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1. 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
2. Oppenheim, H.-J. (2005, November). De som der delen: EMDR bij de behandeling van een vrouw met DIS [The sum of its parts: EMDR to treat a woman with DIS]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
Er zijn, zover bekend, zeven artikelen verschenen over de toepassing van EMDR bij DIS. Young (1994) beschrijft de toepassing van EMDR gericht op de fobische symptomen bij DIS. Paulsen (1995) komt met een theoretisch model gebaseerd op neuronale netwerken voor de dissociatieve stoornissen. Volgens Paulsen zorgt EMDR voor de her-associatie van het gedisscocieerde materiaal. Zij maant echter tot behoedzaam gebruik van EMDR, zeker bij de ernstige dissociatieve stoornissen. Anderen maken melding dat, vaak aangepaste versies van, EMDR zinvol kan zijn als een beperkte toegevoegde techniek in de behandeling van DIS (Lazrove & Fine, 1996; Chemtob, Tolin, Van Der Kolk, & Pitnam, 2000; Twombly, 2000; Fine & Berkowitz, 2001). Gelinas (2003) gaat nog verder en stelt een behandeling voor waarin een gemodificeerde vorm van van EMDR wordt gecombineerd met een ‘fase georiënteerde trauma behandeling’.
In deze presentatie staat de behandeling van een 44 jarige, zeer ernstig getraumatiseerde vrouw met DIS centraal. Zij volgt sinds eind 1997 een cognitief-gedragstherapeutische therapie. In september 2004 is er gestart met EMDR. Mede aan de hand van videofragmenten wordt het half jaar durende verwerkingsproces verteld, van één van de vele trauma’s die de cliënte heeft meegemaakt. Te zien valt onder meer hoe met behulp van EMDR specifieke informatie van de diverse alters zodanig geïntegreerd wordt, dat volledige verwerking mogelijk blijkt te zijn. Er zal aandacht besteed worden aan de specifieke wijze waarop bij deze behandeling met EMDR moest worden omgegaan.
There are known to be seven articles about the use of EMDR in DIS. Young (1994) describes the application of EMDR focused on phobic symptoms in DIS. Paulsen (1995) with a theoretical model based on neural networks for the dissociative disorders. According to Paulsen EMDR allows for the re-association of the gedisscocieerde material. It urges, however, to cautious use of EMDR, especially in severe dissociative disorders. Others have reported that, often modified versions of, EMDR can be useful as a limited added technique in the treatment of CIS (Lazrove & Fine, 1996; Chemtob, Tolin, Van Der Kolk, & Pitnam, 2000, Twombly, 2000, Fine & Berkowitz, 2001). Gelinas (2003) goes further and proposes a treatment for which a modified form of EMDR is combined with a phase-oriented trauma treatment.
In this presentation, the treatment of a 44 year old woman with very severely traumatized central CIS. It follows since the end of 1997 a cognitive-behavioral therapy. In September 2004 has started with EMDR. Partly on the basis of video clips, the half-year process told by one of the many traumas that the client has experienced. Is to see how including using EMDR specific information from the various alters so integrated that complete processing proves impossible. Attention will be paid to the specific manner in which this treatment with EMDR should be handled.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
3. Popky, A. J. (1999). DeTUR (desensitization of triggers and urge reprocessing): A new approach to working with addictions. Los Gatos, CA.
Language: English
Format: Other
Keywords: DeTUR Triggers Urges
Accuracy Verified: Yes
4. Popky, A. J. (2009). DeTUR (Desensitization of Triggers and Urges), A. J. Popky (2005). A. J. Popky, PhD.
Language: English
Format: Other
Abstract:
Summary of A. J. Popky's standard DeTUR (Desensitization of Triggers and Urges) protocol
by Susan Brown.
Keywords: Addiction DeTUR Protocol
Accuracy Verified: Yes
5. Staff. (2004, February 23). Doctor urges Pentagon to endorce EMDR. Mental Health Weekly, 14(8), 7-8.
Language: English
Format: Newsletter
Abstract:
Presents information related to the endorsement of Eye Movement Desensitization and Reprocessing by the U.S. Department of Defense. [Academic Search Premier]
Keywords: Pentagon
Accuracy Verified: Yes
6. Marquis, J., Nixon, S., & Greenwald, R. (1999, June). EMDR reduction of sexual and aggressive urges. Presentation at the annual meeting of EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participant will: 1) become familiar with theoretical models of urge reduction that have proved effective; 2) learn how to use their skills in EMDR to implement these models; 3) learn other ways of employing EMDR with perpetrators; and 4) be able to disucss ideas for research in this much neglected area.
Keywords: Aggression Perpetrators Sexual Aggression Symptom Reduction Urge Reduction
Accuracy Verified: Yes
7. 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
8. Seliga, M. (2009, Fall). Empirically supported treatment interventions for clients with posttraumatic stress disorder and comorbid borderline personality disorder: A critical review. Praxis, 9, 61-69.
Language: English
Format: Journal
Abstract:
The overall stigma- and gender-related controversies
that surround the diagnosis of Borderline Personality
Disorder (BPD) present a unique ethical mandate to the
practitioner. The relationship between trauma and the
BPD diagnosis strengthens the need for carefully
designed treatment interventions in order to secure the
benefits of trauma-focused work, while minimizing the
risk of undue regression. The complexity and risk of
harm introduced by a diagnosis of comorbid BPD and
PTSD urges the need for clarification of optimal
treatment interventions to guide practitioners. The use
of adjunctive treatment modalities alongside traumafocused
interventions emerges as an empirically
supported technique in the treatment of severely
comorbid patients.
Keywords: Borderline Personality Disorder Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
9. Miller, R. (2013, May). The feeling-state theory and the feeling-state addiction protocol. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Substance and behavioral addictions such as gambling compulsions, sex addictions, and smoking have been
notoriously resistant to treatment. The Feeling-State Theory (FST) of Addiction presents a new understanding
of the etiology of addiction. FST hypothesizes that addictions are caused by a fixation of a positive feeling event.
Afterwards, whenever the person wants to feel that feel-good feeling, the link with that particular behavior is
triggered. With this new understanding of addictive behavior, the Feeling-State Addiction Protocol (FSAP) uses
a modified form of Eye Movement Desensitization (EMDR) to break the fixation, resulting in a complete resolution
of behavioral addictions and the elimination of the urges and cravings of substance addictions, usually within 4
to 5 sessions. The resolution for behavioral addictions is so complete that, for example, a gambler can actually
return to gambling without activating the compulsion. The presentation will explicate the FST hypothesis, present
research data, case histories, and describe the process of utilizing the FSAP. (Introductory – 75% EMDR)
Learning objectives:
• Participants will be able to explain the Feeling-State Theory of Behavioral and Substance Addiction and the
underlying etiology of addictions as understood by this approach.
• Participants will be able to name 3 differences between the standard EMDR protocol and the Feeling-State
Addictions Protocol.
• Participants will be able to name the 3 sets of beliefs targeted for comprehensive treatment using the FSAP
within the EMDR protocol.
• Participants will be able to explain how to use the FSAP for both behavioral and substance addictions.
Keywords: Addictions Feeling-State Theory
Accuracy Verified: Yes
10. Miller, R. (2013, May). The feeling-state theory and the feeling-state addiction protocol. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Substance and behavioral addictions such as gambling compulsions, sex addictions, and smoking have been
notoriously resistant to treatment. The Feeling-State Theory (FST) of Addiction presents a new understanding
of the etiology of addiction. FST hypothesizes that addictions are caused by a fixation of a positive feeling event.
Afterwards, whenever the person wants to feel that feel-good feeling, the link with that particular behavior is
triggered. With this new understanding of addictive behavior, the Feeling-State Addiction Protocol (FSAP) uses
a modified form of Eye Movement Desensitization (EMDR) to break the fixation, resulting in a complete resolution
of behavioral addictions and the elimination of the urges and cravings of substance addictions, usually within 4
to 5 sessions. The resolution for behavioral addictions is so complete that, for example, a gambler can actually
return to gambling without activating the compulsion. The presentation will explicate the FST hypothesis, present
research data, case histories, and describe the process of utilizing the FSAP. (Introductory – 75% EMDR)
Learning objectives:
• Participants will be able to explain the Feeling-State Theory of Behavioral and Substance Addiction and the
underlying etiology of addictions as understood by this approach.
• Participants will be able to name 3 differences between the standard EMDR protocol and the Feeling-State
Addictions Protocol.
• Participants will be able to name the 3 sets of beliefs targeted for comprehensive treatment using the FSAP
within the EMDR protocol.
• Participants will be able to explain how to use the FSAP for both behavioral and substance addictions.
Keywords: Addictions Feeling-State Theory
Accuracy Verified: Yes
11. Popky, A. J. (2011, October). An urge reduction protocol as a new way to address addictions and dysfunctional behaviors based on the AIP model of EMDR. Presentation for Care For the Troops, Marietta, Ohio.
Language: English
Format: Other
Abstract:
The purpose of this document is to act as a training manual for those clinicians that work with addictive populations and that have completed already completed EMDR level 1 and 2 trainings. Previous research on EMDR has focused on its usefulness for treating trauma-related symptoms in a diverse sample of subjects. This protocol deals with targeting triggers that bring up urges rather than traumas. It is the authors beliefs that the targeting of triggers is a gentler way of dealing with this addictive population and that as triggers are reprocessed ego strength grows until the thread to the trauma or core issues are ready to emerge to be reprocessed.
Background
This treatment model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to, cognitive-behavioral, solution focused, Ericksonian, narrative, object relations, EFT, TFT, to name a few. The bi-lateral stimulation from the accelerated information processing model (EMDR) seems to form the catalyst for rapid processing and change, the turbo-charger that speeds the healing process.
Successful results have been reported across the wide spectrum of addictions and dysfunctional behaviors: chemical substances (nicotine, marijuana, alcohol, methamphetamine, cocaine, crack, heroin/methadone, etc.), eating disorders such as compulsive overeating, anorexia and bulimia, along with other behaviors such as sex, gambling, shoplifting, anger outbursts, OCD and trichotillomania, etc. Since this is an urge reduction protocol the scope of applications can include a wide variety of applications.
Keywords: Adaptive Information Processing Addictions AIP Desensitization of Triggers and Urge Reprocessing DeTUR Dysfunctional Behaviors
Accuracy Verified: Yes
12. Barbieri, J. L. (2008, April). The URGES approach: Urge reduction by growing ego strength (URGES) for trauma/addiction treatment using alternate bilateral stimulation, hypnotherapy, ego state therapy and energy psychology. Sexual Addiction & Compulsivity, 15(2), 116-138. doi:10.1080/10720160802035584.
Language: English
Format: Journal
Abstract:
The URGES approach is a theory and protocol to treat trauma and addiction simultaneously. It combines hypnotherapy, ego state work, alternate bilateral stimulation, and energy psychology.It was developed to meet the need to address trauma without disturbing mainstream addiction treatment. Based on the premise that trauma and addiction are co-relational, this method uses ego state images including an Addict ego state that hypothetically reflect brain chemistry dynamics and changes.URGES is a combination method that incorporates basic concepts from hypnotherapy, Eye Movement Desensitization and Reprocessing, ego state therapy and several energy psychology techniques.Orchestrated ego state conflicts hypothetically exercise the brain.Ego state patterns are emerging from URGES that indicate a degree of predictability in assessing patient's internal response to treatment.The main focus of this approach is using the addictive urge to locate and process underlying trauma.
Keywords: Addiction Bilateral Stimulation BLS Ego State Therapy Energy Psychology Hynotherapy Trauma Treatment URGES Approach
Accuracy Verified: Yes
13. Brown, S., Gilman, S., & Popky, A. J. (2009, August). Using the DeTUR™ model and EMDR to treat addictions and impulse control disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Effective treatment of trauma and addiction is a serious clinical challenge. The purpose of this workshop is to educate clinicians about the similarities between chemical and behavioral addictions, the negative consequences of leaving trauma untreated, and the expected benefits of using an integrated model of DeTUR™ (Desensitization of Triggers and Urges; Popky, A.J., 2001) and EMDR for the treatment of addictions. Participants will be able to describe the steps of DeTUR™ through lecture and demonstration. Participants will be shown how DeTUR™ can be integrated into the standard EMDR protocol, focusing on desensitizing triggers and urges, leading to identification of core traumas to be reprocessed.
Keywords: Addictions DeTUR Model Impulse Control Disorders
Accuracy Verified: Yes


