Francine Shapiro Library - EMDR Bibliography Links
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1. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case
conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation.
Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay
implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and
their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey
through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows
adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma,
and provides a dynamic and adaptive tool to navigate through therapy.
Keywords: 6 Gear Mechanics Complex Trauma
Accuracy Verified: Yes
2. 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
3. Tarrier, N., Liversidge, T., & Gregg, L. (2006, November). The acceptability and preference for the psychological treatment for PTSD. Behaviour Research and Therapy, 44(11), 1643-1656. doi:10.1016/j.brat.2005.11.012.
Language: English
Format: Journal
Abstract:
The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for PTSD were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative, and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure, or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR, and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment. [Author Abstract]
Keywords: Cognitive-Behaviour Therapy Cognitive Therapy Exposure Therapy College Students Computer Assisted Psychotherapy Empirical Study Family Therapy Group Psychotherapy Posttraumatic Stress Disorder Preference Psychoanalytic Psychotherapy Psychological Treatment Psychotherapeutic Processes PTSD Quantitative Study Relaxation Therapy Treatment Acceptability Virtual Reality Exposure Web-Based Survey
Accuracy Verified: Yes
4. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.
Language: English
Format: Journal
Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.
Keywords: Adaptive Information Processing AIP Cognitive Interweave Three-Pronged Approach Types of Targets Unblocking Strategies
Accuracy Verified: Yes
5. 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
6. Borkin, S. (2000, September). All the write stuff: The integration of writing to enhance and expand the use of EMDR. Presentation at the annual meeting of the EMDR International Conference, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participatns will learn to: 1) assist clients in focusing and clarifying targets and cognitions to differentiate between competency blocks vs. creative process blocks; 2) introduce and integrate literary interweaves;" 3) instruct clients in the use of recording practices to enhance EMDR session follow-up; and 4) employ the use of writing for self-use of EMDR.
Keywords: Creative Process Block Literary Intereaves Process Block Re-Evaluation Writing
Accuracy Verified: Yes
7. de Jongh, A. (2005, November). Angstjes, angsten en fobieën: Hoe pak je het simpel aan met EMDR? [Anxiety, fears and phobias: How to go about it simple with EMDR?]. Presentatie op de eerste congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
EMDR is een gevalideerde behandelmethode voor psychisch trauma. Maar niet altijd leidt het meemaken van een vervelende gebeurtenis tot PTSS: angsten of fobieën zullen veel vaker het gevolg zijn. In veel gevallen is de behandeling van een fobische stoornis zelfs een stuk lastiger dan van een PTSS. Dit komt omdat er meer geheugenrepresentaties moeten worden bewerkt. Een complicerende factor in de behandeling kan verder zijn dat we te maken hebben lastig, ingesleten vermijdingsgedrag (bijv. bij sociale angst) of dat een bepaalde stimulussituatie objectief vervelende kantjes heeft (bijv. bij sommige medische angsten).
In deze workshop leren de deelnemers:
- een handige manier om angsten te diagnosticeren en casuïstiek te conceptualiseren in termen van EMDR
- te beslissen in welke gevallen EMDR is aangewezen, wanneer een cognitief gedragstherapeutische aanpak (of een combinatie) beter geschikt is en hoe deze behandeling eruit ziet
- gericht angsttargets te identificeren en snel tot de juiste NCs en PCs te komen
- cliënten voor te bereiden op moeilijke of relatief onveilige stimulussituaties
Het materiaal wordt gepresenteerd aan de hand van videobeelden, demonstraties en oefeningen. De workshop is geschikt voor ervaren en minder ervaren behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd.
EMDR is a validated treatment for psychological trauma but does not require the experience of an unpleasant event for PTSD: fear or phobias are more often the result. In many cases, the treatment of a phobic disorder even more difficult than one PTSD. This is because more memory representations should be modified. A complicating factor in treatment may also be that we are facing difficult ingrained avoidance behavior (e.g. social anxiety) or that a certain objective stimulussituatie nasty lace has (e.g. some medical fears).
In this workshop participants learn:
- A convenient way to diagnose anxiety and case studies to conceptualize in terms of EMDR
- To decide cases in which EMDR is appropriate when a cognitive behavioral approach (or a combination) is more suitable and how this treatment looks
- Terror targets aimed to identify and quickly correct the NCS and PCs to come
- Clients to prepare for difficult or relatively unsafe stimulussituaties
The material is presented on the video footage, demonstrations and exercises. The workshop is suitable for experienced and less experienced practitioners, both in the field of adults and children and youth.
Keywords: Anxiety Fears Phobias
Accuracy Verified: Yes
8. de Jongh, A., ten Broeke, E., & Meijer, S. (2011). Approche des deux méthodes: Un modèle de conceptualisation de cas dans le contexte de l’EMDR. Journal of EMDR Practice and Research, 4(1), 12–21. doi:10.1891/1933-3196.5.1.E12.
Language: French
Format: Journal
Abstract:
Cet article décrit un modèle complet qui permet d’identifier des souvenirs cibles essentiels pour le traitement
EMDR. L’“Approche des deux méthodes” peut s’appliquer à la conceptualisation et à la réalisation
du traitement pour une large gamme de symptômes et de problèmes autres que ceux qui sont directement
en lien avec l’ESPT. Le modèle se compose de deux types de conceptualisation de cas. La Première
méthode s’applique aux symptômes permettant de préciser de manière significative les événements
étiologiques ou aggravants sur une ligne du temps. Elle est principalement destinée à la conceptualisation
et au traitement de troubles de l’Axe I du DSM-IV-TR. La Seconde méthode est utilisée pour identifier
les souvenirs qui sous-tendent les croyances fondamentales dysfonctionnelles. Cette méthode est
principalement destinée à traiter les formes plus graves de psychopathologie, comme la phobie sociale
sévère, l’ESPT complexe ou les troubles de la personnalité. Les deux méthodes de conceptualisation de
cas sont expliquées point par point, en détail, et sont illustrées par des exemples de cas.
This article describes a comprehensive model that identifies key target of memories for the treatment
EMDR. The "approach of the two methods " can be applied to the conceptualization and implementation
treatment for a wide range of symptoms and problems other than those directly
related PTSD. The model consists of two types of case conceptualization. First
method applies to specific symptoms for significantly Events
causative or aggravating on a timeline. It is mainly intended for the conceptualization
and treatment of disorders of Axis I DSM-IV-TR. The second method is used to identify
memories that underlie dysfunctional core beliefs. This method is
primarily intended to address the more serious forms of psychopathology such as social phobia
severe complex PTSD or personality disorders. Both methods of conceptualizing
cases are explained point by point in detail and are illustrated by case examples.
Keywords: Case Conceptualization Model
Accuracy Verified: Yes
9. Sautai, G. (2007, Juin). Approche des patient poly-traumatisés par immersion EMDR [Approach of poly traumatised patients with EMDR immersion]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Certains patients présentent "traumatisme poly» ou «empoisonnement psychique» tel que décrit par Jacques Roques dans «Guérir Avec l" EMDR. "Souvent, il s'agit d'un environnement socio culturel a commencé pendant l'enfance. Sur la base de l'hypothèse formulée par Francine Shapiro que le traumatisme peut engendrer des «bloqué les réseaux neuronaux," nous supposons une mise en forme "pourrait se produire au cours de la petite période d'apprentissage.
Exposés à un traumatisme insidieux et répétitifs, un jeune cerveau Virgin Stores réseaux neuronaux liés à la vulnérabilité des enfants en tant que mécanisme de défense. Cela pourrait être obstrué par des perturbations répétitives créer une souffrance psychologique. En tant qu'adulte, ce réseau neuronal inhibiteur, stimulée par déclenchement d'exprimer des comportements excessifs et une forte émotion que nous avons appelé le «non adapté en forme» (NAF).
Nous savons combien il est difficile de prendre ce type d'intoxication »en charge des séances de thérapie EMDR traditionnels en raison de l'interférence des composants multimodal. Habituellement, ils participent émotions mixtes liés à la sécurité, l'estime de soi et le libre choix. Par conséquent, nous avons développé une modalité particulière: EMDR immersion qui est un cours intensif de 10 jours consécutifs de traitement par le patient. «L'objectif clinique est de traiter les dimensions de la croissance personnelle et le développement ainsi que l'élimination de plus de la souffrance» (Francine Shapiro).
Notre expérience comprend 24 patients avec un niveau élevé de troubles psychologiques liés à la NAF. Seuls les patients avec expérience dissociative échelle score inférieur à 25 ont été considérés.
Nous utilisons l'approche thérapie EMDR suivant les 8 étapes du protocole standard.
Nous recevons toute l'histoire chronologique du patient, «de la naissance à aujourd'hui», permet nous permet d'identifier une moyenne de sept objectifs principaux.
Pour être capable de transmuer la NAF à une résolution d'adaptation, nous introduisons un des noms de ressources notamment l '«archaïsme», définie comme «la partie de l'être humain en charge de Live principe de préservation."
Nous l'accès au réseau d'information dysfunctionally stockée par le biais des objectifs.
Nous stimulons le système de traitement de l'information et de la maintenir en forme dynamique avec tactiles et autres additifs stimulations bilatérales. Nous passons l'information par le suivi du processus de libre-association et de lancement des procédures pour s'assurer que la cible transmue à une résolution adaptative.
Comme mesure psychométrique et méthode d'évaluation, nous utilisons l'échelle PCL-S sur les traumatismes exprimé par le patient au début de MED immersion. Le score moyen est de 70 degrés avant l'immersion elle à 28 deux mois plus tard et à 26 six mois plus tard.
En ce qui concerne les résultats encourageants, nous décidons de partager l'expérience afin de mettre à jour.
Some patients present with “poly traumatism” or “psychic poisoning” as described by Jacques Roques in “guérir avec l”EMDR.” Often it is a socio cultural environment started during childhood. Based on the hypothesis formulated by Francine Shapiro that trauma could engender “blocked neuronal networks,” we assume a “formatting” could occur during the childhood learning period.
Exposed to insidious and repetitive trauma, a virgin young brain stores neuronal networks related to the child vulnerability as defense mechanism. That could get blocked by repetitive disturbances creating psychological pain. As an adult, this blocker neuronal network, stimulated by trigger express excessive behaviors and strong emotion we called the “Non Adapted Formatting” (NAF).
We know how difficult it is to take this “poisoning” in charge with traditional EMDR sessions because of the multimodal components interfering. Usually, they involved mixed emotions related to security, self esteem and free choice. Therefore, we developed a particular modality: EMDR Immersion that is an intensive, 10 consecutive days of therapy with the patient. “The clinical goal is to address the dimensions of personal growth and development along with the elimination of over suffering” (Francine Shapiro).
Our experience includes 24 patients with a high level of psychological disturbance related to the NAF. Only patients with Dissociative Experience Scale score less than 25 were considered.
We use EMDR therapy approach following the 8 phases of the standard protocol.
We receive the complete chronological story of the patient, “from birth to now,” allows allows us to identify an average of seven main targets.
To be able to transmute the NAF to an adaptive resolution, we introduce a particular resource names “Archaism” defined as “Part of the human being in charge of Live Principle Preservation.”
We access the dysfunctionally stored information network through the targets.
We stimulate the information-processing system and maintain it in dynamic form with tactile and additive alternative bilateral stimulations. We move the information by monitoring the free-association process and initiating procedures to make sure that the target transmutes to an adaptive resolution.
As psychometric measurement and method evaluation, we use PCL-S Scale on the traumatisms expressed by the patient at the beginning of MED Immersion. The average score is at 70 before Immersion it degrees to 28 two months later and to 26 six months later.
Regarding the encouraging results, we decide to share the experiment in order to upgrade it.
Keywords: EMDR Immersion
Accuracy Verified: Yes
10. Sine, L. F., & Vogelmann-Sine, S. (1996, June). Assessing for EMDR appropriateness and readiness and determining EMDR targets. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Keywords: Client Readiness EMDR Appropriateness
Accuracy Verified: Yes
11. Sine, L. F., & Vogelmann-Sine, S. (1997, July). Assessing for EMDR readiness, intervening with deficit areas inhibiting readiness and determining EMDR targets. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Client Readiness Targeting
Accuracy Verified: Yes
12. Shapiro, R. (2009). Attachment, affect tolerance, and avoidance targets in obsessive-compulsive personality disorder. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 403-411). New York, NY: W. W. Norton & Co..
Language: English
Format: Book Section
Keywords: Affect Tolerance Attachment Avoidance Targets Obsessive-Compulsive Personality Disorder
Accuracy Verified: Yes
13. Kiessling, R., & Kacsur, R. (2002, June). Being brief with EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
While there have been many modifications of the standard EMDR protocol to address a multitude of client issues, little has been said about
integrating EMDR with Brief Therapy. Many clients seeking EMDR treatment may have a specific problem needing immediate relief, or have
limited time, financial resources, or insurance benefits. This workshop is
designed to help the EMDR clinician adapt brief treatment strategies to
the standard EMDR approach. A belief/feeling cluster focused history
taking approach is combined with a narrowly focused targeting strategy that effectively addresses identified past, present and future targets. The installation phase of treatment is extended into present and future
targeting strategies. This strategy not only addresses present and future issues more rapidly, but also identifies additional blocking beliefs that may require targeting in order for the client to achieve full resolution of the presenting problem.
Keywords: Brief Therapy
Accuracy Verified: Yes
14. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
15. 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
16. Lendl, J. (2001, June). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to identify functions and problems of several brain areas; 2) be able to identify sepcific targets for suggested EMDR interventions; and 3) learn when to refer for possible brain scan.
Keywords: Brain Performance Brain Scan SPECT
Accuracy Verified: Yes
17. Lendl, J. (2000, September). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to identify functions and problems of several brain areas; 2) be able to identify the specific targets for suggested EMDR interventions; and 3) learn when to refer for possible brain scan.
Keywords: Brain Performance Brain Scan
Accuracy Verified: Yes
18. Watson, C., Davis, R., & Heimonen, T. (2010, September/October). Bridging the gap between clinical practice and research with EMDR. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a trauma treatment with origins date back to 1987 by its founder Francine Shapiro. EMDR is based on an information-processing model and is being used to treat traumatic symptoms. Clinicians in many types of clinical settings worldwide employ EMDR for a board range of treatment issues including grief, depression, anxiety, physical and sexual abuse. Although there is evidence that EMDR is effective in treatment of Posttraumatic Stress Disorder, more research needs to be done in clinical practice settings to contribute to the much needed research base about effective of EMDR with other issues.
Therapists working with trauma are often dealing with high caseloads and administrative requirements of the agencies that they work with. The clinicians involved in this research have observed that there have been some encouraging developments in their community which have served to build bridges for clinicians to increase their confidence in the world of research. In 2007, an intiative called Research Skills Development Program offering mentoring in research skills development was offered in association with Lakehead University and Northern Ontario School of Medicine, Ontario, Canada.
Completion of this 1-year program proved to be the first step in make the transition from clinician to researcher. From there, partnerships were formed within the agency and community. With the support of our agency, researchers were able to gain access to testing and computer software that made data collection and data anaylsis possible with least disruption to our clinical services.
The clinicians were encouraged by previous results from our first study in 2007 (n=6) to continue systematic data collection with more clients (n=6). Approval for this recent study was received by the Ethics Committee of St. Joseph's Care Group.
Keywords: Poster Practice Research Research Skills Development Program
Accuracy Verified: No
19. 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.
Accuracy Verified: Yes
20. Dellucci, H. (2007, June). Can EMDR treat transgenerational transmitted trauma?. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In certain cases, we can be confronted to a need for retreatment of targets that the person in front of us cannot have experienced by herself: second war events, being in a prison or concentration camp…
But the person in therapy show real disorders, including dissociation which seems related to those targets.
How could be treat such transgenerational trauma with EMDR? With which results? Which hypotheses could we formulate out of this work? Which are the implications on the persons’ family environment?
Out of three clinical cases, I propose to share my experience and think together on transgenerational trauma transmission and its treatment, by using the concept of mirror neurons.
Keywords: Family Mirror Neurons Poster
Accuracy Verified: Yes
21. 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
22. Richards, L. D. (1999, June). A case study in the application of EMDR for paranoid schizophrenia. EMDRIA Newsletter, 4(2), 11, 16, 30-31.
Language: English
Format: Newsletter
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has shown dramatic effect in dealing with various types of trauma, with the definition of trauma encompassing much more than catastrophic occurrences or events. How a person reacts to trauma is equally broad in it display, manifestations, and consequences for every individual. This a a story of Anna, and her life as it is affected by trauma and mental illness. It testifies to the power of EMDR and, even more importantly, to the capacity of the individual to achieve inner healing.
Keywords: Paranoid Schizophrenia
Accuracy Verified: Yes
23. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models
Accuracy Verified: Yes
24. 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
25. 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.
Accuracy Verified: Yes
26. Maxfield, L. (2003). Clinical implications and recommendations arising from EMDR research findings. Journal of Trauma Practice, 2(1), 61-81. doi:10.1300/J189v02n01_04.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a treatment approach found to be efficacious for trauma-related disorders. This article provides an overview of the EMDR treatment process and briefly describes treatment components. It reviews the current research investigating EMDR treatment of PTSD and research investigating the role of eye movements. The practical clinical implications arising from the findings are discussed. These include factors related to treatment provision, such as treatment fidelity, length of treatment, homework, and the use of eye movements. Also highlighted are client-related factors such as population, type of trauma, multiple traumas, symptom severity, comorbid disorders, and complex PTSD. Where possible, recommendations are made for clinical practice and comparisons are made with other types of treatments. [Author Abstract]
Keywords: Clinical Implications Compelx Posttraumatic Stress Disorder Complex PTSD C-PTSD Literature Review Posttraumatic Stress Disorder PTSD Research Stressors Survivors Treatment
Accuracy Verified: Yes
27. Schurmans, K. (2007). A clinical vignette: EMDR treatment of choking phobia. Journal of EMDR Practice and Research, 1(2), 118-121. doi:10.1891/1933-3196.1.2.118.
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 the treatment of a woman who developed a severe choking phobia following an allergic reaction to a herbal beverage. She was hospitalized on several occasions because of her resultant inability to consume food and liquids. She received four years of various types of treatment for this phobia, including eating disorder treatment, brief psychodynamic therapy, cognitive behavioral therapy, and psychopharmacological treatment. None were successful in eliminating the disorder. Then when Mary received a course of EMDR treatment, addressing childhood etiological events, there was complete remission of the choking phobia and elimination of all related behaviors. [Author Abstract]
Keywords: Adults Anaphylactic Shock Case Report CBT Child Abuse Choking Phobia Cognitive Behaviorial Therapy Eating Disorders Females Phobia Spouse Abuse Survivors
Accuracy Verified: Yes
28. 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
29. Barfoot, K. M., Casey, M. C., & Callaway, A. J. (2012, July). Combined EEG and eye-tracking in sports skills training and performance analysis. Presentation at the World Congress of Performance Analysis of Sport IX, University of Wooster.
Language: English
Format: Conference
Abstract:
The use of mobile EEG brainwave monitoring and eye-tracking recorded synchronously
during the training of sports skills offers significant opportunities but creates challenges.
Opportunities:
¨ Measuring neurocognitive activity and visual focus in real time which can be used to
provide immediate feedback to the coach, in ‘real world’ settings, for optimising training
protocols for the individual athlete.
¨ Use of sound output (‘sonification’) in proportion to EEG regions of interest as a
neurofeedback mechanism for athlete self-training.
¨ Application of visualisation protocols and ‘EEG-driven’ PC games where game feedback
based on state of mind is used to optimise mental state prior to performance.
¨ Examining the relationship between eye movement and neuro activity (e.g. saccades and
gamma waves) and in athlete coaching interventions such as sports visual scanning
strategies, Eye Movement Desensitisation & Reprocessing (EMDR) therapy, focussed
relaxation, etc.
Challenges:
¨ The recording of EEG during gross motor behaviour is subject to non-brain artefacts in
the raw (time-domain) EEG, due to the much larger (than EEG) electrical voltages
arising from muscle and eye movements. Practical approaches and signal processing
(frequency domain spectrum) techniques to address these problems will be discussed.
¨ The synchronisation of data recorded on different types of equipment (e.g. EEG, eyetracker,
video, sound, EMG, etc.) with different ‘clocks’ and diverse data formats is
difficult – both in terms of time-stamping the original recordings across all the systems
and playing them back synchronously for subsequent performance analysis. Progress on
creating real-time data export methods which allow synchronous data recording and
playback will be reported.
Examples of studies carried out in archery, golf, motorsport, football and skiing will be
discussed, with a focus on archery where:
¨ Measurements were taken from intermediate, county level, near elite and elite archers.
¨ Archery was chosen to demonstrate the real-time and in-situ quantification of neural
activity compared with target-based measures of performance that archery provides, over a
range of time-spans and skills.
¨ Results demonstrate that there are significant and measurable changes in EEG patterns
during a shot with evidence suggesting that the patterns vary as a function of skill level,
but not simply as a function of score.
Significance of each of these studies for goal-directed learning and performance enhancement
are discussed.
Keywords: EEG Eye Tracking Performance Analysis Sports Skills
Accuracy Verified: Yes
30. 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
31. Settle, C. (2009, June). Concrete methods to elicit past, present, and future targets for EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Accuracy Verified: Yes
32. 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
33. West, E. (1994). Containers: The use of cognitive interweaves with cognitions obtained at intake. EMDR Network Newsletter, 4(3), 13-14.
Language: English
Format: Newsletter
Abstract:
Collecting information properly at
intake is one of the most important
steps we can make in preparing to use
EMDR with ourpatients. A thorough
psychosocial history and interview
help to highlight many possible targets
and events by which an effective
course of treatment may be created.
During this preliminary phase, we
are also looking for the patient's self described
strengths, weaknesses,
goals, expectations, motivations, support
systems, and limitations. It is
possible, given the aforementioned
areas of interest, that abreactive material
may arise before the completion
of intake. If this happens, what steps
may be taken?
Keywords: Cognitive Interweaves
Accuracy Verified: Yes
34. 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
35. 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
36. 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
37. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
38. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy
techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach
to assist children in identifying EMDR targets as
well as to provide an opportunity for containment.
Safe place, as well as other types of resource
development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By
using stones and metaphors, children can also
maintain emotional distance from their own
struggles. One of the main goals of this workshop
is to help clinicians learn to communicate more
effectively with children by using metaphors, stones and play. How to talk to children about EMDR and
how to prepare children for the outcome of EMDR
will be addressed. By making the process more
predictable, the likelihood of children stopping the
process when they experience the difficult feelings
associated with the trauma might be minimized.
Participants will also learn to use creative, fun and
playful ways to assist children in understanding and using the measure scales of the EMDR protocol
(SUDS and VOC).
Keywords: Children Metaphors Play Therapy Storytelling Targets
Accuracy Verified: Yes
39. Gomez, A. M. (2007, September). Creative ways of administering the EMDR protocol with children. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop will provide a comprehensive body of knowledge and advanced techniques so EMDR clinicians can effectively implement the EMDR protocol with children. Participants will learn strategies to make children acquainted with the different components of the EMDR protocol, as well as the use of sand tray techniques to assist children during the EMDR assessment and desensitization phases. Special attention will be placed on how and when to use the cognitive interweave with children. Different types of cognitive interweaves that are more suitable for children will be presented. Additionally, this workshop will address how to work on the future template with children using play therapy and creative strategies.
Keywords: Children
Accuracy Verified: Yes
40. Luber, M. (2009). Current anxiety and behavior. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 133-141). New York, NY: Springer Publishing Co.
Language: English
Format: Conference
Abstract:
This protocol is for clients with anxieties not related to major trauma. The focus here is the Standard EMDR Protocol. This is a summary of the Current Anxiety and Behavior Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For current anxiety and behavior problems, the Standard EMDR Protocol should be applied to the following targets (assuming they are available): Past memories; Present triggers; and a Future template. The Current Anxiety and Behavior Protocol Script is provided. [PsycINFO Database]
Keywords: Current Anxiety Protocol
Accuracy Verified: Yes
41. 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
42. 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
43. 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
44. Kuiken, D., Miall, D., Bears, M., & Smith L. (1998). Defamiliarization in dreaming and reading: Eye movements and attentional engagement. Presentation at the VIth Biannual IGEL Conference, Utrecht.
Language: English
Format: Conference
Abstract:
The fictional world imaginatively constituted during literary reading is sometimes compared with
the imaginal world created during dreaming. At the core of both reading and dreaming may be the
type of attentional adjustment that occurs when departures from expected events emerge in
experience. During dreaming, markers of this attentional adjustment – and of the related
transformations of dream content – are the eye movements characteristic of REM sleep. Recent
research suggests that eye movements induced during wakefulness similarly prompt dreamlike
transformations of imaginal activity. Therefore, we hypothesized that, during reading, induced eye
movements would facilitate defamiliarization in response to the deviations from literal meanings
found in metaphoric expressions. To test this hypothesis, twenty-five undergraduates completed 20
seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (a) a covert visual
attention task (Posner & Cohen, 1984), in which a cue indicated the likely position of a subsequent
target, and (b) a sentence rating task, in which sentences with either metaphoric or non-metaphoric
endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement
manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and
increased the extent to which metaphoric sentence endings were found striking. These results suggest
that induced eye movements facilitate attentional reorientation toward the novel meanings found in
metaphoric expressions, providing evidence that dreaming and reading involve a similarly
“defamiliarizing” attentional adjustment.
Accuracy Verified: Yes
45. Massiah, E. (2009). Direct targeting intrusive images: A tale of three soldiers. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 389-402). New York, NY: W. W. Norton & Co..
Language: English
Format: Book Section
Keywords: Targets
Accuracy Verified: Yes
46. 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
47. 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
48. 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
49. Hassard, A. (2003, June). Distribution of targets in 400 eye-movement desensitization cases. Psychological Reports, 92(3), 717-722. doi: 10.2466/pr0.2003.92.3.717 .
Language: English
Format: Journal
Abstract:
In a series of 400 patients undergoing Eye-movement Desensitization (EMD), patients rarely reported more than 9 flashbacks or other focal targets, which may indicate the working memory limit. Eye-movement desensitization may operate by freeing working memory capacity, enabling cognitive change and memory recovery to occur. Complete EMD treatment may require sufficient eye movements to free up working memory capacity. Patients given less than this requirement may not be adequately treated. This may account for variable results in evaluations of eye-movement desensitization. Such possible dose effects may be important in this therapy. [Author Abstract]
Keywords: Adults Cognitive Processes Psychotherapeutic Processes
Accuracy Verified: Yes
50. 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
51. Manfield, P., & Snyker, E. (2002, June). Don’t go with that!. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
One of the beauties of EMDR is that, in most cases, clients can simply begin each set of eye movements by focusing on their associations from
the previous set. The therapist simply says, "Go with that." This workshop will identify clients for whom "Go with that" will probably not
work, clients who use avoidance or dissociation to defend against painful affect or who associate loosely and cause targets to "pancake." We will
use video and transcripts to illustrate a variety of interventions and techniques to handle these more challenging clients and situations.
Accuracy Verified: Yes
52. Manfield, P. (2003, September). Don’t go with that!. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
For some elients and in some situations, "Go with that" is not effective. In these situations "go with that" will lead to looping at best, but most
likely to a flat unproductive session or the opposite, an unfinished session with many new and sometimes only loosely related unresolved issues. In this workshop, we will identify these clients and those situations. Using video, structured role play, and transcripts, participants will learn strategies for elaborating targets for these clients that will minimize the occurrence of these situations, and for effectively responding to these situations when they do occur.
Keywords: Go With That Targeting
Accuracy Verified: Yes
53. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with traumatized clients can be overwhelming
for the therapist, especially when the trauma is complex, involves
dissociative symptoms or different personality states, fragmented
memories or client affect is intense and poorly regulated. My
experience as a supervisor of EMDR practitioners has shown that
it is not uncommon for therapists, in an attempt to be helpful to
the traumatized clients, to unintentionally use strategies, which
are experienced as re-traumatizing or which lead to an increase
in their clients’' survival based coping strategies, including the
further strengthening of the ANP (Apparently Normal Personal-
~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop
highlights different therapeutic challenges, which often arise
for therapists when working with trauma and introduce strategies
that EMDR practitioners can use in their work with such
clients. This workshop embeds the principles of Positive Growth
Therapy (PGT - Herbert, 20071, which encompasses combined
knowledge from a variety of disciplines, including positive psychology,
information-processing theory, neurobiology, somatic
psychology, developmental psychology and attachment theory,
mindfulness and others. These strategies, designed to nurture
growth rather than dysfunction, are linked to specific therapeutic
factors relevant to the work with trauma, such as different types
of trauma, the nature of dissociation, the therapeutic pathway
toward integration. the concept of safety, the importance of resource
installation, individual pacing of therapy and the window
of tolerance, different types of processing, and the integration of
rational and experiential processing systems and others, which
will be explored in the course of this workshop
This workshop offers opportunities for both, EMDR therapists,
who are fairly new to the trauma field and would like to enhance
and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop
as an opportunity to re-view, further refine or validate
their current ways of working.
The specific learning objectives for this workshop are:
1. To find out about specific therapeutic factors that is relevant
to the work with trauma.
2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity.
This workshop is unique in the way in which it transcends specific
(and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to
EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.
Accuracy Verified: Yes
54. 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
55. 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
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: Poster Social Engagement
Accuracy Verified: Yes
56. Maxfield, L. (2007). Editorial. Journal of EMDR Practice and Research, 1(2), 66-67. doi:10.1891/1933-3196.1.2.66.
Language: English
Format: Journal
Abstract:
This second issue of the Journal of EMDR Practice and Research highlights the strong relevance of the clinical application of EMDR (eye movement desensitization and reprocessing). The purpose of this editorial is to encourage therapists to consider submitting a clinical article to the journal. Many readers of the journal are clinicians, with interesting cases of their own and whose published contributions could advance the field. This editorial provides an overview of the types of articles published by the journal, most of which could easily be written by an individual practitioner. This journal also publishes Controlled Research Studies, in which two or more groups are compared to each other. In conclusion, I want to strongly encourage EMDR clinicians to consider submitting articles to the Journal of EMDR Practice and Research. This will allow you to contribute to the field, educate fellow therapists, and advance knowledge about EMDR applications for various disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Editorial
Accuracy Verified: Yes
57. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
58. Yarosh, D. (2002, June). Effective EMDR for high-functioning clients with intimacy problems. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
To treat high-functioning clients who suffer from intimacy problems EMDR must be integrated into a necessarily long-lerm treatment where
issues of relationship and attachment are paramount. Participants will learn to integrate EMDR into existing long-term treatments or to create new comprehensive treatment plans with the cooperation of the client. Participants will learn to use Greenwald's Motivational Interview to set goals, a Trauma History to prioritize EMDR targets, and the interweaving of Resource Development and Installation into the ongoing treatment. Special interweaves helping clients integrate the successful parts of their
lives lnto the parts where they are developmentally immature will be illustrated. Issues of timing and ego stabilization will be discussed.
Keywords: Motivational Interview Resource Installation Trauma History
Accuracy Verified: Yes
59. Yarosh, D. (2003, September). Effective EMDR for high-functioning clients with intimacy problems (Expanded with new cases). Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Participants will learn to integrate EMDR into the longer-term treatment that is necessary where issues of attachment and relationship are paramount. Trauma treament of these clients involves an understanding of their unique personality characteristics, a comprehensive treatment plan that engages their cooperation, a Motivational Interview to set goals, and a Trauma History to prioritze EMDR targets. Specific techniques that will be demonstrated are the interweaving of Resource Development and Installation into the ongoing treatment, and body-focused interweaves to promote client safety when working with strong abreaction. Special interweaves helping clients integrate the successful parts of their lives into the parts where they are developmentally immature will be illustrated.
Keywords: Attachment Intimacy
Accuracy Verified: Yes
60. Manfield, P. (2005, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Based an a relatively simple protocol for finding targets specific to the partners' issues, this approach is especially effective with couples who tend to want to spend sessions complaining about each other and recounting the conflicts of the past week. Equal time will be devoted to identifying targets and then developing them using the basic principles of Ahsen's Eidetic Psychotherapy and a modified version of Walkins' "affect bridge." Methods will be taught to overcome resistance and difficulties clients have with accessing memories. Through case transcripts and participation exercises, the basics of this protocol will be explained and demonstrated.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
61. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
62. Parker, A., Relph, S., & Dagnall, N. (2008, January). Effects of bilateral eye movements on the retrieval of item, associative, and contextual information. Neuropsychology, 22(1), 136-145. doi:10.1037/0894-4105.22.1.136.
Language: English
Format: Journal
Abstract:
Two experiments are reported that investigate the effects of saccadic bilateral eye movements on the retrieval of item, associative, and contextual information. Experiment 1 compared the effects of bilateral versus vertical versus no eye movements on tests of item recognition, followed by remember-know responses and associative recognition. Supporting previous research, bilateral eye movements enhanced item recognition by increasing the hit rate and decreasing the false alarm rate. Analysis of remember-know responses indicated that eye movement effects were accompanied by increases in remember responses. The test of associative recognition found that bilateral eye movements increased correct responses to intact pairs and decreased false alarms to rearranged pairs. Experiment 2 assessed the effects of eye movements on the recall of intrinsic (color) and extrinsic (spatial location) context. Bilateral eye movements increased correct recall for both types of context. The results are discussed within the framework of dual-process models of memory and the possible neural underpinnings of these effects are considered. [PsycINFO]
Keywords: Bilateral Stimulation BLS Eye Movements
Accuracy Verified: Yes
63. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University, Kalamazoo, MI. AAT 9732881.
Language: English
Format: Dissertation/Thesis
Abstract:
Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.
Keywords: Anxiety Disorders College Students Empirical Study Life Experiences Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
64. Lee, C. W., & Drummond P. D. (2008, June). Effects of eye movement versus therapist instructions on the processing of distressing memories. Journal of Anxiety Disorders, 22(5), 801-808. doi:10.1016/j.janxdis.2007.08.007.
Language: English
Format: Journal
Abstract:
The effectiveness of components of eye movement desensitization and reprocessing (EMDR) was tested by randomly assigning 48 participants to either an eye movement or an eye stationary condition and to one of two types of therapist instructions (reliving or distancing). Participants were university students (mean age 23) who were asked to recall a personal distressing memory with measures of distress and vividness taken before and after treatment, and at follow-up. There was no significant effect of therapist's instruction on the outcome measures. There was a significant reduction in distress for eye movement at post-treatment and at follow-up but overall no significant reduction in vividness. Post hoc analysis revealed a significant reduction in vividness only for the eye movement and distancing instruction condition. The results were consistent with other evidence that the mechanism of change in EMDR is not the same as traditional exposure.
Keywords: Empirical Study Eye Movement Follow-Up Study Quantitative Study Randomized Comparison
Accuracy Verified: Yes
65. Farkas, L. (2008, December). The effects of motivation-adaptive skills-trauma resolution (MASTR) - Eye movement desensitization and reprocessing (EMDR) on traumatized adolescents with conduct problems. Universite de Montreal, Canada. AAT NR55659.
Language: English
Format: Dissertation/Thesis
Abstract:
Objective.- This dissertation explored the effectiveness of a treatment package, Motivation-Adaptive Skills-Trauma Resolution (MASTR) in combination with Eye Movement Desensitization and Reprocessing (EMDR). This intervention was assessed in a sample of traumatized adolescents manifesting conduct problems (CPs) admitted to youth protective services. CP adolescents have been found to be particularly treatment-resistant and the treatments used with them often neglect to target the trauma that many of these youths have faced. Therefore, it seemed promising to implement a trauma-focused treatment with these youths that accounts for their resistance to treatment. MASTR-EMDR was studied with this population due to the favorable findings in the few studies assessing its use with high-risk populations. In addition to examining the effects of this treatment with CP youth exposed to various types of trauma, a particular focus was given to victims of sexual abuse (SA). This type of trauma seemed particularly suited for EMDR due to its circumscribed nature, which may be more easily worked through in this treatment that targets one trauma at a time.
Method.- Participants in the first study were 40 adolescents (ages 13-17) exhibiting CPs and exposed to trauma in youth protective services. A subsample (n = 30), consisting of victims of SA, was included in the second study. Participants in both studies were randomly assigned to MASTR-EMDR treatment or to a wait list condition where they were offered routine care. Self-report questionnaires and semi- structured interviews were administered to participants and one of their parents or caregivers by independent evaluators at three points in time: pre-treatment, post-treatment (12 weeks later) and follow-up (12 weeks after post-treatment). These measures evaluated trauma history, trauma-related sequelae, CPs, social competence and internalizing problems. The MASTR-EMDR sessions were administered once a week over a 12 week period, with each session lasting a maximum of 1.5 hours.
Results.- ANCOVAs and repeated measures ANCOVAs were used to assess treatment effects and the maintenance of gains at a 3-month follow-up. As predicted, MASTR-EMDR led to significant gains in outcome measures compared to routine treatment with both samples. In addition, gains were maintained at follow-up.
Conclusions.- This dissertation supports the use of MASTR-EMDR in populations exposed to general trauma and SA who exhibit CPs. This research was innovative in its implementation of a novel treatment-approach in youth protective services, where empirically-supported treatments are necessary and sometimes lacking. Therefore, the results have both clinical and scientific value and can help pave the way toward more trauma-focused treatments for CP youth, more evidence-based practices in youth protective services as well as enrich current understanding of the effects of this treatment approach.[Author Abstract]
Keywords: Conduct Problems Protective Services Psychotherapeutic Techniques Trauma Treatment Outcome Youth
Accuracy Verified: Yes
66. Taylor, J. E., & Harvey, S. T. (2009, September-October). Effects of psychotherapy with people who have been sexually assaulted: A meta-analysis. Aggression and Violent Behavior, 14(5), 273–285. doi:10.1016/j.avb.2009.03.006 .
Language: English
Format: Journal
Abstract:
This paper presents the results of a meta-analysis of the treatment outcome studies of different types of
psychotherapeutic approaches for sexual assault victims experiencing PTSD or rape trauma symptoms. There
were 15 outcome studies identified for inclusion in the meta-analysis dating from 1988–2005, and these
studies comprised 25 treatment conditions. Separate meta-analyses were conducted according to study
design (independent samples and repeated measures), in keeping with meta-analytic conventions. The
overall results for the two meta-analyses were highly consistent, and effect sizes were in the large range for
independent samples (g=.91) and repeated measures treatments (g=.90). Effects were maintained at
follow-up from 6–12 months after treatment. Studies represented diverse treatment approaches, and most
treatments were effective in improving outcome according to symptom reduction. A number of moderating
variables were examined. Better outcomes were achieved with individual therapy compared to group
approaches. The use of semi-structured approaches and homework techniques were positively related to the
magnitude of effect size. [Science Direct]
Keywords: Meta-analysis Outcome Rape Sexual assault Therapy Treatment
Accuracy Verified: Yes
67. Pastva, A. M. (2008). The effects of rhythmic and arrhythmic eye movements on memory recall. The College of William and Mary, Williamsburg, VA..
Language: English
Format: Dissertation/Thesis
Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a therapy that treats many trauma-related disorders by requiring patients to perform rapid eye movements, has raised controversy because it lacks the support of a proven theoretical rationale. A recent theoretical explanation proposes that the eye movements reduce the vividness of the distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, but support for this model has been weakened by methodological flaws that the current study attempted to overcome. The present study compared the effects of tracking rhythmic and arrhythmic stimuli on the recall of arousing television shock-ads. Eye-movement conditions did not significantly differ in terms of vividness, emotionality, or accuracy of memory as compared to the control condition. Arrhythmic targets increased the negative emotional response and decreased the vividness of the memories, but neither rhythmic nor arrhythmic target patterns produced responses that differed from the control condition. Heart rate recordings taken throughout the study did not suggest that arousal mediates the relationship between eye-movement patterns and vividness. The present study does not support the VSSP theory but provides valuable insights on the direction of future research.
Keywords: Eye Memory Visual perception
Accuracy Verified: Yes
68. Largo-Marsh, L. K., & Spates, C. R. (2002, December). The effects of writing therapy in comparison to EMD/R on traumatic stress: The relationship between hypnotizability and client expectancy to outcome. Professional Psychology: Research & Practice, 33(6), 581-586. doi:10.1037//0735-7028.33.6.581.
Language: English
Format: Journal
Abstract:
Many psychologists encourage clients to engage in journal writing to supplement individual psychotherapy. Empirical evidence supports the use of writing when targeted at traumatic memories. The most thoroughly researched writing strategy suggests that writing is most effective when it targets a specific memory along with the emotional components of that memory. Effective writing therapy is thus procedurally similar to effective exposure therapy for fear and traumatic memories. This investigation examined structured writing as a self-contained treatment by comparing it to eye movement desensitization and reprocessing, and it was found to be effective. [Adapted from Author Abstract]
Keywords: Adults Empirical Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Therapeutic Writing Treatment Effectiveness
Accuracy Verified: Yes
69. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models.
Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach.
Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT.
The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress.
This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement.
The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented.
Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
70. de Jongh, A., & ten Broeke, E. (2001, March). An efficient way of targeting traumatic material. EMDRIA Newsletter, 6(1), 4.
Language: English
Format: Newsletter
Abstract:
Besides the correct application of the basic EMDR protocol,
one of the most important factors involving the treatment of
trauma related conditions, is the way the traumatic material is
targeted. For example, if clients have trouble processing, this could
be due to a lack of focus which prevents the client from successfully
tapping into his memory network. It’s our experience that, to
adequately tap into the memory network, it is most useful to use a
somewhat different strategy for ‘going back to target’ than which is
described as part of the standard EMDR procedure. We would
recommend the following procedure (see Box I).
Keywords: Targets
Accuracy Verified: Yes
71. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed for overcoming craving. Treatment is
based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol
supported by cue exposure catalyses the recovery process as follows: In the very beginning the
participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then
they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught
to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the
power of desensitisation and reprocessing followed by one ideodynamic strategy influences the
intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that
new experience the clients acquire greater and deeper knowledge about their personal drinking
triggers. They also find out which strategy is the most effective one for each specific trigger. A
strategy, which works well with one trigger, may not work with a different one. Workshop
participants will learn the system of using cue exposure as a powerful cognitive interweave. This
program is designed to improve the treatment of various types of addiction, such as gambling, etc.
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Cue Exposure
Accuracy Verified: Yes
72. MacDonald, H. (2008, October). EMDR & pain. Presentation at the 1st annual EMDR Yorkshire Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
This workshop will give participants an introduction to using EMDR with people who have persistent pain. The EMDR protocol (Grant and Threlfo 2002) can be
used to promote more successful management of pain, and can change pain sensations. Targets might also include the impact of the pain on life situation. The
workshop is aimed at people who have completed EMDR training, but who may not have applied it with this client group.
Keywords: Pain
Accuracy Verified: Yes
73. Fernandez, I. (2008). EMDR after a critical incident: Treatment of a tsunami survivor with acute posttraumatic stress disorder. Journal of EMDR Practice and Research, 2(2), 156-159. doi:10.1891/1933-3196.2.2.156.
Language: English
Format: Journal
Abstract:
Research indicates that EMDR is effective for the treatment of PTSD, with numerous studies showing a high percentage of symptom remission after 3 sessions. The case of a tsunami survivor with acute PTSD is presented. Treatment for overt trauma symptoms was completed within 3 sessions, including all 8 phases and the 3-pronged protocol (i.e., past, present, future targets). One EMDR session was sufficient to process the trauma and alleviate the related symptoms, while another session was necessary for re-evaluation and processing present triggers and future templates. Resource installation was particularly helpful to prepare him for those future situations that had been generating anxiety as a result of his traumatization. [Author Abstract]
Keywords: Adults Brief Psychotherapy Case Report Disaster Disaster-Response Indian Ocean Tsunami Italians Males Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Recent Events Survivors Trauma Tsunamis
Accuracy Verified: Yes
74. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives:
1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS
2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera)
3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.
Keywords: Chronic Illnesses
Accuracy Verified: Yes
75. Grand, D. (2008, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR which is an effective tool in unblocking creativity. EMDR processing is a creative process at the core of healing blocks. Creative enhancements EMDR’s healing tools include: “open listening” – avoiding assumptions, creative use of eye movements and eye positions, integrating bilateral healing sounds and enhancing body sensations with color. Creative blocks cripple the artist and interfere with the creativity of non-artists. The EMDR protocol (assessment, desensitization, installation and body scan) targets creative blocks with underlying trauma. The future template enhances creativity with artists (actors, singers and writers).
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
76. Paulsen, S. L. (2003, September). EMDR and ego state therapy: Energizing disowned aspects of self with dissociative table technique interwoven with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Ego State Therapy is a tool for EMDR practitioners seeking to resolve looping, identify early childhood targets, enhance containment, and more. Dissociative Table is an ego state approach that enables rapid visualization of disowned ego states without formal trance induction. It energizes and egotizes aspects of self so that resistance can reduced through internal education and mediation. EMDR and ego state therapy can be interwoven to manage the level of affective arousal by creating closeness to or distance from disturbing material. The workshop will also present ACT-AS-IF, a step-by-step approach to preparing dissociative clients for EMDR processing.
Keywords: Act-As-If Dissociative Table Technique Ego State Therapy
Accuracy Verified: Yes
77. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
78. Carvalho, E. R. (2013, May). EMDR and role therapy: Healing the folks who live inside. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Role Therapy will be presented as a comprehensive approach to the treatment of
a wide spectrum of clients. Role therapy is presented as a “normalizing” approach to trauma and dissociation,
treating clients’ inner roles as EMDR targets. Central to this approach is the conceptualization of self and one’s
inner roles and counter-roles. Discussion will include how to use a developmental approach to assessment, and
will review the identification, mapping and accessing of roles, as well as how to promote the use of role-specific
EMDR targets, facilitating the enhancement of EMDR processing.
Learning Objectives:
• Participants will be able to discuss and implement the applications of Role Theory concepts and techniques to
all phases of the EMDR protocol in order to facilitate the treatment of clients.
• Participants will be able to discuss and describe how to developmentally assess, identify, map and access
client roles and how to treat roles with traditional EMDR protocols.
• Participants will be prepared to utilize EMDR targeting clients’ inner roles to enhance the processing of
clients’ issues and resolution of symptoms.
Keywords: Role Therapy
Accuracy Verified: Yes
79. Levine, L. (1998, July). EMDR and sex therapy. Prresentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn how to identify cultural messages about sex that can have a negative impact in the belief system of a client, and use there internalized messages to identify potential targets for EMDR; 2) learn and understand how EMDR can reprocess the negative effects of small "t" trauma; 3) learn and understand how EMDR can be used to generate new pathways for positive sexual templates that will result in successful sexual experiences; 4) learn and understand how EMDR can reinforce newly achieved successful sexual experiences; 5) learn and understand why it is important to take a psychosocial sexual history; and 6) learn and share relevant resource materials on sexuality for clients and clinicians.
Keywords: Sex Therapy
Accuracy Verified: Yes
80. Settle, C. (2010, July). EMDR and the art of psychotherapy with children. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The presenter will use the Adaptive Information Processing (AIP) Model to explain how to creatively change the language
of EMDR to meet the child’s developmental needs. Participants will learn how to develop a comprehensive treatment plan
that includes the three-pronged approach. Demonstrations with pictures and a short video will show ways of getting the
targets and the NC and PC through mapping, while still remaining true to the eight-phase model. Innovative child-oriented
methods for Resource Development Installation (RDI) and Cognitive Interweaves (CI) will be explained.
Keywords: Children
Accuracy Verified: Yes
81. Carvalho, E. R. (2009, August). EMDR and the pillars of life: Celebrating what works. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: This presentation will highlight the Pillars of Life, a resourcing technique adapted from the work of Dr. Carlos Raimundo, an Argentine-Australian psychodramatist. Utilized in the preparation phase, it targets resources through the use of the positive cognitions and the VoC scale. The Pillars of Life can be used at the onset as a diagnostic tool, assessing the patient’s inner resources, as well as to augment the necessary resources required during therapeutic work. Oftentimes, it can be utilized as an interweave in cases of complex PTSD when resource pendulation is required during phase 4.
Keywords: Pillars of Life
Accuracy Verified: Yes
82. Nickerson, M. (2008, June). EMDR and the treatment for angry and violent behaviours. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
This workshop will assist the EMDR clinician to more effectively treat angry and violent behaviour. It will include
an initial review of the prevalence, impact and dynamics of the problem. The common cyclical nature of violent
acting out will be depicted as well as other characteristics in a spectrum of hostile behaviours including
perpetrator state and trait issues. Current non-EMDR clinical approaches and the evolving field of domestic
violence will be reviewed to aid the EMDR clinician in skilfully integrating into existing clinical contexts and to appreciate the unique capacities of EMDR. The primary focus of the workshop will be on special considerations
in the successfully tailored use of the 8-Phase Treatment approach. Clients with problematic anger or violent
behaviour present many challenges for the often undertrained clinician and commonly avoid, resist and
manipulate treatment or drop out prematurely. Keys to successful clinical engagement, risk assessment and case
formulation will be highlighted as critical to early phases of treatment. A metaphor based guide to case
formulation will be presented and a decision-tree style flow chart will be offered to inform treatment planning
including determining client readiness for trauma processing. EMDR offers the potential for desensitizing the
trauma that often drives violent behaviour. Considerations in the identification, prioritization and sequencing of
targets for processing will be outlined. This will include use of the cycle of violence model for target
identification. Multiple clinical examples will be offered to illuminate points including video taped case material.
Accuracy Verified: Yes
83. Marquis, P. (2007, June). EMDR and the treatment of anxiety disorders. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Dr. Marquis will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interceptive exposure, psych-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. The diagnosis of Obsessive Compulsive Disorder, Hoarding, Trichotillomonia, Skin Picking, Panic Disorder, Social Anxiety Disorders, Phobias, Generalized Anxiety Disorder, Somatization Disorder and their interaction with underlying PSTD will be discussed and standard EMDR treatment protocols presented. This will be presented in context of the Adaptive Information Processing Model. Theoretical models will be presented. This treatment integrates the use of future template and behavioral feedback for success of anxiety treatment. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients scan integrate self-use of bilateral stimulation to increase treatment results. Case examples will be presented. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored. Dr. Marquis is the Anxiety Team Leader at Kaiser Hospital and has been practicing, teaching, and training EMDR internationally since 1991.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
84. Marquis, P., & Sprowls, C. (2011, August). EMDR and the treatment of anxiety disorders: Clinical applications using the anxiety protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Dr. Marquis and Dr. Sprowls will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing, (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interoceptive exposure, psycho-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients can integrate self-use of bilateral stimulation to increase treatment results. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
85. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
Keywords: Bowen Theory Relationship Issues
Accuracy Verified: Yes
86. Nickerson, M. (2008, September). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Assocation, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
EMDR offers unique potential in the treatment of clients with angry and violent behaviors. This workshop will include an initial review of the issue’s prevalence, common dynamics, and historic intervention strategies. The underaddressed role of trauma often driving these tendencies will be illuminated. Primary focus will be on the tailored implementation of the 8-Phase Treatment approach. Keys to successful clinical engagement, risk assessment and a metaphor based guide to case formulation will be highlighted. Considerations in the identification, prioritization and sequencing of targets for processing will be outlined. Clinical examples will be offered to illuminate points, including video taped case material.
Keywords: Angry Behaviors Violent Behaviors
Accuracy Verified: Yes
87. Nickerson, M. (2009, August). EMDR and treatment for angry and violent behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR offers unique potential in the treatment of clients with angry, violent and abusive behaviors, including intimate partner violence, abusive parenting and bullying. A client’s unconscious drive to “make others feel the way I felt” can be dismantled with the tailored implementation of the 8-Phase Treatment approach. A metaphor based guide to case formulation and a cycle of violence model for understanding behavior and identifying treatment targets will be highlighted. Practical and innovative techniques will be offered to aid in assessment, stabilization and effective reprocessing. Numerous video clips from clinical sessions will illuminate points. Relevant research will be cited.
Accuracy Verified: Yes
88. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical
pain and living with chronic pain. Participants in this workshop will learn:
(a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain;
(b) a guided pain healing meditation;
(c) an EMDR protocol for installing pain relief imagery and self-care techniques;
(d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories;
(e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating,
drinking) and dependence on pain medication in this population.
The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The
dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic
pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer
will be presented.
Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also
incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the
"C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed.
The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can
do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing
will be discussed.
The presentation will then cover (with clinical case examples):
(1) Red flags and cautions to consider before proceeding with EMDR-
(2) What to do and what not to do if the patient is dissociative;
(3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with
"secondary gains" minus primary losses;
(4) Teaching the distinction between pain sensations and suffering;
(5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief
imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy
self-care behaviors;
(6) How to directly address with the patient the application of "cognitive psychology" and imagery
for pain reduction;
(7) EMDR reprocessing of memories around the pain's origins;
(8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences,
internalized self-identifications, self-punitive tendencies and self-defeating behaviors;
(9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient;
(10) EMDR reprocessing of negative cognitions associated with depression and anxiety.
(11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers;
(12) Material that often comes up in using EMDR with pain patients;
(13) Strategically restructuring patient "resistance" with coanitive interweave;
(14) Managing narcotic and pain medication seeking behavior and substance abuse;
(15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in
this population;
(16) Treating pain patients who also have PTSD.
Videotaped case excerpts will be shown that illustrate important points covered.
If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.
Keywords: Chronic Pain Pain Pain Management
Accuracy Verified: Yes
89. Doctor, R. (1995, June). EMDR applications to anxiety disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy was originally developed around the effects of trauma on emotional and cognitive disorders. We are now seeing its
effect application in other areas related to acquisition and maintenance of deviant and disabling reactions. The results of the
application of EMDR outside of trauma itself have been very encouraging and successful. This presentation will focus on the use of
EMDR with the anxiety disorders. Most of the presentation will concentrate on the most prevalent anxiety disorders, namely, panic,
agoraphobia and phobia. There will be some-discussion on generalized anxiety disorders, social phobias and obsessive-compulsive
disorders.
The anxiety disorders will be discussed as a complex set of disorders that have multiple acquisition factors including life style,
reactivity (which may have some genetic components), "personality, stressors and stress management. The presenter will make a
brief summary of the role of these factors in each anxiety disorder from what we currently know clinically and empirically. The
research on EMDR with anxiety disorders is almost nonexistent but the few case studies that have been published will be discussed
because they offer excellent support for EMDR and for particular forms of its application.
The rest of the presentation is divided into two sections: the use of EMDR as an exclusive treatment and its use with supplemental
tools. The exclusive use of EMDR will depend on premorbid history factors both personally and in regard to the anxiety disorder.
The discussion will focus on important information in the history taking and personal contact with the client as well as the potential
targets for EMDR work with the various anxiety disorders.
In many cases, EMDR therapy must be supplemented with exposure work, relaxation training, medications and other supplemental
tools in order to make the intervention effective and enduring. How these supplemental tools might be implemented in the various
anxiety disorders will be discussed as well as the general factors from client history or client experience that would suggest the use
of supplementals.
Finally, the importance of the client-therapist relationship will be discussed in relation to working with the anxiety disorders and, in
particular, therapist factors that can improve effectiveness.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
90. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Substance abuse and its sequels often mean
intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule,
than the exception. So the integration of
traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the
field of neuroscience has shown that most
experience is automatically processed on
subcortical levels, i.e., by "unconscious"
interpretations that are made outside of conscious
awareness. Insight and understanding have only
a limited influence on the operation of these
subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the
tool for resolution. Targeting the addiction
memory and reprocessing should lead to a
reduction in craving. Date of a study on
alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles
and differences.
Keywords: Addiction Memory Substance Abuse
Accuracy Verified: Yes
91. Preston, J. (2000, September). EMDR as an approach to systems work. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) review basic tenants of systems theory and its application to family or couple therapy; 2) know several important aspects of using EMDR with couples and families, such as safety issues, selection of EMDR targets; and decisions about who should be present during sessions; 3) learn ways to apply systems thinking to work with individuals; and 4) review using EMDR in light of a systemic approach to individual work.
Keywords: Couple Therapy Family Therapy Safety Issues Systems Theory Targeting
Accuracy Verified: Yes
92. Meijer, S. (2013, April). EMDR bij borderline problematiek: Hoe om te gaan met automutilatie en andere vormen van zelfdestructief gedrag [EMDR in borderline issues: How to deal with self-mutilation and other forms of self-destructive behavior]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Ernstig zelfdestructief gedrag wordt doorgaans gezien als een belemmering voor een behandeling gericht op het verwerken van trauma. Vaak is dit gedrag echter gerelateerd aan ptts symptomatologie en kan het behandelen daarvan met EMDR ook vermindering te weeg brengen in dit gedrag. Uiteraard is het dan wel van belang om goed inzicht te hebben hoe dit gedrag verband houdt met het trauma om te kunnen weten welke targets gekozen moeten worden. Deze lezing geeft inzicht hoe zelfdestructief gedrag begrepen kan worden, hoe het verband kan houden met trauma en hoe dit vervolgens behandeld kan worden. Ook wordt besproken hoe patiënten met ernstige vormen van dit gedrag voorbereid kunnen worden op de EMDR behandeling zonder verder te ontregelen.
Serious self-destructive behavior is usually seen as a barrier to treatment aimed at traumas. Often this behavior is related to pTTS symptomatology and can treat them with EMDR also bring about reduction in this behavior. Of course is it important to have good insight how this behavior is related to the trauma in order to know which targets should be chosen. This lecture gives an insight into how self-destructive behavior can be understood, how it may be related to trauma and how it then can be treated. It also discusses how patients with severe forms of this behavior can be prepared on the EMDR treatment without further disrupt.
Keywords: Borderline Symptoms Self-Destructive Behaviors
Accuracy Verified: Yes
93. van den Berg, D., & Staring, T. (2011, April). EMDR bij patiënten met psychosen, wie durft? [EMDR in patients with psychosis, who dares?]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging.
Language: Dutch
Format: Conference
Abstract:
Patiënten met psychosen hebben vaak ernstige trauma’s meegemaakt. PTSS is bij hen een van de meest voorkomende co-morbide stoornissen. De meeste therapeuten hanteren een psychotische stoornis echter als contra-indicatie voor EMDR. Tijdens deze presentatie tonen wij dat EMDR ondanks psychotische problematiek gewoon kan worden toegepast en dat dit slechts minimale aanpassingen vergt.
Wij zetten daarna uiteen wat de verschillende toepassingsgebieden bij deze doelgroep zijn. EMDR kan namelijk niet alleen veilig en effectief toegepast worden bij psychosen met co-morbide PTSS, het kan ook een belangrijke rol hebben binnen CGT bij stemmen en wanen. Traumatische (leer)ervaringen zijn immers vaak betrokken bij het ontstaan van wanen en hallucinaties. Daarnaast liet recent onderzoek zien dat niet alleen retrospectieve targets behandeld kunnen worden met EMDR, maar ook situaties in de toekomst, de zogenoemde ‘flash forwards’. Dit is nuttig voor patiënten die herhaaldelijk geconfronteerd worden met stemmen of met situaties waarin paranoide gedachten worden getriggerd. Videomateriaal wordt getoond om de presentatie te ondersteunen. Tot slot is er aandacht voor obstakels in de toepassing van EMDR bij deze doelgroep. Aan het einde is er ruimte voor vragen en discussie.
Patients with psychoses often experienced severe trauma. PTSD is with them one of the most common co-morbid disorders. Most therapists use a psychotic disorder but as a contraindication to EMDR. During this presentation we demonstrate that EMDR despite psychotic problems can easily be applied and that it requires only minimal adjustments.
We then set out what the different application of this target group. EMDR can not safely and effectively used in psychoses with co-morbid PTSD, it can also have an important role in CBT for voices and delusions. Traumatic (learning) experiences are often involved in the pathogenesis of delusions and hallucinations. In addition, recent studies showed that not only retrospective targets can be treated with EMDR, but also situations in the future, called "flash forwards". This is useful for patients who are repeatedly confronted with situations in which voices or paranoid thoughts are triggered. Video material is shown to support the presentation. Finally, consideration of obstacles in the application of EMDR with that audience. At the end there is room for questions and discussion.
Keywords: Pyschosis
Accuracy Verified: Yes
94. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases.
The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of
protocols, targets and cognitions. Time will be allowed to discuss problem cases.
The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated
information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning
indicators fiom cognitions and the history taking of potential blocked responses.
A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and
cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma
with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of
the early environment to provide healthy models of self-other interaction.
Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources
present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies.
Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting
disturbing memories.
Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the
Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the
biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect
theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and
emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization
and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts
is a central problem in PTSD and other pervasive traumageric disorders.
Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry
Wildwind's speciality and conference presentations on working with chronic depression and personal communications with
Marguerite McCorkle.
Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental
issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to
a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.
Keywords: Case Formulations
Accuracy Verified: Yes
95. Freitag, W., & Swan, S. (2011, August). EMDR consultation: Comprehensive review and new directions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Consultation is vital to the proper training and professional development of EMDR therapist. Effective consultation can aid in the development of highly competent EMDR therapists, which is always the goal. Although the general goals of consultation may seems clear; the purpose, role and implementation of consultation at the differing credential levels have caused confusion for many EMDRIA Approved Consultants (AC). This workshop will provide both comprehensive reviews of clinical and administrative issues of the four types of consultation conducted by Approved Consultants. The clinical review includes, but is not limited to, the level of competency, skills and capabilities that should be demonstrated at each credential level. The administrative review will include organizational strategies for effective evaluation and record-keeping, as well as the formal documentation requirements of EMDRIA.
Keywords: Consultation
Accuracy Verified: Yes
96. St. André, É. (2010, Avril/Mai). EMDR dans le traitement d’un trouble obsessif compulsif: Une étude de cas [EMDR in the treatment of obsessive compulsive disorder: A case study]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Le trouble obsessif compulsif (TOC) est un trouble anxieux généralement chronique se présentant avec des obsessions récurrentes tel des idées persistantes, des images mentales et des compulsions (suivant les obsessions) tel des actes physiques ou mentaux répétitifs.
Dans cet atelier, le médecin fournira des indications cliniques sur son utilisation de l’EMDR dans le traitement d’un patient souffrant de TOC, et donnera quelques exemples tirés de la pratique d’autres cliniciens, en sus d’une révision des notions de base utiles à la compréhension du TOC (théorie neurobiologiques, épidémiologie, etc.).
La présentatrice tentera de souligner ce qu’il y a d’unique dans l’utilisation de l’EMDR dans le traitement de l’OCD, les difficultés rencontrées et les solutions utilisées dans ce cas précis. Elle décrira l’utilisation de la méthode de traitement standard en 8 étapes dans un cas spécifique, et dans les modalités de temps (passé, présent, futur), Nous verrons l’identification des cibles de traitement, et la gestion des symptômes de TOC qui entravent le fonctionnement quotidien des patients affectés. Nous verrons aussi les défis proposés par cette population, en clinique. Les participants pourront utiliser certaines stratégies dans un exercice pratique. (Tous les niveaux)
Obsessive Compulsive Disorder (OCD) is an anxiety disorder typically presenting with chronic recurrent obsessions such persistent ideas, images and mental compulsions (as obsessions) as acts of physical or mental patterns. In this workshop, the doctor will provide information on clinical use of EMDR in treating a patient suffering from OCD, and provide some examples from the practice of other clinicians, in addition to a review of concepts useful background for understanding the TOC (theory neurobiology, epidemiology, etc..). The presenter will attempt to highlight what is unique in the use of EMDR in the treatment of OCD, the difficulties encountered and solutions used in this case. She will describe the use of the method of standard treatment in 8 steps in a specific case and in terms of time (past, present, future), we see the identification of treatment targets, and management of symptoms of OCD which hinder the daily operation of affected patients. We will also see the challenges offered by this population in clinical practice. Participants may use certain strategies in a practical exercise.
Keywords: Case Study Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
97. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia.
Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee.
Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.:
• Diagnosi descrittiva.
• DSM IV: chiarezza classificatoria.
• Multifattorialità dei disturbi dell'alimentazione.
• Integrazione dell’EMDR nel trattamento: quando e con quale paziente.
• Ricerca dei target significativi nella storia di vita del paziente.
• Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave
• La motivazione al cambiamento nei pazienti difficili.
• La relazione terapeutica.
• Intervento psicoeducazionale.
• Lavoro sui target del passato.
• Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali.
• Lavoro sui target del presente (gestione delle “emergenze”)
• Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento.
• Discussione di casi.
Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.
Keywords: Eating Disorders
Accuracy Verified: Yes
98. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Keywords: Adolescents Complex Trauma
Accuracy Verified: Yes
99. Kapoula, Z. (2010, April). EMDR effects on pursuit eye movements. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study aimed to objectivize the quality of smooth pursuit eye movements in a standard laboratory task before and after Eye Movement Desensitization and Reprocessing (EMDR) session. EMDR was applied on subject’s autobiographic worries causing moderate distress. The EMDR session was complete in 5 out of 7 cases; distress measured by SUDS (Subjective Units of Disturbance scale) decreased to near zero value. Smooth pursuit eye movement was recorded by Eyelink II video system before and after EMDR. For these five subjects, pursuit eye movement improved after EMDR session, namely the number of CUS (Catch-up saccades) decreased and reciprocally, the gain of the smooth components of the pursuit increased. Such improvement of the smoothness of the pursuit presumably reflects better employment of visual attention needed to follow the target accurately. Perhaps EMDR reducing distress activates a cholinergic effect known to improve ocular pursuit. This approach is novel, Eye movement semiology is known to be a great tool for exploring brain function and plasticity. This preliminary study might be a starting point for further studies of other types of eye movements bringing together neuroscience and psychotherapy.
Learning objectives: Learn the physiologic correlates of EMDR. During EMDR practice observation of the quality of eye movement (smooth and saccadic) can provide to the practitioner valuable, non-verbal feedback.
EMDR can stimulate different types of research, including laboratory research.
Keywords: Eye Movements Research Symposium
Accuracy Verified: Yes
100. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen.
Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting
Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geïllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren
-hoe EMDR geplaatst kan worden in de context van C.G.T.,
-waarom het aantrekkelijk is voor adolescenten (“een coole combi”),
-welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld),
-hoe deze targets bewerkt kunnen worden,
-en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.
Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders.
This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary
Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain
-How EMDR Can Be Placed in the context of CBT,
-Why is it Attractive for adolescents ("a cool combination)
Targets, Which Are Eligible (e.g. trauma, body image and self-image)
How-thesis targets Can be edited
And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.
Keywords: Eating Disorders
Accuracy Verified: Yes
101. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het
vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van
de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model
zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd.
De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek.
De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo.
Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.
This presentation will be presented a conceptual model for
Finding the key traumatic experiences (targets) that form the basis of
the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model
will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment.
The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues.
The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination.
This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.
Keywords: Schema Focused Therapy
Accuracy Verified: Yes
102. Beer, R. (2005, June). EMDR for adolescents with anorexia nervosa: Evolution of conceptualization and illustration of clinical applications. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Patients with Anorexia Nervosa usually receive a multi-focused treatment
program, where EMDR and Cognitive Behaviour Therapy (CBT) can play a
complementary role. However, results are often disappointing and therefore
new ideas and techniques are welcome. Possibilities and limitations of EMDR
will be discussed and illustrated by video fragments.
Participants will learn to understand why EMDR can be used together with
CBT and why it is attractive for adolescents.
It will become clear for what targets, when in the treatment process, and
how EMDR can be applied. Specific problems to be dealt with will be
identified.
Keywords: Adolescents Anorexia Nervosa Eating Disorders Symposium
Accuracy Verified: Yes
103. Kiessling, R. (2013, May). EMDR from a belief focused perspective. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Beliefs are the meta-perception of life’s experiences (Shapiro 2001). Target Sequence Plans bundled around core
belief schema provide an effective, efficient and safe approach to case conceptualization and EMDR treatment.
This workshop will clarify questions asked by EMDR Clinicians such as:
• Are all NC/PCs Core Belief Schemas?
• Are your Targeting Sequence Plans Core Belief Schema Bundled or just a shotgun of targets based upon
“What do you want to work on today?”
• Does “What does it say about you” really address ‘what it means about you!?
• Are you’ staying out of the way’ when you should be ‘leading the way’!
These and others questions will be clarified through lecture, case examples and video demonstrations.
Through lecture, video demonstration, and practice, participants will:
• Name 3 major differences between the Standard EMDR Protocols and Procedures and EMDR from a ‘Belief Schema Perspective.’
• Describe the 4 primary Belief Schemas used in the ‘Belief Schema Perspective’ to EMDR, and how they assist
the case conceptualization and processing.
• Demonstrate the ability to develop a Belief Focused Targeting Sequence Plan and appropriately process the
targets identified within the Standard Three Pronged Protocol.
Keywords: Core Beliefs
Accuracy Verified: Yes
104. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder),
this being a disorder that is not frequently diagnoses and
not classified in DSM-IV, where a technical variation of floatback,
i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts
of the Self, and integrated the Internal Family System with EMDR
and Ego State Therapy.
The sixteen year old patient, S, sniffed heron and practised self mutilation.
After two years' therapy the family secret was revealed in a
dream and led us towards the abuse. I adopted the theoretical
reference models on dissociation reported by M. Steinberg, B. A.
van der Kolk, 0. van der Hart, and C. McFarlane's operative
EMDR model and Ego State Therapy.
The aim of the therapy was to rebuild integrity of the Self and to
foster individualization- separation processes. The main goal was
create a sense of loyalty during therapy that would allow S to be
able to control in transitions in her dissociated mental states. Negotiation
between the ego states were created so that S could face
the states of terror and anxiety and gradually become integrated.
Alter had different names and distinctively different preferences
and personality traits, at times those alter took complete executive
control of the body and of the self. Initially the alter has
names outside the Self, then during the course of therapy their
names began with '5'. The dissociated alters have become targets
far EMDR.
The story of S, revolves round two traumas: PN-PTSD and
abuse.
Perinatal trauma and uterine perception of her mother's depressive
emotional states triggered difficulties in the child latching on
to the mother's breast, and the lack of mirroring and affective
syntonization caused the failure of internalization processes that
lead to identity.
5 was aware of the trauma of abandonment, but not of the trauma
of abuse that she defined as 'a deep impenetrable hole'. In order
to address the life-threatening trauma. S used an invasive ego-dystonic
coping mechanism: dissociation of the object and the Self.
By placing the abuse in an alter, S could still feel attached to her
family members that abused her, actively or passively using silence.
While the DES scale did not provide significant dissociation
results, the SCID-LIST furnished high values.
The self-mutilation practised by S may represent her hate of her
body that did not rebel to the abuse it was subjected to, or, as she
said it may represent "a way to punish herself for the guilt
of existing or to inflict upon herself physical pain to conceal the
anxiety of death".
EMDR was a challenge; it reached the preverbal states of the
arena of the primary process, it bound with emotions and led her
to symbolization, t resolved the traumatic matter that was frozen
In the neural networks and determined Self- integration. The Ego
States Therapy was a useful tool.
Keywords: Perinatal Disorder
Accuracy Verified: Yes
105. Beer, R. (2006). EMDR in de behandeling van jongeren met een eetstoornis [EMDR in the treatment of adolescents with an eating disorder]. Kinder- & Jeugdpsychotherapie, 33(3), 54-64.
Language: Dutch
Format: Journal
Abstract:
Eetstoornissen zijn ernstige ziektebeelden met een grote kans op een chronisch
beloop, hoge morbiditeitcijfers en veel co-morbiditeit (van Elburg & Rijken,
2004). In de DSM IV worden verschillende eetstoornissen onderscheiden:
Anorexia Nervosa, Boulimia Nervosa en Eetstoornis Niet Anders Omschreven.
Eetstoornissen komen meestal tot bloei tijdens de adolescentie. Bij Anorexia
Nervosa ligt de piek van het ontstaan tussen veertien en achttien jaar, Boulimia
Nervosa begint doorgaans pas na het zestiende jaar (Robbe e.a., 1999;
Fleminger, 2002; Vandereyken & Noordenbos, 2002). Anorexia Nervosa (AN)
heeft het hoogste mortaliteitspercentage van alle psychiatrische stoornissen en
bij adolescenten staat het op de derde plaats in de rij van meest voorkomende
stoornissen. Behandelingsresultaten zijn weinig bemoedigend (Vandereyken &
Noordenbos, 2002). Voor AN is nog geen ‘evidence based’ behandeling
voorhanden. Zie: National Institute of Clinical Excellence (2004) en de
Multidisciplinaire Richtlijn Eetstoornissen (2006). Behandelaars zijn daarom
nog steeds op zoek naar nieuwe invalshoeken.
Op de afdeling jeugdpsychiatrie van het Universitair Medisch Centrum Utrecht
is een zorgprogramma eetstoornissen ontwikkeld, waarmee jongeren met AN en
met een Eetstoornis NAO worden behandeld door een multidisciplinair team2.
Zie voor een beschrijving van dit programma: van Elburg & Rijken (2004).
Tijdens mijn werkzaamheden voor deze afdeling (2000-2005) heb ik hieraan
mogen bijdragen door het implementeren van cognitieve gedragstherapie en
EMDR als potentiële onderdelen van een breed-spectrum behandeling. Een
beschrijving van een protocol voor cognitieve gedragstherapie is in
voorbereiding ( Beer & Tobias).
In dit artikel wordt beschreven hoe EMDR kan worden ingezet bij de
behandeling van jongeren met een eetstoornis. De hier beschreven experimentele status. De voorgestelde mogelijkheden zijn weliswaar
uitgeprobeerd door meerdere psychotherapeuten, maar van systematische
toetsing is nog geen sprake geweest. Een gedetailleerde beschrijving en
theoretische onderbouwing van de voorgestelde toepassing van EMDR is
eveneens in voorbereiding (Beer & Hornsveld). In dit artikel wordt besproken
waarom (theoretisch kader), hoe (aangrijpingspunten) en wanneer (timing)
EMDR kan worden ingezet. Na een aantal illustratieve behandelfragmenten
wordt besproken waarom het juist voor jongeren een waardevolle module kan
zijn in een multidisciplinaire behandeling (toegevoegde waarde). Afgesloten
wordt met een conclusie.
Eating disorders are serious illnesses with a high risk of chronic
course, high morbidity rates and many co-morbidity (Elburg & Rich,
2004). The DSM IV eating disorders several distinguished:
Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not Otherwise Specified.
Eating disorders usually come to fruition during adolescence. In Anorexia
Nervosa is the peak of emergence between fourteen and eighteen, Bulimia
Nervosa usually begins after the age of sixteen (Robbe et al, 1999;
Fleminger, 2002; Vander Eyken & Noorden, 2002). Anorexia Nervosa (AN)
has the highest mortality rate of all psychiatric disorders and
among adolescents is on the third row of the most common
disorders. Treatment results are very encouraging (Vander Eyken &
Noorden, 2002). AN is no "evidence based treatment
available. See: National Institute of Clinical Excellence (2004) and
Multidisciplinary Directive Eating Disorders (2006). Clinicians are therefore
still looking for new angles.
The adolescent psychiatry department at the University Medical Center Utrecht
is an eating disorder care program developed for young people with AN and
with an ED-NOS treated by a multidisciplinary team2.
For a description of this program from Elburg & Rich (2004).
During my work on this section (2000-2005) I have this
may contribute by implementing cognitive behavioral therapy and
EMDR as potential components of a broad-spectrum treatment. A
description of a protocol for CBT in
preparation (Beer & Tobias).
This article describes how EMDR can be used in the
treatment of adolescents with eating disorders. The described experimental state. The options proposed are indeed
tested by several therapists, but systematic
review has not been a case. A detailed description and
theoretical underpinning of the proposed use of EMDR is
also in preparation (Beer & Horn Field). This article discusses
why (theoretical framework), how (targets) and when (timing)
EMDR can be used. After several treatments illustrative excerpts
discuss why it is a valuable youth module
in a multidisciplinary treatment (value added). Completed
with a conclusion.
Keywords: Adolscents Eating Disorders
Accuracy Verified: Yes
106. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.
Language: German
Format: Journal
Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.
EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders
Accuracy Verified: Yes
107. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive
internal resource images, such as the inner advisor child-self – adult-self assessment and
development, nurturer and protector figures,
spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories;
TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.
Keywords: Abreaction Abuse Adults Blocked Processing Closing Incomplete Session Cogntive Interweave Ego Strengthening Imaginal Interweave Target Development Transference
Accuracy Verified: Yes
108. Zangwill, W. (2004, September). EMDR master series– I. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Many therapists erroneously think of EMDR as the phase of treatment involving eye movements or other forms of bilateral stimulation. EMDR treatment begins the moment there is contact between client and clinician. From first contact, to target assessment, from bilateral stimulation to reevaluation, effective EMDR processing depends on a case formulation that enables the clinician to vary EMDR implementation depending on the client's underlying issues and maladaptive coping strategies. Using discussion, videotapes and live demonstration, this presentation will provide the EMDR clinician with an increased ability to recognize and target both the clients' painful memories and their underlying blocking beliefs. In every aspect of EMDR, from developing a therapeutic relationship to choosing targets, from obtaining negative and positive cognitions to developing cognitive interweaves, and even knowing when to restart bilateral stimulation, developing and using a conceptual framework will enable the EMDR clinician to provide much more effective treatment.
Keywords: Master Series
Accuracy Verified: Yes
109. Saêta, L. B. (2012, Novembro). EMDR no tratamento da dor e das sensações fantasmas [EMDR in the treatment of pain and phantom sensations]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Sujeitos vítimas de amputação podem apresentar, imeditamente após a mesma, algum tipo de desconforto no membro ausente, descrito como formigamento, dormência, posição do membro, temperatura, latejamento, choque e apertamento que podem manifestar-se com a presença ou não de dor, tendo sua qualidade de vida reduzida. Observa-se que atualmente, as abordagens terapêuticas usadas no manejo da dor e das sensações fantasmas podem ser organizadas em três modalidades: medicamentosa, de apoio e cirúrgica, feitas em conjunto ou separadamente. Os tratamentos de apoio mais conhecidos incluem estimulação elétrica nervosa transcutânea, terapia vibratória, acupuntura, hipnose e biofeedback. A proposta desse estudo foi verificar a eficiência do EMDR na redução e/ou eliminação das sensações e da dor fantasmas aplicado a seis sujeitos com amputação de membro inferior, num período de um a três meses de duração (de 4 a 12 sessões de 60 a 90 minutos de duração), utilizando o protocolo EMDR padrão e o protocolo EMDR para a dor, e também exercícios corporais de respiração consciente, aliados, em casos de resistência dos sujeitos ao EMDR, à ativação da visão macular dos dois olhos e a exercícios rítmicos de espernear. Tais procedimentos proporcionaram uma melhor comunicação entre os hemisférios cerebrais, numa reorganização cortical que facilitou o aumento da consciência e aceitação da perda do membro amputado, sendo possível presenciar efeitos terapêuticos positivos e rápidos. Constatou-se que as sensações e as dores fantasmas diminuíram significativamente em três participantes e desapareceram por completo nos outros três, comprovando a eficácia e eficiência do EMDR no processo de inclusão e readaptação social em sujeitos vítimas de amputação.
Subjected victims of amputation may have, immediately after it, some kind of discomfort absent member, described as tingling, numbness, limb position, temperature, throbbing, clenching and shock that may occur with the presence or absence of pain, having a reduced quality of life. It is observed that currently, the therapeutic approaches used in the management of pain and phantom sensations can be organized into three types: medication, and surgical support, made jointly or separately. The most popular treatments include support transcutaneous electrical nerve stimulation, vibratory therapy, acupuncture, hypnosis and biofeedback. The purpose of this study was to examine the efficacy of EMDR in the reduction and / or elimination of phantom sensations and pain applied to six subjects with lower limb amputation in a period of one to three months duration (4 to 12 sessions of 60 to 90 minutes), using the standard EMDR protocol and the protocol EMDR for pain, and also body conscious breathing exercises, combined, in cases of resistance to the subject of EMDR, the activation of macular vision in both eyes and rhythmic exercises kicking . These procedures allow for a better communication between the cerebral hemispheres, cortical reorganization in which facilitated the increased awareness and acceptance of the loss of the amputated limb, and you can witness the positive therapeutic effects and fast. It was found that the sensations and phantom pain significantly decreased in three participants and disappeared completely in the other three, proving the efficiency and effectiveness of EMDR in the process of inclusion and social rehabilitation of victims subject to amputation.
Keywords: Amputation Phantom Pain Phantom Sensation
Accuracy Verified: Yes
110. de Roos, C., & Veenstra, S. (2009). EMDR pain control for current pain. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 537-557). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
It is estimated that approximately 30% of the population world-wide suffer
from chronic pain. In this workshop you will learn how to use EMDR in
order to treat patients who have specific forms of chronic pain e.g. phantom
limb pain, whiplash and chronic differentiation pain. Theoretical
information, practical instructions with demonstration videos of illustrative
cases and exercises or role-playing to practise yourself will all be utilised.
You will be provided with enough information and skills in order to be
confident to start treating pain patients in your own clinical practice.
This workshop will provide you with the following information:
•relevant neurobiological information about chronic pain in order to
determine whether a specific type of pain can be treated using EMDR
•the empirical status of the application of EMDR on pain and a short
review of current research and literature
•how to motivate this difficult patient group to try EMDR
•how to conceptualise a case for EMDR, the indications and contraindications
•how to choose suitable targets with pain patients
•the use of the EMDR protocol in its specific application to pain
patients and how to work with pain itself as a target
•complications you can expect and how to deal with these.
Aims:
•identify clients with chronic pain for whom EMDR may be
appropriate
•increase knowledge and understanding of the use of EMDR
in the treatment of chronic pain
•apply EMDR in the treatment of patients with chronic pain.
Target group:
EMDR trained therapists working with patients with chronic pain.
Keywords: Current Pain Pain Control Protocol
Accuracy Verified: Yes
111. Laub, B. (2006, June). EMDR standard protocol in the personal resources and the settlement to be found. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Resource Development, EMDR is an addition to standard protocol. Procedure of each session to reveal the source of healing and therapy by the end of the beginning of a resource series covers the creation. Personal resources and the settlement to be found exactly matching procedure to the problem of uncovering the unconscious and strengthen cross-country skiing in both sessions, as well as in everyday life is to make accessible. There are three types of resource development: Historical Resource Development, Present and Future Development Resources Resources Development. Standard protocol problems, sensory, cognitive, emotional and somatic components are becoming a focus can be achieved. Personal Resources Development in the settlement, resources focus dialectic movement is intensified. Sources of development activity in recent years both in Israel and other EMDR therapists Brurit Laub'ın is observed in the practice. Procedures and video images live applications and small groups will be presented with applications that can be made, personal resources development and placement will be given immediately to the practice of protocol participants.
Keywords: Historical Resource Development Resource Development
Accuracy Verified: Yes
112. Lombardo, M. (2012). EMDR target timeline. Journal of EMDR Practice and Research, 6(1), 37-46. doi:10.1891/1933-3196.6.1.37.
Language: English
Format: Journal
Abstract:
This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.
Keywords: Adaptive Information Processing AIP: Clinical Application Core Theme Time Line Treatment Target
Accuracy Verified: Yes
113. Morrow, R. D. (2008). EMDR target tracking. Journal of EMDR Practice and Research, 2(1), 69-72. doi:10.1891/1933-3196.2.1.69.
Language: English
Format: Journal
Abstract:
This question is often asked by clinicians who are motivated
to do a comprehensive job. It can be an organizational
nightmare to keep track of the targets that require
reprocessing in a longer, more complex case. It is a common
experience that the best-laid treatment plans begin to
get fuzzy after several reprocessing sessions, as it is impossible
to predict each and every target prior to the onset of
reprocessing.
Accuracy Verified: Yes
114. Loudis, L. (1992, April). EMDR targets in sex therapy. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Sex Therapy Targets
Accuracy Verified: Yes
115. Yordy, J. (2012, April). EMDR techniques to help children and teens tame the worry monster. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
The number of children and teens struggling with symptoms of stress and anxiety disorders is increasing at an alarming rate. This workshop will discuss some causes for the increase in stress and anxiety disorders among children and teens. An introduction to the Triune Brain Theory and brief explanation of the implications of the changes on the anxious child or teenage brain will be highlighted. Next, effective exercises to calm the body and rewire the brain will be introduced. Creating new neural pathways, through the use of Positive Resource Building utilizing EMDR, will also be taught. Looking specifically at anxiety and how to target it when using EMDR, will also be explored. The workshop will conclude by introducing how to shrink the “Worry Monster” using an EMDR protocol.
Learning objectives:
1.Describe the Triune Brain Theory and how trauma rewires the brain to create heightened levels of anxiety and stress.
2.Demonstrate 5 exercises which help calm the stress response within the body.
3.List 5 “Positive Resources ”which when combined with EMDR anchor calm feelings in the brain/body and rewire the brain.
4.Discuss how to chose appropriate targets for EMDR processing with anxious kids.
5.Describe how to create a “Worry Monster” for processing anxiety with EMDR.
Keywords: Adolescents Anxiety Children
Accuracy Verified: Yes
116. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR
processing, and to work to create a secure, responsive, and positive relational environment that supports change
and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from
other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation)
will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making
within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress
with greater precision, using both verbal and non-verbal markers to determine where the client is on a given
conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different
types of interweaves will be delineated with a clear description of the purpose or function associated with each.
Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both
didactic and video material.
Learning Objectives:
• Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment
decision-making during an EMDR session.
• Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice)
reflected in a client’s presenting issues, choice of targets, and stuck points.
• Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal
of maintaining and even accelerating processing within a window of tolerance.
• Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal
experiences (i.e. affect, sensation, urges, fantasies).
• Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies,
completing incomplete or truncated actions, and addressing various domains of developmental repair.
Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource
durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive
favorisant ainsi le changement et l’intégration.
Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de
la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision
‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment
suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour
déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou
approfondir le traitement du client. Objectifs d’apprentissage:
• Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas
comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR.
• Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité,
contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les
blocages.
• Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance
émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de
tolérance.
• Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides
et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes).
• Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de
compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les
dommages survenus au cours du développement.
Keywords: AEDP Dyadic Regulation Informatiional Plateaus IFS, Interweaves Sensorimotor Psychotherapy Structural Model of Dissociation Trauma-Focused Models "True" Authentic Self
Accuracy Verified: Yes
117. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
Accuracy Verified: Yes
118. Hase, M. (2010, June). EMDR to treat substance abuse and addiction. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This neurobiological-based, imprinted, addictive behaviour seems to resist change under normal circumstances. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
In a pilot-study group, 34 patients with chronic alcohol dependency in in-patient treatment for detoxification were randomly assigned to one of two treatment conditions: treatment as usual (TAU) or TAU+EMDR. In the TAU+EMDR group, patients received two sessions of EMDR focussing on memories of intense craving or relapse in order to activate and reprocess the addiction memory. The craving for alcohol was measured by the Obsessive-Compulsive-Drinking-Scale (OCDS) pre, post, and 1 month after treatment. The TAU+EMDR group showed a significant reduction in craving post-treatment and 1 month after treatment whereas TAU did not. The TAU+EMDR group showed lower relapse rates at the six-month follow-up. The results indicate that EMDR might be a useful approach for the treatment of addiction memory and associated symptoms of craving (Hase et al. 2008). Anecdotal reports show results with opiate and stimulant addicted patients.
This Workshop will address the EMDR treatment of comorbid PTSD and focuses on the application of EMDR as an adjunct in addiction treatment. Targets for a comprehensive EMDR treatment plan will be explained. A video demonstration, self-experience and discussion of cases shall contribute to learning.
REFERENCES
Boening, J. A. (2001). Neurobiology of an addiction memory. J Neural Transm 108(6): 755-65.
Hase, M., Schallmayer, S. and Sack, M (2008). "EMDR reprocessing of the addiction memory: Pre-treatment, post-treatment, and 1-month follow-up" J EMDR 2 (3), 170-179.
Keywords: Addiction Memory Posttraumatic Stress Disorder PTSD Substance Abuse TAU Treatment As Usual
Accuracy Verified: Yes
119. Forgash, C. (2009, August). An EMDR treatment approach to addressing health problems of complex trauma survivors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: In this workshop, the EMDR clinician will learn how to deal with the effects of trauma, PTSD, illness, and chronic pain often suffered by complex trauma clients. Participants will understand how these issues interfere with access to healthcare and successful treatment. This workshop will demonstrate how to help the client avoid retraumatization in healthcare settings, by teaching interventions within the preparation phase for management of dissociation and affective problems, as well as PTSD symptoms. Clinicians will learn how to develop connections between present health problems (chronic illness, pain) and earlier trauma, to develop specific EMDR targets for reprocessing. This workshop will emphasize skills development and future template work.
Keywords: Health Problems Trauma Survivors
Accuracy Verified: Yes
120. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students
[Author abstract]
Keywords: Adolescents Children Imaginal Exposure, In Vivo Desentization, Outpatient Setting School Refusal Student Reintegration Symposium
Accuracy Verified: Yes
121. Holmshaw, M. (2009, March). EMDR treatment of four cases of long term heterosexual unconsummated relationships: Efficacy of trauma-based, adaptive psychological approach. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
Four women between the ages of 29 and 35 presented with distress
and relationship problems due to their perceived inability to sexually consummate their
marriages. On average they had been married for 48 months and in all four cases presented
with considerable distress as they perceived themselves as failures fearing that they would
not be able to have children.
Despite varied past histories, this small cohort all had either sexual abuse histories (one
case) or unusual fantasies about sexual penetration and their own and their partners’ sexual
organs.
This presentation illustrates the helpfulness of history taking and case conceptualisation
with specific emphasis on sexual and developmental history, the role of the “normal” male
partner and the use of the touchstone memory in obtaining initial targets for processing
The four women are compared to establish individual variables which determined sessions
numbers and successful treatment outcome. (Session numbers varied between 6 and 35,
with three subjects needing fewer than 10 sessions).
Suggestions for the use of a similar approach to treat sexual performance anxiety are put
forward
Keywords: Heterosexual Unconsummated Relationships Symposium
Accuracy Verified: Yes
122. Leeds, A. (2010, September/October). EMDR treatment of panic disorder with and without agoraphobia: Two model treatment plans. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This presentation will review strengths and limitations of treatments for PD and PDA with a focus on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Two EMDR treatment plans will be presented: a Model I plan for PD without agoraphobia or other co-occurring disorders, and a Model II plan for more complex cases of PDA or PD with co-occurring anxiety or Axis II disorders. Clinical examples and specific guidelines will be presented for identifying PD targets and for when to extend preparation phase work and postpone reprocessing of core attachment material in Model II cases.
Keywords: Agoraphobia Panic Disorder
Accuracy Verified: Yes
123. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.
Keywords: Road Traffic Incidents RTI Travel Phobia
Accuracy Verified: Yes
124. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques
Accuracy Verified: Yes
125. Meignant, I. (2011, June). EMDR with couples in the context of family therapy [EMDR mit paaren im kontext der familientherapie]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
The use of both Mony Elkaïm’s systemic model and the AIP model is a new perspective for couples’therapy and for EMDR target plan and further in individual therapy where relational problems are involved. This workshop will teach present a way to do a target plan for relational problem treatment. Focusing on couples’therapy the workshop will show how to do an EMDR case conceptualization integrating the systemic model. It will propose clinical question/answer that will help to decide to use EMDR or not in the couple session, choosing the position of the other member of the couple during the reprocessing phases. It will show the use of individual safe places as a safe place for the couple during the session and at home.
What we propose here is that the understanding of Mony Elkaïm’s Systemic model for a couple in crisis guides us to find where to work on the past of each member to heal the couple in the EMDR target plan. We imagine that this understanding can be of help to build a bridge between any 2 parts of a relation: 2friends, 2 colleagues, 2 persons from different culture or religion.
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis can be useful in the EMDR treatment of couples, EMDR case conceptualization and EMDR target plan. This model insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: "I want to be loved" (O.P) and" if someone loves me he will leave me" (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of any people in interaction. The aim of the EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious circle in which they are caught.
In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem the couple is dealing with, hence helping the system to evolve from a situation of crisis to a situation of equilibrium.
Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaïm’s systemic model will help the couple. Following each phase of the EMDR model eight-phases protocol, we will show how it will be applied to couple therapy with case studies and practice example. We will see how this target plan can apply to any dyad or system in crisis in family therapy, couple therapy and individual therapy.
Learning objectives:
•Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple or any relational present problem in an EMDR target plan.
•Being able to do the installation of EMDR safe place as a resource for the couple.
•Evaluate more clearly whether and when to use EMDR in the couple therapy session.
•Knowing specifications of each of the 8 phases EMDR protocol with couple.
Keywords: Couples Family Therapy
Accuracy Verified: Yes
126. Mosquera, D. (2012, March). EMDR with trauma and narcissism [EMDR met trauma en narcisme]. Keynote resentatie op de 6e congres van de Vereniging EMDR Nederland, Arnghem, The Nederlands.
Language: English
Format: Conference
Abstract:
The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms, and when narcissistic features are described, they tend to be considered as characteristics of the abusive figure. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Although this picture describes some situations related to maltreatment and abuse, it can be simplistic and minimize or overlook internalization of some abuser features by victims (e.g., the presence of perpetrator-imitator parts in DID). Narcissistic features can be a cause and consequence of traumatization and can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization.
A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-centered profile.
A description of different profiles characterized by self-centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations.
To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.
Keywords: Narcissim
Accuracy Verified: Yes
127. Gorrini, Z. & Maquieira, S. (2007, Novembero). EMDR y duelo: Conceptualización, planificación y procedimientos del tratamiento [EMDR and grief: Conceptualization, planning and procedures treatment. Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizaje del trabajo:
- Revisar la conceptualización de Duelo para
EMDR
- Identificar los blancos sobre los que planificar
los procedimientos, especialmente en TEPT
complejo
- Ampliar recursos en los tratamientos de duelo,
en sus dos presentaciones, duelo congelado y
duelo reciente.
- Compartir las experiencias del trabajo en
duelos.
Learning Objectives of work:
- Check the conceptualization of mourning for
EMDR - Identify the targets on which to plan
procedures, especially in PTSD
complex - Increase resources in the treatment of grief,
in his two presentations, frozen grief
recent bereavement.
- Share experiences of working in
duels.
Keywords: Grief
Accuracy Verified: Yes
128. Foster, S., Lendl, J., & Paulsen-Inobe, S. L. (2000, September). EMDR – Integrated coaching for effective leadership and innovative strategic visioning. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand and be able to describe the theoretical foundation for applying a trauma methodology to issues of optimal performance; 2) observe and practice effective techniques for positive resource installation for peak performance; and 3) be able to identify specific targets and negative and positive cognitions for enhancing leadership and increasing productivity using EMDR - integrating coaching.
Keywords: Coaching Performance Enhancement Resource Installation
Accuracy Verified: Yes
129. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
Accuracy Verified: Yes
130. Wachter, M. (2002). EMDR — inte bara traumabehandling [EMDR - not just trauma treatment]. Föreningen Psykisk Hälsa, (43)3, 256-266.
Language: Swedish
Format: Journal
Abstract:
Jag har arbetat de senaste tio åren med behandling av barn och ungdomar på en BUP-mottagning i Stockholm i ett invandrartätt område. Jag träffar därför många barn/ungdomar med olika typer av krigstrauman men naturligtvis också klienter med andra trauman och mer "vanliga" svårigheter. Med denna artikel skulle jag vilja visa hur jag har inlemmat EMDR-metoden (Eye Movement Desensitization and Reprocessing) i behandlingen av två barn med sinsemellan helt olika livshistoria och symtom. Min erfarenhet är att EMDR förutom vid trauma är effektiv vid olika typer av problem. Den kan dessutom användas för att förstärka jagresurser och självkänsla. [Excerpt]
I have worked the last ten years with children and young people on a BUP reception in Stockholm in an ethnic community. I see why a lot of children / adolescents with different types of war traumas but of course also clients of other traumas and more "normal" difficulty. With this article I would like to show how I have incorporated EMDR method (Eye Movement Desensitization and Reprocessing) in the treatment of two children with one another completely different life history and symptoms. My experience is that EMDR except in trauma is effective in various types of problems. It also can be used to enhance jagresurser and self esteem.
Accuracy Verified: Yes
131. Nadler, W. (1996, January). EMDR: Rapid treatment of panic disorder. International Journal of Psychiatry, 2, 1-8.
Language: English
Format: Journal
Abstract:
This article describes Eye Movement Desensitization and Reprocessing (EMDR), a new treatment for Panic Disorder, and gives as an example of its application, details of a recent case which resulted in alleviation of panic attacks and a significant decrease in anticipatory anxiety within two sessions. The EMDR method also brought into consciousness a nexus of underlying issues and conflicts concerning loss, separation, anger and guilt. Implications for the treatment of panic are discussed within the context of the etiology of panic including the disparate ideas of Davanloo and Clark. EMDR may possess unique features that allow for a diverse array of treatment targets ranging from conditioned interoceptive sensations and catastrophic beliefs to repressed rage and grief. [Author abstract]
Keywords: Panic Disorders
Accuracy Verified: Yes
132. Greenwald, R. (2007, October). EMDR: Within a phase model of trauma-informed treatment. New York: Haworth Press. ix, 255 pp.
Language: English
Format: Book
Abstract:
Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the “Fairy Tale Model” as a way to understand and remember the essential phases of treatment and the tasks in each phase.
This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill.
In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework.
Keywords: Phase Model of Trauma-Informed Treatment
Accuracy Verified: Yes
133. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..
Language: Dutch
Format: Book
Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
Accuracy Verified: Yes
134. Leeds, A. M. (2010). EMDR: Getting started - Guidelines for clinicians in selecting clients for initial application of EMDR following EMDR Level I training and preceding Level II training. EMDRIA Newsletter, 3(1), 7-11.
Language: English
Format: Newsletter
Abstract:
These suggested guidelines are offered in response to many questions raised by clinicians recently trained in EMDR about getting started with using EMDR in clinical practice. Because of the wide variation in clinical background, theoretical orientation, length of experience learning style, and clinical settings of those who attend EMDR training, these are general guidelines that will be more or less useful or different clinicians.
The original version of this article was published March, 1998.
This article addresses questions raised by clinicians in training or recently trained in EMDR regarding case finding and selection criteria for their initial applications of EMDR. Guidelines are offered for number of sessions of practice during training, for identifying and deferring more complex cases until more experience is gained, and for recognizing clients where reprocessing of disturbing memories should be postponed in favor of client stabilization. Three classes of clients and targets, with descriptive case examples, are proposed for initial application of EMDR during the training process. Clinicians are encouraged to thoroughly read Shapiro’s (2001) required text and other recently published books and journal articles and to actively participate in consultation with an EMDRIA Approved Consultant.
Keywords: Training
Accuracy Verified: Yes
135. Hornsveld, H. K., Landwehr, F., Stein. W., Stomp, M. P. H., Smeets, M. A. M., & van den Hout. M. A. (2010). Emotionality of loss-related memories is reduced after recall plus eye movements but not after recall plus music or recall only. Journal of EMDR Practice and Research, 3(4), 106-112. doi:10.1891/1933-3196.4.3.106.
Language: English
Format: Journal
Abstract:
Numerous studies have shown that eye movements during recall of negative memories reduce their emotionality.
We investigated whether these findings can be extended specifically to negative memories of loss.
Sixty undergraduate students participated and recalled a negative autobiographical memory of loss and
performed—in counterbalanced order—three types of tasks: recall-plus-eye-movements, recall-only, and
recall-plus-relaxing-music. Recall-plus-music was added to investigate whether reductions in emotionality
are associated with relaxation. Levels of emotionality, relaxation, and concentration were assessed before
and after each stimulus condition. Participants reported a greater decline in emotionality and concentration
after eye movements in comparison to recall-only and recall-with-music. It is concluded that eye
movements are effective when negative memories pertain to loss and grief, suggesting possibilities for
treatment intervention in individuals suffering from complicated grief.
Keywords: Eye Movements Grief Loss Mechanism of Action Relaxation Working Memory Grief
Accuracy Verified: Yes
136. Jenkins, S., & Baker, J. (2011). The equine-assisted EMDR manual: A guide to the integration of eye movement desensitization reprocessing and equine-assisted therapy. Tempe, AZ: Dragonfly International Therapy .
Language: English
Format: Book
Abstract:
This manual includes an overview of Equine-Assisted Psychotherapy (EAP) and Eye Movement Desensitization Reprocessing (EMDR) individually, and the rationale for integrating them through the EquiLateral Protocol(TM). Learn about EMDR practitioner types and organizations in the marketplace. You will also get valuable "how-to's" for client selection, case conceptualization, target sequence planning and treatment planning! In addition, you will find case examples for each phase, treatment team roles, along with a sample eight-phased equine-based activity!
Keywords: EAP Equine-Assisted Psychotherapy Horses
Accuracy Verified: Yes
137. Rosa-Uribe, M. E., & Ramírez, E. O. L. (2011). Evaluación de la naturaleza cognitiva dual de la depresión bajo la psicoterapia EMDR [Assessment of cognitive dual nature of EMDR psychotherapy on depression]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [29 pages].
Language: Spanish
Format: Other
Abstract:
La presente investigación se llevó a cabo con personas que fueron diagnosticadas con
depresión mayor y que participaron en un proceso terapéutico EMDR (por sus siglas en
inglés -Eye Movement Desensitization and Reprocessing-). La recolección de datos se
realizó en la práctica clínica mediante el diseño de estudios de caso longitudinales, dentro de
los cuales se consideraron a la vez dos tipos de estudios cognitivos, organizados en tres
fases (inicial, intermedia y final). Los estudios cuasiexperimentales, de identificación de
valencia emocional bajo el paradigma de facilitación afectiva, se realizaron para observar los
cambios en el mecanismo de sesgo cognitivo emocional sobre las palabras depresogénicas.
Por su parte los estudios descriptivos, de análisis de representación emocional
depresogénica bajo la técnica de escalamiento multidimensional y de escalamiento
PathFinder, se utilizaron para determinar la forma en la que el esquema disfuncional era
modificado. Los resultados muestran que EMDR impactó tanto el procesamiento cognitivo de
la información emocional, como la organización conceptual en memoria a largo plazo. En la
sección de la discusión se hacen señalamientos interesantes sobre la integración de las
herramientas de la ciencia cognitiva de la emoción a la práctica del EMDR para la evaluación
cognitiva dual (implícita/explícita) de la recuperación de la depresión.
This research was conducted with people who were diagnosed with
major depression who participated in a therapeutic process EMDR (for short
English-Eye Movement Desensitization and Reprocessing-). Data collection is
performed in clinical practice by designing longitudinal case studies, within
which were considered simultaneously two types of cognitive studies, organized in three
phases (initial, intermediate and final). Quasi studies, the identification of
emotional valence in the affective priming paradigm were conducted to observe the
changes in the mechanism of emotional cognitive bias on the words depressogenic.
For their part, descriptive studies, analysis of emotional representation
depresogénica under the multidimensional scaling technique and scaling
PathFinder, were used to determine the manner in which the pattern was dysfunctional
modified. The results show that both EMDR impacted cognitive processing
emotional information, such as conceptual organization in long term memory. in the
discussion section of the interesting remarks are made on the integration of
tools of cognitive science of emotion to the practice of EMDR for the evaluation
cognitive dual (implicit / explicit) of recovery of depression.
Keywords: Affective Priming Cognition Depression, Depressive Patterns Emotion
Accuracy Verified: Yes
138. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]
Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
139. Bruzzese, D., & Moore, M. (2006, April). Eye movement desensitization and reprocessing. Southwest Regional Behavioral Health Conference, Albuquerque, NM.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a complex, highly specialized therapy that combines several therapeutic methods—
psychodynamic, cognitive, behavioral, etc.—with eye movements or other forms of rhythmical stimulation, such as hand taps or sounds. It involves recalling a stressful past event and “reprogramming” the memory in the light of a positive, self-chosen belief. EMDR has been shown to be effective in the treatment and relief of Post Traumatic Stress Disorder as well as trauma, depression, anxiety, grief, and other types of disorders listed in the DSM IV. Theories as to why EMDR works are still evolving. Learn about
the EMDR treatment method, the benefits, drawbacks and research results.
Accuracy Verified: Yes
140. Shapiro, F. (2001, April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Psicoterapia Cognitiva e Comportamentale, 7(1), 43-75.
Language: English
Format: Journal
Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single trauma victims no longer maintain the posttraumatic stress disorder (PTSD) diagnosis after the equivalent of 3 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. This article describes the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs Review
Accuracy Verified: Yes
141. Shapiro, F. (1999, January-April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Journal of Anxiety Disorders, 13(1-2), 35-67. doi:10.1016/S0887-6185(98)00038-3.
Language: English
Format: Journal
Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single-trauma victims no longer maintain the posttraumatic stress disorder diagnosis after the equivalent of three 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. Unfortunately, some research has been conducted that has been severely hampered by insufficient treatment fidelity and lack of clinical validity. Consequently, this article will attempt to describe the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. [PubMed]
[Note: Erratum in Journal of Anxiety Disorders 13(6), 621, Nov-Dec 1999]
Keywords: Anxiety Disorders Literature Review Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs
Accuracy Verified: Yes
142. Servan-Schreiber, D., Schooler, J., Dew, M. A., Carter, C., & Bartone, P. (2006). Eye movement desensitization and reprocessing for posttraumatic stress disorder: A pilot blinded, randomized study of stimulation type. Psychotherapy and Psychosomatics, 75(5), 290-297. doi:10.1159/000093950.
Language: English
Format: Journal
Abstract:
Backgroound: Eye movement desensitization and reprocessing (EMDR) is becoming a recognized and accepted form of psychotherapy for posttraumatic stress disorder (PTSD). Yet, its mechanism of action remains unclear and much controversy exists about whether eye movements or other forms of bilateral kinesthetic stimulation contribute to its clinical effects beyond the exposure elements of the procedure. Methods: Twenty-one patients with single-event PTSD (average Impact of Event Scale score: 49.5) received three consecutive sessions of EMDR with three different types of auditory and kinesthetic stimulation (tones and vibrations): intermittent alternating right-left (as commonly used with the standard EMDR protocol), intermittent simultaneous bilateral, and continuous bilateral. Therapists were blinded to the type of stimulation they delivered, and stimulation type assignment was randomized and counterbalanced. Results: All three stimulation types resulted in clinically significant reductions of subjective units of distress (SUD). Yet, alternating stimulation resulted in faster reductions of SUD when only sessions starting with a new target memory were considered. Conclusions: There are clinically significant effects of the EMDR procedure that appear to be independent of the nature of the kinesthetic stimulation used. However, alternating stimulation may confer an additional benefit to the EMDR procedure that deserves attention in future studies.
Keywords: Bilateral Kinesthetic Stimulation Type Distress Empirical Study Posttraumatic Stress Disorder Psychotherapy PSTD Quantitative Study Stimulus Parameters Subjective Units of Distress SUD
Accuracy Verified: Yes
143. Kelley, S. D. M., & Benbadis, S. (2007, March-April). Eye movement desensitization and reprocessing in the psychological treatment of trauma-based psychogenic non-epileptic seizures. Clinical Psychology & Psychotherapy, 14(2), 135-144. doi:10.1002/cpp.525.
Language: English
Format: Journal
Abstract:
Little is known about the types of mental health treatment that are most effective for psychogenic non-epileptic seizure (PNES) patients who have high rates of comorbid post-traumatic stress disorder (PTSD) and dissociation. Eye movement desensitization and reprocessing (EMDR) has proved to be effective in the treatment of PTSD, anxiety states, dissociative symptoms and somatoform disorders. This study, which utilized a non-controlled qualitative multiple revelatory case design, integrates EMDR into the psychological treatment of PNES patients with confirmed trauma experiences. With EMDR targeting trauma and dissociative symptoms in three patients, PNES were extinguished in two. Those patients have remained seizure-free for 12-18 months. Copyright © 2007 John Wiley & Sons, Ltd.
Keywords: Clinical Case Study Comorbidity Emotional Trauma Empirical Study Epileptic Seizures Posttraumatic Stress Disorder Psychogeninic Non-epileptic Seizures Psychological Treatment Psychogenesis PTSD Qualitative Study Trauma
Accuracy Verified: Yes
144. Estergard, L. (2008). Eye movement desensitization and reprocessing in the treatment of chronic pain. Walden University, Minneapolis, MN. AAT 3336660.
Language: English
Format: Dissertation/Thesis
Abstract:
Previous research has indicated that individuals with chronic pain who exhibit adaptive coping mechanisms are more likely to manage their pain effectively. If they experienced little success with pain management in the past, they are not likely to exhibit adaptive coping strategies in the present. However, there remains an important gap in the literature regarding the use of eye movement desensitization and reprocessing (EMDR) as a strategy for chronic pain. One purpose of this study was to establish the effectiveness of EMDR in the reduction of chronic pain; another was to examine the relationship between chronic pain intensity and emotion, as suggested by the biopsychosocial model of pain and measured by the Multiple Affect Adjective Checklist-Revised. In this matched 2-group design, participants were matched on pretest chronic pain scores and randomized to EMDR and a delayed treatment group. Pre- and posttreatment chronic pain levels were determined using the Short-Form McGill Pain Questionnaire. Data were analyzed using paired samples t-tests. There was a significant reduction in chronic pain following six EMDR sessions for the participants in the experimental group and the delayed-treatment group. The results also indicated a reduction in dysphoria for both groups following EMDR. The findings may help to clarify whether EMDR is effective in alleviating chronic pain, which may lead to more satisfying lives for patients and their families. This study is an important contribution to the literature and enhances social change initiatives by showing that collaboration between EMDR and other types of treatment may offer more expedient and long-term relief to patients, thus affecting the costs (e.g., health insurance) associated with chronic pain.[Author abstract]
Keywords: Biopsychosocial Models Chronic Pain Coping Treatment
Accuracy Verified: Yes
145. Fernandez, I., & Faretta, E. (2007, February). Eye movement desensitization and reprocessing in the treatment of panic disorder with agoraphobia. Clinical Case Studies, 6(1), 44-63. doi: 10.1177/1534650105277220.
Language: English
Format: Journal
Abstract:
This article describes a comprehensive treatment of a case of panic disorder with agoraphobia. A thorough history taking revealed that experiential contributors had a pivotal role in the development of the condition. Therefore, eye movement desensitization and reprocessing (EMDR) was used to address early traumatic events as well as the present stimuli that caused disturbance and had maintained symptomatology for the past 12 years. Although the client's symptoms were resolved after 15 sessions, EMDR was also effective in addressing future behaviors and resolving anticipatory anxiety. During EMDR processing, the client demonstrated emotional and cognitive changes consistent with trauma resolution, insight, and personal growth. The client gradually enacted functional new behaviors spontaneously as treatment unfolded. The therapeutic process and the targets are described in detail. [Author Abstract]
Keywords: Adults Agoraphobia Case Report Clinical Case StudyFemales Italians Panic Disorder Phobia Psychotherapeutic Processes Stressors Survivors Trauma
Accuracy Verified: Yes
146. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]
Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
147. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.
Language: English
Format: Dissertation/Thesis
Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]
Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community
Accuracy Verified: Yes
148. Kuiken, D., Bears, M., Miall, D., & Smith, L. (2001/2002). Eye movement desensitization reprocessing facilitates attentional orienting. Imagination, Cognition and Personality, 21(1), 3-20. doi:10.2190/L8JX-PGLC-B72R-KD7X .
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization Reprocessing (EMDR) is a controversial treatment for PTSD that requires clients to make rapid eye movements while revisualizing a traumatic event. Although seemingly effective, the process by which EMDR exerts its effects is poorly understod. We propose that EMDR's eye movements facilitate the orienting response, i.e., the attentional adjustment to unexpected stimuli. Since the orienting response has been implicated in spontaneous transformations of dream content during REM sleep, we reasoned that, similarly, activation of the orienting response during EMDR may facilitate content transformations in traumatic memories. To examine this hypothesis, 25 undergraduates completed 20 seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (1) a covert visual attention task, in which a cue indicated the likely position of a subsequent target, and (2) a sentence rating task, in which sentences with either metaphoric or non-metaphoric endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and increased the extent to which metaphoric sentence endings were found striking. Together these results suggest that the eye movements in EMDR induce attentional and semantic flexibility, thereby facilitating transformations in the client's narrative representation of the traumatic event. The implications of these findings for theories of dream formation and metaphor comprehension are also considered. [Author Abstract]
Keywords: Adults College Students Empirical Study Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
149. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.
Keywords: Eye Movements Mechanism of Action Neurobiology Poster Rorschach Test
Accuracy Verified: Yes
150. Wizansky, B. (2001, May). Fashioning EMDR targets with non co-operative Children: Tailoring the technique to the child. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Book Section
Abstract:
Utilising EMDR with non co-operative children presents a challenge to the therapist's
creativity and flexibility. Non co-operation may be based on any one of a number of issues,
such as generalised anxiety, strong need for control, fear of experiencing uncomfortable
emotions. This paper looks at several clinical manifestations of non co-operation in the
therapy room and discusses ways in which these reluctant children have been helped to
identify a target problem and process it.
Keywords: Children Non Co-operation
Accuracy Verified: Yes
151. Abbott, G. (2005, September). Four methods of target identification and ordering for EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This workshop will present an important review of Phase One of EMDR treatment as it fits within the Adaptive Information Processing Model. The
presenter will describe and analyze four strategies for identifying and ordering
targets for EMDR rreatment. Strategies to be covered are I ) Francine Shapiro's standard method; 2) A time line method, 3) A Genogram method proposed by Maureen Kitchur in her Strategic Developmental Model and 4) A hypnotic
method inspired by Milton Erickson's February Man cases. Analysis of the unique strengths and limitations of each approach will be made. Clinical choices will be outlined with respect to the use of each strategy in light of characteristics of the client, the clinician, and the clinical setting itself. Case examples will be
presented. Handouts wlth guidelines for each method will be distributed. Participants will be invited to engage in imaginal exercises to further the exploration of these strategies.
Keywords: February Man Genogram Maureen Kitchur Milton Erickson Targeting Timeline
Accuracy Verified: Yes
152. Shapiro, S., & Abbott, G. (2004, September). Four methods of target selection for EMDR treatment. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Research indicates that adherence to all Eight Phases of EMDR correlates with improved therapeutic results. The Adaptive Information Processing Model contributes to our understanding of this finding. The focus of this workshop will be on the EMDR Phase One imperative of comprehensive evaluation and treatment planning prior to reprocessing. Participant will review 4 strategies for selecting and ordering targets for reprocessing: 1) Shapiro’s "ten most disturbing memories"; 2) A time line method: 3) Kitchur's genogram approach: and 4) hypnotic age-regression strategy inspired by Milton Erickson. The presenters will analyze each strategy, emphasizing its unique strengths, limitations, and vulnerabilities. Participants will engage in interactive exercises.
Keywords: Target Selection
Accuracy Verified: Yes
153. Scholz, R. (2010, June). From mass trauma to chosen trauma - some discriminations and their therapeutic relevance. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The paper is about what usually is referred to as collective
trauma and specifies this term. 'Collective trauma' here
is used as a generic term that covers mass trauma, so called
'simple' large group trauma and chosen trauma. These different
types are defined and the process and conditions are explored
that is needed to transform mass suffering into large group
trauma and then into chosen trauma. Emphasis is laid on the
process' time dimension, which is connected to different types
of memory (body memories, communicative memory, cultural
memory) modes of transition and functions for the psychic life
of a group and its members.
The basic assumption is that trauma always is relational and
thus contains a group dimension that is often ignored and to a
certain degree in some cases for practical reasons is ignorable in
treatment. But in the area of collective trauma this dimension
has to be put into the foreground to gain a sound understanding
from the processes involved.
The paper tries
- to provide EMDR-therapist with a theoretical background to
discriminate between different types of collective trauma,
- to foster an understanding of different types of memories
connected to these different trauma types,
- to convey the knowledge that different types of collective
trauma due to the different dynamics involved ask for different
types of actions,
- to give a tool to understand when and to what extend EMDR treatment
is the method of choice and what else or different is
needed in heaping people to overcome collective trauma.
The innovation is a classification of collective trauma connecting
it too different types of memories that cause different processes.
That allows getting out of the sometimes gloomy use of the term
"collective trauma". The high emotional as well as moral loading
always connected to traumatic experiences tend to obscure a
clear view on the processes at work. But a sound understanding
is needed to take appropriate measures in the different areas.
Keywords: Mass Trauma Symposium
Accuracy Verified: Yes
154. Royle, L., & Kerr, C. (2012). From the general to the specific—selecting the target memory. Journal of EMDR Practice and Research, 6(3), 101-109. doi:10.1891/1933-3196.6.3.101.
Language: English
Format: Journal
Abstract:
This article is an excerpt from the book Integrating EMDR Into Your Practice (Royle & Kerr, 2010), which is a hands-on guide to facilitate the successful integration of eye movement desensitization and reprocessing (EMDR) training into therapists' practice while recognizing that trainees come from a range of theoretical backgrounds. This excerpt focuses on identifying the appropriate target memory and its related negative cognition (NC) in preparation for desensitization. Clients and therapists need to understand the rationale for selecting a particular target utilizing prioritization and clustering techniques. The importance of the belief system is discussed and methods of identifying the initial targets are offered, including the floatback technique. Many practitioners experience difficulty in getting the right NC, and methods for drawing this out are illustrated. Final preparations prior to desensitization are considered as well as the importance of addressing client anxieties and expectations. Throughout the excerpt, case vignettes are used to outline cautions and common pitfalls encountered by the novice EMDR therapist.
Keywords: Client Anxiety Negative Cognition Preparation Phase Target Memory Treatment Plan
Accuracy Verified: Yes
155. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
EMDR
with
people
suffering
from
complex
trauma
often
leads
to
difficulties
regarding
the
treatment
plan,
but
also
during
desensitization,
reprocessing,
with
a
risk
of
major
destabilization,
and
treatment
drop
outs.
Often,
many
targets,
especially
those
coming
from
early
childhood,
are
pre-‐verbal
in
nature
and
stay
therefore
implicit.
Should
we
then
renounce
in
doing
EMDR
with
these
people?
Is
it
possible
to
apply
EMDR
safely
and
without
getting
lost,
adjusting
to
each
person,
so
different
from
another,
and
their
life
events
somewhat
chaotic?
The
gearbox,
through
the
metaphor
of
a
journey
by
car,
suggests
a
hierarchical
processing
structure
to
navigate
through
therapy
with
people
suffering
from
complex
trauma,
which
allows
the
therapist
to
adapt
to
the
client,
his/her
life
context,
knowing
what
to
do,
and
why.
The
result
is
a
more
self-‐confident
therapist,
who
is
able
to
adapt
to
the
client,
being
so
more
flexible
and
safe
while
doing
EMDR.
By
integrating
the
current
knowledge
of
EMDR
for
complex
trauma,
the
gearbox
is
a
dynamic
and
adaptive
tool.
EMDR
en
personas
que
sufren
trauma
complejo
a
menudo
conlleva
dificultades
respecto
al
plan
terapéutico
y
también
durante
la
desensibilización
y
reprocesamiento,
con
el
riesgo
de
una
desestabilización
mayor
y
el
abandono
del
tratamiento.
Con
frecuencia,
muchos
de
los
objetivos
y,
muy
especialmente
los
que
tienen
su
origen
en
la
primera
infancia,
son
preverbales
y,
por
lo
tanto,
permanecen
implícitos.
¿Deberíamos
renunciar
al
uso
de
EMDR
con
estas
personas?
¿Es
posible
aplicar
EMDR
de
forma
segura
y
sin
perderse,
adaptándose
a
cada
persona,
tan
distintas
unas
de
otras,
así
como
a
sus
eventos
de
vida,
algo
caóticos?
“Gearbox”,
a
través
de
una
metáfora
de
un
viaje
en
coche,
sugiere
una
estructura
jerárquica
de
procesamiento
para
navegar
por
la
terapia
con
personas
que
sufre
trauma
complejo,
lo
que
permite
al
terapeuta
a
adaptarse
al
cliente,
el
contexto
de
su
vida,
sabiendo
qué
hacer
y
por
qué.
El
resultado
es
un
terapeuta
con
más
confianza
en
sí
mismo,
capaz
de
adaptarse
al
cliente,
con
mucho
más
flexibilidad
y
seguridad
mientras
utiliza
EMDR.
Al
integrar
los
conocimientos
actuales
de
EMDR
en
casos
de
trauma
complejo,
“la
caja
de
cambios”
es
una
herramienta
dinámica
y
adaptativa.
Keywords: Gear Box
Accuracy Verified: Yes
156. Settle, C. (2004, August). Graphing EMDR targets or symptoms. Author.
Language: English
Format: Other
Abstract:
Graphing can be used with children five years old and up. It can be used to build mastery
and help the child measure his or her progress with multiple targets or with their
symptoms. Graphing can also help the child in-between sessions. Many children
spontaneously ask if they can take the graph home and show the parent that is not present
in the session. The children often are surprisingly honest about their progress and use the
graphs to tell me what they want to target today. [Excerpt]
Keywords: Children Graphing Symptoms Targets
Accuracy Verified: Yes
157. Maltz, W. (1995, June). Healing the sexual problems caused by sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Sexual abuse is abuse to a person's sexuality. It can seriously harm the development of healthy sexual attitudes, self-concept, and
behavior. In particular, survivors are often troubled by a variety of sexual problems, such as, fear and avoidance of sex, approaching
sex as an obligation, automatic negative reactions to touch, difficulty becoming aroused or feeling sensation, emotional detachment
during sex, disturbing sexual thoughts and fantasies, compulsive sexual behaviors, difficulty with intimate partners, and sexual
functioning concerns.
EMDR is a technique which can effect significant changes in cognition, sensation, and emotional experience. It can be a powerful tool to help survivors reprocess traumatic material blocking healthy sexual experience. But because sex is often an extremely loaded
issue for survivors, and EMDR is seen as technique in which the therapist "does something" to the client, precautions must be taken
to avoid negative, retraumatizing reactions and increase positive results. Due to the high potential for negative transference in sex
therapy with survivors, the therapist must present the EMDR technique in a style which values client safety and empowerment. This
can involve associating the techque with safe images and prior positive experiences, developing relaxation and containment skills,
and modifying the physical aspects associated with the technique.
There are a variety of sexual concerns which respond well to EMDR intervention. EMDR can be used to help replace old negative
messages about sex with new messages which view sex as based on consent, equality, respect and safety. Sexual self-concept can
be improved as survivors undo irrational belief systems which blame their sexuality and/or sexual parts for having caused the abuse.
EMDR can help introduce new experiences of self-forgiveness and self-acceptance. EMDR can also help desensitize particular
objects, sexual settings, types of touch, and associations to the intimate partner which trigger negative reactions.
Therapists who focus on sexual healing need to be familiar with a variety of sexual healing techniques. These include the sexual
response cycle exercise, relearning touch exercises, techniques for healing unwanted sexual fantasies, and techniques for improving
sexual functioning. Therapists can use EMDR to help survivors work through blocks and impasses encountered with the
techniques.
Keywords: Sexual Abuse Sexual Issues
Accuracy Verified: Yes
158. Marcus, S. (2008, Maart ). Het behandelen van hoofdpijn met geïntegreerde EMDR [Treating headaches with integrated EMDR]. Presentatie op het derde congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands.
Language: English
Format: Conference
Abstract:
Negentig procent van het Amerikaanse publiek krijgt af en toe hoofdpijn. Naar schatting vijfenveertig miljoen Amerikanen hebben ernstige terugkerende hoofdpijn. Tot dusver is het primaire behandeling voor hoofdpijn is farmaceutica. Deze workshop beoogt u vertrouwd te maken met een niet-veilige alternatieve medicatie voor de behandeling van hoofdpijnen die gebruik maakt van EMDR.
De bedoeling van dit seminar is om artsen te trainen in het gebruik van een geïntegreerde aanpak van EMDR bij de behandeling van spanning en migraine. Meer dan 50% van deze presentatie is de opleiding en "hands on" de praktijk van de geïntegreerde aanpak van EMDR. De twee primaire doelstellingen van dit seminar zijn aan a) een overzicht van de huidige professionele praktijken van de behandeling hoofdpijn en b) de deelnemers te trainen in het gebruik van geïntegreerde EMDR, Fase 1 (acute hoofdpijn reliëf) en fase 2 (multi-sessie behandeling van hoofdpijn ). Andere doelstellingen zijn onder andere inzicht hoofdpijn ontstaan, hoofdpijn trigger identificatie, hoofdpijn drempel theorie, overzicht van dr. Marcus 'Migraine Onderzoek, training in de geïntegreerde EMDR protocol dat ontwikkeld is voor de klinische praktijk, informed consent en inzicht in de rol van de provider bij de inzet van deze benadering in de klinische praktijk . Hoewel deze workshop is voor slechts EMDR getrainde clinicus, hoofdpijn eerdere ervaring in behandeling is niet vereist.
Dit seminar zal u helpen om:
1. Geef hoofdpijn opluchting voor uw patiënten.
2. Herkennen de verschillende soorten hoofdpijn.
3. Inzicht in de biologie van de hoofdpijn.
4. Combat rebound of verslavingsproblemen gemaakt door migraine medicatie door het gebruik van natuurlijke methoden voor hoofdpijn behandeling.
5. Hier 8 niet-hoofdpijn medicatie interventies.
6. Integratie van een nieuw specialisme in uw praktijk.
Ninety percent of the American public gets occasional headaches. An estimated forty five million Americans have severe reoccurring headaches. Up until now the primary treatment for headaches has been pharmaceuticals. This workshop seeks to familiarize you with a safe non-medication alternative for the treatment of headaches that utilizes EMDR.
The intent of this seminar is to train clinicians in the use of an integrated EMDR approach to treating tension and migraine headaches. Over 50% of this presentation is training and “hands on” practice of the Integrated EMDR approach. The two primary objectives of this seminar are to a) provide a professional overview of current practices of headache treatment and b) to train participants in the use of Integrated EMDR, Phase 1 (acute headache relief) and Phase 2 (multi-session headache treatment). Other objectives include understanding headache etiology, headache trigger identification, headache threshold theory, overview of Dr. Marcus’ Migraine Research, training in the Integrated EMDR protocol designed for clinical practice, informed consent and understanding the role of provider when deploying this approach in clinical practice. Although this workshop is for EMDR trained clinician’s only, previous experience in headache treatment is not required.
This seminar will help you to:
1. Provide headache relief for your patients.
2. Recognize the different headache types.
3. Understand the biology of headaches.
4. Combat rebound or addiction problems created by migraine medication by utilizing natural methods for headache treatment.
5. Learn 8 non-medication headache interventions.
6. Integrate a new specialty into your practice.
Keywords: Headaches
Accuracy Verified: Yes
159. Simone, M. (2012, June). Hypnosis and EMDR with athletes. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: English
Format: Conference
Abstract: My intention is to present a model of intervention in sport psychology that I have defined with the acronym O.R.A., using techniques of Gestalt therapy, EMDR protocol adapted to peak performance and Hypnosis Eriksoniana. The O.R.A model was conceived and developed from my working experience as a sport psychologist of elite athletes of various disciplines. ORA in Italian means NOW and the acronym stands for: Obiettivi (Objectives); Risorse (Resources); Autoefficacia (self-efficacy). Being myself an athlete and having had the opportunity to make an experience / internship of about 4 months at a sports center for professional athletes still continuing to follow a few, I could realize that it is important to them essentially a work of defining targets from which to identify the resources needed to achieve them through EMDR. This allows an increase of self-efficacy as one goes to work with the four sources identified by Bandura and that identify past successful experiences, the feelings connected, verbal persuasion and reference models. The work is enhanced by the use EMDR with hypnosis Eriksoniana that allows you to experience a future scenario more vividly, more multi-sensory experience where the athlete may be able to excel in his sport performance.
Keywords: Athletes, Hypnosis
Accuracy Verified: Yes
160. Freiha, T. (2009). The image director technique for dreams. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 111-118). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The "Image Director Technique" was developed to target recurring nightmares or bad dreams and those targets that are directly related to a traumatic experience. Often, when patients are having nightmares or when they feel overwhelmingly out of control during a trauma, it is helpful to give them a way to be more in control of directing what might happen, even if it gets worse. Instead of utilizing the Standard Protocol that implies that you must follow wherever the associations the patient has led you, the Image Director Technique allows the patient to choose her own starting point in the nightmare or trauma and stop if she is overwhelmed. Again, the idea is to return to the Standard EMDR Protocol as soon as it is possible. The Image Director Script is provided. [PsycINFO Database]
Keywords: Dreams Image Director Technique
Accuracy Verified: Yes
161. Jacome, S. (2012, Novembro). Imagens associativas e EMDR [Associative images and EMDR]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Uma diferença entre uma técnica e um modelo é que o último dá ao terapeuta um quadro, uma abordagem de processo e planejamento do tratamento. A conceituação de casos em terapia EMDR permite que o paciente e o terapeuta para visualizar claramente o tratamento do roteiro.
Irá abordar a conceituação dos casos e fazendo história em EMDR uso de imagens associativas ou metafórico para identificar os alvos a serem processados. Isso vai chamar a uma variedade de cartões com imagens conhecidas como cartas associativos OH, um novo resort na Europa, Canadá e Estados Unidos e fazem parte da psicoterapia. Estes grupos de letras foram criadas para promover a comunicação, o desenvolvimento, narrativa, criatividade e imaginação de adultos e crianças. Eles são ferramentas terapêuticas que podem ser utilizados na avaliação do tratamento e monitorização de pacientes com distúrbios emocionais.
Esta ferramenta é usada para ativar esquemas disfuncionais, e incentivar a reflexão, e desinibição. Estimular a capacidade associativa e narrativo, evocativo estimulante, rico em memórias e imaginação. Associações letras ajudam-nos a exteriorizar nossas idéias e emoções de forma espontânea, fazendo-a emergir em nossa consciência. Daí o seu valor na abordagem EMDR.
Também vai mostrar como desenvolver recursos de enfrentamento e imagens associativas usando EMDR e estado de ego como endereço usando imagens associativas. Este recurso pode ser aplicado a um indivíduo ou grupo de contexto.
One difference between a technical and a model is that the latter gives the therapist a framework, a process approach and treatment planning. The conceptualization of cases in EMDR therapy allows the patient and therapist to clearly visualize the treatment of the script.
Will address the conceptualization of cases and making history in EMDR use of images or metaphorical associations to identify targets to be processed. This will draw a variety of cards with letters images known as associative OH, a new resort in Europe, Canada and the United States are part of psychotherapy. These groups of letters were created to promote communication, development, storytelling, creativity and imagination of adults and children. They are therapeutic tools that can be used in the evaluation and monitoring of treatment of patients with emotional disturbances.
This tool is used to activate dysfunctional schemas, and encourage reflection, and disinhibition. Stimulating capacity and associative narrative, evocative stimulating, rich in memories and imagination. Associations letters help us to externalize our ideas and emotions spontaneously, causing it to emerge in our consciousness. Hence its value in the EMDR approach.
Also will show how to develop coping resources and associative images using EMDR and ego state as address using associative images. This feature can be applied to an individual or group of context.
Keywords: Associative Images Images Metaphoric Associations Target Identification
Accuracy Verified: Yes
162. Nickerson, M. (2013, May). Implementing the feeling-state addiction protocol for behavioral and substance addictions. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.
Language: English
Format: Conference
Abstract:
The Feeling-State Addiction Protocol, developed
by Robert Miller, Ph.D., is a cutting edge EMDR
approach to substance and behavioral addictive and
compulsive behavior. This modified EMDR protocol
targets the desire for the positive feeling-state linked
to the addictive fixation. The workshop will present
theory, case examples and a script suitable for use
with clients.
Keywords: Behavioral Addiction Feeling State Addiction Protocol Substance Addiction
Accuracy Verified: Yes
163. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
Keywords: Affect Tolerance Poster Self-Regulation Social Functioning
Accuracy Verified: Yes
164. Lazrove, S. (1995, June). An inconclusive look and the complex interplay between trauma and substance abuse. Presentation at the annual meeting of the EMDR International Association, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The idea of using EMDR to treat substance abusers is attractive. However,
EMDR is most effective when the target is identified precisely. Two related, but
distinct, targets are presumed to exist in substance abusers: 1. The drug abuse
behavior, and 2. The psychological underpining which, presumably, drive the
substance abuse. Depending upon which is selected, two different approaches
to treatment are possible.
Keywords: Substance Abuse
Accuracy Verified: Yes
165. Hoffman, S., & Laub, B. (2006). Innovative interventions in psychotherapy. Boca Raton, FL: Universal-Publishers.
Language: English
Format: Book
Abstract:
The present volume unquestionably constitutes a significant contribution to clinical literature. The case reports, with their descriptions of many types of therapeutic interventions and combinations of interventions in dealing with a wide variety of difficulties presented by different patients and patient groups, as well as the discussions of important topics in psychotherapy, add to our knowledge of the many facets of psychotherapy, enrich our understanding of the treatment process, and deepen our appreciation of the importance of therapeutic sensitivity and flexibility.
Accuracy Verified: Yes
166. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp.
Language: English
Format: Book Section
Abstract:
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model AIP Bowen Theory Chronic Relationship Dysfunction Cognitive Processes Family Systems Theory Interpersonal Relationships Models
Accuracy Verified: Yes
167. Talan, B. S. (2007). Integrating EMDR and imago relationship therapy in couple treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 187-201). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Imago Relationship Therapy (IRT; Hendrix, 1996, 2001) is designed to process negative experiences to heal early wounds of childhood, resolve marital conflict and criticism, and increase connection and intimacy. The goal of treatment is for the partners to become individually whole and conscious and an "intentional couple"; this concept emphasizes the importance of making conscious and deliberate choices rather than being reactive. Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) is a psychotherapy created to access and process the disturbing memories and deep wounds of childhood and bring them to adaptive resolution (Shapiro, 2001; Shapiro & Maxfield, 2002). In the integrative therapy approach described in this chapter, IRT is used to organize the approach to therapy, identify unprocessed targets for EMDR processing, facilitate communication between the partners, and help couples become less reactive and more intentional, separate and ultimately more connected. Advantages of integrating EMDR and IRT may include faster and deeper resolution of early childhood wounds and trauma and increased compassion and intimacy, enabling the couple to establish a healing connection, which breaks the symbiosis created in early childhood. Separation due to personal growth allows the couple to honor each other's differences and often results in greater connection. The integration of EMDR with IRT appears to provide more comprehensive desensitization, reprocessing, and healing than either of these therapies might provide individually. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Conflict Couples Couples Therapy Couple Treatment Imago Relationship Therapy Integrative Psychotherapy Integrative Therapy Approach Marriage Counseling
Accuracy Verified: Yes
168. Dunne, T. (2010, June). Integration of EMDR into clinical practice: What therapists are saying. In Training issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
40% of Therapists trained in EMDR report difficulties
integrating EMDR into their clinical practice. This paper will report
on a qualitative study of Therapists who were interviewed
as part of my Doctoral research project at the University of
Middlesex, London. The paper will explore and report on the
types of difficulties which therapists are reporting and the reasons
why. It will explore ways forward to resolve these issues
including the implications for training, and the need for ongoing
clinical supervision post training.
Participants will learn of the difficulties in integration of EMDR
in clinical practice and the reasons why.
Participants will come away with a better understanding of the
professional and organizational difficulties involved in integration
Participants will also learn how to resolve these issues.
This study is unique because it is the first study undertaken with
Therapists trained in EMDR outside the USA and because the
qualitative nature of the study is counterbalanced with the findings
of quantitative data which make the findings more generalizable
and cross cultural in nature.
Keywords: Research Symposium Training Issues
Accuracy Verified: Yes
169. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other
cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be
discussed.
1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized.
Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping
skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation,
assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift
negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are
examples of negative cognitions whlch interfere with first stage stabilization goals:
- I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better.
- If I take care of myself, no one will know I hurt. - I'm pathetic, a failure.
- I will die/go crazy fiom these feelings. - I can never do anything right.
- I can't stand this feeling. I must cut myself. - Don't trust anyone or anything.
Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be
encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc.
2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic
stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues:
- fear/terror and associated avoidance
- sense of powerlessnesshelplessness
- responsibility/accountability
- safety - self, others, environment
- self-esteem/self as bad, defective, unlovable
- lack of individuation
- dependency
- anger
- grief/mouming
- trust/mistrust
- fear of abandonment
- guilt/self-blame
- shame/self-loathing
With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for
supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be
discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing
assessment and data collection in making decisions about EMDR targets will be addressed.
3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and
issues addressed via EMDR include:
- Increasing intimacy and healthy connections - Increasing self-esteem
- Increasing self-efficacy and sense of mastery - Reclaiming sexuality
- Increasing self-efficacy and sense of mastery - Identity exploration and development
- Establishing goals, initiating new projects, and taking reasonable risks
At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and
increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid
in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive
and vital self-image.
The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying
EMDR at a specific stage of treatment.
Keywords: Sexual Abuse Survivors
Accuracy Verified: Yes
170. Cottencin, O., & Doutrelugne, Y. (2009, Avril). Intérêt de l'EMDR dans la prise en charge des traumatismes psychiques [EMDR in the treatment of psychological trauma]. Journal International de Victimologie, 7(1), 1-8.
Language: French
Format: Journal
Abstract:
L’EMDR (Eye Movement Desensitization and Reprocessing) est aujourd’hui de plus en plus
inscrite dans le traitement psychothérapeutique de l’état de stress post traumatique (ESPT) et le
monde anglo-saxon nous donne à lire de nombreuses études contrôlées qui montrent la preuve
de son efficacité même en comparaison d’autres types d’intervention (psychothérapeutiques ou
médicamenteuses).
Nous présentons ici les résultats d’une étude Cochrane au sujet de l’efficacité de cette thérapie.
Puis nous exposons l’EMDR tant sur un plan théorique que pratique et ses parentés avec
l’hypnothérapie au regard de son histoire au sein de l’école de Palo Alto et des liens cliniques et
historiques de l’hypnose avec le traumatisme psychique.
EMDR (Eye Movement Desensitization and Reprocessing) is now increasingly
entered in the psychotherapeutic treatment of posttraumatic stress disorder (PTSD) and
Anglo-Saxon gives us to read many controlled studies that show evidence
its very effectiveness compared to other types of interventions (psychotherapeutic or
drug).
We present here the results of a Cochrane review on the effectiveness of this therapy.
Then we expose EMDR as a theory and practice and its kinship with
hypnotherapy in terms of its history in the Palo Alto and links clinical and
history of hypnosis with the psychological trauma.
Keywords: Internet Mental Trauma Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
171. Cottencin, O. (2008, Juin). Intérêt de l’EMDR dans la prise en charge du traumatisme psychiques [Interest of EMDR in the treatment of psychic trauma]. In J. Geneste (Moderateur) Ivresse et trauma: Un autre regard, Un document présenté a la 10es Journées Scientifiques Internationales des Cump, Clermont-Ferrand, France.
Language: French
Format: Conference
Abstract:
L’EMDR (Eye Movement Desensitization and Reprocessing) est aujourd’hui de plus en
plus inscrite dans le traitement psychothérapeutique de l’état de stress post
traumatique (ESPT) et le monde anglo-saxon nous donne à lire de nombreuses études
contrôlées qui montrent la preuve de son efficacité même en comparaison d’autres
types d’intervention (psychothérapeutiques ou médicamenteuses).
Nous présentons ici les résultats d’une étude Cochrane au sujet de l’efficacité de
cette thérapie. Puis nous exposons l’EMDR tant sur un plan théorique que pratique et
ses parentés avec l’hypnothérapie au regard de son histoire au sein de l’école de Palo
Alto et des liens cliniques et historiques de l’hypnose avec le traumatisme psychique.
EMDR (Eye Movement Desensitization Reprocessing and) is now more
longer registered in the psychotherapeutic treatment of posttraumatic stress
disorder (PTSD) and Anglo-Saxon gives us to read many studies
controlled evidence showing its effectiveness even in comparison with other
types of interventions (psychotherapeutic or drug).
We present here the results of a Cochrane review on the effectiveness of
this therapy. Then we expose EMDR as a theory and practice and
its kinship with hypnotherapy in terms of its history in the Palo
Alto and links clinical and history of hypnosis with the psychological trauma.
Keywords: Trauma
Accuracy Verified: Yes
172. Propper, R. E., & Christman, S. D. (2008). Interhemispheric interaction and saccadic horizontal eye movements - Implications for episodic memory, EMDR, and PTSD. Journal of EMDR Practice and Research, 2(4), 269-281. doi:10.1891/1933-3196.2.4.269.
Language: English
Format: Journal
Abstract:
The growing body of literature on the effects of bilateral saccadic eye movements, patterned after those
employed in eye movement desensitization and reprocessing (EMDR), on memory is reviewed. Research
indicates that engaging in bilateral saccadic eye movements prior to lab-based memory testing results in
signifi cant improvement in episodic memory across a wide range of memory tests. Other effects of these
types of eye movements on hemispheric activation and emotional state are also discussed. The fi ndings
are interpreted within a framework suggesting that bilateral saccadic eye movements, such as those employed
in EMDR, increase interaction between the left and right cerebral hemispheres. This framework
is also used to explain the effects of such eye movements on memory during EMDR treatment of posttraumatic
stress disorder.
Keywords: Eye Movements Episodic Memory Handedness Interhemispheric Interaction
Accuracy Verified: Yes
173. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol
can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic
implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses
the recovery process as follows:
At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards
of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation
of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR).
Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize
resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes
the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and
feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy
as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the
most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to
working with their core addiction issues, which have now become easier to treat by especially using Desensitization and
Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol
by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions.
Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of
the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Addiction Addictive Behavior Resourcefulness Resilience
Accuracy Verified: Yes
174. Stergiopoulos, E., Cimo, A., Cheng, C., Bonato, S., & Dewa, C. S. (2011, October). Interventions to improve work outcomes in work-related PTSD: A systematic review. BMC Public Health, 11(1), 838. doi:10.1186/1471-2458-11-838.
Language: English
Format: Journal
Abstract:
Background:
Posttraumatic stress disorder acquired at work can be debilitating both for workers and their employers. The disorder can result in increased sick leave, reduced productivity, and even unemployment. Furthermore, workers are especially unlikely to return to their previous place of employment after a traumatic incident at work because of the traumatic memories and symptoms of avoidance that typically accompany the disorder. Therefore, intervening in work-related PTSD becomes especially important in order to get workers back to the workplace.
Methods:
A systematic literature search was conducted using Medline, PsycINFO, Embase, and Web of Science. The articles were independently screened based on inclusion and exclusion criteria, followed by a quality assessment of all included articles.
Results:
The systematic search identified seven articles for inclusion in the review. These consisted of six research articles and one systematic review. The review focused specifically on interventions using real exposure techniques for anxiety disorders in the workplace. In the research articles addressed in the current review, study populations included police officers, public transportation workers, and employees injured at work. The studies examined the effectiveness of EMDR, cognitive-behavioural techniques, and an integrative therapy approach called brief eclectic psychotherapy. Interestingly, 2 of the 6 research articles addressed add-on treatments for workplace PTSD, which were designed to treat workers with PTSD who failed to respond to traditional evidence-based psychotherapy.
Conclusions:
Results of the current review suggest that work-related interventions show promise as effective strategies for promoting return to work in employees who acquired PTSD in the workplace. Further research is needed in this area to determine how different occupational groups with specific types of traumatic exposure might respond differently to work-tailored treatments.
Keywords: Employees Posttraumatic Stress Disorder PTSD Workers
Accuracy Verified: Yes
175. Thomson, S. S. (1993). An interview with Francine Shapiro, Ph.D., Part I. Treating Abuse Today, 3(2), 26-33.
Language: English
Format: Magazine
Abstract:
Francine Shapiro, Ph.D., is the internationally recognized orginator and developer of the Eye Movement Desensitization and Reprocessing (EMDR) method which is rapidly gaining attention for its direct and thorough ability to reprocess diverse types of trauma.
Keywords: Francine Shapiro Interview
Accuracy Verified: Yes
176. Shapiro, F. (2012, October). Introduction to EMDR therapy. Presentation at the Pre-Meeting Institute of the 28th Annual Meeting of ISTSS, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
This presentation will introduce the basics of EMDR therapy and provide an overview of treatment. Both the theoretical foundation and recent research findings will be explored. EMDR is an evidence-based psychotherapy supported by more than 20 randomized controlled studies. Meta-analyses have indicated that the effects of EMDR on PTSD symptoms are comparable to those of trauma-focused CBT. However, EMDR therapy does not require homework, sustained arousal, detailed descriptions of the index trauma, or extended exposure to the event. While the eye movement component has been the subject of controversy, in the past decade an additional 20 randomized trials have evaluated the eye movements and demonstrated significantly superior effects compared to “exposure-only” conditions. The eye movements have been shown to (a) decrease the emotionality and vividness of memories, (b) create physiological relaxation responses, (c) facilitate access to associative memories and (d) lead to an increase in recognition of correct information. Two dominant theories regarding the role of the eye movements have emerged: (1) disruption of working memory and (2) elicitation of an orienting response. The research and clinical implications will be examined.
The goals of this presentation parallel those of the conference itself by allowing participants to evaluate ways in which EMDR therapy offers innovations in both conceptualization and clinical treatment. These innovations include ways to support therapy retention and increase stability for those clients ordinarily considered too fragile to tolerate memory processing. Outreach can also be increased through the use of consecutive-day trauma treatment. Relevant research will be reported on the use of EMDR therapy with diverse populations.
Participants will learn how the adaptive information processing theory that guides EMDR therapy practice offers a reconceptualization of (a) psychopathology, (b) therapeutic change, (c) the therapy relationship, (d) preparation for processing and (e) the multiple methods included in the therapy. The presentation will provide participants with the theoretical basis for EMDR therapy, an overview of the eight treatment phases, the three-pronged selection of processing targets, pertinent research, as well as applications to the full range of trauma victims. Videotaped sessions will demonstrate diverse treatment effects and provide participants with comparisons to other research-supported trauma treatments.
1-Describe the relevant research findings
2-Identify the components of the standard EMDR therapy three-pronged approach to processing
3-Contrast EMDR therapy with other empirically supported trauma treatments
Accuracy Verified: Yes
177. Shapiro, E., & Laub, B. (2008, September). Introduction to the (revised) recent traumatic episode protocol (R-TEP): A newly applied conceptual perspective for early EMDR Intervention (EEI). Author.
Language: English
Format: Other
Abstract:
The Recent-Traumatic Episode Protocol (R-TEP) takes the wisdom of the Standard EMDR
Protocol (Shapiro, 1995, 2001) and applies it in adapted form for recent events to provide a
comprehensive approach to Early EMDR Intervention (EEI). The R-TEP thus presents an
integrative protocol for EEI, which incorporates and extends existing procedures. It is a protocol
that utilises both the EMD and EMDR protocols together with some elements of the Recent
Event protocol within a newly conceived extended time perspective, termed here the
"Traumatic Episode". The Traumatic Episode (or T-Episode) comprises multiple targets of
disturbing images/ events/ other experiences, from the original incident until today, including
disturbing thoughts about the future, which need to be processed. [Excerpt]
Keywords: Recent Events Recent Traumatic Events R-TEP Protocol
Accuracy Verified: Yes
178. Kitchur, M. (2000, September). Introduction to the strategic developmental model for EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) employ a rapid strategic history-taking process with clients; 2) quickly formulate a developmentally-based hypothesis about the client; 3) quickly identify and prioritize EMDR targets; 4) employ strategic language that faciltiates engagement and minimizes resistance; and 5) provide clients and funders with clearer time-frames for resolution of therapeutic issues.
Keywords: History-Taking Strategic Developmental Model
Accuracy Verified: Yes
179. Farrell, D. (2005, June). An investigation into participants’ experiences of EMDR training and the implications for future developments in the teaching and learning of EMDR. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
This study investigates the experiences of participants (N=103) who had
undertaken EMDR Level 1 or 2 training in Ireland. The audit ascertained
participant's core profession, main psychological treatment orientation,
present utilization of EMDR within current clinical practice, number of clients
treated, types of referral issues, average number of sessions, and provision
for clinical supervision. In addition participants provided feedback as to their
views on their EMDR training experience. EMDR trainings were criticised in
areas which included participant involvement, group practicum's,
competency and fitness to practice, clinical supervision, post training
professional development, and the lack of any systems of assessment of
either knowledge or application of EMDR. The findings were integrated into
the development of a university based EMDR training at Masters Degree
level with multiple modes of assessment.
Accuracy Verified: Yes
180. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA)
and Chi-Square tests to examine the relationships between Questionnaire items for
significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice
and integration issues. This qualititative data was content analyzed. No differences were
found between both groups on Biodata factors, years of experience as a Therapist or years
using EMDR which gives further confidence in the results when comparing both cohorts.
Results: Respondents endorsed two types of explanation as to why they believed EMDR
works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes
(77%) and Adaptive Information Processing (73%). This suggests that Therapists are not
just following Shapiro’s AIP model slavishly but are rather making up their own minds.
There were no significant differences between Analytic, CBT, Integrative and Humanistic
Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active
ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical
practice than Analytic or Humanist Therapists. This finding was supported by the results of
the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced
difficulties in integrating EMDR into their clinical practice, post training. The types of
difficulties identified included: Differences in theoretical beliefs, more active style of
EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational
issues and hostility from clinical colleagues, bullying, lack of supervision and support
post training.
Conclusions: The results of this study confirm findings from earlier studies regarding
Therapists’ beliefs about EMDR but also extend those finding internationally so that
previous findings can now be accepted as universal given that this present study
contained respondents from three other continents other than North America. This study
also found that up to 40% of Therapists trained in EMDR experienced significant
difficulties in integrating EMDR into their clinical practice post-training. Analytic and
Humanist Therapists reported the biggest difficulties which included conflict with the
Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist
confidence and lack of supervision and support, Organizational and Management issues of
opposition to EMDR and Therapist Bullying. The implications for EMDR training are
discussed and communicated to relevant EMDR Training Organizations.
Keywords: Poster Research Therapist's Beliefs
Accuracy Verified: Yes
181. Dunn, T. (2008, June). An investigation of therapists’ beliefs about how EMDR works?. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
The aim of my study is to explore how EMDR trained Therapists explain to themselves and their clients, how
EMDR works in clinical practice, in their views. A second aim of my study is to examine how EMDR trained
Therapists’ explanations relate to their original clinical training. The Research Question is: Do CBT trained
Therapists differ in the explanations they give about the therapeutic mechanisms of EMDR from, say, analytically
oriented Therapists? Do Humanistic Therapists explain how EMDR works from existentially oriented Therapists?
A third aim of my study is to examine how Therapists from different backgrounds incorporate EMDR into their
clinical practice. The Research Question here is: Do Therapists from some backgrounds such as CBT find it easier
to incorporate EMDR into their everyday clinical work than other types of Therapists? Research Methodology: I
24
shall use a combination of quantitative and qualitative methods in this research project. The quantitative method
will be a short 2 page anonymous questionnaire which will be given out at the Conference for delegates to
complete and return to the stand. I would hope to have at least 50 such Questionnaires completed by consenting
delegates to the Conference. The qualitative methods will be a number of focus groups (maximum number of 12
people in each group) which I hope to run at the end of each day of the Conference. I plan to have 3-4 such focus
groups from which the data will be gathered. The other qualitative method will be 1:1 semi-structured interviews
either face to face at the Conference or by telephone (post conference) with consenting delegates attending the
Conference. Altogether, I would hope to have a total of about 50 participants in the qualitative data gathering
methods.
Keywords: Poster Therapist's Beliefs
Accuracy Verified: Yes
182. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders Symposium Trauma
Accuracy Verified: Yes
183. Brink, A. (2001). Kombinierte traumatherapie mit EMDR und hypnosetherapie [Combined with EMDR trauma therapy and hypnosis therapy]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Übersicht über verschiedene heute übliche Hypnotherapieverfahren
Ich beziehe mich in diesem Abschnitt auf eine Übersicht von Revensdorf (2001), der über die Klassifikation hinaus einen Entscheidungsbaum zum strategischen Vorgehen entwickelt hat. In der Beschreibung der verschiedenen Hypnoseklassen werden hier allerdings ausschließlich die in diesem Zusammenhang interessanten Aspekte benannt. Es sind zu unterscheiden:
Typ A: unspezifische Hypnose
Typ B: spezifische implizite Hypnose
Typ C: spezifische explizite Hypnose
Overview of various common today Hypnotherapieverfahren I refer in this section to an overview of Revensdorf (2001), who has also developed a classification of the decision tree to the strategic approach. In the description of the various hypnosis classes here but only the name in this context interesting aspects. There are several types:
Type A: nonspecific hypnosis
Type B: specific implicit hypnosis
Type C: specific explicit hypnosis
Keywords: Hypnosis Therapy
Accuracy Verified: Yes
184. Bardot, E. (2009). L 'EMDR (Eye movement desensitization and reprocessing). In A. Deneux, F.-X. Poudat, & T. Servillat (Eds.) Les psychothérapies: Approche plurielle (pp. 375-386) Paris: Masson.
Language: French
Format: Book Section
Abstract:
Les pratiques psychothérapiques se sont multipliées au cours des dernières décennies. On dénombre actuellement dans le monde près de 400 types de psychothérapies. Cette diversité peut entretenir un flou croissant autour de ces approches avec un risque d'amalgame ou de repli sur telle ou telle référence exclusive. Afin d'éviter ce risque et d'orienter les étudiants et les thérapeutes, ce livre propose de présenter les principaux courants psychothérapiques : psychanalytique, cognitivo-comportemental, systémique et stratégique. Le lecteur sera sensibilisé pour chacun des courants à leur histoire, aux enjeux théoriques et psychopathologiques, à la spécificité de la clinique, à la question des indications. Des portraits de personnalités marquantes scandent la présentation de chaque courant, apportant un éclairage biographique. L'ambition est de saisir la pluralité des champs mais également leurs complémentarités car au-delà des spécificités théoriques et techniques, on identifie un certain nombre d'invariants et de facteurs communs au processus psychothérapique. Cet ouvrage espère ainsi contribuer à un mouvement de décloisonnement et de partage des richesses et ressorts des grands courants, dans un esprit d'exigence et de respect mutuel. Des thérapeutes d'horizons et de références différents seront ainsi sensibilisés à la diversité de ces courants et pourront mieux poser les indications d'autres approches que la leur.
Psychotherapeutic practices have proliferated in recent decades. There are currently around the world nearly 400 types of psychotherapy. This diversity can sustain a growing uncertainty around these approaches with a likelihood of confusion or retreat on any particular exclusive reference. To avoid this risk and to guide students and therapists, this book proposes to present the mainstream psychotherapy: psychoanalytic, cognitive-behavioral, systemic and strategic. The reader will be sensitized to each of their common history, theoretical issues and psychopathology, the specificity of the clinic, when asked for directions. Portraits of personalities punctuate the presentation of each course, providing lighting biography. The ambition is to capture the diversity of their fields but also complementary because beyond the specific theoretical and technical, it identifies a number of invariants and common factors in the psychotherapeutic process. This book hopes to contribute to a movement of deregulation and wealth sharing and springs from the mainstream, in a spirit of care and mutual respect. Therapists backgrounds and different references are well aware of the diversity of these streams and can better ask directions other than their own approaches.
Accuracy Verified: Yes
185. Farkas, L., Cyr, M., Lebeau, T. M., Lemay, J., & McDuff, P. (2008). L'efficacité de l'approche MASTR-EMDR Auprès d'adolescent(e)s qui ont été agressé(e)s sexuellement [Treatment effectiveness of MASTR-EMDR therapy for sexually abused adolescents]. Revue Québécoise de Psychologie, 29(3), 101-115.
Language: English
Format: Journal
Abstract:
Cette étude évalue l’efficacite du traitement manualise (MASTR-EMDR) supres d’adolescents ayant subi des agressions sexuelles. Les trente participants ont été repartis au hasard dans le groupe traitement ou dans le groupe-temoin qui continuait de recevoir les services habituels. Le traitement cible a la fois les problemes comportementaux des jeunes et la resolution de leurs traumatismes. Les participants ont complete des mesures du comportement et de symptomes post-traumatiques avant et apres le traitement et au suivi de 3 mois. Des analyses de type ANCOVA indiquent que les adolescents du groupe traitement presentent use amelioration significative de leur condition et les gains se sont maintenus dans le temps.
This study aims to assess the treatment outcomes of MASTR-EMDR therapy for sexually abused adolescents. Participants (n-30) were randomly assigned to the MASTR-EMDR therapy group or to a group receiving the usual treatment offered by Youth Protection Services. The MASTR component addresses treatment obstacles in youth with behavior problems and EMDR targets trauma resolution. Participants completed questionnaires on posttraumatic symptoms and behavior problems at the start of the study (pre-treatment), after completing either MASTR-EMDR or the routine treatment, and a 3-month follow-up. Repeated ANCOVA tests showed that MASTR-EMDR is associated with significant improvements compared with a control group and that these effects are maintained over time.
Keywords: Adolescents Conduct Disorders MASTR
Accuracy Verified: Yes
186. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura.
A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica.
L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività.
Nell’ambito del Workshop verranno approfondite le seguenti tematiche:
• Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico.
• Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici.
• Ruolo dell’abuso sessuale.
• Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare.
• Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico.
• Strumenti di screening psicodiagnostico.
• Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche
• Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature.
Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy.
EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness.
As part of the workshop will examine the following issues:
• Differential diagnosis between different types of pain, uro-gynecology.
• Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events.
• Role of sexual abuse.
• psychophysiological mechanisms in the onset of the disorder: the role of muscle tension.
• Psychological characteristics of women with uro-gynecological pain.
• psycho-diagnostic screening tools.
• Work on the main strategies for assessment and intervention uro-gynecological and pharmacological
• Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.
Keywords: Urogenital Pain
Accuracy Verified: Yes
187. Selvini, M. (2011, Settember). L'Impatto delle terapie del trauma e dell'EMDR sul modello sistemico familiare-individuale [The impact of EMDR treatment of trauma and the family systems model-independent]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Uno dei limiti di fondo del modello sistemico classico (si veda La pragmatica della comunicazione di Watzlawick, 1967, o Paradosso e contro paradosso, 1975, fino agli epigoni post-moderni) è dato dal semi-annullamento della dimensione individuale (la famosa scatola nera), tra cui come ovvia conseguenza quella dell’elaborazione del trauma. Il movimento EMDR impatta così utilmente sui terapeuti sistemici nell’aiutarli a riscoprire/approfondire/integrare i temi dell’elaborazione/difesa della sofferenza e dei diversi tipi di personalità/funzionamento.
Le mie scuole da qualche anno stanno formando all’EMDR tutti i docenti e tutti gli allievi del quarto anno: perché solo circa un terzo dei formati al primo livello utilizza poi effettivamente questa tecnica? Lo stiamo studiando con incontri a piccolo gruppo subito dopo i tre giorni del primo livello, appare infatti chiaro che chi non utilizza subito la tecnica non lo farà più.
One of the limitations of the underlying classical system model (see The pragmatics of communication of Watzlawick, 1967, or Paradox and counter paradox, 1975, until the post-modern successors) is given by the semi-annulment of the individual dimension (the famous black box ), including the drawing as an obvious consequence of trauma. The movement thus usefully EMDR impacts on systemic therapists in helping them to discover / learn / integrate the development issues / defense of the suffering and the different personality types / functions.
My schools a few years being trained EMDR all teachers and all pupils in the fourth year, because only about one third of the formats on the first level then actually uses this technique? We're studying with small group meetings in the three days immediately after the first level, it seems clear that those not using the technique just will not do it anymore.
Keywords: Family Systems
Accuracy Verified: Yes
188. Dellucci, H. (2010, Novembre). La boîte de vitesses - Naviguer de manière sécurisée dans la thérapie avec des personnes souffrant de traumatismes complexes [The gearbox - Navigate safely in therapy with people suffering complex trauma]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques.
Language: French
Format: Other
Abstract:
Travailler en EMDR avec des personnes souffrant de traumatismes complexes amène souvent à des difficultés concernant le plan de traitement, mais aussi la désensibilisation et le retraitement, avec un risque de déstabilisation majeure et une
rupture du traitement. Souvent, de nombreuses cibles, surtout celles de la petite
enfance sont de nature préverbale et restent de ce fait implicites. Devons-‐nous pour autant renoncer à travailler en EMDR ? Est-‐il possible de travailler en
EMDR de manière sécurisée, en l’adaptant à chaque personne, et leurs événements de vie quelque peu chaotiques, sans se perdre ? La boîte à vitesses, proposant pour la thérapie la métaphore d’un voyage en voiture, à travers la thérapie
avec des personnes ayant des traumatismes complexes, suggère une structure de traitement hiérarchisée, qui permet au thérapeute de s’adapter, tout en sachant ce qu’il fait et pourquoi. En cherchant à intégrer les connaissances actuelles de a thérapie EMDR avec des personnes ayant des trauma complexes, la boîte à vitesses constitue un outil de navigation adaptatif et dynamique.
EMDR work with people with complex trauma often leads to difficulties with the treatment plan, but also desensitization and reprocessing, with a risk of destabilization and a major
termination of treatment. Often, many targets, especially those of small
preverbal children are capable and are thus implied. Need - we giving up work in EMDR? --- Is it possible to work
EMDR in a secure manner, adapting to each person and their life events somewhat chaotic, without getting lost? The gearbox, offering therapy for the metaphor of a road trip through therapy
with people with complex trauma, suggesting a hierarchical processing structure, which allows the therapist to adapt, knowing what he is doing and why. In seeking to integrate current knowledge of a EMDR with people with complex trauma, the gearbox is a navigation tool for adaptive and dynamic.
Keywords: Gearbox
Accuracy Verified: Yes
189. Robinson, N. S. (2012, June). Legacy informed EMDR: Promote positive and desensitize negative core beliefs stemming from transgenerational and cultural sources [Legado informado EMDR: Promover positivo y desensibilizar a las creencias negativas que se derivan de las fuentes principales transgeneracionales y cultural]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Ancestral, familial and cultural factors often become embedded and can
lay the foundation of core negative beliefs and symptomatology. Legacy informed
EMDR introduces the idea that EMDR can be utilized to reconsolidate
transgenerational roots of symptomatology. The workshop outlines how to use
EMDR to: 1) promote a positive core belief by accessing legacy-based resources 2)
desensitize legacy-based maladaptive beliefs, traumatic events and emotional
baggage 3)help clients develop an affirming coherent life narrative. This
integrative approach is informed by a wide range of recent, notable researchers in
the fields of neurobiology, attachment, and family systems (Siegel,1999, 2010;
Main,1990; Boszormenyi-Nagy,1984; White, M. & Epston, D,1990).
The workshop addresses how to incorporate legacy informed work into the
standard 8-phase, 3-pronged protocol. Phase 1 includes an extended genogram. A
core positive cognition is elicited and a VOC is taken as part of goal setting. Legacy
based resources are developed for preparation and RDI. The standard protocol is
used to desensitize traumatic targets. Access to ancestral, familial and cultural
beliefs and information is gained with an EMDR time-line similar to that used in
Maureen Kitchur’s Strategic Developmental Model (Kitchur, 2005).
Clinicians can complete a course of EMDR therapy by reconsolidating threads from
the distant past, remembered past, current being and future vision. Material often
emerges and is reprocessed relating to race, gender, disabilities, sexual orientation
and socio-economic dynamics as well as trauma and oppression. This legacy
workshop is practice oriented and is anecdotally based on the presenter’s clinical
work.
Factores
ancestrales,
familiares
y
culturales
en
muchas
ocasiones
se
ensamblan
y
pueden
llevar
a
la
formación
de
creencias
irracionales
y
sintomatología.
El
Legado
informado
EMDR
introduce
la
idea
de
que
el
EMDR
puede
ser
utilizado
para
reconsolidar
las
raíces
transgeneracionales
de
la
sintomatología.
El
taller
revisa
como
usar
el
EDMR
para:
(1)
Promover
las
creencias
positivas
accediendo
a
los
recursos
basados
en
el
legado
(2)
Desensibiliza
mediante
el
legado
las
creencias
desadaptativas,
eventos
traumáticos
y
bagaje
emocional.
(3)
Mantener
el
desarrollo
de
los
clientes
y
afirmar
la
coherencia
narrativa
de
la
vida.
Este
enfoque
integrativo
esta
creado
a
partir
de
un
amplio
espectro
de
recientes
e
importantes
investigaciones
en
los
campos
de
la
neurobiología,
apego
y
sistemas
familiares(Siegel,1999,
2010;
Main,1990;
Boszormenyi-‐Nagy,1984;
White,
M.
&
Epston,
D,1990).
Este
taller
muestra
como
incorporar
el
legado
informado
al
trabajo
de
las
8
fases,
con
el
protocolo
de
3
flancos.
La
fase
uno
incluye
un
árbol
genealógico.
Una
cognición
positiva
es
elicitada
y
el
VOC
es
cogido
como
parte
de
una
meta.
Los
recursos
basados
en
el
legado
son
desarrollados
para
la
preparación
y
el
RDI.
El
protocolo
estándar
es
usado
para
desensibilizar
los
recuerdos
diana.
Acceder
a
los
recuerdos
ancestrales,
familiares
y
culturales
y
la
información
proporcionada
por
el
EMDR
a
tiempo
real
es
similar
en
la
usada
por
el
modelo
de
desarrollo
estratégico
de
Maureen
Kitchur(Kitchur,
2005).
Los
clínicos
pueden
completar
el
curso
de
EMDR
reconsolidando
estos
enunciados
del
pasado
distante,
pasado
recordado,
presente
y
visión
futura.
A
menudo
el
material
surge
y
es
reprocesado
en
función
a
la
raza,
genero,
discapacidad,
orientación
sexual
y
dinámicas
socioeconómicas
como
el
trauma
y
la
opresión.
Este
taller
de
legado
es
una
práctica
orientada
y
esta
basada
de
manera
anecdótica
en
el
trabajo
clínico
del
ponente.
Keywords: Core Beliefs Cultural Transgenerational
Accuracy Verified: Yes
190. Nickerson, M. (2009, April). Listening to the body: Enhancing body awareness in EMDR reprocessing. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA .
Language: English
Format: Conference
Abstract:
Life experience can shape how a person carries oneself (e.g. slumped shoulders, chronic scowl, etc.). Client postures and gestures can be used effectively to assist recovery from trauma. This workshop will outline specific applications of this concept including using client gestures and postures as targets for reprocessing; to enhance the connection to the NC and/or PC, as part of resource development, and as interweaves. Video recorded case material will illuminate points. Participants will practice these techniques.
Keywords: Body Awareness
Accuracy Verified: Yes
191. van der Kolk, B., Korn, D., Weir, J., & Rozelle, D. (2004, September). Looking beyond the data: Clinical lessons learned from an EMDR treatment outcome study. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
'Bridging the gap between research and clinical practice" is a euphemism frequently evoked and rarely accomplished The aim of this workshop is to present and discuss lessons learned during a four-year treatment outcome study that compared EMDR to Prozac and control conditions, looking beyond the data toward clinical implications and issues of effectiveness versus efficacy. Using a combination of lecture, handouts and videotapes the presenters will address issues around predictors of positive and negative treatment response including comorbid diagnosis, age of trauma onset, and treatment condition. Case conceptualization, selection and sequencing of targets in treatment planning, the role of therapeutic relationship, and using EMDR as a brief treatment intervention will also be explored.
Keywords: Treatment Outcome Study
Accuracy Verified: Yes
192. Meignant, I. (2012, April). L’approche systémique et l’EMDR: Soigner le couple [The systems approach and EMDR: Treating the couple]. Présentation à la réunion annuelle de l'EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
L’utilisation conjointe du modèle systémique du double lien réciproque de Mony ElKaïm et du modèle du Traitement Adaptatif de l'Information (TAI) d’EMDR est une nouvelle perspective pour la thérapie de couple. L'utilisation des deux approches permet de développer un plan de traitement en EMDR qui tient compte et respecte les systèmes relationnels ex : couple, homme /femme, parent/enfant, employé/employeur. Lors de cette présentation les participants apprendront quand et comment travailler avec un membre du couple comme co-thérapeute ; comment un lieu sûr sur le plan individuel peut aussi s’appliquer au niveau du couple et être utilisé durant la session et à la maison ; comment déterminer les cibles dans un plan de traitement EMDR et systémique qui soit guidées par la compréhension systémique du double lien réciproque et finalement comment adapter les 8 phases du protocole EMDR auprès du couple en se basant sur le modèle systémique.
Objectifs d'apprentissage:
1. Déterminer lorsqu’il est approprié d’utiliser l’EMDR en thérapie de couple
2. Pouvoir faire l’installation d’un lieu sûr afin que cela soit une ressource pour le couple
3. Comprendre comment utiliser le modèle systémique du double lien réciproque afin d’identifier les cibles individuelles qui contribuent aux difficultés actuelles du couple
4. Comprendre les particularités de chacune des 8 phases du protocole EMDR lorsque utilisés auprès du couple.
Using both the systemic model of the double reciprocal link Mony Elkaim and model of the Adaptive Information Processing (ADP) EMDR is a new perspective for couple therapy. The use of both approaches can develop a treatment plan that considers EMDR and respects relational systems eg couple, man / wife, parent / child, employee / employer. During this presentation participants will learn when and how to work with a member of the couple as co-therapist; how a safe place at the individual level can also be applied to the couple and used during the session and at home, how identify targets in a treatment plan that is systemic and EMDR guided by the systemic understanding of the double reciprocal link and finally how to adapt the eight phases of EMDR protocol with the torque based on the systemic model.
Learning Objectives:
1. Determine when it is appropriate to use EMDR in couples therapy
2. Able to install a safe place so that this is a resource for the couple
3. Understand how to use the systemic model of the double reciprocal link in order to identify individual targets that contribute to the current difficulties of the couple
4. Understand the particularities of each of eight phases of EMDR protocol when used with the couple.
Keywords: Couples
Accuracy Verified: Yes
193. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .
Language: Italian
Format: Journal
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.
Keywords: Uro-Gynecological Syndromes
Accuracy Verified: Yes
194. Genest, S. (2013, May). Making the complex simple: A hands on workshop to learn a simple and efficient way to organize EMDR client files. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
This workshop will teach you a simple and efficient way to organize any EMDR client file no matter how complex.
Mind mapping can lower overwhelming complexity of case files. This process was developed to help me with
efficient case planning. I will teach you how to keep track of targets, client resources, themes, connections
between targets, etc. while also providing a quick reference guide and way to plan sessions. Additionally, it
provides clients with feedback on what has been accomplished and is yet to complete. Clients have commented
that these maps have encouraged them as they can see clearly what they have completed, their strengths and
resources, and themes in their life. They also understand that as their therapist, I have a thorough understanding.
It also provides the therapist with a process to clarify where consultation is needed. Please bring a client file in
which you have permission to receive colleague consultation. A real client file will be provided for those who wish
not to bring a client file. Learning objectives:
• To learn an efficient and simple way to organize client files with mind mapping techniques
• To enhance case planning by identifying areas to be addressed through the re-organization of a file
• To review the EMDR protocol through the mind map process
Keywords: Mind Mapping Techniques Mind Map Process Targeting
Accuracy Verified: Yes
195. Adler-Tapia, R. (2004, August). Mapping targets for EMDR processing. Author.
Language: English
Format: Publication
Abstract:
The author outlines the twenty four steps in the Preparation Phase of EMDR processing during a EMDR session with a child.
Accuracy Verified: Yes
196. Knipe, J. (2007, September). Master Series - II. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Often a client’s clinical picture includes somatic symptoms that are part of the sequelea of traumatic experience, but which are regarded by the client as outside the domain of psychotherapy. Examples would include physical pain, difficulty in breathing, and odd, atypical physical sensations. There are times when these types of symptoms provide the best point of access to memory networks holding unresolved traumatic material. In this presentation, video segments will illustrate the case conceptualization, treatment planning and course of treatment for several clients with complex Post-Traumatic Stress Disorder.
Keywords: Masters Series
Accuracy Verified: Yes
197. Bodill, B. (2007, March). Measuring outcomes: Using EMDR in the NHS. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.
Language: English
Format: Conference
Abstract:
Types of outcomes measures
CORE-OM
Clinical Outcomes in Routine Evaluation
34 items
Covers 4 domains: problems, social
functioning, well-being and risk. [Excerpt]
Keywords: NHS Outcomes Symposium
Accuracy Verified: Yes
198. Barrett, S. (2003, July 10). Mental help: Procedures to avoid. Quackwatch. Retrieved from http://www.quackwatch.org/01QuackeryRelatedTopics/mentserv.html 6/7/2007.
Language: English
Format: Other
Abstract:
Many types of practitioners who profess to treat mental problems are engaged in
questionable practices. The following procedures should be avoided.
Keywords: AIT Auditory Integration Training Doman-Delacato Treatment Facilitated Communication Neural Organization Technique Neuro Emotional Technique NET Neurolinguistic Programming Neurotherapy NLP NOT Optometric Visual Training Past-Life Therapy Routine Personality Testing Stimulation of False Memories Skeptics TFT Thought Field Therapy
Accuracy Verified: Yes
199. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th Annual Meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Eye movement desensitization (EMDR) and exposure therapies
(e.g. prolonged exposure therapy) have both been recommended
as first-line treatments for posttraumatic stress disorder (PTSD).
However, relatively little is known about the comparative efficacy
of the two types of treatments. To date, the few studies that have
been conducted have small sample sizes, making it difficult
to draw conclusions. The goal of the current study was to use
meta-analytic techniques to synthesize the existing data on the
relative efficacy of exposure therapies and EMDR. Through a
comprehensive literature search, we identified six randomized
control trials that met our inclusion criteria. We calculated
Hedges g effect sizes for the continuous variables (positive values
favor exposure therapies) and risk ratios (RRs) for dichotomous
variables (values greater than one favor exposure therapies).
EMDR and exposure therapies did not differ significantly on
clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport
depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46),
or dropout (RR = 0.79). However, higher-quality studies (based
on Foa & Meadows’ 1997 criteria) consistently favored exposure
therapies. Clinical implications will be discussed
Keywords: Exposure Therapy Meta-analysis Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
200. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Treatment Studies: I
Eye movement desensitization (EMDR) and exposure therapies
(e.g. prolonged exposure therapy) have both been recommended
as first-line treatments for posttraumatic stress disorder (PTSD).
However, relatively little is known about the comparative efficacy
of the two types of treatments. To date, the few studies that have
been conducted have small sample sizes, making it difficult
to draw conclusions. The goal of the current study was to use
meta-analytic techniques to synthesize the existing data on the
relative efficacy of exposure therapies and EMDR. Through a
comprehensive literature search, we identified six randomized
control trials that met our inclusion criteria. We calculated
Hedges g effect sizes for the continuous variables (positive values
favor exposure therapies) and risk ratios (RRs) for dichotomous
variables (values greater than one favor exposure therapies).
EMDR and exposure therapies did not differ significantly on
clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport
depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46),
or dropout (RR = 0.79). However, higher-quality studies (based
on Foa & Meadows’ 1997 criteria) consistently favored exposure
therapies. Clinical implications will be discussed.
Keywords: Adult Exposure Therapy Meta-Analytic Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
201. Carlson, B. E. (2005, January). The most important things learned about violence and trauma in the past 20 years. Journal of Interpersonal Violence, 20(1), 119-126. doi:10.1177/0886260504268603 .
Language: English
Format: Journal
Abstract:
In the past 2 decades, important insights have been gained regarding violence and trauma. Complications occur in how violence and trauma, their causes, and their effects on victims should be defined. Violence and abuse to women -- physical, sexual, and emotional -- are not rare events and are most often perpetrated by partners or acquaintances rather than strangers and occur in nonmarital as well as marital relationships, including same-sex relationships. A promising methodological innovation in the study of violence and trauma is the use of longitudinal designs. Innovations in treatments for victims such as evidence-based interventions have been slow to emerge; they include eye movement desensitization and reprocessing (EMDR) and the Seeking Safety group intervention for drug-abusing women with trauma histories. Future research should address increased understanding of variation in individual responses to violence and trauma, matching of treatment to different types of male offenders, better understanding of how culture affects violence perpetration and victimization, and evaluation of domestic violence interventions. [Author Abstract]
Keywords: Commentary Empirical Study Longitudinal Study Review Scientific Research Spouse Abuse Survivors Treatment
Accuracy Verified: Yes
202. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Definition of client population:
Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of
emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner
experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their
condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are
exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful
or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their
perfectionism or their quiet devaluing of others.
View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style.
People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as
interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters,
however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people
is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either
superior and powerful or inferior and worthless; supportive and admiring or critical and attacking.
Difficulties in using EMDR:
Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not
feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They
resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect,
other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and
worthlessness and their confusion about who they are and what is truly meaningful and valuable to them.
Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral
approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and
object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts,
body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty
with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with
homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating
beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change.
In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more
traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of
segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object
splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in
treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most
confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited
experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or
painful past experiences.
Length of treatment:
I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established
relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically
for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying
with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting
relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires.
Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they
are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are
able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient
purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are
reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as
a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and
consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with
narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions:
The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions.
Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will
never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my
flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must
please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire
me. It is often helpful to narrow these cognitions down to make them manageable with EMDR
Treatment:
In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an
EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in
particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed
Among other things, these facilitate more effective copitive interweaves.
The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since
it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in
helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of
children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's
own response to situations he has witnessed in news media, TV, movies or theater.
A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients
and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to
differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with
and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the
patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the
client as supportive but nevertheless make hun or her aware of having wandered.
Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will
agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has
never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth
that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while
doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must,
however, retain her healthy perspective if the client is to learn to accept himself.
For more clinical information about treating disorders of the self:
1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York,
N. Y., 1990
2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992.
3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach,
Professional Resource Exchange, Inc., Sarasota, Florida, 1990.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
203. Cornett, T. (2005, January 26). NH Bremerton co-sponsors PTSD training. US Department of Defense Information, Navy Press Release.
Language: English
Format: Other
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a method to treat people who have disturbing or traumatic memories, by mimicking the brain's natural way of processing information by using eye movements or other types of bilateral stimulation. This treatment is the most rapid of the four recommended treatments for PTSD and is being focused on because it is the only one that is effective for acute stress disorder, which is one of the early stages of PTSD.
Keywords: Mark Russell Military Posttraumatic Stress Disorder PTSD Training
Accuracy Verified: Yes
204. Litt, B. (2009, August). Node isolation theory: The eye-zone differential technique. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD, dissociation, and attachment issues are easily hyper – or hypo-aroused and may dissociate or abreact. Moreover, many clients report complex or “undifferentiated” responses to targets, including multiple affects and negative cognitions, confusion, or ego-state conflict in which processing loops, is blocked, or is inefficient. Possibly, multiple nodes are being activated in the setup phase simultaneously. The proposed remedy is to isolate the node at the epicenter of the target trauma for a more focused desensitization experience. A series of “Node Isolation Strategies” are described that lead to safe, efficient processing of difficult material, while maintaining inter-session stability.
Keywords: Eye-Zone Differential Technique Node Isolation Theory
Accuracy Verified: Yes
205. Freitag, W. (2008, September). The nuts and bolts of EMDR consultation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
As EMDRIA’s requirements for Basic Training programs now include consultation hours, this has become a hot topic. This workshop will review EMDRIA’s philosophy of consultation and the requirements which now exist. An explanation of what consultation is and is not will be given, and the role of the consultant will be explored. There are now four different types of consultation to be conducted by an EMDRIA Approved Consultant. These are: Consultation within the Basic Training Curriculum; Consultation for Certification; Consultation of a Consultant-In-Training, and Ongoing consultation for professional development. The function, content and goals of the four different types of consultation will be defined, and the expectation of the consultant examined. Examples of specific tasks or ways to do effective consultation will be identified.
Keywords: Consultation
Accuracy Verified: Yes
206. Freitag, W., & Swan, S. (2009, August). The nuts and bolts of EMDR consultation - Expanded. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Consultation has become a topic of interest over the last few years. This workshop will review EMDRIA’s philosophy of consultation, what consultation is and is not, and its benefits. The function, content and goals of the four types of consultation will be reviewed, along with the consultant’s roles. Consultation for Certification and Consultation of a Consultant-In-Training (CIT) will be fully explored with specific tasks and methods for effective consultation identified. A newly credentialed Approved Consultant, with a well-developed consultation practice, will share practical methods to market, set-up and run consultation groups, as well as introduce a system for organizing and documenting group and individual consultation sessions. Ethical concerns in both EMDR practice and in conducting EMDR consultation will be discussed.
Keywords: Consultation
Accuracy Verified: Yes
207. Yoeli, F. R., & Prattos-Spongalides, T-A. (2004, June). OCD: Anxiety, rituals, co-morbidity or altered state? Treatment outcomes with EMDR. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the annual meeting of th EMDR Europe Association, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Trauma-generated OCD repeats the trauma through its own ritual behavior patterns. This altered state re-traumatizes the core personality through the repetition of rituals similar to the original trauma. The presenters hypothesize that trauma-based OCD is an altered state not co-morbid with diagnosis for dissociative disorders. This OCD persona served the dissociative adult cope with traumatic memories changing and influencing reactions to ongoing trauma, life choices, and other behavior patterns.
This aim of this workshop is to focus on the development of trauma-based, anxiety-motivated dissociative states. Life in the shadow of chronic anxiety stemming from living under constant and consistent life-threatening conditions produces a (sub)-population of persons suffering from PTS/D. The anxiety and fear from elements of unprocessed traumatic events are retained and embedded in the body and are repeatedly triggered in daily life. This PTSD population dissociates into anxiety-based altered states ranging along a continuum from mild tension to phobias, panic attacks, denial, PCD, aggression, indifference and apathy and finally full blown trauma generated OCD.
The presenters provide cross-cultural examples demonstrating how ongoing threat of man-made or natural disasters often leads to a dissociative OCD state. Case examples are explored which demonstrate how processing with EMDR effectively enables resolution and change. EMDR is particularly useful in processing the “anxiety” via current behavior patterns.
Objectives: 1) to examine the co-morbidity aspects of trauma-based OCD and dissociation 2) to present the parallel continuums of types of stress and anxiety (on the intensity and severity axis 3) to compare the differences and similarities in behavioral patterns in different cultures under the stress of constant threat of annihilation (man-made vs. natural threats) 4) to demonstrate the effectiveness of EMDR on trauma induced OCD, through case illustration and discussion.
Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes
Accuracy Verified: Yes
208. Dale, S. (2012, April). One in ten: Treating needle phobias with EMDR. Presentation at the annual meeting of the EMDR Canda, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
One in ten people has a needle phobia. This condition can be disabling for people whose inordinate fear of needles can keep them from accessing medical testing and treatment. In this presentation, needle phobia are defined and the types explained, including vaso-vagal, associative, resistive, and hyperalgesic. The EMDR Protocol for Phobias is outlined, and research on using EMDR with needle phobia is reviewed. Case studies are presented in which clients with different types and degrees of needle phobia are treated. Discussions on challenges working with this client group are presented, and cognitive interweaves specific to needle phobia are introduced.
Learning Objectives:
1. Examine the definition and prevalence of phobias
2. Identify the types and prevalence of needle phobia
3. Outline the psychological and physical impact of needle phobia
4. Discuss the EMDR Protocol for Phobias
5. Explore how EMDR can be used to treat needle phobia
Keywords: Phobia
Accuracy Verified: Yes
209. Zlomke, K., & Davis III, T. E. (2008, September). One-session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39(3), 207–223. doi:10.1016/j.beth.2007.07.003.
Language: English
Format: Journal
Abstract:
One-Session Treatment (OST) is a form of massed exposure
therapy for the treatment of specific phobias. OSTcombines
exposure, participant modeling, cognitive challenges, and
reinforcement in a single session, maximized to three hours.
Clients are gradually exposed to steps of their fear hierarchy
using therapist-directed behavioral experiments. Although
there are several studies in the literature examining the
efficacy of OST, little has been done to summarize this
research. In the following review, research on and empirical
support for OST are reviewed with an emphasis on the types
of stimuli, samples, and methodologies utilized. Research
generally supports OST's efficacy, although replication by
independent examiners using adult and child samples is
needed using more rigorous comparisons (e.g., psychological
placebo or other treatments). Overall, OST continues to
be a promising treatment for specific phobias; however, a
great deal more investigation is needed to identify mechanisms
of change, mediators, and moderators.
Keywords: Phobias
Accuracy Verified: Yes
210. Nickeson, C. (2002, June). Panic disorder and physiology phobia: EMDR treatment. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Panic disorder can be viewed as a phobic fear of the body's physical sensations. It results from conditioning by the traumatic experience of having panic attacks. Conceptualizing panic disorder in this way provides a powerful way to structure treatment with EMDR since EMDR is clearly effective with trauma resolution. This workshop will describe how the preparation phase is especially important and, must be expanded in order for reprocessing to be successful. Participants will also learn how to
select appropriate targets for the desensitization phase, how to identify
suitable negative cognitions and positive cognitions, and how to employ cognitive interweave when needed. A videotape illustrating an important part of a client's work will be shown.
Keywords: Panic Disorder Phobia Physiology
Accuracy Verified: Yes
211. Farrell, D., & Keenan, P. (2007, June). Participant's experiences of EMDR training within the UK and Ireland. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This study investigated the experiences of several hundreds of participants who had undertaken EMDR training in the United Kingdom and Ireland over the last ten years. The research group was drawn from both the membership of the EMDR UK and I Approved Commercial Training. The research ascertained participant’s core profession, main psychological treatment orientation, present utilization of EMDR within current clinical practice, number of clients treated, types of referral issues, average number of sessions, and provision for clinical supervision. Participants were then asked to provide feedback as to their views on their EMDR training experience. Results demonstrated a significant proportion of practitioners integrated EMDR with Cognitive Behavioural Therapy more than any other paradigm. EMDR trainings were criticised in areas which included participant involvement, post training, professional development, and systems of assessment of knowledge and application of EMDR. The findings suggest a need to develop competency based curriculum training in EMDR. Arguments will be presented to support the need to teach EMDR within a wider clinical context.
Keywords: Ireland Training Treatment UK United Kingdom
Accuracy Verified: Yes
212. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
213. Luber, M. & Shapiro, F. (2009). Phobia protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 155-173). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter presents a summary of the Phobia Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). Shapiro distinguishes between two types of phobias: simple phobia (e.g., fear of an object), and process phobia (feature of a situation in which the client must actively participate). Therapists are instructed to use the Standard EMDR Protocol for the following targets over six steps: past memories, present triggers, and a future template. To do the full Phobia Protocol, all six steps should be included. The Phobia Protocol Script is included. [PsycINFO Database]
Accuracy Verified: Yes
214. Yordy, J. (2003, September). Playful approaches to using EMDR with children. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Expand your ability to conduct EMDR with Children by learning how to playfully incorporate a variety of techniques. Learn easy ways to: set up
five different types of positive resources, adapt the basic protocol, incorporate therapeutic storytelling effectively, or "externalize the
problem" through creating monsters! Discover the fun of playing the "Energy Connection" game to build positive coping strategies and work
at emotional stuck points. Whether you enhance your ability to utilize the EMDR protocol or increase your skill at evaluating which EMDR
technique to use, you can count on acquiring fresh ideas for improving your EMDR therapy with children.
Keywords: Children Energy Connection Game Monsters Positive Resources Storytelling
Accuracy Verified: Yes
215. Strom, I., & Christie, H. (2001, May). Possible EMDR targets when working with children diagnosed with OCD: A case history. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
This poster will describe a girl who is 13 years of age and how she is living with mother and
stepfather, her symptoms and her obsessive thought and actions. The poster will give
information about a girl who is a very lively and charming person and who is strongly
motivated to get help. There will be information about how the girl's life is strongly
influenced by obsessions both thoughts and actions and her symptoms. For example, she
feels frequently she must ask whether it will be a fire, if there is any risk for her being
contaminated, or if she will get different diseases like AIDS, or even getting pregnant. How
the girl thinks she can hurt other persons and that she will get hurt herself. For example the
girl has to check and dry off the toilet several times before, leaving, she also thinks she must
wash her hands several times a day. She could seldom stay or play with her friends. Further
the poster will describe how she enjoys school and feels sorry for having to do all the constant
asking and the different rituals - how she understands that it is stupid to go on doing what she
does - and that she can not help it. The poster will give examples of targets, how and when
the EMDR is used in the treatment. Information on the poster about the treatment, and the
experience and effect of the EMDR interventions. This information from the therapeutic
process will be separately provided and presented from the girl, the mother and the therapist.
Keywords: Children Obsessive Compulsive Disorder OCD Poster
Accuracy Verified: Yes
216. McLean, P. D., & Woody, Sheila, R. (2001). Posttraumatic stress disorder. In P. D. McLean & S. R. Woody (Eds.), Anxiety disorders in adults: An evidence-based approach to psychological treatment (pp. 205-241). New York: Oxford University Press.
Language: English
Format: Book Section
Abstract:
Description and conceptualization (phenomenology; diagnostic trends; prevalence and course); Theoretical perspectives; Assessment (diagnosis; assessment of symptoms; assessing contextual factors: social support, cognitive distortions, avoidant coping, multiple trauma history, occupational adjustment, physical history/pain/litigation; case formulation); Treatment models and guidelines (cognitive behavioral therapy for PTSD: education, exposure, cognitive control, cognitive restructuring, relaxation training; specific types of trauma: sexual assault, motor vehicle accident, combat; pharmacological treatment for PTSD; eye movement desensitization and reprocessing [EMDR]; client-treatment matching; minimal vs. optimal interventions; common problems: noncompliance due to fear and avoidance, comorbidity, medical and litigation complications; treatment outcome evaluation and life planning). [Pilots]
Keywords: Adults Evidence Based Treatment Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
217. Zimmermann, E. (2010, June). The potential of EMDR in gynaecology and obstetrics: Special application with infertile women. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The author of this presentation works as psychologist
and psychotherapist in a clinic in Fribourg/Switzerland in the
department of gynecology and obstetrics. Various applications
of EMDR are used, both in gynecologic and obstetrical outcomes.
A special patient population, namely infertile women
in search of becoming pregnant, are an important part of the
work. The purpose of this presentation is to show the special
approach that E. Zimmermann has developed by working with
infertile women. Infertile women - in opposition to sterile women
- are women with no apparent medical reason why they do
not become pregnant.
These infertile women often pass a particularly long and difficult
phase to get pregnant. They are always disappointed by
the repeated negative outcome of all their efforts to become
pregnant. This is a very difficult phase in the life of the couple
too, and not few couples separate during this phase. Especially
women feel unable being a mother and their self-esteem is very
low. This is why the author has developed a special application
of EMDR to this population. The aim is to cope with the difficulties
related to these different stages. Another purpose is
preparing a desired and possible pregnancy.
Women mostly have very different anamnesis, some also including
trauma. They have in particular a personal pregnancy
or non-pregnancy history, e.g. also abortion. In addition the
medical assistance utilized for getting pregnant is quite different
for every case. Lots of them end up by using fertilization techniques,
which have a low chance of success. This makes it rather difficult for EMDR to treat these women i
a standardized way. The author of this workshop has developed
a flow-chart providing an concept of applying EMDR at different
stages with different types of targets in order to compare
the outcomes.
By working with EMDR and infertile women, it appears that
they become pregnant quicker than what the statistics predict.
There are also women who become pregnant after working with EMDR before they start the fertility-program. This is why
the author prepares a research study to try to figure out if the
EMDR-process can have a positive impact on fertility.
Keywords: Female Issues Gynecology Infertility Obstetrics Symposium
Accuracy Verified: Yes
218. Barbery, S. (2007, Juin). Pourquoi l'EMDR doit changer de nom [Why EMDR must change its name]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
"Depuis ce temps, les thérapeutes EMDR ont découvert que les différents types de stimulation double attention, comme les robinets à main et les tons sont susceptibles d'avoir les mêmes effets. En face, il ya une bonne possibilité que le dénominateur commun est le principal élément d'attention plutôt que le mouvement des muscles en particulier. Par conséquent, la désensibilisation des mouvements oculaires nom et le traitement est regrettable à bien des égards. Le mouvement des yeux terme est trop restrictive, et la même chose peut être dit pour la désensibilisation terme "(Francine Shapiro, 2002, EMDR comme une psychothérapie intégrative approche, APA, p. 28).
Je vais commencer par cette citation de poser la question cruciale: quel est vraiment le «plus petit dénominateur commun primaires" de l'EMDR?
Certainement pas les yeux car on utiliser plusieurs types de double attention! Et pourtant, la quasi-totalité de la communication externe sur l'EMDR accent uniquement sur les mouvements oculaires.
Il est la stimulation de rechange? La question reste ouverte, mais des preuves solides d'infirmer cette hypothèse.
Si la spécificité de l'EMDR ne réside ni dans les yeux, ni dans la stimulation de remplacement, at-il seulement existé? Je vais défendre mon intervention à l'idée que cette spécificité existe et repose sur la ruse de l'Assemblée des charges et des procédures d'autres techniques.
De ce point de vue, pourquoi continuer, autrement que pour des raisons marketing ou tribale, d'appeler EMDR une technique qui n'a rien à voir avec les mots censés qu'il symbolise, pour le représenter? N'est-ce pas induire en erreur et révélatrice d'une position de faiblesse pour continuer à appeler "smurf" quelque chose dont on sait qu'elle n'a rien à voir avec "Schtroumpf?" Ne l'exigence éthique de probité et de la science implique de renommer le protocole ? Le public aurait tort de là, bien au contraire. Si le nom ne doit pas être changé, l'EMDR peut avoir le même avenir que le magnétisme dans le 19ème siècle et peut être relégué dans le secteur de la parapsychologie. Il serait vraiment triste.
“Since that time, EMDR therapists have discovered that various types of dual attention stimulation, such as hand taps and tones are capable of having the same effects. In face, there is a good possibility that the primary common denominator is the attentional element rather than the particular muscle movement. Therefore, the name eye movement desensitization and processing is unfortunate in many ways. The term eye movement is unduly limiting, and the same can be said for the term desensitization” (Francine Shapiro, 2002, EMDR as an Integrative Psychotherapy Approach, APA, p. 28).
I will start from this quotation to ask the crucial question: What is really the “primary common denominator” of EMDR?
Certainly not the eyes since one use several types of dual attention! And yet almost all the external communication on the EMDR emphasis only on the eye movements.
It is alternate stimulation? The question remains open but strong evidence invalidate this assumption.
If the specificity of the EMDR lies neither in the eyes nor in alternate stimulation, does it only exist? I will defend in my intervention the idea that this specificity exists and rests on the cunning assembly of loads and procedures from other techniques.
From this point of view, why continue, otherwise than for marketing or tribal reasons, to call EMDR a technique which has nothing to do with the words supposed to symbolize it, to represent it? Isn’t this misleading and revealing a position of weakness to continue to call “smurf” something which one knows that it does not have anything to do with “smurf?” Doesn’t the ethical requirement of probity and science imply to rename the protocol? The public would be mistaken there, quite to the contrary. If the name is not to be changed, EMDR may have the same future as magnetism in the 19th century and may be relegated to the sector of the parapsychology. It would really be sad.
Keywords: Strategy
Accuracy Verified: Yes
219. Spierings, J. (2010, June). Power-interweaves: (Non-)cognitive interweaves for persistent guilt and other tenacious problems. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Working with severely damaged clients, the clinician
many times is faced with complex and challenging problems.
and staying out of the way during the desensitization phase
definitely not enough to get the SUD's down.
In this workshop a number of new types of interweaves will be
presented, developed to deal with clients who get severely stuck
during the desensitization phase, mostly in complex guilt-issues.
Many times standard cognitive interweaves are not enough to
unblock the EMDR processing, and the clinician has to be creative in order to help clients with these difficult issues. The more damaged the client, the more powerful interweaves are needed.
In this presentation new types of high-impact interweaves are introduced, involving non-cognitive aspects, e.g. visual, sensorimotor, symbolic, spiritual. Learning objectives:
1. Participants develop sensitivity to the dynamics underlying complex guilt-related problems.
2. Participants learn about the characteristics of high-impact interventions.
3. Participants learn to use their own creativity in developing new interweaves.
4. Participants add several powerful new interweaves to their of existing repertoire.
New in this presentation: These interweaves have not been described or presented before. They are applied within the standard EMDR-protocol, so they are an extension of existing principles and techniques.
Keywords: Cognitive Interweave Persistent Guilt Power Interweave
Accuracy Verified: Yes
220. Klaff, F. (2005, September). Practical EMDR with children and adolescents: An integrative family systems approach. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This workshop offers creative and practical applications for integrating
EMDR into child, adolescent and family systems therapy. Ways to introduce
EMDR, uncover targets, adapt cognitive interweave to different ages and
stages of development and assess and utilize parental involvement will be
taught. Problems, such as resistance, family complexities and chronic versus
crisis problems, will be addressed. Enhancement skills including affect
management and ego strengthening will be taught. The how-to's of play, art,
music and stories as vehicles for creatively using EMDR will be demonstrated.
Cases involving ADHD, adoption, cutting, divorce, sexual abuse and other
traumas will be illustrated with videos, scripts and roleplay. Dr. Klaff is
known far her lively presentations, creativity and humor.
Keywords: Adolescents Children Integrative Family Systems Approach
Accuracy Verified: Yes
221. Work Group on Panic Disorder. (2008). Practice Guideline for the treatment of patients with panic disorder, 2nd Edition. APA Practice Guidelines.
Language: English
Format: Publication
Abstract:
Eye movement desensitization and reprocessing was originally
developed as a treatment for posttraumatic stress disorder
(206), but it has been studied as a possible treatment
for panic disorder. Eye movement desensitization and reprocessing
involves reprocessing distressing memories
while engaging in guided eye movement. When applied to
panic disorder, EMDR targets distressing memories such
as the memory of the first panic attack and life events that
the patient associates with panic disorder (207).
Keywords: Practice Guidelines
Accuracy Verified: No
222. Hopchet, M., & Detournay, F. (2012, June). Preliminary study on the effects of simultaneous application of two types of stimulations (eye movements and tactile stimuli) on psychophysiological autoreported symptoms in the treatment of negative autobiographical memories [Estudios preliminares sobre los efectos de la aplicación simultanea de dos tipos de estimulación (movimientos oculares y táctiles) en sintomatología psicofisiológica autoinformada en el tratamiento de recuerdos autobiográficos negativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Negative autobiographical memories are effectively treated using EMDR
with patients making eye movements during the recall of negative
autobiographical memories. While several studies have measured the effects of
different types of stimulations, we are not aware of any research assessing the
combined effects of two different stimulations applied simultaneously during the
recall of the event.
For this preliminary study involving 15 adult patients from both sexes, 4 EMDR
counselor therapists measure 17 symptoms of the list proposed by Weimann
(1968)). Each patient is evaluated before, during and at the end of each session.
We control the effect of the sequence of one versus two types of stimulations by
assigning each patient to both conditions but in a random way: (a) first target first
session with one type of stimulation following with a second target first session,
including two types of stimulation; (b) the inversed sequence. We compare the
mean level intensity of each symptom (within factor) between one type vs. two
types of stimulations (between factor) using the Anova and the t- Student tests.
We hypothesize that an attenuation of intensity of the stress symptoms occurs
when the patient is treated simultaneously with two types of bilateral stimulation
(eye movements and tactile stimuli), compared to one (eye movements).
The paper presents preliminary data, as well as a discussion of the results in the
light of the theory of the working memory (Andrade et al.1997) and the
reassurance reflex model of EMDR proposed by MacCulloch and Feldman (1996).
Los
recuerdos
autobiográficos
negativos
son
tratados
con
efectividad
usando
el
EMDR
con
pacientes
a
través
del
movimiento
ocular
de
ojos
durante
el
acceso
al
recuerdo
negativo
autobiográfico.
Mientras
muchos
estudios
han
medido
dos
tipos
diferentes
de
estimulación,
no
estamos
al
corriente
de
ninguna
otra
investigación
que
informe
de
los
efectos
combinados
de
los
dos
tipos
de
estimulación
aplicada
simultáneamente
durante
este
acceso
al
recuerdo
del
evento.
En
este
estudio
preliminar
contamos
con
los
datos
de
15
pacientes
adultos
de
ambos
sexos,
4
consultores
EMDR
midieron
17
síntomas
de
la
lista
propuesta
por
Weimann
(1968).
Cada
paciente
era
evaluado
antes,
durante,
y
al
final
de
cada
sesión.
Controlamos
los
efectos
de
una
secuencia
en
función
de
los
2
tipos
de
estimulación,
asignando
a
cada
paciente
ambas
condiciones
pero
de
manera
aleatorizada:
(a)
Primer
recuerdo
Diana,
primera
sesión
con
un
tipo
de
estimulación
seguido
de
un
Segundo
recuerdo
de
la
primera
sesión
incluyendo
dos
tipos
de
estimulación;
(b)
invertimos
la
secuencia
anterior.
Comparamos
la
media
del
nivel
de
intensidad
de
cada
síntoma
(dentro
del
factor)
entre
un
tipo
y
dos
tipos
de
estimulación
(entre
factores)
usando
cálculos
estadísticos
de
Anoia
y
una
t-‐Student
para
los
resultados.
Nuestra
hipótesis
es
que
ocurrirá
una
atenuación
de
los
síntomas
de
estrés
cuando
el
paciente
es
tratado
simultáneamente
con
dos
tipos
de
estimulación
bilateral
(movimientos
oculares
y
estímulos
táctiles),
comparados
con
la
de
un
solo
tipo
(Movimientos
oculares).
Este
artículo
presenta
el
análisis
preliminar
de
los
datos,
así
como
la
discusión
de
los
resultados
en
línea
con
la
teoría
de
la
memoria
de
trabajo
(Andrade
y
cols
1997)
y
la
reafirmación
del
modelo
refractario
del
EMDR
propuesto
por
MacCulloch
y
Feldman
(1996).
Keywords: Autobiographical Memories Bilateral Stimulation Eye Movements Tactile Stimulation
Accuracy Verified: Yes
223. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora.
L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini.
IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati.
Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.
The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more.
The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men.
IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared.
So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.
Keywords: Cancer Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
224. Gonzalez, A., Mosquera, D., & Seijo, N. (2010, April). Processing dissociative phobias with EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract: The standard EMDR protocol (SP) was designed for the treatment of simple PTSD, and when it´s used on this cases, EMDR is a very powerful therapy. But when SP is applied on complex trauma and dissociative disorders 20% of patients may become de-compensated. The importance of the stabilization phase has been remarked by different authors. The existent proposals are to use interventions coming from different approaches sometimes enhanced with bilateral stimulation. Standard procedures used for simple PTSD must be adapted and modified for working with dissociative disorders. To do this is important to understand from recent research work what we know about the effects of EMDR therapy. We will try to dynamically integrate these features with conceptualizations coming from the EMDR Adaptive Information Processing Model (AIP) and the Theory of the Structural Dissociation of the Personality (TSDP) TSDP emphasizes the importance of working with dissociative phobias prior to trauma work. In the stabilization phase the work on the phobia of dissociative parts and of attachment (and the attachment with the therapist) is the most important one. We will show with clinic cases the effect of this intervention on improving internal communication and collaboration and overcoming therapist-patient relationship problems.
Learning Outcomes For those who are not EMDR therapists this workshop will help to understand how EMDR conceptualizes the work in structural dissociation from the Adaptive Information Processing Model (AIP). For people who are not expertise on Theory of Structural Dissociation of the Personality (TSDP) a brief description of dissociative phobias and their importance in the work with dissociative disorders will be put forward. The assistants will watch videos of therapies with different patients, in which EMDR is applied using dissociative phobias as targets. Differences with ego states therapy without introducing bilateral stimulation and with standard EMDR protocol will be observable in the case-examples and will be explained in detail. This work represents a different way of using EMDR to stabilize the patient and prepare her/him for future traumatic memory processing.
Keywords: Phobias
Accuracy Verified: Yes
225. Monticelli, M. L. (2008, Novembre). Psicoterapia cognitivo costruttivista e EMDR integrati: verso un’evoluzione mente-corpo consapevole e collettiva [Cognitive constructivist EMDR integrated into development mind-body awareness and collective]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I limiti mentali autoimposti acquisiti da copioni familiari reiterati in età evolutiva e da modelli operativi interiori acquisiti dalle autorità societarie attraverso mezzi di comunicazione di massa e regole educativo-lavorative, inducono percentuali sempre più rilevanti della popolazione europea alla vulnerabilità psicopatologica. L’esordio delle sintomatologie psichiche e somatiche di varia entità, avviene già in fasi precoci, nella primissima infanzia e spesso già nelle fasi prenatali, e il limite di età tende percentualmente a essere sempre più sensibile fin dal primo mese di vita. In età scolare si manifestano situazioni comportamentali quali il cosiddetto “bullismo” e fenomeni con campionature rilevanti di sindromi ipercinetiche con deficit attentivo e disturbi del-l’apprendimento. In adolescenza il contesto si complica e gli attacchi di panico, le sindromi depressive e i disturbi alimentari psicogeni dilagano, fino all’esordio di disturbi post-traumatici da stress che si incrementano in seguito alle difficili scelte di orientamento universitario o lavorativo. La vulnerabilità dell’età adulta si manifesta con disturbi somatoformi di diversa natura, disturbi psicocardiologici, sindromi ansioso-depressive, attacchi di panico, disturbi di coppia e relazionali, per citare i più frequenti e limitandomi solo ad accennare l’esistenza della molteplicità di disturbi iatrogeni. In tali soggetti, la consapevolezza di essere indotti in stati di shock che incrementano molteplici disturbi somatoformi e psicopatologici è praticamente assente. Essi, come pazienti, si rivolgono agli specialisti in ambito sanitario con la convinzione, spesso indotta da propagande dei mass-media, che tutto sia solo genetico, e vada "curato" con farmaci per lunghi periodi se non per tutta la vita. Anche da parte degli operatori sanitari vi sono ampie aree di inadeguatezza metodologica: ad esempio, la gravidanza viene gestita come fosse una malattia, riducendo la donna partoriente a una paziente alla quale troppo facilmente si “consiglia” il parto cesareo (statisticamente tra i più frequenti in Italia!) come metodo “veloce e sicuro” di parto, togliendo la competenza materna dell’imprinting alla nascita del bambino con le conseguenze psicologiche che ne derivano per la relazione madre-bambino e per la crescita serena di quest’ultimo, e, sempre a titolo esemplificativo, ignorano quasi del tutto gli aspetti di psicocardiologia, e il loro intervento si riduce a esami medici invasivi e a somministrazione di farmaci. Eppure, la psicoterapia cognitiva costruttivista, e specificamente modelli teorici e tecniche strategiche specialistiche note come EMDR (Eye Movement Desensitization and Reprocessing), l’utilizzo di biofeedback, l’innovativo training emotivo-cognitivo-comportamentale da me ideato nelle due versioni per la psicoterapia e per i gruppi in formazione che incrementa il riconoscimento emotivo e l’implementazione di immagini mentali idonee a modificare cognizioni e comportamenti irrazionali, quando eticamente e competentemente applicati, fanno molto per questi pazienti, sia in quanto si incrementa sensibilmente il livello della loro consapevolezza e della loro capacità di farsi protagonisti nel-l'evoluzione positiva della loro “guarigione”, sia in quanto si può intervenire in modo mirato con sperimentati protocolli per la risoluzione dello stato di trauma psichico in tempi ragionevolmente rapidi e con risultati attendibili e verificabili. Passando dalla dimensione individuale a quella collettiva, ossia alla psicopatologia collettiva cagionata dall’esposizione (anche solo mediatica) ad eventi catastrofici o angoscianti (magari associati a senso di impotenza, insicurezza, precarietà) o a diversi tipi di stress e vulnerabilità, possiamo aggiungere che, analogamente, mediante un lavoro su sistemi di neuroni specchio e sull'attivazione di nuove connessioni di reti neurali con un modello operativo non invasivo, si potrebbe migliorare la condizione di intere popolazioni rispetto a disturbi che, oggettivamente, sono in continua diffusione.
Sarebbe opportuno iniziare una sensibilizzazione collettiva partendo dalla formazione per livelli differenziati degli operatori educativi e sanitari, per poi estenderla alla popolazione suddividendola
per fasce di età e per territori di appartenenza; purtroppo la consapevolezza non è tra le aspettative primarie di committenti rivolti solo al profitto economico.
In un contesto storico-culturale dove l’etica, le relazioni umane, la cooperazione sembrano utopiche fiabe, questa è la sfida di essere una perturbatrice emotivamente orientata ad amplificare la consapevolezza attraverso un nuovo modello psicoterapeutico e formativo integrato, al quale sto lavorando da alcuni anni con risultati incoraggianti e che sarà mia premura esporre dettagliatamente durante il Congresso EMDR 2008.
The self-imposed mental limitations acquired from family scripts repeated age and developmental models inner acquired by the company operating through means of mass communication and
educational and working rules, induce percentage increasing as the population of Europe vulnerability to psychopathology. The onset of symptoms of various psychological and somatic
entity, is already in the early stages, in early childhood and often known during prenatal and age limit percentage tends to be more sensitive since the first month of life. Age
school behavioral situations occur where the so-called "bullying" and phenomena samples relevant syndromes of attention-deficit and hyperactive disorder - learning. In adolescence the context is complicated and panic attacks, the syndromes psychogenic depression and eating disorders are rampant, until onset of post-traumatic disorders stress which increases as a result of difficult choices of university or business orientation. The vulnerability of adulthood is manifested by different types of somatoform disorders, disorders psycho, anxious-depressive syndrome, panic attacks, disorders of torque and relational to cite the most frequent is limited only to mention the existence of multiplicity of disorders iatrogenic. In these subjects, conscious of being led into a state of shock that increase multiple somatoform disorders and psychopathology is virtually absent. They, like patients, addressed to specialists in the health field with the belief, often driven by propaganda media, that everything is just genetic, and must be "cured" with drugs for long periods if not for life. Including by health workers there are large areas of inadequacy
methodological: for example, pregnancy is managed as if it were a disease, reducing the woman in labor to a patient which too easily "advise" Caesarean (statistically the most frequent in Italy!) as a method of "fast and safe childbirth, removing the competence of imprinting the birth mother of the child with the psychological consequences that entailed for the mother-child and to the peaceful growth of the latter, and, also example, know little about the aspects of psycho, and their intervention reduces to invasive medical examinations and medication. Yet, cognitive psychotherapy
constructivist theoretical models and specific strategic and technical specialists known as EMDR (eye movement desensitization and reprocessing), the use of biofeedback, the innovative
emotional-cognitive-behavioral training which I designed in two versions for psychotherapy and groups in training that increases the emotional recognition and implementation of
mental images likely to change, knowledge and irrational behavior, when ethically and competently applied, do a lot for these patients, both because it increases
significantly the level of their awareness and their ability to get players in - the positive development of their "healing", both as it can intervene in a targeted manner with
tested protocols for the resolution of the state of psychic trauma in the reasonably rapid and reliable and verifiable results. Moving from individual dimension to that
collective, that is caused by exposure to psychopathology group (even the media) to distressing or catastrophic event (perhaps associated with the sense of powerlessness, insecurity, instability) or
different types of stress and vulnerability, we can add that, similarly, through a work on systems of mirror neurons and activation of new connections of neural networks with a model
operating non-invasive, it could improve the condition of entire populations than disorders that, objectively, are in constant circulation. It would be appropriate to start a collective awareness levels, starting from training differential operators' education and health, then extend it to the population divides
by age and territories belonging unfortunately the awareness is not between the expectations primary principals addressed only in profit or loss. In a historical-cultural context where ethics, human relations, cooperation seem utopian fairy tales, this is the challenge of being an emotionally disturbing oriented to amplify the awareness through a new model of psychotherapy and integrated training, which I working for several years with encouraging results and that will spell out my readiness EMDR 2008 during the Congress.
Keywords: Mind-Body Awareness Poster
Accuracy Verified: Yes
226. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.
Language: English
Format: Journal
Abstract:
Background:
Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high
personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no
systematic reviews of these therapies in children and adolescents.
Objectives:
To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD.
Search methods:
We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011.
The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane
Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked
reference lists of relevant studies and reviews. We applied no date or language restrictions.
Selection criteria:
All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in
children or adolescents exposed to a traumatic event or diagnosed with PTSD.
Data collection and analysis:
Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or
referral to the review team.
We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95%
confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results
Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included
sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated
support service.
The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative,
supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a
control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological
therapy.
Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and
symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI
-1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of
completing psychological therapy compared to a control group.
The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for
up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study,
n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month:
three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01),
and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group
compared to a control. No adverse effects were identified.
No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and
other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias.
Authors’ conclusions:
There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for
up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared
to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less
likely to respond to psychological therapies than others.
The findings of this review are limited by the potential for methodological biases, and the small number and generally small size
of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by
subgroup or sensitivity analyses.
More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence
is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies
compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis
of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable
measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
227. Hughes, J. H. (2006, July). Psychology and cognitive processing in post-traumatic disorders. Psychiatry, 5(7), 228-230. doi:10.1053/j.mppsy.2006.04.002.
Language: English
Format: Journal
Abstract:
Post-traumatic stress disorder (PTSD) involves a number of cognitive factors in its aetiology and, therefore, in the criteria required for diagnosis. Whilst psychobiological theories and treatments are considered very briefly, the focus of this contribution is the role of cognitive factors in the onset, maintenance and treatment of PTSD. This contribution, therefore, reviews the role of cognitive factors in the genesis and development of PTSD before examining early cognitive theories, through the work of Mowrer on two-factor theory to the work of Foa and Kozak on emotional processing. The contribution then considers the current state of cognitive theorizing about PTSD, with particular reference to the theories of Brewin, Clark and Ehlers. The particular role of memory, the importance of previously held and current beliefs and the crucial part played by cognitive strategies are all considered and seen to be most important if the phenomenon of PTSD is to be fully understood. The two primary cognitively based treatments for PTSD – cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) – are then introduced and considered in turn, particularly from the point of examining how each treatment approach targets cognitive factors involved in the maintenance of post-traumatic symptomatology and distress.[Journal abstract]
Keywords: CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD Stress-Related Disorders Trauma
Accuracy Verified: Yes
228. Peñalba, V., McGuire, H., & Leite, J. R. (2009). Psychosocial interventions for prevention of psychological disorders in law enforcement officers. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005601. doi:10.1002/14651858.CD005601.pub2.
Language: English
Format: Other
Abstract:
Background:
Psychosocial interventions are widely used for the prevention of psychological disorders in law enforcement officers.
Objectives:
To assess the effectiveness and comparative effectiveness of psychosocial interventions for the prevention of psychological disorders in
law enforcement officers.
Search strategy:
CCDANCTR-References was searched on 12/5/2008, electronic databases were searched, reference lists of review articles and included
studies were checked, a specialist journal was handsearched, specialist books were checked and we contacted experts and trialists.
Selection criteria:
Randomised and quasi randomised controlled trials were eligible. The types of participants were people employed directly in law
enforcement, including police officers and military police, regardless of gender, age and country of origin, and whether or not they
had experienced some psychological trauma. All types of psychosocial intervention were eligible. The relevant outcome measures were
psychological symptoms, adverse events and acceptability of interventions.
Data collection and analysis:
Datawas entered intoReviewManager 4.2 for analysis, but this reviewwas converted toRevMan 5.0 for publication.Quality assessments
were performed. Two authors independently selected studies, extracted data and assessed the quality of studies. Summary effects were
to be calculated using RevMan but no meta-analyses were possible. For individual studies, dichotomous outcome data are presented
using relative risk, and continuous outcome data are presented using the weighted mean difference. These results are given with their
95% confidence intervals (CI).
Main results:
Psychosocial interventions for prevention of psychological disorders in law enforcement officers (Review) 1
Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd.
Ten studies were included in the review but only five reported data that could be used. Three of the ten studies were related to exercisebased
psychological interventions. Seven were related to psychological interventions. No meta-analyses were possible due to diversity of
participants, interventions and outcomes. Two studies compared a psychosocial intervention versus another intervention. Three studies
compared a psychosocial intervention to a control group. Only one primary prevention trial reported data for the primary outcomes
and, although this study found a significant difference in depression in favour of the intervention at endpoint, this difference was no
longer evident at 18 months. No studies of primary prevention comparing different interventions and reporting primary outcomes of
interest were identified.
The methodological quality of the included studies was summarised. No study met our full quality criteria and one was regarded as
low-quality. The remainder could not be rated because of incomplete data in the published reports and inadequate responses from the
trialists.
Authors’ conclusions:
There is evidence only from individual small and low quality trials with minimal data suggesting that police officers benefit from
psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems,
cynicism, anger, PTSD, marital problems and distress. No data on adverse effects were available. Meta-analyses of the available data
were not possible. Further well-designed trials of psychosocial interventions are required. Research is needed on organization-based
interventions to enhance psychological health among police officers.
Keywords: Law Enforcement, Officers Review
Accuracy Verified: Yes
229. Schottenbauer, M. A., Arnkoff, D. B., Glass, C. R., & Gray, S. H. (2006). Psychotherapists in the community: Reported prototypical psychodynamic treatments of trauma. Journal of the American Psychoanalytic Association, 54(4), 1347-1353. doi:doi:10.1177/00030651060540040111.
Language: English
Format: Journal
Abstract:
The effort to categorize psychotherapeutic treatments according to their efficacy has in the past decade led to a number of lists of empirically supported treatments (ESTs; Chambless and Ollendick 2001). With regard to trauma, the primary treatments that have undergone the rigorous empirical testing necessary to be included in lists of ESTs (e.g., Nathan and Gorman 1998; Roth and Fonagy 2005) are largely cognitive—behavioral treatments and eye movement desensitization and reprocessing (EMDR; Shapiro 1995). Nevertheless, there are many indications that clinicians in the community use psychodynamic psychotherapy for treating trauma. A recent guideline for psychiatrists on the treatment of PTSD notes clinical consensus on the usefulness of psychodynamic psychotherapy in treating certain types of trauma, particularly in cases where interpersonal functioning is substantially impacted (APA 2004). Empirical research reveals that many clinicians in the community employ psychodyna
Keywords: Poster Psychodynamic Treatments Trauma
Accuracy Verified: Yes
230. Vickerman, K. A., & Margolin, G. (2009, July). Rape treatment outcome research: Empirical findings and state of the literature. Clinical Psychology Review, 29(5), 431-448. doi:10.1016/j.cpr.2009.04.004.
Language: English
Format: Journal
Abstract:
This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. 32 articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, 3 focused on the acute period post-assault, 2 included women with chronic and acute symptoms, and 3 were secondary prevention programs. The majority of studies focus on PTSD, depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the 4 studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery. [Author Abstract]
Keywords: Adults Cognitive Therapy Drug Therapy Epidemiology Exposure Therapy Females Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Rape Survivors Treatment Treatment Effectiveness
Accuracy Verified: Yes
231. Shapiro, E., & Laub, B. (2008, May). Recent - traumatic episode protocol (R-TEP). EMDR Israel, Telaviv.
Language: English
Format: Other
Abstract:
Main Features of the R-TEP
Target selection:
1) Episode wide focus = period from the traumatic event to the present
2) Use of "Google Search" (G-Search) metaphor to identify multiple targets within the episode (sensory images/ events/ other experiences)
Containment (safety):
1) 8 Phase structure parallel to Standard Protocol
2) Episode Narrative with DAS for grounding
3) Option of using distancing metaphor of TV screen
4) Option of regulation of associations by limiting associations to the image/event/ episode
Keywords: Recent-Traumatic Episode Protocol R-TEP
Accuracy Verified: Yes
232. Luber, M. & Shapiro, F. (2009). Recent traumatic events protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 143-154). New York, NY: Springer Publishing Co.
Language: English
Format: Conference
Abstract:
The following is a summary of the Recent Traumatic Events Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For single traumatic events, the Standard EMDR Protocol should be applied to the following targets (assuming they are available). Topics discussed include past memories, present triggers, and a future template. The Recent Traumatic Events Protocol is provided. [PsycINFO Database]
Keywords: Protocol Recent Traumatic Events
Accuracy Verified: Yes
233. Stern, L. L., & Grey, E. (2010, September/October). A recipe for health: Combining expressive arts with EMDR in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Eating-disordered clients begin treatment with a series of
unique and specific behavioral symptoms such as binge
eating, bingeing and purging, starving themselves, or overexercising,
that impede progress when using purely verbal
therapies. The research team has found that the
combination of expressive arts techniques and EMDR
treatment can be highly effective in overcoming these
impediments. This poster will briefly review basic
knowledge and practice concerning the major eating
disorders and their etiologies. We will then describe our
therapeutic process that combines expressive arts with
EMDR. This process includes (1) preparation of the client
for EMDR treatment through the use of expressive arts
techniques done in between sessions at home, (2) the use
of client drawing and writing as targets when they appear
to be a useful tool, (3) the use of a mirror exercise with
BLS as a resourcing tool to address, desensitize and help
the client reformulate body image distortion and body
hatred, and (4) the reiniorcement of gains from
reprocessing through the use of expressive techniques
throughout treatment. This poster describes these
additions to and modifications of the EMDR protocol with
expressive arts techniques, as well as the results of a pilot
experiment that compares outcomes for clients treated
with expressive arts approaches, with and without EMDR.
Keywords: Eating Disorders Expressive Arts Poster
Accuracy Verified: Yes
234. Steketee, G., & Goldstein, A. J. (1994, Summer). Reflections on Shapiro’s reflections: Testing EMDR within a theoretical context. the Behavior Therapist, 17(7), 156-157.
Language: English
Format: Newsletter
Abstract:
As Shapiro points out, controversy
has surrounded Eye
Movement Desensitization and
Reprocessing (EMDR) since it was first
described. Although some of this controversy
pertains to training methods
and clinical issues (see the Behavior
Therapist, 1992), most of it focuses on
insufficient empirical study. Regardless
of whether EMDR represents a
paradigm shift as Shapiro suggests, its
clinical utility depends on empirical
demonstration of clinical efficacy and
mechanisms of action. We summarize
the available literature here to balance
Shapiro's views. In accord with Shapiro's
view that EMDR targets the
blocking effects of trauma in any context
on normal information processing,
we agree that EMDR needs to be
tested not only with posttraumatic
stress disorder (PTSD), but also with
other disorders whose etiology may be
traumatic.
Keywords: Research
Accuracy Verified: Yes
235. Thyer, B. A. (2001, January). Research on social work practice does not benefit from blurry theory: A response to Tomi Gomory. Journal of Social Work Education, 37(1), 51-66 .
Language: English
Format: Journal
Abstract:
Cognitive-behavioral therapy is a well-supported evidence-based psychosocial treatment that clinically and significantly helps clients meeting the DSM criteria for obsessive-compulsive disorder (OCD). Dozens of well-controlled clinical trials and dozens of single-subject studies bear this out, many designed and conducted by social workers. Most of these studies have involved Caucasian clients, a few used African Americans. But both groups seem to respond well, as do both males and females. Suppose a social worker has a new client from Mongolia with OCD. Falsificationism may well be the strongest approach to scientific inquiry regarding the validity of theories. The American Psychiatric Association used the following types of evidence in developing its practice guidelines: a randomized clinical trial, prospectively designed with double-blind assessments and treatment and control groups, a clinical trial, similarly prospective, but lacking blind assessments or control groups, cohort or longitudinal studies and case-control studies, retrospective studies of clients.
[Author abstract]
Keywords: Letter
Accuracy Verified: Yes
236. Kiessling, R. (2001, June). A resource focused model of EMDR (Going beyond pathology). Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Effective EMDR treatment is more than pathology and symptom reduction! Many clients are either too fragile or refuse to address past trumatic targets for desensitization. The Resource Focused Model of EMDR address the client's current strengths and resources rather than their pathology. By solidfying the client's strengths and resources, EMDR clinicians can help the client make measurable and observable changes in their lives. Through lecture, case presentation, and live demonstration, participants of this workshop will learn: 1) the basic theories underlying the development of the Resource Focused Model; 2) how and when to use the model and evlauate its effectiveness; and 3) how to develop and use strength focused cognitive interweaves in helping the client access existing strengths and resources for make positive, present-time change.
Keywords: Resource-Focused Model
Accuracy Verified: Yes
237. Laub, B. (2001, May). Resource installation (connection) in the standard EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, London, UK .
Language: English
Format: Conference
Abstract:
Resource Installation (RDI) is presented as an option for use in the standard protocol of
EMDR. Consistent with the self healing aspect of the EMDR model, it allows the creation of
an authentic resource sequence which is unique to the client, precisely matching her need or
problem. The resource connection can also serve as a centre of inner strength in the solution
of future problems. This work draws upon three conceptual frameworks in addition to Dr
Shapiro's innate information processing model; (1) the assumption of an unconscious
connection to resources as a source of healing (Erickson and Rossi 1976); (2) Narrative
Therapy approaches of White and Epston (1990) and de Shazer (Focused Solution Therapy
1985); (3) the Jungian assumption of a need to reach a balance between the dialectical
opposites of the psyche (Jung 1963). An appreciation of this dialectic can explain the
unconscious matching between the problem and the resource.
Three types of Resource connections (RC) will be presented:
I. Past resource Connection, or PRC, which is carried out in the beginning of therapy
after identification of the target and before specifying the picture. This is an image of
a memory when the client felt at his best. There is an unconscious match between this
resource and the problem.
2. Present resource connection, or PR. RC. This is a positive image which appears
spontaneously during the processing, or induced by Cognitive Interweave.
3. Future Resource Connection, or FRC, which is an image of the way the client would
like to see himself in a few months or in the more distant future. The use of this chain
of resources during the sessions and outside the therapy room has been found 16 be
very effective.
I will give several examples to demonstrate different possibilities of using RC.
Keywords: Resource Installation
Accuracy Verified: Yes
238. Manfield, P. (2011, April). Resourcing in EMDR [Geavanceerd gebruik van het inzetten van hulpbronnen met EMDR]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.
Language: English
Format: Conference
Abstract:
We will begin with a video that illustrates how resourcing, the accessing of self-affirming internal states, is engage in spontaneously by psychologically well-integrated clients before accessing deep childhood pain. Case conceptualization should not only involve the identification of chains of disturbing events contributing to present symptoms, but the anticipation of resources that will be necessary for successfully processing them. Based on the nature of the targets, the clinician can identify the kinds of resources that will be needed and whether they are presently accessible to the client. Will the client be able to access them spontaneously during processing, or will the client need advance help in doing this? We will describe ways of making this determination.
The most common difficulty with resourcing seems to be the intrusion of disturbing material in the resourcing process. This can be prevented in a variety of ways that will be addressed. Once resources are developed, there are many ways to utilize them. Resource utilization will be discussed and illustrated.
We beginnen met een video die laat zien hoe ‘resourcing’ dwz het inzetten van hulpbronnen gericht op positieve interne zelfbevestigingen, bij goed geïntegreerde cliënten spontaan kan optreden voordat de vroeg kinderlijke pijn kan worden aangesproken. Casus conceptualisatie moet niet alleen de reeks van traumatische of beschadigende gebeurtenissen die tot de huidige klachten leiden inventariseren, maar ook juist anticiperen op de nodige hulpbronnen om deze traumata op een succesvolle wijze te kunnen verwerken.
Uitgaande van de specifieke aard van de targets, moet de therapeut het soort hulpbronnen identificeren die nodig zijn, en beoordelen of deze in het hier en nu ook toegankelijk zijn. Heeft de cliënt deze op een spontane wijze beschikbaar gedurende het verwerkingsproces, of heeft de cliënt van te voren hulp nodig om deze in te gaan zetten? We zullen de manieren beschrijven hoe je deze afwegingen maakt.
Het meest gebruikelijke probleem met het inzetten van hulpbronnen / resourcing is dat er negatieve intrusies (voortkomend uit de negatieve associaties door traumatische of beschadigende ervaringen) optreden. Dit kan worden voorkomen door verschillende interventies die we verder zullen uitwerken. Wanneer hulpbronnen / resources zijn ontwikkeld, dan kunnen er vele diverse manieren zijn om deze te gebruiken. Gebruik van hulpbronnen wordt geïllustreerd en nader uitgelegd
Keywords: Resourcing
Accuracy Verified: Yes
239. Simonson, E. L. (2009). School-based intervention programs for symptoms of traumatic stress. Universitetet i Stavenger, Stavenger, Norway.
Language: English
Format: Dissertation/Thesis
Abstract:
This thesis attempts to provide an up-to-date overview of school-based intervention programs for symptoms of traumatic stress. The objectives were: 1) to identify school-based intervention programs for preventing or reducing symptoms of traumatic stress, 2) to examine the effectiveness of the intervention programs, and 3) to identify the accordance of the intervention programs with three current theories of posttraumatic stress disorder (PTSD). The three main academic databases used to locate the studies for this thesis were ERIC, PsycINFO, and MEDLINE. Inclusionary/exclusionary criteria included: 1) use of a control group, 2) use of randomized/quasi-experimental design, 3) school setting, 4) participant exposure to a traumatic event, 5) targeted at the prevention/ reduction of symptoms of traumatic stress, 6) use of standardized instruments, and 7) not targeted Type II trauma. Using these criteria, 19 studies conducted in 11 different countries were selected. Unfortunately, school-based studies conducted in Norway were not located. The selected studies dealt with various types of trauma exposure such as natural disasters, community violence, and war. Fourteen of the studies used cognitive-behavioral therapy (CBT) methods as the main treatment approach. Other treatment approaches used included Eye Movement Desensitization and Reprocessing (EMDR), mind-body techniques (e.g., guided imagery, relaxation techniques, and meditation), play therapy, art therapy, and drama. The findings of this thesis suggest that intervention provided within the school setting can be effective in helping children and adolescents following a variety of traumatic events. The majority of the studies had good results in relation to reducing symptoms of PTSD. Of the 19 studies, 14 had effect sizes in the medium to large range. Most of the intervention programs were found to be in accordance with the treatment recommendations of the three theories presented; however, none appeared to be explicitly based on the theories.
Keywords: Posttraumatic Stress Disorder PTSD School Intervention Trauma
Accuracy Verified: Yes
240. Petermann, F., & Winkel, S. (2007). Selbstverletzendes verhalten - Diagnostik und psychotherapeutische ansätze [Self-injury - diagnosis and psychotherapeutic approaches]. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 55(2), 123-133. doi:10.1024/1661-4747.55.2.123.
Language: German
Format: Journal
Abstract:
Selbstverletzendes Verhalten wie Sich-Schneiden und Kratzen kommt sowohl bei männlichen als auch bei weiblichen Jugendlichen verhältnismäßig häufig vor. Es handelt sich dabei in den meisten Fällen um den Ausdruck schwerwiegender psychischer und/oder sozialer Belastungen und sollte als Hinweis darauf gewertet werden, dass der oder die Jugendliche Hilfe und Unterstützung benötigt. Dieser Beitrag befasst sich vor allem mit den aktuellen Möglichkeiten der Diagnostik und Therapie selbstverletzenden Verhaltens. Beispielhaft werden Selbstbeurteilungsinstrumente vorgestellt, die verschiedene Aspekte selbstverletzenden Verhaltens detailliert erfassen. Sie können bei der Identifikation und Differenzialdiagnostik, aber auch zur Vorbereitung, Begleitung und Evaluation therapeutischer Maßnahmen eingesetzt werden. Als besonders vielversprechende Interventionsmöglichkeiten werden die DBT-A (Dialektisch-Behaviorale Therapie für Adoleszente) und das Eye Movement Desensitization and Reprocessing (EMDR) vorgestellt, wobei für die DBT-A bereits erste positive empirische Befunde vorliegen. Die Wirksamkeit dieser Verfahren sollte zukünftig möglichst in kontrolliert-randomisierten Studien geprüft werden.
Self-injurious behavior without suicidal intent, like wrist-cutting or scratching, is quite common among male and female adolescents. It indicates severe psychological strain and can be interpreted as a call for help and support. This paper introduces several currently available assessment tools as well as therapeutic strategies. Self-report questionnaires can be implemented to identify self-injurious behavior and in order to discriminate it from other types of psychopathology, for example suicidal behavior. Furthermore, they can be used to prepare, adapt and evaluate therapeutic interventions. Promising therapeutic strategies - Dialectical Behavior Therapy (DBT), Dialectical Behavior Therapy for Adolescents (DBT-A) and Eye Movement Desensitization and Reprocessing (EMDR) - are introduced in more detail. Further research in this area involving controlled-randomized studies is needed.
Keywords: Assessment DBT Dialectical Behavior Therapy Self-Injurious Behavior
Accuracy Verified: Yes
241. Zabukovec, J., Lazrove, S., & Shapiro, F. (2000, June). Self-healing aspects of EMDR: The therapeutic change process and perspectives of integrated psychotherapies. Journal of Psychotherapy Integration, 10(2), 189-206. doi:10.1023/A:1009400317083.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro 1989a, 1989b, 1995) is an innovative, comprehensive approach to psychotherapy. While EMDR's use of eye movements has attracted a great deal of attention, the efficacy of the EMDR method can be explained parsimoniously in terms of many different types of therapy. Lang's (1985) information processing networks provide a way to understand the Accelerated Information Processing model proposed by Shapiro to explain EMDR. A representative EMDR session is presented to illustrate the integrative components of EMDR's procedural elements and the range of clinical effects. Therapeutic changes seen as a result of self-healing using EMDR are discussed from the perspectives of other psychotherapeutic approaches in order to understand the contribution of EMDR to the psychotherapy integration movement.
Keywords: Self-Healing Therapeutic Process
Accuracy Verified: Yes
242. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.
Language: English
Format: Journal
Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma
Accuracy Verified: Yes
243. Luber, M. (2009). Single traumatic event. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 121-132). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter presents a summary of the Single Traumatic Event Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For single traumatic events, the Standard EMDR protocol should be applied to the following targets (assuming they are available): Past memories; Present triggers, and a Future template. The Protocol Script is provided. [PsycINFO Database]
Keywords: Protocol Single Traumatic Event
Accuracy Verified: Yes
244. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in
EMDR with dissociative clients and teach solutions. Procedural modifications have been the
focus in dealing with pathological dissociation in EMDR treatment. Separately, transference
and counter-transference with dissociative patients have been written about extensively by
experts in the dissociation field. Research findings about the effects of mirror neurons and
embedded simulation on the inter-subjective field of patient and therapist have also been
published. Strategies for dealing with these transference and counter-transference in EMDR
treatment have received little attention even though this population has intense transference,
and can activate intense counter-transference. These issues may begin during an evaluation
of the presenting problems. Strategies for identifying and using transference to enhance
dual awareness during history taking will be demonstrated. An elongated preparation phase
to develop enough trust and stabilization before exploring traumatic memories can limit
induced transference. Different parts of a dissociative patient may have different kinds of
transferences. These transferences may cause the patient to withdraw, cling or attack;
affecting the therapist’s abilities to stay attuned and focused on the work in different phases
of EMDR. Strategies of attunement to the activated part of the client will be demonstrated
in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and
different (transferential) parts may activate dissociative parts of the therapist. Strategies to
somatically identify and use these counter-transferential activations in the therapist will be
taught through body based awarenesses. R/D/I strategies can be used to limit countertransference
to remain grounded and attuned. Transference and counter-transference during
the assessment phase will be identified and solutions presented. During the Desensitization
phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions
will be discussed as unacknowledged dissociative moments with indications for inducing
transference, counter-transference, or both. Decisions need be made collaboratively whether
to process or contain these events. Understanding and dealing with dilemmas of dissociative
enactments are crucial to keeping the healing process going. These inter-subjective issues
may be most intense during the first four phases, but some problems may continue into
Installation and the Body Scan. Problems and solutions during Incomplete Closure and the
Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with
the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist
may become activated as well. Solutions to these issues that occur during different phases
will be taught so that participants will leave the workshop with additional strategies to use
with their dissociative patients. Attunement to dissociative parts, identifying transference
and counter-transference binds; The Clinician Self Awareness Questionnaire ;
Compartmentalization; use of self soothing skills; using Relational, Empathic, and
Transferential Interweaves; identifying moments of projective identification and enactments,
and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective
strategies . Case examples and awareness exercises will used throughout the workshop to
facilitate intellectual and experiential learning.
Keywords: Counter-transference Dissociative Disorders Transference
Accuracy Verified: Yes
245. Anton, A., Funabiki, D., Shiromoto, J., & Spiro, M. L. (1994, March). Somatic disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
Is the anxiety reaction better conceptualized as a post-traumatic
effect of the client's illness experiences and/or medical
interventions?
Identify relevant anxiety-provoking stimuli (sensory,
cognitions, images) related to the past experience.
Establish EMDR targets and desired cognitions.
EMDR procedure.
Assess for generalization of therapeutic effects.
Evaluate anticipatory anxiety for the medical intervention. Can
the intervention be conceptualized as an acute psychological
crisis?
Understand the client's "explanatory models for the illness
as it relates to the medical intervention.
Determine client's knowledge about the illness and
intervention; provide educational component as necessary.
Identify salient anxiety-provoking stimuli (sensory,
cognitions, images).
Assist client in developing a "personal places or a state of
"0 SUDS".
Use Guided Imagery to help client reframe the medical
intervention.
Use imagery and metaphor to create a therapeutic context for
the medical intervention.
Incorporate key elements of the interventions (e.g., preoperative
preparation, the surgery room, the medical staff
and apparatuses).
Rehearse cognitions involving coping strategies.
Keywords: Somatic Disorders
Accuracy Verified: Yes
246. Anton, A., Funabiki, D., & Spiro, M. L. (1993, March). Somatic disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
Is the anxiety reaction better conceptualized as a post-traumatic
effect of the client's illness experiences and/or medical
interventions?
Identify relevant anxiety-provoking stimuli (sensory,
cognitions, images) related to the past experience.
Establish EMDR targets and desired cognitions.
EMDR procedure.
Assess for generalization of therapeutic effects.
Evaluate anticipatory anxiety for the medical intervention. Can
the intervention be conceptualized as an acute psychological
crisis?
Understand the client's "explanatory models for the illness
as it relates to the medical intervention.
Determine client's knowledge about the illness and
intervention; provide educational component as necessary.
Identify salient anxiety-provoking stimuli (sensory,
cognitions, images).
Assist client in developing a "personal place or a state of
"0 SUDS".
Use Guided Imagery to help client reframe the medical
intervention.
Use imagery and metaphor to create a therapeutic context for
the medical intervention.
Incorporate key elements of the interventions (e.g., preoperative
preparation, the surgery room, the medical staff
and apparatuses).
Rehearse cognitions involving coping strategies.
Keywords: Somatic Disorders
Accuracy Verified: Yes
247. Settle, C. (2008, June). Speciality topics on using EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop focuses on specialty topics for children under ten including the advanced application of EMDR
with other clinical, behavioural, regulatory, medical, and educational issues with recommendations for
procedural considerations and additional treatment modalities used in conjunction with the EMDR protocol.
Information will be provided through handouts, case presentations, and videos on how EMDR can be used to
assist the child in lessening, managing, or eliminating symptomatology in these following areas: 1. Attention
Deficit/Hyperactivity Disorder (ADHD)—information will be presented on targeting social and academic
challenges that can reduce anxiety and improve focus and self-control), 2. Sensory Integration Dysfunction
(SID)—identifying and reprocessing sensory difficulties will be taught to help the child achieve reduction in
hypersensitivity, 3. Tics—targeting the child’s anxiety can result in the reduction of tics, 4. Trichotillomania—a
specific procedure will be presented to assist in decreasing or eliminating the incidence of hair-pulling, 5. School
refusal behaviour—case conceptualization will be explored to assist in targeting behaviour and improve school
attendance, 6. Gifted and talented—techniques for reprocessing emotional and sensory targets will be
demonstrated to assist the child in bridging their intellectual, emotional, and social challenges, 7. Regulatory
issues—skills for combining EMDR with behavioural and educational techniques will be discussed to help the
child reduce or eliminate eating, sleeping, or urinary/bowel difficulties, 8. Traumatic brain injury—targeting the
22
precipitating event and the ongoing medical traumas utilized with a parent narrative protocol can reduce the
child’s anxiety and improve functioning.
Keywords: Children
Accuracy Verified: Yes
248. Kitchur, M. (2001, June). The strategic developmental model for EMDR: An overview. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will be an overview of most of the major components of the Strategic Developmental Model for EMDR. Participants will understand: 1) why strategic mapping facilitates engagement and self-disclosure; 2) the importance of a developmental perspective and hypothesis in prioritizing EMDR targets; 3) why strategic work must be balanced by an attuned therapuetic relationship; and 4) why a strategic developmetnal focus may provide a more effective foundation for parent-child and for couple therapy.
Keywords: Strategic Developmental Model
Accuracy Verified: Yes
249. Kitchur, M. (1999, June). Strategic EMDR for immediate treatment gains and optimal, transformative outcomes. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) a rapid comprehensive approach for mapping of client history; 2) the rapid formulation of a developmental hypothesis that facilitates strategic identification and prioritizing of EMDR targets; and 3) strategic/hypnotic/Eriksonian language that bypasses resistance and engages even the most resistant clients in the above identified therapeutic plan.
Keywords: Client History Client Resistance EMDR Targets
Accuracy Verified: Yes
250. Patterson, G. T., & Chung, I. ([2010]). Stress management training and development programs for police officers and recruits. Oslo, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/10/2012.
Language: English
Format: Other
Abstract:
Background and objective of this review (briefly describe the problem and the
intervention): A body of knowledge exists that identifies sources of police stress, categories of
stress, and the strategies officers and recruits use to cope with stress. It is generally agreed upon
that stressful work and life events can have a negative impact on police officers and recruits that
can be quite pervasive. Consequently, law enforcement organizations provide a wide variety of
interventions to help officers manage stress. The most common intervention is training to help
officers recognize the warning signs of stress, and to use individual coping strategies. However,
little is known about the efficacy of the wide range of interventions given to police officers and
recruits. The objectives of this systematic review are to: assess how stress management and
officer development programs are evaluated; examine conceptual differences in interventions;
explain variations in interventions; build the connection between the body of knowledge that
describes sources and types of police and recruit stress, and interventions; discover reasons for
conflicting training effects; and synthesize what is known and not known about the impact of
different study designs, research methods, interventions, and data analysis procedures on
outcomes.
Keywords: Policemen Recruits Stress Management
Accuracy Verified: Yes
251. Gambuzza, C. A. (2010, June). Supervision, EMDR and ego state therapy. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
The aim of this paper is to illustrate a self-reparation
model within the framework of a supervision conducted my me.
a therapy plan was defined for my colleague whose patent’s
traumatic experience brought to light her own unresolved traumatic
material.
This innovative approach is not limited to the parallel therapy involving
both patient and therapist, but is an intervention model.
a syncletic approach integrating the standard EMDR protocol and
other contributions: the attachment theory. Freud's and Bion's
'dream-work', A, van der Kolk's and 0,van der Hart's dissociative
disorders treatment, Forgash's and Knipe's Ego States Therapy, A.
Shore's affection regulation and self-repair therapy, Eigen's vision
of damaged bonds.
Maternal abandonment was the common traumatic event. The
patient's mother abandoned him at birth in hospital, where
he remained for a year before being institutionalized and then
adopted. My colleague was abandoned by her mother when she
was one year old. The transition from supervision to EMDR was
facilitated by the vast dream material produced by my colleague;
her dreams represented targets for EMDR.
According to Eigen, dream-work addresses the damage inflicted
on the self, thus the traumas experienced, and plays a major role
in digesting the impact of events and in metabolizing emotions:
through the dreams we try to make the indigestible digestible.
Dream-work constantly reveals states of the self: dreams evolve
within damaged bonds and express the psyche's attempts to undo
the damage or to get the best from it.
EMDR shares the same objectives and tools same as dreams.
At an operational level, EMDR made it possible to analyze the
dream material and to integrate the dissociated dream material
related to the traumatic, catastrophic abandonment induced
damage. The Ego States Therapy allowed my colleague to talk
with her dissociated Ego States, to negotiate with the States a
higher behavioural model, and to free her Ego States held hostage
by others.
At the end of this journey, a dream expresses Ego States integration.
Work on the future using EMDR is concluded with these
thoughts "I want to thank you because the supervision, albeit
not therapy, was an important experience that opened up a new
space for me: the space of perspective. The beam of light crossing
the two sheaves in the dream gives a meaning to the supervision,
supervision has created a third dimension in me: the dream within
the dream. It is the vehicle, the skill to perceive this dialogue
space, intersubjective and intrasubjective, where things change.
It alleviates the feeling of being impotent. The dialectical position
enables me to speak. I am very grateful for that."
My colleague's dreams were incorporated in a dream network
and indicate the phases of EMDR induced mental digestion. My
colleague has rebuilt herself in a supervision scenario.
This study demonstrates the effectiveness of EMDR in hitherto
unthought-of areas, i.e., within the framework of supervision.
Keywords: Ego State Therapy Supervision
Accuracy Verified: Yes
252. Mendes, D. D., Mello, M. F., Ventura, P., Passarela, Cde. M., Mari, J. de J. (2008). A systematic review on the effectiveness of cognitive behavioral therapy for posttraumatic stress disorder. International Journal of Psychiatry Medicine, 38(3), 241-259. doi:10.2190/PM.38.3.b.
Language: English
Format: Journal
Abstract:
Objective: Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic review on the efficacy of CBT in comparison with studies that used other psychotherapy techniques. Method: Databases were searched using the following terms: posttraumatic stress disorder/stress disorder, treatment/psychotherapy/behavior cognitive therapy, randomized trials, and adults. Randomized clinical trials published between 1980 and 2005 and that compared CBT with other treatments for PTSD was included. The main outcomes were remission, clinical improvement, dropout rates and changes in symptoms. Results: The 23 clinical trials included in the review comprised 1,923 patients: 898 in the treatment group and 1,025 in the control group. CBT had better remission rates than EMDR (RR = 0.35; 95%CI: 0.16; 0.79; p = 0.01) or supportive therapies (RR = 0.43; 95%CI: 0.25; 0.74; p = 0.002, completer analysis). CBT was comparable to Exposure Therapy (ET) (RR = 0.90; 95%CI: 0.58; 1.40; p = 0.64), and cognitive therapy (CT) (RR = 1.01; 95%CI: 0.67; 1.51; p = 0.98) in terms of efficacy and compliance. Conclusions: These findings suggest that specific therapies, such as CBT, exposure therapy and cognitive therapy are equally effective, and more effective than supportive techniques in the treatment of PTSD.
Keywords: CBT Cognitive Behavioral Therapy Comparative Study Posttraumatic Stress Disorder PTSD Systematic Review
Accuracy Verified: Yes
253. Meignant, I. (2012, April). The systemic EMDR approach: Healing the couple. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Combining Mony Elkaim's Reciprocal Double Bind Systemic Model with the EMDR Adaptive Information Processing (AIP) model is a new perspective for couple therapy. This combination of approaches can be used to develop an EMDR treatment plan that incorporates and respects the relational systems, e.g., spouses and intimate partners, parent/child, employer/employee. In this presentation, participants will learn how and when it is appropriate to work with the one member of a couple as a co-therapist; how individual safe places can be applied to develop a safe place for the couple, both during the session and at home; how to develop a systemic EMDR targeting plan, guided by the understanding of the Reciprocal Double Bind, and finally, how to apply the 8 phases EMDR protocol to couple work, based on a Systemic Model.
Learning objectives:
1.Evaluate when to use EMDR in couple therapy session
2.Be able to do the installation of EMDR safe place as a resource for the couple
3.Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple’s current issues and presenting problems.
4.Learn to apply the specifications of each of the 8 phases EMDR protocol with a couple.
Keywords: Couples Therapy
Accuracy Verified: Yes
254. Dieffenbach, I. (2010, June). TAFO study II (Task force) long-term evaluation of specific therapeutic early interventions following acute strain among children and adolescents with multiple trauma experience. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Existing research into the after effects of
traumatic experiences with regard to children and adolescents
is scanty. Early intervention is intended to prevent or at least
reduce chronic manifestation of acute traumatic strain (Zehnder,
Hornung & Lanolt, 2006) since such strain has a negative
impact on the child's day-to-day quality of life and overall development, including the development and functioning of the
brain (Cohen, Perel, DeBellis, Friedman & Putnam, 2002).
Studies of multiple trauma among adults and adolescents have
shown that the severity of any impairment upon their psychological
health must be seen in relation to the number of traumatic experiences
that took place during childhood (Turner RJ, Lloyd DA
1995, Finkelhor D, Omrod RK, Turner HA 2007-1, Finkelhor D,
Omrod RK, Turner HA 2007-11, Holt MK. Finkelhor D, Kantor CK
2007). In this process, interpersonal traumatic experiences such
as accidents or severe illnesses can adversely affect development
as much as traumatic exposure connected to elements of crime.
Objectives: Interventions following acute traumatic strain will
be examined with regard to the symptoms and the mental
health of children and adolescents with multiple trauma experience
in the long term. The study will examine whether early
intervention has a positive effect on symptoms and whether
such effects are of a short or long-term nature.
The study should show whether gender specific and/or age
specific correlation can be identified in the development of
symptoms according to specific types of trauma, and whether
risk groups can be identified as a result.
The study will examine whether there exists an independent sub-group of children with multiple trauma under the age of 6,
whose symptoms correspond to a developmental trauma disorder
(van der Kolk 2005).
Methods: The study will be divided into a retrospective and
prospective part. The retrospective part will contain an examination of the treatment results of 150 children and adolescents
with multiple trauma experiences in the Vestische Children's
Clinic in Datteln between 2002 and 2009. This will be followed
by an evaluation of the treatment results by way of a newly
developed telephone catamnesis, based on validated questionnaires
(CRIES-13, ILK, Telekat) for measurement points TI-T3
Results: First results of the retrospective examination of children
and adolescents with multiple trauma experience will be presented
in comparison to the results of the evaluation of specific
therapeutic early interventions following acute strain among
children and adolescents with mono trauma experience.
Keywords: Acute Stress Adolescents Children Early Intervention Multiple Trauma Incidents Symposium TAFO
Accuracy Verified: Yes
255. Lovett, J. M. (1999, June). Taming the “worries:” Combining EMDR with play therapy, narrative and art work. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn to: 1) select patient who could benefit from this method; 2) treat school-aged children with diffuse worries; 3) use narrative therapy techniques to externalize "The Worries," and to desensitize targets with EMDR; and 4) introduce EMDR into play and sand tray sessions.
Keywords: Art Children Narrative Play Therapy Sand Tray Therapy Worry
Accuracy Verified: Yes
256. Sivan, A. (2008, June). Therapists’ views on the use of EMDR: The case of Hong Kong. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Since the introduction of EMDR training courses in Hong Kong a few years ago, the method has been gaining an
enormously growing interest among professionals. One of the indications to the growing interest in EMDR is the
high rate of participation in the training courses. While there is a volume of studies on the efficacy of EMDR
among different populations, therapists’ viewpoints on its use has not been studied extensively. The purpose of
the paper is to examine the views of therapists who have undergone EMDR training in Hong Kong and have used
the method in their practice. Data were collected through an open-ended questionnaire and follow-up in depth
interviews with a group of therapists. The questionnaire sought information about their initial experience of
using EMDR, the types of patients they used it with, the contribution of the method to the therapy and the
difficulties they encountered. Follow-up interviews aimed to shed more light on issues raised by the respondents
and to provide a platform for their further elaboration. Participants’ responses indicated the positive effects
EMDR use on clients and its facilitation of the therapy process. The respondents indicated difficulties in following
the exact EDMR protocol especially in relation to the terminology such as: “completely false”, “completely true”,
“emotions” and “sensation”. Additional issues raised around the use of the scales and of different bilateral
stimulations. On the basis of these finding special consideration should be given to the adaptation of the EMDR
protocol to the Chinese language and way of thinking.
Keywords: Hong Kong
Accuracy Verified: Yes
257. Dexter, B. A. (2007, September). Therapy with military and their families in a time of war. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Numerous military and veteran organizations recognize EMDR as a recommended treatment for PTSD. Rapidly increasing numbers of Active Duty, Reserve and National Guard combat veterans and their families are in need of mental health treatment, and most of that treatment will likely be provided by civilian therapists who may not have personal military experience. Therapists who have not served in the military can develop military cultural knowledge and provide equally high quality service to military individuals and families. We will discuss and develop EMDR targets related to Combat Stress Reactions, narcissism, ‘violations of the social contract’ and other trauma.
Accuracy Verified: Yes
258. Gomez, A. M. (2009). The thoughts kit for kids. Ana Gomez Products; ISBN: 978-0-9795274-1-8; http://www.anagomeztherapy.com/?page_id=8;.
Language: English
Format: Other
Abstract:
A part of a series of games and tools designed to make EMDR treatment developmentally appropriate for children. The Thoughts Kit for Kids consists of four sets of cards. Two sets are for young children and the other two for young adolescents. Each set contains child appropriate positive and negative cognitions along with a VOC scale with which children can play and interact. In addition, The Thought Kit for Kids contains a 16 page booklet with specific EMDR games and protocols than can be used with the cards.
The Thoughts Kit for Kids is designed to aid clinicians with these procedural steps of the EMDR protocol.
The Thoughts Kit for Kids can help you by:
■Helping children develop cognitive and emotional awareness and literacy.
■Making the process of identifying negative and positive cognitions easier for children during EMDR treatment.
■Facilitating the use of the VOC scale for children.
■Assisting youngsters in selecting potential targets for EMDR treatment.
Accuracy Verified: Yes
259. Krystal, S., Prendergast, J., Krystal, P., & Fenner, P., Shapiro, I., & Shapiro, K. (2002). Transpersonal psychology, eastern nondual philosophy, and EMDR. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 319-339). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Transpersonal psychology has been strongly influenced by the nondual spiritual traditions of the East. These traditions describe a natural unconditioned state of awareness that is every human's birthright. Realization of this awareness brings peace, freedom, joy, and acceptance of life as it is. As EMDR fosters personal integration and transformation, clients sometimes report contact with this profound awareness during a session. A specialized transpersonal EMDR protocol targets distractions to this awareness and can be used once clients have sufficiently progressed with the standard protocol. The transpersonal protocol, in conjunction with the open-hearted and quiet presence of the therapist, invites clients into their natural contentment. Goals, methods, and roles fall away as therapist and client discover their shared ground. The ritual of psychotherapy unfolds into satsang, the celebration of nondual awareness. Several spiritual teachers with nondual orientations confirm the value of EMDR in working with obscurations to this awareness. EMDR has a surprising and powerful contribution to make to transpersonal psychology by helping to facilitate and stabilize the experience of nondual awareness. [Text, p. 338]
Keywords: Adults Psychotherapeutic Processes Stressors Survivors Transpersonal Psychotherapy
Accuracy Verified: Yes
260. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher
order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR
to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes,
and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as
emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening
to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the
Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to
facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using
EMDR and will lead a meditation to help create this no-mind state.
2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to
EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern
for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept
of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new
sense of Self in relation to others and the universe.
3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self-
Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting
commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every
individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating
organisms, each understands and values the power of being witness to the present moment, and each makes room for the
client to discover a heretofore "unimaginable outcome" to his or her work.
The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships.
Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types
correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating
preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access
points to higher states of consciousness.
5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR
especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine
types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True
Self. EMDR may be a key to the profound transformation of personality types.
6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a
question and answer period between the audience and the panel members.
Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy
Accuracy Verified: Yes
261. Johnson, K. (1998). Trauma in the lives of children: crisis and stress management techniques for counselors, teachers, and other professionals. (2nd U.S. ed.) Claremont, CA: Hunter House.
Language: English
Format: Book
Abstract:
This is an invaluable source for educating professionals and families about helping children regain security in times of trauma. Using a solutions-based interdisciplinary approach, this illustrated book explains how children react to specific types of trauma and how to work with a traumatized child. The nationwide movement toward School Crisis Response Teams, the DSM-IV's new category for post-traumatic stress, and the use of EMDR for treatment is covered.
Keywords: Children Posttraumatic Stress Disorder PTSD Stress
Accuracy Verified: Yes
262. de Roos, C., & van Rood, Y. R. (2011, August-September). Trauma treatment (EMDR) as part of CBT for body dysmorphic disorder. In Case conceptualization and treatment of body dysmorphic disorder. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a
widely used and acknowledged treatment modality for PTSD but
is still in its experimental phase for other disorders, such as BDD.
With EMDR, the vividness and emotionality of unpleasant mental
representations, which resulted from one or more traumatic
events can be, reduced (Günter & Bodner, 2008). BDD patients
often report traumatic events preceding the development of BDD
and intrusive images referring to these events (Osman, et al.,
2004). Brown et al., (1997) were the first to treat BDD patients
for their traumas, using EMDR. The results of their case series
were promising but lacked a theoretical base. The learning
theoretical model of BDD provides a strong base for the selection
of interventions for individual patients and the application of
EMDR. This presentation outlines how to select the essential
target memories for EMDR treatment in BDD patients. One way is
to order etiological and/or aggravating events meaningfully on a
time line and select those memories for processing which
preceded an increase in BDD symptoms. The other way is to select
targets related tot anxious expectations and avoidance behaviour.
Video fragments illustrate the EMDR process in a BDD patient.
Keywords: Body Dysmorphic Disorder CBT Cognitive Behavioral Therapy Symposium
Accuracy Verified: Yes
263. Lovett, J. (2000). The trauma-attachment tangle: Let's help children and parents out of the bind. The Children's Group Therapy Association Newsletter. Retrieved from http://www.cgta.net/newsletters/play_therapy.html November 16, 2011.
Language: English
Format: Newsletter
Abstract:
What does help children and adults who have had experiences that ruptured their trust in the world and who have been unable to develop close, reciprocal, loving relationships?
1. Experiences of being safe for an extended period of time.
2. EMDR to desensitize and reprocess upsetting memories.
3. Development of healthy “inner parents” who nurture, encourage, and offer guidance.
4. Children benefit from nurturing cuddle time with parents – and alternating bilateral stimulation to reinforce positive experiences of safety, care, tenderness, and attunement.
5. Adults benefit from imagination exercises to help them experience nurturing.
6. Children and adults need a cohesive life story that is developmentally appropriate and explains and reframes what happened to them and offers trauma resolution and hope for the future.
7. EMDR to target confusion, so that uncertainty (necessary for approaching new experiences and learning) does not trigger anxiety.
8. Grief work, to deal with loss and find ways to be loyal to more than one person or family.
9. Creative opportunities for healing. Art, play therapy, drama, sandtray work can be used to express feelings, as well as provide targets for desensitizing and reprocessing traumatic experiences. Fortunately, children can resolve trauma even when EMDR is used to help the action figure, the baby doll, or the toy horse resolve a challenging situation.
10. Work with parents (or refer them) to understand and desensitize their own triggers for reactivity. Children who are fearful, angry, needy, or sad need mature parents who can stay objective and help them contain their strong emotions.
11. While the work of resolving trauma and developing trust can be slow, EMDR can facilitate the process. The rewards are sweet and well worth the effort. [Excerpt]
Keywords: Adults Attachment Children Trauma Treatment
Accuracy Verified: Yes
264. Greenwald, R. (2006, September). A trauma-informed treatment model for practice and consultation. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
EMDR is both a trauma resolution method and a
comprehensive phase model of trauma treatment.
EMDR training has typically focused primarily
on the trauma resolution method (phases 3-7 of
the protocol), with only passing mention of the
rest of the treatment approach. This leaves many
EMDR trained clinicians unsure how to identify
clients for whom EMDR may be appropriate, how
to prepare their clients adequately for EMDR, and
how to identify appropriate targets(and target
order) for EMDR. In this workshop participants
will learn, and practice, how to conceptualize a
case from a trauma perspective, so that the clients'
presenting problems can be directly related to the
clients trauma/loss history. Participants will
learn, and practice, explaining this to their clients,
so they can develop a treatment plan (including
EMDR) accordingly. Participants will learn a
phase model of trauma treatment that is consistent
with EMDR while providing more detailed
guidance in phases 1,2, and 8 of the EMDR
protocol. Participants will learn a systematic
approach to preparing clients for EMDR.
Participants will also learn, and practice, applying
this model in asystematic way to problem-solving
their own challenging cases, as well as to
supervision and consultation.
Keywords: Consultation Practice
Accuracy Verified: Yes
265. Wesselmann, D. (2005, September). Treating attachment issues through EMDR and a family systems approach. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
EMDR and Family Systems Theory offer different but complimentary approaches to improving quality of attachment relationships. The presentation
will provide a clinical understanding of the similarities between EMDR,
famlly systems, and attachment theory models and an ovewiew of the combined
treatment approach. Participants will learn to identify possible precursors to
attachment problems within the family that may be useful as targets for
EMDR processing, and specific family therapy strategies that will help interrupt
negative feedback loops. Participants will learn to utilize parents in EMDR
treatment and incorporate the narrative method as an adjunct to EMDR.
Keywords: Attachment Theory Family Systems Theory Narrative Method Negative Feedback Loop
Accuracy Verified: Yes
266. Gelinas, D. (2006, September). Treating complex PTSD with EMDR. Presentation at the annual EMDR International Association Conference, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Research has demonstrated that EMDR is
efficacious in treating PTSD. Many clinicians
however treat clients with more complicated forms
of PTSD resulting from early, repeated trauma
experiences. This workshop will provide a
framework for beating complex PTSD using EMDR.
It will first summarize the clinical picture of complex PTSD, including it's bi-phasic numbing/constricting interspersed with repetitive intrusions, chronic physiological hyperarousal, distortions of the self,
and the presence of dissociation, which includes for some clients, the presence of ego states. This
information will be used to demonstrate EMDR Case
Conceptualizations and several approaches to target selection, depending upon the characteristics of the
clinical situation. The workshop will provide a
number of EMDR methods for stabilizing clients
early in treatment then will focus on Assessment and
Desensitization. Complex PTSD frequently calls
for extensive use of cognitive interweaves because
of the significant distortions in sense of self, and so
their use will be reviewed. As they emerge in the
different phases of EMDR, different types of
dissociation present the clinician with choice points about how to proceed. The workshop will provide
sevcral ways to recognize the emergence of
dissociation during each of the 8 phases of EMDR
and the choice points this represents. It will discuss several ways to manage dissociation as it emerges, including ego states, so that EMDR can proceed productively. Present triggers and future considerations will be included. Time will be included for questions and for focused discussion.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
267. Wesselmann, D. (2000, September). Treating core attachment issues in adults and children. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to describe the specific effects of poor quality attachments on emotional and social functioning in children and adults; 2) be able to describe how problem attachments are transmitted generationally; 3) learn to identify core negative cognitions related to specific types of attachment problems; 4) learn to utilize ego state work in order to strengthen the adult self and develop a self-soothing dialogue prior to the reprocessing of emotionally-laden material; 4) learn to utilize EMDR to help parents understand and change their distorted perceptions and ineffective responses with their children; and 6) learn how to coach parents in providing support and attunement in the child's reprocessing as a way of strengthening the attachment bond.
Keywords: Attachment Ego State Therapy
Accuracy Verified: Yes
268. Bergmann, U. (2004, November). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Dissociation Personality Disorders
Accuracy Verified: Yes
269. Bergmann, U. (2005, November). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Dissociation Personality Disorders
Accuracy Verified: Yes
270. Bergmann, U. (2006, September). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy
will be presented as a comprehensive approach
to treatment of the wide spectrum of personality
disorders. These diagnostic categories include
individuals manifesting character pathology,
borderline personalities, antisocial and
sociopathic tendencies as well as addictive
behaviors. These clients have often been seen as
poor candidates for EMDR or even nonresponders.
They are often mandated for
treatment or come at the behest of others. Their
histories often include early repeated experiences
of abuse, deprivation, abandonment, and parental
coldness. The hallmarks of personality disorders
are rigid, intractable defenses, difficulty relating
and empathizing with others, as well as acting out
behavior. Historically, the treatment of
personality disorders has been described as the symptoms of personality disorders be viewed
as aspects of dissociation and will examine the
applications of ego state concepts and techniques
to all phases of the EMDR protocol in order to
facilitate the treatment of these clients. Central
to this approach is the conceptualization of self
and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the
enhancement of EMDR processing.
Keywords: Dissociation Personality Disorders
Accuracy Verified: Yes
271. Bergmann, U. (2006, November). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego-state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
Accuracy Verified: Yes
272. Cooke, L. J., & Grand, C. (2006, September). Treating eating disorders using EMDR and its variations. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This is a three-hour program designed for the
EMDR professional who is interested in learning
about using EMDR with clients with eating disorders. Attendees will receive updated, current
treatment approaches, with the latest research on
attachment and its impact on early brain
development. The program will describe how
early brain development relates to the
development of eating disorders. Trauma's impact
on the body will be reviewed. Trauma's impact
on emotion regulation and the management of
affect will be discussed. Participants will learn to integrate EMDR into a phase oriented treatment approach through the following techniques:
Variations of EMDR for symptom reduction and
stabilization in eating disorder treatment;
Resource development for affect regulation;
Identification of triggers and targets for standard
EMDR protocol; Working with future templates
for relapse prevention using EMDR.
Keywords: Eating Disorders
Accuracy Verified: Yes
273. Marcus, S. (2003, September). Treating headaches with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
We will begin with an overview of the etiology and mechanics of migraine and tension headaches. During this seminar the three components of this
method of headache treatment utilizing EMDR will be demonstrated and discussed. Participants will be taught to identify the types of headaches
that can be successfully treated with this method and distinguish where this trearment is contraindicated. Advanced diaphragmatic breathing
techniques, one of the components of this method, will be demonstrated and practiced. The goal of this workshop is that upon completion you
can begin to practice an effective, non-pharmareutical, EMDR based treatment for headaches.
Keywords: Headaches Migraines Tension Headaches
Accuracy Verified: Yes
274. York, C. (1995, June). Treating severely traumatized children – Assessment and treatment strategies for using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this 1 1/2 hour presentation will be on using EMDR to alleviate the emotional distress of children who have been
severely traumatized. Participants in this workshop will learn:
(a) assessment tools and strategies for selecting children who would most benefit from EMDR therapy.
(b) selection of appropriate targets for intervention.
(c) an EMDR protocol to reduce the possibility and/or degree of abreactions.
The presentation will first define "severely traumatized child" and how to conduct a careful assessment of coping skills used by
children who have been severely abused with specific focus on dissociation. Dissociation will be defined and keys to understanding
dissociation in children will be discussed.
Next, steps to deciding how to select appropriate children for EMDR will be delineated. The presentation will then cover red flags
and cautions before proceeding with EMDR and how to introduce and inform the child and his/her parents/managing conservators.
The workshop will discuss specific EMDR protocols to reduce the possibility of and/or intensity of abreactions, to enhance positive
cognitions, and to facilitate the incorporation of dissociated material and concepts. Scripts of case examples will be used for
teaching.
Keywords: Children
Accuracy Verified: Yes
275. de Jongh, A. (2010; June). Treatment of fears and phobias with EMDR: Assessment, conceptualization and effective treatment strategies. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Specific phobias are more prevalent than any other group of psychiatric disorders. Given that specific phobias and PTSD share a number of important features, and that a wide array of controlled studies support EMDR's effectiveness with treatment for unprocessed events and related conditions, EMDR has also been claimed to be an effective treatment for specific fears and phobias.
This workshop focuses on EMDR as a treatment approach for a wide variety of fears and phobias. Participants will learn how: 1) to assess clients with patterns of fearful avoidance, 2) to rapidly conceptualize cases in terms of EMDR, 3) to adequately identify core targets and cognitions, 4) to use creative adaptations of the EMDR protocol for difficult clients, and 5) to integrate EMDR interventions into a general treatment approach. Many of these approaches will be illustrated by segments of video taped treatment sessions.
Keywords: Fear Phobias Treatment Strategies
Accuracy Verified: Yes
276. Sprowls, C., & Marquis, P. (2012, June). Treatment of OCD [Tratamiento del TOC]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Will
present
on
the
treatment
of
OCD
and
OCD
Spectrum
y
Disorders
using
Eye
Movement
Desensitization
and
Reprocessing,
(EMDR).
This
treatment
is
based
on
clinical
research
and
practice,
integrating
Anxiety
Disorder
treatments
such
as
cognitive
techniques
and
response
prevention
with
EMDR.
The
diagnoses
of
Obsessive
Compulsive
Disorder,
Hoarding,
Trichotillomania
and
Skin
Picking
and
their
interaction
with
underlying
PTSD
will
be
discussed
and
standard
EMDR
treatment
protocols
presented.
This
will
be
presented
in
the
context
of
the
Adaptive
Information
Processing
Model.
Theoretical
models
will
be
presented.
This
treatment
integrates
the
use
of
future
template
and
behavioral
feedback
for
success
of
anxiety
treatment.
Participants
will
learn
how
to
specify
EMDR
targets
for
rapid
symptom
reduction
and
how
clients
can
integrate
self-‐use
of
bilateral
stimulation
to
increase
treatment
results.
Case
examples
will
be
presented.
Participants
will
be
encouraged
to
discuss
and
receive
feedback
on
OCD
cases
of
their
own.
Cross-‐cultural
applications
and
understanding
will
be
explored.
Dr.
Marquis
is
the
Anxiety
Team
Leader
at
Kaiser
hospital
and
has
been
practicing,
teaching
and
training
EMDR
internationally
since
1991.
Dr.
Sprowls
is
an
expert
in
PTSD
and
Anxiety
Disorder.
She
has
been
practicing,
teaching
and
training
EMDR
internationally
since
1993.
Presentaremos
el
tratamiento
del
TOC
y
trastornos
del
espectro
obsesivo-‐compulsivo
usando
el
reprocesamiento
ocular
rápido
EMDR.
Este
tratamiento
está
basado
en
investigaciones
y
práctica
clínica,
integrando
tratamientos
para
los
trastornos
de
ansiedad,
como
técnicas
cognitivas
de
prevención
de
respuesta
con
EMDR.
El
diagnóstico
del
trastorno
obsesivo
compulsivo,
más
concretamente,
la
Tricotilomanía
y
desgaste
epitelial
y
su
interacción
con
un
oculto
TEPT
serán
discutidas
y
los
protocolos
estándar
de
tratamiento
EMDR
serán
presentados.
Será
presentado
en
el
contexto
del
modelo
de
procesamiento
adaptativo
de
la
información.
Los
modelos
teoréticos
serán
presentados.
Este
tratamiento
integra
el
uso
de
planes
de
futuro
y
feedback
comportamental
para
el
éxito
en
el
tratamiento
de
la
ansiedad.
Los
asistentes
aprenderán
a
especificar
las
dianas
del
EMDR
para
una
reducción
rápida
de
los
síntomas
y
como
el
cliente
puede
integrar
el
uso
de
la
estimulación
bilateral
para
incrementar
los
resultados
del
tratamiento.
Ejemplos
de
caso
serán
presentados.
Animamos
a
los
participantes
a
discutir
y
recibir
feedback
en
casos
de
TOC
propios.
Las
aplicaciones
interculturales
y
el
entendimiento
del
trastorno
serán
explorados.
El
Dr.
Marquis
es
el
director
del
equipo
de
ansiedad
en
el
hospital
Kaiser
y
ha
estado
practicando
y
entrenando
EMDR
de
manera
internacional
desde
1991.
La
Dra.Sprowls
es
una
experta
en
TEPT
y
trastornos
de
ansiedad.
Ha
estado
practicando,
enseñando
y
formando
en
EMDR
de
manera
internacional
desde
1993
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
277. Institute of Medicine, Committee on Treatment of Posttraumatic Stress Disorder (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. Atlanta, GA: The National Academies Press.
Language: English
Format: Other
Abstract:
Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background.
Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
278. Brisch, K. H. (2005, June). Treatment with EMDR of a boy with generalized tic disorder. In EMDR and children. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
The treatment with EMDR of a boy with generalized tic disorder is
demonstrated with video material. This boy who had heart surgery at age 4
developed a generalized acute tic disorder at age 11 after an episode of
reanimation as a result of an instrument error that occurred during ECG
monitoring. This incident was not known to the parents, and neither the boy
nor the hospital staff reported on this. Within a few weeks the boy was
completely disabled not able to walk and to speak properly anymore. He
could neither attend school nor participate in leisure amenities with his
friends. After comprehensive diagnostic procedures and unsuccessful
treatment with different types of medication, the tic disorder was diagnosed
as symptomatology of an acute PTSD after traumatic experience of
reanimation with fear of near death.
After EMDR treatment the boy had a complete recovery and could
participate in school and leisure-time activities without any tic symptoms.
The recovery proved to be stable over the follow-up period of one year.
Keywords: Children Symposium Tic Disorder
Accuracy Verified: Yes
279. Litt, B. K. (1998, July). Trust, intimacy and sex: An integrated approach. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify four dimensions of the relational context; 2) understand inhibited sexual desire using this model; 3) formulate assessments and treatment plans using the four dimensional framework; 4) choose relational systemic or psychological interventions, including EMDR, using the model presented; and 5) elicit salient EMDR targets for maximum therapeutic benefit.
Keywords: Inhibited Sexual Desire Intimacy Relational Context Sex Trust
Accuracy Verified: Yes
280. Litt, B. K. (1999, June). Trust, intimacy and sex: An integrated approach. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify four dimensions of the relational context; 2) understand inhibited sexual desire using this model; 3) formulate assessments and treatment plans using the four dimensional framework; 4) choose relational systemic or psychological interventions, including EMDR, using the model presented; and 5) elicit salient EMDR targets for maximum therapeutic benefit.
Keywords: Inhibited Sexual Desire Intimacy Relational Context Sex Trust
Accuracy Verified: Yes
281. Litt, B. K. (2000, September). Trust, intimacy, and sex: An integrated approach. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify four dimensions of the relational context; 2) understand inhibited sexual desire using the model; 3) formulate assessments and treatment plans using the four dimensional framework; 4) choose relations, systemic or psychological interventions, including EMDR, using the model presented, and 5) elicit salient EMDR targets for maximum therapeutic benefit.
Keywords: Dimensions of Relational Context Inhibted Sexual Desire Sex Intimacy Targets Trust
Accuracy Verified: Yes
282. de Jongh, A., ten Broeke, E., & Meijer, S. (2010). Two method approach: A case conceptualization model in the context of EMDR. Journal of EMDR Practice and Research, 4(1), 12-21. doi:10.1891/1933-3196.4.1.12.
Language: English
Format: Journal
Abstract:
This article outlines a comprehensive model that helps to identify crucial target memories for EMDR treatment.
The “Two Method Approach” can be used for conceptualization and treatment implementation for a
broad spectrum of symptoms and problems, other than those related to PTSD per se. The model consists of
two types of case conceptualizations. The First Method deals with symptoms whereby memories of the etiological
and/or aggravating events can be meaningfully specifi ed on a time line. It is primarily aimed at the
conceptualization and treatment of DSM-IV-TR Axis I disorders. The Second Method is used to identify memories
that underlie patients’ so-called dysfunctional core beliefs. This method is primarily used to treat more
severe forms of pathology, such as severe social phobia, complex PTSD, and/or personality disorders. The two
methods of case conceptualization are explained step by step in detail and are illustrated by case examples.
Keywords: Case Conceptualization Model
Accuracy Verified: Yes
283. Mosquera, D. (2012, June). Understanding and treating narcissistic and antisocial personalities with EMDR [Personalidades narcisistas y antisociales. Comprensión y abordaje desde EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
DSM-‐IV
description
of
narcissistic
personality
disorder
focuses
on
the
“overt”
qualities
of
narcissism
(grandiosity,
exploitation,
arrogance,
interpersonal
problems
and
rage)
while
omitting
the
less
obvious
and
more
subtle
“covert”
characteristics
(tendency
to
be
shame
sensitive,
introverted,
vulnerable,
inhibited
and
anxiety-‐prone).
A
core
characteristic
of
narcissism
is
lack
of
empathy.
While
empathy
issues
can
be
present
in
many
people
with
personality
disorders,
there
are
two
personality
disorders
that
are
more
related
with
lack
of
empathy,
and
a
(sometimes
only
apparent)
lack
of
concern
about
the
suffering
that
they
can
cause
in
other
people:
narcissist
and
antisocial
personality
disorder.
Both
types
of
personalities
share
this
self-‐centered
profile.
People
characterized
by
lack
of
empathy
and
selfishness
are
usually
considered
difficult
to
treat
and
poor
candidates
for
psychotherapy
(even
untreatable)
but
many
cases
can
be
treated
effectively
with
EMDR.
Targeting
the
roots
of
the
symptoms
is
crucial
for
an
adequate
case
conceptualization.
A
description
of
different
profiles
characterized
by
self-‐centerness,
selfish
attitude
and
lack
of
empathy
will
be
described
in
this
presentation.
These
aspects
may
be
present
in
abusers
and
victims,
in
overt
or
subtle
presentations.
To
conceptualize
EMDR
therapy
in
these
cases
it
is
important
to
understand
the
pathway
from
early
experiences
to
present
problems.
Narcissism
and
antisocial
features
can
be
final
outcomes
of
a
neglecting
environment,
chronic
abuse
or
excessive
appraisal.
Different
attachment
disturbances
with
primary
caregivers
can
lead
to
lack
of
empathy
and
self-‐centerness.
In
some
cases,
structural
dissociation
is
underlying
narcissistic
or
antisocial
features
that
can
characterize
some
dissociative
parts
of
the
personality.
All
these
aspects
and
the
complexity
of
therapeutic
relationship
in
narcissistic
and
antisocial
personalities
will
be
reviewed
in
this
presentation.
La
descripción
de
la
DSM-‐IV
del
trastorno
de
personalidad
narcisista
se
centra
en
las
cualidades
“externas”
del
narcisismo
(grandiosidad,
explotación
de
otros,
arrogancia,
problemas
interpersonales
y
rabia)
mientras
que
omite
las
características
“internas”
menos
obvias
y
más
sutiles
(tendencia
a
ser
sensitivos
a
la
vergüenza,
introvertidos,
vulnerables,
inhibidos
y
tendentes
a
la
ansiedad.
Una
característica
central
del
narcisismo
es
la
falta
de
empatía.
Mientras
que
los
problemas
de
empatía
pueden
estar
presentes
en
muchas
personas
con
trastornos
de
personalidad,
hay
dos
trastornos
de
personalidad
más
relacionados
con
la
falta
de
empatía
y
la
falta
de
preocupación
(en
ocasiones
tan
sólo
de
modo
aparente)
sobre
el
sufrimiento
que
pueden
causar
en
otras
personas:
el
trastorno
de
personalidad
narcisista
y
el
antisocial.
Ambos
tipos
de
personalidad
comparten
un
perfil
egocéntrico.
Las
personas
que
se
caracterizan
por
una
falta
de
empatía
y
egoísmo,
normalmente
son
consideradas
difíciles
de
tratar
y
malos
candidatos
para
psicoterapia
(incluso
intratables)
pero
muchos
casos
pueden
ser
tratados
de
manera
efectiva
con
EMDR.
Entender
la
raíz
de
los
síntomas
es
crucial
para
una
adecuada
conceptualización
del
caso.
En
esta
presentación
se
realizará
una
descripción
de
diferentes
perfiles
caracterizados
por
egocentrismo,
actitud
egoísta
y
falta
de
empatía.
Estos
aspectos
pueden
estar
presentes
en
agresores
y
víctimas,
de
forma
evidente
o
sutil.
Para
realizar
una
adecuada
conceptualización
de
estos
casos
desde
EMDR
es
importante
comprender
cómo
las
experiencias
tempranas
influyen
en
la
problemática
actual.
Los
rasgos
narcisistas
y
antisociales
pueden
ser
el
resultado
de
un
entorno
negligente,
de
abuso
crónico
o
de
un
exceso
de
elogio
y
refuerzo.
Los
diferentes
problemas
de
apego
con
los
cuidadores
principales
pueden
generar
una
falta
de
empatía
y
una
actitud
egocentrista.
Todos
estos
aspectos
y
la
complejidad
de
la
relación
terapéutica
en
las
personalida
Keywords: Antisocial Personality Disorder Narcissistic Personality Disorder
Accuracy Verified: Yes
284. Uram, S. (2007, September). Understanding Your Adult EMDR Clients from a Developmental perspective: How childhood brain development correlates with coping skills and vulnerabilities to trauma. Presentation at the annual mmeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop presents a developmental model that is an integration of the three areas that can be utilized when formulating your understanding and treatment of your adult EMDR clients: developmental neurobiology (presented in a simple and down to earth manner), plus development of increasingly sophisticated coping and relating skills that result from the maturing brain, plus relevant traumatology. Participants should be able to then utilize this integrated developmental model to better identify key nodes, targets and interweaves for EMDR processing.
Keywords: Brain Development
Accuracy Verified: Yes
285. Pessina, C (2007, June). The use and adaptation of EMDR technique with sexually abused children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Thanks to a European Equal project the sexually abused children who came to our Center for therapy have been treated with EMDR. We will illustrate, through the use of clinical examples, the main therapeutic issues, the difficulties and strategies in order to exceed them. In particular, we will address the following topics: the use of "menus,” the use of positive installations, how to identify targets, how to exceed the use of psychological defenses, mainly dissociative, etc. We will then highlight the advantages of using EMDR with those children.
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
286. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.
Language: English
Format: Conference
Abstract:
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives:
1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain
2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy
3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality
4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy.
5. Participate in a practicum on the use of dreams.
Keywords: Dissociation Dreams Ego State Therapy Trauma
Accuracy Verified: Yes
287. Klaus, P. (2005, June). The use of EMDR in medical and somatic problems. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Clients facing medical or somatic conditions may present for psychotherapy
with fears about the illness, anxiety about treatment, trepidation about the
medical system. and concern about their ability to heal. Many clients suffer
from chronic conditions, which undermine their lives, leaving them feeling less functional than desired. Some conditions may be the result of
somatization due to childhood trauma, chronic stress, long-term
interpersonal problems, or maladaptive patterns established early in life.
Therapy includes several levels of investigation. including current and past
symptom and psychosocial history. Clinicians will learn about a multilayered
approach for assessment and developing targets for EMDR processing.
Keywords: Medical Problems Somatic Problems
Accuracy Verified: Yes
288. Klaus, P. (2008, June). The use of EMDR in somatic & medical problems: Special emphasis on early life interventions. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Clients facing medical problems or experiencing somatic conditions present for psychotherapy with a variety of
concerns which include: distress or fears about the illness or condition itself i.e., cancer, anxiety about various
aspects of the treatment they need to undergo, surgery, etc., and some have trepidation and negative
experiences from their interaction with the medical system or medical personnel, causing secondary trauma.
Clients may also be concerned about the strength or weakness of their own bodies to heal (immune system,
mind/body potential). Many clients suffer from chronic conditions, which occur in either acute or chronic
episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e.,
asthma, migraine, bowel problems, ulcerative colitis, Crohn’s disease, PMS, insomnia). Some aspects of illness
may be the result of somatisation due to childhood trauma, secondary gain (a defence against strong feelings),
unconscious need to mask strong negative affect; dissociative disorders or conversion reactions; as well as acute
or chronic stress. Some chronic symptoms may be due to long-term interpersonal problems. Clients may be
suffering from maladaptive patterns established during infancy or childhood creating pervasive dysfunction in
one’s sense of self, one’s relationships, or in one’s life function. Psychosomatic conditions my result. History
taking includes several levels of investigation, including current and past psychosocial and symptom history,
looking for pre-morbid or co-morbid conditions, and helping clients uncover related traumas as well as unrecognized strengths. Clinicians will learn a special multi-layered approach for assessment and developing
targets for EMDR processing.
Keywords: Early Life Interventions Medical Problems Somatic Problems
Accuracy Verified: Yes
289. St. Andre, É. (2010, April/May). Use of EMDR in the treatment of obsessive compulsive disorder: a case study. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Obsessive compulsive disorder (OCD) is a chronic anxiety disorder with recurrent obsessions, like persistent thoughts, mental images, impulses, and compulsions such as repetitive behaviours or mental acts, that are performed after obsessions. This workshop will provide clinical information on the presenter's use of EMDR with a patient with OCD, as well as some examples provided by other clinicians who have worked with patients with OCD. In addition, general information on OCD (e.g., epidemiology, neurobiology) will be discussed. The presenter will highlight what is unique about the use of EMDR with OCD, difficulties she met in using EMDR with an OCD patient, and adaptations she used to improve treatment. She will describe how to use the standard 8 step approach (past, present, future), how to identify targets, managing OCD symptoms and barriers in his day-to-day life. The presenter will look at how to manage challenges that arise for the clinician with this population. Participants will have an opportunity to apply the strategies with a case example exercise. (All Levels)
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
290. Bermudez, J. S. (2002, January). The use of eye movement desensitization and reprocessing (EMDR) within a multi-modal treatment program for child victims of extrafamilial sexual abuse. Carlos Albizu University, Miami, FL. AAT 3057608.
Language: English
Format: Dissertation/Thesis
Abstract:
Sexual abuse has created multiple short and long term problems for many individuals in society today. It often occurs in childhood and the scars that are left can be permanent. Statistically, it occurs with far greater frequency than should be tolerated. However, it is frequently unreported and can be difficult to detect in a child that experiences this form of trauma. There is a significant need to help these children that have been victims of this crime. Extrafamilial sexual abuse in particular appears to occur with greater frequency than intrafamilial sexual abuse. Studies show that it has lasting effects on children. Two of the most common and consistent symptoms seen with these children are PTSD and sexualized behavior. Other symptoms that have been found with these children include: depression, anxiety, fear, and difficulty managing anger.Although there have been many program designs implemented for child sexual abuse victims, most do not properly assess the level of improvement through objective measures that show that the treatment was responsible for the observed change and not some other variable. Many different forms of treatment have been used to treat sexual abuse victims, such as different forms of traditional individual therapies, family therapy, group therapy, drama therapy, and art therapy. One innovative psychotherapeutic technique that has been used recently with these types of clients and those who have experienced other types of traumatic events is Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a relatively new form of treatment developed in 1987 by Francine Shapiro. There have been controlled research studies that have shown the efficacy of this technique. Although there are some researchers who are skeptical of the use of this technique and challenge its effectiveness, studies have nonetheless shown that it is an effective form of brief therapy with long-term effects. This proposed treatment program would be developed for children, aged 6-12 years, who have been victims of extrafamilial sexual abuse. It is designed to be short term, lasting 4 months, and EMDR will be utilized as the primary psychotherapeutic tool to assist the children in reprocessing their traumatic experience. Mental health services that would be provided include individual therapy consisting primarily of EMDR, group therapy for the child and the parents or caretakers provided separately, and family therapy that would include the parents, child, and siblings if deemed necessary. The children admitted to the program would meet criteria for a diagnosis of PTSD. They would also be given psychological measures in order to establish a baseline in terms of current symptoms such as depression and anxiety. The same measures would be administered again at the completion of treatment allowing for the measurement of any improvements. It is expected that children who complete the program would show a significant reduction or elimination of PTSD symptoms. This can be done more effectively by treating the family as a unit in dealing with such a traumatic experience. It is believed that this form of treatment would provide a valuable service to the community and further our understanding regarding the efficacy of EMDR. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(6-B), Jan 2002, pp. 3000.
Keywords: Brief Psychotherapy Child Abuse Empirical Study Family Therapy Posttraumatic Stress Disorder PTSD Rape School Age Children Survivors
Accuracy Verified: Yes
291. Parnell, L. (1995, June). The use of imaginal and cognitive interweaves with sexual abuse survivors. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This hour and a half presentation addresses the use of cognitive and imaginal interweaves in the treatment of adult survivors of
sexual abuse. The overall course of treatment with EMDR is briefly outlined including a variety of interweave interventions for use
in the beginning, middle and end of EMDR sessions.
In working with sexual abuse survivors with EMDR it is important to understand the issues commonly encountered in their
treatment. These include issues of safety, trust, responsibility, choice/control, interpersonal relationships, body awareness and
image, sexuality and self esteem. A sexual abuse assessment can be taken which includes information on the perpetrator(s), severity
and frequency of abuse, type of abuse, age of onset of abuse, duration of abuse, disclosure and family response.
Sexual abuse survivors present themselves in treatment in different ways. Some clients come to treatment remembering abuse and
want to clear it with EMDR. Other clients come to treatment with no clear memories of incidents but have a "feeling" something
happened to them and have symptoms of abuse. There are clients who have no clear memories but something has triggered
flashbacks and nightmares of sexual abuse. Finally, there are clients who have no memory of abuse and come to therapy for another
reason but uncover what they believe to be sexual abuse memories with EMDR.
There are three phases of treatment in sexual abuse cases. In the beginning phase, a history is taken and there is the establishment
of a trusting relationship. The client is prepared for EMDR. In the middle phase, there is the reprocessing and working through of
traumatic memories and transference work. In the end phase of treatment there is integration of the information which has been
uncovered and preparation for life outside of therapy.
Interweaves can be utilized in the beginning, middle and end of EMDR sessions.
In the beginning of individual EMDR sessions there is a check-in with clients to see how they have been doing during the week.
What has come up for them in their dreams or daily life since the last session? Next there is the selection and development of targets
for EMDR (body sensation, memory, flashback, symptom, dream, feeling, vague sense, negative cognition or drawing).
A safe place is then established where the client can go at the beginning, middle or end of the session as needed. Along with the
safe place an inner advisor or other inner resources can be contacted and developed for use in sessions. A connection with the
client's inner child is important which can be done through the use of guided imagery, photographs and/or artwork.
Instructions on how EMDR will be used are given with attention paid to issues of safety and control (they are in control, they can
stop at any time, they can return to the safe place, they know the signal for stop). Negative and positive cognitions are established
along with the EMDR protocol.
In the middle of individual EMDR sessions there are commonly problems with looping or being "stuck." This seems to occur
frequently with sexual abuse survivors because of the intensity of the trauma and because the child self is often frozen in time
lacking access to the adult self's information. Ways to work with this include looking for the blocking beliefs (i.e., The perpetrator
can hurt me), look for blocking images, and talking to the child part (what does he/she need?).
Imaginal and cognitive interweaves can be used in a variety of different ways in the middle of EMDR sessions. Some of these
include: imagining the adult self helping the child self in the traumatic scene, bringing in inner and outer resources for help (i.e., a
powdl imaginary being, a strong loving fiend, the therapist, etc.), and reality check interweave where is the perpetrator now?, can
helshe hurt you now?) It is also important to educate the child part that his or her feelings are normal, sexual feelings are normal etc.
It can be helpful to ask the adult self to talk to the child self explaining things to the child. Another useful interweave is to have the
adult self hold the perpetrator and allow the child to beat him or her up or have the adult self beat up the perpetrator allowing anger
to be expressed safely. Asking clients if they would like to return to the safe place for a break can also be helpful if they are feeling
too overwhelmed.
There are a number of ways to end or close incomplete EMDR sessions. Often it will not be possible to completely clear a traumatic
memory in a session or the memory worked on is completed but connected to a whole network of other traumatic events. For these
cases there are a number of interweaves that can be used. Clients can be requested to have the adult self comfort the child self in the .
safe place. The client can imagine putting the scary unfinished disturbance that has been uncovered in a file folder, box, safe, leave
it in the therapist's office, etc. The client can return to the safe place where the child and adult selves can play together. The adult
can comfort the child or do whatever is needed to create safety and containment. Clients can imagine their child self being held by
protector figures repeating cognitions related to safety, responsibility and choice. They can also be asked what they learned from the
session, installing their response with eye movements.
It is helpful to give homework to clients such as journaling, artwork, walks in nature, meditation, stress reduction, group work,
exercise, nutritious diet, and restriction of drugs and alcohol. Loving Kindness or Metta Meditation is another very helpful tool for
teaching self soothihg to adult survivors of sexual abuse.
Keywords: Cognitive Interweave Imaginal Interweave Sexual Abuse Survivors
Accuracy Verified: Yes
292. Keller, M. (2010, July). Using EMDR at each stage of the trauma recovery process. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
“Using EMDR at Each Stage of the Trauma Recovery Process”
1) Introduction and overview of general principles of traumatology.
2) The stages of trauma recovery:
a) Safety,
b) Self-regulation capacity,
c) Social connection,
d) Reprocessing traumatic memories,
e) Rebuilding a life worth living.
3) Safety:
a) Calm/safe place-indications and contraindications,
b) EMD,
c) RTEP,
d) Coping with current lack of safety.
4) Self-Regulation:
a) EMDR self-regulation interventions with the whole brain in mind.
5) Social connection:
a) Interventions based on client attachment style,
b) Enhancing memories of positive relationships,
c) Building layers of connection—intimacy, family, community, religious,
6) Reprocessing traumatic memories:
a) Considerations for selecting appropriate memory targets,
b) A continuum of reprocessing approaches-EMD through EMDR,
c) Recent event and more distant past event issues,
d) Cultural considerations.
7) Rebuilding a life worth living:
a) The positive future template,
8) Conclusion.
The presentation will include video examples of interventions at each stage of the trauma recovery process. Audience
questions and interactions will be encouraged.
Keywords: Trauma Recovery Process
Accuracy Verified: Yes
293. Donovan, L. (2005, September). Using EMDR in processing grief with children and families. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Grief wears different faces and proceeds in varying paces for the different members
of a family that share a loss. Participants will be able to: 1 ) define relevant issues
and strategies for using EMDR with grieving children and their families; 2)
identify targets and necessary resources for different stages of grief and ages and
roles of family members; and 3) name criteria to guide the structure, sequence
and pacing of EMDR for processing grief within the family system. Theory-based ideas will be storied in case illustrations. Participants will be asked to actively apply each learning objective to a case of their own throughout the workshop.
Keywords: Children Families Grief
Accuracy Verified: Yes
294. Tartakovsky, M. (2012, March). Using EMDR therapy to heal your past: Interview with creator Francine Shapiro. PsychCentral. [6 pages] Retrieved from http://psychcentral.com/lib/2012/using-emdr-therapy-to-heal-your-past-interview-with-creator-francine-shapiro/2/ on 3/26/2012.
Language: English
Format: Other
Abstract:
Is there something from EMDR that could be generalized to helping people live more mentally healthy, even if they don’t have a PTSD concern?
Recent research has shown that certain types of life experiences can cause more PTSD symptoms than major trauma. It has also been documented that negative childhood experiences can cause later problems.
EMDR therapy addresses the life experiences that set the foundation for a wide range of clinical complaints involving negative emotions, physical sensations, thoughts, beliefs, behaviors and relationship difficulties. It also incorporates procedures to address future concerns and challenges.
[Excerpt]
Keywords: Francine Shapiro Interview
Accuracy Verified: Yes
295. Thompson, P. (1995, June). Using EMDR with adolescents: Life changes for adlescents - an empowerment tool. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This presentation describes an EMDR protocol for working with an adolescent in such a way as to enhance their self-empowerment
capabilities. As a preliminary, a medical and developmental history of the adolescent is taken from the parents, as well as obtaining
their view of present problems. Using this infomation and a subsequent history obtained from the adolescent provides the basis for
what may prove to be targets later.
I will talk about how, in early discussions with adolescents, when my aim is to gain rapport, I often go back over some of the
information their parents provided so as to obtain the teenager's views and feelings, idenfying the highs and lows in their view of
their life so far. I look for where they have felt successful and powerful, and where they have suffered trauma, loss and sadness with
reference to themselves as individuals and also in their family relationships. I seek to refine targets from both parental and
adolescent information. I also seek to understand what the teen would like in their life and begin to introduce the idea that they can
give direction to their life.
I believe it is important to provide the adolescent with new or clarified information about him or her. I use psychological tests to
assist in this process. I will cover briefly ways that I use the Behavior Assessment System for Children (BASC), as well as other
assessment instruments such as the Strong Interest Inventory, Rorschach and Millon Adolescent Personality Inventory (MAPI), to
give both the adolescent and me important information. Because the information stems from a comparison with the general
population, I can present it more objectively than if it were solely my assessment of them. The adolescent decides what fits them
and what doesn't. This process allows us jointly to identify problems and to look for ways to handle them. Emphasis is always
placed on the adolescent having the power - the information about themselves is power. What they choose to do with it breeds
power. They are in control. This process usually leads to a further explanation of EMDR and how they might choose to work with
me using EMDR.
In summary, I will cover :
Helping the adolescent look at choices as giving freedom Presenting EMDR as a way of having more choices; Looking at behavior problems as habits that can be changed if desired. Encouraging the use of imagination, imaging, finding a
safe place and helping make changes; Taking the position of being their coach for their effort to develop the kind of life they want.
Looking at what they think stands in their way and what they can do to change it.
Identifying negative cognition from these blocks.
Using EMDR in the context of what they want.
Building Self Esteem through goal attainment-EMDR as a tool for performance.
Coaching for positive change and clear thinking.
Teaching self direction and organization reinforcing with EMDR.
Teaching self coaching.
Keywords: Adolescents Self Coaching
Accuracy Verified: Yes
296. Freedland, E. (2002, June). Using EMDR with eating disorders. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation will focus on the integration of EMDR into the treatment
of Eating Disorders, primarily Bulimia and Binge Eating Disorder.
Participants will learn the aspects of history taking, treatment planning,
and preparation unique to working with this population. Videotaped
client sessions will demonstrate how to implement a variation of Resource
lnstallation before, during, and after EMDR processing and choose EMDR
targets, including those based on the client's "Eating Disorder Myths."
Moving flexibly through the eight phases of treatment, allowing for
relapse, will be highlighted and handouts will be given to assist clinicians
in organizing these complex cases.
Keywords: Binge Eating Bulimia Eating Disorders Myths Resource Installation
Accuracy Verified: Yes
297. Paulsen, S. (2006, September). Using EMDR with individuals with austistic spectrum disorders – A protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Individuals with Autism have a number of
complex differences that make Trauma processing
exceptionally difficult. In order to use the eight
step protocol with these individuals, preparation
and some modifications are necessary. The
process presented in this workshop will provide
some general information about the characteristics
of autistic individuals, step by step skill training
to precede the EMDR process, the use of Carol
Gray's Social Stories to help clarify those targets
and situations being processed, and the EMDR
protocol with slight adaptations for individuals
with speech and language impairments. Also
included are cautions for using EMDR with this
population due to their complex differences. This
process has been used successfully with
individuals across the Autistic Spectrum as well
as individuals with Asperger's Syndrome and
other developmental disorders including Williams
Syndrome. This has been developed over a 7 year
span. This step by step program has been
successful with abused individuals with global
developtnent delays, significantly impaired speech and language abilities, and significant cognitive
disabilities. Following use of the EMDR
process, individuals have dcmonstrated a
significant reduction in symptoms, increased
verbal ability, as well as improved social relationships and self-regulation skills. These
improvements have remained over time.
Keywords: Autistic Spectrum Disorder
Accuracy Verified: Yes
298. Heitzler, M. (2011, March). Using EMDR with various types of developmental trauma. Symposium conducted at the annual meeting of the EMDR Association of UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
We are increasingly recognising how clients suffering from single-event trauma have
different treatment needs to those with complex trauma, based on underlying developmental
trauma. However, developmental trauma is a very broad, non-specific category - what about
different types of developmental trauma? Certain recurring characteristics and features of
developmental trauma, based on the developmental stage, the intensity of the traumatising event,
the available resources etc can be recognised in the client’s presentation, including posture and
body language, habitual cognitions and attitudes and modes of relating and expression. These
typologies can assist practitioners both in refining their diagnosis of developmental trauma as
well as the accuracy of applying the EMDR protocol. My presentation will build on established
psychotherapeutic typologies and classifications of developmental trauma, but beyond establishing
the distinguishing features of each category, will focus the material on its relevance for EMDR
practitioners.
Keywords: Developmental Trauma Symposium
Accuracy Verified: Yes
299. Bisson, J. I. (2008, December). Using evidence to inform clinical practice shortly after traumatic events. Journal of Traumatic Stress, 21(6), 507-512. doi:10.1002/jts.20375.
Language: English
Format: Journal
Abstract:
Despite ongoing gaps in our knowledge, there is not considerable research evidence to inform clinical decisions and treatment plans shortly after traumatic events. The author use two fictional cases to illustrate an evidence-based approach to clinical management following traumatic events. The important of fully assessing individuals and tailoring management plans to address their specific needs optimally is highlighted by considering two distinct, but familiar types of presentations.
Keywords: Evidence-Based Approach
Accuracy Verified: Yes
300. van den Hout, M., Kindt, M., Muris, P., & Salemink, E. (2001). Vreemde oogbewegingen maken herinneringen minder levendig en minder emotioneel [Strange eye movements make memories less vivid and less emotionally]. Directieve Therapie, 21(3), 121-127. doi:10.1007/BF03060262 .
Language: Dutch
Format: Journal
Abstract:
Bij Eye Movement Desensitization and Reprocessing (emdr) beweegt de patiënt de ogen lateraal, tijdens het ophalen van aversieve herinneringen. Bij gezonde proefpersonen werd nagegaan of dit ‘oogbewegen’ ertoe leidt dat, na de procedure, de herinneringen van kwaliteit veranderen. Dit was het geval. Oogbewegen leidde tot verminderen van levendigheid van latere herinneringen en tot mindere emotionaliteit van herinneringen. Dit effect was sterker dan bij controlecondities: tikken op een tafel of nietsdoen. Het effect trad op bij negatieve herinneringen en bij positieve herinneringen. Beide typen herinneringen werden door het oogbewegen minder levendig, terwijl negatieve herinneringen na oogbewegen minder negatief werden en positieve herinneringen minder positief. Dit suggereert dat emdr meer is dan een placebo. Er wordt kort gespeculeerd over de verklaring van dit fenomeen. De klinische implicatie van dit resultaat is dat emdr-achtige procedures beter kunnen zijn dan placebo, alhoewel andere behandelvormen aanzienlijk effectiever lijken te zijn. emdr-achtige procedures kunnen een bescheiden, maar helder te definiëren plaats hebben in de behandeling van posttraumatische stressklachten.
In Eye Movement Desensitization and Reprocessing (EMDR) moves the patient's lateral eyes, while fetching aversive memories. In healthy subjects, whether this 'eye movement' leads, after the procedure, the memories of quality change. This was the case. Eye movement led to later reduce vividness of memories and to a lesser emotionality of memories. This effect was stronger than in control conditions: tapping on a table or not. The effect occurred in negative memories and positive memories. Both types of memories were less vivid by the eye movement, eye movement while negative memories became less negative and less positive positive memories. This suggests that EMDR is more than a placebo. It speculated about the brief explanation of this phenomenon. The clinical implication of this result is that EMDR-like procedures may be better than placebo, although other forms of treatment appear to be significantly more effective. EMDR-like procedures, a modest but clearly defined place in the treatment of post traumatic stress symptoms.
Keywords: Eye Movements
Accuracy Verified: Yes
301. Grant, M. (2002). What is EMDR and how can it help control pain?. OvercomingPain.com.
Language: English
Format: Other
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a powerful
new method of psychotherapy. To date, EMDR has helped over one
million people of all ages recover from many different types of
psychological distress.
Accuracy Verified: Yes
302. Elgin, E. (2008, September 7). What is EMDR? A client's perspective. Mental Health Issues Examiner. Retrieved from http://www.examiner.com/x-796-Mental-Health-Issues-Examiner~y2008m9d7-What-is-EMDR-A-Clients-Perspective 3/4/2009.
Language: English
Format: Other
Abstract:
(PTSD), Borderline Personality Disorder (BPD) or any number of personality or disorders, a new
type of therapy has emerged as a hopeful alternative in recent years. Eye Movement Desensitization and Reprocessing (EMDR) is an information processing psychotherapy that was
developed to resolve symptoms resulting from disturbing and unresolved life experiences. Containing aspects of many different types of therapy including psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies, has had a very impressive success rates in recent years using double blind placebo studies.
Accuracy Verified: Yes
303. Amendolia, RA., & Morier, J. (1998, July). When right is might: The power of visual metaphor in EMDR treatment of children and adults. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD .
Language: English
Format: Conference
Abstract:
This workshop will: 1) provide a theroretical assumptive base from which participants may derive a cognitive framework for understanding the interactive/synergistic treatment effects of two transformational therapeutic processes; 2) extend and deepen the participants' understanding of this synergistic transformational process through audiovisual and anecdotal case presentations of EMDR with Visual Metaphor treatment with children and adults; 3) further expand participants' clinical creativity and facility with innovative, safe and meaningful cognitive interweaves and elicitation of targets, effect and cognitions; and 4) introduce a pilot EMDR research protocol and preliminary data of treatment outcome with both children and adults based on the Narrative Constructionist theoretical and clinical moel presented.
Keywords: Affect Cognitions Cognitive Interweaves Narrative Constrictionism Research Protocol Visual Metaphor
Accuracy Verified: Yes
304. Amendolia, R., & Morier, J. (1998, July). When right is might: The power of visual metaphor in EMDR treatment of children and adults. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will: 1)provide a theoretical assumptive base from which participants may derive a cognitive framework for understanding the interactive/synergistic treatment of two transformational therapeutic processes; 2) extend and deepen the particpants' understanding of this synergistic transformational process through audovisual and anecdotal case presentations of EMDR with Visual Metaphor treatment with children and adults; 3) further expand participants' clinical creativity and facility with innovative, safe and meaningful cognitive interweaves and elicitation of targets, affect and cognitions; and 4) introduce a pilot EMDR research protocol and preliminary data of treatment outcome with both children and adults based on the Narrative Constructionist theoretical and clinical model presented.
Keywords: Adults Children Metaphor
Accuracy Verified: Yes
305. Hurley, E. C. (2012, January 27). When veterans come home. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1228541.html on 1/27/2012.
Language: English
Format: Other
Abstract:
It's important to remember that there are different types of treatments being used for veterans. There are three evidence-based models of psychotherapy that have been deemed efficacious as a category "A" (top rating) in the treatment of adult trauma. They are Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). However, each of these forms of therapy has its unique approach in treating trauma. Those differences can affect the outcomes with individuals seeking therapy. If veterans have had a poor experience in treatment they should not be discouraged but rather seek other options. I'll be discussing the therapies and their differences in the future. [Excerpt]
Keywords: Blog Postraumatic Stress Disorder PTSD Veterans War
Accuracy Verified: Yes
306. Bergmann, U., & Forgash, C. (1998, July). Working successfully with apparent EMDR non-responders: Diagnostic and treatment considerations. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the diagnostic and treatment considerations that are the necessary prerequisites for successful work with apparent EMDR non-responders; 2) understand the different application of shorter vs. longer term EMDR; 3) gain an understanding regarding the use of devleopmental blueprinting as an aid in the choice of EMDR targets and cognitions; 4) gain knowledge regarding the range of dissociative phenomena in both traumtized, as well as non-PTSD individuals; and 5) gain an understanding of the concept of internal conflict resolution via the focus on the integrative interaction among the discrete inner selves.
Keywords: Non-responders
Accuracy Verified: Yes
307. Dexter, B. A. (2008, September). Working with active duty, Reserve and National Guard, military, and military organizations. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Rapidly increasing numbers of Active Duty, Reserve and National Guard combat veterans and their families are receiving mental health treatment provided by civilian therapists. Therapists who have not served in the military can develop military cultural knowledge and provide equally high quality service to military individuals and families. We will discuss and develop EMDR targets related to Combat Stress Reactions, narcissism, ‘violations of the social contract’ and other trauma. Participants will receive a large amount of material in handouts and have considerable opportunity for case discussion and more.
Keywords: Combat Military Veterans
Accuracy Verified: Yes
308. Dellucci, H. (2010, June). Working with letters and EMDR: How, when, why. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Relationship trauma i s among the most difficult to
treat, due to their personal character, numerous targets and
often roots in early life. On the other hand, many memories
can be withdrawn in amnesia, and thus difficult to reach with
standard EMDR protocol.
The EMDR letters protocol, presented in 2009 in Amsterdam
has been refined, in its procedure, the ways and cases in which
it can been used (individual setting, family therapy, supervision.
with people having dissociative parts) and its validation through
research
This workshop will present the EMDR letters protocol, its application
fields and the results of a clinical research with thirty
patients.
if the workshop duration makes it possible, we will show a video.
Keywords: Letters
Accuracy Verified: Yes
309. Farrell, D. (1997, July). Working with survivors of clergy sexual abuse and the utilization of EMDR as a treatment modality. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
Participant will learn how: 1) to be aware of sexual abuse by clery in a historical perspective; 2) to examine the ways in which it differs from other types of abuse; 3) to identify specific use of cognitive interwewave for this client group; and 4) to consider recommendations for further research.
Keywords: Clergy Sexual Abuse
Accuracy Verified: Yes
310. Farrell, D. (1998, July). Working with survivors of sexual abuse by clergy and the utilization of EMDR as a specific treatment modality. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participant will learn how: 1) to be aware of sexual abuse by clery in a historical perspective; 2) to examine the ways in which it differs from other types of abuse; 3) to identify specific use of cognitive interwewave for this client group; and 4) to consider recommendations for further research.
Keywords: Clergy Cognitive Interweave Sexual Abuse
Accuracy Verified: Yes
311. de Jongh, A. (2008, Maart). Workshop effectief conceptualiseren en scherpstellen [Workshop effectively conceptualize and focus]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
‘Conceptualiseren en ‘scherpstellen’ zijn twee belangrijke aspecten van een EMDR-behandeling. Het doel van deze onderdelen is om vanuit klachten en problemen die een patiënt presenteert targetherinneringen te identificeren en vervolgens voldoende lading te creëren om desensitisatie mogelijk te maken. Veel therapeuten vinden dit niet altijd gemakkelijk. In deze workshop wordt geleerd om zowel eenvoudige als efficiënte wegen te leren bewandelen om (1) een casus te conceptualiseren voor behandeling met EMDR, (2) essentiële, zogenaamde ‘touchstone’, targets te identificeren, en (3) de juiste NCs en PCs te selecteren. Aan de hand van oefeningen en diverse videofragmenten van stroef verlopende EMDR behandelingen wordt gedemonstreerd waar mogelijke valkuilen liggen. Daarnaast wordt uitgelegd hoe in moeilijke situaties, waarin het standaard protocol niet voorziet, kan worden gehandeld en hoe deze moeilijkheden op creatieve wijze kunnen worden opgelost. Deze interactieve workshop is vooral bedoeld voor therapeuten die nog geen vervolgopleiding hebben gedaan en die hun vaardigheden op EMDR gebied willen vergroten.
'Conceptualise and' focus' are two important aspects of EMDR treatment. The objective of this component is to identify complaints and problems from a patient and then target memories enough charge to create desensitization possible. Many therapists are not always easy. This workshop is taught to both simple and efficient ways to learn to walk to (1) a case to conceptualize treatment with EMDR, (2) key, so-called "touch stone", target identification, and (3) the proper NCS and PCs to select. Using various exercises and video clips of sluggish EMDR treatment is demonstrated where potential pitfalls lie. In addition, how to in difficult situations where the standard protocol is not provided, can be traded and how these problems can be solved creatively. This interactive workshop is intended primarily for therapists who have not yet done so and continuing their fields to increase skills in EMDR.
Keywords: Case Conceptualization Cognitions Identifying Touchstone Event
Accuracy Verified: Yes
312. Borkin, S. (2001, June). Write now! The integration of writing to enhance and expand the use of EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will learn to: 1) assist clients in focusing and clarifying targets and cognitions to differentiate between competency blocks vs. creative process blocks; 2) introduce and integrate "literary interweaves"; 3) instruct clients in the use of recording practices to enhance EMDR session follow-up; and 4) employ the use of writing for self-use of EMDR.
Keywords: Literary Interweaves Writing
Accuracy Verified: Yes
313. Greenwald, R. (2009, August). Writing for the Journal of EMDR Practice & Research. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Many EMDR therapists have something to contribute to the field, but may be unsure about how to write a paper for a scholarly journal. Participants in this workshop will learn to identify the types of papers that might be submitted and how to determine in which category their own project belongs. Participants will also learn a clear structured model for composing a paper, so it will have its best chance of favorable review. Finally, participants will be guided to evaluate their own project and develop a plan to bring the project to publication.
Keywords: Writing
Accuracy Verified: Yes
314. Greenwald, R. (2010, September/October). Writing for the Journal of EMDR Practice & Research. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Many EMDR therapists have something to contribute to the field, but may be unsure about how to write a paper for a scholarly journal. Participants in this workshop will learn to identify the types of papers that might be submitted and how to determine in which category their own project belongs. Participants will also learn a clear structured model for composing a paper, so it will have its best chance of favorable review. Finally, participants will be guided to evaluate their own project and develop a plan to bring the project to publication.
Keywords: Writing
Accuracy Verified: Yes
315. Greenwald, R. (2011, August). Writing for the Journal of EMDR Practice & Research. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Many EMDR therapists have something to contribute to the field, but may be unsure about how to write a paper for a scholarly journal. Participants in this workshop will learn to identify the types of papers that might be submitted and how to determine in which category their own project belongs. Participants will also learn a clear structured model for composing a paper, so it will have its best chance of favorable review. Finally, participants will be guided to evaluate their own project and develop a plan to bring the project to publication.
Keywords: Writing
Accuracy Verified: Yes
316. Turner, S. (2008, June). “A human rights framework in trauma work". Keynote presented at the annual mmeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Some people survive trauma only to find themselves continuing to live in
very real danger of further deliberate harm. This happens, for example, on
a large scale where the state uses repressive violence against communities
and at a personal level in many types of intra-familial violence, but there
are many other illustrations. One of the first steps that we often make as
therapists is to clarify that the traumatic experience has come to an end
and that the survivor is ready, and feels safe enough, to deal with the
emotional components of their past experiences. Victims of violence may
come from disadvantaged or minority groups in society and it is often
insufficient to rely only on the goodwill of the majority population to
achieve this sense of safety. It is essential that there should be human
rights policies with the force of law to protect vulnerable people and allow
them to achieve justice and a sense of efficacy. This year is the 60th
anniversary of the Universal Declaration of Human Rights, an inspirational
document prepared after the Second World War, and yet, unfortunately,
human rights abuses remain all too common. The interplay between the
legal framework of human rights and the therapeutic framework of clinical
practice is not always straightforward to negotiate. Problems may occur,
for example, for refugees who escape from persecution but whose legal
cases in their new country of asylum take years to settle, children
experiencing continuing abuse but who are too afraid to talk, adult rape
survivors who feel too ashamed to disclose and who would expect a
prosecution to fail anyway. An ethical framework for our practice is
required which fully takes into account the therapeutic needs of the
survivor; their legal right to justice, protection and acknowledgment of
harm done; and their personal wishes.
Keywords: Keynote
Accuracy Verified: Yes