., Fay, D., & van der Kolk, B. A. (2001, December). Becoming safely embodied: Body-mind approaches to working with complex post-traumatic stress. Presentation at the International Society for the Study of Dissociation, Fall Conference, New Orleans, LA.

Language: English

Format: Conference

Keywords: Complex PTSD Mind/Body

Accuracy Verified: No

139. Diehle, J., Beer, R., Boer, F., & Lindauer, R. J. L. (2011, April). Behandeleffecten van traumagerichte cognitieve gedragstherapie en eye movement desensitisation and reprocessing (EMDR) [Treatment effects of trauma-focused cognitive behavior therapy and eye movement desensitisation and reprocessing (EMDR)]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Dagelijks raken veel kinderen betrokken bij ongelukken, brand, (seksueel) geweld, pesten, of andere ingrijpende gebeurtenissen. Het meemaken van dergelijke gebeurtenissen kan leiden tot een posttraumatische stressstoornis (PTSS). ptss gaat gepaard met hoge comorbiditeit, slechtere schoolprestaties en heeft een negatieve invloed op het lichamelijk herstel van kinderen (Winston 2003). In internationale richtlijnen wordt traumagerichte cognitieve gedragstherapie (TG-CGT) voor de behandeling bij kinderen aanbevolen en eye movement desensitisation and reprocessing (EMDR) is beoordeeld als veelbelovend (nice 2005). Onderzoeksresultaten naar de effecten van deze behandelingen bij kinderen zijn nog steeds schaars (Stallard 2006). Doel: Binnen een pilotonderzoek worden de behandeleffecten van TG-CGT en EMDR bij kinderen vastgesteld. Methoden: Op een poliklinische afdeling zijn gegevens verzameld van 20 kinderen tussen de 8 en 18 jaar met posttraumatische stressklachten en van hun ouders. Van deze kinderen hebben 10 een behandeling met TG-CGT ondergaan en 10 een behandeling met emdr. Bij kinderen en ouders zijn zowel voor als na de behandeling behandeling de klachten in kaart gebracht met behulp van een diagnostisch interview en verschillende vragenlijsten. Voor het stellen van de diagnose ptss en comorbide diagnosen is het Anxiety Disorders Interview Schedule for dsm-iv-Child Version (adis-c) afgenomen. Tevens werden de Children’s Revised Impact of Event Scale (CRIES-13), de Revised Child Anxiety and Depression Scale-Child Version (RCADS) en de Strengths and Difficulties Questionnaire (SDQ) afgenomen om angstklachten en gedragsproblemen te meten. Resultaten: Traumaklachten zijn zowel in de EMDR-groep alsook in de TF-CBTgroep afgenomen. Gedetailleerdere resultaten worden tijdens het congres besproken. Conclusie Zowel TG-CGT als emdr blijkt effectief te zijn bij het verhelpen van ptssklachten bij kinderen.

Background: Daily affects many children involved in accidents, fires, (sexual) violence, bullying, or other major events. The experience of such events can lead to a posttraumatic stress disorder (PTSD). PTSD is associated with high comorbidity, poorer school performance and has a negative impact on the physical recovery of children (Winston 2003). International guidelines is trauma-focused Cognitive behavioral therapy (CBT-TG) recommended for the treatment of children and Eye Movement Desensitisation and Reprocessing (EMDR) has been rated as promising (Nice 2005). Research the effects of these treatments children are still scarce (Stallard 2006). Purpose: In a pilot investigation the treatment effects of TG-CBT and EMDR in children established. Methods: In an outpatient department Data were collected from 20 children between 8 and 18 years with post traumatic stress symptoms and their parents. Of these children have a treatment with 10 undergoing TG-CBT 10 and treatment with EMDR. In children and parents before and after treatment treatment complaints mapped using a diagnostic interview and several questionnaires. For the diagnosis of PTSD comorbid diagnoses and the Anxiety Disorders Interview Schedule for DSM-IV-Child Version (ADIS-C) decreased. Also, the Children's Revised Impact of Event Scale (CRIES-13), the Revised Child Anxiety and Depression Scale-Child Version (RCADS) Strengths and Difficulties Questionnaire and (SDQ) were administered to measure anxiety and behavioral problems. Results: Trauma Complaints are both in the EMDR group and the TF-CBT-groep decreased. More detailed results be discussed during the congress. Conclusion: Both TG-CBT and EMDR appear to be resolving the ptssklachten in children.

Keywords: CBT Cognitive Behavior Therapy

Accuracy Verified: Yes

140. Stofsel, M., & Mooren, T. (2012, March). Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.

Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.

Keywords: Complex Trauma

Accuracy Verified: Yes

141. Gorisse, E., de Jongh, A., & Hassan, B. (2010). Behandeling van idiopathische aangezichtspijn na plaatsing implantaat [Treatment of idiopathic facial pain following implant placement]. Ned Tijdschr Tandheelkd, 117(2), 75-78.

Language: Dutch

Format: Magazine

Abstract:
Een 39-jarige vrouw had een chronische vorm van atypische aangezichtspijn en klachten behorende bij een posttraumatische stressstoornis. De pijn was ontstaan na chirurgische verwijdering van een wortelrest onder een implantaat en haar klachten waren daarvan een gevolg. Uiteindelijk had deze problematiek geleid tot ontslag door haar werkgever en problemen in het gezin. Een periodiek mondonderzoek door haar huistandarts was vanwege extreme angst onmogelijk. Medicamenteuze behandeling, accupunctuur, homeopathie en hypnotherapie hadden geen verbetering gegeven. Behandeling met een aanpak gericht op de verwerking van herinneringen aan tandheelkundige behandelingen door middel van ‘eye movement desensitization and reprocessing’ leidde uiteindelijk tot vermindering van klachten. Deze casus maakt duidelijk hoezeer dit type orale problematiek het dagelijks leven van patiënten kan ontwrichten en hoe psychotherapie een aanvulling op de orale of medicamenteuze behandeling kan zijn.

A 39-year-old woman suffered from chronic atypical facial pain and complaints associated with Post Traumatic Stress Disorder. The pain originated from the surgical removal of a residual tooth root under an oral implant and the stress symptoms were the consequences of the pain. Eventually, these problems had led to dismissal from work and family problems. She was unable to attend her dentist for a periodic oral survey due to extreme fear. Pharmacologic treatment, acupuncture, homeopathy and hypnotherapy had not improved her condition. Treatment aimed at coping with the memories of the oral treatment using 'eye movement desensitization and reprocessing' ultimately led to decline of complaints. This case report demonstrates that an oral problem may disrupt a patient's life and how psychotherapy can complete medical treatment.

Keywords: Oral Implant Posttraumatic Stress Disorder PTSD Tooth Root

Accuracy Verified: Yes

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

Language: Swedish

Format: Magazine

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

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

Keywords: Review

Accuracy Verified: Yes

143. Lamprecht, F. (2003). Behandlung psychotraumatischer Belastungsstörungen mit EMDR [Psychological treatment of traumatic stress disorders with EMDR]. Heidelberg, Germany: Asanger Verlag.

Language: German

Format: Book

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

144. Landgrebe, B. (2005, Februr). Beiträge der fachtagung, diagnose, therapie und berufliche rehabilitation von jungen menschen mit traumen in der lebensgeschichte [Contributions to the symposium diagnosis, therapy and vocational rehabilitation of young people with trauma in the life history]. Berufsbildungswerk Abensberg, Deutschland.

Language: German

Format: Other

Abstract:
Bevor ich die Traumabehandlung und den Prozess der Traumabewältigung auf meiner Abteilung darstelle, möchte ich diese für die Behandlung so wesentlichen Differenzierungen etwas aufführen. Wir Menschen haben ein natürliches Verarbeitungssystem für traumatische Erfahrungen. Nicht jeder Traumatisierte entwickelt eine PTSD! (nur ca. 10 – 12 %). Bei der Entstehung und Aufrechterhaltung der Störung spielen neben dem traumatischen Ereignis auch psychologische, biologische und soziale Faktoren eine Rolle.

Before I describe the process of trauma care and trauma to my department, I would like to perform this treatment for something so essential distinctions. We humans have a natural system for processing traumatic experiences. not each developed a traumatized PTSD! (only about 10 - 12%). In the formation and maintenance the disorder play next to the traumatic event and psychological, biological and social factors play a role.

Keywords: Trauma Vocational Rehabilitation Young People

Accuracy Verified: Yes

145. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the “Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various levels of structural dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts of the Personality”. The working procedures within the EMDR framework involve processing materials from different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]

Keywords: Dissociation Personality Theory Poster

Accuracy Verified: Yes

146. ter Heide, F. J. J. (2008). Berichten uit het veld: Stabiliseren of verwerken? [Reports from the field: Stabilize or process?]. Cogiscope, 4(3), 39.

Language: Dutch

Format: Newsletter

Abstract:
Onder behandelaars van getraumatiseerde asielzoekers en vluchtelingen wordt soms hevig gediscussieerd over de vraag met welke interventies deze patiënten het beste geholpen zijn. Bijvoorbeeld: een vluchtelinge, slachtoffer van oorlogsgeweld, durft niet te slapen uit angst voor nachtmerries en heeft geen dagstructuur. Helpen we haar eerst om haar dagstructuur te verbeteren, zodat ze een traumagerichte therapie daarna beter aankan? Of behandelen we eerst haar traumatische herinneringen met EMDR of cognitieve gedragstherapie, zodat ze weer kan slapen en zelf haar dagen kan structureren? Of misschien moeten we deze benaderingen combineren in een dagklinische behandeling? Kortom, wat is de beste inhoud en timing van onze interventies? [Excerpt]

Among practitioners of traumatized asylum seekers and refugees is sometimes fierce discussed the question with which interventions these patients are best helped. For example, a refugee, victim of war, afraid to sleep for fear for nightmares and has no daily structure. We help her to her first day structure improve, so they trauma-focused therapy after better handle? or treating we first her traumatic memories EMDR or cognitive behavioral therapy, so they weather can sleep and can structure itself? her days Or maybe we need these approaches combine in a partial hospitalization treatment? In short, what is the best content and timing of our interventions? [Excerpt]

Keywords: Reprocessing Stabilization

Accuracy Verified: Yes

147. 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.

Keywords: General Overview

Accuracy Verified: Yes

148. 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

149. van der Kolk, B. A. (2002). Beyond the talking cure: Somatic experience and subcortical imprints in the treatment of trauma. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 57-83). Washington, DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
Subcortical nature of traumatic memories (Freud and trauma; the processing of experience); Trauma and physical sensations (the neurobiology of trauma; the tyranny of language); Clinical dilemmas for therapists of patients who have been traumatized (the therapeutic challenge; top-down versus bottom-up emotional processing); Learning about EMDR; Further experiences with EMDR; Integrative capacity of EMDR: transcript of one session; EMDR and the transformation of experience; What does EMDR do? [Pilots]

Keywords: Adults Cognitive Processes Posttraumatic Stress Disorder Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

150. Laliotis, D. (2010, March). Beyond trauma: Part I and II - EMDR as a broad-based psychotherapy. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
While EMDR is widely used as a highly effective treatment for PTSD based on neutralizing past memories of trauma, few therapists recognize how powerful a tool it can be in helping clients reprocess difficult experiences - traumatic or not - that impede their client's ability to move forward with their lives. In this workshop, you'll be introduced to an eight-phase information-processing model of EMDR for helping clients identify and reprocess significant childhood experiences and chronic patterns or themes that shadow their lives, hinder their emotional growth, and limit their ability to fully express their own identity. You'll learn a practical clinical procedure for identifying the predominant themes in clients' lives that underlie their current difficulties and freeing the, from attitudes that limits a fuller, more flexible experience of self.

Keywords: Practice Theory

Accuracy Verified: Yes

151. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.

Language: English

Format: Conference

Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: German

Format: Dissertation/Thesis

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

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

Keywords: Basic Motivation Existenital Analysis Method

Accuracy Verified: Yes

153. Christman, S. D., & Stieber, P. (2005, February). Bilateral eye movements lead to a neutralization of affective state. Poster presented at the 33rd annual meeting of the International Neuropsychological Society, St. Louis, MO.

Language: English

Format: Conference

Abstract: Engaging in bilateral eye movements (EM) leads to increases in Stroop interference, improvements in episodic memory, and decreases in false memories in a converging semantic associates paradigm. These results are interpreted as reflecting EM-induced equalization of cortical activation and subsequent enhancement of interhemispheric interaction. Since increased right versus left hemisphere activation is associated with negative versus positive affect, respectively, it was hypothesized that EMs following a mood-induction procedure should result in neutralization of affect. Seventy three right-handed participants engaged in happy or sad mood induction procedures, providing mood ratings on a 1-9 scale, followed by 30 seconds of either bilateral EMs or, as a control, watching a dot change color repeatedly. Participants then supplied a second mood rating. Analyses of the Happy condition showed no mood differences after mood induction, with all participants yielding scores significantly happier than neutral. After administration of the visual condition, participants in the Colored Dot condition showed no change in mood. In the EM condition, however, participants showed a significant reduction in positive affect. Analyses of the Sad condition showed that the mood induction procedure failed, with participants reporting neutral moods after mood induction. Post hoc analyses of only those participants reporting sad moods after induction showed that participants in the EM condition exhibited a marginally greater neutralization of affect than in the Colored Dot condition. The results provide tentative support for the hypothesis that bilateral EMs result in neutralization of emotional states, reflecting an equalization of cortical activation in the left and right hemispheres.

Keywords: Bilateral Stimulation Eye Movements

Accuracy Verified: Yes

154. Christman, S., & Garvey, K. (2001, June). Bilateral eye movements reduce cortical activation asymmetries. Presentation at the 2001 EMDR International Association Conference, Austin, TX.

Language: English

Format: Conference

Abstract:
Alternating left-right eye movements (EMs) have been shown to enhance episodic memory recall (Christman & Garvey, 2000). In turn, enhanced recall of episodic, or autobiographical, memories has been linked to increased interhemispheric interaction (Christman & Propper, 2001; Propper & Christman, 1997). Since leftward versus rightward EMs induce right versus hemisphere activation, respectively (Bakan & Svorad, 1969), bilateral EMs may facilitate interhemispheric interaction by balancing hemispheric activation levels. In other words, asymmetries in cortical activation may impair interhemispheric communication. Christman and Garvey (2000), however, demonstrated only that bilateral EMs enhance episodic memory performance; they did not directly measure hemispheric activation. To test this hypothesis directly, participants were administered two behavioral tests that are sensitive to variations in hemispheric activation. The Chimeric Faces Test (Levy, Heller, Banich, & Burton, 1983) involves mirror-image pairs of faces, with one smiling hemiface and one neutral hemiface, presented under conditions of free viewing. Participants are asked to judge which member of a pair looks happier. Right versus left hemiface biases are associated with relative increases in left versus right hemispheric activation. Line bisection tasks also tap into hemispheric activation, with leftward versus rightward bisection errors reflecting increased right versus left hemisphere activation. Bisection tasks, however, are also influenced by premotor asymmetries (e.g., Luh, 1995), and thus represent a less pure measure of hemispheric activation.
METHODS Participants performed blocks of chimeric face and line bisection trials. They then engaged in 30 seconds of alternating left-right saccades (2 eye movements per second). Participants then performed a second block of trials for both tasks.
RESULTS Results showed that behavioral asymmetries in the chimeric face task were significantly reduced after the EMs (p<.029). This supports the hypothesis that bilateral EMs reduce hemispheric activation asymmetries. Performance on line bisection task, however, was unaffected by EMs (F<1), perhaps reflecting the fact that this task is a less direct measure of hemispheric activation.
DISCUSSION These results provide further insight into mechanisms underlying EMDR therapy used for PTSD patients. Reduction in hemispheric activation asymmetry arising from bilateral EMs employed in the current study (and in EMDR) may enhance interhemispheric communication. This interpretation is consistent with Ramachandran (1995), who showed that vestibular stimulation (inducing optokinetic nystagmus and resulting in involuntary left-right EMs) reduces the denial of deficit found in anosagnosia patients. Ramachandran (1995) suggested that the procedure benefits the hypoaroused right hemisphere, bringing its activation level up to par with the left hemisphere. Similarly, EMs used in EMDR may balance hemispheric activation levels, in turn enhancing interhemispheric communication and retrieval of episodic memories.

Keywords: Bilateral Stimulation Eye Movements

Accuracy Verified: Yes

155. Kuiken, D., Chudleigh, M., & Racher, D. (2010, December). Bilateral eye movements, attentional flexibility and metaphor comprehension: The substrate of REM dreaming?. Dreaming, 20(4), 227-247. doi:10.1037/a0020841.

Language: English

Format: Journal

Abstract:
Explanations for the effects of the rapid eye movements induced during Eye Movement Desensitization Reprocessing (EMDR; Shapiro, 2001) have drawn upon an analogy with the eye movements of REM sleep (Kuiken, Bears, Miall, and Smith, 2002). An extension of that analogy posits two orienting systems, one involving threat-fear related mnemonic contextualization and another involving loss-pain related monitoring of conflicting response alternatives. In a study involving individuals who had recently experienced significant loss or trauma, we found that experimentally induced saccadic eye movements decreased reaction times to unexpected stimuli among those reporting traumatic distress (characterized by hyperarousal and intrusive thoughts) and increased reaction times among those reporting separation distress (characterized by vivid reminiscences and the sense of a foreshortened future). Also, we found that saccadic eye movements increased the perceived strikingness of metaphoric sentence endings among those reporting amnesia for events related to either loss or trauma. The eye movements of both EMDR and REM sleep may differently affect the attentional and cognitive reorienting activity of those living with the consequences of loss or trauma. These differences may be evident in their waking reflections and in their dreams.

Keywords: Attention Bereavement Dreams Eye Movements Metaphors REM Sleep Trauma

Accuracy Verified: Yes

156. Nieuwenhuis, S., Elzinga, B. M., Ras, P., Berends, F., Duijs, P., Samara, Z., & Slagter, H. (2013, February). Bilateral saccadic eye movements and tactile stimulation, but not auditory stimulation, enhance memory retrieval. Brain & Cognition, 81(1), 52-56. doi:10.1016/j.bandc.2012.10.003.

Language: English

Format: Journal

Abstract:
Recent research has shown superior memory retrieval when participants make a series of horizontal saccadic eye movements between the memory encoding phase and the retrieval phase compared to participants who do not move their eyes or move their eyes vertically. It has been hypothesized that the rapidly alternating activation of the two hemispheres that is associated with the series of left–right eye movements is critical in causing the enhanced retrieval. This hypothesis predicts a beneficial effect on retrieval of alternating left–right stimulation not only of the visuomotor system, but also of the somatosensory system, both of which have a strict contralateral organization. In contrast, this hypothesis does not predict an effect, or a weaker effect, on retrieval of alternating left–right stimulation of the auditory system, which has a much less lateralized organization. Consistent with these predictions, we replicated the horizontal saccade-induced retrieval enhancement (Experiment 1) and showed that a similar retrieval enhancement occurs after alternating left–right tactile stimulation (Experiment 2). Furthermore, retrieval was not enhanced after alternating left–right auditory stimulation compared to simultaneous bilateral auditory stimulation (Experiment 3). We discuss the possibility that alternating bilateral activation of the left and right hemispheres exerts its effects on memory by increasing the functional connectivity between the two hemispheres. We also discuss the findings in the context of clinical practice, in which bilateral eye movements (EMDR) and auditory stimulation are used in the treatment of post-traumatic stress disorder. [Copyright &y& Elsevier].

Keywords: Bilateral Stimulation Memory Retrieval Saccadic Eye Movements Saccades Tactile Stimulation

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

158. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Biological changes in arousal and cortisol following PTSD treatment. Symposium conducted (M. Olff, Chair) at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
Effects of treatment of PTSD on psychobiological measures: It is well known that PTSD is associated with changes in several biological systems. However little research has been done on whether it is possible to “reset” these biological systems with effective psychotherapy of pharmacological therapy. This symposium will present data on neuroendocrine and neuroimaging outcome measures.
Biological changes in arousal and cortisol following PTSD treatment: This presentation will discuss the results of a controlled treatment outcome study comparing EMDR, fluoxetine and pill placebo and demonstrate how effective treatment resulted in changes in memory processes, utilizing the Traumatic Memory Inventrory. In the EMDR condition, but not fluoxetine, the change in traumatic memory towards an integrated narrative was linearly correlated with physiological arousal in response to script driven imagery. This presentation will also present the relationship between clinical improvement in the three conditions and change in the cortisol response to a dexamethasone challenge.

Keywords: Fluoxetine Pill Placebo Posttraumatic Stress Disorder PSTD Symposium

Accuracy Verified: Yes

159. Sinici, E., Maden, O., Ak, M., Bozkurt, A., & Ozsahin, A. (2012, February). Bir cinsel tecavuz vak'asinda emdr uygulamasi: Vak'a sunumu [EMDR application on a sexual rape case: Case report]. Yeni Symposium Journal, 50(1), 58-60.

Language: Turkish

Format: Journal

Abstract:
Travmatik bir deneyim oldu hemen herkes yoğun stres belirtileri gösterebilir. Bu tecavüz edildi, özellikle halk arasında post-travmatik stres belirtileri görmek mümkündür. Son zamanlarda, tecavüz insanlara danışmanlık sağlamak için çabalar yaygın hale gelmiştir.EMDR tedavisi bellek (duygusal, bilişsel ve fiziksel), rahatsız edici olaylara ulaşmak fonksiyonları hızlandırmak ve öğrenme sürecini iyileştirmek için kadar duyusal birimleri üzerinde duruluyor. Bu EMDR tedavisi tecavüz birinin travma sonrası stres belirtileri hafifletir düşünülmektedir. 90 dakikalık EMDR seansları uygulandı. Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Envanteri (BAE), Durumluk ve Sürekli Kaygı Envanteri-I (STAI-I) ve Olaylar ScaleRevision (IES-R) Etkisi öncesi ve tedavi ve 1 ay sonra kontrol sonrası uygulanmıştır. Bu tecavüz kişinin stres belirtileri kısa bir süre sonra arasında, EMDR tedavisi öncesi azaltmak ve 1 ay sonra kontrol ettiği görülmektedir.Çalışmada bir olgu ile gerçekleştirilmiştir rağmen, sonucu cinsel travma hastalar için, EMDR uygulaması yararlı olabilir olmasıdır.

Almost anyone who had traumatic experience might show intense stress symptoms. It is possible to see post-traumatic stress symptoms among people especially who were raped. Recently, the efforts to provide counseling for raped people have become common. The EMDR treatment focuses on the sensorial units of the memory (emotional, cognitive and physical) to reach the disturbing events, accelerate functions and to improve the learning process. It is thought that EMDR treatment relieves the post traumatic stress symptoms for the raped one. 90 minute EMDR sessions were applied. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), State and Trait Anxiety Inventory-I (STAI-I) and Impact of Events ScaleRevision (IES-R) were applied before and after treatment and 1 month-later control. It is seen that the raped one's stress symptoms decrease before the EMDR treatment, among shortly after and 1 month later controls. Although the study was conducted with one phenomenon, the result is that for patients who had sexual trauma, EMDR application might be beneficial.

Keywords: Rape Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Birth Defects

Accuracy Verified: Yes

161. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clinicians will gain an understanding of the types of events that create psychological and physiological distress and trauma both at birth and afterward. Many conditions have their origin during this early period where generational messages as well as traumatic events surrounding birth and the early period of life can have negative effects. Participants will learn methods to work within the infant mind/body memory to retrieve early trauma and the subsequent events that reinforced it as well as facilitate healing through the life path of the individual. Clinicians can benefit by recognizing the elements that influence these situations, and with EMDR and other adjunctive techniques learn to resolve these very early experiences to help clients reach a higher level of adaptation for health. Objectives: 1.Identify the characteristics of traumatic or negative birth experiences. 2.Recognize the risk factors that affect the birth and can be projected onto the infant. 3.Identify the effects of early trauma on parent-infant relationships, bonding, the marital relationship, and on the infant. 4.Learn about long-term psychological and somatic sequelae of perinatal trauma on the adult individual. 5.Describe, demonstrate, and practice psychotherapeutic methods with EMDR to help resolve and heal these experiences.

Keywords: Birth Trauma

Accuracy Verified: Yes

162. 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

163. Smith. T. C. (2010, April). Bloody Sunday - Surviving post traumatic stress disorder with EMDR. Lulu.com.

Language: English

Format: Book

Abstract:
Bloody Sunday is an honest and riveting look into the rarely exposed vulnerabilities of the author. His attempts to understand and honestly convey the physical, emotional, and psychological consequences on him and his family as a result of a tramatic event, offer a perspective to the reader that most people would never be exposed to in their own life. Bloody Sunday is a true story that will both expose the human side of our heroes that put their life on the line everyday in the service of others. It also gives hope to those who are dealing with Post Tramatic Stress Disorder themselves or with a loved one.

Keywords: Police Shootings Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

164. Levine, P. A. (2003, September). The body bears the burden: Somatic expressions of traumatic stress. Plenary presented at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Developed over the past thirty years, "Somatic Experiecing" (SE) has gained increasing recognition as a powerful body-based therapy that can awaken one's innate self-regulative response to overwhelm. Based on a naturalistic understanding of how animals in the wild "shake off" repeated exposure to life threatening events, SE has produced surprising results with a variety of difficult symptoms This model will be presented towards enhancing EMDR practice.

Keywords: SE Plenary Somatic Experiencing

Accuracy Verified: Yes

165. van der Kolk, B. A. (1994, January). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265. doi:10.3109/10673229409017088.

Language: English

Format: Journal

Abstract:
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Intense emotions at the time of the trauma initiate the long-term conditional responses to reminders of the event, which are associated both with chronic alterations in the physiological stress response and with the amnesias and hypermnesias characteristic of posttraumatic stress disorder (PTSD). Continued physiological hyperarousal and altered stress hormone secretion affect the ongoing evaluation of sensory stimuli as well. Although memory is ordinarily an active and constructive process, in PTSD failure of declarative memory may lead to organization of the trauma on a somatosensory level (as visual images or physical sensations) that is relatively impervious to change. The inability of people with PTSD to integrate traumatic experiences and their tendency, instead, to continuously relieve the past are mirrored physiologically and hormonally in the misinterpretation of innocuous stimuli as potential threats. Animal research suggests that intense emotional memories are processed outside of the hippocampally mediated memory system and are difficult to extinguish. Cortical activity can inhibit the expression of these subcortically based emotional memories. The effectiveness of this inhibition depends, in part, on physiological arousal and neurohormonal activity. These formulations have implications for both the psychotherapy and the pharmacotherapy of PTSD.[MLM MEDLINE]

Keywords: Neurobiology Posttraumatic Stress Disorder Practice PTSD Theory

Accuracy Verified: Yes

166. Grand, D. (1996, June). Body processing: Innovative applications of EMDR to the somatic experience. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
In Dr. Francine Shapiro's development of the EMDR treatment method she has highlighted the importance of the role played by the body (soma) in the processing experience. According to her empirical findings, physical sensations can be activated by attending to a traumatic memory, may be a component of the sensory experience of the target trauma itself (i.e. an accident or an attack) and are additionally elicited by the resonance of the negative cognition. Accordingly, body sensations are invaluable focal points for EMDR processing. The clear body scan is a fundamental criterion used to determine the completion of a treatment protocol. Significant somatic involvement in EMDR is also demonstrated by the use of hand tapping as an alternative to eye movements as a method of bi-hemispheric activation.

Keywords: Body Processing Somatic Experience

Accuracy Verified: Yes

167. Korman, S. (2007, June). Body-based interventions for self-reguation and resourcing in the treatment of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In the clinical treatment of complex trauma, it is important to evaluate a patient’s readiness for trauma processing. This includes recognizing a clinical presentation of complex trauma and an understanding of it etiology. Additionally, it is imperative to understand the effects of trauma on the body system. Pre-mature trauma processing can serve to symptomatically worsen a pervasive pattern of systemic dysregulation. Prior to successful trauma processing, a patient must be able to maintain dual attention, regulate their affect, and tolerate the experience of affective state change. Body-based resourcing and regulatory skills can be utilized by the clinician to increase a patient’s ability to tolerate and more fully integrate pre-frontal lobe cognitive activity with the emotional and sensory experiences resultant of trauma. Strategies from many modalities, such as Dialectic Behavior Therapy, Mindfulness Practices and EMDR Resourcing can be taught to and practiced by the client in preparation for successful regulated integration of traumatic memory.

Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation

Accuracy Verified: Yes

168. Pagani, M., Salmaso, D., Looi, J., & Hogberg, G. (2008, June). Brain functional and volumetric analyses post traumatic stress disorder treated by EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Neuro-imaging investigations in PTSD have reported findings for either functional or structural modifications. Only two studies have investigated the changes in cerebral blood flow (CBF) following EMDR therapy and one single-patient study recently reported EMDR-related structural changes. The aim of this study was to analyse the structural and functional changes occurring in brain regions implicated in the patho-physiology of PTSD along with the impact on CBF and volumetric data after EMDR treatment. Thirty six train drivers having being exposed to traumatic experiences at work were assigned to different two groups: symptomatic (S, n=17) or nonsymptomatic (NS, n=19), according to PTSD diagnosis. SPECT, following administration of an individualised 35 trauma script, and MRI were performed and EMDR therapy was administered to S. According to EMDR outcome S were further subdivided in responders (R, n=11) and non-responders (NS, n=5). One patient was not treated. CBF and volumetric analyses were performed on temporal lobes, hippocampi and nuclei caudati. ANOVA showed a significantly higher CBF distribution in the left temporal lobe of S as compared to NS and the right nc.caudatus was significantly larger in S. The R group had larger hippocampi and nc.caudati as compared to NR and the size of hippocampi correctly identified 81% of R and NR. The increased left temporal lobe CBF distribution among symptomatic PTSD subjects may reflect the affective significance of higher effort in emotional episodic memory stimulation among symptomatic individuals. Hippocampi volume as measured before EMDR was shown to predict with high accuracy the therapy outcome.

Keywords: Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

169. Lendl, J. (2002, June). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
New brain imaging technologies are giving a clearer picture of how memories are stored and how effective treatment may alter brain function. Neuroimaging researchers Bessel van der Kolk and Daniel Amen are investigating EMDR treatment effects. Van der Kolk is studying how traumatic memories differ from memories of ordinary events, while Amen concentrates on evaluating difficult psychiatric cases, ADD, head trauma, memory problems, dementia, aggression, and exposure to toxic substances. This workhop will focus on Amen's research regarding frequently found patterns of brain performance, including specific area functions and problems from a clinician's view. Significant attention will be devoted to integrating EMDR with the Amen multi-discipline intervention approach for problem brian areas.

Keywords: Amen Brain Performance van de Kolk

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Accuracy Verified: Yes

172. Laiman, J. (2003, August 11). Brain teaser: Can eye aid recall and ease trauma?. Toledo: OH: Toledo Blade, City Final, Peach, D1.

Language: English

Format: Newspaper

Abstract:
Then Dr. Silver read about Eye Movement Desensitization and Reprocessing - EMDR for short - in the Journal of Traumatic Stress. He was immediately suspicious.

Keywords: General Overview Steve Silver Toledo

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Poster Practice Research Research Skills Development Program

Accuracy Verified: Yes

174. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.

Keywords: Body Resource CIPOS Position of Power Power Animal

Accuracy Verified: Yes

175. 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

176. Gersons, B. (2013, June). Brief eclectic psychotherapy for PTSD (BEP). Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEP) is a trauma-focused treatment which has been shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is a need not only for decreasing anxiety but also for learning how the traumatic event has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEP-protocol has proved to be effective in randomized controlled trials. Also psychobiological recovery has been demonstrated. In the workshop the different elements of BEP will be outlined and taught, also using a DVD. Similarities and differences between CBT and EMDR will be presented. To summarize, CBT, EMDR and BEP are equally effective in reducing PTSD by different forms of exposure. BEP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Clinical cases will be discussed.

Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

177. Gersons, B. (2011, June). Brief eclectic psychotherapy for PTSD (BEPP). Preconference presentation at the 12th annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD

Accuracy Verified: Yes

178. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (http://www.traumatreatment.eu/). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

179. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). PreConference presentation at the 27nd annual meeting of the International Society for Traumatic Stress Studies, Vienna, Austria.

Language: English

Format: Conference

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

181. Rossello-Mir, J., Revert-Vidal, X., Obrador, P., & Cardell, E. (2007, June). Brief EMDR protocol versus bilateral stimulation in the treatment of spider phobia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR, that includes bilateral stimulation, causes the desensitization and reprocessing of traumatic memories, thus reducing anxiety, distress, fear, and other symptoms related with several anxiety disorders. Previous results show it is effective in reducing symptoms of PTSD, panic disorder, public speaking anxiety, etc. Relying on some previous results we think that a brief EMDR protocol could be applied to relieve symptoms of specific phobias.
To investigate this issue, we study the efficacy of a new brief EMDR protocol in the treatment of spider phobia. Furthermore, our design tries to clarify the controversy about which components of the EMDR procedure are relevant for patient’s improvement. More specifically, we compare the effectiveness of our brief procedures with that of simple bilateral stimulation that is, without eye movements, which necessity to obtain therapeutic outcome has been questioned.
We randomly assign twenty volunteers, female university students with spider phobia to one of three groups. We applied the brief EMDR protocol to the first one and bilateral stimulation to the second one, being the third group the control one. To assess the effectiveness of both treatments, in addition to apply traditional questionnaires, we designed a specific emotional Stroop task in order to make use of this tool to evaluate, before and after each treatment, the selective attentional biases, that seem to play an important role in the etiology and maintenance of anxiety disorders. We discuss the differences found in our results in reference to the controversy aforementioned and how they can help to understand the EMDR mechanism of action.

Keywords: Bilateral Stimulation BLS Brief EMDR Spider Phobia

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

183. Shapiro, F. (1999). Brief therapy inside out: EMDR - Working with grief. Phoenix, AZ: Zeig, Tucker & Theisen Inc. Publishers.

Language: English

Format: Video

Abstract:
Sit in on therapy with the masters! This video is part of the innovative "Brief Therapy Inside Out" series - a unique series that puts you directly in the therapy room to watch as leading therapists demonstrate their approaches in 45-minute, unrehearsed clinical sessions with real clients (not actors). EMDR founder Francine Shapiro has trained over 30,000 clinicians worldwide in her unique approach to the treatment of trauma. Known formally as Eye Movement Desensitization and Reprocessing, EMDR has been used successfully in critical incident work with victims of such tragedies as the Oklahoma City bombing, with both single-incident rape and incest survivors, with survivors of chronic abuse, even with treatment-resistant Vietnam vets. Here, Shapiro illustrates her eight-phase EMDR protocol with Angie, a recovering addict struggling with the sudden loss of her lover. While the exact neural mechanisms underlying EMDR are still not precisely understood, what is clear is that with skilled use of this potent reprocessing treatment, painful experiences that used to take months or years to treat have been resolved in as few as one to three 90-minute sessions. The videotape provides a singular introduction to this powerful approach as demonstrated by its extremely skilled founder. The clinical session is preceded by an introductory interview with series hosts Drs. Jon Carlson and Diane Kjos in which Shapiro explains basic principles underlying her approach. The video closes with a Q&A segment in which key interactions from the eight-phase treatment protocol are replayed and discussed. 95 minutes.

Keywords: Grief

Accuracy Verified: Yes

184. Robbins, J. (2000, December). Brief trauma treatment of a toddler using EMDR. EMDRIA Newsletter, 5(Special Edition), 25-27.

Language: English

Format: Newsletter

Abstract:
This paper presents a single-case test of Greenwald’s trauma treatment model for very young children. The model worked as predicted. Full treatment of a 2-1/2-year-old boy with post traumatic stress disorder (provisional) was conducted in three session, including two sessions with Eye Movement Desensitization and Reprocessing (EMDR). Two-week and six-month telephone follow-up indicated complete and maintained symptom relief.

Keywords: Children

Accuracy Verified: Yes

185. Kip, K. E., Sullivan, K. L., Lengacher, C. A., Rosenzweig, L., Hernandez, D. F., Kadel, R., Kozel, F. A., Shuman, A., Girling, S. A., Hardwick, M. J., & Diamond, D. M. (2013). Brief treatment of co-occurring post-traumatic stress and depressive symptoms by use of accelerated resolution therapy. Front Psychiatry, 4(11). doi:10.3389/fpsyt.2013.00011.

Language: English

Format: Journal

Abstract:
This uncontrolled prospective cohort study evaluated the use of accelerated resolution therapy (ART) for treatment of comorbid symptoms of post-traumatic stress disorder (PTSD) and major depressive disorder. Twenty-eight adult subjects, mean age of 41years (79% female, 36% Hispanic), received a mean of 3.7±1.1 ART treatment sessions (range 1–5). ART is a new exposure-based psychotherapy that makes use of eye movements. Subjects completed a range of self-report psychological measures before and after treatment with ART including the 17-item PCL-C checklist (symptoms of PTSD) and 20-item Center for Epidemiologic Studies Depression Scale (CES-D). For the PCL-C, the pre-ART mean (±standard deviation) was 62.5 (8.8) with mean reductions of −29.6 (12.5), −30.1 (13.1), and −31.4 (14.04) at post-ART, 2-month, and 4-month follow-up, respectively (p<0.0001 for comparisons to pre-ART score). Compared to pre-ART status, this corresponded to standardized effect sizes of 2.37, 2.30, and 3.01, respectively. For the CES-D, the pre-ART mean was 35.1 (8.8) with mean reductions of −20.6 (11.0), −18.1 (11.5), and −15.6 (14.4) at post-ART, 2-month, and 4-month follow-up, respectively (p≤0.0001 compared to Pre-ART score). This corresponded to standardized effect sizes of 1.88, 1.58, and 1.09, respectively. Strong correlations were observed at 2-month and 4-month follow-up for post-treatment changes in PTSD and depression symptom scores (r=0.79, r=0.76, respectively, p≤0.0002). No serious treatment-related adverse effects were reported. In summary, ART appears to be a promising brief, safe, and effective treatment for adults with clinically significant comorbid symptoms of PTSD and depression. Future controlled and mechanistic studies with this emerging therapy are warranted, particularly given its short treatment duration, and in light of current heightened emphasis on health care cost constraints.

Keywords: Accelerated Resolution Therapy ART Brief Treatment Depression Exposure Therapy Eye Movements Posttraumatic Stress Disorder Psychological Trauma PTSD

Accuracy Verified: Yes

186. Meignant, I., & Meignant, C. (2008, May). Buddy the dog's E.M.D.R. EMDR Humanitarian Assistance Programs.

Language: English

Format: Book

Abstract:
The Buddy's Extroadinary Momentum for Discovery and Reconciliation is made to help kids from 0 to 99 deal with the abreaction through the story of a traumatized dog. It allows us to understand the internal process which takes place during the acceptance creation of a trauma, a process caused by eye movements, as during the therapy EMDR.
It's also a magnificent tool for understanding the neuro emotional integration processing which takes place during the bilateral stimulation, for all those suffering traumatism in the broad sense of the term: simple or complex, unique or multiple, the traumatic disorders of development and generally the memories of the past staying emotionally in the present. These events of the past of which we say "it's as if, it was yesterday" which do not become memories which we consult and which do not hurt any more. This book shows an example of the internal process of EMDR which will allow Buddy the dog to become reconciled with himself and to be able to live WITH the memories and not IN the memories.

Keywords: Children

Accuracy Verified: Yes

187. Zaghrout-Hodali, M., Alissa, F., & Dodgson, P. (2008). Building resilience and dismantling fear: EMDR group protocol with children in an area of ongoing trauma. Journal of EMDR Practice and Research, 2(2), 106-113. doi:10.1891/1933-3196.2.2.106.

Language: English

Format: Journal

Abstract:
A number of studies indicate that EMDR (eye movement desensitization and reprocessing) may be efficacious in treatment of children and young people with symptoms of posttraumatic stress. However, reports are limited in the use of the EMDR psychotherapy approach in situations of ongoing violence and trauma. This case study describes work with 7 children in an area of ongoing violence who were subject to repeat traumas during the course of an EMDR psychotherapy intervention, using a group protocol. Results indicate that the EMDR approach can be effective in a group setting, and in an acute situation, both in reducing symptoms of posttraumatic and peritraumatic stress and in "inoculation" or building resilience in a setting of ongoing conflict and trauma. Given the need for such applications, further research is recommended regarding EMDR's ability to increase personal resources in such settings. [Author Abstract]

Keywords: Acute Stress Disorder Cognitive Processes Conflict Intifada Group Psychotherapy Multiple Traumatic Events Palestinians Psychotherapeutic Processes Recent Events Resilience Group Therapy Survivors School Age Children Trauma Treatment

Accuracy Verified: Yes

188. Staff. (2006, July 24). Business snapshots column. Butte, MT: The Montana Standard.

Language: English

Format: Newspaper

Abstract:
EMDR is an adaptive information processing treatment model that uses dual attention through bilateral stimulation to help resolve traumatic and distressing emotional experiences.

Keywords: Butte General Overview

Accuracy Verified: Yes

189. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.

Keywords: Children Infants

Accuracy Verified: Yes

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

Language: English

Format: Newspaper

Keywords: General Monterey County Overview

Accuracy Verified: Yes

191. 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

192. Rodriguez, T. (2013, January/February). Can eye movements treat trauma?. Scientific American Mind, 23(6), 9-9.

Language: English

Format: Magazine

Abstract:
The article focuses on the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating post-traumatic stress disorder (PTSD). Research supports the concept of using eye movements in reducing the symptoms of PTSD. Researchers note that eye movements strip the patients' troubling memories of vividness and its distress. They discover the outperformed tones of eye movements in mitigating memories' vividness and emotional intensity level.

Keywords: Eye Movements Memory Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

193. Holmes, E. A., James, E. L., Coode-Bate, T., & Deeprose, C. (2009). Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE, 4(1): e4153. doi:10.1371/journal.pone.0004153 .

Language: English

Format: Journal

Abstract:
Background. Flashbacks are the hallmark symptom of Posttraumatic Stress Disorder (PTSD). Although we have successful treatments for full-blown PTSD, early interventions are lacking. We propose the utility of developing a ‘cognitive vaccine’ to prevent PTSD flashback development following exposure to trauma. Our theory is based on two key findings: 1) Cognitive science suggests that the brain has selective resources with limited capacity; 2) The neurobiology of memory suggests a 6-hr window to disrupt memory consolidation. The rationale for a ‘cognitive vaccine’ approach is as follows: Trauma flashbacks are sensory-perceptual, visuospatial mental images. Visuospatial cognitive tasks selectively compete for resources required to generate mental images. Thus, a visuospatial computer game (e.g. “Tetris”) will interfere with flashbacks. Visuospatial tasks post-trauma, performed within the time window for memory consolidation, will reduce subsequent flashbacks. We predicted that playing “Tetris” half an hour after viewing trauma would reduce flashback frequency over 1-week.
Methodology/Principal Findings. The Trauma Film paradigm was used as a well-established experimental analog for Post-traumatic Stress. All participants viewed a traumatic film consisting of scenes of real injury and death followed by a 30-min structured break. Participants were then randomly allocated to either a no-task or visuospatial (“Tetris”) condition which they undertook for 10-min. Flashbacks were monitored for 1-week. Results indicated that compared to the no-task condition, the “Tetris” condition produced a significant reduction in flashback frequency over 1-week. Convergent results were found on a clinical measure of PTSD symptomatology at 1-week. Recognition memory between groups did not differ significantly. Conclusions/Significance. Playing “Tetris” after viewing traumatic material reduces unwanted, involuntary memory flashbacks to that traumatic film, leaving deliberate memory recall of the event intact. Pathological aspects of human memory in the aftermath of trauma may be malleable using non-invasive, cognitive interventions. This has implications for a novel avenue of preventative treatment development, much-needed as a crisis intervention for the aftermath of traumatic events.

Keywords: Flashbacks Tetris

Accuracy Verified: Yes

194. 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

195. 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

196. 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

197. 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

198. Seubert, A. (2010, June). The case of mistaken identity: EMDR, attachment and ego states in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Attachment and Ego States in the treatment of eating disorders is a 120 minute program, which introduces participants to 1. the kind of history taking, medical attention and goal establishment unique to clients with eating disorders, 2, the extensive preparation, which includes emotional expertise and somatic awareness, 3. the inevitable presence of dissociation and the use of ego state therapy to access the source of the eating disordered addiction, 4, the need for attachment repair and 5, slight modifications to trauma processing given emotional fragility and the tendency to return to the disorder. even after extensive preparation. The modifications entail A. a return to attachment/reparenting work, even during phases 3-6, a5 a way to 'pendulate' between the traumata and resources, B. the use of dissociation strategies, e.g., having the eating disordered part look through the eyes with the client, and C. titrating the target memories. THE CASE OF MISTAKEN IDENTITY employs an EMDR phase model, which includes an evaluation phase, focusing on medical safety, case formulation and mutual goal creation. In the preparation phase, participants will learn a4-step method of teaching emotional competence, and the use of ego state therapy to free the self from identity with the disordered part&), and strategies for attachment repair. Preparation and Processing phases both require body awareness and acceptance, as well as the ability to titrate released disturbance and re-stabilize (Re-evaluation) after EMDR application to touchstone events. Video clips, case studies and case reviews will reinforce learning. Learning objectives: 1 Participants will describe the trauma-based purpose for dissociation in eating disorders, 2 will describe the practice of awareness and four steps to emotional competence. 3. will name two ego-state strategies methods in identifying and collaborating with ego states, 4. two attachment repair methods, and 5. describe two minor adaptations to the processing phase. WHAT IS NEW: Eating disorder treatment often recognizes, but rarely offers treatment solutions, to the traumatic origins of an eating disorder. This fact, coupled with a lack of awareness of the role of attachment injury and dissociation, renders many of the contemporary approaches to eating disorder treatment incomplete and often ineffective.

Keywords: Attachment, Eating Disorders Ego States

Accuracy Verified: Yes

199. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
It has proven that EMDR is successful in helping people who have experienced psychological difficulties that originate from some kind of traumatic experience. I used standard EMDR protocol successfully in single session for two persons who experience short negative moments. One client was a young man who had intrusive recalls of the male acquaintance telling him about oral sex intercourse between men that happened 38 hours before he asked for psychological help. The other client was a young nurse, one of my colleagues, who was scolded and threatened by the husband of a patient less than 2 hours ago before I did EMDR for her. They both had moment of trauma was very precise and very short: the moment the words were spoken. The recent events don't have several hot spots (difficult affect laden moments in the experience), but just one clearly shocking moment. So I used standard protocol and it helped stabilizing them very quickly, they both retouched their resources quickly. Two months later, I followed up my colleague. She was still stable and had the same positive cognition about the negative moment.

Keywords: China Psychotrauma Symposium

Accuracy Verified: Yes

200. Bae, H., Kim, D., & Ahn, J. (2006, September). A case series of post-traumatic obsessive compulsive disorder: A six month follow-up evaluation. Journal of the Korean Neuropsychiatric Association, 45(5), 476-480.

Language: Korean

Format: Journal

Abstract:
A number of recent case reports and series indicate that obsessive compulsive disorder (OCD) can develop after traumatic experience as a comorbid conditon to post-traumatic stress disorder (PTSD). These descriptive studies consistently addressed that those patients respond poorly to treatments and had an unfavorable outcome. However, this conclusion was not supported by prospective follow up with objective measurement of symptomatology. This report presents three single trauma-related PTSD patients who developed full-blown OCD concurrently with or after the initiation of PTSD. These patients represent 10% of new PTSD outpatients at a PTSD clinic during one year period and 25% of PTSD patients who had been admitted. In all three cases compulsion seemed to distract or serve as avoidance to intrusive symptoms of PTSD. Despite Eye Movement Desensitization and Reprocessing (EMDR) and/or exposure therapy for PTSD together with at least two antidepressant trials for PTSD and OCD, at six month follow-up PTSD partially improved and OCD remained unchanged. This finding is consistent with previous reports from western literature (KoreaMed).

Keywords: Obsessive-Compulsive Disorder OCD

Accuracy Verified: Yes

201. 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

202. Miller, P. (2005, April). A case study of complex PTSD exploring the use of EMDR and medication: The psychobiology of a traumatic incident. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .

Language: English

Format: Conference

Keywords: Mediction Posttraumatic Stress Disoder PTSD: Psychobiology Trauma

Accuracy Verified: Yes

203. Lobenstine, F., & Courtney, D. (2013). A case study: The integration of intensive EMDR and ego state therapy to treat comorbid posttraumatic stress disorder, depression, and anxiety. Journal of EMDR Practice and Research, 7(2), 65-80. doi:10.1891/1933-3196.7.2.65.

Language: English

Format: Journal

Abstract:
This study used a quantitative, single-case study design to examine the effectiveness of the integration of intensive eye movement desensitization and reprocessing (EMDR) and ego state therapy for the treatment of an individual diagnosed with comorbid posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD). The participant received 25.5 hr of treatment in a 3-week period, followed with 12 hr of primarily supportive therapy over the next 6-week period. Clinical symptoms decreased as evidenced by reduction in scores from baseline to 6-week follow-up on the following scales: Beck Depression Inventory (BDI) from 46 (severe depression) to 15 (mild mood disorder), Beck Anxiety Inventory (BAI) from 37 (severe anxiety) to 25 (moderate anxiety), and Impact of Events Scale from 50 (severe PTSD symptoms) to 12 (below PTSD cutoff). Scores showed further reductions at 6-month follow-up. Results show the apparent effectiveness of the integration of intensive EMDR and ego state work.

Keywords: Anxiety Depression Ego State Therapy Evidence-Based Practice Posttraumatic Stress Disorder PTSD

Accuracy Verified: No

204. 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

205. Oppenheim, H.-P. (2009). Casus 10 - De kwetsbaarheid van kracht: Vrouw met depressies en paniekaanvallen na overlijden van haar vader [Case 10 - The vulnerability of strength: A woman with depression and panic attacks after the death of her father]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 157-167). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_16.

Language: Dutch

Format: Book Section

Abstract:
Doriene werd in augustus 2007 door de huisarts aangemeld in verband met paniekaanvallen. In het intakegesprek vertelde Doriene dat ze het gevoel heeft dat de angst haar overvalt. Tijdens een paniekaanval heeft ze het koud en warm tegelijkertijd, krijgt ze hartkloppingen, voelt ze een knoop in de maag en tintelingen in de armen. Op zo'n moment is ze bang de controle te verliezen en gek te worden. In mei 2007 heeft ze een aanval gehad in de trein. Zodra de trein reed, ging het wel, maar bij elk station, als ze de mogelijkheid had om uit te stappen, kwam de angst weer terug. In juli kreeg ze opnieuw een aanval, ditmaal tijdens haar vakantie, anticiperend op de vliegreis terug naar huis. Sindsdien was ze constant bang voor nieuwe aanvallen. Vlak voor het eerste gesprek heeft ze voor het eerst ook's nacht in bed een aanval gekregen. Treinreizen en lange autoritten werden sindsdien zo veel mogelijk vermeden. Doriene vertelde dat ze zich de laatste tijd overwerkt voelt. Ze kon zich nog maar moeilijk concentreren en sliep's nachts slecht. Ze gaf aan zich veel zorgen te maken om haar moeder die aan chronische bronchitis en longemfyseem (COPD) leed en vermoedelijk niet lang meer te leven had. Doriene blijkt in 1998 eerder een korte periode van paniekaanvallen te hebben gehad. Daarvoor, in 1994 en 1995, is ze een periode ernstig depressief geweest. Zowel de depressie als de paniekstoornis zijn destijds door middel van wekelijkse gesprekken en het innemen van een antidepressivum met succes behandeld.

Doriene in August 2007 was signed by the physician associated with panic attacks. Doriene said in the interview that she feels that her anxiety about falling. During a panic attack while they are cold and hot, she gets palpitations, she feels a knot in the stomach and tingling in the arms. At such times she is afraid of losing control and going crazy. In May 2007 she had an attack on the train. Once the train was, it went well, but at each station, when she had the opportunity to step out, the fear came back. In July she was again attacked, this time during her vacation, anticipating the flight back home. Since then, she was constantly afraid of new attacks. Just before the first meeting for the first time she's in bed a night attack received. Train travel and long car trips have since been avoided wherever possible. Doriene said she feels overworked lately. She could still have difficulty concentrating and poor sleep at night. She said many are concerned about her mother from chronic bronchitis and emphysema (COPD) suffering and probably not have long to live. Doriene show in 1998 before a brief period of panic attacks had. Previously in 1994 and 1995, a period she is severely depressed. Both depression and panic disorder at the time by means of weekly meetings and taking an antidepressant treated successfully.

Keywords: Depression Traumatic Mourning Panic Attacks Woman

Accuracy Verified: Yes

206. Spierts, I. (2009). Casus 20 – Met stomheid geslagen: Een 50-jarige vrouw vindt haar stem en zelfvertrouwen terug [Casus 20 – Dumb beaten: A 50-year-old woman finds her voice and confidence back]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 279-287). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_29.

Language: Dutch

Format: Book Section

Abstract:
Christina is een 50-jarige huisvrouw die – via maatschappelijk werk – bij mij wordt aangemeld. Dit vanwege ernstige depressieve klachten en stagnatie in een al twee jaar durende behandeling bij het reguliere maatschappelijk werk. Christina heeft last van herbelevingen van traumatische gebeurtenissen en krijgt steeds meer moeite om de dagen door te komen.

Christina is a 50-year-old housewife who - through social work - I have notified. This is because severe depression and stagnation in an already two years of treatment with regular social work. Christina burden of reliving traumatic events, and getting increasingly difficult to get through the day.

Keywords: Women

Accuracy Verified: Yes

207. Kok, W. (2009). Casus 23 – Op leeftijd: Een 70+-dame met gestagneerde rouw en een beroerte in de voorgeschiedenis [Case 23 - Elderly: A 70 + lady with complicated mourning and a stroke in her medical history], (pp 313-318. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 313-318). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_33 .

Language: Dutch

Format: Book Section

Abstract:
Mevrouw Akersloot is een vrouw van in de zeventig. Zij werd verwezen door haar neuroloog, in verband met slaapproblemen en irrationele angsten. De klachten hielden verband met traumatische gebeurtenissen. In 2004 was zij opgenomen op de afdeling Neurologie in verband met een CVA (cerebrovasculair accident; een beroerte). Zij herstelde daar goed van en er bleken geen tekenen van een beginnende dementie aanwezig te zijn. Ook de fysiotherapeutische behandeling die zij kreeg in verband met instabiliteit bij het staan en lopen, had goed geholpen.

Ms. Akersloot is a woman in her seventies. She was referred by her neurologist, because of sleeplessness and irrational fears. The complaints were related to traumatic events. In 2004 she was included in the Department of Neurology associated with a stroke (cerebrovascular accident, a stroke). She recovered well and there were no signs of an incipient dementia present. The physiotherapy treatment they received in connection with instability when standing and walking, had good help.

Keywords: Grief Complicated Mourning Old Age Elderly Stroke

Accuracy Verified: Yes

208. Hornsveld, H. K., & Berendsen, S. A. (2009). Casusboek EMDR, 25 voorbeelden uit de praktijk [EMDR book case, 25 examples from practice]. Uitgeverij, Belgium: Bohn Stafleu Van Loghum.

Language: Dutch

Format: Book

Abstract:
Ongeveer twintig jaar geleden, werd EMDR (Eye Movement Desensibilisatie and Reprocessing) ontwikkeld als een vorm van Post Traumatische Stress Stoornissen (PTSS). Na aanvankelijke scepsis is opgenomen in EMDR (inter) nationale richtlijnen voor de behandeling van PTSS en is ook in vele andere klachten van de aanvragen. In zaak Boek EMDR therapeuten beschrijven 25 Nederlandse aansprekende voorbeelden uit hun praktijk die ze met succes gebruikt EMDR. Zo geven ze de lezer een kijkje in de keuken van hun praktijk en neemt een deel van het mysterie rond deze behandeling optie weg. De ervaringen van de cliënten beschreven tonen niet alleen de effectiviteit van EMDR, maar ook de efficiëntie van deze vorm van therapie.

Approximately twenty years ago, EMDR (Eye Movement Desensitisation and Reprocessing) was developed as a form of Post Traumatic Stress Disorders (PTSD). After initial skepticism has been included in EMDR (inter) national guidelines for the treatment of PTSD and is also in many other complaints of applications. In Case Book EMDR therapists describe 25 Dutch appealing examples from their practice which they successfully used EMDR. Thus they give the reader a glimpse into the kitchen of their practice and take some of the mystery surrounding this treatment option away. The experiences of the clients described not only show the effectiveness of EMDR, but also the efficiency of this form of therapy.

Keywords: Practice Theory

Accuracy Verified: Yes

209. McFarlane, A. (2003, October-November). CBT vs. EMDR in the treatment of PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .

Language: English

Format: Conference

Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment outcome studies using four different treatment modalities (CBT, EMDR, psychopharmacology and Cognitive Processing) and presents data on comparative efficacy, treatment responsiveness and resistance, effects on comorbidity, quality of life, and biological changes that accompany symptom improvement.

CBT vs. EMDR in the treatment of PTSD: 114 subjects were randomized into the study, but only 45 completed up to week 10. The subjects in the study comprise 45 sufferers of Post traumatic stress disorder as defined by the Clinician Administered PTSD Scale (CAPS) (caps score > 50, and who satisfied criteria A,B,C and D for PTSD diagnosis) and the PCL-C (PCL-C>50). All subjects were victims of a traumatic experience and were recruited through newspaper or radio advertisements, referrals from private practitioners (18 subjects) or through the State Government Insurance Commission (SGIC) (27 subjects). Subjects were randomised into one of three treatments. Fourteen subjects received EMDR, 21 received CBT and 10 were control subjects. The mean age of the sample was 41.38 (SD=11.55) with the minimum age of 19 and the maximum age of 61. Sixteen of the subjects were male and 29 were female. During the treatment period 17 of the subjects were taking antidepressants and 6 were taking anxiolytics. Approximately half of the sample was married (22 subjects 48.9%), 12 had never married, 4 were separated, 1 was defacto and 6 were divorced. The mean number of treatment sessions for the entire sample was 8.53 (SD 1.65). Out of the 45 participants in the study, 26 had suffered only one single trauma in their lives, 11 had experienced several single traumas, 3 had suffered one ongoing trauma and 5 individuals had suffered at least one ongoing and one specific trauma. The following results were performed on the treatment groups (total 35 subjects), with the control group being excluded from all analyses. All subjects, were aged between 18 and 65, lived in metropolitan Adelaide and had an adequate command of English (reading and writing).All subjects gave informed consent to the study and expressed their willingness to comply with the protocol. Subjects with a history of adult seizure disorder, organic brain disease or who were assessed to be at significant suicide risk (a score of 3 or more on suicide question in HAM-D), were excluded from the study, as were subjects taking psychotropic drugs (anticonvulsive/ antipsychotic) or sedatives more than 4 times a week. All assessment and treatment sessions were conducted at the University of Adelaide Department of Psychiatry at the Queen Elizabeth Hospital. Assessment sessions were conducted by trained research assistants and all therapy sessions were conducted by a clinical psychologist, trained in both EMDR and CBT. Subjects were assessed for suitability to enter the study via an initial screening instrument (sent out to subjects in the post) and an initial screening interview. Patients were further evaluated at week 0 (baseline/immediately prior to commencement of treatment), 3, 4, 6, 8 10, 20 (10 week followup).

Keywords: CBT Cognitive Behavioral Therapy Symposium

Accuracy Verified: Yes

210. Ansorge, R. (1997, April 22). Certain emotional signs can point to post-traumatic stress disorder. Colorado Springs, CO: Gazette, Lifestyle, 2.

Language: English

Format: Newspaper

Abstract:
Are you or someone you know a candidate for EMDR (Eye Movement Desensitization Reprocessing)? You might be if you suffer from post-traumatic stress disorder and have not responded to traditional talk therapy, medication or lifestyle changes.

Keywords: Colorado Springs Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

211. McLaughlin, D. F., McGowan, I. W., Paterson, M. C., & Miller, P. W. (2008, September). Cessation of deliberate self harm following eye movement desensitisation and reprocessing: A case report. Cases Journal, 1, 177-180. doi:10.1186/1757-1626-1-177.

Language: English

Format: Journal

Abstract:
We present a case report of an eighteen year old female patient presenting with a psychological trauma related complaint. Part of the manifestation of the complaint included acts of self cutting over a number of years. Following two sessions of Eye Movement Desensitization & Reprocessing with one of the authors (DM) her self cutting ceased. This is maintained at thirteen months follow up. We conclude that Eye Movement Desensitization & Reprocessing may be an effective treatment option in reducing repeat self harm where traumatic events are noted to be the precursor to deliberate self harm.[Author abstract]

Keywords: Self Harm

Accuracy Verified: Yes

212. Allen, J. G. (2003). Challenges in treating post-traumatic stress disorder and attachment trauma. Current Women’s Health Reports, 3, 213–220.

Language: English

Format: Journal

Abstract:
Treating women suffering from trauma poses significant challenges. The diagnostic prototype of post-traumatic stress disorder (PTSD) is based on single-event trauma, such as sexual assault in adulthood. Several effective cognitivebehavioral treatments for such traumas have been developed, although many treated patients continue to experience residual symptoms. Even more problematic is the complex developmental psychopathology stemming from a lifetime history of multiple traumas, often beginning with maltreatment in early attachment relationships. A history of attachment trauma undermines the development of capacities to regulate emotional distress and thereby complicates the treatment of acute trauma in adulthood. Such complex trauma requires a multifaceted treatment approach that must balance processing of traumatic memories with strategies to contain the intense emotions this processing evokes. Moreover, conducting such treatment places therapists at risk for secondary trauma such that trauma therapists also must process this stressful experience and implement strategies to regulate their own distress.

Keywords: Attachment Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

213. Falaschi, R., & Tizzani, E. (2001, October). Changes in electroencephalographic quantitative analysis in patients treated with EMDR. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (p 159) Palermo.

Language: English

Format: Other

Abstract:
EMDR’s basic working theory assumes that traumatic memories remain unprocessed because the innate information processing system is stuck by the psychophysiological effects of trauma. Traumatic events are stored in their original form, and the recall of traumatic memories causes a high level of disturbance.
Left-right rhythmic stimulations of EMDR seem to remove the block in the traumatic memories processing and help memories storing mechanism function at an adaptive level. In recent years, many scientific researches have focused on the opportunity to assess the functional connection between different brain areas through quantitative analysis of EEG.
According to the aim of this presentation, our attention was drawn to the correlation between slow bands (4- 7 Hz) and the activity in the sub-cortical areas involved in working memory and, also, high frequency ranges (> 36 Hz) and cortical activities during sensorial stimuli processing. There are a few quantitative EEG studies on patients with PTSD. The EEG analysis of subject with childhood abuse histories revealed less synchronization in the two hemispheres functioning compared to normal control subjects.
EEG quantitative analysis in abused children showed a higher intra-hemispheric left coherence and a lower intra-hemispheric right coherence in comparison with normal control subjects. According to these results, the aim of this presentation is to test if there are recordable changes in the intra and inter hemispheric synchronization between brain areas where information processing occurs (limbic system, prefrontal cortical area, and posterior cortical areas) in patients with PTSD after EMDR treatment.

Keywords: EEG Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

214. Frustaci, A., Lanza, G. A., Fernandez, F., di Giannantonio, M., & Pozzi, G. (2010). Changes in psychological symptoms and heart rate variability during EMDR treatment: A case series of subthreshold PTSD. Journal of EMDR Practice and Research, 4(1), 3-11. doi:10.1891/1933-3196.4.1.3.

Language: English

Format: Journal

Abstract:
Elevated psychophysiological parameters and heightened physiological reactivity to trauma-related cues are acquired changes following trauma exposure. Measuring improvement in these variables is an appropriate evaluation of outcome in treatment studies. Heart Rate Variability (HRV) is a computerized measure of physiological responsivity derived from Holter ECG recording. Four female outpatients with persistent post-traumatic symptoms and personal impairment following “small t” trauma exposure underwent a course of EMDR treatment and were assessed at baseline, end of treatment, day 30 and day 90 of followup, using self-report symptom scales and 90-min Holter ECG recordings. Symptom scores decreased between baseline and end of treatment, with improvement maintained at follow-up. Several HRV measures changed favorably in different recording intervals. HRV is a feasible and sensitive method to measure physiological changes in the treatment of individuals distressed by “small t” trauma. Further investigation is advisable to expand these preliminary data.

Keywords: Case Series Heart Rate Variability HRV IES Small T Trauma

Accuracy Verified: Yes

215. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.

Language: English

Format: Newsletter

Abstract:
Linda (not her real name) is a 40- year-old professional woman whose avocation is healing and who is proficient in several of the touch therapies. She has a Dissociative Disorder with well-defined "parts," but she has not experienced time loss. She is not on medication and although she is often depressed, she is able bfunction fairly well most of the time. As a child, she was emotionally and sexually abused by her father for approximately ten years. He is bedridden now, but she is still subject to his verbal abuse when she visits him once a week. He has never acknowledged his abuse, nor has she confronted him about it (although she has told her mother). She said she will not feel totally safe until he is dead. We have had ten sessions together. EMDR was used in most of our sessions during which she processed specific incidents of abuse that were very traumatic for her. She believes that she has many dissociated infant and child parts-each of whom hold a memory of one of the abusive incidents she experienced.

Keywords: Cognitions

Accuracy Verified: Yes

216. Laliotis, D. (2011, March). Changing the narrative: Part 1 & part 2 - The psychotherhapy of EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
While EMDR has become known as a highly effective psychotherapy approach for neutralizing traumatic memories, it's evolded into a comprehensive and powerful therapy that goes well beyond helping clients reprocess negative experiences to transforming the way they feel about themselves and their lives. In this workhop, you'll be introduced to the eight-phase information-processing model of EMDR, which helps clients identify and reprocess experiences that have shaped their sense of self and view of the world, limiting their capacity to live an authentic life. You'll learn how EMDR can be used to work with core themses and experiences underlying people's current life difficulties, freeing them to fully realize their own identity, change the narrative of their lives, and experience a fuller, more flexible and expansive, sense of self.

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Children Poster Practice Research

Accuracy Verified: Yes

218. Cohn, L., & Chapman, L. (2001, June). A child trauma treatment intervention: Combining neuroscience, EMDR, and drawings. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This workshop will explain through lecture, slides, and case material, how the combination of EMDR and a drawing technique, along with the most recent neuroscience, child psychiatry, and PTSD literature, strengthen the integration of traumatic material in children.

Keywords: Art Therapy Children Drawing Technique Neuroscience

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

Keywords: Dental Health Physical Health

Accuracy Verified: Yes

220. Greenwald, R. (1997). Children's mental health care in the 21st century: Eliminating the trauma burden. Child and Adolescent Psychiatry On-Line.

Language: English

Format: Other

Abstract:
Contemporary child mental health care is compared unfavorably to its medical counterpart, which offers prevention and early intervention in addition to treatment of symptoms. Child trauma, broadly defined., is characterized as a ubiquitous, under-treated, primary source of psychopathology. Traumatic experiences which remain unintegrated accumulate as a trauma burden, leading to reactivity and impairment. Two recently developed trauma-focused interventions atre described: critical incident stress debriefing (CISD) and eye movement desensitization and reprocessing (EMDR). Combined with screening and early identification of traumatized children, CISD and EMDR can be used economically for widespread elimination of the trauma burden.

Keywords: Children Mental Health Care Trauma

Accuracy Verified: Yes

221. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing. Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by a babysitter, along with the EMDR treatment of her older brother who bullied her. Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after EMDR treatment. A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and behaviors to be used later as content for installations. A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal, some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately, the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening. Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video. The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough. Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on, to express concerns about missing his mother. Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion, EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.

Keywords: Case Presentations Children

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

223. Munker-Kramer, E. (2007, June). CISD and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Both EMDR and CISD have their positions in the treatment of PTSD and Acute Stress Disorders. They are parts of clear concepts of best practice in crisis and disaster and psychology (e.g., as one focused part CISD) in the immediate care and evaluated trauma therapy methods (with EMDR as a crucial example of well researched trauma therapy) for aftercare. It is very important for the best support of concerned persons and survivors to have good and vice versa supporting management of the interfaces on this continuum.
This lecture will emphasize the author’s opinion on the best possibilities to combine both parts and positions. This will be underlined by some actual research findings on the needs of concerned person and their perception on what they get.
The way of combining both specialized methods will be discussed out of a practitioner’s (in both methods) point of view and will be illustrated by some concrete cases. A senseful combination of EMDR and CISD and a precise consideration and screening for genuine and known risk factors and leading symptoms (e.g., hyperarousal) seem to be a good practice for those starting to suffer from stress disorders.

Keywords: CISD Critical Incident Stress Debriefing

Accuracy Verified: Yes

224. Bednar, J. (2010, March 29). Clearing the block: Eye-movement technique helps patients overcome psychological traumas. BusinessWestnline, 26(24), 51-54.

Language: English

Format: Newspaper

Abstract:
The engineer was recalling all this as he began a behavioral-health technique known as eye-movement desensitization and reprocessing (EMDR), which helps victims of post-traumatic stress disorder (PTSD) and other types of psychological trauma to overcome the mental burden of disturbing events.

Keywords: General Overview

Accuracy Verified: Yes

225. Chilson, M. (2002, March 4). Client can direct treatment, define goals. Topeka, KS: Topeka Capital-Journal, B1.

Language: English

Format: Newspaper

Abstract:
A volunetter network of therapists trained in post-traumatic stress disorder is providing free treatment programs for people affected by the World Trade Center terrorist attack. The clinicians are trained in a technique called eye movement desensitization and reprocessing (EMDR) that is proven to help the stress disorder, and the free service is part of the nonprofit Disaster Mental Health Recovery Network. The Mental Health Association of Suffolk County will provide names of EMDR specialists participating in the program. For information call the association at 631-226-3900, or 917-626-9117 for clinicians in the five boroughs. The Nassau County Mental Health Association also has social workers trained to deal with people contemplating suicide. The help line is 516-504-HELP.

Keywords: General Overview Topeka

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

227. 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

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

Language: English

Format: Journal

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

Keywords: Hurricanes Intervention Katrina Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

230. Dean, G. L., Fenstermaker, D., & Anderson, K. J. (1991, November). Clinical use of eye movement desensitization/reprocessing (EMD/R) in recall and reprocessing of traumatic material in MPD patients PTSD treatments grow in evidence, effectiveness. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL and Monitor on Psychology, 39(1), 40-42.

Language: English

Format: Conference

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: No

231. Wizansky, B. (2007). A clinical vignette: Resource connection in EMDR work with children. Journal of EMDR Practice and Research, 1(1), 57-61. doi:10.1891/1933-3196.1.1.57 .

Language: English

Format: Journal

Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes a procedure for drawing on and strengthening a child's resources in all phases of EMDR treatment. The procedure facilitates the connection to more authentic and meaningful inner resources that come directly from the child's world, thus strengthening the positive memory networks so that these are available for the child to access when processing his/her traumatic material. Three separate cases are described to illustrate the application. [Author Introduction]

Keywords: Israelis Psychotherapeutic Processes School Age Children Stressors Survivors

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

Keywords: Postrraumatic Stress Disorder PTSD

Accuracy Verified: Yes

233. Gardner, J. R. (2004, June). Cognitive behavior technique: Eye movement desensitization and reprocessing, 1st edition. Unknown.

Language: English

Format: Other

Abstract:
Eye movement desensitization and reprocessing is a controversial technique reported to relieve traumatic memories, phobias, and a wide variety of psychological problems. This paper explains the EMDR procedure, and discusses research that supports and refutes its efficacy.

Keywords: Practice Theory

Accuracy Verified: Yes

234. Keane, T. (1999, November). Cognitive behavior therapy: Different approaches to different trauma populations. In R. Bryant (Chair), Symposium Intervention Research, International Society for Traumatic Stress Studies, Miami, FL .

Language: English

Format: Conference

Abstract:
This symposium presents recent findings of treatment outcome studies that have applied cognitive behavior therapy to a variety of trauma populations. Edna Foa presents data on her study that compares prolonged exposure (PE), prolonged exposure combined with cognitive restructuring (PE/CR), and a wait-list control for assault vcitims with PTSD. Initial data suggests that PE and PE/CR show comparably superior benefits in treating PTSD. Annmarie McDonagh-Coyle presents data on a major treatment study of childhood sexual abuse survivors with PTSD. This study compares CBT with Present Centered Therapy and a wait-list control condition. Initial findings point to similar improvements in CBT and PCT groups relative to controls. Claude Chemtob presents data on a community-based study of disaster-affected children who were provided with either indiviudal or group treatment that involved four sessions. At one-year follow-up, 32 children who were still symptomatic were provided with exposure-based therapy that included EMDR. Intervention resulted in symptom reduction and reduced utilization of health resources. Richard Bryant presents preliminary findings of a treatment study of acute stress disorder, which compares CBT, CBT+Hypnosis, and supportive counseling. Initial findings indicate that whereas CBT and CBT+Hypnosis are comparably more effective in preventing PTSD than supporitve counseling, hypnosis is associated with greater reductions in anxiety. As Discussant, Terry Keane integrates these diverse studies in terms of their procedural differences, conceptual overlap, and directions for more emprically based treatments of traumatic stress.

Keywords: CBT Cognitive Behavior Therapy Symposium Trauma

Accuracy Verified: Yes

235. 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

236. 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

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

Language: English

Format: Journal

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

Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

240. 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

241. Davis, N. (1998, July). Combining visual imagery and EMDR to treat traumatic symptoms of rape, child abuse, and sudden loss of a loved one. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) how to use visual imagery are a part of EMDR with rape victims who are terrified of their rapist; 2) how to use visual imagery as a part of EMDR with adults, adoelscents, and children who have been abused as a way of empowering them; and 3) how to implant a positive memory of a loved one who died suddenly once EMDR has eliminated the negative flashbacks or images associated wth death.

Keywords: Child Abuse Loss Rape Visual Imagery

Accuracy Verified: Yes

242. Wolpe, J. (1992). Commentary on eye movement desensitization and reprocessing method: Eye movement desensitization of post-traumatic stress syndrome. The Milton H. Erickson Foundation Newsletter, 12(2), 6.

Language: English

Format: Newsletter

Abstract:
No abstract available.

Keywords: Commentary Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

243. Hogan, W. A. (2001, August). The comparative effects of eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) in the treatment of depression. Indiana State University, Terre Haute, IN. AAT 3004753.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a unique, short-term therapy shown to be effective in the treatment of Posttraumatic Stress Disorder (PTSD). Application of EMDR to the treatment of depression was considered based upon the relationship between negative life experience and symptom onset, a pattern common to both PTSD and depression. Evaluation of the efficacy of EMDR in the treatment of depression was accomplished via a comparison with cognitive behavioral therapy (CBT). Because EMDR has been shown to be effective in the treatment of PTSD, the impact of EMDR and CBT upon symptoms comorbid to depression was investigated. EMDR was also compared to CBT assessing the participants' satisfaction. The participants, 15 per treatment group, received either one session of EMDR or cognitive behavioral therapy within the first four sessions. Pre and posttreatment assessment utilized two standardized instruments evaluating self-report of depressive and global symptoms. Participant satisfaction was assessed using a rating scale at posttreatment. Both treatment groups reported significant reductions in depressive symptoms and global symptoms. There were no statistical differences between groups on the symptom measures at posttreatment. Four participants in the EMDR group reported near complete remission of depressive symptoms and large reductions in global symptoms. No participants in the CBT group exhibited this pattern of symptom reduction. Regarding participant satisfaction, participants perceived EMDR to be less negative than CBT primarily due to the increased awareness of negative thoughts common to cognitive behavioral therapy but not experienced in EMDR treatment. The similarity in symptom reduction reported for both groups suggested the undue influence of non-specific treatment effects. The marked remission of symptoms reported by the four participants in the EMDR group parallels the symptom reductions noted in EMDR studies of PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(2-B), Aug 2001, pp. 1082.

Keywords: Comorbidity CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Empirical Study Major Depression Treatment

Accuracy Verified: Yes

244. Sharpley, C. F., Montgomery, I. M., & Scalzo, L. A. (1996). Comparative efficacy of EMDR and alternative procedures in reducing the vividness of mental images. Scandinavian Journal of Behaviour Therapy, 25(1), 37-42. doi:10.1080/16506079609456006.

Language: English

Format: Journal

Abstract:
Nordisk Tidskrift för Beteendeterrapi: Data evaluating the effectiveness of EMDR suggest that, although it appears to be an effective treatment for many types of PTSDs, the major support comes from limited-subject case studies. To further investigate this issue, the relative efficacy (in comparison to simpler procedures) of EMDR for reduction of the vividness of subjects' memories was investigated in a non-clinical sample. Results indicated that EMDR was more successful than comparable techniques in reducing the intensity of subjects' mental images. [Author Abstract]

Keywords: Australians Empirical Study Males Treatment Effectiveness Treatment Outcome/Clinical Trial Young Adults

Accuracy Verified: Yes

245. 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

246. Williams, K. (2006, August). A comparative experimental treatment outcome study: Female survivors of sexual assault suffering from posttraumatic stress disorder, depression, and trauma-related guilt – self-report and psychophysiological measures. Trinity Western University, Langley, British Columbia, CAN.

Language: English

Format: Dissertation/Thesis

Abstract:
Diverse psychotherapeutic approaches for treating trauma-related sequelae have emerged over the last several decades in response to the widespread prevalence of sexual assault and resultant posttraumatic stress disorder among women (PTSD). In a recent formal study (Grace, 2003), a newer treatment called one eye integration (OEI) has been shown to be effective for traumatized individuals. The purpose of this study was to build upon those findings by comparing the effectiveness of two treatments for reducing PTSD symptoms with a breathing, relaxation, autogenics, imagery, and grounding (BRAIN) control condition. Twenty-seven female rape or sexual assault survivors who met the criteria for PTSD according to the Diagnostic and Statistical Manual of Mental Disorders-Text-Revision, (DSM-IV-TR; APA, 2000) were randomly assigned to three groups: (a) a neurologically-based therapy called OEI, (b) an information processing model referred to as cognitive processing therapy-revised (CPT-R), or (c) a control condition (BRAIN), PTSD, depression, and trauma-related guilt symptoms were assessed pretreatment, posttreatment and at 3-month follow up, and qualitative electroencephalography (qEEG) brainwave patterns of two regions of the scalp (frontal and parietal) were measured pre and posttreatment. The following dependent measures were used: Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory II (BDI-II), and t he Trauma-Related Guilt Inventory (TRGI). Though there were no significant differences in PTSD symptoms between groups from pretreatment to post treatment assessments, a significant difference occurred between pretreatment and 3-month follow up, with OEI manifesting greater reductions than CPT-R or BRAIN. There were no significant differences between groups in depression, but there was a reduction in BDI-II scores over time. Reduction in guilt-related symptoms occurred on several scales and subscales for all three groups over time from pretreatment of posttreatment assessments, though not significantly by group. A significant difference was found for the Global Guilt subscale at 3-month follow up, with greater improvement for the OEI group. Preliminary results from cortical brain activity assessments indicate typical qEEG asymmetry patterns for PTSD and depression, though there were no significant group differences apart from minor post hoc analyses. Implications of these findings for clinical work and directions for future research were discussed.

Keywords: Depression Female Guilt Posttraumatic Stress Disorder PTSD Sexual Assault Survivors

Accuracy Verified: Yes

247. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .

Language: Farsi (Iran)

Format: Journal

Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients. Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests. Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up. Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months. Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD

Accuracy Verified: Yes

248. Abyar Hosseini, A., Vaziry, S., & Lofti, F (2010, July). Comparison between combine EMDR and drug with drug only in reduction symptoms and severity of obsessive compulsive disorder. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia.

Language: English

Format: Conference

Abstract: This study was a comparison between the effects of combine eye movement desensitization and reprocessing (EMDR) and drug, with drug only, in the reduction of symptoms and severity obsessive compulsive disorder. Thirty patients that were assessed as suffering OCD by a psychiatrist were divided in two groups randomly (experimental and control groups). All subjects have been tested by Maudsley obsessive compulsive inventory (MOCI) and Yale-Brown obsessive-compulsive scale (Y-BOCS). The experimental group learned EMDR and across 8 weeks, when they experienced disturb thought, used EMDR without compulsive behavior. During the 8 weeks, the control group just used drugs. Results showed a significant reduction of symptoms and severity of OCD in both groups but in the experimental group, the reduction was more effective and significant. Thus, to conclude, although EMDR has been used for PTSD symptom reduction, the present study revealed that this technique is also effective for the reduction of symptoms and the severity of OCD.

Keywords: Drug Treatment Obsessive Compilsive Disorder OCD Poster

Accuracy Verified: Yes

249. Simon, M. J. (2000, September). A comparison between EMDR and exposure for treating PTSD: A single-subject analysis. the Behavior Therapist, 23(8), 172-175.

Language: English

Format: Newsletter

Abstract:
The intent of this study is to use a single-subject analysis to compare the efficacy of EMDR to imaginal exposure for the treatment of PTSD. More specifically, this study compared exposure and EMDR for treating symptoms associated with the traumatic memories reported by two subjects diagnosed with PTSD. Standardized assessments were used to measure severity of trauma-related intrusive thoughts and sleep disturbances, whereas levels of symptoms were tracked throughout treatment and at 3-month follow-up. [Text, p. 173] [Pilots]

Keywords: Empirical Study Exposure Therapy Females Posttraumtic Stress Disorder PTSD

Accuracy Verified: Yes

250. 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

251. 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

252. Narimani, M., Ahari, S. S., & Rajabi, S. (2008). Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder. Journal of Applied Sciences, 8(10), 1932-1937. doi:10.3923/jas.2008.1932.1937.

Language: English

Format: Journal

Abstract:
This research aims to determine efficacy of two therapeutic methods and compare them: Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavioral Therapy (CBT) for reduction of anxiety and depression for Iranian combatant afflicted with Post traumatic Stress Disorder (PTSD) after imposed war. Statistical population of current study includes combatants afflicted with PTSD that were hospitalized in Isas Hospital of Ardabil province or were inhabited in Ardabil. These persons were selected through simple random sampling and were randomly located in three groups. The method was extended test method and study design was multi-group test-retest. Used tools include hospital anxiety and depression scale. This survey showed that exercise of EMDR and CBT has caused significant reduction of anxiety and depression. [Author Abstract]

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

254. 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

255. 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

256. Khosropour, F., Ebrahiminejad, G. H. Baniasadi, H., & Faryabi, M. (2012, Spring). Comparison of false memory among patients with post traumatic stress disorders (PTSD) based on the received psychological treatment. Journal of Kerman University of Medical Sciences and Health Services, 17(2),154-160.

Language: Persian

Format: Journal

Abstract:
Background & Aims: False memory is more prevalent among PTSD patients. This memory can be affected by group and intensifies the symptoms of the disorder. Psychological Debriefing (PD) and Eye Movement Desensitization and Reprocessing (EMDR) are widely used for the treatment of PTSD patients. The efficacy of these treatments is controversial. Method: A total of 219 PTSD patients were randomly selected and divided into three groups based on the received treatment type (EMDR, PD, control group). All groups were evaluated and compared by using Rodiger & McDremott False Memory Scale. Results: The EMDR group in comparison to the PD and control groups and the control group in comparison to the PD group showed lower rates of false memory (PConclusion: Considering lower level of false memory in EMDR group compared with other groups and the negative effects of false memory in identification of PTSD, EMDR is better than PD in the treatment of PTSD patients.

Keywords: False Memory Treatment Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

Keywords: Adolescents Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

259. Kristjánsdóttir, K., & Lee, C. W. (2011). A comparison of visual versus auditory concurrent tasks on reducing the distress and vividness of aversive autobiographical memories. Journal of EMDR Practice and Research, 5(2), 34-41. doi:10.1891/1933-3196.5.2.34.

Language: English

Format: Journal

Abstract:
This study investigated the benefits of eye movement similar to that used in eye movement desensitization and reprocessing (EMDR) on reducing the vividness and emotionality of negative autobiographical memories. It was hypothesized, based on the working memory model, that any task that disrupts working memory would reduce the vividness and emotionality of distressing memories. In addition, it was predicted that the more visual a memory, the greater the reduction in vividness by a concurrent visual task over an auditory task (counting). Thirty-six nonclinical participants were asked to recall an unpleasant autobiographical memory while performing each of three dual-attention tasks: eye movement, listening to counting, or control (short exposure). Results showed that vividness and emotionality ratings of the memory decreased significantly after eye movement and counting, and that eye movement produced the greatest benefit. Furthermore, eye movement facilitated greater decrease in vividness irrespective of the modality of the memory. Although this is not consistent with the hypothesis from a working memory model of mode-specific effects, it is consistent with a central executive explanation. Implications for enhancing exposure treatment for posttraumatic stress disorder (PTSD) are discussed.

Keywords: Autobiographical Memory Counting Method Eye Movement Vividness Working Memory

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

261. Busuttil, W. (2009, August). Complex post-traumatic stress disorder: A useful diagnostic framework?. Psychiatry, 8(8), 310-314. doi:10.1016/j.mppsy.2009.04.014.

Language: English

Format: Journal

Abstract:
The Diagnostic and Statistical Manual and the International Statistical Classification of Diseases do not distinguish clearly between the clinical presentations resulting from exposure to single as opposed to multiple trauma. The developmental age of the victim is similarly not emphasized in symptom development and clinical presentation. Developmental trauma disorder and complex post-traumatic stress disorder (PTSD) are emerging as useful diagnostic frameworks in children and adults. This article reviews the literature and highlights conceptual evolution and differences from simple PTSD, as well as discussing differential diagnoses and clinical management.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

262. Leutner, S., & Cronauer, E. (2012, June). Complex trauma in mind and body [Trauma complejo en mente y cuerpo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
It will be shown how to get into touch and how to work with traumatic and somatic ego-states by simultaneously activating resourceful ego-states in mind and body. The work will be resource integrating from top to bottom. In the body it will be from bottom to top. Two different experiential protocols will be given and respective videos will be shown: the resource integrating protocol and the bottom-up protocol The neurological background of balancing work with traumatic memories and resources will be discussed. It lies in promoting effective and permanent links between the neuronal trauma network and one or more corresponding resource networks. The integration of resources can greatly accelerate processing. It is imperative, however, that the use of these resources is not random, rather orients itself to the specific needs of the client at that specific point in time with attention given to how much resource or trauma is activated. Participants will be informed about the impact of complex trauma in mind and body. They will learn how to apply EMDR combined with Claire Frederick's and Maggie Phillip's Conflict Free Image as well as Gendlin's Focusing and Levine's Somatic Experiencing. By those means complex traumatized clients are enabled to broaden their windows of tolerance. Participants will be able to supply their clients with a powerful tool for self healing.

Se mostrará cómo ponerse en contacto y trabajar con los estados del yo traumático y somático mediante la activación simultánea de estados del yo recursivo en la mente y el cuerpo. El trabajo será de integración de recursos desde arriba hacia abajo. En el caso del cuerpo, será desde abajo hacia arriba. Se darán dos protocolos experienciales distintos y se presentarán vídeos pertinentes de los protocolos respectivos: el protocolo de la integración de recursos y el protocolo desde abajo hacia arriba. Se hablará de los antecedentes neurológicos del trabajo de equilibrio con recuerdos traumáticos y recursos. Estriba en favorecer vínculos efectivos y permanentes entre la red neuronal del trauma y una o más de las redes de recursos correspondientes. La integración de recursos puede acelerar en gran medida el procesamiento. Sin embargo, es imperativo que el empleo de estos recursos no sea aleatorio, si no que se oriente hacia las necesidades específicas del cliente en ese momento concreto con atención prestada a la cantidad de recursos o el trauma activado. Se les informará a los participantes sobre el impacto que tiene el trauma complejo en la mente y en el cuerpo. Aprenderán a aplicar EMDR en combinación con la “imagen libre de conflicto de Claire Frederick y Maggie Phillip”, así como con al “Focusing de Gendlin” y la “Experimentación somática de Levine”. Con estos medios los clientes con trauma complejo son capaces de ampliar sus ventanas de tolerancia. Los participantes podrán ofrecer a sus clientes con una herramienta potente para la auto-curación.

Keywords: Body Trauma

Accuracy Verified: Yes

263. 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

264. 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

265. Allen, J., & Lewis, L. (1996, Spring). A conceptual framework for treating traumatic memories and its application to EMDR. Bulletin of the Menninger Clinic, 60(2), 238-263.

Language: English

Format: Journal

Abstract:
With burgeoning interest in trauma has come a proliferation of interventions for the treatment of intrusive memories. At this stage of development, uniformity of clinical practice in the trauma field is neither possible nor desirable. The literature suggests that a wide range of treatment interventions are effective. But diversity in practice does not preclude coherence in conceptualization. This article presents a general theoretical framework to provide clinicians and patients with a rationale for treating intrusive symptoms of PTSD. To illustrate the applicability of the framework, the authors critique Shapiro's recent theoretical explanation of Eye Movement Desensitization and Reprocessing (EMDR), an exemplary cognitive-behavioral approach to the treatment of trauma. EMDR merits careful theoretical reappraisal, because it has become a highly popular and seemingly effective technique that currently rests on an unsound neurobiological theoretical foundation. [Author Abstract]

Keywords: Hallucinations Intrusive Thoughts Memory Impairment Neurophysiology Professional Criticism Psychotherapeutic Processes PTSD Treatment Effectiveness

Accuracy Verified: Yes

266. Staff. (2000, September 2). Confronting the past. London, England: The Times, Features.

Language: English

Format: Newspaper

Abstract:
From Dr Aulakh It may be that Andrew Ravensdale has had enough of "therapy" (The Last Taboo, August 19). However, he might be interested to learn about EMDR - Eye Movement Desensitisation and Reprocessing, first discovered by Francine Shapiro. It is a method for treating post-traumatic stress disorder (PTSD), specifically dealing with early childhood as it is known to affect the present, and also with flashbacks.

Keywords: General Overview

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

268. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.

Language: French

Format: Dissertation/Thesis

Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.

Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.

Keywords: Domestic Violence

Accuracy Verified: Yes

269. Consortium of Canadian Chiropractic Research Centers (CCCRC). (2003, June). Consortial member profile: The Human Performance Laboratory at the University of Calgary. Journal of the Canadian Chiropractic Association, 47(2), 84-92.

Language: English

Format: Journal

Abstract:
The CCCRC now has 12 members and is a network of Canadian researchers designed to foster cross-disciplinary research collaboration on a variety of issues that will advance the CCA’s Research Agenda. Each issue of the JCCA will feature a Consortial Member profile and clinicians and researchers are invited to establish links with those areas of interest. The first Consortial member to be featured is Dr. Walter Herzog at the University of Calgary.
We completed our first study in eye movement desensitization reprocessing therapy (EMDR). The study showed that EMDR is an effective method for helping athletes overcome traumatic events. Athletes significantly reduced their anxiety as a result of the therapy. We also found that those receiving therapy have gaze control characteristics outcome that make have an influence on the conduct and of the therapy.

Keywords: Athletes Gaze Control Characteristics

Accuracy Verified: Yes

270. Fernandez, I. (2010, June). The contribution of EMDR with children survivors of mass trauma. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in mass disasters (natural disasters, accidents and intentionally provoked incidents).
EMDR treatment was part of a comprehensive treatment of the population and was the elective treatment for children of those elementary schools, which were most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and one year after the critical event. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and siblings.
Psychological support and EMDR treatment was provided to parents and school personnel, and this aspect has been considered fundamental in enhancing treatment results in children during the last interventions.
Results of questionnaires and clinical interviews to assess posttraumatic symptomatology before and after treatment will be shown along with follow up data. Treatment groups show a significant improvement after EMDR treatment. Results and statistical data regarding EMDR treatment with heavily traumatized children will be presented.
The author will discuss clinical aspects of using EMDR with children following recent traumas of great magnitude. Analysis and evaluation of children's reactions and needs have highlighted significant epidemiological aspects.
The posttraumatic stress reactions of this group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the disaster has proven critical when dealing with children's symptomatology. Guidelines and indications for structured interventions with all parties involved (parents, school personnel, community) from our field studies will be presented.

Keywords: Children Keynote Mass Trauma Survivors

Accuracy Verified: Yes

271. Negadi, F., Jouvent, R., & Pelissolo, A. (2007, July). Contribution of EMDR's cognitive approach: A case of driving phobia. Journal International de Victimologie, 5(3), 146-152.

Language: English

Format: Journal

Abstract:
Most studies evaluating the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) therapy for various problems have focused on the importance of eye movements and largely ignored the fact that EMDR is an integrative therapeutic approach in which the cognitive approach plays a large part. The case study presented here includes an evaluation of the efficacy of EMDR, on various standardised evaluation scales, for a patient with driving phobia due to a traumatic event. The treatment of this patient was largely based on a cognitive approach (cognitive interweave) and the reprocessing of dysfunctional information according to the EMDR thérapy. The outcome one month after treatment was favourable, with the absence of phobic avoidance and a marked improvement in the patient's mood.

Keywords: Cognitive Interweave Driving Phobia Dysfunctional Belief

Accuracy Verified: Yes

272. Eidhof, M. B. (2012). The contribution of emotion to the effects of EMDR. Universiteit Utrecht, Utrecht, Netherlands.

Language: English

Format: Dissertation/Thesis

Abstract:
Until now, the effects of Eye Movement Desensitization and Reprocessing (EMDR), has been best explained by Working Memory (WM) theory. Research on the effects of EMDR has always concerned emotional memory, even though the WM account does not consider the emotional element in EMDR. Insights from neuroscience about emotion and its role in the consolidating of stimuli have led to questions that WM theory cannot address. Therefore, the present study introduces the WM/emotion theory on EMDR, which complements WM theory by incorporating knowledge about emotion and its expected role in EMDR treatment. WM/emotion theory expects emotion to play an important role in EMDR treatment, because the re-experiencing of emotion during the recall of an (traumatic) emotional memory seems to enhance (re)consolidation of the ‘blurred’ (as a result of taxing the WM) memory. If this is true, it means EMDR treatment would only affect memories with high emotional charge, and EMDR would be less effective with neutral memories. To test this hypothesis, an experiment was conducted in which negative emotional- and neutral memories of participants were treated with a lab version of EMDR (recall + eye movements (Recall+EM’s)) or a control intervention (Recall-only). It was expected that after Recall + EM’s the reduction of the vividness (and emotionality) would be larger for emotional memories than for neutral memories.It was found that after Recall+EM’s only the vividness (and emotionality) of emotional memories was reduced. The results of the present study suggest that emotion is a crucial element in EMDR treatment and knowledge about the workings of EMDR should be revised according to WM/emotion theory.

Keywords: Autobiographical Memories Consolidation Emotion Negative Memories Neutral Memories Reconsolidation Vividness Working Memory

Accuracy Verified: Yes

273. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.

Language: English

Format: Journal

Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).

Keywords: Americans College Students Empirical Study Experimental Stressors Females Phobia Psychophysiology Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

274. de Roos, C. J. A. M., Noorthoorn, E. O., Greenwald, R., & de Jongh, A. (2004, June). A controlled comparison of EMDR and CBT for children and adolescents exposed to the Enschede fireworks disaster in the Netherlands. In children and EMDR (J. Morris-Smith). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden.

Language: English

Format: Conference

Abstract:
In May 2000, a firework depot exploded in the city of Enschede (The Netherlands), leaving 22 people dead, 947 injured, more than 500 houses destroyed, and about 1500 houses significantly damaged. In total, 4, 163 people were affected, including many children and adolescents. Children with chronic posttraumatic stress reactions were referred for treatment to the Ambulant Mental Health Care team un Enschede.
A randomized controlled trial was conducted to evaluate the relative efficacy of EMDR versus a CBT approach for reducing children’s symptoms of PTSD, depression, anxiety and behavior problems, All participants treated from 2001 to 2003 were included. They received 4 sessions of EMDR and 4 sessions CVBT. Moreover, four sessions of parent guidance were included in both groups. The final N was 57 children (age 3-18).
Assessment took place prior to the intervention, immediately after the intervention and at 3 month follow-up. The main outcome measures were: UCLA PTSD Index (parent, child, and adolescent version), Child Report of Post-traumatic Symptoms (CROPS), the Parent Report of Post-traumatic Symptoms (PROPCS), the Problem Rating Scale (PRS), the Birleson Depression Scale and the Multidimensional Anxiety Scale for Children (MASQ, anxiety).
Also parent-reported psychosocial dysfunction and teacher-reported problems were assessed (Child Behavior Check List: parent form and teacher form and for children aged 11 and older; self-report form). For the youngest (0-6 years) the Trauma Symptom Checklist for Young Children (TSCYC) was included. The date was gathered but not yet analyzed is currently underway.

Keywords: Adolescents CBT Children Cognitive Behavioral Therapy Controlled Comparison Disaster Enschede Fireworks Disaster Posttraumatic Stress Disorder PTSD Symposium The Netherlands

Accuracy Verified: Yes

275. McGoldrick, T., Brown, K., & Power, K. (2003, May). A controlled comparison of EMDR vs. exposure plus cognitive restructuring vs. waiting list in the treatment of post-traumatic stress disorder. In Advances in EMDR research. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Cognitive Restructuring Exposure Symposium Waiting List

Accuracy Verified: Yes

276. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2002, August). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring, versus waiting list in the treatment of post traumatic stress disorder. Journal of Clinical Psychology and Psychotherapy, 9(5), 299-318. doi:10.1002/cpp.341.

Language: English

Format: Journal

Abstract:
A total of 105 patients with PTSD were randomly allocated to eye-movement desensitization and reprocessing (EMDR) (n = 39) versus exposure plus cognitive restructuring (E + CR) (n = 37) versus waiting list (WL) (n = 29) in a primary care setting. EMDR and E + CR patients received a maximum of 10 treatment sessions over a 10-week period. All patients were assessed by blind raters prior to randomization and at end of the 10-week treatment or waiting list period. EMDR and E + CR patients were also assessed by therapists at the mid-point of the 10- week treatment period and on average at 15 months follow-up. Patients were assessed on a variety of assessor-rated and self-report measures of PTSD symptomatology including the Clinician Administered PTSD Scale (CAPS), the Impact of Events Scale (IOE) and a self-report version of the SI-PTSD Checklist. Measures of anxiety and depression included the Montgomery Asberg Depression Rating Scale (MADRS), the Hamilton Anxiety Scale (HAM-A), and the Hospital Anxiety and Depression Scale (HADS). A measure of social function, the Sheehan Disability Scale, was also used. Drop-out rates between the three groups were 12 EMDR, 16 E + CR, and 5 WL. Treatment end-point analyses were conducted on the remaining 72 patients. Repeated measures analysis of variance of treatment outcome at 10 weeks revealed significant time, interaction, and group effects for all the above measures. In general there were significant and substantial pre-post reductions for EMDR and E + CR groups but no change for the WL patients. Both treatments were effective over WL. The only indication of superiority of either active treatment, in relation to measures of clinically significant change, was a greater reduction in patient self-reported depression ratings and improved social functioning for EMDR in comparison to E + CR at the end of the treatment period and for fewer number of treatment sessions for EMDR (mean 4.2) than E + CR (mean 6.4) patients. At 15 months follow-up treatment gains were generally well-maintained with the only difference, in favour of EMDR over E + CR, occurring in relation to assessor-rated levels of clinically significant change in depression. However, exclusion of patients who had subsequent treatment during the follow-up period diminished the proportion of patients achieving long-term clinically significant change. In summary, at end of treatment and at follow-up, both EMDR and E + CR are effective in the treatment of PTSD with only a slight advantage in favour of EMDR. [Author Abstract]

Keywords: Adults Brief Psychotherapy British Cognitive Therapy Exposure Therapy Females Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

277. 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

278. Pitman, R. K., Orr, S. P., Altman, B., Longpre, R. E., Poire, R, E., & Lasko, N. B. (1993, May). A controlled study of EMDR treatment for post-traumatic stress disorder. Presentation at the 146th annual meeting of the American Psychiatric Association, Washington, DC.

Language: English

Format: Conference

Keywords: Controlled Study Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

279. Soberman, G. B., Greenwald, R., & Rule, D. L. (2002). A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. Journal of Aggression, Maltreatment and Trauma, 6(1), 217-236. doi:10.1300/J146v06n01_11.

Language: English

Format: Journal

Abstract:
We suggest that trauma contributes to the development and persistence of conduct problems, and should be addressed. Eye movement desensitization and reprocessing (EMDR) was selected as a promising trauma treatment. 29 boys with conduct problems in residential or day treatment were randomized into standard care or standard care plus 3 trauma-focused EMDR sessions. The EMDR group showed large and significant reduction of memory-related distress, as well as trends towards reduction of post-traumatic symptoms. The EMDR group also showed large and significant reduction of problem behaviors by 2-month follow-up, whereas the control group showed only light improvement. These findings provide support for EMDR's use as a trauma treatment for boys ages 10-16, as well as support for the hypothesis that effective trauma treatment can lead to reduced conduct problems in this population. [Author summary]

Keywords: Adolescents Control Study Disruptive Behavior Disorders Empirical Study Males Preadolescents Random Clinical Trial RCT Treatment Effectiveness

Accuracy Verified: Yes

280. Soberman, G. B., Greenwald, R., & Rule, D. L. (2002). A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. In R. Greenwald (Ed). Trauma and juvenile delinquency: Theory, research, and interventions. (pp. 217-236). Binghamton, NY: Haworth Maltreatment and Trauma Press/The Haworth Press.

Language: English

Format: Book Section

Abstract:
Suggests that trauma contributes to the development and persistence of conduct problems, and should be addressed. Eye movement desensitization and reprocessing (EMDR) was selected as a promising trauma treatment. 29 boys with conduct problems in residential or day treatment were randomized into standard care or standard care plus 3 trauma-focused EMDR sessions. The EMDR group showed large and significant reduction of memory-related distress, as well as trends towards reduction of post-traumatic symptoms. The EMDR group also showed large and significant reduction of problem behaviors by 2-month follow-up, whereas the control group showed only slight improvement. These findings provide support for EMDR's use as a trauma treatment for boys ages 10-16 years, as well as support for the hypothesis that effective trauma treatment can lead to reduced conduct problems in this population. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Boys Conduct Problems Trauma Treatment

Accuracy Verified: Yes

281. Pittman, R. K., Orr, S. P., Atman, B., Longpre, R. E., Poire, R. E., & Lasko, N. B. (1993, May). A controlled study of eye movement desensitization/reprocessing (EMDR): Treatment for post-traumatic stress disorder. Presentation at the American Psychiatric Association Annual Meeting, Washington, D. C..

Language: English

Format: Conference

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

282. Hyer, L. A., Boudewyns, P. A., Peralme, L., Touze, J., & Kiel, A. (1995, June). Controlled treatment outcome study using EMDR on combat-related post traumatic stress disorder (PTSD). Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
After the status of PTSD was established, subjects were randomly assigned to one of three conditions; EMDR, exposure control (EC), and group (GT). Subjects in EMDR condition received at least five but no more than eight sessions of EMDR. EC condition subjects therapy procedure as the EMDR subjects but without the eye movements. Subjects in the GT condition received five to eight session of group therapy only. Outcome measures were at intervals; prior to therapy, immediately following therapy and at two follow-up periods. These include: (1) self report or interview-related psychological measures (Combat Exposure scale, MMPI-2 PTSD, Veterans Adjustment Scale (VETS), Mississippi Scale, Hamilton (Depression and Anxiety); (2) behavioral outcome measures (employment, treatment seeking behavior medication therapy, and re hospitalization rate); and (3) psychophysiological response measures (skin conductance, frontalis EMG, heart rate and blood pressure). The last measures involved a change measure in psychological arousal during exposure to tape recorded scripts depicting the patients' most traumatic combat memory. In addition to these pre-, post-, follow-up measures, measures (SUD, profile of mood scale (POMS), and impact of events scale (IOE) were taken at each therapy session. Early results on selected outcomes show differences in positive outcome between conditions POMS EMDR>GT (p<.01); IOE Avoidance, EMDR>GT (p<.04); IOE Intrusion, EMDR>GT(p<.03); Heart Rate, EMDR>GT (p<.04). Presently, there were no other significant differences between EMDR or EC. Trends, however suggest that EMDR may be superior to EC on several of the measures. These results indicate that EMDR may be producing greater reduction in the conditioned emotional response to traumatic memories in these patients, when compared to group therapy approach commonly used to treat these types of patients in a special VA treatment program.

Keywords: Combat Controlled Treatment Outcome Study Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

283. Payne, S. (2007, June 23). Controversial memories. London, England: The Daily Telegraph, News, 7.

Language: English

Format: Newspaper

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is a new and controversial technique used in cases of post-traumatic stress disorder.

Keywords: General Overview

Accuracy Verified: Yes

284. Grand, D., Hartung, J., & Bergmann, U. (2007, Novembro). Conversando com… David Grand, John Hartung, Uri Bergmann [Talking with ... David Grand, John Hartung, Uri Bergmann]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Nos últimos dez anos, as pesquisas sugerem que o Transtorno de Estresse Pós-Traumático (TEPT) seja uma desordem de humor, memória e integração somatossensorial. Estudos com neuroimagens e neuroendocrinologia têm demonstrado marcadores muito claros desse transtorno, destacando a compreensão de que o TEPT seja uma desordem neurobiológica e não o reflexo de fraqueza psicológica. Nesta apresentação examinaremos o processo de formação e consolidação da memória, a neurobiologia do TEPT e as neuroimagens correspondentes. A integração dessas três linhas ilustrarão os efeitos do TEPT sobre a regulação do humor, memória e integração somatossensorial.

Over the past decade, research suggests that Post-Traumatic Stressm Disorder (PTSD) is a disorder of mood, memory and somatosensory integration. Studies with neuroimaging and neuroendocrinology have markers demonstrated very clear that disorder, highlighting the understanding that PTSD is a neurobiological disorder and not the reflection of psychological weakness. In this presentation we will examine the process formation and consolidation of memory, neurobiology of PTSD and neuroimaging corresponding. The integration of these three lines illustrate the effects of PTSD on the regulation of mood, memory and somatosensory integration.

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

285. Stuart, J. (2003, January 15). Copying by looking sideways. Belfast, Ireland: Belfast Telegraph.

Language: English

Format: Newspaper

Abstract:
Yet the treatment, Eye Movement Desensitisation and Reprocessing (EMDR), is believed by some to be one of the most effective treatments for post-traumatic stress disorder (PTSD).

Keywords: General Overview

Accuracy Verified: Yes

286. Lister, D. (2003, March). Correcting the cognitive map with EMDR: A possible neurobiological mechanism. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
The experience of life is commonly likened to a journey through a landscape. This cannot be an accident; it must be based on neurobiological activity in the brain. If one is fortunate the journey is made through a pleasant landscape, with occasional mild adventures to vary the monotony. Travelling is an ancient evolutionary feature of all animals, and all animal brains have developed fairly uniform methods of recording the body's motion through the environment, in different degrees of complexity (O'Keefe & Nadel, 1978; Stickgold, 2002). Occasionally, a traumatic disaster upsets an otherwise placid journey.

Keywords: Neurological

Accuracy Verified: Yes

287. Benish, S. G., Imel, Z. E., & Wampold, B. E. (2008, October). Corrigendum to “The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons”. Clinical Psychology Review, 28(7), 1281. doi:10.1016/j.cpr.2008.06.001.

Language: English

Format: Journal

Abstract:
In the course of extending our meta-analysis of the relative efficacy of psychotherapy treatment of PTSD (Benish, Imel, & Wampold, 2008), we detected three errors in the original analysis that appear in Table 1. The effect size for all measures should be d=.40 for Foa et al. (1999), while all measures and PTSD measures for Devilly & Spence (1999) should be d=.43 and d=.57, respectively. In the original analysis, data from Resick et al. (1988) was erroneously included in lieu of Resick (2002) including the quotation. The correct effect size for Resick et al. (2002) all measures and PTSD measures should be d=.31 and d=.27, respectively. After correcting these errors, the upper bound of the aggregated effect increases slightly to 0.19 and 0.22 for all measures and PTSD measures, respectively. These errors did not affect the significance level of any test of the hypotheses of the study.

Keywords: Corrigendum

Accuracy Verified: Yes

288. Resick, P., Monson, C., Griffin, M., Rothbaum, B., Rasmusson, A., & Shalev, A. (2006, November). Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors. In Psychobiology and Treatment of PTSD. Symposium conducted at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA.

Language: English

Format: Conference

Abstract:
Psychobiological treatment of PTSD: This symposium will examine four CBT treatment studies with regard to biological markers. The questions here are whether pretreatment psychobiology or physiological responding can be used to predict treatment outcome, or whether they themselves change as a result of effective treatment.

Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors: Many studies have noted increased cortisol production in trauma survivors with PTSD, but it is not clear whether effective treatment alters these responses. As part of a larger study, 60 female sexual assault survivors with PTSD began one of two types of cognitivebehavioral treatment (Prolonged Exposure (PE) or EMDR). Each treatment consisted of nine sessions. Sessions 1 and 2 included information gathering, trauma education, and therapy preparation. Sessions 3 through 9 consisted of processing traumatic memories and emotions via either imaginal exposure or EMDR.To examine potential cortisol changes over the course of treatment, salivary cortisol samples were collected at three time points during treatment. A baseline sample was taken at session 1, a second sample was taken at the start of the treatment portion of therapy (session 3), and a third sample was taken at the end of treatment (session 9). Of the original sample of 60 participants, 50 women completed treatment, and ten dropped out. Cortisol responses will be examined in treatment responders and non-responders as well as in treatment completers vs. treatment dropouts.

Keywords: Cortisol Posttraumatic Stress Disorder Prolonged Imaginal Exposure Assault PSTD Survivors Symposium

Accuracy Verified: Yes

289. Gerardi, M., Rothbaum, B. O., Astin, M.C., & Kelley, M. (2010, June). Cortisol response following exposure treatment for PTSD in rape victims. Journal of Aggression, Maltreatment & Trauma, 19(4), 349-356. doi:10.1080/10926771003781297.

Language: English

Format: Journal

Abstract:
This study examined changes in salivary cortisol levels pre-to-post-treatment in adult female rape victims diagnosed with post traumatic stress disorder (PTSD) randomly assigned to be treated with either Prolonged Exposure Therapy or Eye Movement Desensitization and Reprocessing. Salivary cortisol was collected at baseline, session 3, and session 9. A significant decrease in salivary cortisol levels was observed in individuals classified as treatment responders in both treatment conditions. Findings suggest that successful exposure-based treatments for PTSD which result in trauma-related and depressive symptom reduction may impact the action of the hypothalamic-pituitary-adrenal axis as measured by changes in level of salivary cortisol from pre-to-post-treatment.

Keywords: Rape Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

290. de Jongh, A. (2005, June). Could EMDR be a promising treatment in the immediate aftermath of a traumatic incident?. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Various studies have shown that the counselling routinely offered to people in the immediate aftermath of a traumatic incident seldom protects them from developing post-traumatic stress -and could even delay their recovery. On the other hand, clinical experience suggests that in many cases with the proper utilization of EMDR an almost spontaneous integration of perceptions of sensory input and the cognitive components of the experience takes place. Although controlled data about types of interventions. the optimal time to intervene or predictors of response and recovery are still lacking. within the organization D.O.E.N., providing critical incident stress management services in the Netherlands, there is broad experience in utilizing EMDR with clients who exhibit severe early symptoms following trauma and who need 'first-aid' treatment. EMDR treatment is generally started when there is no evidence of change or recovery within the course of 1 or 2 weeks. Since there is a tremendous unmet need, there is an important challenge to demonstrate in controlled research the advantages of EMDR for those who suffer from symptoms of acute stress, for example in emergency departments and/or the immediate aftermath of mass trauma. This presentation will focus on the rationale for early treatment with the use of EMDR. This approach is illustrated by segments of video taped treatment sessions of clients with symptoms of acute stress.

Keywords: Practice Symposium Theory

Accuracy Verified: Yes

291. 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.

Keywords: General Overview

Accuracy Verified: Yes

292. van den Hout, M. A., Engelhard, I. M., Smeets, M. A. M., Hornsveld, H., Hoogeveen, E., de Heer, E., Toffolo, M. B. J., & Rijkeboer, M. (2010, April). Counting during recall: Taxing of working memory and reduced vividness and emotionality of negative memories. Applied Cognitive Psychology, 24(3), 303-311. doi:10.1002/acp.1677.

Language: English

Format: Journal

Abstract:
While initially subject to debate, meta-analyses have shown that eye movement desensitization and reprocessing (EMDR) is effective in the treatment of posttraumatic stress disorder (PTSD). Earlier studies showed that eye movements during retrieval of emotional memories reduce their vividness and emotionality, which may be due to both tasks competing for limited working memory (WM)resources. This study examined whether another secondary task that taxes WM has beneficial effects, and whether the stronger the taxing, the stronger the reductions in vividness/adversity. A reaction time (RT) paradigm showed that counting backwards requiresWMresources, and that more complex counting is more demanding than simple counting. Relative to a retrieval-only condition, counting during retrieval of emotional memories reduced vividness and emotionality during later recall of these memories. However, the counting conditions did not differ in the magnitude of this reduction, and did not show the predicted dose-response relationship. Implications for a working-memory explanation of EMDR and for clinical practice are discussed. Copyright#2010 JohnWiley & Sons, Ltd.

Keywords: Counting Reaction Time Paradigm Working Memory

Accuracy Verified: Yes

293. Johnson, D. R., & Lubin, H. (2006). The counting method: Applying the rule of parsimony to the treatment of posttraumatic stress disorder. Traumatology, 12(1), 83-99. doi:10.1177/153476560601200106.

Language: English

Format: Journal

Abstract:
A study is described comparing Prolonged Exposure, Eye Movement Desensitization and Reprocessing, and the Counting Method with 51 multiply-traumatized women. Measures of PTSD were significantly reduced by all three methods, but differences among the methods were negligible. Because the Counting Method utilizes only imaginal exposure as a therapeutic element, support is given to the more parsimonious conclusion that imaginal exposure may be both the necessary and sufficient factor in therapeutic effect, countering a trend in the field toward more complex, multi-faceted treatment packages. [Author Abstract]

Keywords: Adults Counting Method Exposure Therapy Females Imaginal Exposure Multiple Traumatic Events Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Survivors Treatment Effectiveness Women

Accuracy Verified: Yes

294. 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

295. 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

296. 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

297. Dattilio, F. (2001). Crisis intervention techniques for panic disorder. American Journal of Psychotherapy, 55(3), 388-405.

Language: English

Format: Journal

Abstract:
Panic disorder is estimated to affect more than 4% of the U.S. population. It is assumed that this incident rate increases during crisis situations. While the professional literature is replete with references on the treatment of panic disorders, few authors address the use of nondrug treatment in conjunction with crisis intervention. This article provides an overview of the latest nonpharmacologic interventions for panic along with a description of their effectiveness in reducing the onset of symptomatology as well as preventing relapse during crisis.

Keywords: Crisis Intervention Non-drug Treatment Panic dsiorder Nonpharmacological Interventions

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Consensus Model RDI Resource Development and Installation Treatment Criteria

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Posttraumatic Stress Disorder PTSD RDI Resource Development & Installation

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Posttraumatic Stress Disorder Prevention PTSD Risk Trauma

Accuracy Verified: Yes

302. Solomon, R. M. (1994, March). Critical incident. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Critical Incident Recent Events

Accuracy Verified: Yes

303. 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

304. Solomon, R. M. (2008). Critical incident interventions. Journal of EMDR Practice and Research, 2(2), 160-165. doi:10.1891/1933-3196.2.2.160.

Language: English

Format: Journal

Abstract:
A response to the question: "I have been asked to respond to community tragedies. What critical incident interventions are commonly used?" [Adapted from Text, p. 160]. [Pilots]

Keywords: Critical Incident Critical Interventions Interventions Recent Events Stressors Survivors Victims Services

Accuracy Verified: Yes

305. Solomon, R. M. (1992, April). Critical incident trauma. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Critical Incident

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Review

Accuracy Verified: Yes

307. Stowasser, J., Brown, S., & Zabukovec, J. (2011, August). The crucible of trauma: Domestic violence, substance abuse, and the military. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Untreated trauma and PTSD are believed to underlie substance abuse (SA) and domestic violence (DV). Some military personnel attempt to manage their PTSD with the use of DV tactics and SA, causing harm to themselves and others. Workshop participants will be able to broadly define DV, the Cycle of Violence and The Apology, and adapt them for use with EMDR; screen for substance abuse, conceptualize cases and plan treatment; understand how military experience contributes to post-traumatic stress including DV and SA; and dovetail this knowledge into the EMDR Model as an integrated, phased, trauma treatment approach.

Keywords: Apology Cycle of Violence Domestic Violence Military Substance Abuse

Accuracy Verified: Yes

308. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.

Language: English

Format: Journal

Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.

Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan

Accuracy Verified: Yes

309. Shapiro, F., Hurley, E. C., de Roos, C., Horst, F., de Jongh, A., & Hornsveld, H. (2013, April). Current research on eye movement desensitization and reprocessing (EMDR) therapy. Presentation at the Anxiety Disorders and Depression Conference, La Jolla, CA.

Language: English

Format: Conference

Abstract:
EMDR therapy is widely recognized as an empirically supported trauma treatment and was given an “A” rating in the most recent practice guidelines of both the DVA/DOD and the International Society for Traumatic Stress Studies. Meta-analytic findings report similar effect sizes for trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR therapy in the treatment of posttraumatic stress disorder (PTSD). However, there are distinct differences between the two modalities in both theory and practice. Unlike TF-CBT exposure therapies, with EMDR therapy there is only intermittent attention to the index trauma, homework is not required and detailed descriptions of the memory are not needed. Further, the eye movement component has been the subject of more than 20 randomized controlled trials that have reported positive effects supporting both working memory and orienting response/REM hypotheses. These effects include a rapid decrease in physiological arousal and negative emotion, as well as increased episodic memory retrieval and recognition of true information. Videotaped clinical sessions will illustrate these findings, as well as the differences between EMDR therapy and prolonged exposure.

Keywords: Practice Research

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy

Accuracy Verified: Yes

311. 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

312. van der Kolk, B. A. (1997, July). Current understanding of the psychobiology of trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
Trauma as an etiological agent in the genesis of psychopathology was largely ignored between the end of the second world war and the end of the Vietnam war, forty years later. Trauma-based psychiatric problems were generally dismissed, as exemplified by the above quote about the impact of childhood sexual abuse in the leading textbook of psychiatry in 1972. In the wake of the Vietnam war the diagnosis of PTSD was constructed for inclusion in the DSM-Ill in order to capture the psychopathology associated with traumatization in adults. However, over the years, it has become clear that in clinical settings the majority of treatment seeking patients have been exposed to a range of different traumatic events over their life-span, and suffer from a variety of psychological problems that are not included in the diagnosis of PTSD. These include depression and self-hatred, dissociation and depersonalization, selfdestructive behaviors, problems with close relations and an impairment in the capacity to experience pleasure, satisfaction and 'fun'. These other problems are generally relegated to the status of "co-morbid conditions", rather than being recognized as part of a spectrum of extremely treatment resistant trauma- related problems that occur depending on the age at which the trauma occurred, the relationship to the agent responsible for the trauma, social support received and the duration of the traumatic experience(s).

Keywords: Psychobiology

Accuracy Verified: Yes

313. 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

314. Cook, J. (2003, November 5). Dallaire's demons. Canada: National Post, Editorials, A17.

Language: English

Format: Newspaper

Abstract:
It is also true that there are at least three relatively new therapies widely practised in North America which can help expedite relief for PTSD sufferers. These therapies are: Eye Movement Desensitization and Reprocessing (EMDR) developed by Dr. Francine Shapiro; Traumatic Incident Reduction (TIR) developed by Frank A. Gerbode, M.D.; and even a Christian version, TheoPhostic Ministry (TPM) developed by Dr. Ed Smith.

Keywords: Editorial General Letter Overview

Accuracy Verified: Yes

315. Gomez, A. M. (2009). Dark, bad day...go away!. Author.

Language: English

Format: Book

Abstract:
Dark, Bad, Day...Go Away! is a lovely little story about two little dogs who have experienced some kind of traumatic experience. They are going through all sorts of awful emotions ranging from anxiety to self blame. The book never goes into detail of what the awful thing that happened was, but it does explain the way the brain deals (or doesn't deal) with trauma in an easy to understand way. It then goes on to explain EMDR therapy and what the child might experience if he or she under goes the treatment. This is a wonderful book for child therapists who make use of this therapy technique. It can spur discussion and reduce confusion and worry about starting a new course of therapy. It helps parents understand too!
•Explains trauma and EMDR in terms children can understand. •Motivates children to embrace trauma using EMDR. •Prepares children for EMDR trauma reprocessing so the likelihood of children stopping EMDR prematurely is reduced. •Makes EMDR accessible to children by showing what EMDR is, how it works, and how it can be helpful.

Keywords: Children Trauma

Accuracy Verified: Yes

316. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.

Language: German

Format: Conference

Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3, und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen. Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender, emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung für die erfolgreiche und effiziente Anwendung von EMDR dar. Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen, dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a. durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann. In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August 2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht. Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt. Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐ Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen. Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden. Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven eröffnen helfen.

Experience shows that successful work often with EMDR significantly taken from and emotionally meaningful choice of cognition depends. But experience shows also that these Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3, and not only for beginners but also for experienced EMDR therapists. This especially when the focus of the work of non-traumatic on clearly defined classical Individual events, but on complex, early-life subjects. Working out of profound, emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This Situation often creates uncertainty among clients and therapists and offers a challenge represents for the successful and efficient use of EMDR Meanwhile, it has been worked into the binding and trauma research that very early interference often have a dissociative structure among those affected the result. We must therefore assume that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3 may be manifested by problems with the development of cognition. In recent years I have developed the dialogue EMDR protocol, how to deal with such complex EMDR situations in phase 3 easier. In October 2009, a short version of my Work on this specific EMDR protocol in German newsletter published EMDR and in August 2011 an English translation of the EMDR Journal for Research & Practice is published. The workshop on the one hand the importance of cognition in the successful EMDR should work again and clarify the related theoretical principles from neurobiology, attachment theory and summarize the theories of Structural Dissociation and ego state theory. Then, the Dialog protocol described in detail and illustrated using case studies in practical applications. A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The By means of concrete examples to own participants, phase 3 of the dialogue with application- Exercise protocol in order for the practice to bring a hands-on experience based on personal experience. This involves having to capturing phase 3 to the VOC, not a complete self-awareness EMDR. It is the emotional relevance of coherent and profound cognition can be experienced. If it is the time frame allowed to own cases are presented for discussion. The workshop should enable a collegial discussion of issues in application of EMDR and new perspectives help open up.

Keywords: Cognitions Dialogue Protocol

Accuracy Verified: Yes

317. Elling, M. (2009, Februari). Databank effectieve jeugdinterventies (testversie): Beschrijving ´Eye movement desensitization & reprocessing (EMDR)' [Database of effective youth interventions (test version): Description of eye movement desensitization and reprocessing (EMDR)]. Utrecht: NIZW. Ontvangen van http://www.nji.nl/eCache/DEF/37/990.cmVjb3JkbnI9MTc.html op 1/26/2010.

Language: Dutch

Format: Other

Abstract:
Verwerking van herinneringen aan identificeerbare traumatische ervaringen. Hierdoor kunnen klachten, die zijn ontstaan als gevolg van die herinneringen en het lijden dat daarmee gepaard gaat, worden verminderd.

Processing of memories of traumatic experiences identifiable. This enables complaints that have arisen as a result of those memories and the suffering that goes with it are reduced.

Keywords: Practice Theory

Accuracy Verified: Yes

318. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia. In particolare si vuole verificare se dopo trattamento con EMDR: - i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori. - si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione). Lo studio consente inoltre di osservare - per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress, - se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR

The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease. In particular, we want to check if after treatment with EMDR: - The values of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values. - There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation). The study also allows you to observe - For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress, - Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.

Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

319. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, April). De behandeling van complexe PTSS-patiënten [The treatment of complex PTSD patients]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Vooral bij de behandeling van de complexere patiënten met een posttraumatische stressstoornis (PTTS) worden niet altijd de evidence-based behandelvormen toegepast zoals die zijn beschreven in de richtlijnen. Vaak worden slecht gedefinieerde stabilisatietechnieken toegepast, veelal gecombineerd met farmacotherapie. In deze bijblijfsessie zullen een drietal traumagerichte psychotherapeutische behandelvormen worden gepresenteerd, met speciale aandacht voor complexe ptss-patiënten. Dit zijn de narratieve exposure therapy (NET), het Kort Eclectisch Protocol voor PTSS (KEP) en eye movement desensitisation and reprocessing (EMDR). Betoogd zal worden, dat ook bij complex getraumatiseerde patiënten heel goed met net, kep of emdr traumagerichte behandeling kan plaatsvinden en dat dit doorgaans de voorkeur verdient boven andere behandelmethoden. Wel zijn soms aanpassingen in de therapievorm noodzakelijk. Bij deze aanpassingen zal worden stilgestaan. leerdoel Aan het einde van de sessie wordt de deelnemer geacht goed op de hoogte te zijn van drie evidence-based behandelvormen voor ptss; en kennis te hebben van de mogelijkheden om ook bij complexere patiënten deze traumagerichte behandelingen uit te voeren.

Especially in the treatment of complex patients with post-traumatic stress disorder (PTTS) are not always evidence-based forms of treatment applied as described in the guidelines. Often poorly defined stabilization techniques, often combined with pharmacotherapy. This will bijblijfsessie three trauma-focused psychotherapeutic treatment modalities are presented, with special attention Complex PTSD patients. These are the narrative exposure therapy (NET), the Short Eclectic Protocol for PTSD (SEP) and Eye Movement Desensitisation and reprocessing (EMDR). Will be argued that, even in complex traumatized patients with very good network, kep or EMDR trauma-focused treatment place and that it is generally preferred appropriate than other treatments. Or adjustments are sometimes necessary in the form of therapy. Such adjustments will be considered. Learning Objectives At the end of the session the participant is deemed to be well informed of three evidence-based treatments for PTSD, and be aware of the possibilities even under these complex patients, trauma-focused treatments prior to arrival.

Keywords: Narrative Exposure Therapy NET SEP Short Eclectic Protocol

Accuracy Verified: Yes

320. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2010). De behandeling van patiënten met PTSS met narrative exposure therapy, het kort eclectisch protocol voor PTSS en eye movement desensitisation [The treatment of patients with PTSD narrative exposure therapy, the short protocol for PTSD and eclectic eye movement desensitisation]. Tijdschrift voor Psychiatrie 52(4), 4.

Language: Dutch

Format: Journal

Abstract:
Achtergrond: Bij de behandeling van patiënten met een posttraumatische stressstoornis (ptss) worden niet altijd de evidence-based behandelvormen toegepast zoals beschreven in de richtlijnen en in de literatuur. Vooral bij de complexere traumapatiënten worden regelmatig alleen stabilisatietechnieken en/of farmacotherapie toegepast. Doel: In deze bijblijfsessie wordt betoogd dat evidence-based traumagerichte behandeling mogelijk en wenselijk is, ook bij veel complexe patiënten die te maken hebben gehad met oorlog, vervolging, geweld en/of beroepsgerelateerd trauma. Methoden: Er zullen drie voordrachten worden gegeven, met daarna discussie, door drie specialisten in de behandeling van ptss. De voordrachten zullen drie evidence-based behandelvormen voor ptss illustreren, te weten narrative exposure therapy (net), het Kort Eclectisch Protocol voor ptss (kep) en eye movement desensitisation and reprocessing (emdr). Resultaten: De drie getoonde behandelvormen zijn goed toepasbaar en effectief bij patiënten met een ptss. Dit zal worden aangetoond met behulp van theoretische uitgangspunten, ervaringen uit de klinische praktijk en onderzoeksgegevens. Conclusie: Behandeling van complexe traumapatiënten met ptss door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennisgenomen van drie evidence-based behandelvormen voor ptss.

Background: In the treatment of patients with post traumatic stress disorder (PTSD) are not always evidence-based treatment as described in the application forms and guidelines in the literature. Especially with complex trauma patients are frequently only stabilization techniques and /or pharmacotherapy used. This goal bijblijfsessie is argued that evidence-based trauma-focused treatment is possible and desirable, even with many complex patients who have experienced war, persecution, violence and / or job-related trauma. Methods: will be given three nominations, followed by discussion, by three specialists in the treatment of PTSD. The presentations will be three evidence-based treatments for PTSD illustrate, namely narrative exposure therapy (NET), the Short PTSD Eclectic Protocol (KEP) and Eye Movement Desensitisation and Reprocessing (EMDR). The results shown three forms of treatment are well applicable and effective in patients with PTSD. This will be demonstrated using theoretical assumptions, experiences from clinical practice and research. Opinion Treatment of complex trauma patients with PTSD using trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD.

Keywords: Narrative Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

321. van der Vleugel, B. (2013, April). De behandeling van PTSS bij mensen met een psychotische stoornis [The treatment of PTSD in people with a psychotic disorder]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Trauma is een risicofactor voor het ontwikkelen van psychose. Het hebben van een ernstige psychiatrische aandoening verhoogt de kans op het ontwikkelen van een co-morbide posttraumatische stress stoornis. Desondanks wordt een co-morbide PTSS zelden gediagnostiseerd en wanneer dit wél gebeurt is behandeling van deze PTSS bepaald niet vanzelfsprekend. Behandelaren vrezen vaak dat het openlijk bespreken van traumatische levenservaringen zal leiden tot decompensatie, heropname, middelenmisbruik, zelfbeschadigend gedrag en / of suïcidaliteit. Ondertussen werken de PTSS klachten als olie op het vuur van de psychose. Omdat mensen met psychotische klachten over het algemeen werden uitgesloten van deelname aan onderzoek naar de effecten van PTSS behandeling was lang niet bekend of psychologische behandeling conform de Richtlijn Angststoornissen ook bij deze populatie veilig en effectief is. Hier begint verandering in te komen. In deze presentatie komen achtereenvolgens aan bod: - De resultaten van een pilot onderzoek naar de effecten van EMDR bij mensen met een psychotische stoornis en een co-morbide PTSS (Van den Berg & Van der Gaag, 2012). - De resultaten van een gecontroleerde multiple baseline study naar de effecten van EMDR en Prolonged Exposure bij mensen met een psychotische stoornis en een comorbide PTSS (De Bont, Van Minnen & De Jongh, submitted). - De opzet en eerste bevindingen van het onderzoeksproject Treating Trauma in Psychosis (T.TIP), een multicenter RCT naar de behandeling van PTSS bij mensen met een psychotische Trauma is a risk factor for the development of psychosis. Having a severe psychiatric condition increases the chance of the development of a co-morbid post-traumatic stress disorder. Nevertheless, a co-morbid PTSD rarely diagnosed and when this happens, treatment of these PTSD determined not obvious. Clinicians often fear that openly discussing traumatic life experiences will lead to decompensation, reuptake, substance abuse, self-injurious behavior and / or suicidality. Meanwhile, the PTSD symptoms as fuel to the fire of the psychosis. Because people with psychotic symptoms were generally excluded from research into the effects of PTSD treatment was long unknown or psychological treatment in accordance with Directive Anxiety disorders also in this population safely and effective. Here begins to be changing. This presentation will subsequently be discussed: - The results of a pilot study on the effects of EMDR in people with a psychotic disorder and comorbid PTSD (Van den Berg and Van der Gaag, 2012) . - The results of a controlled multiple baseline study on the effects of EMDR and Prolonged Exposure to people with a psychotic disorder and comorbid PTSD (De Bont, Van Minnen & De Jongh, submitted). - The design and initial findings of the research Treating Trauma in Psychosis (T.TIP), a multicenter RCT on the treatment of PTSD in people with a psychotic disorder (De Bont et al, submittedstoornis (De Bont et al., submitted).

Keywords: Posttraumatic Stress DIsorder PSTD Psychotic Disorders

Accuracy Verified: Yes

322. Ligeon, S. N. (2011). De invloed van oogbewegingen en klikjes op de naarheid en levendigheid van negatieve herinneringen [The influence of eye movements and clicks into the nature and vibrancy of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract: Eye movement desensitization and reprocessing (EMDR) is a widely applied therapy for posttraumatic stress disorder (PTSD). In this therapy patients make eye movements while recalling traumatic memories. It is suggested that EMDR taxes working memory and this reduces ratings of the vividness and emotionality of traumatic memories. Although this has been studied extensively for the effectiveness of eye movements, research on bilateral beeps is scarce. Whit a sample of 42 students we compared the effectiveness of eye movements and bilateral beeps. Results indicate that eye movements are more effective in reducing vividness and emotionality of negative memories. Indirectly testing a mechanism proposed by the Working Memory Theory, we found that participants with a larger working memory focused their attention more on the memory as compared to students with a smaller working memory. In sum we conclude that bilateral beeps are inferior to eye movements in the reduction of vividness and emotionality of memories

Keywords: Intrusive Memory Posttraumatic Stress Disorder PTSD Startle Reflex Working Memory

Accuracy Verified: Yes

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

Language: French

Format: Conference

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

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

Keywords: Target

Accuracy Verified: Yes

324. Staff. (2007). De nieuwe hamer van de psychologen [The new hammer of the psychologists]. TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde, 15(10), 469. doi:10.1007/BF03074666.

Language: Dutch

Format: Journal

Abstract:
Enkele jaren geleden deed de EMDR (eye movement desensitization and reprocessing) haar intrede in de behandeling van psychotrauma’s. Deze methode was hoewel niet geheel begrepen qua mechanisme ontegenzeggelijk spectaculair qua resultaat door de snelle vermindering van de klachten. In korte tijd was de klassieke langdurige PTSS-behandeling obsoleet geworden.

A few years ago, the EMDR (Eye Movement Desensitization and Reprocessing) entered the treatment psychotrauma's. This method was not fully understood in terms of mechanism, although unquestionably spectacular in terms of results due to the rapid reduction of symptoms. In a short time was the classic long-term PTSD treatment has become obsolete.

Keywords: Practice Theory

Accuracy Verified: Yes

325. Dautovic, E. (2013, April). De toepassing van EMDR bij volwassenen met een complexe PTSS en een licht verstandelijke beperking: Practice en evidence based [The application of EMDR in adults with complex PTSD and mild intellectual disabilities: Evidence-based and practice]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Mensen met een verstandelijke beperking hebben een verhoogde kans op het meemaken van, voor hen, ingrijpende life-events en in het verlengde hiervan een verhoogd risico op het ontwikkelen van een posttraumatische stressstoornis (PTSS). De prevalentie van PTSS blijkt significant hoger te zijn bij mensen met een verstandelijke beperking (VB) dan bij mensen zonder VB. Daarnaast valt in de praktijk, bij deze populatie, de hoge prevalentie van complexe PTSS op. EMDR is een effectieve behandeling voor PTSS bij mensen zonder VB. Ook wordt EMDR al breed ingezet voor de behandeling van (complexe) PTSS bij mensen met een VB. Er is echter nog maar weinig onderzoek gedaan naar de effectiviteit van EMDR bij deze populatie. Bij Kristal, centrum voor psychiatrie en verstandelijke beperking, wordt EMDR al een aantal jaar toegepast in de behandeling van volwassenen met een complex trauma en een (lichte) verstandelijke beperking. Hierbij wordt het EMDR-behandelprotocol voor jeugdigen, zoals door de VEN uitgegeven, trouw gevolgd. Dit, echter altijd in combinatie met een stabiliserende pre-treatment, welke onze doelgroep weerbaarder moet maken voor de spanning die een traumabehandeling kan opwekken. Naast de praktische toepassing, welke deze benadering practice based maakte, heeft binnen Kristal tussen 2010 en 2013, synchroon aan de behandeling, een pilot-onderzoek naar de effectiviteit van deze behandeling gelopen. Dit met het doel deze benadering ook evidence based te maken.

People with intellectual disabilities have an increased chance of experiencing, for them, major life events and by extension an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD was significantly higher in people with intellectual disabilities (VB) than in those without VB. Furthermore falls in practice, in this population, the high prevalence of complex PTSD. EMDR is an effective treatment for PTSD in people without VB. Even though EMDR is widely used for the treatment of (complex) PTSD in people with VB. However, there is little research on the effectiveness of EMDR in this population. In Crystal, center for psychiatry and mental retardation, is EMDR for a number of years in the treatment of adults with complex trauma and a (mild) mental retardation . Here the EMDR treatment protocol for young people, as issued by the VEN, faithfully followed. This, however, always in combination with a stabilizing pre-treatment, which our audience resilient to make the stress of trauma treatment can generate. Besides the practical application, which this approach practice based made, has within Crystal between 2010 and 2013, synchronously treatment, a pilot study on the effectiveness of this treatment occurred. This with the aim of this approach is to make evidence-based.

Keywords: Adults Intellectual Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

326. Hoogwerf, L. J. (2011, Februari). De werkingsmechanismen van EMDR: het effect van associeren op het desensitiseren van negatieve herinneringen [The mechanisms of action of EMDR: The effect of associating the desensitisation of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een effectieve behandeling voor posttraumatische stress stoornis (PTSS). Het maken van oogbewegingen tijdens het terugdenken aan een negatieve herinnering is in vele voorgaande onderzoeken effectief gebleken in het verminderen van de naarheid en levendigheid van deze herinneringen. Een ander belangrijk onderdeel van deze behandeling, associëren, is echter nog niet goed onderzocht. Een mixed design is toegepast met 40 participanten, studenten, die ieder twee nare herinneringen ophaalden. 20 participanten hebben oogbewegingen gemaakt, waarbij tijdens één herinnering niet werd geassocieerd en tijdens de andere herinnering wel. De andere 20 participanten hebben geen oogbewegingen gemaakt (fixatie op een wit papier) ook met en zonder associëren. Er is geen effect gevonden van oogbewegingen, maar wel een effect van associaties. Bij participanten die gestimuleerd werden om associaties te maken, daalden de naarheid en levendigheid van de negatieve herinnering meer dan bij participanten die hiertoe niet gestimuleerd werden. Ook de aard van verschillende typen associaties is onderzocht. Uit de hiervoor berekende correlaties komt naar voren dat de naarheid en levendigheid van de negatieve herinnering minder afnemen wanneer men inde fixatieconditie van een afstand naar de gebeurtenis kijkt. In de oogbewegingenconditie neemt de naarheid juist meer af wanneer men van een afstand naar de gebeurtenis kijkt. De bevindingen ondersteunen het gebruik van associaties in de praktijk waarbij het van een afstand naar de gebeurtenis kijken het meest effectief lijkt.

Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for post traumatic stress disorder (PTSD). Making eye movements during recall to a negative memory in many previous studies have proven effective in reducing the dreariness and vividness of these memories. Another important part of this treatment, associate, has not yet been well studied. A mixed design was used with 40 participants, students, each fetched two bad memories. 20 participants have eye movements made during a memory which was not associated with and during the other memory is. The other 20 participants have made no eye movement (fixation on a white paper) with or without associate. There is no effect of eye movements, but an effect of associations. For participants who were encouraged to make associations, decreased to nature and vibrancy of the more negative memories than participants who were not encouraged to do so. The nature of different types of associations was examined. From the above calculated correlations show that the dreariness and vibrancy of the negative memories less gas when classification fixation condition from a distance watching the event. the oogbewegingenconditie more precisely, the dreariness away from a distance when looking at the event. The findings support the use of associations in which the practice of distance to the event looking like the most effective

Keywords: Mechanisms of Action

Accuracy Verified: Yes

327. Rijken, T. A. (2012). De werkzaamheid van eye movement desensitization and reprocessing (EMDR): Ondersteuning voor een afleidingstheorie [The efficacy of eye movement desensitization and reprocessing (EMDR): Support for a theoretical derivation]. Universiteit Utrecht, Utrecht, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
De eye movement desensitization and reprocessing (EMDR) interventie wordt veelvoudig gebruikt in de gezondheidszorg en is een van de meest onderzochte interventies voor posttraumatische stress-stoornis. De populariteit van deze interventie kan mede worden toegeschreven aan de aangetoonde werkzaamheid van EMDR voor het verminderen van traumasymptomen. EMDR is een behandeling die bedoeld is om de helderheid en aversiviteit van traumaherinneringen te verminderen. Tijdens de interventie staat het ophalen van traumatische herinneringen en tegelijkertijd het maken van oogbewegingen centraal. De laatste jaren zijn labstudies toegepast om te achterhalen hoe EMDR precies werkt. Uit deze studies blijkt dat de belasting van het werkgeheugen door een duale taak een belangrijk component van EMDR is. Het werkgeheugen heeft namelijk een beperkte capaciteit. Dit zorgt ervoor dat er minder capaciteit beschikbaar is voor de traumatische herinnering wanneer deze tijdens de behandeling wordt belast met een taak (bv. oogbewegingen). De werkgeheugentheorie is bruikbaar, maar er is wellicht een simpelere verklaring voor de werkzaamheid van EMDR: afleiding. Het is praktisch te weten hoe EMDR werkt zodat er meer duidelijkheid ontstaat over hoe EMDR precies moet worden toegepast. Daarnaast is het begrip van de werking van EMDR belangrijk voor het vaststellen van eventuele bruikbaarheid bij meerdere stoornissen. Het doel van huidig experiment is het kritisch onderzoeken of er een verschil is tussen het ophalen van een negatieve herinnering met een visuele afleidingstaak en het ophalen van een negatieve herinnering met het maken van oogbewegingen op de mate van levendigheid en emotionaliteit. Daarnaast dient het onderzoek als replicatie van Kavanagh et al. (2001) die hetzelfde beoogde te onderzoeken, maar geen rekening hield met de cognitieve belasting van de taken. Uit de resultaten van het huidige onderzoek blijkt dat de oogbewegingstaak en de visuele afleidingstaak verschillen in de mate van vertraging op de reactietijdtaak. De oogbewegingen leiden tot een grotere vertraging. Desondanks laten de resultaten van het experiment zien dat tijdens het toepassen van de interventies de visuele ruis tot grotere reductie van zowel levendigheid als emotionaliteit leidt in vergelijking met de oogbewegingen en het niets doen. Oogbewegingen laten intermediaire resultaten zien. Het lijkt er op dat de resultaten in strijd zijn met de gangbare werkgeheugentheorie en de ‘afleidingstheorie’ ondersteunen als verklaring voor de werkzaamheid van EMDR. Het is wellicht afleiding dat voldoende zou kunnen zijn om de werkzaamheid van EMDR te bewerkstelligen. Meer onderzoek is nodig om deze resultaten te ondersteunen.

The Eye Movement Desensitization and Reprocessing (EMDR) intervention is multiple used in health care and is one of the most studied treatments for posttraumatic stress disorder. The popularity of this intervention may also be attributed to the demonstrated efficacy of EMDR for reducing trauma symptoms. EMDR is a treatment designed to reduce the brightness and aversiviteit memories of trauma reduction. During the intervention is retrieving traumatic memories while making eye movements centrally. In recent years labstudies used to determine how EMDR works. These studies show that the load on working memory by a dual task is an important component of EMDR. The memory has a limited capacity ie. This ensures that there is less capacity available for the traumatic memory during treatment when it is subjected to a task (eg eye movements). The working memory theory is useful, but there may be a simpler explanation for the efficacy of EMDR: distraction. It is practical to know how EMDR works so that more clarity about exactly how EMDR should be applied. In addition, the concept of the operation of EMDR important for determining the potential usefulness in multiple disorders. The purpose of the present experiment is to critically examine whether there is a difference between getting a negative memory with a visual distraction task and retrieval of a negative memory making eye movements on the degree of vividness and emotionality. Research must also as a replication of Kavanagh et al (2001) that the same was intended to investigate, but took no account of the cognitive load of the tasks. The results of the present study show that the oogbewegingstaak and visual distraction task differences in the extent of delayed response task. The eye movements lead to a longer delay. Nevertheless, the results of the experiment show that while applying the intervention visual noise to greater reduction in both vividness and emotionality results in comparison with the eye movements and do nothing. Eye movements show intermediate results. It seems that the results are contrary to the usual working memory theory and the "distraction theory 'support as an explanation for the efficacy of EMDR. It might distractions that may be sufficient to establish the efficacy of EMDR to achieve. More research is needed to support these results.

Keywords: Theory Derivation Working Memory Theory

Accuracy Verified: Yes

328. Horton, H. (2011, June). Dealing with self-distress. Occupational Health, 63(6), 20-22.

Language: English

Format: Journal

Abstract:
The author, a nurse and victim of post traumatic stress disorder (PTSD) for her service in Iraq, explains how to deal with the condition. She provides statistics on health practitioners who suffer from the condition, and describes a form of treatment for it called eye movement desensitization reprocessing (EMDR). She explains how victims and their families are affected by PTSD, and describes the symptoms people should look out for in order to recognize the condition. She also provides an overview of its history and diagnosis.

Keywords: Eye Movements Posttraumatic Stress Disorder PTSD Treatment War

Accuracy Verified: Yes

329. Reno, J. (2010, October 14). Debate rages on how to treat PTSD, the signature wound of this war. Home Post, The Military in San Diego.

Language: English

Format: Newspaper

Abstract:
While it’s invisible to the naked eye, post-traumatic stress disorder (PTSD) has become the signature wound of the fighting in Iraq and Afghanistan and has already had a negative impact on hundreds of thousands of American soldiers and their families.

Keywords: Afghanistan Depression Dr. Adrienne McFadd Drug Abuse Homelessness Iraq Life in the Military Matthew Kiernan Michael Schindler Newsweek Posttraumatic Stress Disorder PTSD San Diego Spouses & Families Suicide VA Secretary Eric Shinseki Veterans Veterans Administration War Virtual Reality

Accuracy Verified: Yes

330. 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

331. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.

Language: Dutch

Format: Conference

Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan. De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma: • Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt. • Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik). De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.

Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them. The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma: • On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops. • On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse). The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.

Keywords: Debriefing

Accuracy Verified: Yes

332. 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

333. 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

334. 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

335. Merson, J. (1999, October 9). Deep impact. Sydney, Australia: Sydney Morning Herald, Good Weekend, 55.

Language: English

Format: Newspaper

Abstract:
In fact, there are now a wide range of therapeutic approaches to treating stress-related disorders. One which has some features in common with the cognitive behavioural approach of trying to desensitise traumatic memory is called Eye Movement Desensitisation and Reprocessing (EMDR).

Keywords: Gary Fulcher General Overview

Accuracy Verified: Yes

336. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This workshop is about the application of EMDR in the treatment of secondary and tertiary structural dissociation with survivors of early chronic traumatization. The succeeding of the EMDR sessions in the treatment of DID, depends mainly on the appropriate indication and a thorough preparation. How to do this in clinical practice, will be pointed out in this presentation. What follows is an explanation of the process (and the essential elements in it) of the integration of traumatic memories and this process will be demonstrated by a dvd of Maria, an woman with DID. We can select and analyze particular scenes, depending on the requests from the audience. For example scenes about confirming positions of ANP's and EP's at the beginning of the session, attacking the NC by the self-‐destructive part, guiding reliving experiences, presentification, coping with anger, differentiating between the past and the present, personification, preventing the flight-‐reaction, coping with transference and facilitate internal cooperation. After reporting on the outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing and preparation of the sessions, about adaptations in the EMDR-‐protocol and about integration of EMDR in the broader phase-‐oriented treatment of DID.

Este taller trata la aplicación de EMDR en el tratamiento de disociaciones estructurales secundarias y terciarias con supervivientes de la traumatización crónica temprana. El éxito de la sesiones de EMDR en el tratamiento de Trastornos de identidad disociativo, depende principalmente de unas instrucciones apropiadas y una dura preparación. Como hacer esto en la práctica clínica será el tema de esta presentación. Continuaremos con una explicación del proceso (y los elementos esenciales dentro de este) de la integración de los recuerdos traumáticos y este proceso será demostrado en el DVD de María, una mujer con trastorno de identidad disociativos. Podemos señalar y analizar escenas particulares, dependiendo de las peticiones que hagan los participantes a la presentación. Por ejemplo, escenas acerca de la confirmación de posiciones de ANP y EP al principio de la sesión, atacando al NC por la parte autodestructiva del yo, guiando y reviviendo experiencias, atención al presente, gestionar la ira, diferenciar entre pasado y presente, personificación, prevenir la evitación, afrontar la transferencia y facilitar la cooperación interna Después de informar acerca de los resultados de la terapia, la conclusión es que el EMDR puede ser efectivo para pacientes disociados si cumplen muchos requisitos previos. Este criterio es sobre la conceptualización de acuerdo con el modelo estructural de disociación, sobre la indicación, temporalización y preparación de las sesiones, sobre las adaptaciones del protocolo del EMDR y la integración del mismo en un tratamiento más amplio en fases del tratamiento del Trastorno de Identidad Disociativo.

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

337. 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

338. Torres, R. V. (2012, Novembro). Depressão por parto na adoção: A cura pelo EMDR [Partum depression after adoption: The EMDR cure]. In Casos Clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Esse trabalho tem o objetivo de apresentar um caso clínico, de uma paciente de 46 anos, no período de adaptação da adoção de uma criança de cinco anos. As dificuldades apresentadas inicialmente eram relacionadas: à vinculação afetiva materna, ao exercício dos cuidados físicos e afetivos com a criança, ao exercício e à percepção do papel materno, aliados a fortes sintomas somáticos. Com a existência de grande desejo de ser mãe, há 15 anos fazia tratamento para engravidar. A adoção não representava um tabu para a mesma. No entanto, a infância vinha à tona com frequência e representava grande parte de seu sofrimento: sua mãe estava com 46 anos quando de seu nascimento e, desde então, fora acometida de enfermidades por toda sua vida, impedindo a realização de cuidados físicos e afetivos para com ela. Foram realizadas 20 sessões de EMDR e as experiências traumáticas da relação mãe x filha, bem como os medos de repetir a história passada, foram processados a uma resolução adaptativa, que permitiram a assimilação de suas lembranças passadas e a incorporação de padrões para experiências positivas, possibilitando a oportunidade de ampliar conexões com redes positivas. As memórias armazenadas que serviam de base para percepção, atitudes e comportamentos foram reprocessadas e, com isso, os sintomas físicos foram extintos, de maneira a permitir que a paciente assumisse uma nova postura frente à maternidade. A percepção sobre sua mãe foi alterada e conseguiu trazer à tona bons momentos de sua infância com a mãe. Também foi reprocessada uma situação relacionada ao perdão mútuo. A paciente hoje vive o processo de maternidade forma saudável e feliz, e 04 meses após o encerramento das sessões, adotou um menino de 03 meses de vida, sem que os sintomas reaparecessem.

This paper aims to present a clinical case of a patient of 46 years in the adjustment period from the adoption of a child of five. Difficulties were initially related: the linking maternal affection, exercise and physical care of the child with affection, exercise and perception of the maternal role, coupled with strong somatic symptoms. With the existence of a great desire to be a mother 15 years ago was receiving treatment for getting pregnant. The adoption did not represent a taboo for the same. However, childhood came to the fore and often represented a large part of his suffering: his mother was 46 years old when his birth and has since been stricken with illness throughout his life, preventing the achievement of physical and emotional care to her. Were performed 20 sessions of EMDR and traumatic experiences of the mother x daughter, as well as fears of repeating past history, were processed to an adaptive resolution, which allowed the assimilation of their past memories and incorporation of standards for positive experiences, allowing the opportunity to expand connections with positive networks. The stored memories that served as the basis for perception, attitudes and behaviors were reprocessed and, therefore, the physical symptoms were abolished, so as to allow the patient to assume a new stance facing the motherhood. The perception has changed about his mother and managed to bring out good moments of his childhood with his mother. It was also reprocessed a situation related to mutual forgiveness. The patient now lives the process of motherhood healthy and happy, and 04 months after the close of the session, adopted a boy of 03 months, without symptoms reappeared.

Keywords: Adoption Motherhood Postpartum Depression

Accuracy Verified: Yes

339. Shapiro, F., & Mousnier-Lompré, F. (2005). Des yeux pour guérir: EMDR: La thérapie pour surmonter l’angoisse, le stress et les traumatisms [Eye to heal: EMDR: Therapy for overcoming anxiety, stress and trauma]. Paris: Seuil.

Language: French

Format: Book

Abstract:
Tout le monde connaît désormais la thérapie introduite en France par David Servan-Schreiber dans son livre Guérir. Cette nouvelle thérapie appelée EMDR (Eye Movement Desensitization & Reprocessing) consiste pour l'essentiel à refaire vivre au patient victime d'un événement traumatique la scène terrible qui est à l'origine de sa souffrance, en lui faisant faire des mouvements oculaires provoquant une diminution progressive du stress. Les résultats sont incontestables, mais la raison des progrès enregistrés reste énigmatique. Peut-être s'agit-il d'une reconstruction ce la mémoire profonde du même ordre que celle qui se produit dans le sommeil paradoxal (où le dormeur connaît des mouvements oculaires analogues). Cette thérapie a été fondée par Francine Shapiro, du célèbre institut de Palo Alto. Ce livre fondateur raconte l'origine de sa découverte, donne des interprétations scientifiques possibles et surtout décrit de nombreux cas exemplaires où cette thérapie s'est révélée efficace. Il est de ce fait très poignant. On y rencontre une femme ayant perdu son fils de huit ans dans un accident de train et accablée par l'image terrifiante du corps disloqué de l'enfant, des anciens combattants du Vietnam hantés par les images terribles de la guerre, des victimes de viol... Et surtout on y voit comment ces personnes, emprisonnées dans leur souffrance, ont pu s'en affranchir et retrouver un équilibre psychologique.

Everyone now knows the therapy introduced in France by David Servan-Schreiber in his book Healing. This new therapy called EMDR (Eye Movement Desensitizer & Reprocessing) is essentially to re live the patient suffered a traumatic event the terrible scene which is at the origin In his pain, making him make eye movements causing a gradual decrease of stress. The results are undeniable, but the reason of progress remains enigmatic. Perhaps it is a reconstruction of the deep memory similar to that which occurs in sleep REM (where the sleeper knows movements eye like). The therapy was founded by Francine Shapiro, the renowned institute Palo Alto. This seminal book describes the origin of his discovery, provides interpretations possible scientific and especially describes many exemplary cases where this therapy has proven effective. It is therefore very poignant. We meet a woman who lost her eight year old son in a train accident and overwhelmed by the terrifying image of the broken body of the child, the Vietnam veterans haunted by the terrible images of war, victims of rape ... And especially we see how these people trapped in their suffering, have overcome them and regain a psychological equilibrium.

Keywords: Anxiety, General Overview Stress Trauma

Accuracy Verified: Yes

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

Language: Spanish

Format: Dissertation/Thesis

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

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

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

341. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.

Language: Spanish

Format: Book

Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso. Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha. Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables. Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico. Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.

In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment. Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation. It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time. With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection. Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.

Keywords: Practice Theory

Accuracy Verified: No

342. Shapiro, F., Lake, K., & Norcross, J. C. (2003, November). Desensibilización y reprocesamiento por movimientos oculares (EMDR): Un tratamiento integrador para el trauma [Eye movement desensitization and reprocessing (EMDR) as an integrative treatment for trauma]. Revista de Psicotrauma para Iberoamérica, 2(3), 4-12.

Language: Spanish

Format: Journal

Abstract:
EMDR es un método psicoterapéutico integrador que ha sido designado oficialmente una forma efectiva de tratamiento para el trastorno de estrés postraumático en la comunidad internacional. El EMDR de ocho fases proporciona un método eficiente, estructurado y seguro para hacer frente a los efectos nocivos de los eventos traumáticos. Varios aspectos del método EMDR, incluyendo su capacidad para hacer frente a los componentes múltiples de la experiencia del trauma (creencias, emociones, sensaciones fisiológicas), han hecho un llamamiento a los psicoterapeutas de diversas orientaciones teóricas. Aunque existen muchas similitudes entre el método EMDR y otros sistemas de las psicoterapias, EMDR es un enfoque distinto, debido, en parte, al uso de un modelo de procesamiento de información para explicar la psicopatología. Protocolos EMDR incorporan una combinación única de elementos que se piensa extender los resultados positivos del tratamiento. [Autor Resumen]

EMDR is an integrative psychotherapeutic approach that has been officially designated an effective form of treatment for PTSD within the international community. The eight-phase EMDR provides an efficient, structured, and safe method for addressing the deleterious effects of traumatic events. Various aspects of EMDR, including its ability to address the multiple experiential components of trauma (beliefs, emotions, physiological sensations), have appealed to psychotherapists of diverse theoretical orientations. Though many similarities exist between EMDR and other systems of psychotherapies, EMDR is a distinct approach due, in part, to its use of an information processing model to explain psychopathology. EMDR's protocols incorporate a unique combination of elements that are thought to extend positive treatment outcomes. [Author Abstract]

Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressor Survivors

Accuracy Verified: Yes

343. Alblas, E. E. (2012). Desensitisation and facilitation of memory after eye movements: An effort to solve an apparent contradiction. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
Post-traumatic stress syndrome (PTSD) is a disorder characterized by frequent vivid memories of a traumatic event. A current effective treatment for PTSD is Eye Movement Desensitisation Reprocessing treatment (EMDR). A model to explain the desensitizing effects by eye movements is the dual task hypothesis of working memory (WM). This posits that eye movements as second task exceed WM capacity, thus blurring subsequent reconsolidation of the (traumatic) memory. Eye movements prior to recall however have also been observed to facilitate memory. This thesis reviews several models to analyse whether the conflicting findings could result from one underlying process, or whether procedural differences in study design are likely to generate the opposing effects.

Keywords: Memory Desensitization Memory Facilitation Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

344. 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

345. 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

346. DeGraffenried, D. F. (2005, September). Developing EMDR practice in community mental health & agency settings: Working with clinical or administrative reluctantance. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR has not achieved full acceptance as a practice model within community mental health and agency settings. Some agencies are reluctant to develop an EMDR practice due to administrative concerns, clinical apprehensions or implementation reluctance. This resistance has constrained the development of EMDR in communities of color, those that are impoverished and often in settings where post traumatic stress is the focus of treatment. This workshop will identify the three common areas or agency reluctance concerning EMDR and will demonstrate the use af a simple assessment tool designed to identify where thc intervention is needed to accomplish change and support EMDR integration into the agency.

Keywords: Client or Administrative Reluctance Community Mental Health Agencies

Accuracy Verified: Yes

347. 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

348. 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

349. 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

350. Lovelle, C. (2008, February). Dialectical behavioral therapy and EMDR for adolescents in residential treatment: A practical and theoretical perspective. Residential Treatment For Children and Youth, 23(1&2), 27–43. doi:10.1300/J007v23n01_03.

Language: English

Format: Journal

Abstract:
DBT and EMDR as primary treatment methods provide effective treatment for adolescents in the setting of group residential facilities. Regardless of the intensity of the pathology or the length of stay, these compatible treatment methods provide adolescents with significant decreases in the impact of traumatic memories and increased emotional regulation skills. The methods have been empirically supported as effective in a variety of settings and with a diversity of age groups. They are well suited for use in a residential environment and can constitute a powerful, effective method for dealing with Post Traumatic Stress Disorder, Bipolar Disorder, Major Depression, Anxiety Disorders, Substance Abuse, and other disorders.

Keywords: Adolescent Residential Treatment DBT Dialectical Behavior Therapy Trauma

Accuracy Verified: Yes

351. Various. (2000, November - December). Dibattito sulla EMDR (Eye movement desensitization and reprocessing) [Debate on EMDR (Eye movement desensitization and reprocessing)]. Avvenuto nelle liste "Psicoterapia" di Psychomedia (PM-PT) e Ipsico.

Language: Italian

Format: Other

Abstract:
Estratto: Ho letto con interesse questo scambio annunci sulla tecnica EMDR. L'EMDR ha anche parlato della recente riunione di Moiano, organizzata da Psicologi per i PeopleOn "modelli di intervento in psicologia di emergenza". Come Moiano, vorrei che potesse approfondire un discorso sul tema, proprio perché in psicologia dello stress post-traumatico, l'EMDR è uno dei temi più controversi discussi da una dozzina di anni. A partire dal accuse "scioccanti" di Francine Shapiro, il creatore del metodo con cui la grande maggioranza delle forme di PTSD regrediti rapidamente con alcune sessioni sono associati con i movimenti oculari saccadici evento traumatico 'immagini, ha sviluppato una linea di grandi dimensioni di ricerca si propone di empiricamente testare la reale efficacia del metodo. I risultati di questi studi sono almeno ambigui. Ciò è sottolineato con forza, come in diverse occasioni i ricercatori indipendenti riuscito a replicare i risultati eccezionali che l'insegnamento EMDR IncorporatedThe azienda vende negli Stati metodo di insegnamento Uniti, hanno pubblicato.

Excerpt: I read with interest this exchange listings on the EMDR technique. EMDR has also spoken of the recent meeting of Moiano, organized by Psychologists for the PeopleOn "models of intervention in emergency psychology". As Moiano, I wish it could deepen a discourse on the subject, precisely because in the psychology of post-traumatic stress, EMDR is one of the most controversial topics discussed by a dozen years now. Starting from the allegations "shocking" of Francine Shapiro, the creator of the method by which the vast majority of forms of PTSD regressed rapidly with some sessions are associated with eye movements saccadic 'imagery traumatic event, has developed a large line of research seeks to empirically test the real effectiveness of the method. The results of these trials are at least ambiguous. This is strongly emphasized, as on several occasions independent researchers failed to replicate the outstanding results that teaching EMDR IncorporatedThe company sells in the United States teaching method, have published.

Keywords: Practice Theory

Accuracy Verified: Yes

352. Hase, M. [2003]. Die "wenig belastende beispielerinnerung“: Ein beitrag zur EMDR-behandlungsplanung [The "little stress as memory": A contribution to EMDR treatment planning]. Biespielerinnerung, Michael Hase.

Language: German

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) ist eine sehr wirksame Therapiemethode in der Behandlung der Posttraumatischen Belastungsstörung, assozierter Störungen und anderer psychischer Störungen. Das Modell der adaptiven Informationsverarbeitung stellt einen theoretischen Rahmen bereit, um die Wirkung des EMDR zu erklären und bietet im Sinne eines Krankheitsmodells Anleitung zur Diagnostik und Behandlungsplanung. EMDR ist ein manualisiertes Verfahren und die Berücksichtung der vorgeschlagenen Protokolle und Prozeduren ist für einen Behandlungserfolg essentiell. Die phasenorientierte Behandlungsplanung nimmt in der Therapie traumatisierter Menschen generell einen hohen Stellenwert ein und ist auch für eine EMDR-Therapie sehr wichtig. Die Bearbeitung einer „wenig belastenden Beispielerinnerung“ in der Frühphase einer EMDR-Therapie bietet einen guten Einstieg in die sich anschließende Traumabearbeitung und ist besonders in der Arbeit mit akut Traumatisierten und komplexen Störungsbildern hilfreich.
Summary: Eye Movement Desensitization and Reprocessing (EMDR) is a very effective Method of therapy in the treatment of post-traumatic stress disorder, an associate Disorders and other mental disorders. The model of adaptive Information processing provides a theoretical framework to evaluate the effect of EMDR explain and offer guidance in terms of a disease model for the diagnosis and Treatment planning. EMDR is a manualized procedures and the consideration of the proposed protocols and procedures is essential for a successful treatment. The phase-oriented treatment planning in general it will in the treatment of traumatized people of great value and is also responsible for EMDR therapy is very important. The processing a "little strain as memory" in the early stages of an EMDR therapy offers a good introduction to the subsequent trauma and is particularly in the work helpful with acute and complex trauma disorders.

Keywords: Treatment Planning

Accuracy Verified: Yes

353. Lamprecht, F., Lempa, W., & Sack, M. (2000). Die behandlung posttraumatischer belastungsstoerungen mit EMDR [Treatment of posttraumatic stress disorder using EMDR]. Psychotherapie im Dialog, 1, 45-51.

Language: German

Format: Journal

Abstract:
Mit der EMDR-Behandlung (Eye Movement Desensitization and Reprocessing) steht ein relativ neues, sehr zeitökonomisches Verfahren zur Behandlung der Posttraumatischen Belastungsstörung zur Verfügung. Es handelt sich um eine manualisierte therapeutische Methode, die in 8 Phasen eingeteilt werden kann. Anhand von 2 Kasuistiken wird die Vorgehensweise der EMDR-Behandlung veranschaulicht. Eigene Arbeitserfahrungen und Forschungsergebnisse ergeben ein sehr positives Bild von der Wirksamkeit der EMDR-Behandlung. Auch auf der Basis der international vorliegenden Forschungsergebnisse kann daher der Schluss gezogen werden, dass EMDR eine effektive und ökonomische Methode der Behandlung Posttraumatischer Belastungsstörungen darstellt.

With EMDR (Eye Movement Desensitization and Reprocessing) is a relatively new, very time-economical method for the treatment of posttraumatic stress disorder are available. It is a manualized therapeutic method that can be divided into 8 phases. Based on 2 case reports the approach of EMDR is illustrated. Own work experiences and research results give a very positive picture of the effectiveness of EMDR treatment. Also on the basis of the internationally available research can therefore be concluded that EMDR is an effective and economical method of treating post-traumatic stress disorder the circuit.

Keywords: Posttraumatic Stress Disorder PTSD Stabilization Trauma

Accuracy Verified: Yes

354. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie Vereinigung von Ego- State-, Hypno-, Energie- und EMDRPsychotherapie [Energizing self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.

Language: English

Format: Conference

Abstract:
Mit großer Freude kann ich dieses „Highlight“ mit der international führenden Spezialistin der Trauma- Therapie, von Dissoziationsstörungen und auch der Schmerz- Therapie ankündigen. Maggie Phillips gilt ja schon seit vielen Jahren als eine der besten und erfahrensten SpezialistInnen der Ego-State- Therapie. Ihr "Handbuch der Hypnotherapie bei posttraumatischen und dissoziativen Störungen" (zusammen mit C. Frederick) gilt als eines der maßgeblichsten Werke in diesem Feld. Als einer der ersten ExpertInnen weltweit wies sie aber auch immer wieder darauf hin, dass gerade für den Bereich multipler posttraumatischer und dissoziativer Störungen der Zugang mit einer Methode häufig nicht ausreicht. In beeindruckender Weise drückt ihr Werk "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mindbody Health (W.W. Norton, 2000)" ihre wunderbare Fähigkeit zum Ausdruck, unterschiedliche Konzepte zu einer sehr effektiven und flexiblen und dabei völlig konsistenten Gesamt- Interventionsmodell für diese schwierigen Aufgaben zu integrieren. Auch ihr neues Buch "Reversing Chronic Pain" verspricht alle Qualitäten für ein Meisterwerk. Wer mit ihr schon einmal gearbeitet hat oder sie in ihrer Arbeit erleben durfte, kann ihre große sehr achtungsvolle Haltung, Einfühlsamkeit und Kongruenz, gepaart mit geradezu virtuoser Fachkompetenz nur bestätigen.

It is with great pleasure that I can highlight to the world's leading specialist in trauma- Therapy, and also announce Dissoziationsstörungen of the pain therapy. Maggie Phillips is yes for many years as one of the best and most experienced specialists of the ego-state therapy. Their "Manual of hypnotherapy for post-traumatic and dissociative disorders" (with C. Frederick) is considered one of the most authoritative works in this field. As one of the first experts worldwide, it also repeatedly pointed out that especially for the Multiple range post-traumatic and dissociative disorders, access to a method frequently is not sufficient. In impressively expresses its work, "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mind Body Health (WW Norton, 2000), "her wonderful Ability to express different concepts in a very effective and flexible and in complete to integrate consistent overall model of intervention for these difficult tasks. Her new book, "Reversing Chronic Pain" promises all the qualities of a masterpiece. Anyone who has worked with her before, or could they experience in their work, may their very large respectful attitude, empathy and congruence, coupled with an almost virtuoso expertise only . Confirm

Keywords: Ego State Therapy Energy Psychology

Accuracy Verified: Yes

355. Wagner, F. (2004). Die wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei der posttraumatischen belastungsstorung im vergleich zu kontrollbedingungen und kognitiv-behavioralen therapien: Eine metaanalytische untersuchung [Efficacy of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder compared with control conditions, and cognitive-behavioral therapies]. Zugl: Heidelberg. doi:volltextserver/volltexte/2005/5803 . --.

Language: German

Format: Book

Abstract:
Das Ziel der vorliegenden Metaanalyse war es, die Wirksamkeit von EMDR und kognitiv-behavioralen Therapieverfahren bei der posttraumatischen Belastungsstörung mit dem aktuellen Stand an Publikationen metaanalytisch zu untersuchen. In einer umfassenden Literaturrecherche wurden hierfür sowohl publizierte Originalarbeiten als auch unpublizierte Manuskripte recherchiert. Insgesamt gingen 32 Originalstudien in die Metaanalyse ein. 13 der Studien waren reine EMDR-Studien; 7 untersuchten sowohl eine Gruppe mit EMDR als auch eine Gruppe mit kognitiv-behavioraler Therapie. 12 Studien waren reine kognitiv-behaviorale Therapiestudien. Darüber hinaus sollte die Wirksamkeit unter dem Gesichtspunkt der verschiedenen PTSD- und komorbiden Symptomatiken betrachtet werden. In einem weiteren Schritt wurde EMDR direkt mit kognitiv-verhaltenstherapeutischen Behandlungsmethoden verglichen. Effektstärken wurden sowohl für die PTSD-Symptomkategorien Intrusionen, Vermeidung und erhöhtes Arousal als auch für die komorbiden Symptome Angst und Depression berechnet. Die Berechnung der Effektstärken erfolgte anhand von standardisierten Mittelwertsvergleichen. Neben dem direkten Vergleich von EMDR mit kognitiv-behavioralen Therapieansätzen bzw. von EMDR und kognitiv-behavioraler Therapie mit Kontrollgruppen (Post-/Post-Vergleich) wurden auch die Veränderungen innerhalb der Behandlungsgruppen berechnet (Prä-/Post-Vergleich). In den Post-/Post-Vergleich gingen nur kontrollierte und randomisierte Originalstudien ein. In den Prä-/Post-Vergleich hingegen wurden auch Ein-Gruppen-Studien aufgenommen. Als Effektmaß wurde Hedges´d verwendet. Die Ergebnisse legen nahe, dass sowohl EMDR als auch die kognitiv-behaviorale Therapie wirksam in der Behandlung der posttraumatischen Belastungsstörung sind. Beide Verfahren reduzieren in klinisch bedeutsamem Umfang, sowohl unmittelbar als auch lang anhaltend, die PTSD-Symptomatiken Intrusionen, Vermeidung und erhöhtes Arousal. Darüber hinaus führen beide Behandlungsmethoden auch zu einer Reduktion der komorbiden Symptomatiken Angst und Depression. Die Effektivität beider Verfahren zeigt sich hierbei sowohl im Prä-/Post-Vergleich als auch im direkten Post-/Post-Vergleich mit einer Kontrollbedingung. Darüber hinaus ergibt sich eine ähnlich hohe Wirksamkeit von EMDR und kognitiv-behavioraler Therapie, sowohl im Vergleich der Prä-/Post-Effektstärken als auch im direkten Post-/Post-Vergleich. Dennoch scheint es unterschiedliche Einflussfaktoren zu geben, welche die Therapieeffektivität sowohl bei EMDR als auch bei kognitiv-behavioraler Therapie beeinflussen. Aufgrund der geringen Studienzahl lassen sich diese Faktoren jedoch nicht näher untersuchen. Des Weitern zeichnen sich Unterschiede hinsichtlich der Effizienz der beiden Therapieformen ab: So beträgt die durchschnittliche Behandlungsdauer bei EMDR 5 Sitzungen, bei der kognitiv-behavioralen Therapie hingegen 8 Sitzungen. Darüber hinaus ist die Expositionsdosis bei den kognitiv-behavioralen Therapien höher als bei EMDR.
Die Befunde zur Wirksamkeit der bilateralen Stimulation sind hingegen weniger eindeutig. Allerdings sind Studien, welche den Versuch unternehmen, die Augenbewegungen bei Personen mit PTSD isoliert zu betrachten, oftmals von erheblichen methodischen Mängeln gekennzeichnet. Einzelne Befunde und Modellvorstellungen zur Rolle der bilateralen Stimulation beim EMDR werden im Diskussionsteil erörtert.

The aim of this meta-analysis was to investigate the efficacy of EMDR and cognitive-behavioral therapy for posttraumatic stress disorder with the current meta-analysis of publications. In a comprehensive literature search for this original work, both published and unpublished manuscripts were researched. A total of 32 original studies were included in the meta-analysis. 13 of the studies were pure EMDR studies; 7 examined both a group and a group with EMDR with CBT. 12 studies were purely cognitive-behavioral therapy studies. Moreover, the effectiveness should be considered in the light of various PTSD and comorbid symptomatology. In a further step EMDR was compared directly with cognitive-behavioral treatment methods. Effect sizes were calculated for both the PTSD symptom categories intrusions, avoidance and increased arousal as well as the comorbid symptoms of anxiety and depression. The calculation of effect sizes was based on standardized mean comparisons. In addition to the direct comparison of EMDR with cognitive-behavioral therapy approaches and EMDR and CBT with control groups (Post-/Post-Vergleich) and the changes within the treatment groups were calculated (Prä-/Post-Vergleich). In the only controlled and randomized Post-/Post-Vergleich original studies were submitted. In contrast Prä-/Post-Vergleich also single-group studies were included. Hedges'd was used as a measure of effect. The results suggest that both the EMDR and cognitive-behavioral therapy are effective in the treatment of post-traumatic stress disorder. Both methods reduce in clinically relevant extent, both immediate and long lasting, the PTSD symptomatology intrusions, avoidance and increased arousal. In addition, both treatments lead to a reduction in comorbid anxiety and depression symptomatology. The effectiveness of both methods is shown here both in Prä-/Post-Vergleich as well as direct Post-/Post-Vergleich with a control condition. Moreover, there is a similar level of effectiveness of EMDR and CBT, both in comparison to the Prä-/Post-Effektstärken as well as direct Post-/Post-Vergleich. Nevertheless, there seems to be different factors that influence the effectiveness of both EMDR therapy as well as cognitive-behavioral therapy. Due to the small number of studies, these factors can, however, examine in detail. Weitern the distinguished differences in the efficiency of the two forms of therapy from: Thus, the average duration of treatment with EMDR is 5 sessions in cognitive-behavioral therapy, however, 8 sessions. In addition, the exposure dose in the cognitive-behavioral therapies is higher than EMDR. The findings on the effectiveness of bilateral stimulation, however, are less clear. However, studies that attempt to isolate the eye movements with PTSD in persons often characterized by significant methodological flaws. Individual findings and concepts on the role of bilateral stimulation in EMDR are discussed in the discussion section.

Keywords: Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

356. 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

357. Gelbach, R. A., & Davis, K. E. B. (2007). Disaster response: EMDR and family systems therapy under communitywide stress. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 387-404). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
Disaster is commonly understood as an overwhelming misfortune that is not easily overcome or set right. Though our lives may go on after a disaster, it is virtually certain that they will have been transformed in some profound way. Nevertheless, it is very clear that not all who live through a disaster will be traumatized by it and that only a fraction of survivors will develop trauma-related disorders such as Posttraumatic Stress Disorder (PTSD). Societies that have resources and choose to use them to shore up the infrastructure quickly and effectively will buffer their populations from increasing levels of PTSD. The impact of disasters on family and societal function and intervention priorities are discussed here. Report of the Task Force (2002) of the International Society for Traumatic Stress Studies is summarized next. The chapter then discusses psychotherapy as a response to disaster. Two approaches to postdisaster psychotherapy that have adapted well in diverse cultural environments are Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) and family systems approaches. The therapy process is presented next. Other topics here include family and cultural considerations and group treatment. A case example is presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Disaster Response Disasters Emotional Trauma Family Systems Therapy Family Therapy Post Disaster Psychotherapy Posttraumatic Stress Disorder PTSD Stress Society Therapy Process

Accuracy Verified: Yes

358. Yule, W. (2008, April). Disaster, crisis and trauma psychology: Meeting the needs of children and adolescents. Presentation at the Annual Meeting of the Psychological Society of Ireland and NIBPS, Dublin,Ireland.

Language: English

Format: Conference

Abstract:
This presentation will summarise the work undertaken by the Standing Committee and describe the developments in Disaster, Crisis and Trauma Psychology as they relate to children and adolescents. Post Traumatic Stress Reactions are now well described in children, although much has still to be learned about pre-schoolers. Developmental and gender differences as well as family influences have all been investigated within a broad developmental psychopathology framework. Most excitingly, efficient and effective brief interventions such as trauma focused cognitive behaviour therapy and EMDR have been developed, applied and validated. These individually oriented interventions have also been adapted for large group interventions as are needed after major disasters and war. Recent developments will be highlighted and future directions indicated.

Keywords: Adolescents Children Crisis Disaster Trauma

Accuracy Verified: Yes

359. Forgash, C. (2010, September/October). Dissociation in the dental chair: Implications for the EMDR treatment of health issues. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR treatment is effective in dealing with many health problems (exacerbated by dissociation)encountered by many complex trauma clients. The negative sequelae of abuse on the physical and mental health of these clients includes flashbacks and dissociative episodes. They are frequently avoidant of health care, which can lead to further consequences. This presentation will focus on expanding the EMDR Preparation Phase; presenting strategies to deal with dissociation, emotional issues, and PTSD symptoms. The Desensitization and Reprocessing Phase will deal with earlier traumatic events, health issues and current and past dissociative events which are frequently at the root of these problems.

Keywords: Dissociation Health Issues

Accuracy Verified: Yes

360. van der Hart, O., Groenendijk, M., Gonzalez, A., Mosquera, D., & Solomon, R. (2013). Dissociation of the personality and EMDR therapy in complex trauma-related disorders: Applications in the stabilization phase. Journal of EMDR Practice and Research, 7(2), 81-94. doi:10.1891/1933-3196.7.2.81.

Language: English

Format: Journal

Abstract:
As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation of the personality is the main feature of traumatization and a wide range of trauma-related disorders from simple posttraumatic stress disorder (PTSD) to dissociative identity disorder (DID). The theory may help EMDR therapists to develop a comprehensive map for understanding the problems of clients with complex trauma-related disorders and to formulate and carry out a treatment plan. The expert consensus model in complex trauma is phase-oriented treatment in which a stabilization and preparation phase precedes the treatment of traumatic memories. This article focuses on the initial stabilization and preparatory phase, which is very important to safely and effectively use EMDR in treating complex trauma. Central themes are (a) working with maladaptive beliefs, (b) overcoming dissociative phobias, and (c) an extended application of resourcing

Keywords: Dissociation Dissociative Disorders Structural Dissociation of the Personality Phase-Oriented Treatment Stabilization Phase

Accuracy Verified: Yes

361. van der Hart, O., Nijenhuis, E. R. S., & Solomon, R. (2010). Dissociation of the personality in complex trauma-related disorders and EMDR: Theoretical considerations. Journal of EMDR Practice and Research, 4(2), 76-92. doi:10.1891/1933-3196.4.2.76.

Language: English

Format: Journal

Abstract:
As eye movement desensitization and reprocessing (EMDR) has been increasingly applied in complex trauma-related disorders, including complex dissociative disorders, and trauma-related borderline personality disorder, EMDR practice may benefit from theories developed to account for the dissociative nature of these disorders, such as the theory of structural dissociation of the personality (TSDP). TSDP postulates that the personality of traumatized individuals is unduly divided in two basic types of dissociative subsystems or parts. One type involves dissociative parts primarily mediated by daily life action systems or motivational systems. The other type involves dissociative parts, fixated in traumatic memories, primarily mediated by the defense action system. The more severe and chronic the traumatization, the more dissociative parts can be expected to exist. This article presents the basics of TSDP, and a second article will provide guidelines for the treatment of complex trauma-related disorders based on this theory.

Keywords: Complex Trauma Dissociation Dissociation of the Personality Dissociative Disorders Integration Ohase-Oriented Treatment Structural Dissociation

Accuracy Verified: Yes

362. van der Hart, O. (2011, March). Dissociation of the personality: The key to understanding chronic traumatisation and a guide to EMDR treatment. Preconference presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
There is currently consensus that the EMDR standard protocol needs to be modified for chronically traumatized clients, such as clients with complex dissociative disorders, as it may destabilize them. Therefore, therapists need to have a good understanding of the dissociative personality structure that exists in these clients. Dissociation is an undue division of the personality among two or more biopsychosocial systems or “dissociative parts” that comprise the survivor’s personality. One or more of them function in daily life; others are fixated in traumatic experiences, are living in trauma-time. The more severe the traumatisation, the more dissociative parts, involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which are systematically resolved in phase-oriented treatment. Indeed, participants will be able to describe structural dissociation of the personality as a specific form of integrative failure that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative symptoms to the underlying dissociation of the personality, and identify targets such as the dissociation-maintaining phobias, for EMDR interventions in the respective treatment phases. The emphasis will be on the preparatory work, including how to work with dissociative parts living in trauma-time and those perceived as being malevolent, necessary before focusing on the integration of traumatic memories.

Keywords: Dissocation

Accuracy Verified: Yes

363. van der Hart, O. (2010, September/October). Dissociation of the personality: The key to understanding chronic traumatization and its treatment. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR treatment of complex trauma-related disorders may benefit from a clear understanding of the dissociative nature of these disorders. Dissociation is an undue division of the personality among two or more psychobiological systems or “dissociative parts” that comprise the survivor’s personality. One or more of them function in daily life; others are fixated in traumatic experiences. The more severe the traumatization, the more dissociative parts, involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have psychobiological boundaries that are maintained, to a large degree, by different trauma-related phobias, which should be systematically resolved in phase-oriented treatment. Participants will be able to describe structural dissociation of the personality as a specific form of integrative failure that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative symptoms to the underlying dissociation of the personality, and identify targets for EMDR interventions in each of the three treatment phases in terms of overcoming specific phobias.

Keywords: Chronic Traumatization Plenary

Accuracy Verified: Yes

364. van der Hart, O. (2007). Dissociation: The key to understanding and treating traumitization. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
A precise understanding of trauma-related dissociation is essential for clinical practice, including the use of EMDR with traumatized patients. The existence of many conflicting and vague definitions of dissociation that include a mixture of constructs has obscured understanding of the nature of dissociation. Thus, it is viewed alternately as a process, a structure, a defense mechanism, a deficit, and as various symptoms. Most contemporary clinicians and researchers working with traumatized people have lost a connection with the unifying and comprehensive theory of trauma-related dissociation already outlined over the course of the history of psychiatry. Thus, a return to the original major studies on trauma-related dissociation is essential in clarifying the concept of dissociation, in reconciling it with contemporary science, and in realizing its importance in treatment. The works of two Masters will be used to highlight this basic concept: Pierre Janet (1859-1947) and Charles Myers (1873-1947). The theory of structural dissociation of the personality integrates their original views on dissociation with modern findings from clinical practice and research and developments in the neurosciences. It emphasizes that the personality system of the trauma survivor becomes structurally divided into two or more self-conscious psychobiological subsystems. Some of these subsystems, which we have called “dissociative parts of the personality”, are engaged in daily living and avoidance of traumatic memories, other parts are fixated in traumatic experiences and essentially engaged in animal defensive actions toward perceived danger. More severe chronic traumatization leads to more complex structural dissociation, and thus to more complex trauma-related disorders. Although short-term, intensive treatments such as prolonged exposure and EMDR are appropriate for simple trauma-related disorders, a phase-oriented treatment is the standard of care formore complex disorders. Regardless of treatment modalities employed, be it EMDR or other approaches, therapists need to be skilled in the recognition of symptoms of dissociation and in special treatment approaches that support personality integration among dissociative parts, particularly in working with traumatic memories.

Keywords: Dissociation Keynote

Accuracy Verified: Yes

365. Darker-Smith, S. (2012, October). Dissociative disorders and EMDR: Depersonalisation, derealisation and dissociation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
Within the field of dissociative disorders, EMDR clinicians are advised that there should be significant stabilisation in the preparation phase of the standard protocol. Indeed, where a client has been experiencing depersonalisation and / or derealisation for a significant period of time, there can be elements of heightened risk, such as suicidal intent caused by living in this ‘half-life’ or ‘dream-state’. For these clients, using a float-back technique to introduce body sensation as a mechanism of grounding can be, and is, highly effective in terms of stabilisation. This can enable a swifter progression to a place of stability in order to target the cause of dissociation, where it has been triggered by a natural, protective psychological avoidance to a traumatic event as well as reduce risk of suicide in clients who are experiencing significant distress at being ‘trapped’ in this ‘alternate reality’.

Keywords: Derealization Depersonalization Dissociation

Accuracy Verified: Yes

366. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.

Language: English

Format: Newsletter

Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.

Keywords: Dissociation

Accuracy Verified: Yes

367. Mills, S., & Hulbert-Williams, L. (2012, September). Distinguishing between treatment efficacy and effectiveness in post-traumatic stress disorder (PTSD): Implications for contentious therapies. Counselling Psychology Quarterly, 25(3), 319-330. doi:10.1080/09515070.2012.682563.

Language: English

Format: Journal

Abstract:
Research psychologists often complain that practitioners disregard research evidence whilst practitioners sometimes accuse researchers of failing to produce evidence with sufficient ecological validity. We discuss the tension that thus arises using the specific illustrative examples of two treatment methods for post-traumatic stress disorder: eye movement desensitisation and reprocessing and exposure-based interventions. We discuss the contextual reasons for the success or failure of particular treatment models that are often only tangentially related to the theoretical underpinnings of the models. We discuss what might be learnt from these debates and develop recommendations for future research.

Keywords: Clinical Medicine Patient-Centered Care Posttraumatic Stress Disorder Practice Psychotherapists' Attitudes PTSD Research

Accuracy Verified: Yes

368. Spoormaker, V. I., & Montgomery, P. (2008, June). Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature?. Sleep Medicine Reviews, 12(3), 169-184. doi:10.1016/j.smrv.2007.08.008.

Language: English

Format: Journal

Abstract:
Sleep disturbances are often viewed as a secondary symptom of post-traumatic stress disorder (PTSD), thought to resolve once PTSD has been treated. Specific screening, diagnosis and treatment of sleep disturbances is therefore not commonly conducted in trauma centres. However, recent evidence shows that this view and consequent practices are as much unhelpful as incorrect. Several sleep disorders—nightmares, insomnia, sleep apnoea and periodic limb movements—are highly prevalent in PTSD, and several studies found disturbed sleep to be a risk factor for the subsequent development of PTSD. Moreover, sleep disturbances are a frequent residual complaint after successful PTSD treatment: a finding that applies both to psychological and pharmacological treatment. In contrast, treatment focusing on sleep does alleviate both sleep disturbances and PTSD symptom severity. A growing body of evidence shows that disturbed sleep is more than a secondary symptom of PTSD—it seems to be a core feature. Sleep-focused treatment can be incorporated into any standard PTSD treatment, and PTSD research needs to start including validated sleep measurements in longitudinal epidemiologic and treatment outcome studies. Further clinical and research implications are discussed, and possible mechanisms for the role of disturbed (REM) sleep in PTSD are described.

Keywords: Etiology Insomnia Nightmares Posttruamatic Stress Disorder PTSD REM Sleep Risk Factor Sleep Sleep Apnea Sleep Disorders Treatment

Accuracy Verified: Yes

369. Mosquera, D., & González-Vázquez, A. (2012, March-April). Disturbo borderline di personalità, trauma e EMDR [Borderline personality disorder, trauma and EMDR]. Rivista di Psichiatria, 47(2 Suppl. 1):26S-32S. doi: 10.1708/1071.11736. .

Language: Italian

Format: Journal

Abstract:
Gli autoriesaminano i diversi criteri diagnostici per il disturbo borderline di personalità, leggendoli secondo la prospettiva del modello dell’elaborazione adattiva dell’informazione e indicandoli come guida all’esplorazione e ricerca di ricordi traumatici di natura relazionale, che hanno a che fare con la storia di attaccamento e che possono essere affrontati grazie al lavoro terapeutico con l’EMDR.

The authors step by the diagnostic criteria for Borderline Personality Disorder, viewing them from the perspective of the Adaptive Information Processing e pointing them as a guide for exploration and search of traumatic interpersonal events connected to attachment story and which can be addressed by the therapeutic work with EMDR.

Keywords: Attachment Borderline Personality Disorder Complex PTSD C-PTSD Trauma

Accuracy Verified: Yes

370. Becker, L., Todd-Overman, A., Stoothoff, W., & Lawson, P. (1998, July). Do eye movements hinder the avoidance process leading to greater accessibility of traumatic memories?. In Ironic memory, PTSD, and EMDR. Symposium conducted at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn Wegner's ironic memory process model; 2) learn how the ironic memory process model is related to the DSM-IV symptoms of PTSD; 3) learn that eye movements at different speeds interfere with and interact with the speech process; and 4) learn that eye movements can inhibit the suppression process.

Keywords: Eye Movement Ironic Memory Posttraumatic Stress Disorder PTSD Symposium Wegner

Accuracy Verified: Yes

371. Samara, Z., Elzingal, B. M., Slagter, H. A., & Nieuwenhuis, S. (2011, March). Do horizontal saccadic eye movements increase interhemispheric coherence? Investigation of a hypothesized neural mechanism underlying EMDR. Frontiers in Psychiatry, 2(4), 1-9. doi:10.3389/fpsyt.2011.00004.

Language: English

Format: Journal

Abstract:
Series of horizontal saccadic eye movements (EMs) are known to improve episodic memory retrieval in healthy adults and to facilitate the processing of traumatic memories in eye-movement desensitization and reprocessing (EMDR) therapy. Several authors have proposed that EMs achieve these effects by increasing the functional connectivity of the two brain hemispheres, but direct evidence for this proposal is lacking. The aim of this study was to investigate whether memory enhancement following bilateral EMs is associated with increased interhemispheric coherence in the electroencephalogram (EEG). Fourteen healthy young adults were asked to freely recall lists of studied neutral and emotional words after a series of bilateral EMs and a control procedure. Baseline EEG activity was recorded before and after the EM and control procedures. Phase and amplitude coherence between bilaterally homologous brain areas were calculated for six frequency bands and electrode pairs across the entire scalp. Behavioral analyses showed that participants recalled more emotional (but not neutral) words following the EM procedure than following the control procedure. However, the EEG analyses indicated no evidence that the EMs altered participants’ interhemispheric coherence or that improvements in recall were correlated with such changes in coherence. These findings cast doubt on the interhemispheric interaction hypothesis, and therefore may have important implications for future research on the neurobiological mechanism underlying EMDR.

Keywords: Eye Movements EMs

Accuracy Verified: Yes

372. 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.

Keywords: General Overview

Accuracy Verified: Yes

373. Tym, R., Dyck, M., & McGrath, G. (2000, July-August). Does a visual perceptual disturbance characterize trauma-related anxiety syndromes?. Journal of Anxiety Disorders, 14(4), 377-394. doi:10.1016/S0887-6185(00)00029-3.

Language: English

Format: Journal

Abstract:
The i-test was developed to assess the visual-perceptual disturbances (VPDs) frequently reported by anxious patients. Persons with the disturbance report a specific abnormal illusion of movement when they maintain a fixed gaze at the i-test stimulus. Base rates for positive responses to the i-test and for reports of a "recurrent specific memory" (RSM) of a fear experience were obtained in psychiatric outpatient (n = 301) and community (n = 128) samples. In each case, approximately one fifth of participants had a positive response to the i-test and one fifth of participants reported an RSM of fear. A positive response to the i-test is observed in women more frequently than in men. Among psychiatric patients, approximately 90% of patients who report one symptom also report the other symptom; among community members, the concordance rate is approximately 33%. When psychiatric patients with both an abnormal illusion of movement response and an RSM of trauma are treated with eye movement desensitization, both symptoms are removed in 70% of cases; when these patients undergo some other form of treatment, both symptoms are removed in 30% of cases. These results indicate that the i-test is an effective way of identifying VPDs associated with psychopathologic conditions; the association between the abnormal illusion of movement and reports of recurrent specific memories of fear experiences suggests that the VPD may be a marker of traumatic stress syndromes. [Author Abstract]

Keywords: Adolescents Adults Assessment Children Depressive Disorders Females Males Injuries Memory Retrieval Techniques Posttraumatic Stress Disorder PTSD Somatic Symptoms Survivors Treatment Effectiveness Visual Hallucinations Witnesses

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Combat Veterans Military Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

375. Strand, E. (2004, August). Does EMDR work?. Psychology Today, 37(4), 16.

Language: English

Format: Magazine

Abstract:
Provides information on Eye Movement Desensitization and Reprocessing therapy (EMDR), a single-session cure for post-traumatic stress disorder, addictions and phobias. Invention of EMDR; Details of an EMDR therapy; Controversy surrounding the therapy.

Keywords: Addictions General Overview Phobias Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

376. 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

377. Tallis, F., & Smith, E. (1994, May). Does rapid eye movement desensitization facilitate emotional processing?. Behaviour Research and Therapy, 32(4), 459-461. doi:10.1016/0005-7967(94)90010-8 .

Language: English

Format: Journal

Abstract:
Recent years have seen considerable interest in rapid eye movement desensitization (REMD), a novel procedure for the treatment of traumatic memories and related conditions. REM is usually administered as a component of a broader therapeutic procedure, now termed eye movement desensitization and reprocessing (EMDR). On the basis of previous and largely uncontrolled work, it is not clear to what degree therapeutic gains can be attributed exclusively to REMD. Following exposure to a contrived trauma, Ss were allocated to one of three conditions: REMD; slow eye movement desensitization (SEMD); and stationary-imagery (SI; i.e. no eye movement). Emotional processing was significantly impaired in the REMD group compared to the SEMD and SI groups. No significant differences were found between the SEMD and SI groups. [Author Summary]

Keywords: Experimental Stressor Random Clinical Trial RCT Survivors Young Adults

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Practice Theory

Accuracy Verified: Yes

379. van Loey, C. (2009). Du microtraumatisme à la guérison, traiter l'emotion traumatique par l'hypnose et l'EMDR [Microtrauma of healing, treating traumatic emotion through hypnosis and EMDR]. Escalquens: Dangles.

Language: French

Format: Book

Keywords: Hypnosis

Accuracy Verified: Yes

380. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.

Language: English

Format: Book

Abstract:
A new therapy using a saccadic eye-movement desensitisation .EMD procedure has recently been introduced to treat posttraumatic stress disorder, a disorder that has been difficult to treat in the past. This paper reports the treatment of a woman with posttraumatic stress disorderusing the EMD procedure. She was treated with only two sessions of EMDR lasting approximately one hour and a half. The 90 day follow-up showed that the treatment gains were maintained and after a year the positive therapeutic effects were stable. These results show the efficacy and efficiency of EMDR method in the treatment of chronic traumatic memories.
EMDR perspectives reports recent research on the adaptative and maladaptative consequences of the experience of trauma. It is suggested that EMDR generates directions for future research and is helping in the treatment of patients with impaired ego-strength. The procedure fits well in a psychodynamic oriented setting : EMDR through the flow of associations, is developing an awareness,that might help the client to establish a contact with the internal representation.

Keywords: Accelerated Information Processing Adaptative Resolution AIP Desensitization Dissociation Negative Cognition

Accuracy Verified: Yes

381. Nofal, S. (2003). E.M.D.R: Método psicoterapéutico de elección [EMDR psychotherapeutic method of choice]. Psicoterapias. Presentación en: 3º Congreso Virtual de Psiquiatria.com.

Language: Spanish

Format: Conference

Abstract:
E.M.D.R.: que significa Desensibilización y Reprocesamiento con Movimientos Oculares es un método psicoterapéutico para tratar trastornos emocionales que son causadas por experiencias abrumadoras de la vida, que van desde eventos traumáticos como guerras, accidentes, violaciones y desastres naturales, hasta situaciones traumáticas originadas en la niñez. · Se pueden tratar también además del T.E.P.T. todos los trastornos de ansiedad, depresión, desórdenes disociativos, duelos, dolor crónico, adicciones, perturbaciones somáticas, etc. en niños, adolescentes y adultos.

EMDR: meaning Desensitization and Reprocessing eye movement is a psychotherapeutic method for treating emotional disorders that are caused by overwhelming experiences of life, ranging from traumatic events such as war, accidents, violations and natural disasters, to traumatic situations arising in childhood . · You can also treat PTSD plus all anxiety disorders, depression, dissociative disorders, grief, chronic pain, addiction, somatic disturbances, etc.. in children, adolescents and adults.

Keywords: Postraumatic Stress Disorder Psychotherapies PTSD Stress Trauma

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

383. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives: Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general. Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP); Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention; Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.

Keywords: Early Intervention Theory EEI Mass Disaster

Accuracy Verified: Yes

384. Lueger-Schuster, B., & Olff, M. (2008, June). Early intervention following traumatic events. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
On successful completion of the workshop, participants will be able to: · Describe the commonly used approaches to early intervention following traumatic events and the rationale behind them including blanket intervention, targeted interventions and the timing of them. Describe specific interventions including critical incident stress debriefing, psychological debriefing, psychological first aid, critical incident stress management, trauma risk management, supportive counselling and trauma focused cognitive behavioural therapy. Discuss the current evidence base for the effectiveness of early interventions following traumatic events.

Keywords: Early Intervention

Accuracy Verified: Yes

385. 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

386. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
Although most human service professionals believe in the utility of early intervention post-trauma to prevent development of chronic psychological problems, there is little agreement as to the appropriate forms of care. A range of psychological interventions has been advocated for use with various traumatized populations within days or weeks of their trauma exposure, including education about trauma and stress reactions, critical incident stress debriefing (CISD), cognitive-behavioral brief intervention packages, EMDR, and psychopharmacological interventions. Currently, prospective research studying response to trauma and beginning within hours or days of the traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing development of PTSD. Recent support for such interventions is developing at the same time that the evidence for the most popular early intervention, debriefing, is being called into question. In this panel discussion, four members of the recently initiated ISTSS “Early Interventions” Special Interest Group will describe their personal views as to what the next generation of early intervention services will look like, how existing models of early intervention should be improved based on current research and theory, and how improved services can be implemented in real-world settings.

Keywords: Early Intervention Future Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

387. Quinn, G. (2010, July). Early interventions. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009) was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.

Keywords: Early Interventions

Accuracy Verified: Yes

388. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships. Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience. In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies. From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect. This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.

Keywords: Affect Phobias Phobias Relational Trauma

Accuracy Verified: Yes

389. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Keywords: Poster Social Engagement

Accuracy Verified: Yes

390. Markowitz, L. (1992, September-October). Easing trauma. Family Therapy Networker, 16(5), 10-11.

Language: English

Format: Magazine

Abstract:
For the first time, therapists may have a prcedure to quickly and effectively desensitize their traumatic memories. When psychologist Francine Shapiro first published her initial study on Eye Movement Desensitization and Reprocessing (EMDR) in 1989, many clinicians were skeptical, but since then some of the most eminent therapists in the trauma and behavior therapy fields have become convinced that EMDR is an important discovery.

Keywords: Practice Theory

Accuracy Verified: Yes

391. Hollander, H. E. (2009, October). ECEM (eye closure, eye movements): Application to depersonalization disorder. American Journal of Clinical Hypnosis, 52(2), 95-109. doi:10.1080/00029157.2009.10401701.

Language: English

Format: Journal

Abstract:
Eye Closure, Eye Movements (ECEM) is a hypnotically-based approach to treatment that incorporates eye movements adapted from the Eye Movement Desensitization and Reprocessing (EMDR) protocol in conjunction with hypnosis for the treatment of depersonalization disorder. Depersonalization Disorder has been differentiated from post-traumatic stress disorders and has recently been conceptualized as a subtype of panic disorder (Baker et al., 2003; David, Phillips, Medford, & Sierra, 2004; Segui et. al., 2000). During ECEM, while remaining in a hypnotic state, clients self-generated six to seven trials of eye movements to reduce anticipatory anxiety associated with depersonalization disorder. Eye movements were also used to process triggers that elicited breath holding, often followed by episodes of depersonalization. Hypnotic suggestions were used to reverse core symptoms of depersonalization, subjectively described as "feeling unreal" (Simeon et al., 1997).

Keywords: ECEM Eye Closure Eye Movements

Accuracy Verified: Yes

392. Nanninga, R. (2004, March). Een Doorn in het oog - Het omstreden succes van EMDR [An eyesore: The controversial success of EMDR]. Skepter, 17(1), 1-12.

Language: Dutch

Format: Magazine

Abstract:
EMDR is een nieuwe psychotherapie voor mensen die last hebben van traumatische herinneringen. De methode is in korte tijd erg populair geworden onder psychologen. Maar volgens critici is er niks nieuws onder de zon.

EMDR is a new psychotherapy for people suffering from traumatic memories. The method has quickly become very popular among psychologists. But critics say there is nothing new under the Sun.

Keywords: Practice Theory

Accuracy Verified: Yes

393. 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.

Keywords: Anxiety Trauma

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Anxiety Swimming

Accuracy Verified: Yes

395. Lee, H., Yum, M. K., Kim, S. H., Lee, Y. J., & Kim, D. (2008). Effect of horizontal eye movements on the heart rate variability after exposure to a fear-inducing film clip. Korean Journal of Biological Psychiatry, 15(1), 35-45.

Language: Korean

Format: Journal

Abstract:
Objectives: There has been a continued debate regarding the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). This study examined the possible autonomic effect of horizontal eye movements after being exposed to fearful stimuli. Methods: Fifty two healthy adult women were randomly allocated to eye movement or eye fixed groups after watching a five minute fear-inducing film clip. ECG was recorded during the resting state, after watching the clip, and the treatment. A spectral power analysis of the heart rate variability was performed. As the variables violated the rule of normal distribution and the number in each group is small the non-parametric test was used. Results: Overall, we did not find the differences between the groups in both time and frequency domains. Some minor differences found were not consistent with results from previous studies. Conclusions: Effect of eye movement on autonomic nervous system during fear desensitization was not supported in this experiment. Further study with other psychophysiological measures is needed to understand the role of eye movements in treatment of traumatic memory.

Keywords: Autonomic Nervous System Eye Movements Eye Movements Females Fear Film Clip Heart Rate Variability Horitzontal Korean

Accuracy Verified: Yes

396. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Journal

Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy Obstetrics Posttraumatic Stress Disorder PSTD Stillbirth

Accuracy Verified: Yes

397. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Conference

Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy Obstetrics Stillbirth

Accuracy Verified: Yes

398. Mei, Y. (2005, June). The effect of stabilization in helping patients to regain security and control. In Psychotrauma and EMDR in China and Slovakia, Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Before using the Eye Movement Desensitization and Reprocessing (EMDR) to treat an undergraduate student who suffered from AIDS-Hypochondrias is (caused by a traumatic event), stabilization was applied on this patient. It was found that stabilization was very significant in helping the patient to regain security. control and self-management for his emotion. This result was strongly supported by results of two subsequent Post Traumatic Stress Disorder (PTSD) undergraduate student patients. Moreover, compared to former Panic Attack cases. which were treated by using supportive skills? stabilization was found to be far more effective than supportive skills. It was profoundly effective in helping the patient to be empowered to manage their own emotions and to regain security and control.

Keywords: AIDS China Hypochondria Symposium

Accuracy Verified: Yes

399. Uribe, M. E. R., Ramirez, E. O. L., & Mena, I. J. (2010, May). Effect of the EMDR psychotherapeutic approach on emotional cognitive processing in patients with depression. The Spanish Journal of Psychology, 13(1), 396-405. doi:10.1017/S1138741600003966.

Language: English

Format: Journal

Abstract:
The current investigation, framed within the emotional cognitive science field, was conducted with three patients with major depression. They participated in a therapeutic process which involved EMDR (Eye Movement Desensitization and Reprocessing). Data were obtained in the clinical practice through a longitudinal one subject study design, including: emotional valence identification within affective priming experiments; and depressive emotional representation studies, the data of which was analyzed using multidimensional scaling. The first ones had the purpose of observing the therapeutic impact over the emotional cognitive bias mechanism regarding depresogenic words related to traumatic experiences; and the second, to analyze modifications on depressive schemata. The results showed that EMDR had a positive effect both on emotional cognitive processing and on long-term memory conceptual organization. In the discussion section, interesting remarks are made on the incorporation of emotional cognitive science tools to the EMDR clinical practice

Keywords: Depression Emotional Cognitive Processing

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

401. Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies, (2nd ed.). New York, NY: Guilford.

Language: English

Format: Book

Abstract:
In the Practice Guidelines of the International Society for Traumatic Stress Studies, EMDR was listed as an efficacious treatment for PTSD: Part IV Treatement Guidelines, No. 8 Eye Movement Desensitization and Reprocessing.

Keywords: Treatment Guidelines

Accuracy Verified: Yes

402. Ueda, E., Yamanishi, K., & Fukui, Y. (2010, July). The effective way of controlling of habitual scratching on atopic dermatitis patients with social stress by using EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This study aims to cure refractory atopic dermatitis (AD) patients, by using EMDR, who severely suffer from habitual scratching that may derive from their unbearable social stress. The prevalence of AD is 13.2% in 3 year-old children and 8.2% among 1st grade university students in Japan, according to a Ministry of Health, Labour and Welfare study, 2000 to 2002. The patients with AD have been increasing in the past 20 years. Among these patients, 20% have more than moderate severity, and within this group, some of the patients have chronic and refractory conditions with some psychosomatic factors. So far a great deal of effort has been made to care those patients, however, there are still quite some patients who are distressed with their difficult state of condition. We then focus on treatment of controlling habitual scratching of AD patients that may generally derive from personal friction or social stress. We obtained fairly significant results with EMDR on which these patients came to be able to control themselves, reduce their scratching, and also enhance their self-efficacy. These results suggested that EMDR were useful for controlling the habitual scratching from stress of traumatic memory such as child abuse, bullying of tragedy and effective for refractory AD patients.

Keywords: Atopic Dermatitis Habitual Stress Scratching

Accuracy Verified: Yes

403. Aytun, O. A. (2010, June). The effectiveness of EMDR and support group treatment model in smoking cessation. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The purpose of this study is to assess the effectiveness of a treatment model in cigarette cessation. Among the volunteers who enrolled to participate in the study, 15 participants were selected as our subject group in terms of their scores in Fagerstrom Test for Nicotine Dependence (middle or upper level of dependency). The participants of this study attended 9 weeks of treatment including a preliminary session in the first week following 8 EMDR sessions (once a week) and 4 group sessions (once every two weeks). The 5 follow up sessions (15-day, a month, 3 month. 6 month. 1 year foilow-up) are included in the study to evaluate the efficacy of the model and the relapse rate of the subjects. EMDR (Eye Movement Desensitization and Reprocessing) DeTUR Protocol (Popky, 1993) and a support group format is used as treatment methods. Hughes-Watsukami Withdrawal Questionnaire, STAI, Traumatic Life Events Questionnaire (TLEQ) and Fagerstrom Test for Nicotine Dependence is the instruments of this study.

Keywords: Group Treatment Smoking Cessation Symposium

Accuracy Verified: Yes

404. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.

Language: English

Format: Journal

Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.

Keywords: Childbirth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

405. Kannan, L., & Mehrotra, S. (2010, July). Effectiveness of EMDR with those undergoing traumatic divorce. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A contested divorce in an eastern cultural context qualifies to be classified as a traumatic event. Those experiencing this ongoing trauma often undergo PTSD and Depression. EMDR with its standard and current events protocol serves to mitigate both the anxiety and depressive symptoms significantly. This study looks at adapting EMDR for divorcing families in court, clinical and private settings. Participants will learn 1. Differences in cognition of marriage in different cultures such as western, Eastern and Middle Eastern and potential problems, which are culture specific. 2. What constitutes marital trauma and traumatic divorce in the Eastern context 3. The impact of marital trauma in terms of clinical presentation as well as non clinical parameters of well being such as self-esteem, general health, locus of control and quality of life among those undergoing EMDR. 4. How to use EMDR with those undergoing marital trauma with divorce proceedings and cultural implications. 5. Adaptations in the EMDR to the court environment as well as other setting where such clients may present themselves

Keywords: Divorce

Accuracy Verified: Yes

406. 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

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

Language: English

Format: Dissertation/Thesis

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

Keywords: Literature Review Trauma

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Children Posttraumatic Stress Disorder PTSD Review Trauma Treatment

Accuracy Verified: Yes

409. Lamphear, M. H. (2011). Effectiveness of the post critical incident seminar in reducing critical incident stress among law enforcement officers. Walden University, Minnesota. 3454138.

Language: English

Format: Dissertation/Thesis

Abstract:
Summative program evaluation was used to examine the effectiveness of the Post Critical Incident seminar (PCIS) in reducing traumatic stress symptoms of law enforcement officers (LEOs). Previous trauma theory research indicated when not addressed, the impact of such trauma leads to serious physical and mental health problems. The use of the PCIS with the study population had not been evaluated. This study was conducted, using archival data, to address this gap. The sample consisted of LEOs in the southeastern US. Officers participated in either PCIS-only or PCIS + EMDR (eye movement desensitization and reprocessing) groups and were also categorized according to time since the incident. The Impact of Events Scale-Revised (IES-R) was administered at the start of each PCIS and again at 6 months. Dependent t tests were used to demonstrate significant pre/post decreases in IES-R scores for both groups. Of clinical concern at pretest, the IES-R scores for the PCIS + EMDR group were reduced to below the scale's threshold for clinical concern. Regression analyses were used to also document significant links connecting the time since the incident, type of incident, and gender with IES-R scores. These preliminary findings lend support for the PCIS, with implications for social change and further study: With continued research and recommendations, the PCIS can be enhanced to best help LEOs remain healthy and fit for duty, resulting in a safer society.

Keywords: Critical Incidents Law Enforcement Officers Peer Support Posttraumatic Stress DIsorder Psychology Stress PTSD Recent Events Trauma

Accuracy Verified: Yes

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

Language: Dutch

Format: Dissertation/Thesis

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

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

Keywords: Eye Movements Posttraumatic Stress Disorder PTSD Working Memory

Accuracy Verified: Yes

411. Merckelbach, H., Hogervorst, E., Kampman, M., & de Jongh, A. (1994). Effects of '"eye movement desensitization" on emotional processing in normal subjects. Behavioural and Cognitive Psychotherapy, 22(4), 331-335. doi:10.1017/S1352465800013217.

Language: English

Format: Journal

Abstract:
A number of single case reports have made impressive claims for the efficacy of "eye movement desensitization" (EMD) in the treatment of traumatic memories. Many of these case reports claim that EMD reduces the unpleasant feelings associated with traumatic images. However, at present, there are no published controlled studies that provide evidence for these claims. The present experiment investigated whether EMD inhibits emotional responding during retrieval of aversive information. Normal Ss (N = 40) were exposed to an aversive slide. During a next stage, half of the Ss underwent EMD while they rehearsed the slide information, whereas the other half underwent a control procedure (i.e., finger tapping) while rehearsing slide information. Before and after EMD or control intervention, heart rate and self-report data were obtained while Ss retrieved and visualized the aversive slide. No evidence was found to suggest that EMD inhibits emotional reactivity more than does finger tapping. [Author Abstract]

Keywords: Aversive Stimulation Emotional Responding During Retrieval of Aversive Information Emotional Responses Eye Movements Treatment

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

413. Brennstuhl, M. J., & Tarquinio, C. (2012, June). Effects of an specific EMDR protocol for the treatment of chronic pain [Los efectos de un protocolo específico de EMDR para el tratamiento del dolor crónico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Treatment of chronic pain stays problematic. The complex part of cognitive, behavioral and emotional in chronic pain makes treatment complicated. Since few years, many authors have argued on a traumatic symptomatology, which is responsible of chronic pain (reactive symptom of PTSD) (Bioy & Fouques, 2002; Ferragut, 2007, 2010), or that chronic pain may induce a trauma (Burloux, 2004). This argumentation brought to us to envisage the EMDR therapy for the treatment of chronic pain. This research aims to test the effectiveness of treatment of chronic pain. We have elaborated a new protocol, which focuses on specificities on chronic pain problematic. This protocol focuses on pain and physical sensation. Inspiration on Mark Grant Protocol (Grant, 2009), R-‐Tep and Google research (Shapiro & Laub, 2009) isn’t unnoticed. Chronic pain can be approached like an elaborated trauma, because it’s always happening. So, as with recent event trauma, we can find the most difficult moment. It’s why we proposing a protocol based on focusing symptom: pain. Ten patients were treated with this new EMDR protocol, specific on chronic pain. After every session, and at the end of the treatment, the effects of this protocol on chronic pain and traumatic symptomatology were evaluated and show significant improvement. The objective is double: a significant improvement was made reducing chronic pain and associated symptoms (depression, anxiety...), and also use this protocol in a prevention move and stop chronicity of pain in the beginning.

El tratamiento del dolor crónico sigue siendo problemático. Los elementos cognitivos, conductuales y emocionales complejos dificultan su tratamiento. Desde hace algunos años, muchos autores han debatido sobre una sintomatología traumática que sería la responsable del dolor crónico (síntoma reactivo del TEPT) (Bioy & Fouques, 2002; Ferragut, 2007, 2010) o que el dolor crónico puede inducir trauma (Burloux, 2004). Esta controversia nos ha llevado a contemplar el empleo de EMDR para el tratamiento del dolor crónico. Esta investigación pretende comprobar la efectividad [de EMDR] del tratamiento del dolor crónico. Hemos elaborado un protocolo nuevo que se centra en las especificidades del dolor crónico problemático. Este protocolo se centra en el dolor y la sensación física. No pasa desapercibida la inspiración del protocolo de Mark Grant (Grant, 2009), R-‐Tep e investigación en Google (Shapiro & Laub, 2009). Se puede abordar el dolor crónico del mismo modo que el trauma elaborado, dado que es constante. Por lo tanto, al igual que un evento reciente, podemos identificar el momento más difícil. Por eso proponemos un protocolo que se basa en centrarnos en el síntoma: el dolor. Diez pacientes fueron tratados con este nuevo protocolo de EMDR, específico para el dolor crónico. Tras cada sesión y al finalizar el tratamiento, se evaluaron los efectos de este protocolo sobre el dolor crónico y la sintomatología traumática; los resultados han mostrado una mejoría significativa. El objetivo es doble: por un lado, lograr una mejora significativa y reducir el dolor crónico, así como los síntomas asociados (la depresión, ansiedad...), y por el otro lado, usar este protocolo como estrategia preventiva y poner fin a la cronificación del dolor desde un principio.

Keywords: Chronic Pain

Accuracy Verified: Yes

414. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects of Early EMDR Intervention (EEI) on the victims of a terrorist bombing in Gungoren, Istanbul. Subjects were the victims of a terrorist bombing in Gungoren, Istanbul. The participants were selected from a pool of children and adults, who lived in Gungoren and scored high on the Turkish version of 'Impact of Event Scale' (IES) and PTSD Symptom Checklist. The subjects were contacted 2 days after the bomb attack so that we were able to measure the event impact right after the traumatic experience, which will help us to demonstrate how EMDR affects the impact of the event more accurately. Eye Movement Desensitization (EMD) as an EEI technique was used to treat the child participants, whereas Recent Traumatic Event Protocol (R-TEP) which incorporates the EMD and Recent Event (RE) protocols, was received by the adult participants The therapists (EMDR certified therapists, who were receiving supervision) met with the participants weekly to work only on the trauma of the bombing and participants completed impact of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study is completed with a three month follow-up. Analyses of the data collected from the participants demonstrates the level of effectiveness of EMDR in children and adults, in prevention of PTSD and the use of EMDR as a crises intervention tool.

Keywords: Acute Stress Bombing Early Interventions EMD Istanbul Recent Events R-TEP Symposoium Terrorism

Accuracy Verified: Yes

415. MacCulloch, M. (2006, December). Effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings from Ricci, Clayton, and Shapiro. Journal of Forensic Psychiatry and Psychology, 17(4), 531-537. doi:10.1080/14789940601075760.

Language: English

Format: Journal

Abstract:
We publish in this issue a preliminary and tentative account of the reduction of deviant sexual arousal, as measured by phallometry, by eye movement desensitisation and reprocessing (EMDR). The purpose of this editorial is to show that the conclusions of Davidson and Parker (2001), and the comment by Salkovskis, can now be set aside, and to present our readers with some theoretical thoughts on some of the mechanisms by which EMDR could induce its effects, including trauma reduction. A major bar to the further acceptance of EMDR as a treatment and as an inviting research topic stems from the fact that workers still cannot see how eye movements can cause the reported clinical changes and the increasing number of temporally related psycho-physiological phenomena. This editorial suggests that the organs of computation of the mind have evolved by natural selection to solve problems of survival and, signally, include corollary discharge and feed forward (CD-FF) mechanisms by which they intrinsically function and also interact with one another. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Abused Child Molesters Editorial Pedophilia Physiology Sexual Arousal

Accuracy Verified: Yes

416. Pagani, M., Hogberg, G., Salmaso, D, Tarnell, B., Nardo, D., Sundin, Ö., Jonsson, C., Soares, J., Aberg-Wistedt, A., Jacobsson, H., Larsson, S.A., Hällström, T. (2007, October). Effects of EMDR psychotherapy on 99mTc-HMPAO distribution in occupation-related post-traumatic stress disorder. Nuclear Medicine Communications, 28(10), 757-765. doi:10.1097/MNM.0b013e3282742035.

Language: English

Format: Journal

Abstract:
Background: Post-traumatic stress disorder (PTSD) is a derangement of mood control with involuntary, emotionally fraught recollections that may follow deep psychological trauma in susceptible individuals. This condition is treated with pharmacological and/or cognitive therapies as well as psychotherapy with eye movement desensitization and reprocessing (EMDR). However, only a very limited number of studies have been published dealing with work-related PTSD, and investigations on the effect of treatment on cerebral blood flow represent an even smaller number. Aim: To investigate the short-term outcome of occupation-related PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Method: Fifteen patients, either train drivers suffering from PTSD after having been unintentionally responsible for a person-under-train accident or employees assaulted in the course of duty, were recruited for the study. 99mTc-HMPAO SPECT was performed on these patients both before and after EMDR therapy while they listened to a script portraying the traumatic event. Tracer distribution analysis was then carried out at volume of interest (VOI) level using a three-dimensional standardized brain atlas, and at voxel level by SPM. The CBF data of the 15 patients were compared before and after treatment as well as with those of a group of 27 controls who had been exposed to the same psychological traumas without developing PTSD. Results: At VOI analysis significant CBF distribution differences were found between controls and patients before and after treatment (P=0.023 and P=0.0039, respectively). Eleven of the 15 patients responded to treatment, i.e., following EMDR they no longer fulfilled the DSM-IV criteria for PTSD. When comparing only the eleven responders with the controls, the significant group difference found before EMDR (P=0.019) disappeared after treatment. Responders and non-responders showed after therapy significant regional differences in frontal, parieto-occipital and visual cortex and in hippocampus. SPM analysis showed significant uptake differences between patients and controls in the orbitofrontal cortex (Brodmann 11) and the temporal pole (Brodmann 38) both before and after treatment. A significant tracer distribution difference present before treatment in the uncus (Brodmann 36) disappeared after treatment, while a significant difference appeared in the lateral temporal lobe (Brodmann 21). Conclusion: Significant 99mTc-HMPAO uptake regional differences were found, mainly in the peri-limbic cortex, between PTSD patients and controls exposed to trauma but not developing PTSD. Tracer uptake differences between responders and patients not responding to EMDR were found after treatment suggesting a trend towards normalization of tracer distribution after successful therapy. These findings in occupational related PTSD are consistent with previously described effects of psychotherapy on anxiety disorders. [PubMed]

Keywords: 99mTc-HMPAO Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

417. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A.M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic stress disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece. European Journal of Nuclear Medical and Molecular Imaging, 33, S169.

Language: English

Format: Conference

Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]

Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

418. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A. M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September-October). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic Stress Disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece.

Language: English

Format: Conference