Francine Shapiro Library ~ EMDR Bibliography

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1. Tsuchimochi, S. (2010, July). The possibility of EMDR use with juvenile delinquents. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: The purpose of this study was to examine the effects of EMDR use with juvenile delinquents, such as improvements of physical and mental mal-adjustment, emotion control, self-recognition and attitudes toward others. It also examined under which conditions in the judicial proceedings, it is possible to apply the EMDR therapy to juveniles. Methods: Three delinquents whose cases were in the Family Court process, were selected as participants in view of effectiveness, safety and validity. The measurement scales are as follows: (a)IES-R, (b)the Life Gram ( a wavy line drawn by the participant to describe one’s own life from the birth to present in the range of +10 and -10.), (c)SUDs, VOC, (d)self-reported impression by the participant, and (e)observation by the writer. Self-tapping on knees under the instruction by the writer was used as the bilateral stimulation. Each participant was interviewed four or five times during 4 weeks. Baseline measurements were done on 1st or 2nd interview, while post measurements were done on 4th or 5th interview after the EMDR session was held on 3rd or 4th time. Results: Results showed clear improvements by one EMDR intervention in two cases out of three. Insufficient care could be the reason for the absence of improvement with one participant. Conclusion: The results of this study suggest that the EMDR is effective for the improvements of the various symptoms and problems of the juvenile delinquents, if being properly applied on the certain guidelines set for them.

Keywords: Juvenile Delinquents Poster

Accuracy Verified: Yes

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

Language: Persian

Format: Journal

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

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

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

Accuracy Verified: Yes

3. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .

Language: Spanish

Format: Conference

Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia social resulta incuestionable si atendemos al incremento exponencial de niños adoptados por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción vigente en España contempla la adopción como un recurso de protección para aquellos niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz de asegurar las atenciones propias de la función parental (atención, desarrollo y educación). Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien, sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen significativamente en la capacidad para formar relaciones íntimas y emocionalmente saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida, van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego formadas en la infancia y niñez temprana (Punset, 2008). El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado para tal fin y un caso para la comprensión de la aplicación del tratamiento.

Adoption is a current issue, whose interest grows gradually. Its validity social is unquestionable if we consider the exponential increase of adopted children Spanish families, especially in international adoptions. The Adoption Act force in Spain provides for the adoption as a source of protection for those children / as not to remain in their own family. To fulfill this objective must be put all the necessary mechanisms to guarantee the child a family able to secure the attentions of parenting (care, development and education). Adopted children may suffer from disorders like any other child, however, previous life experiences can affect their development to a greater extent emotional, social and family life. Relational experiences during childhood influence significantly in the ability to form intimate and emotionally healthy. Also, for the formation and change of attitudes throughout our lives, will be essential to our reference group, the family being one of the most important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited of attack, the ability to love and be loved and a host of features of a assertive person, operational and happy, are associated with the core competencies of attachment formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach to the difficulties affecting families with adjustment problems in cases of adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed for this purpose and a case for understanding the application of the treatment.

Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

5. Fisher, E. (1997, May 26). Coached to success: Professional advisers help many workers break out of career and personal slumps. Washington, DC: The Washington Times, Business Times, D12.

Language: English

Format: Newspaper

Abstract:
Many in the scientific community dispute EMDR's validity, but Ms. Fox and many patients of EMDR insist the method reduces stress and improves performance at key moments.

Keywords: General Overview Washinton, DC

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

7. Alexander, R. J. (1998, September). Comparison of eye movement desensitization and reprocessing and hypnosis. Washington State University, Pullman, WA. AAT 9825908.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is being used in the treatment of numerous disorders. This research focused on EMDR and hypnosis to gain insight into whether the EMDR procedure is a hypnotic phenomenon. Ten high (SHSS:C = 10-12) and ten low hypnotizables (SHSS:C = 0-3) from a northwestern university were exposed to EMDR treatment based on Shapiro's procedure (1995). Responses to a post hypnotic suggestion given before the installation phase of EMDR were measured. Mann Whitney U results revealed a significant difference between low and high hypnotizable participants' responses suggesting that there is a hypnotic phenomenon present in EMDR. ANOVA results for Subject Units of Disturbance (SUDS) and Validity of Cognition (VOC) measures revealed significant treatment effects for both highs and lows pre- to posttreatment. Comparison of high and low hypnotizable groups on the posttreatment outcome scores of SUDS revealed that highs experienced significantly lower levels of disturbance than lows. Comparison of high and low hypnotizables on the posttreatment outcome scores of the VOC revealed no significant difference between groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(3-B), Sep 1998, pp. 1357.

Keywords: Hypnosis Empirical Study Psychotherapeutic Techniques

Accuracy Verified: Yes

8. Greenwald, R. (1994, March). Criticisms of Sanderson’s and Carpenter’s study on eye movement desensitization. doi:10.1016/0005-7916(94)90072-8. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 90-91.

Language: English

Format: Journal

Abstract:
Discusses the validity of a study on the efficacy of eye movement desensitization that did not follow the exact principles of EMDR as enunciated by Francine Shapiro. [Pilots]

Keywords: Experimental Design Letter Phobia Professional Criticism Professional Criticism Reply

Accuracy Verified: Yes

9. Zucker, M., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2006). Dissociative symptomatology in posttraumatic stress disorder and disorders of extreme stress. Journal of Trauma and Dissociation, 7(1), 19-32. doi:10.1300/J229v07n01_03.

Language: English

Format: Journal

Abstract:
The present study was designed to assess differences in dissociative symptoms in adults with Posttraumatic Stress Disorder (PTSD) vs. PTSD plus Disorders of Extreme Stress Not Otherwise Specified (DESNOS). This study was done for two reasons: (1) to better understand the clinical profile of DESNOS clients in order to inform more effective treatment, and (2) to further empirical research on the validity of the DESNOS construct. To assess severity of dissociative symptoms, the authors administered the Dissociative Experiences Scale (DES) to 155 participants with PTSD. Using the Structured Interview for Disorders of Extreme Stress (SIDES), participants were divided into two groups: those who also met criteria for DESNOS and those who did not. DES means are provided for the two groups. Participants with PTSD plus DESNOS scored higher than participants with only PTSD on the measure of dissociative symptomatology, particularly on the DES scales that tap absorption/fantasy and depersonalization/derealization. The two groups did not differ on the amnesia subscale of the DES. Findings support the construct validity of the DESNOS concept and further delineate the clinical profiles of community-based PTSD with and without DESNOS, thus contributing to the knowledge base on the assessment of complex adaptations to trauma. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: Website: © 2006 by The Haworth Press, Inc. All rights reserved.]

Keywords: DES DESNOS Dissociation Dissociative Experiences Scale Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

11. Schneider, K. J. (2012, October). Editor’s Commentary. Journal of Humanistic Psychology, 52(4), 372-374. doi:10.1177/0022167812451236.

Language: English

Format: Journal

Abstract:
An introduction is presented in which the editor expresses gratitude to two authors who have contributed to the journal and discusses various reports published within the issue including one by David Shumaker on existential-integrative therapy with adolescents, another by Jamie Marich on eye movement desensitization reprocessing (EMDR) treatment and one by Rachel Starr on validity in therapeutic inquiry..

Keywords: Therapeutics

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Anxiety Swimming

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

14. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A.M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic stress disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece. European Journal of Nuclear Medical and Molecular Imaging, 33, S169.

Language: English

Format: Conference

Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]

Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

15. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A. M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September-October). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic Stress Disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece.

Language: English

Format: Conference

Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

16. Johnson, M. D. (1996, June). Effects of eye movement desensitization and reprocessing on test anxiety. Texas Woman's University, Denton, TX. AAT 9716578.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was introduced (Shapiro, 1989) as a treatment for traumatic memories. The necessity of eye movements or another activating stimuli in the treatment of test anxiety and the effectiveness of EMDR as a treatment for test anxiety is the focus of the present study. This study screened subjects for adequate study skills and the presence of test anxiety, and randomly assigned 45 subjects to one of three conditions: EMDR, EMDR with no activating stimuli (EMDR/NS; eyes closed), and a no treatment control group. The results of this study suggest that EMDR and EMDR/NS were equally effective in treating test anxiety and more effective than the control group as measured by the Achievement Anxiety Test, the Emotionality scale of the Test Anxiety Inventory (TAI), the Subjective Units of Disturbance scale, and the Validity of Cognition scale. Test performance and the Worry Scale of the TAI were not significantly impacted by the treatment groups. The inability of EMDR to impact the worry scale or the test performance of subjects in this study draws into question the usefulness of EMDR as a treatment of test anxiety. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(12-B), Jun 1997, pp. 7730.

Keywords: Empirical Study Test Anxiety

Accuracy Verified: Yes

17. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.

Language: Italian

Format: Dissertation/Thesis

Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it. Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000). L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998). Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico... Questi studi tuttavia commettono uno o più dei seguenti problemi: 1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995). 2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999). La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD. Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma. Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”. Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti. Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.

EnglishSpanishArabicAlpha EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD. Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it. The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000). EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998). Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology: ...... These studies, however, have committed one or more of the following problems: 1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995). 2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999). This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD. In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma. In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information." The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents. In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

18. Enright, M. B. (1995, August). The efficacy of eye movement desensitization and reprocessing in the treatment of test anxiety. University of Northern Colorado, Greeley, CO. AAT 9617465.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explores the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of test anxiety. Thirty-five college students who scored above the 50th percentile on test anxiety were randomly assigned to either a treatment or wait-list control group. Subjects received two 1 hour sessions of EMDR. After posttesting, the control group also received EMDR treatment. The treatment group had a significant reduction in Test Anxiety Inventory total score, emotionality scale score, worry scale score, and state anxiety as compared to the control group. After treatment, the control group matched the experimental group for significant reductions on all dependent measures. The subject group as a whole had significant reductions in subjective units of distress during treatment as well as a significant increase in the validity of positive self-statements. Reductions in anxiety measures were maintained at one month follow-up. The differential effect of EMDR on subjects based on gender and pretreatment level of trait anxiety was also examined. Subjects with high trait anxiety had a greater reduction in total test anxiety, emotionality, and worry on posttesting as compared to subjects with lower trait anxiety. Males and females were found to respond equally to the treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(2-B), Aug 1996, pp. 1436

Keywords: Anxiety Management College Students Empirical Study Test Anxiety Treatment of Test Anxiety Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

19. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]

Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness

Accuracy Verified: Yes

20. Renfrey, G. (1993). The efficacy of eye movement desensitization in the treatment of trauma related imagery and cognitions: A partial dismantling procedure. Western Michigan University, Kalamazoo MI. AAT 9412220.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the effects of eye movement desensitization (EMD) on post-traumatic sequelae, and attempted a partial dismantling of the procedure to determine the necessity of EMD's characteristic eye movements. 23 persons participated in three groups: (1) those receiving standard EMD, (2) those receiving a variant of EMD in which eye movements were engendered through a light tracking task, and (3) those receiving a variant of EMD in which fixed visual attention replaced eye movements. All participants had experienced traumata as defined by the DSM-III-R and were having intrusive symptoms of PTSD at pre-treatment. All but two met full DSM-III-R criteria for PTSD. Each received two to six treatment sessions.Dependent variables included heart rate changes, subjective units of distress ratings, validity of both initial and targeted trauma-related cognitions during trauma-related imagery, overall frequency and intensity scores on the Clinician Administered PTSD Scale, anxiety and depression T-scores on the Symptom Checklist (SCL-90-R), and scores on the Impact of Events Scale. Assessments were conducted at pre- and post-treatment and at a one- to three-month follow-up. All three interventions produced significant, positive changes in all dependant measures between pre- and post-treatments. Further, these changes were maintained at follow-up. No significant differences between groups were observed. These changes were of comparable magnitude to those reported elsewhere, but were brought about through a greater number of treatment sessions. It was concluded that EMD does bring about fairly rapid therapeutic changes in those post-traumatic sequelae measured, though not as efficiently as most previous reports have suggested. Further, it was concluded that the eye movements peculiar to EMD are not a necessary component of the procedure. The similarities and differences between the present findings and previous reports are discussed, as are the limitations and implications of the present study. Recommendations for future work are made. [Author Abstract]

Keywords: Clinical Trial Partial Dismantling Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

21. Shapiro, F. (1989, April). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2(2), 199-223. doi:10.1007/BF00974159.

Language: English

Format: Journal

Abstract:
The aim of the study was to determine the effectiveness of the recently developed Eye Movement Desensitization (EMD) procedure on traumatic memory symptomatology. 22 subjects suffering from symptoms related to traumatic memories were used in the study. All had been victims of traumatic incidents concerning the Vietnam War, childhood sexual molestation, sexual or physical assault, or emotional abuse. Memories of the traumatic incident were pivotal to the presenting complaints which included intrusive thoughts, flashbacks, sleep disturbances, low self-esteem, and relationship problems. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, and (3) presenting complaints. These measures were obtained at the initial session and at 1- and 3-month follow-up sessions. The results of the study indicated that a single session of the EMD procedure successfully desensitized the subjects' traumatic memories and dramatically altered their cognitive assessments of the situation, effects that were maintained through the 3-month follow-up check. This therapeutic benefit was accompanied by behavioral shifts which included the alleviation of the subjects' primary presenting complaints. [Author Abstract]

Keywords: Americans Anxiety Combat Incest Memories Molestation Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Survivors Trauma Veterans Vietnam War

Accuracy Verified: Yes

22. Martin, A. J. (2004, Winter). EMDR in the treatment of PTSD: A restrospective of a patient and therapist. Stress Points, Newsletter for the Australasian Society for Traumatic Stress Studies, 15-16.

Language: English

Format: Newsletter

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a therapy often used in the treatment of PTSD. During EMDR the patient focuses on emotionally disturbing experiences while stimulus such as eye movement or finger-tapping. This dual (internal/external) focus is combined with frequent, briefsimultaneously focusing on an external periods of focusing on new associations as they arise. Throughout the therapy, the therapist methodically rates the patient’s SUDs (Subjective Units of Disturbance) on a scale of 0 - 10, (“0” being the lowest amount of stress the patient is presently experiencing about the target issue; “10” being the highest); and VoCs (Validity of Cognition) on a scale of 1 - 7, (“1” being the lowest amount of belief the patient holds in a specific positive statement about himself; “7” being the highest amount - ie: the positive statement is “completely true.”)

Keywords: Practice Theory

Accuracy Verified: Yes

23. Terreri, L. (2008, ). EMDR nei pazienti con tossicodipendenza: integrazione tra protocollo standard e protocolli modificati [EMDR in drug dependent subjects: integration between standard and modified protocols]. Bollettino Sulle Dipendenze, 31(4), 215-224.

Language: Italian

Format: Newsletter

Abstract:
Riassunto, Alcuni autori (Shapiro F., Omaha J., Popky A.J., Hase M.), ipotizzano che il metodo EMDR (Eye Movement Desensitization and Reprocessing) possa essere utile ai pazienti tossicodipendenti sia per avere una migliore adattabilità e funzionalità del comportamento sia per allontanare il tempo delle ricadute. Tuttavia gli studi con l’EMDR applicato alle tossicodipendenze sono rari e in Italia pressoché assenti. L’autore, con l’intento di offrire un input per stimolare future ricerche, riassume il protocollo standard dell’EMDR, il protocollo DSRC sulla desensibilizzazione degli stimoli e la rielaborazione della compulsione e il protocollo DRDA sulla desensibilizzazione e rielaborazione del ricordo del disturbo d’astinenza. Nei soggetti che hanno effettuato i vari protocolli EMDR è stato possibile rilevare un risultato positivo a breve termine tramite i punteggi delle scale SUD (Subjective Units of Disturbance), VOC (Validity of Cognition), LOU (Level of Urge) e anche attraverso la valutazione di disegni effettuati prima e dopo la seduta EMDR.///

Shapiro F., Omaha J., Popky A. J., Hase M. et al. have speculated that Eye Movement Desensitization and Reprocessing (EMDR) could be useful in the treatment of drug addicted subjects, to reach better adjustment and behavioural functioning and/or to increase the time interval between relapses. Currently, studies reporting the use of EMDR with drug addicted patients are scarce and, in Italy, absent. The article, in order to offer an input to stimulate further research and increase its application, summarizes the EMDR method and considers the possibility for the use of the “Standard EMDR protocol”, the “Desensitization of Triggers and Urge Reprocessing” protocol and the “Withdrawal Disorder Memory Desensitization and Reprocessing” protocol within the Public Drug Abuse Departments. Subjects who underwent the various EMDR treatment protocols showed positive results in the short-term period, when tested with SUD (Subjective Units of Disturbance), VOC (Validity of Cognition) and LOU (Level of Urge)scales. Encouraging results were also obtained through the evaluation of drawings done by the subjects before and after the EMDR treatments.[Author Abstract]

Keywords: Affect Bridge Compulsion Trauma Withdrawal

Accuracy Verified: Yes

24. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.

Keywords: Panel Discussion

Accuracy Verified: Yes

25. Spector, J. (2001, May). EMDR research update and research questions answered. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
It is vital that EMDR has a strong research base. The ultimate credibility of EMDR will depend on Randomised Controlled Studies demonstrating the effectiveness of EMDR as a psychotherapy especially for Post Traumatic Stress Disorder. Also of importance will be Component Analysis Studies teasing apart the therapeutically active elements of EMDR. Research internationally on EMDR has been in two phases. Prior to 1999 the main questions were whether EMDR was an effective psychotherapy, and what was the value of these eye movements. From 1999 it is accepted that EMDR is an effective psychotherapy and the questions now are whether EMDR is more effective than CBT and is its effectiveness because it is CBT. This paper will trace the history of research into EMDR and address some of the most commonly asked questions about the validity of EMDR as manifested in the research literature. Particular attention will be drawn to some new papers about to be published very significant for EMDR. Finally some of the papers critical of EMDR will be reviewed also and examined as to their credibility. There will be opportunities for questions and discussion.

Keywords: Research

Accuracy Verified: Yes

26. Drozd, L. M. (1994, July). EMDR – A natural healling process: A brief explanation. The Orange County Psychologist.

Language: English

Format: Newsletter

Abstract:
(EMDR) was developed by Francine Shapiro, Ph.D. from the Mental Research Institute in Palo Alto in 1987 and was utilied clinically beginning in 1989 with Vietnam veterans. Numerous scientific studies have been and continue to be done and data collected regarding the reliability and validity of EMDR as a psychotherapeutictechnique. It isno longer considered to be experimental.

Keywords: General Overview

Accuracy Verified: Yes

27. Lohr, J., Kleinknecht, R., Tolin, D., & Barrett, R. (1995, December). The empirical status of the clinical application of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 285-302. doi:10.1016/0005-7916(95)00041-0.

Language: English

Format: Journal

Abstract:
The published reports of the clinical application of eye movement desensitization and reprocessing (EMDR) are reviewed in terms of empirical validity. Case studies, single-subject experiments and group design experiments on clinical problems are evaluated for the effectiveness of the protocol, component effects, comparative effects and treatment fidelity. Classification of disorders and measurement issues are addressed. The protocol frequently reduces verbal report and independent observer ratings of distress - strikingly in some instances. Psychophysiologic measures show little effect of treatment. There is little empirical evidence to indicate the effect of treatment on motoric or behavioral indices. Eye movements do not appear to be an essential component of treatment, and there have been no substantial comparisons with other treatments. No studies have adequately controlled for nonspecific (placebo) effects of treatment. Suggestions are made for applying improved methodological controls for future applications of EMDR to clinical disorders. [Author Summary]

Keywords: Literature Review Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

28. Gracheck, K. A. (2010). Evaluating the efficacy of EMDR as an athletic performance enhancement intervention. The University of the Rockies, Colorado Springs, CO. 3433356.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is traditionally regarded as a treatment for trauma; however, recent literature suggested that EMDR is also a promising athletic performance enhancement intervention. Sport psychology literature cited the need for scientifically sound research investigating new performance enhancement interventions. This study answered that call and sought to determine the validity of theories speculating about the efficacy of EMDR in sport. An internationally competitive cyclist participated in a case study investigating the efficacy of a unique EMDR protocol designed specifically for sport. The protocol integrated Resource Development and Installation, typically conducted during Phase 8, into Phase 2. Quantitative and qualitative results demonstrated that EMDR had a positive impact on measurable performance outcomes, performance anxiety, self-esteem, and motivation.

Keywords: Athletes Performance Enhancement

Accuracy Verified: Yes

29. Tareen, M. S. (2010, July). The evaluation of an Urdu version of Impact of events scale - revised (UIES-R). Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Background: The study arose from an EMDR Humanitarian Assistance Programme training set up in response to the 2005 earthquake in Northern Pakistan. Part of this project set out to evaluate an Urdu version of IES-R. We wanted to evaluate the work done by newly trained EMDR Practitioners and there was paucity of measurement tools in Urdu language. We decided to translate IES-R and evaluate it. It will give us reliable scale to measure progress against treatment. The present study aims to present this Urdu version of the IES-R as a psychometrically sound instrument for both research and clinical use in its Urdu translation. Methods:Translation was completed in four stages. Two stages involved translation and two involved back translation. Recruitment for the evaluation took place at a Medical School in Abbotabad, and involved (N=118) participants. The inclusion criteria were that subjects must be fluent in both Urdu and English. Results: The results of Urdu and English versions of IES_R and GHQ were compared for Linguistic Equivalence, conceptual equivalence, and scale equivalence. All these measures showed no statistically significant differences. In conclusion the Urdu version of the IES-Revised can be used for clinical populations in Pakistan with evidence of good reliability and satisfactory validity. In developing EMDR research in Pakistan the utilisation of the U-IES-R will be an extremely useful addition.

Keywords: Impact of Events Scale - Revised UIES Urdi Version

Accuracy Verified: Yes

30. Crystal, S. (2010, March). Evidence based practice and practice based evidence: Improving effectiveness and efficiency in EMDR practice. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
There have been over five “gold standard” studies supporting the importance of routine measurement of outcome in clinical practice. However, no measures that take more than 5 minutes would appeal to clinicians. The Outcome Rating Scale (ORS or Child ORS) and the Session Rating Scale (SRS or Child SRS) are both four-item measures developed to track outcome and the therapeutic alliance, respectively. The measures have been tested and correlated to other reputable measures for their robust reliability, validity and most importantly feasibility. In addition, these measures are a clinical tool for the EMDR practitioner as, it takes under a minute to score and, it helps to focus each session on what is relevant for the client; giving us the opportunity to tailor and pace the protocol to a better” fit” for each particular client; offering us a chance to improve our drop out rates. Learning points: 1) Updated research information on the importance of using client’s feedback in everyday practice; 2) Introduction of brief measures that can have immediate application in your EMDR practice. 3) Learn about a system that can help you learn about and increase your effectiveness as a therapist in comparison to a normative data of thousands of practitioners. 4) How to download for free and to use routine outcome measures to monitor the quality of the therapeutic relationship and to inform the fit between the EMDR and the clients’ perceptions.

Keywords: Client Feedback ORS Outcome Measures Outcome Rating Scale Research Session Rating Scale SRS Gold Standard

Accuracy Verified: Yes

31. McCullough, L. (2002, December). Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: Research questions and speculations. Journal of Clinical Psychology, 58(12), 1531-1544. doi:10.1002/jclp.10103.

Language: English

Format: Journal

Abstract:
This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" responses and examined in relationship to (a) the number of EMDR sets, (b) patient Global Assessment of Functioning Rating (GAF) scores, and (c) raw change in Subjective Units of Distress (SUD) ratings of severity of traumatic memory and Validity of Cognition (VoC) ratings of positive cognitions before and after EMDR sessions. Further subcategorization and development of the broad categories of trauma and resolution were recommended and may be useful in shedding light on how change happens in EMDR. This study was exploratory and attempted only to identify possible variables for further study. However, the results show potential relationships among variables that merit further refinement and study. Research questions generated from this study are discussed. [Author Abstract]

Keywords: Effects Empirical Study Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Research Needs Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

32. 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

33. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012.

Language: English

Format: Other

Abstract:
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]

Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

34. Coleman, G. L. (1999, October). Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder: An investigational study of the eye movement component using a within-subject design. Chicago School of Professional Psychology, Chicago, IL. AAT 9926476.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy treatment procedure which combines imaginal exposure with eye movements and is reported to dramatically reduce negative symptoms associated with trauma related psychological disturbances and memories. The author reviewed and analyzed the current literature regarding EMDR, and conducted a within-subject design investigating the importance of the eye movement component in the EMDR treatment protocol by comparing the efficacy of an eye movement treatment condition, with two non-eye movement treatment conditions. The use of two different control conditions allowed comparisons of the eye movement condition (EMDR), which involved bilateral stimulation of the brain, with exposure to memory of the trauma without eye movements (Eye-Focus Desensitization), which served as a placebo, and exposure to memory of the trauma with a competing motor activity (Single Hand Tapping), which represented unilateral stimulation of the brain. This study also employed a delayed treatment condition to investigate the overall effectiveness of EMDR in treating PTSD. The subject was a 53-year-old Caucasian female who met DSM-IV criteria for PTSD. Dependent variables included a diagnostic instrument, which was the Structured Interview for Posttraumatic Stress Disorder (SI-PTSD); global instruments, which included the Beck Anxiety Inventory (BAI), Impact of Events Scale (IES), and Subjective Units of Distress scale (SUDs); process measures, which included the Subjective Units of Distress scale (SUDs) and Validity of Cognition (VOC) scale; and a self-report measure of overall improvement, which was the Image Desensitization Rating Scale (IDRS).Results demonstrated support for the superiority of an eye movement condition over that of both a no-eye movement condition (EFD), and a competing motor activity of single hand tapping (SHT) on process variables (SUDs and VOC), but not on weekly global measures (IES, BAI, and SUDs) in the single subject studied. Also, this study found support for the effectiveness of EMDR (delayed treatment phase) in reducing symptoms of anxiety, intrusiveness and avoidance, and subjective distress related to memory of trauma as measured by BAI, IES, and SUDs, and also in alleviating DSM-IV symptoms of Posttraumatic Stress Disorder for this subject. Experimental single-subject studies, as well as group designs, need to investigate possible neurological and theoretical explanations for the effectiveness of EMDR in future research. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1846.

Keywords: Avoidance Case Report Empirical Study Females Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

35. Gosselin, P., & Matthews, W. (1995, December). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of expectancy and eye movement. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 331-337. doi;10.1016/0005-7916(95)00038-0.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a recently invented technique acclaimed as a major breakthrough for a range of anxiety-related symptoms. To determine the importance of the eye movement and expectancy variables, we conducted a one-hour session with 41 undergraduate subjects (11 males and 30 females) with test anxiety. A 2 (eye movement vs no eye movement) x 2 (high expectancy vs low expectancy) analysis of variance was performed on 3 dependent measures: (1) Subjective Units of Disturbance Scale (SUDs); (2) Validity of Cognition Scale (VOC); and (3) the Test Anxiety Inventory (TAI). The data indicate that all subjects, regardless of treatment condition, showed a significant decrease in anxiety on the TAI. Subjects in the eye-movement condition reported feeling less anxious (SUDs) than those in the no-eye-movement condition. We found no significant main effect or interactions for any of the dependent measures for expectancy. [Author Summary]

Keywords: Adults Americans College Students Experimental Stressors Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

36. EMDR International Association (EMDRIA) (2012, October 7). Eye movement desensitization and reprocessing international association response to the Institute of Medicine report on “Treatment for posttraumatic stress disorder in military and veteran populations: Initial assessment”. EMDRIA. Retrieved from http://www.emdria.org/associations/12049/files/EMDRIA%20IOM%20Response.pdf on 10/19/2012.

Language: English

Format: Other

Abstract:
In response to the Institute of Medicine’s (IOM) July 2012, publication, Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, the Eye Movement Desensitization and Reprocessing International Association (EMDRIA) applauds the IOM for its leadership role in calling for the use of evidence-based methods for treatment of posttraumatic stress disorder (PTSD) and for advocating stepped-up research on therapies for war stress injuries, with an appropriate recognition of the urgency required.
We do, however, see errors and omissions in the portrayal of eye movement desensitization and reprocessing (EMDR) therapy in the IOM reports; we believe that the misrepresentation of EMDR in the 2008 document unfortunately has been perpetuated in the 2012 Initial Assessment. We are concerned that these misunderstandings will be incorporated as Phase 2 of this study proceeds; thus we are providing you with information with the hope that these inaccuracies can be addressed and corrected. This would positively impact further research on the treatment of PTSD. In the following, we have identified several specific statements in the IOM report that misquote or misrepresent the original EMDR research papers. The inaccuracy of the quotes are serious enough to bias the conclusions of the IOM report and call into question the validity of the document.
In addition, we want to highlight the fact that the original IOM report on PTSD called for randomized clinical trials (RCT) to further evaluate EMDR (IOM, 2008), but this recommendation has not been implemented. It is our hope that our response will encourage the IOM to address this lack of follow through and advocate for randomized clinical trials to test the efficacy of all the evidence-based therapies.

Keywords: Institute of Medicine Report IOM Report Military Posttraumatic Stress PTSD

Accuracy Verified: Yes

37. Waters, L. (1997, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD: Commentary. Psychotherapy: Theory, Research, Practice, Training, 34(1), 99. doi:10.1037/h0087777 .

Language: English

Format: Journal

Abstract:
Comments on the article by J. G. Carlson et al (see record 84-01737) regarding the use of eye movement desensitization and reprocessing treatment (EMDR) to treat posttraumatic stress disorder (PTSD) in Vietnam veterans. The author suggests that EMDR seems simplistic and lacks face validity altogether. L. Waters proposes that EMDR works because of resolute perception, a process defined by F. J. Hanna and K. Puhakka (1991) as a deliberate sustained focus of attention on an identified problem with the goal of achieving clarity, at a point when the client is ready and willing to confront and perceive. Waters suggest that a way to test whether or not EMDR works because of resolute perception would be to assign a similar group of clients to a totally different task (e.g., drawing straight lines) while giving them the same instructions as are given in EMDR regarding their memories, thoughts, and desirable cognitions. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Commentary Combat Experience Comment Military Posttraumatic Stress Disorder PTSD Reply Veterans Vietnam War Veterans

Accuracy Verified: Yes

38. Puffer, M. K. (1995, May). Eye movement desensitization and reprocessing with children and adolescents experiencing traumatic memories. Walden University, Minneapolis, MN. AAT 9608112.

Language: English

Format: Dissertation/Thesis

Abstract:
This research project evaluated the effectiveness of using Eye Movement Desensitization and Reprocessing (EMDR) techniques on children and adolescents (N = 20) between the ages of 7 to 18, who were experiencing anxiety due to traumatic memories. EMDR therapeutic techniques were administered in one 90-minute therapy session to subjects in an experimental group (N = 10) and after a 30-day waiting period, EMDR was administered to subjects in a delayed treatment group (N = 10) to help substantiate the effectiveness of using EMDR with this population. The results of the study indicated a highly significant reduction in anxiety related to traumatic memories in both an experimental group and a delayed treatment group, as measured by the Subjective Units of Distress Scale (SUDS), the Impact of Events (IES) scale, and in the delayed treatment group using the Children's Manifest Anxiety Scale (CMAS) after treatment. There was a lack of significance in the reduction of anxiety in the experimental group, as measured by the Children's Manifest Anxiety Scale (CMAS). The results showed a significant difference in cognition, changing from negative to positive thinking, as measured by the Validity of Cognition (VoC) scale. The findings demonstrate that EMDR may help to measure, treat, and enhance the lives of children and adolescents experiencing anxiety from traumatic memories. It is recommended that future research focus on using standardized psychological tests to support the efficacy of using EMDR with children and adolescents. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(11-B), May 1996, pp. 6421.

Keywords: Adolescents Children Empirical Study Trauma

Accuracy Verified: Yes

39. Zeper, R. S. (1996). Eye movement desensitization and reprocessing: A multiple baseline study. The Union Institute, Cincinnati, OH. AAT 9701084.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was developed in 1987 by Francine Shapiro, as a modality for relieving anxiety, traumatic memories, intrusive thoughts, and reprocessing negative self-beliefs to positive self-beliefs. One of the most common uses of EMDR in recent years has been the treatment of PTSD.This current study investigated the effects of EMDR across a sample of 3 sexually abused women diagnosed with PTSD using a multiple baseline design across subjects. The study specifically focused on whether or not intervention with EMDR effects traumatic memory and negative/irrational cognitions, decreases stress or changes levels of anxiety, depression and heart rate. The study intended to assess the efficacy of EMDR while simultaneously reduce human suffering and answer some of the more serious criticisms which have blurred confidence in EMDR outcome research. Specifically, the study controlled for a number of the criticisms in the literature predominantly through a confirmation of an accurate PTSD diagnosis and through the use of a multiple baseline design. The multiple baseline design was applied sequentially to the same problem across different but matched subjects sharing the same environmental conditions. Heart rate level and well-known psychometrics were used to obtain baseline, intervention and post-intervention measures. Psychometric scores reflecting levels of depression, anxiety, and subjective levels of the impact of distress regarding the trauma were assessed along with the levels of anxiety currently experienced about the trauma and subjective ratings regarding the acceptance of the preferred, self-generated positive cognition. The measures used in this study were an initial clinical interview, an Anxiety Disorders Interview Schedule for the DSM-IV, Beck Depression Inventory, Beck Anxiety Inventory, Wolpe's Subjective Unit of Disturbance Scale, Validity of Cognition, Impact of Event Scale and heart rate. The study reported descriptive statistics to analyze the multiple baseline study and to determine EMDR's clinical significance in treating PTSD. The effects of EMDR on the three PTSD subjects of this study demonstrated that meaningful changes occurred in several areas. Subjective disturbance and stress surrounding the traumatic memory decreased, positive self-cognitions increased, and both depression and anxiety levels decreased following EMDR treatment. No change in heart rate physiology occurred. All of the study's treatment measures were maintained at follow-up. The results of this study suggest that EMDR may be a powerful and effective intervention to reduce patient suffering in a relatively painless fashion. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5350.

Keywords: Adults Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

40. Lohr, J. M., Lilienfeld, S. O., Tolin D. F., & Herbert J. D. (1999, January-April). Eye movement desensitization and reprocessing: An analysis of specific versus nonspecific treatment factors. Journal of Anxiety Disorders, 13(1-2), 185-207. doi:10.1016/S0887-6185(98)00047-4.

Language: English

Format: Journal

Abstract:
Incremental validity and incremental efficacy have become important issues in the evaluation of psychological assessment and intervention procedures. Incremental validity in assessment is that shown by novel measures over and above established ones. Incremental efficacy is that shown by novel treatments over and above nonspecific and established treatment effects. In this paper, we critically examine the question of whether Eye Movement Desensitization and Reprocessing (EMDR) possesses efficacy above and beyond nonspecific treatment effects and components that are shared with well-established interventions. A review of recently published efficacy studies reveals that (a) the effects of EMDR are largely limited to verbal report indices, (b) eye movements and other movements appear to be unnecessary, and (c) reported effects are consistent with nonspecific treatment features. Examination of individual studies shows that control procedures for nonspecific features have been minimal. We analyze EMDR for nonspecific treatment features and suggest experimental controls to examine the incremental efficacy of EMDR. [Author Abstract]

Keywords: Literature Review Methodology Treatment Effectiveness

Accuracy Verified: Yes

41. Marquis, P. A. (1994). Eye movement desensitization and reprocessing: Are the eye movements an effective component?. Pacific Graduate School of Psychology, Carpinteria, CA. AAT 9528198.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the effects of eye movements, as compared with eye stabilization and an attention control in reducing anxiety related to public speaking in a non-clinical sample. Nineteen subjects with public speaking anxiety identified their worst memory of speaking in public and either moved their eyes in cadence with the experimenter's fingers, fixated their eyes on the experimenter's fingers, or simply talked about negative experiences related to public speaking. Reduction in anxiety was measured by the Subjective Units of Disturbance scale (Wolpe, 1982) or the Personal Report of Confidence as a Speaker (Paul, 1966). Cognitive change was measured by the Validity of Cognition scale (Shapiro, 1989). Global symptoms were measured by the Symptom Checklist-90-Revised (SCL-90-R, Derogatis, 1983). Analysis of the data indicated that there was no significant difference between groups on any of the measures. This study did not explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), but rather the effects of eye movements alone. According to the results of the this study, eye movements are not sufficient to create the kind of changes seen in the EMDR literature. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2335.

Keywords: Behavioral Psychology Clinical Psychology Empirical Study Psychophysiology Public Speaking Speech Anxiety

Accuracy Verified: Yes

42. Arnold, A. (2004). Eye-movement desensitization and reprocessing and specific state anxiety in female gymnasts. Union Institute and University, Cincinnati, OH. AAT 3122853.

Language: English

Format: Dissertation/Thesis

Abstract:
Forty-two female gymnasts ages 10-16 participated in a study to determine the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) on state anxiety. Each subject identified excessive anxiety on a gymnastics element resulting from a fall, injury, observed fall, or debilitating repetitive thought process. Subjects were divided into random treatment and control groups. The treatment groups received up to 3 sessions of EMDR. Both process and outcome measures were analyzed using the Subjective Units of Disturbance scale, Validity of Cognitions scale, Sport Competition Anxiety Test, and Competitive Sport Anxiety Inventory-2. EMDR was found effective in reducing cognitive anxiety, somatic anxiety, and increasing self-confidence on the targeted element. Comparison over time from pretest to follow-up revealed no significant differences in trait anxiety for either the control or experimental group. Treatment effects of reduced cognitive anxiety, reduced somatic anxiety, and increased validity of positive cognitions were maintained for 90-days following EMDR treatment. Results indicated four processesing patterns facilitating trauma resolution: methodological, transitional object, unfinished business, and insight oriented processing. Recommendations for future research include the use of EMDR with physiological measures of state anxiety, and the replication of the four distinct processing styles found in this research. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(2-B), 2004, pp. 1020.

Keywords: Anxiety Empirical Study Female Gymnasts Quantitative Study

Accuracy Verified: Yes

43. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690

Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study Self Concept Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

44. Seubert, A. (2007, June). The heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: For the past three decades clinical experience as well as research has supported the validity of counseling and psychotherapy in the treatment of clients with mental disability (MH/MR)(Objective #1). At first, behavioural therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population. Particularly through the use of process therapies, it has become clear that traditional insight and cognitive therapy must be adopted in favor of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population.
EMDR, given it primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model (Objective #2). Attention will also be given to ways in which the basic EMDR protocol need to be adapted to meet the needs of these clients (Objective #3).
A report on the progress of a series of single case studies with client with mental disabilities in Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this population. Video clip of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR (Objective #4).
The workshop will leave time for participants to apply the learning to cases of their own (Objective #5).

Keywords: Mental Disability

Accuracy Verified: Yes

45. Seubert, A. (2006, September). The heart with a door: An EMDR with clients with mental disabilities. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
For the past three decades clinical experience, as well as research, has supported the validity of counseling and psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioral therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population. Particularly through the use of process therapies it has become clear that traditional insight,and cognitive therapy must be adapted in favor of experience, action, body-centeredness and "right-brain" functioning to be impactful with this population. EMDR, given its primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the "phase model" aspects of trauma treatment and will demonstrate where EMDR is effective within this model. Attention will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of these clients. A report on the progress of a series of single case studies with clients with mental disabilities in Pennsylvania, as well as anecdotal reports, will be utilized to demonstrate EMDR effectiveness with this population. Video clips of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR. The workshop will leave time for participants to apply the learning to cases of their own.

Keywords: Mental Retardation

Accuracy Verified: Yes

46. Seubert, A. (2008, June). A heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
For the past three decades clinical experience as well as research has supported the validity of counselling and psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioural therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centred, play) have been effectively employed with this population. Particularly through the use of process therapies it has become clear that traditional insight and cognitive therapy must be adapted in favour of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population. EMDR, given its primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model. Attention will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of these clients. A report on the progress of a series of single case studies with clients with mental disabilities in Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this population. Video clips of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR. The workshop will leave time for participants to apply the learning to cases of their own.

Keywords: Mental Disabilities

Accuracy Verified: Yes

47. Giamp, J. S. (2003). Honoring their voice: Eye movement desensitization and reprocessing through the eyes of inmates with developmental disabilities. Walden University, Minneapolis, MN. AAT 3119790.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) on inmates with developmental disabilities (DD) who were incarcerated in a special needs correctional facility in the southwestern United States. Cognitively, these inmates ranged from borderline intellectual functioning (BIF) to mild mental retardation (MMR), and all suffered from PTSD-like symptoms. A repeated measure pre- and postanalysis design with one sample group was utilized. The Emotional Problem Scales (EPS), Impact of Events Scales - 8 Items (IES-8), Validity of Cognition Scales (VOCS), and Subjective Units of Disturbance Scales (SUDS) were used to gather quantitative data on the 17 volunteer participants. Baseline and outcome data were collected by an independent assessor. The T-Test was incorporated to analyze the data and determine significance. Due to the small sample of convenience, the data were skewed, so the researcher also used the nonparametric Wilcoxon Signed Rank Test. Descriptive data on EMDR were collected and analyzed.As measured by the SUDS, IES-8, and VOCS, the statistical findings revealed self-reported reductions in levels of distress, avoidance, and intrusiveness of the traumatic memory, and an increase in self-esteem and the believability of positive cognitions about self and the event after the application of EMDR. However, the clinical scales from the Self-Report Inventory (SRI) of the EPS did not reveal any changes after the application of EMDR. Staff familiar with the study volunteers also reported a significant decrease in clinical pathology and an increase in prosocial behavior, as measured by the Behavior Rating Scale (BRS) of the EPS. Findings suggest that the utilization of EMDR with persons having developmental disabilities may have clinical utility. Thus, further research in this area is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 436.

Keywords: Americans Empirical Study Mentally Retarded Posttraumatic Stress Disorder Prison Inmates PTSD Quantitative Study Self Esteem Treatment Effectiveness

Accuracy Verified: Yes

48. Acierno, R., Hersen, M., van Hasselt, V. B., Tremont, G., & Mueser, K. T. (1994, November). How valid is eye-movement desensitization and reprocessing?. Clinician's Research Digest, 12(11), 2.

Language: English

Format: Newsletter

Abstract:
Eye-movement desensitization and reprocessing (EMDR), which combines the use of imaginal exposure with eye movement, has been proposed by its originator, F. Shapiro, as a prescriptive treatment for trauma-related anxiety. The authors question Shapiro's practice of prohibiting individuals not associated with her EMDR Institute from training others in the technique. They argue that this practice impedes unbiased replication research, and they call for public dissemination and scientific scrutiny of EMDR methodology.

Keywords: Eye Movements Methodology Statistical Validity

Accuracy Verified: Yes

49. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.

Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.

Keywords: Infertility

Accuracy Verified: Yes

50. Oglesby, C. A. (1999, September). An investigation of the effect of eye movement desensitization reprocessing on states of consciousness, anxiety, self-perception, and coach-perceived performance ratings of selected varsity collegiate athletes. Temple University, Philadelphia, PA. AAT 9921186.

Language: English

Format: Dissertation/Thesis

Abstract:
PTSD experts have recently pointed out that while traumatic events have been the core of cultural tales for centuries, it is highly unlikely today that any individual will avoid the direct experience of a traumatic event during a lifetime. The present study was an initial exploration of the effectiveness of an approach, designed for clinical issues of trauma, in sport; a nonclinical, field study environment marked by consistent high pressure to perform with excellence. The hypotheses of the study called for examination of pre and post treatment scores of control, EMDR, and placebo group subjects on five dependent variables: States of Consciousness During Movement Activity Inventory (SCMAI); State-trait Anxiety Inventory (STAI); Coach-Perceived Performance Rating (CPPR); Subjective Units of Distress Scale (SUDS); and Validity of Cognition Scale (VoC).Collegiate varsity athletes (N = 48) from the sports of field hockey, gymnastics, lacrosse, track and field, and volleyball were randomly assigned to one of three treatment groups. The control group completed the SCMAI and STAI with 3 to 4 weeks intervening. The placebo group completed the inventories and a week later met with a sport psychology consultant (researcher) for focus on the identified "worst moment in sport." The SUDS and VoC scores were collected during the session. After another week, the inventories were completed for the last time. The pattern for the eye movement desensitization reprocessing (EMDR) group was identical to the placebo group except the session followed a basic protocol for EMDR. The focus of the session was, again, the subjects, worst moment in sport. The results revealed no statistically significant pre to post changes in treatment group scores in regard to the SCMAI, STAI, and coach-perceived performance. Results significant p < .02 were found on the SUDS and VoC as the EMDR group reported more favorable gains that did the placebo group. Additionally, descriptive statistics, and qualitative protocol examples, were utilized to illustrate trends of potential individual benefit from the EMDR procedure. This research represented the first study of a potential line of research examining the efficacy of EMDR with athletes and, perhaps, with performers in various peak performance settings. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1292.

Keywords: Athletes College Students Effects Empirical Study Stressors Survivors Treatment Effects

Accuracy Verified: Yes

51. Lytle, R. A. (1993). An investigation of the efficacy of eye-movement desensitization in the treatment of cognitive intrusions related to memories of a past stressful event. Pennsylvania State University. AAT 9334778.

Language: English

Format: Dissertation/Thesis

Abstract:
A novel clinical technique, referred to as "eye-movement desensitization," has recently been reported to rapidly achieve significant reductions in the frequency and intensity of the two primary symptoms of PTSD; cognitive intrusions and the behavioral and emotional avoidance of trauma related fear cues. The current study was intended to provide an experimentally controlled replication of this procedure. The 45 students with the highest scores on a self-report questionnaire were selected for participation in the study and randomly assigned to one of three treatment conditions. These conditions included "eye-movement desensitization," "eye-fixation desensitization," and a non-directive control condition.Sessions One and Three consisted of pretest and posttest assessment respectively, administered by questionnaire and behavioral measures of cognitive intrusions relating to the reported trauma. Session Two, consisted of immediate pretest and posttest assessment of information regarding subjective discomfort, perceived validity of adaptive cognitions, and vividness of images related to the reported trauma. The results of this experiment indicated that treatment-related pretest to posttest change was limited to (a) a relative reduction in cognitive intrusions for the eye-fixation group compared to the other treatment conditions, and (b) initial superiority of both desensitization techniques in immediately reducing subject distress, vividness of the initial image (and for eye-fixation, improved validity of an adaptive cognition) in comparison to the non-directive condition. The latter condition, however, then achieved equivalent gains by one-week follow-up. It was concluded that: (a) the relative efficacy of the eye-movement desensitization technique, was not supported in this non-clinical population, (b) to the degree that the outcomes resulting from the two desensitization conditions were at variance from those of the more traditional non-directive technique, those differences appear to have been predominantly transient in character, and (c) the induction of saccadic eye-movements did not demonstrably function as an active component of treatment within this experimental context. It was additionally concluded that further research will be required to satisfactorily resolve the discrepant findings of experimentation and case reports regarding the efficacy of this technique. Specific suggestions for further research were presented. [Truncated Author Abstract] [Pilots]

Keywords: Biologic Markers College Students Intrusive Thoughts Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Witnesses

Accuracy Verified: Yes

52. Munder, T., Fluckiger, C., Gerger, H., Wampold, B. E., & Barth, J. (2012, October). Is the allegiance effect an epiphenomenon of true efficacy differences between treatments? A meta-analysis. Journal of Counseling Psychology, 59(4), 631-637. doi:10.1037/a0029571.

Language: English

Format: Journal

Abstract:
Many meta-analyses of comparative outcome studies found a substantial association of researcher allegiance (RA) and relative treatment effects. Therefore, RA is regarded as a biasing factor in comparative outcome research (RA bias hypothesis). However, the RA bias hypothesis has been criticized as causality might be reversed. That is, RA might be a reflection of true efficacy differences between treatments (true efficacy hypothesis). Consequently, the RA-outcome association would not be indicative of bias but an epiphenomenon of true efficacy differences. This meta-analysis tested the validity of the true efficacy hypothesis. This was done by controlling the RA-outcome association for true efficacy differences by restricting analysis to direct comparisons of treatments with equivalent efficacy. We included direct comparisons of different versions of trauma-focused therapy (TFT) in the treatment of posttraumatic stress disorder (PTSD). RA was measured from the research reports. Relative effect sizes for symptoms of PTSD were calculated. Random effects meta-regression was conducted. Twenty-nine comparisons of TFTs from 20 studies were identified. Initial heterogeneity among relative effect sizes was low. RA was a significant predictor of outcome and explained 12% of the variance in outcomes. The true efficacy hypothesis predicted the RA-outcome association to be zero; however, a substantial association was found. Thus, this study does not support the true efficacy hypothesis. Given findings from psychotherapy research and other fields that support a biasing influence of researcher preferences, RA should be regarded as a causal factor and conceptualized as a threat to the validity of conclusions from comparative outcome studies.

Keywords: Comparative Outcome Research Meta-Analyses Researcher Allegiance

Accuracy Verified: Yes

53. Tofani, L. R., & Wheeler, K. (2012). Le protocole de l'épisode traumatique récent: Evaluation et analyse des résultats de trois études de cas [The protocol for recent traumatic episode: Evaluation and analysis of the results of three case studies]. Journal of EMDR Practice and Research, 6(4), 46E-63E. doi:10.1891/1933-3196.6.4.46.

Language: French

Format: Journal

Abstract:
Cet article évalue et illustre l’application du protocole de l’épisode traumatique récent (R-TEP : recenttraumatic episode protocol) avec trois clients différents : un enfant atteint d’une maladie chronique, une femme ayant subi une perte importante et un adolescent qui s’automutilait. Le R-TEP est une adaptation du protocole EMDR pour l’intervention EMDR précoce. Les séances sont présentées de manière détaillée afin de souligner les changements qui se produisent au niveau du traitement de l’information au cours de la thérapie. Des marqueurs observés identifiés ont permis d’analyser le déroulement du traitement, incluant la distanciation vis-à-vis du trauma ; la diminution des affects négatifs ou le changement des émotions rapportées ; l’accès à des informations plus adaptatives ; des changements au niveau de l’échelle des unités subjectives de perturbation (SUDS : Subjective Units of Disturbance scale) ; l’échelle de validité de la cognition (Validity of Cognition) et l’échelle révisée d’impact de l’événement (Impact of Event Scale––Revised) indiquant des modifications de la perception du souvenir traumatique. Tous les clients ont montré des gains thérapeutiques pré/post du R-TEP, avec des changements au niveau du comportement et du fonctionnement. Les soubassements du R-TEP sont envisagés à la lumière des observations rapportées. La contribution spécifique du protocole est soulignée en considération de ses composants procéduraux et des mécanismes de changement associés plausibles.

This article evaluates and illustrates the application of the protocol recent traumatic episode (R-PET: recenttraumatic episode protocol) with three different clients: a child with a chronic illness, woman who suffered a major loss and a teenager who automutilait. The R-TEP is an adaptation EMDR protocol for early EMDR intervention. The sessions are presented in detail to highlight the changes that occur in the processing of information during therapy. Observed identified markers were used to analyze the course of treatment, including distance vis-à-vis the trauma, decrease negative affect or change reported emotions; access to information more adaptive, changes at scale subjective units of disturbance (SUDS: Subjective Units of Disturbance Scale) scale validity of cognition (Validity of Cognition) and the revised scale of impact of the event (Impact of Event Scale - Revised) indicating changes in the perception of the traumatic memory. all customers have shown therapeutic gains pre / post R-TEP, with changes in behavior and functioning. The foundations of the R-TEP are considered in the light of reported sightings. The specific contribution of the protocol is emphasized in view of its procedural components and related plausible mechanisms of change.

Keywords: Evaluation of Results Mechanisms of Action Recent Trauma R-TEP

Accuracy Verified: Yes

54. Zanonato, A. S., & Carvalho, E. R. (2009, Dezembro). O uso do EMDR na terapia de casais e famílias [The use of EMDR in couples and family therapy]. Pensando Famílias, 13(2), 117-129.

Language: Portuguese

Format: Journal

Abstract:
Published by Domus - Centro de Terapia de Casal e Famila (Brazil)
O presente trabalho pretende mostrar a validade do EMDR como um instrumento útil em terapias de casais e família, quando experiencias traumáticas do passado estão dificultando o relacionamento entre seus membros. Ressaltam como essa abordagem tem-se mostrado eficaz no tratamento dos Transtornos de Estresse Pós-Traumáticos (TEPT) e em todas as disfunções dele decorrentes. Discutem o conceito de trauma e a forma como, junto com as vivências traumáticas, se mantêm inalteradas as memórias e as emoções a ela associadas, bem como as crenças negativas construídas a partir delas. As autoras relatam dois casos clínicos e lustram como esse recurso pode ser utilizado. Finalmente, consideram a importância da integração de diferentes teorias e técnicas por parte dos terapeutas contemporâneos para um atendimento mais eficaz de seus pacientes.

The present paper intends to show the validity of EMDR as a useful tool in the therapies of couples and families, when traumatic experiences from the past are making difficult the relationship between its members. It stands out how this approach has revealed efficient in the treatment of post-traumatic stress disorder (PTSD) and associated dysfunctions. It talks over the concept of trauma and the way how, with traumatic experiences, the memories and the emotions connected to them as well as the negative beliefs created from the remain unchanged. The authors report two clinical vignettes and illustrate how this resource can be used. Finally, they take into account the importance of integrate different theories and approaches by contemporary therapist for a more efficient assistance of their patients.

Keywords: Couples Therapy Family Therapy Trauma

Accuracy Verified: Yes

55. Ellis, T. L. (1999). Play therapy versus eye movement desensitization and reprocessing (EMDR): A comparative study examining the treatment effects with school-age children, Homan Elementary School, Fresno, California. California State University, Fresno. AAT 1401332.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the differences between play therapy and Eye Movement Desensitization and Reprocessing (EMDR) when applied to children. Eleven participants from Homan Elementary School, Fresno, California, participated in this study. The treatment consisted of four combinations of varied administrations of play therapy and EMDR. Dependent variables included the self-reporting instruments of the Trauma Reaction Indicators Child Questionnaire (TRICQ), the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition Scale (VOC), and the Global Feelings Self-Report Scale. Qualitative data included observed changes in behaviors on the educational risk assessment. No clinical significance was demonstrated on the self-report instruments; however, statistical significance was found on the qualitative data using the chi-square goodness-of-fit test on the posteducational risk assessment. Positive changes were reported in the qualitative analysis on the educational risk assessment.

Keywords: Counseling in Elementary Education Play Therapy

Accuracy Verified: Yes

56. Alley, A., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2005, November). Pretreatment attrition in a PTSD comparative treatment outcome study. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Treatment attrition represents a considerable problem for effective delivery of care for PTSD. While treatment attrition during the course of treatment is well researched, little is known about the factors that affect sample selection before the beginning of a study. Previous research on other Axis I disorders indicates that patients may refuse participation more often because of study medication than because of psychosocial treatment. The present study examines traits and predictors of pretreatment attrition from a study of PTSD that compared treatment outcomes for fluoxetine versus EMDR. Potential study participants were screened over the telephone for study eligibility. During the telephone screen, a total of 394 people met study eligibility requirements but declined participation (59% of total eligible participants). While a variety of factors were cited for declining study participation, consistent with previous research, refusal of study medication emerged as the pre-dominant reason for pretreatment attrition (49%). Results are discussed in terms of how treatment preferences and other pretreatment attrition factors may impact the external validity of comparative treatment outcome studies. Clinical implications discussed include the potential for pretreatment attrition factors to interfere with trauma survivors’ ability to seek and obtain effective treatment

Keywords: Comparative Treatment Outcome Study Poster Pretreatment Attrition Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

57. Woodward, C. L. (2001). Processing trauma: studies into posttraumatic stress disorder, eye movement desensitisation and reprocessing and posttraumatic growth. University of Warwick.

Language: English

Format: Dissertation/Thesis

Abstract:
While PTSD results in various symptomatology, key characteristics concern a sense of being "stuck" on the trauma which keeps the person reliving it through thoughts, feelings and images and a need to avoid anything which reminds them of the trauma. Such avoidance is suggested to prevent the opportunity for processing and integrating the distressing material. One key clinical question is how to help the person work through their trauma without them becoming overwhelmed by trauma symptoms? Eye Movement Desensitisation and Reprocessing (EMDR) is a relatively new technique that has been reported to help PTSD sufferers reduce the intensity and intrusiveness of traumatic thoughts and images. Despite the growing clinical evidence of the effectiveness of EMDR, a strong debate exists within the research literature regarding its empirical and theoretical validity. One aspect of this dissertation is an experimental study looking at the role of eye movements in Eye Movement Desensitisation and Reprocessing and testing a working memory model of "distress reduction". Of course not everyone who experiences a traumatic event will go on to develop PTSD. An often neglected area of trauma investigation is how some individuals experience positive change and personal growth as a result of their traumatic experiences. This is an area that is now beginning to receive some attention and has been termed Posttraumatic Growth (PTG). The move away from looking exclusively at the impact of trauma to consider how people who have experienced trauma might construct a more positive understanding of themselves in the light of the trauma forms the main section of this dissertation. This exploratory study uses personal experience narratives of posttraumatic growth.

Keywords: Posttraumatic Growth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

58. Luber, M., & Shapiro, F. (2009). Protocol for excessive grief. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 175-187). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This protocol is to be used when there is a high level of suffering, self-denigration, and lack of remediation over time concerning the loss of a loved one. EMDR does not eliminate healthy appropriate emotions, including grief. It allows clients to mourn with a greater sense of inner peace. The protocol is similar to the Standard EMDR Protocol for trauma. The goal of this work is to have your client accept the loss and think back on aspects of life with the loved one with a wide range of feelings, including an appreciation for the positive experiences they shared. Francine Shapiro often brings up the issue: How long does one have to grieve? She asks us to not place our limitations on our clients as this would be antithetical to the notion of the ecological validity of the client's self-healing process. For example, a woman who believed that the death of her infant son was her fault despite her doing everything she could to prevent it, worked with EMDR soon after his death. "I can feel him in my heart. I am grateful for the time we had together. He's in a better place." Her work with EMDR did not take away her grieving but allowed her to accept the loss and to have a full range of feelings about her son. This chapter is a summary of the Excessive Grief Protocol (Shapiro, 2001, 2006). When there is excessive grief, target the following: past memories, present triggers, and a future template. The Excessive Grief Protocol Script is provided. [PsycINFO Database]

Keywords: Excessive Grief Protocol

Accuracy Verified: Yes

59. Sanchez-Meca, J., Rosa-Alcazar, A. I., Marín-Martínez, F., & Gomez-Conesa, A. (2010). Psychological treatment of panic disorder with or without agoraphobia: A meta-analysis. Clinical Psychology Review, 30(1), 37–50. doi:10.1016/j.cpr.2009.08.011.

Language: English

Format: Journal

Abstract:
Although the efficacy of psychological treatment for panic disorder (PD) with or without agoraphobia has been the subject of a great deal of research, the specific contribution of techniques such as exposure, cognitive therapy, relaxation training and breathing retraining has not yet been clearly established. This paper presents a meta-analysis applying random- and mixed-effects models to a total of 65 comparisons between a treated and a control group, obtained from 42 studies published between 1980 and 2006. The results showed that, after controlling for the methodological quality of the studies and the type of control group, the combination of exposure, relaxation training, and breathing retraining gives the most consistent evidence for treating PD. Other factors that improve the effectiveness of treatments are the inclusion of homework during the intervention and a follow-up program after it has finished. Furthermore, the treatment is more effective when the patients have no comorbid disorders and the shorter the time they have been suffering from the illness. Publication bias and several methodological factors were discarded as a threat against the validity of our results. Finally the implications of the results for clinical practice and for future research are discussed.

Keywords: Panic Disorder Agoraphobia Psychological Treatment Outcome Evaluation Meta-Analysis

Accuracy Verified: Yes

60. Aloisio, T. (2007, Novembro). Quando, quanto e como: A decisão no uso de EMDR [When, how and how to: Use the decision EMDR] . Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Objetivos de aprendizagem: • Identificar quando começar uma sessão de EMDR; • Nomear as principais limitações do uso de EMDR; • Demonstrar quanto de estimulação é necessária em uma sessão de EMDR; • Definir quais são as principais decisões que devemos tomar antes de aplicar EMDR e durante o desenvolvimento do lugar seguro; • Identificar a validade da cognição negativa; • Decidir a necessidade ou não de instalação de desenvolvimento de suporte.

Learning Objectives: • Identify when to start a session EMDR; • Name the major limitations of using EMDR; • Demonstrate how much stimulation is required in an EMDR session; • Define what are the key decisions we must take before applying EMDR and during the development of a safe place; • Identify the validity of negative cognition; • Decide whether or not installation development support.

Keywords: Practice Theory

Accuracy Verified: Yes

61. Tofani, L. R., & Wheeler, K. (2011). The recent-traumatic episode protocol: Outcome evaluation and analysis of three case studies. Journal of EMDR Practice and Research, 5(3), 95-110. doi:10.1891/1933-3196.5.3.95.

Language: English

Format: Journal

Abstract:
This article evaluates and illustrates the application of the recent-traumatic episode protocol (R-TEP) with three diverse clients: a child with chronic illness, a woman with a significant loss, and an adolescent who self-harmed. The R-TEP is an adaptation of the Eye Movement Desensitization and Reprocessing (EMDR) protocol for early EMDR intervention. Sessions are presented in detail to highlight the shifts in information processing that occur during treatment. Observed markers used to analyze the flow of processing are identified, which include distancing from the trauma; reduction in negative affect or change in reported emotions; accessing more adaptive information; changes in the Subjective Units of Disturbance scale; and the Validity of Cognition scale and Impact of Event Scale--Revised indicating shifts in perception of the traumatic memory. Pre-post R-TEP treatment gains were noted for all clients, with changes in behavior and functioning. Theoretical underpinnings of the R-TEP are discussed with respect to the reported observations. The specific contribution of the protocol is highlighted, considering its procedural components and related plausible mechanisms of change.

Keywords: Mechanism of Action Outcome Evaluation Recent Evemts Recent Trauma R-TEP

Accuracy Verified: Yes

62. Kim, D., Choi, J., & Park, Y. C. (2006, September). Reliability and validity of subjective units of disturbance scale (SUDS) in EMDR sessions. Poster presented at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Keywords: Poster SUD Scale

Accuracy Verified: Yes

63. 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

64. Shapiro, E. (2009). The resource map. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 101-104). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The rationale for creating the Resource Map consists of the following: (1) A structured format and record of the resources that have been identified and installed that can be collected and used again in the future; (2) Multiple resources that empower the client; (3) Level of Connection (LoC) scale, which is designed to overcome the limitations of trying to guess if the installation is working from qualitative signals. It is inspired by the validity of cognition (VoC) and attempts to better gauge progress in nonverbal domains; and (4) Extension of the Absorption Technique—which itself is basically an expanded Resource Installation—with some other additions. [PsycINFO Database]

Keywords: Protocol Resource Map

Accuracy Verified: Yes

65. Dietrich, A. N., Baranowsky, A. B., Devich-Navarro, M., Gentry, J. E., Harris, C. J., & Figley, C. R. (2000, December). A review of alternative approaches to the treatment of past traumatic sequelae. Traumatology, 6(4), Article 1, 251-271.

Language: English

Format: Journal

Abstract:
Approaches to the treatment of posttraumatic sequelae are reviewed in terms of criteria for evaluating inferential validity with case studies, and where applicable, effect sizes are provided where there are data from group comparisons. The approaches covered in this paper include the Trauma Recovery Institute (TRI) Method, Traumatic Incident Reduction (TIR), Visual/Kinesthetic Disassociation (V/KD), and Thought Field Therapy (TFT). Internal validity of case studies on the TRI Method and V/KD appear controlled for, whereas reports on TFT do not meet internal validity criteria. Effect sizes are reported on one study that compared TIR to waitlist control and Direct Therapeutic Exposure (DTE), suggesting that TIR is superior to waitlist control, and shows more modest gains over DTE. The available evidence suggests TIR, the TRI Method, and V/KD are effective treatments for posttraumatic sequelae.

Keywords: Alternative Treatments Case Study Evaluation Mechanism of change Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

66. Shapiro, F. (1998, July). Riding the wave. Keynote presented at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) review the controlled studies completed on EMDR; 2) explore the ramifications of the information processing model; and 3) review the clinical validity factors that need to be incorporated in future research.

Keywords: Clinical Validity Factors Controlled Studies Information Processing Model Future Research Keynote

Accuracy Verified: Yes

67. Bogdanovic, V. (2008, Novembre). Rileggere la scuola del dissociazionismo (da Janet, Ferenzi, Jung fino a Kalsched) - le radici e oltre [Reread the dissociation school(from Janet, Ferenzi, Jung to Kalsched) - The roots and beyond]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia .

Language: Italian

Format: Conference

Abstract:
L’autore segue le tracce a partire dalla filosofia “associazionistica” fino la scuola “dissociazionistica” a partire da Janet, Binet, Charcot. Viene messa a fuoco la teoria della mente freudiana, intesa come prima teoria, teoria del trauma, vista nell’ottica della “corrente” dissociazonistica come anche successivo allontanamento con la seconda topica. Si prosegue con altri autori della corrente psicoanalitica, come Sandor Ferenczi, il qui il pensiero venne riscoperto recentemente (Bonomi e Borgogno). L’attualità del lavoro di Ferenczi, è riconoscibile nel suo sottolineare l’importanza del trauma per lo sviluppo della psicopatologia e l’importanza della relazione terapeutica con la rivalutazione critica della tecnica psicoanalitica seguita dai suoi originali contributi. La modalità “tecnica” risolutiva di Ferenczi nella forma della “neo-catarsi”, come viene nominata, si avvicina alle terapie attualmente accreditate per il trattamento dei vissuti traumatici, una delle quali è appunto l’EMDR. Anche K.G. Jung riconosce l’importanza di riportare la questione, per tanti anni nell’ombra, dell’attenzione scientifica - la validità di teoria traumatica delle nevrosi. Molti concetti di Psicologia Analitica di Jung si avvicinano ai concetti di psicotraumatologia moderna “dell’ambiente traumatico”, del “trauma cumulativo” nascosto dentro la memoria implicita (van der Kolk, van der Hart) e lo porta a fare riflessioni sulla revisione del metodo terapeutico dell’abreazione. L’immaginazione attiva, la tecnica terapeutica creata da Jung, in alcuni passi procedurali sembra vicina alla modalità del lavoro terapeutico svolto con l’EMDR. Viene rivisitato l’effervescente pensiero di Donald Kalsched, uno degli attuali autori junghiani di maggiore spessore e originalità, il quale amplifica le posizioni storiche di Jung sul trauma, insieme ad altre correnti del pensiero e della ricerca, soprattutto quelli delle “relazioni oggettuali” e della “psicologia del sé”.

The author follows the trail from the philosophy of "associational" until the school of "Dissociation" from Janet, Binet, Charcot. Focus is the theory of mind Freud, understood as the first theory, trauma theory, viewed from the standpoint of the "current" dissociation as well as subsequent removal with the second topic. Continue with other authors of the current psychoanalytic as Sandor Ferenczi, the thinking here was rediscovered recently (Bonomi and Burgundy). The actuality of the work of Ferenczi, is recognizable in its emphasis of the importance of trauma for the development of psychopathology and the importance of therapeutic relationship with the critical re-evaluation of psychoanalytic technique followed by its original contributions. Mode "technical" termination of Ferenczi in the form of "neo-catharsis" as it is named, was approached therapies currently approved for the treatment of experienced traumatic, one of which is precisely EMDR. KG Jung also recognizes the importance of bringing the question for many years in the shadows, scientific attention - the validity of the theory traumatic neuroses. Many concepts of Analytical Psychology of Jung's approach to the concepts of psychotraumatology modern "environmental traumatic", the "cumulative trauma" hidden inside implicit memory (van der Kolk, van der Hart) and takes him to make reflections on the revision of therapeutic method dell'abreazione. Active imagination, therapeutic technique created by Jung, some steps of the procedure seems close to the mode of therapeutic work done with EMDR. Is revisited the effervescent Kalsched thought of Donald, one of the Jungian authors of the current greater depth and originality, which amplifies the historical positions of Jung on trauma, together to other currents of thought and research, especially those of "object relations" and "Psychology of self."

Keywords: Dissociation Janet Jung Poster

Accuracy Verified: Yes

68. DeYoung, R. R. (2009, July). A single-case design implementing eye-movement desensitization and reprocessing (EMDR) with an ex-cult member. Presentation at the International Cultic Studies Association Conference, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
This single-case study utilized a repeated-measures design with an ex-Jehovah’s Witness who was treated with EMDR over a two-month period. A brief background history and mental status, particularly relevant to a 37-year old female who was “disfellowshipped” by her entire support network and family after 28 years, served as a baseline for treatment. Symptoms relevant to the Post-Cult Trauma Syndrome, as defined by M. Thaler Singer (1979), are addressed via the Validity of Cognitions Scale (VOC) and the Subjective Units of Distress Scale (SUDS) used by practitioners of EMDR. In addition, the Beck Depression Inventory (BDI) and the Impact of Event Scale (IES) were implemented to further validate intervention results. All measures revealed significant improvement in symptoms following this brief, short-term treatment. Despite the fact EMDR is touted as one of the most effective interventions for trauma-related disorders, there are virtually no empirically based studies that explore the application of this type of therapy with individuals traumatized by cults. It is concluded that EMDR might serve as a standard therapeutic intervention in the treatment of individuals exiting from cults. Ramifications for future research are discussed. [Author abstract]

Keywords: Cults Ex-Cult Members Single Case Design

Accuracy Verified: Yes

69. Lohr, J., DeMaio, C., & McGlynn, F. (2003, July). Specific and nonspecific treatment factors in the experimental analysis of behavioral treatment efficacy. Behavior Modification, 27(3), 322-368. doi:10.1177/0145445503027003005.

Language: English

Format: Journal

Abstract:
Interest in the empirical demonstration of the clinical efficacy of psychosocial treatments has been rekindled by societal concerns over accountability and cost-effectiveness in the delivery of mental health services. Behavior therapy has had a long history of experimental research on treatment efficacy and enjoys a visible presence in contemporary mental health practice. The demonstration of behavioral treatment efficacy, however, requires experimental evidence that shows the efficacy of prescriptive structured procedures beyond nonspecific factors in delivery of such procedures. The authors provide an analysis of the nature of nonspecific treatment factors and nonspecific effects and suggest experimental procedures testing the incremental validity of specific treatments. They examine two widely promoted, prescriptive structured treatments to analyze the specificity of their clinical efficacy: eye movement desensitization and reprocessing for anxiety disorders and cognitive-behavioral treatment of generalized anxiety disorder. They conclude that the treatments show different levels of efficacy and different degrees of specificity.

Keywords: Behavior Therapy Efficacy Literature Review Methodology Specific Factors Treatment Effectiveness

Accuracy Verified: Yes

70. Spector, J. (2002, July). Support for EMDR: 'Counterpoint: Emperor's new clothes?': Comment. The Psychologist, 15(7), 335-336.

Language: English

Format: Journal

Abstract:
Addresses S. Joseph's critical commentary on the original article by F. Shapiro and L. Maxfield which reported on the efficacy of eye movement desensitization and reprocessing therapy (EMDR). The current author offers support for EMDR, disputing the validity of Joseph's claims that EMDR lacks the appropriate evidence (in regards to its efficacy) necessary for its professional acceptance. (PsycINFO Database Record (c) 2008 APA, all rights reserved).

Keywords: Counterpoint Emperor Letter

Accuracy Verified: Yes

71. Newman, K. (2006, November). Synthesis of previous research on eye movement desensitization and reprocessing (EMDR). Psychology 203,Mary Baldwin College, Staunton,VA..

Language: English

Format: Other

Abstract:
In 1987, Professional School of Psychological Studies graduate student Francine Shapiro was on a walk in the park when she personally observed that randomized eye movements seemed to make disturbing thoughts less upsetting (Colwell, 2000). From this initial experience Shapiro created the therapy known as Eye Movement Desensitization (EMD), integrating rhythmic eye movements with “other treatment elements” (EMDR 2004). Shapiro investigated this phenomenon further in a controlled study on twenty-three subjects with traumatic memories and Post-Traumatic Stress Disorder (PTSD) symptoms. In the study, the subjects were first asked to rate their feelings of discomfort regarding a particular traumatic memory using the Subjective Units of Disturbance (SUDs) scale which uses a 0 – 10 rating system to express emotional distress. Subjects were also asked to think of a Positive Self-Statement (PSS) they would like to attach to the memory, erasing a negative one. The subjects then evaluated their confidence in the truth of the PSS on a scale from 1 - 7, where one was completely false, and seven were completely true. On average, before treatment the subjects reported a SUDs score of seven and expressed the validity of the PSS as four. After a single EMD session, subjects on average evaluated the memory as less than one on the SUDs scale, and the positive self-thought was receiving ratings above six. These results remained consistent three months later (Lipke & Botkin, 1992), leading Shapiro claim in her dissertation that “a single session of the procedure was sufficient to desensitize subjects” (EMDR, 2004). The publication of Shapiro’s dissertation came nine years after the American Psychiatric Association added Post-Traumatic Stress Disorder to the DSM-III in 1980 (Friedman, 2006), and EMD quickly became a popular PTSD treatment.

Keywords: Literature Review Research

Accuracy Verified: Yes

72. Lievegoed, R., & Seubert, A. (2004, June). Trauma and beyond: EMDR in the treatment of traumatized clients with mental retardation (MH/MR diagnosis). In children and EMDR (J. Morris-Smith, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
For the past three decades, clinical experience as well as research has supported the validity of counseling and psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioral therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population, Particularly through the use of process therapies it has become clear that traditional insight and cognitive therapy must be adapted in favor of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population.
EMDR< given its primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. Anecdotal case presentations with mental retarded clients, corroborated by both client report and by clinical observation. In all cases, therapeutic gains remained intact after treatment.
This presentation will introduce a “phase model” of trauma treatment for this population and will demonstrate were EMDR would be most effective within this model. Attention will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of these clients.

Keywords: Children Developmentally Disabled Dually Diagnosed (MH/MR) Mental Retardation Symposium Posttraumatic Stress Disorder PTSD Trauma Treatment

Accuracy Verified: Yes

73. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
The mainstream treatments for Post Traumatic Stress Disorder (PTSD) are Cognitive Behavioral and Prolonged Exposure Therapies (CBT & PE). These closely studied evidence based treatments also show high relapse, dropout, and failure rates of up to half of those treated (Bryant, R., et al., 2008, p. 555). While not as well researched and harder to measure in terms of the gold standard in Evidence Based Practice of Psychology (EBPP), studies of “alternative” treatments and their methods, yield different and interesting evidence. Using the standards espoused by EBPP alongside alternative movements, this study examined modalities used in veterans’ treatment. A guiding question was “What can the field of trauma studies learn from a systematic and comparative review of the research and treatment of combat veterans suffering the sequelae of trauma?” Included in this integrative literature review—which generates a critique and theoretical synthesis of a body of literature (Torraco, R., 2005, p. 356)—were peer-reviewed studies from 2006-2010. The participating studies consisted largely of Veterans Administration (VA)-funded, CBT/PE treatments, with an average of over 32 patients per participating study, of approximately 13 weeks duration, and where 20% of patients avoided treatment, 25% dropped out, and 30% failed treatment altogether. Concept matrix analysis of data included distillation of essential statements further reflecting poor tolerability, dropout, failure, and an inability to maintain symptom reductions (75% of studies). Authors tended to overstate positive effects while omitting adequate examination of study design and construct validity, leading to dearth bias, defined as scarcity of evidence hiding behind citations. From this integrative review of the literature a reconceptualization and agenda for future research emerged. The reconceptualization stems from the usefulness of hybridized efficacy and effectiveness research, self-reflection and bracketing, and more accounting for dearth bias. The future agenda recommends practitioners use concept matrices as iv research and practice tools, conduct more common factors research, and develop more clinical practice-based evidence. Especially as related to knowledge evaluation, increased accountability, and system-wide change, these recommendations can assist the spread of more diverse and useful EBPP, to help relieve some of the pain of the traumatized combat veteran.

Keywords: Combat Veterans Literature Review

Accuracy Verified: Yes

74. de Jongh, A. (2004, June). The treatment of phobias with EMDR: Principle, protocol, and procedure. Preconference presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Installation of Future Template: a. Ask the client to mentally progress in time to identify an image (stationary picture) of a situation which he considers as desired and in which he acts adequately (there should be no negative or catastrophic aspects in the picture or in client's behavioral response). This image should represent an 'optimal response' to the situation. b. Install an appropriate positive belief statement (i.e., "I can handle it") by bringing up the future image and keeping in mind the belief statement while engaging in sets of eye movements (like in the installation phase of the standard protocol). c. After each SEM check the VoC by asking:"As you hold that image in mind, how true do the words (state the PC "I can handle it") feel to you now on a scale from 1 to '7, where 1 represents "It feels completely false" and 7 represent "It feels completely true?". Clontinue as long as the client reports a strengthening of validity. d. Check client's self-efficacy with: "To what extent do you believe you are able to actually handle this situation?" and rate this using a VoC scale. Continue with installing the PC as long as the client reports a strengthening of his self-efficacy. [Excerpt]

Keywords: Phobias

Accuracy Verified: Yes

75. 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

76. Scott, R. M. (2000). The use of eye movement desensitization and reprocessing in treating a public speaking anxiety/phobia for individuals of high, moderate, and low absorption ability. Saybrook Graduate School and Research Center, San Francisco, CA. AAT 3105575.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new and seemingly effective but controversial therapeutic treatment used primarily for Post-Traumatic Stress Disorder (PTSD) and related anxiety disorders such as phobias. In this study, EMDR was used to treat a public speaking anxiety or public speaking phobia. It was predicted that EMDR would be an effective treatment but that the efficacy would vary as a function of the absorption ability of the participants. 30 healthy male and female participants between the ages of 18 and 55 were categorized into 3 groups based on their being high (n = 10), moderate (n = 10), or low (n = 10) in absorption ability. Only participants who scored low on the Dissociative Experience Scale (DES) were included in the study. Participants received up to 3 sessions of EMDR and were measured on 9 different outcome variables. Significant decreases in Subjective Units of Distress Scale (SUDS) verbal ratings were found from baseline to the end of session 1 for all three groups (ps < .05); no other significant improvements were found after the first session (ps > .10). Confidence in verbal reports of positive cognitions (Validity of Cognition scale; VoC) increased equally over the course of treatment for all absorption groups. Between-group comparisons revealed no significant differences between the absorption groups at the end of treatment on their verbal reports of disturbance (SUDS) and positive cognitions (VoC) regarding past, ongoing, and future projected speaking events. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(9-B), 2004, pp. 4635.

Keywords: Anxiety Eye Movements Phobias Posttraumatic Stress Disorder PTSD Public Speaking Public Speaking Anxiety

Accuracy Verified: Yes

77. Kim, E., Bae, H., & Park, Y. C. (2008). Validity of the subjective units of disturbance scale in EMDR. Journal of EMDR Practice and Research, 2(1), 57-62. doi:10.1891/1933-3196.2.1.57.

Language: English

Format: Journal

Abstract:
To test the psychometric properties of the Subjective Units of Disturbance Scale (SUDS), this study analyzed the data from 61 patients treated with EMDR. The pretreatment self-reported questionnaires, the in-session records of EMDR, and the Clinical Global Impression-Change (CGI-C) scale at the termination of EMDR were reviewed. The initial score of the SUDS at the first session was significantly correlated with the patient's level of depression, the state anxiety, and distress from the impact of events. The final score of the SUDS at the first session was significantly correlated with the CGI-C score at termination. Consequently, this study confirmed that the SUDS in EMDR sessions has good psychometric properties. [Author Abstract]

Keywords: Adults Koreans Self Report Instruments Stressors Subjective Units of Disturbance SUDS Survivors Validity

Accuracy Verified: Yes

78. Kemp M., Drummond P., & McDermott B. (2010, January). A wait-list controlled pilot study of eye movement desensitization and reprocessing (EMDR) for children with post-traumatic stress disorder (PTSD) symptoms from motor vehicle accidents. Clinical Child Psychology and Psychiatry, 15(1), 5-25. doi:10.1177/1359104509339086.

Language: English

Format: Journal

Abstract:
The present study investigated the efficacy of four EMDR sessions in comparison to a six-week wait-list control condition in the treatment of 27 children (aged 6 to 12 years) suffering from persistent PTSD symptoms after a motor vehicle accident. An effect for EMDR was identified on primary outcome and process measures including the Child Post-Traumatic Stress - Reaction Index, clinician rated diagnostic criteria for PTSD, Subjective Units of Disturbance and Validity of Cognition scales. All participants initially met two or more PTSD criteria. After EMDR treatment, this decreased to 25% in the EMDR group but remained at 100% in the wait-list group. Parent ratings of their child's PTSD symptoms showed no improvement, nor did a range of non-trauma child self-report and parent-reported symptoms. Treatment gains were maintained at three and 12 month follow-up. These findings support the use of EMDR for treating symptoms of PTSD in children, although further replication and comparison studies are required.

Keywords: Childhood Controlled Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

79. Muramoto, K. (2001, September). Women's trauma and healing in Japanese culture. Union Institute, Cincinnati, OH. AAT 3007972.

Language: English

Format: Dissertation/Thesis

Abstract:
This dissertation explores the reality of women's trauma and the effective treatment for traumatized women in Japanese culture. Current research on PTSD supports the universality of many of the biologically determined components of PTSD experiences, while the importance of considering the cultural aspect of trauma is also stressed. Key research questions were: Can PTSD and trauma-related disorders be diagnosed in Japanese women? To what degree are the trauma theory and treatment methods from the West applicable to Japanese women? The primary research method was a literature review supplemented by interviews with Japanese clinicians and reflections on the author's experience as a psychotherapist.In Japan, the interest in trauma has been rapidly growing in the 1990s, particularly after the year 1995 when the Great Hanshin (Kobe) Earthquake happened. The developing statistics of women's trauma in Japan signify a serious problem to women's mental health, as is found in United States. Although the literature is limited yet, the research indicated that Japanese women suffer almost the same symptoms of PTSD and other trauma-related symptoms as women in the U.S. One distinctive characteristic is that Japanese people tend to complain of physical pain rather than psychological symptoms. The assessment and treatment procedures for traumatized women were not studied enough in Japan. The author illustrated the effective assessment and treatment plan for Japanese women as an example. The Western trauma theories and treatment methods are applicable to Japanese women, requiring some additional devices. Supportive psychotherapy and EMDR seem to be prevalent approaches at present. Creative art therapy and body-centered approaches have the potential to be effective in Japanese culture. Vicarious traumatization in mental health professionals is becoming a serious problem in Japan, too. The author also paid attention to multigenerational trauma in Japanese society. The trauma caused by World War II is reviewed in an effort to suggest the enormity of the task we have in dealing with trauma. It is time for Japanese people to resolve multigenerational trauma so as to stop continuous trauma and to take care of traumatized people. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(3-B), Sep 2001, pp. 1591.

Keywords: Adults Cross Cultural Assessment Cross Cultural Treatment Diagnostic Validity Empirical Study Females Japanese Posttraumatic Stress Disorder PTSD Stressors Survivors

Accuracy Verified: Yes