Francine Shapiro Library - EMDR Bibliography Links

 

 

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1. Paulsen, S. (2012, October). 31 secrets of the embodied self: Hearing baby’s story in EMDR for trauma in implicit memory. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
EMDR targeting relies on explicit memory images and verbalization of cognitions, but attachment trauma is held in the right hemisphere’s implicit memory. Any therapy purporting to treat attachment trauma must meet four criteria (Fosha) (Objective 1). This workshop draws from ego state therapy, somatic therapy, and the Early Trauma protocol of EMDR (Paulsen, in press, O’Shea & Paulsen, 2007) to provide a range of techniques to meet the Fosha criteria (Objective 2). Efficient resolution of attachment injuries can occur through temporal integration, targeting time periods instead of explicit memory (O’Shea & Paulsen, 2007, Paulsen, 2009 and in press) (Objective 3).Transforming early trauma requires listening to reenactment material, the baby state’s only “voice” to tell the non-verbal story.

Keywords: Embodied Self  Implicit Memory  

Accuracy Verified: Yes

2. Dellucci, H. (2010, July). A 6 gear mechanics for a safe journey through complex trauma therapy. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Working with EMDR with people who suffer from complex trauma leads often to difficulties not only about case conceptualization, but also desensitization and reprocessing, with a risk of destabilization or even decompensation. Often many targets, especially those in early childhood can be located in the timeline before verbal abilities and thus stay implicit. Should we then renounce to work with EMDR? Is it possible to use EMDR safely, by adapting to each client, and their somehow chaotic life events without getting lost? The six gear mechanics relies on the metaphor about a car journey through therapy with people who have complex trauma, and provides a structural hierarchy of treatment which allows adaptation, by knowing what is done and why. It tries to integrate what is yet known in EMDR therapy with complex trauma, and provides a dynamic and adaptive tool to navigate through therapy.

Keywords: 6 Gear Mechanics  Complex Trauma  

Accuracy Verified: Yes

3. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.

Keywords: Model  Poster  Preverbal Trauma  Theory  

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Arts  Bilateral Art  Body-Based Psychotherapy  Expressive Arts  

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Mental Retardation  

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

Keywords: Infants  Children  Pre-Verbal Trauma  

Accuracy Verified: Yes

8. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).

Keywords: Abreactions  Intense Affect  

Accuracy Verified: Yes

9. Solomon, R. M. (2006, September). The art of EMDR:  Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client's natural patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) - though often useful - can interfere with the client's own internal processing and take the client away from their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client in one's therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally intervene and when to "stay out of the way". Hence, more important than the mechanics of bilateral stimulation is the way EMDR is delivered. EMDR is a "dance" between client and therapist with the therapist interacting through bi-lateral stimulation even more than through verbal communication. This workshop will focus on dealing with intense affect with EMDR (the dance) and include discussjon of 1) How to assess client readiness for dealing with intense material, both before and during EMDR processing. 2) Therapist clinical presence and attunement skills. 3) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing, and control intensity of processing. 4) Therapeutic choice points concerning verbal interventions and "staying out of the way". Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).

Keywords: Abreactions  

Accuracy Verified: Yes

10. O’Malley, A. (2012, October). BART: A new protocol to enhance EMDR therapy. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .

Language: English

Format: Conference

Abstract:
Bilateral Affective Reprocessing of thoughts or BART is a dynamic new model of trauma therapy designed to complement traditional EMDR therapy. Often with early touchstone memories the client has no verbal recall. It is impossible to access negative cognitions. In BART gut feelings are activated and connected to feelings and sensations elsewhere in the body. Ultimately heartfelt sensations link to the cerebral hemispheres and eventually the prefrontal cortex. Examples will illustrate combining BART psychotherapy combined with traditional EMDR.

Keywords: BART  Bilateral Affective Reprocessing of Thoughts  

Accuracy Verified: Yes

11. Mevissen, L., & Lievegoed, R. (2011, April). Behandeling van tandartsfobie bij een niet sprekend kind met pre-verbaal medisch trauma [Treatment of dental phobia in a non-speaking child with pre-verbal trauma medical]. Presentatie op de 5e Jaarlijkse Conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
In deze workshop staat de behandeling van een 5-jarig jongetje met extreme tandartsangst centraal. Er is sprake van een genetisch bepaalde overgevoeligheid van het mondgebied. Het patientje krijgt zijn dagelijkse voeding voornamelijk via een sonde. De oorsprong van de angst wordt toegeschreven aan pré-verbaal medisch trauma. Aan de hand van videobeelden worden zowel casusconceptualisatie, verloop van de behandeling als de effecten in de tandartskamer geïllustreerd. De complexe gehechtheidsrelatie is in de problematiek verweven; de behandeling daarvan wordt eveneens belicht.

In this workshop the treatment of a 5-year-old boy with extreme dental fear central. There is a genetically determined hypersensitivity of the mouth area. The young patient gets his daily diet primarily through a tube. The origin of fear is attributed to pre-verbal medical trauma. Using both video conceptualization, course of treatment if the effects illustrated in the dental room. The complex is in the attachment relationship issues intertwined their treatment is also highlighted.

Keywords: Dental Phobia  Mutism  Pre-Verbal Trauma  

Accuracy Verified: Yes

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

Language: German

Format: Dissertation/Thesis

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

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

Keywords: Basic Motivation  Existenital Analysis Method  

Accuracy Verified: Yes

13. Keller, B., Stevens, L. C., Boyce, K., Lui, C., & Murray, J. (2011). Bilateral eye movements and EEG coherence during positive memories: Implications for PTSD and EMDR. Presentation at the American Psychological Association Conference, Washington, DC.

Language: English

Format: Conference

Abstract:
The purpose of this study was to investigate the role of bilateral eye movements in the processing of long-term emotional memories, especially as it pertains to the treatment method for PTSD known as EMDR. EMDR utilizes methods similar to cognitive therapy and exposure but also employs saccadic eye movements to facilitate the treatment. The saccadic eye movements are theorized by Shapiro and others to decrease emotional valence and vividness of episodic memories allowing for easier reprocessing. There remains some disagreement as to the actual role and importance of the saccadic eye movements as well as to the neurological effects of EMDR. This study used EEG power-spectral analysis and measures of interhemispheric coherence on 30 individuals who underwent one of three conditions while recalling positive episodic memories. The 3 conditions were (1) a solid black dot with no eye movement (control), (2) a low frequency color changing dot with no eye movement, and (3) a bilateral eye movement condition simulating EMDR. After a 5’ eyes-open baseline, participants experienced one of the three conditions while recalling a positive memory for five 1’ episodes. After each episode, each participant had 19-channel EEGs recorded while they stared ahead eyes opened. EEG data were noise artifacted, power spectral analyzed, and statistically analyzed for interhemispheric coherence differences between conditions for clusters of frontal pole (Fp), frontal (F), central (C), parietal (P), and occipital (O) electrodes. ANCOVA analysis of post-treatment coherence values, with baseline values as the covariate, across conditions showed significantly increased Low Beta (12-20Hz) activity in the Frontal region of the brain during the saccadic eye movements condition compared to the low frequency dot condition (p=.012). Also found were significantly increased Low Theta (4-6Hz) coherence values in the Parietal region of the brain in the low frequency dot condition compared to both the eye fixation (p=.017) and saccadic eye movement (p=.022) conditions. Self reports of memory clarity and vividness indicated significantly increased measures across all conditions. LORETA cortical localization analyses revealed Low Beta (12-20Hz) activation during the saccadic eye movements condition occurring primarily in Brodmanns Area 11 (BA11) and Brodmann Area 25 (BA25) and Low Theta (4-6Hz) activation during the low frequency dot condition focused in BA35 and BA36. LORETA neuroimages are presented. Cortical localizations of increased Low Beta interhemispheric coherence in BA11 (VentroMedial Frontal Cortex) and BA25 (Subgenual Anterior Cingulate Cortex) following bilateral eye movements during the recall of positive memories suggest a synchronization of information processing activities in parts of the frontal cortex involved in planning, reasoning, and decision making (11) and in verbal episodic memory retrieval (25). These functions are consistent with the assigned tasks of review of positive episodic memories in this study. Coincident with this pattern of cortical activation was an obtained increase in memory clarity and vividness during episodic memory retrieval. It is possible that the obtained effects on beta activity were an artifact of eye movements; however, the lack of significantly increased signal coherence at the Fp region and the removal of eye movement artifacts prior to data analysis reduce this possibility. These results provide support for an Interhemispheric Coherence Model as an explanation for the positive effects of Eye Movement Desensitization and Reprocessing of retrieved memories. Additionally, these outcomes suggest that it is the saccadic eye movements, not a repetition of a rhythmic stimulus, that elicits the changes in interhemispheric coherence, and possibly in emotional valence and vividness, highlighting the importance of saccadic eye movements in EMDR.

Keywords: Bilateral Stimulation  EEG Coherence  Eye Movements: Positive Memories  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: No

14. Went, M. (2009). Casus 8 – Ik kijk echt met andere ogen!: Via moeder worden de problemen met haar 3-jarige dochter behandeld [Case 8 - I really look with new eyes! Through the mother the problems with her 3-year-old daughter are treated]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 129-141). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_13.

Language: Dutch

Format: Book Section

Abstract:
Yvonne en Robert, ouders van dochter Eva van ruim 3 jaar en zoon Koen van ruim 1 jaar, melden hun dochter aan in verband met ernstige gedragsproblemen. Ze verleidt hen de hele dag tot een verbale strijd. Zij is in het gezin allesbepalend en erg negatief tegen haar broertje. Ze is snel overspoeld bij drukte en onverwachte gebeurtenissen. Eva krijgt woedebuien waarmee ze haar ouders angstig maakt. ‘Ze kijkt dwars door je heen.’

Yvonne and Robert, parents of daughter Eva and son Koen than 3 years of over one year, send their daughter associated with severe behavioral problems. She seduces them all day until a verbal battle. It determines everything in the family and very negative against her brother. She's soon overwhelmed by crowds and unexpected events. Eva gets her rage rainfall which makes parents anxious. 'She looks right through you. "

Keywords: Children  Daughters  Mothers  

Accuracy Verified: Yes

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

Language: English

Format: Newsletter

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

Keywords: Cognitions  

Accuracy Verified: Yes

16. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.

Language: English

Format: Journal

Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.

Keywords: Aggression  Trauma  Treatment  

Accuracy Verified: Yes

17. Leuenberger, R. (2008). Die EMDR - Methode und ihr bezug zurbersten grundmotivation [EMDR - the method and its relation to basic motivation]. Existenzanalyse, 25(1), 44-53.

Language: German

Format: Newsletter

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

This thesis should demonstrate that existential analysis can make a substantial contribution to the psychological as well as philosophical understanding of the EMDR (Eye Movement Desensitization and Reprozessing) method of treating mentally traumatized patients with a PTSD (Posttraumatic Stress Disorder), and thus extends beyond the common, and to some degree hypothetical, neurobiological attempts at explaining this method. The study is based on the experiences collected over a period of four years in the practice of a general practitioner who used the EMDR method in the treatment of patients suffering from PTSD. According to the verbal statements of patients made before, during and after treatment, it can be concluded that of the relevant deficiencies in the areas of the four fundamental motivations of existential analysis, those having to do with the first fundamental motivation bear the most significance. On the basis of 23 medical histories the effective factors of the EMDR method will become understandable from an existential-analytic point of view by using the concepts of the first fundamental motivation.

Keywords: Existential Analysis: Fundamental Motivation  Trauma  

Accuracy Verified: Yes

18. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2011, December). Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?. Journal Intellectual and Developmental Disability, 36(4), 274-279. doi:10.3109/13668250.2011.621415.

Language: English

Format: Journal

Abstract:
Background. There is not one case report of successful trauma treatment with the use of an evidence-based treatment method in people with substantially limited verbal capacities. This paper assessed the applicability of eye movement desensitisation and reprocessing (EMDR) in two clients with moderate ID, serious behavioural problems, and histories of negative life events. Method. The 8-phase protocol of EMDR, a first-line treatment for psychological trauma, was applied. Results. In both cases, posttraumatic stress disorder (PTSD)-like symptoms decreased in a total of only 6 and 5 sessions, respectively. Gains were maintained at 32 and 10 months' follow-up. Conclusions. EMDR seems to be an applicable psychological trauma treatment for persons with limited verbal capacities. Considering the importance of these findings, further and more rigorous research is required.

Keywords: Developmental Disabiities  Intellectual Disabilities  

Accuracy Verified: Yes

19. Nijdam, M., Olff, M., & Gersons, B. (2005, November). Effects of psychotherapy on neuropsychological performance in PTSD. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Deficits in concentration and memory are some of the most persistent symptoms of PTSD. Although many studies have investigated neuropsychological deficits in different trauma populations with and without PTSD, no study to our knowledge has looked carefully at improvement of neuropsychological functioning after psychotherapy. In the present study, we randomly assigned individuals to either Eye Movement Desensitization and Reprocessing (EMDR) therapy (n=60) or Brief Eclectic Psychotherapy (BEP; n=60). Attention and memory were investigated before and after treatment using the following neuropsychological tests: Trail Making Test, STROOP task, Verbal Learning and Memory Test and Rivermead Behavioral Memory Test. Different versions of the memory tests were administrated at pre- and postassessment in order to control for learning effects. Preliminary results of treatment completers are presented, and the clinical relevance of the findings is discussed.

Keywords: Neurobiological Performance  Poster  Posttraumatic Stress Disorder  PSTD  

Accuracy Verified: Yes

20. Taylor, S. (2004). Efficacy and outcome predictors for three PTSD treatments: exposure therapy, EMDR, and relaxation training. In S. Taylor (Ed.), Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives (1st ed.) (pp. 13-37).  NewYork: Springer Publishing.

Language: English

Format: Book Section

Abstract:
In a study that directly compared exposure therapy, EMDR, and relaxation training in patients with PTSD, we simply provided patients with a verbal description of PTSD and its treatment, then assessed the patient's treatment goals, and discussed how the treatment was relevant to the goals. For patients who do not drop out of treatment, our findings suggest that the most consistent predictor of good outcome is whether or not the patient receives exposure therapy, and that the severity of reexperiencing symptoms is an important predictor of treatment outcome, largely because relaxation training has a poorer outcome when these symptoms are severe. The efficacy of exposure and EMDR does not appear to be affected by the severity of reexperiencing. These findings provide further support for the efficacy of exposure and, to a limited extent, support the use of EMDR. Our findings, however, suggest that exposure is a first-line psychosocial treatment for PTSD. [Adapted from Text, pp. 16, 34] [Pilots]

Keywords: Adults  Exposure Therapy  Manual-Based Treatments  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Relaxation Therapy  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

21. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing:  Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.

Language: English

Format: Journal

Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]

Keywords: Aged  Anxiety Disorders  Behavior Modification  Cognitive Therapy  Depressive Disorders  Drug Therapy  Health Care Utilization  Literature Review  Psychoanalytic Psychotherapy  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

22. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This presentation addresses how creativity has been interwoven into the discovery and development of EMDR, as well as how EMDR is an effective tool in unblocking and enhancing creativity. Dr. Shapiro's discovery of EMDR and her development of the EMDR Protocol, are examined as underpinnings of EMDR and Creativity. EMDR processing will also be examined as an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR is discussed as a co-creative process. This presentation addresses creative enhancements EMDR's healing tools including: "open listening" - avoiding assumptions while attending to all in-the-moment verbal and non-verbal client communications, creative use of eye movements with flowing hand movements and shifting rates of speed, integrating music and nature sounds into left/right auditory stimulation and enhancing of body sensations with color and imagery. This presentation also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of diallng living of non-artists. Using EMDR protocol to target creative blocks is discussed, as well as the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists. Mini-practica and demonstrations are used to operationalize the concepts presented in lecture and handout format.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes

23. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.

Keywords: Creativity  

Accuracy Verified: Yes

24. Stowasser, J. E. (2007). EMDR and family therapy in the treatment of domestic violence. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 243-261). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
Domestic violence (DV) has been defined as a pattern of verbal and physical behavior intended to control another person in an existing, former, or desired intimate relationship (Walker, 1979). Although DV is not confined to heterosexual unions or to males as abusers, this chapter focuses on heterosexual males as offenders because 85% of DV is directed by men toward women (Rennison & Welchans, 2000). This chapter discusses integrating Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) and Therapy of Social Action (TSA) in the treatment of couples with domestic violence issues. A case example is then presented. The concluding discussion asserts that TSA and EMDR appear to be a powerful combination for the treatment of DV. When used with carefully selected couples, EMDR and TSA can repair the damage caused to the victims, strengthen relationships, inhibit abuser and victim tendencies in children, eliminate posttraumatic stress disorder (PTSD), increase personal responsibility, develop nonviolent conflict resolution skills, and increase empathy for self and others. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Domestic Violence  Family Therapy  Integrative Psychotherapy  Therapy of Social Action  

Accuracy Verified: Yes

25. de Roos, C., & Went, M. (2012, June). EMDR as trauma treatment for infants (0-4 years) [EMDR como tratamiento para el trauma en niños pequeños (0-­‐4 años)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In our therapeutic EMDR work with deaf and hard of hearing clients, we are forced to strongly focus on the visual world. But focus on visual aspects is not only necessary with this client group! When working with pre-­‐verbal trauma, with children or adults who are (not yet) fluent in their native speech or when we use EMDR with clients that use a second language, we will have to use alternatives to spoken languages. When used correctly, visual input can enrich and enable the EMDR process greatly. In this presentation we invite visitors to explore the visual aspects and possibilities of the EMDR process with us. Visitors will feel more adequate in using mimic, visual and imaging techniques with their clients. Video material will enrich our presentation. We will present in English and Dutch sign language. Our interpreter will translate the Dutch sign language in spoken English.

Los infantes (0-­‐4 años) pueden ser expuestos a diversos tipos de eventos traumáticos, por ejemplo procedimientos médicos intrusivos, abuso sexual y otras formas de violencia física o emocional, y pueden desarrollar síntomas de estrés post-­‐traumático. Por otro lado, no es fácil determinar si están traumatizados desde esa edad, la mayoría de los niños no son capaces de comunicar verbalmente sus experiencias. En la mayoría de los ejemplo, son los padres los que notan un cambio en el comportamiento de su hijo y van en busca de ayuda. Los terapeutas junto con los padres y usando la información disponible del propio niño, desarrollan una hipótesis sobre el origen de los síntomas. Si existen indicios de que los síntomas actuales están relacionados con un evento traumático sin procesar, EMDR es idóneo. El método de Cuenta-­‐cuentos de Lovett puede ser usado para este propósito. Se necesita prestar una especial atención a la interacción entre los padres y el niño. Los padres pueden encontrar difícil apoyar a su hijo o reaccionar adecuadamente al comportamiento del niño cuando se sienten ansiosos o culpables de este evento traumático. Este tipo de cuestiones deben ser tomadas en cuenta ya que pueden agravar los síntomas ya existentes en el niño Después de una pequeña introducción teórica, numerosos casos serán mostrados en video. Mostramos como los recuerdos traumáticos sin procesar en infantes pueden ser activados y procesados. En uno de los casos EMDR se combinará con elementos de la terapia orientada a padres. Conceptos sobre el apego y sus efectos en el EMDR serán mostrados.

Keywords: Infants  

Accuracy Verified: Yes

26. de Roos, C., & Went, M. (2010, April). EMDR bij preverbaal trauma [EMDR for trauma, preverbal]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Hoe kan je preverbaal trauma verwerken, zodat er ruimte ontstaat voor herstel, inhalen en voortgang van de ontwikkeling?
Ook infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenis(sen) in de eerste levensjaren meemaken zoals intrusieve medische handelingen, seksueel misbruik en andere vormen van mishandeling. Herinneringen aan deze gebeurtenissen zijn preverbaal en niet op bewust nivo toegankelijk. Bij deze jonge kinderen is het dan ook moeilijk te zien in hoeverre er sprake is van traumatisering. Door hun beperkte cognitieve ontwikkeling is verbale communicatie over ingrijpende gebeurtenissen niet of beperkt mogelijk. Soms zie je na enige tijd gedragsveranderingen bij dagelijkse handelingen die eerder geen probleem vormden (verzet bij verschonen, bij tandenpoetsen e.d.). Dit gedrag kan echter ook gekoppeld zijn aan de ontwikkelingsfase. Het diagnostisch beeld wordt duidelijker wanneer gedragsveranderingen (verzet, verdriet maar ook submissie!) zich voordoen bij soortgelijke traumatische ervaringen zoals nieuwe medische behandelingen. De link naar de onverwerkte traumatische gebeurtenis(sen) ligt dan voor de hand. De ouder kan soms uit angst of schuldgevoel over de ingrijpende gebeurtenis(sen) niet goed meer als steunfiguur en opvoeder optreden. Door een klachtbestendigend interactiepatroon kunnen gedragsproblemen van het kind zelfs verergeren. De omgeving gaat denken aan ADHD of ASS... Aan de hand van casuïstiek van infants bij wie sprake is van traumatisering worden de aanpassingen aan het EMDR protocol getoond bij de behandeling van 0 tot 4 jarigen. Pas na de verwerking van de traumatische herinneringen wordt echt duidelijk wat de invloed is geweest op het verloop van de ontwikkeling van het kind, zoals een sociaal emotionele achterstand, vertraagde spelontwikkeling etc. Er komt ruimte voor herstel, inhalen en voortzetten van de ontwikkeling. Zo nodig wordt een EMDR traject voor ouders ingezet om de behandeling af te maken. Vorm In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.

How do you handle preverbal trauma, so there room for rehabilitation, catch up and progress of the development? Even infants (0-4 year olds) can all traumatic event(s) in the first years of life experience as intrusive medical procedures, sexual abuse, and other forms of abuse. Preverbal memories of these events, not consciously accessible level. In these young children it is therefore difficult to see how there is trauma. Because of their limited cognitive development, verbal communication on major events is not possible or limited. Sometimes you see after a while behavioral changes in daily operations which were previously not a problem (resistance to changing, with teeth, etc.). This behavior can also be linked to the development. The diagnostic picture becomes clearer when behavioral change (resistance, but also sadness Submission!) arise from similar traumatic experiences such as new medical treatments. The link to the unprocessed traumatic event (s) is then obvious. The parent can sometimes out of fear or guilt about the traumatic event(s) not functioning properly to support action figure and educator. By klachtbestendigend interaction pattern may even worsen the child's behavior. The environment is reminiscent of ADHD or ASD ... Based on case reports of infants with trauma,0 to 4 years old treated with the EMDR protocol show changes only after the processing of traumatic memories is really clear that the impact has been on the course of the development of the child as a social-emotional retardation, slow game development etc. There is room for recovery, overtaking and continued development. If necessary, an EMDR process for parents is used to finish the treatment. Form In the presentation combining theory and practice. Video images support the story.

Keywords: Prevebral Trauma  

Accuracy Verified: Yes

27. Tinker, R., & Wilson, S. (2011, August). EMDR cases on the cutting edge of neuroscience. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
In EMDR, we see results that inform us about neuroplastic abilities of the brain, that go beyond occurrences in conventional psychotherapy. For example, in EMDR, we sometimes see the emergence and resolution of stigmata; the elimination of phantom limb pain; resolution of trauma with very young children; the resolution of pre-verbal trauma in children and adults. Through case presentations, videos, photographs, and brain imaging, this offering will consider some neuroscientific implications, based on detailed analyses of several cases of adults and children. A history of stigmata with be covered, along with associations to Psychogenic Purpura.

Keywords: Neuroscience  

Accuracy Verified: Yes

28. Kapoula, Z. (2010, April). EMDR effects on pursuit eye movements. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This study aimed to objectivize the quality of smooth pursuit eye movements in a standard laboratory task before and after Eye Movement Desensitization and Reprocessing (EMDR) session. EMDR was applied on subject’s autobiographic worries causing moderate distress. The EMDR session was complete in 5 out of 7 cases; distress measured by SUDS (Subjective Units of Disturbance scale) decreased to near zero value. Smooth pursuit eye movement was recorded by Eyelink II video system before and after EMDR. For these five subjects, pursuit eye movement improved after EMDR session, namely the number of CUS (Catch-up saccades) decreased and reciprocally, the gain of the smooth components of the pursuit increased. Such improvement of the smoothness of the pursuit presumably reflects better employment of visual attention needed to follow the target accurately. Perhaps EMDR reducing distress activates a cholinergic effect known to improve ocular pursuit. This approach is novel, Eye movement semiology is known to be a great tool for exploring brain function and plasticity. This preliminary study might be a starting point for further studies of other types of eye movements bringing together neuroscience and psychotherapy. Learning objectives: Learn the physiologic correlates of EMDR. During EMDR practice observation of the quality of eye movement (smooth and saccadic) can provide to the practitioner valuable, non-verbal feedback. EMDR can stimulate different types of research, including laboratory research.

Keywords: Eye Movements  Research  Symposium  

Accuracy Verified: Yes

29. Monteiro, A. M. (2012, Novembro). EMDR em posturas e movimento: Estados de ego e memórias não verbais [EMDR in posture and movement: Member of ego and non-verbal memories]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Neste trabalho serão apresentadas estratégias de exploração de postura e espaço para acesso a memórias não verbais, características de ICES incompletos e frequente expressão de Estados de Ego infantilizados, primitivos. Esses casos geralmente refletem transtornos dissociativos mais pronunciados, com desafios para terapeuta montar protocolo clássico.

In this work we will present strategies for posture and space for access to non-verbal memories, characteristics of ICES incomplete and frequent expression of Ego States childish, primitive. These cases generally reflect more pronounced dissociative disorders, with challenges to mount therapist classic protocol.

Keywords: Ego States  Nonverbal Memories  Posture  Standard Protocol  

Accuracy Verified: Yes

30. van den Berg, D. P. G. (2011, August-September). EMDR in patients with psychotic disorders and PTSD: A pilot study. In PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Introduction: Mueser at al. (2008) showed that a treatment program that was predominantly based on cognitive restructuring was effective and safe in treating PTSD in patients with Serious Mental Illness. However, only 15.7% of the participants in this study had a psychotic disorder. Frueh et al. (2009) conducted a pilot study into PTSD treatment in patients with schizophrenia and schizoaffective disorders (n=20). At three month follow-up twelve out of thirteen completers no longer met criteria for PTSD. Treatment caused no adverse events. Unfortunately psychosis measures were not included in this study. A third therapy with strong empirical support for its efficacy in treating PTSD is Eye Movement Desensitization and Reprocessing (EMDR, Bisson et al., 2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler & Wagner, 2006). In this presentation the results of a feasibility trial (n=27) of EMDR in patients with psychosis and comorbid PTSD will be presented. Method: An open pilot trial of EMDR in treating PTSD symptoms in participants with a diagnosis of schizophrenia or an other psychotic disorder. Participants were all outpatients from community mental health centres in the Netherlands. After referral to the study patients were screened for PTSD with the Clinician Administered PTSD Scale (CAPS, Blake et al., 1990). If PTSD was diagnosed baseline measurements were performed after which an informed consent was obtained. Treatment consisted of a maximum of six weekly EMDR sessions, after which post measurements were taken. Results: EMDR was effective in alleviating PTSD symptoms. Out of the 25 completers, only 7 still met criteria for PTSD at post measurement. Treatment did not result in adverse events. In fact, other symptoms, such as delusions, auditory verbal hallucinations, anxiety and depression decreased significantly, e.g. only four out of the nine participants that reported voices at baseline still reported voices at end of treatment. Conclusions: The preliminary conclusion is that treating PTSD in patients suffering from psychosis with EMDR is feasible, is safe and has a positive influence on other symptoms.

Keywords: Pilot Study  Postraumatic Stress Disorder  PTSD  Psychotic Disorders  Symposium  

Accuracy Verified: Yes

31. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR processing, and to work to create a secure, responsive, and positive relational environment that supports change and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation) will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress with greater precision, using both verbal and non-verbal markers to determine where the client is on a given conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different types of interweaves will be delineated with a clear description of the purpose or function associated with each. Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both didactic and video material. Learning Objectives: • Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment decision-making during an EMDR session. • Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice) reflected in a client’s presenting issues, choice of targets, and stuck points. • Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal of maintaining and even accelerating processing within a window of tolerance. • Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal experiences (i.e. affect, sensation, urges, fantasies). • Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies, completing incomplete or truncated actions, and addressing various domains of developmental repair.

Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive favorisant ainsi le changement et l’intégration. Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision ‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou approfondir le traitement du client. Objectifs d’apprentissage: • Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR. • Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité, contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les blocages. • Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de tolérance. • Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes). • Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les dommages survenus au cours du développement.

Keywords: AEDP  Dyadic Regulation  Informatiional Plateaus  IFS, Interweaves  Sensorimotor Psychotherapy  Structural Model of Dissociation  Trauma-Focused Models  "True" Authentic Self  

Accuracy Verified: Yes

32. Bethiaume, B. (2001, May). EMDR treatment with two school-based referrals. Poster presented at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
School referral for behaviour is many times a last resort for teachers and administrators at a loss to deal with a student's distress. This post illustrates two such cases and the effective use of EMDR to clear underlying trauma at the core of the observable behaviour. It raises the issue of age of trauma with critical developmental tasks of children and implications for treatment. The first is a single trauma at age 11 and treated at age 13. The second occurred at age 3 and treatment occurred at age 7. L. is a 13 year old girl whose family had moved three times in the past 3 years and at her new school, she became extremely distressed in the morning to the point of not being able to stay in class. The underlying trauma took place 2 years ago, and did not manifest itself behaviourally until the current move. Using EMDR, resolution was achieved in a short period of time. C. is a 7 year old girl referred because her fears were preventing her from normal activities of her grade level. The sound of fire alarm bells were particularly distressful. The family recently moved from another country and reported no prior history of this type of behaviour. Interweaving EMDR in the treatment process was effective in treating past traumas, some of which appeared to have no verbal memory and culminated in her current distress. Parental understanding and involvement in using EMDR was crucial to the treatment.

Keywords: Children  Poster  School Referrals  

Accuracy Verified: Yes

33. Seubert, A. & McDonagh, J. M. (2002, June). EMDR with mentally handicapped clients (MH/MR diagnosis. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract: Only within the past few decades has the use of counseling and psychotherapy for this much neglected population been validated and explored. Given the non-verbal and "right-brain" characteristics of EMDR, it seems there would be a natural fit between the needs of this population and the way in which EMDR works. Case studies will demonstrate successful use of EMDR with dually diagnosed (MH/MR)clients as well as ways in which the standard protocol may need to be adapted for this work. Theoretical speculation regarding EMDR's effectiveness with mentally impaired clients will be explored.

Keywords: Mental Retardation  

Accuracy Verified: Yes

34. Morris-Smith, J. (2002). EMDR: A case for pre-verbal memory?. In J. Morris-Smith, (Ed.), EMDR : Clinical applications with children, Occasional paper no. 19 (pp. 23-29) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
The use of EMDR with children aged 4 years and over who have been exposed to physical abuse, disasters and other traumatic incidents in their infancy and early childhood is beginning to reveal some interesting material. The characteristics of the play and behaviours of traumatized young children were described by Terr (1991). It is suggested that the use of EMDR as a treatment approach is indicative that long-term retention for pre-verbal traumatic events does occur for children traumatised in infancy and perhaps even in the womb. This presentation presents two cases treated by EMDR in which it appears that the children are accessing and processing experiences that occurred too early in development to be encoded with language. EMDR helps these children access and process very early traumatisation and in some cases they are then able to report on them verbally. It is hypothesized that the EMDR technique helps create a verbal narrative for the early memories, and that this allows the child to process and integrate their sensations, emotions and cognitions within a more coherent personal biography. The ability of EMDR to help a child to process and bring to resolution hitherto almost inaccessible infantile memories particularly those relating to abuse, has enormous implications for the child's ability to move on and form healthier attachments and more construction behaviour patterns. It suggests new avenues for research into infantile traumatic memories and their impact on the developing child.

Keywords: Memory  Occasional Paper  Pre-verbal  

Accuracy Verified: Yes

35. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers.

Language: English

Format: Book

Abstract:
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help. Contents: Robert H. Tinker. EMDR for traumatised children around the world Ricky Greenwald. EMDR and trauma-focused treatment for conduct problems Joanne Morris-Smith. EMDR: a case for pre-verbal memory? Eamon McMahon. EMDR in the treatment of attachment and bonding difficulties Guinevere Tufnell. EMDR: working with the legal system Alison Russell & Mike O'Connor. Interventions for recovery: the use of EMDR with children in a community-based project Umran Korkmazler-Oral & Seniz Pamuk. Group EMDR with child survivors of the earthquake in turkey Tony Roberts. Websites relating to psychological trauma: with emphasis on children

Keywords: Children  

Accuracy Verified: Yes

36. Marsa, L. (2002, April 16). EMDR:  Movement with meaning?  Some psychologists think it's a potent therapy; others call it exaggerated. Burns Harbor, IN:  Post-Tribune, All, Lifestyle, D1.

Language: English

Format: Newspaper

Abstract: W
atching a therapist's hands move back and forth in front of your face while recalling painful memories may seem an unlikely way to alleviate trauma. But hundreds of thousands of people have reportedly tried the technique, and some psychologists -- and their patients -- say it works. The therapy, called eye-movement desensitization reprocessing, involves a combination of hand movements (or sometimes finger taps or sounds), accompanied by verbal commands. The patient follows the therapists' movements with his or her eyes while discussing the event or problem that led the patient to seek help.

Keywords: Burns Harbor  General  Overview  

Accuracy Verified: Yes

37. Quinn, G. (2009). Emergency response procedure. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 271-276). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The Emergency Response Procedure (ERP) was initially developed to help victims within hours of a terrorist attack, but can be applied in the immediate aftermath of any trauma. Patients may present with "silent terror," shaking and inability to speak, or if they are verbal, often they are in a highly agitated state. The procedure has been used in the emergency room and during hospitalization. It is also appropriate for immediate intervention at the scene of critical incidents such as car accidents, earthquakes, natural or man-made disasters, and in ambulances. While taking an initial history, prior to the Preparation Phase of EMDR, ERP can be put into effect if patients suddenly abreact. This procedure presumes familiarity with the Standard EMDR Protocol of which it is an adaptation. Clinicians highly experienced in dealing with patients immediately after a traumatic event—who are not familiar with EMDR—will still benefit from this report. Note: This procedure has not received official sanctioning from the EMDR Institute and has not been validated by research. This procedure can only be considered after all medical needs have been evaluated or treated. The Emergency Response Procedure Script is provided. [PsycINFO Database]

Keywords: Emergency Response Procedure  Protocol  

Accuracy Verified: Yes

38. 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

39. Morris-Smith, J. (2011, June). The European EMDR shrinking protocol for children and adolesence: Development, theoretical considerations and clinical insights. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
The development of the Shrinking Protocol and its application has given rise to many interesting questions relating to the nature of trauma in childhood including whether pre-verbal trauma exists and is treatable; what constitutes a trauma in childhood; how does attachment and family dynamics affect EMDR therapy; what is dissociation in childhood and how can it be managed in EMDR therapy; what are the effects of chronic long-term traumatisation in early childhood and how soon can these be addressed. Also interesting questions have included how does it get integrated with other therapeutic modes and when to start. Further interesting discoveries have also been made when applying it to special groups, for example children with ASD and other developmental and medical conditions. EMDR therapy for children and adolescents is now being found to have very wide-ranging applications. This workshop will describe the evolution of the Shrinking Protocol which was based on the earlier work of Tinker & Wilson (1999) and demonstrate some of its different applications and uses with different conditions which will be illustrated with video clips. It also will demonstrate how EMDR therapy has led to new insights into the nature of traumatisation in childhood and suggest potential new directions for research and therapy.

Keywords: Adolescents  Children  Shrinking Protocol  

Accuracy Verified: Yes

40. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved. Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma

Keywords: Art Therapy  Treatment  

Accuracy Verified: Yes

41. Jumelet, C. (2011, April). Eye movement desensitisation and reprocessing (EMDR) bij kinderen met een verstandelijke beperking [Eye Movement Desensitisation and Reprocessing (EMDR) in children with intellectual disabilities]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract: Achtergrond: Eye movement desensitisation and reprocessing (EMDR) is een evidence-based behandelmethode voor zowel kinderen als volwassenen die blijvende psychische of lichamelijke klachten overhouden aan een of meer ingrijpende gebeurtenissen. Er is nog nauwelijks effectonderzoek verricht bij kinderen met een verstandelijke beperking (VB). Deze doelgroep heeft meer risico op traumatische ervaringen vanwege beperkte cognitieve en verbale vaardigheden en geringere draagkracht (Mevissen 2010). EMDR doet weinig beroep op verbale mogelijkheden, is een concrete en directieve methode en lijkt daarom in het bijzonder geschikt voor kinderen met een VB. Doel: emdr beschikbaar maken voor getraumatiseerde kinderen met een VB. Methoden: Bestaande EMDR-protocollen worden aangepast door elementen aan te brengen als: visualiseren middels pictogrammen; ouders meer betrekken, bijvoorbeeld door hen het verhaal te laten vertellen; effectevaluatie via ouders en belangrijke derden (leerkracht), meer herhaling en meer sessies. Resultaten: In een caseserie van 10 patiënten met een iq tussen 50-85 was er in 70% een goed resultaat. Alle patiënten maakten de behandeling af. Het aantal sessies varieerde tussen 2 en 10. Conclusie: emdr is een veelbelovende behandelmethode bij kinderen met een VB.
Background: Eye Movement Desensitisation and reprocessing (EMDR) is an evidence-based treatment for both children and adults that permanent mental or physical complaints about holding one or more major events. There is little outcome research performed in children with intellectual restriction (VB). This group has more risk limited due to traumatic experiences cognitive and verbal skills and lower capacity (Mevissen 2010). EMDR does little rely on verbal abilities, is a concrete and directive method and therefore seems particularly for children with a VB. Purpose: EMDR available to traumatized children with a VB. Methods: Existing EMDR protocols be modified by elements to as: visualization using icons; parents more involved, by for instance the story to tell, through impact assessment parents and significant others (teacher), more repetition and more sessions. Results: In a case series of 10 patients with an IQ between 50-85, there was 70% a good result. All the patients were treatment. The number of sessions varied between 2 and 10. Conclusion: EMDR is a promising treatment for children with VB.

Keywords: Children  Intellectual Disabilities  

Accuracy Verified: Yes

42. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35.

Language: English

Format: Journal

Abstract:
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.

The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages ​​(in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.

Keywords: Practice  Theory  

Accuracy Verified: Yes

43. 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

44. Lohr, J., Tolin, D., & Kleinknecht, R. (1995, June). Eye movement desensitization of medical phobias:  Two case studies. Journal of Behavior Therapy and Experimental Psychiatry, 26(2), 141-151. doi:10.1016/0005-7916(95)00011-N.

Language: English

Format: Journal

Abstract:
We treated two medical phobic subjects with eye movement desensitization (EMD). Using detailed images of fear-related events, the treatment design conformed to an additive, within-series phase change to examine enduring effects. Results indicated that both subjects' verbal reports of fear decreased substantially using the EMD procedure. There were no consistent changes in heart rate. Similarly, self-reported fear toward a simulated blood draw decreased, but heart rate and blood pressure did not. Data for a number of standardized measures of medical fear indicated posttreatment reduction for both subjects. Anecdotal reports of medical procedures revealed limited generalization of treatment effects.

Keywords: Medical Phobias  

Accuracy Verified: Yes

45. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.

Keywords: Eye Movements  Mechanism of Action  Neurobiology  Poster  Rorschach Test  

Accuracy Verified: Yes

46. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.

Language: Spanish

Format: Conference

Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas. LA TÉCNICA DE FLOTAR HACIA ATRÁS Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia. Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente". Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual. Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica. El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas. Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas. LA TÉCNICA DE FLOTAR HACIA DELANTE Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR. Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones. Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?" Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral. Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares. Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura. A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.

EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues. THE ART OF FLOATING BACK Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently. To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. " Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material. It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique. The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations. In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses. THE ART OF FLOATING FORWARD While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR. To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions. Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?" Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation. If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements. Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe. To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.

Keywords: Floatback Technique  Float Foward Technique  

Accuracy Verified: Yes

47. Morris-Smith, J. (2012, June). Footsteps into the future: EMDR for children and families using a neurodevelopmental perspective [Pasos hacia el futuro: EMDR para niños y familias desde una perspectiva del neurodesarrollo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The acquisition of clinical skills in developing successful EMDR therapeutic practices is in itself a journey of discovery. Each step forward brings new clinical puzzles, challenges and insights: why are some individuals able to use the EMDR therapy more smoothly that others; what is the role of attachment; how are preverbal memories made and how do they become accessible to verbal recall with EMDR therapy; what is the developmental role of dissociation and why do some evolve into coherent, integrated individuals whilst others develop pathological dissociation? This paper presents a neurodevelopmental approach to inform our clinical practice of EMDR therapy with children, adolescents and adults. Brain development is affected by both genetic and environmental factors and included in the latter are: the family milieu, physical illness, toxins and developmental opportunities. During development the brain organizes from the bottom to the top with the lower parts of the brain developing earliest. The majority of the brain organization takes place during the first 4 years of life. Development of the brain in childhood unfolds in a series of stages with higher cortical areas entering final developmental processes much later in childhood and into early adulthood. How to integrate neurodevelopmental aspects with our EMDR clinical practice to develop healthier positive future trajectories for children, adolescents and their families is discussed. This paper will be illustrated by the use of video clips and case material.

La propia adquisición de las habilidades clínicas para desarrollar prácticas terapéuticas de EMDR de éxito es de por sí, un viaje de descubrimiento. Cada paso hacia delante nos plantea nuevos rompecabezas, retos, y conocimientos clínicos: ¿Por qué algunos individuos encuentran menos obstáculos en la aplicación de terapia con EMDR que otros?; ¿Cuál es la función del apego?; ¿Cómo se forman los recuerdos preverbales y cómo se accede a ellos mediante el recuerdo verbal con la terapia con EMDR?; ¿Qué papel desempeña la disociación en el desarrollo y por qué algunas personas se convierten en individuos coherentes e integrados mientras que otros desarrollan una disociación patológica? Esta ponencia pretende presentar un planteamiento desde el neurodesarrollo para instruir nuestra práctica clínica de terapia con EMDR con niños, adolescentes y adultos. El desarrollo cerebral se ve afectado por factores tanto genéticos como ambientales; entre éstos últimos se incluyen: el entorno familiar, las enfermedades físicas, las toxinas y las oportunidades de desarrollo. Durante el período de desarrollo, el cerebro organiza desde abajo hacia arriba, siendo las áreas inferiores del cerebros las que primero se desarrollan. La mayor parte del desarrollo cerebral ocurre durante los cuatro primeros años de vida. El desarrollo del cerebro durante la infancia sucede en una serie de etapas, entrando las áreas corticales superiores en los últimos procesos de desarrollo, mucho más tarde en la infancia y al principio de la vida adulta. Se abordan las cuestiones de cómo integrar aspectos de neurodesarrollo en nuestro trabajo clínico con EMDR para poder desarrollar trayectorias más sanas y positivas para el futuro para los niños, adolescentes y sus familias. Se emplearán grabaciones en vídeo y notas clínicas para ilustrar esta ponencia.

Keywords: Children  Families  Neurodevelopment  

Accuracy Verified: Yes

48. Page, M. G. (2007, July). Gathering objective data from assessment to discharge in EMDR therapy: Galvanic skin responses, verbal prompts and tactile desensitization. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
This study shows how three changes (one addition to the EMDR protocol, plus two alterations) were used in the treatment of anxiety disorders. The addition to the EMDR protocol was: 1) The use of Galvanic Skin Response (GSR) monitors to provide a constant flow of objective, testable and measurable data specific to the experience of suffering or disturbance, exclusively to the clinician (and not to the patient) throughout the therapy process, The two other alterations were: 2) Incorporating specifically targeted verbal prompts at various points in the process, thus serving to maintain the patients emotional and intellectual focus on the experience of suffering the presenting disorder. 3) Allowing the patient to close his or her eyes and using tactile desensitization and reprocessing rather than eye movements, thereby allowing the patient to maintain the mental imagery specific to the suffering. The study group achieved beneficial outcomes sooner and more effectively than the control group who were given standard EMDR therapy.[Author abstract]

Keywords: Galvanic Skin Response  Tactile Desensitization  Verbal Prompts  

Accuracy Verified: Yes

49. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox” (Caja de cambios): un protocolo estructurado para un proceso [terapéutico] seguro con EMDR [en pacientes] con trauma complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR with people suffering from complex trauma often leads to difficulties regarding the treatment plan, but also during desensitization, reprocessing, with a risk of major destabilization, and treatment drop outs. Often, many targets, especially those coming from early childhood, are pre-­‐verbal in nature and stay therefore implicit. Should we then renounce in doing EMDR with these people? Is it possible to apply EMDR safely and without getting lost, adjusting to each person, so different from another, and their life events somewhat chaotic? The gearbox, through the metaphor of a journey by car, suggests a hierarchical processing structure to navigate through therapy with people suffering from complex trauma, which allows the therapist to adapt to the client, his/her life context, knowing what to do, and why. The result is a more self-­‐confident therapist, who is able to adapt to the client, being so more flexible and safe while doing EMDR. By integrating the current knowledge of EMDR for complex trauma, the gearbox is a dynamic and adaptive tool.

EMDR en personas que sufren trauma complejo a menudo conlleva dificultades respecto al plan terapéutico y también durante la desensibilización y reprocesamiento, con el riesgo de una desestabilización mayor y el abandono del tratamiento. Con frecuencia, muchos de los objetivos y, muy especialmente los que tienen su origen en la primera infancia, son preverbales y, por lo tanto, permanecen implícitos. ¿Deberíamos renunciar al uso de EMDR con estas personas? ¿Es posible aplicar EMDR de forma segura y sin perderse, adaptándose a cada persona, tan distintas unas de otras, así como a sus eventos de vida, algo caóticos? “Gearbox”, a través de una metáfora de un viaje en coche, sugiere una estructura jerárquica de procesamiento para navegar por la terapia con personas que sufre trauma complejo, lo que permite al terapeuta a adaptarse al cliente, el contexto de su vida, sabiendo qué hacer y por qué. El resultado es un terapeuta con más confianza en sí mismo, capaz de adaptarse al cliente, con mucho más flexibilidad y seguridad mientras utiliza EMDR. Al integrar los conocimientos actuales de EMDR en casos de trauma complejo, “la caja de cambios” es una herramienta dinámica y adaptativa.

Keywords: Gear Box  

Accuracy Verified: Yes

50. Damon, N. G. (2008). Getting to the core: Moving through the language barrier . In Dennis McCarthy (Ed.) Speaking about the unspeakable: Non-Verbal Methods and Experiences in Therapy with Children (pp. 130-141). London: Jessica Kingley Publisher .

Language: English

Format: Book Section

Abstract:
This EMDR practitioner makes use of EMDR to communicate and work with children who do not have the ability or capacity to verbalize or use words. These children can only communicate through their imagination rather than through the use of lanuage. This author explores the treatment of children through the non-verbal and non-literatal EMDR therapy making use of the imagination.

Keywords: Children  Non-verbal and Non-Literatal EMDR Therapy  

Accuracy Verified: Yes

51. 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

52. 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

53. 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

54. Brunyé, T. T., Mahoney, C. R., Augustyn, J. S., & Taylor, H. A. (2009). Horizontal saccadic eye movements enhance the retrieval of landmark shape and location information. Brain and Cognition, 70(3), 279–288. doi:10.1016/j.bandc.2009.03.003.

Language: English

Format: Journal

Abstract:
Recent work has demonstrated that horizontal saccadic eye movements enhance verbal episodic memory retrieval, particularly in strongly right-handed individuals. The present experiments test three primary assumptions derived from this research. First, horizontal eye movements should facilitate episodic memory for both verbal and non-verbal information. Second, the benefits of horizontal eye movements should only be seen when they immediately precede tasks that demand right and left-hemisphere processing towards successful performance. Third, the benefits of horizontal eye movements should be most pronounced in the strongly right-handed. Two experiments confirmed these hypotheses: horizontal eye movements increased recognition sensitivity and decreased response times during a spatial memory test relative to both vertical eye movements and fixation. These effects were only seen when horizontal eye movements preceded episodic memory retrieval, and not when they preceded encoding (Experiment 1). Further, when eye movements preceded retrieval, they were only beneficial with recognition tests demanding a high degree of right and left-hemisphere activity (Experiment 2). In both experiments the beneficial effects of horizontal eye movements were greatest for strongly right-handed individuals. These results support recent work suggesting increased interhemispheric brain activity induced by bilateral horizontal eye movements, and extend this literature to the encoding and retrieval of landmark shape and location information.

Keywords: Bilateral Eye Movements  Hemispheric Interaction  Episodic Memory  Spatial Memory  

Accuracy Verified: Yes

55. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives: Know that trauma influences psychotic symptoms, Understand how EMDR can influence paranoia and hallucinations, and Be able to conceptualize EMDR for these symptoms

Keywords: Psychosis  

Accuracy Verified: Yes

56. van Loey, C. & Assante, S. (2011). Hypnose, EMDR, EFT -les nouveaux chemins de la guérison : soigner le corps et le psychisme par les thérapies du mouvement et de la representation [Hypnosis, EMDR, EFT-new ways of healing: healing the body and psyche in therapy movement and representation]. Escalquens : Dangles édition, ; ISBN: 9782703309000 (br) 2703309007 (br) .

Language: French

Format: Book

Abstract:
Le traumatisme est un phénomène d’arrêt sur image qui nous empêche d’habiter notre propre existence. Le sujet ne peut se réaliser pleinement car il est sans arrêt confronté à une résurgence de son passé qui l’empêche de vivre l’instant présent. Dès lors, les thérapies verbales, comme la psychanalyse restent impuissantes et ne permettent pas de produire l’impulsion nécessaire à la restitution d’un vécu authentique et plein de promesses à venir. Le sujet reste alors prisonnier de son passé, et par conséquent ne peut pas dépasser l’impact dévastateur produit par le traumatisme et cela quelque en soit l’intensité. Avec pertinence, Corinne Van Loey défend l’idée que seules les thérapies de la représentation et du mouvement nous permettent de gommer ces instants où la sidération a fait place à l’action. Elle nous propose donc de renouer le fil du temps, de réactualiser les gestes laissés en suspens en permettant leurs achèvements nécessaires. Bref, de retrouver-enfin- cette complémentarité entre corps et esprit que le traumatisme avait fait éclater. S’appuyant sur de nombreuses années de pratique, ainsi que sur les travaux les plus récents en sciences cognitives l’auteur aborde de manière détaillée et progressive tous les éléments constitutifs du traumatisme et du processus de guérison. La lecture de cet ouvrage accessible à tous, apportera les éclairages nécessaires à la compréhension de ces nouveaux chemins de guérison que sont l’HYPNOSE, l’EMDR et l’EFT.

Trauma is a picture off phenomenon that prevents us from living our own lives. The subject can not be fully realized because it is constantly facing a resurgence of his past that prevents him from living in the moment. Therefore, verbal therapies, such as psychoanalysis remain powerless and do not produce the necessary impetus for the restoration of an authentic and full of promise coming through. The subject is then a prisoner of his past, and therefore can not exceed the devastating impact caused by trauma and that in some of the intensity. With relevance, Corinne Van Loey argues that only therapies representation and movement allow us to erase those moments when the stunning gave way to action. It therefore proposes to renew over time, update actions in abeyance for their completions necessary. In short, to find-last-complementarity between mind and body that the trauma had burst. Based on many years of practice, as well as the most recent work in cognitive science the author discusses in detail all the progressive elements of trauma and healing process. Reading this book accessible to all, provide the necessary clarifications to the understanding of these new ways of healing are Hypnosis, EMDR and EFT

Keywords: EFT  Hpynosis  

Accuracy Verified: Yes

57. Simone, M. (2012, June). Hypnosis and EMDR with athletes. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: English

Format: Conference

Abstract: My intention is to present a model of intervention in sport psychology that I have defined with the acronym O.R.A., using techniques of Gestalt therapy, EMDR protocol adapted to peak performance and Hypnosis Eriksoniana. The O.R.A model was conceived and developed from my working experience as a sport psychologist of elite athletes of various disciplines. ORA in Italian means NOW and the acronym stands for: Obiettivi (Objectives); Risorse (Resources); Autoefficacia (self-efficacy). Being myself an athlete and having had the opportunity to make an experience / internship of about 4 months at a sports center for professional athletes still continuing to follow a few, I could realize that it is important to them essentially a work of defining targets from which to identify the resources needed to achieve them through EMDR. This allows an increase of self-efficacy as one goes to work with the four sources identified by Bandura and that identify past successful experiences, the feelings connected, verbal persuasion and reference models. The work is enhanced by the use EMDR with hypnosis Eriksoniana that allows you to experience a future scenario more vividly, more multi-sensory experience where the athlete may be able to excel in his sport performance.

Keywords: Athletes, Hypnosis  

Accuracy Verified: Yes

58. Lohr, J., Tolin, D., & Kleinknecht, R. (1996, January). An intensive design investigation of eye movement desensitization and reprocessing of claustrophobia. Journal of Anxiety Disorders, 10(1), 73-88. doi:10.1016/0887-6185(95)00036-4.

Language: English

Format: Journal

Abstract:
Two claustrophobic subjects were treated with eye movement desensitization and reprocessing (EMDR), a new treatment for induced anxiety disorders. Both subjects were interviewed to construct detailed images of fear-related events before treatment. The treatment followed a within-series phase-change design to examine the effects of eye movement added to the general treatment protocol. Both subjects' verbal reports of fear changed substantially when eye movements were added to the general treatment protocol. It was concluded that the addition of eye movement was necessary to reduce the aversiveness of some phobic imagery. No change in heart rate was observed for either subject. These results are discussed within the framework of the growing number of EMDR outcome studies (ScienceDirect).

Keywords: Claustrophia  

Accuracy Verified: Yes

59. Janse, J., & Doornkate, L. (2012, June). Listening with your eyes: Exploring visual aspects of the EMDR-process [Escuchar con los ojos: la exploración de los aspectos visuales del proceso de EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In our therapeutic EMDR work with deaf and hard of hearing clients, we are forced to strongly focus on the visual world. But focus on visual aspects is not only necessary with this client group! When working with pre-­‐verbal trauma, with children or adults who are (not yet) fluent in their native speech or when we use EMDR with clients that use a second language, we will have to use alternatives to spoken languages. When used correctly, visual input can enrich and enable the EMDR process greatly. In this presentation we invite visitors to explore the visual aspects and possibilities of the EMDR process with us. Visitors will feel more adequate in using mimic, visual and imaging techniques with their clients. Video material will enrich our presentation. We will present in English and Dutch sign language. Our interpreter will translate the Dutch sign language in spoken English.

En nuestro trabajo terapéutico con EMDR con clientes sordos o con hipoacusia, nos vemos obligados a centrarnos mucho en el mundo visual. Sin embargo, ¡el énfasis en los aspectos visuales no solo es necesario con este grupo de pacientes! Cuando trabajamos con trauma acaecido durante el período pre-­‐verbal, con niños o con adultos que (aún) no dominan su lengua materna o cuando usamos EMDR con clientes que hablan un segundo idioma, tendremos que hacer uso de alternativas a las lenguas habladas. Cuando se emplea correctamente, el input visual puede enriquecer y capacitar el proceso con EMDR mucho. En esta presentación, invitamos a los visitantes a acompañarnos en nuestra exploración de los aspectos visuales y de las posibilidades del proceso con EMDR. Los visitantes se sentirán más apropiados con la utilización de la mímica y las técnicas visuales y de imagen con sus clientes. Los vídeos servirán para enriquecer nuestras presentaciones. Presentaremos en inglés y en el lenguaje de signos del neerlandés. Nuestra intérprete traducirá de lenguaje de signos neerlandés en inglés hablado.

Keywords: Visual Aspects of EMDR Process  

Accuracy Verified: Yes

60. Brewin, C. (2005, June). Memory and identity in PTSD:  Core processes underlying treatment efficacy. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
PTSD appears to incorporate two quite separate sets of processes. One is concerned with specific reactions to extreme threat. The encoding of long-lasting image-based memories interferes with the encoding of verbal memories that are necessary to represent the trauma as a past event and inhibit the reliving of the trauma. The second set of processes is concerned with the challenge the trauma poses to the victim's identity. "Trauma processing" leaves original memory representations intact and involves the construction of alternative memories that are helped to compete more effectively for retrieval in the presence of reminders of the traumatic event.

Keywords: Identity  Memory  Plenary  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

61. Alto, C. (2001, November). Meta-analysis of eye movement desensitization and reprocessing efficacy studies in the treatment of PTSD. Seton Hall University, South Orange, NJ. AAT 3015591.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new psychological therapy used in the treatment of PTSD and other disorders. EMDR is unique in that it combines sets of therapist-administered eye movements in conjunction with protocol-driven cognitive and affective processing related to past trauma. EMDR has become a controversial technique for reasons including a lack of explanation for why it works and stunning claims made for its efficacy in the literature. Despite a large amount of research over the past decade, EMDR has not before been studied meta-analytically in its own right.The present investigation used meta-analysis to examine the collection of EMDR PTSD studies available in the literature. The literature search resulted in a total of 21 studies, which met inclusion criteria. These primary studies in turn resulted in a collection of 118 effect sizes included in the analysis. Two separate analyses were conducted dependent on whether EMDR was compared to a no treatment control group or an alternative treatment control group. In addition to an overall estimate of the efficacy of EMDR in the treatment of PTSD represented through an effect size, five sub-hypotheses were investigated. First, it was hypothesized that RMDR would be more efficacious with a non-combat population than with combat-related PTSD. The second sub-hypothesis was that there would be significantly larger treatment effects associated with verbal report measures than with physiological outcome measures used in EMDR PTSD studies. Third, it was hypothesized that earlier EMDR studies would show larger treatment effects than more recent EMDR studies. The fourth sub-hypothesis concerned treatment dosage. It was hypothesized that there would not be significant differences based on the number of treatment sessions administered. Finally, it was hypothesized that the bilateral stimulation component of EMDR therapy would not contribute significantly to treatment effects. The analysis consisted of generating effect sizes in the form of standardized difference scores on the various outcome measures. Effect sizes were then grouped according to independent variable categories and averaged together. Before testing for between-group differences, homogeneity testing was completed. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(5-B), Nov 2001, pp. 2474.

Keywords: Empirical Study  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes

62. Fisher, J. A. (2008, June). Minding the body: Somatic interventions for enhancing EMDR effectiveness. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The use of EMDR is often complicated with traumatized clients who cannot modulate arousal, stay present rather than dissociating, tolerate positive or negative affect, or differentiate past and present. Beset with an array of baffling, intense symptoms that “tell the story” without words, they become uncertain both of what happened and how they endured it. To make sense of the sensations and overwhelming emotions, clients rely upon trauma-related cognitive schemas to interpret their experience: “I am still not safe,” “I am a marked woman,” “I am worthless and unlovable.” These cognitive schemas often increase the bodily dysregulation, resulting in looping or inability to fully process and integrate the traumatic events. With such clients, the use of body-centred techniques in preparation for or during EMDR processing can help to increase affect and autonomic tolerance, strengthen both somatic and psychological resources, and increase EMDR effectiveness by facilitating optimal levels of autonomic arousal, which is neither too high nor too low, however is necessary for successful desensitization and integration. This workshop will introduce a number of interventions for working with traumatically encoded somatic experience derived from Sensorimotor Psychotherapy, a bodycentred talking therapy for trauma developed by Pat Ogden, Ph.D. that addresses the non-verbal, autonomic components of PTSD by using the body both as a source of information and a reservoir of resources. Sensorimotor Psychotherapy offers simple body-oriented interventions for tracking, naming, and safely exploring trauma-related experience, modulating a dysregulated autonomic nervous system, creating new resources and competencies, and restoring a somatic sense of self. Sensorimotor Psychotherapy can be easily integrated into EMDR treatments, used during stabilization to prepare clients for more effective EMDR processing, during processing to ensure effective and complete desensitization, or to enhance installation of positive cognitions and facilitate integration.

Keywords: Somatic Psychotherapy  

Accuracy Verified: Yes

63. Fisher, J. A. (2005, September). Minding the body:  Working with the somatic legacy of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
As the price for surviving trauma, individuals are left with an inadequate memory record and a host of easily re-activated neurobiological responses. Trauma-related autonomic dysregulation prohibits processing and resolution, and the somatic responses, divorced from the events that caused them, are interpreted as data about the self or the world. This worksop will introduce approaches for working with traumatically encoded somatic experience using Sensorimotor Psychotherapy, a body-entered talking therapy that addresses these non-verbal, autonomic components by using the body as the entry point in treatment, rather than the event. Sensorimotor Psychotherapy offers simple body-oriented interventions for tracking, naming, and safely exploring trauma-related somatic activation, modulating a dysregulated nervous system, creating new resources and competencies, and restoring a somatic sense of self. Sensorimotor Psychotherapy can be easily integrated into EMDR and other trauma treatments and used to enhance installation of positive cognitions and resources or to facilitate processing and integrating of traumatic memories.

Keywords: Somatic Psychotherapy  

Accuracy Verified: Yes

64. Adler-Tapia, R., & Tapia, M. (2008). My EMDR workbook. Hamden, CT : EMDR Humanitarian Assistance Programs .

Language: English

Format: Book

Abstract:
This workbook allows the individual to work through the phases of the EMDR protocol in a tangible and visual manner. Originally designed for children and adolescents, this workbook has been used with clients of all ages who have reported how helpful the workbook is to understand and engage in the EMDR protocol. This workbook not only helps to explain the 8 phases of EMDR and the steps in the protocol, the book allows the client and therapist to track the process. The workbook is designed to allow the client to draw and write their own responses to the EMDR protocol and takes the protocol beyond a verbal cognitive understanding to a visual interactive process for the client. Each client can keep the workbook to use outside sessions or it can be used in the office during treatment. Therapists will want each client to have their own “My EMDR Workbook.”

Keywords: Workbook  

Accuracy Verified: Yes

65. Olff, M., Nijdam, M., Samuelson, K., Golier, J., Meewisse, M., Marmar, C., Yehuda, R., Gersons, B., & Neylan, T. (2007, November). Neuropsychological Symptoms in Posttraumatic Stress Disorder and Changes Over Time. Symposium conducted at the 23rd annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Neuropsychological symptoms in posttraumatic stress disorder and changes over time: Attention and memory problems are some of the most persisting and debilitating symptoms related to PTSD. This symposium will focus on neuropsychological symptoms in posttraumatic stress disorder with particular emphasis on changes over time or changes due to treatment.

Effects of psychotherapy on neuropsychological performance in PTSD: Two of the most common findings in neuropsychological studies of posttraumatic stress disorder (PTSD) are impairments of attention and verbal memory. This presentation addresses whether these impairments improve after trauma-focused psychotherapy. Data are presented from an ongoing randomized controlled trial comparing Eye Movement Desensitization and Reprocessing (EMDR) therapy (n = 70) and Brief Eclectic Psychotherapy (BEP; n = 70). Participants were outpatients diagnosed with PTSD after a type I trauma of different kind. Attention and memory were investigated before and after treatment using the following neuropsychological tests: Trail Making Test, STROOP task, California Verbal Learning Test and Rivermead Behavioral Memory Test. Different versions of the memory tests were administrated at pre- and postassessment in order to control for learning effects. Preliminary results of treatment completers indicate significant improvements of verbal memory and divided attention after both treatments. Differences between the treatments as well as the clinical relevance of the findings will be discussed.

Keywords: Neuropsychological Performance  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes

66. van der Kolk, B. A. (2010, July). New developments in the field of treatment of traumatized people. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This lecture will review our knowledge about how trauma changes the way mind and brain process information and discuss what this means for treatment. We will show how trauma shuts down the verbal part of the brain, stores undigested fragments of the past and affects somatic experience. Unable to focus on the present, traumatized people keep replaying the past over and over again until they can process and integrate the traumatic experience(s), thereby regaining the capacity to be fully engaged in the present.

Keywords: Developments  Keynote  Trauma  

Accuracy Verified: Yes

67. Smeltzer, N. J. (1998, February 2). New psychiatric treamtent is allowing emotional wounds to heal. Columbus, OH: The Columbus Dispatch, Home Final, News, 05C.

Language: English

Format: Newspaper

Abstract:
Any new treatment in psychiatry meets with skepticism, said Dennis Quigley, a licensed social worker at Ohio State University Medical Center. He said EMDR works best in helping people get over an anxiety without verbal discussion of the issue.

Keywords: Columus  Dennis Quigley  General  Overview  

Accuracy Verified: Yes

68. Silinger, P. (2005, February 28). Psychotherapy's new tool - "EMDR" takes aim at anxiety. The Easterner.

Language: English

Format: Other

Abstract:
"It's not really a verbal therapy," says Carrie Brown, a trauma victim who, after several EMDR sessions, overcame the negative self-perception that typically follows victims of sexual abuse.
Updated: Saturday, October 10, 2009

Keywords: Anxiety  General  Overview  

Accuracy Verified: Yes

69. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.

Keywords: Information Processing  Keynote  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

70. Stern, L. L., & Grey, E. (2010, September/October). A recipe for health: Combining expressive arts with EMDR in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Eating-disordered clients begin treatment with a series of unique and specific behavioral symptoms such as binge eating, bingeing and purging, starving themselves, or overexercising, that impede progress when using purely verbal therapies. The research team has found that the combination of expressive arts techniques and EMDR treatment can be highly effective in overcoming these impediments. This poster will briefly review basic knowledge and practice concerning the major eating disorders and their etiologies. We will then describe our therapeutic process that combines expressive arts with EMDR. This process includes (1) preparation of the client for EMDR treatment through the use of expressive arts techniques done in between sessions at home, (2) the use of client drawing and writing as targets when they appear to be a useful tool, (3) the use of a mirror exercise with BLS as a resourcing tool to address, desensitize and help the client reformulate body image distortion and body hatred, and (4) the reiniorcement of gains from reprocessing through the use of expressive techniques throughout treatment. This poster describes these additions to and modifications of the EMDR protocol with expressive arts techniques, as well as the results of a pilot experiment that compares outcomes for clients treated with expressive arts approaches, with and without EMDR.

Keywords: Eating Disorders  Expressive Arts  Poster  

Accuracy Verified: Yes

71. Parker, A., Buckley, S., & Dagnall, N. (2009, February). Reduced misinformation effects following saccadic bilateral eye movements. Brain and Cognition, 69(1), 89-97. doi:10.1016/j.bandc.2008.05.009 .

Language: English

Format: Journal

Abstract:
The effects of saccadic bilateral (horizontal) eye movements on memory for a visual event narrative were investigated. In the study phase, participants were exposed to a set of pictures accompanied by a verbal commentary describing the events depicted in the pictures. Next, the participants were asked either misleading or control questions about the depicted event and were then asked to engage in 30 s of bilateral vs. vertical vs. no eye movements. Finally, recognition memory was tested using the remember–know procedure. It was found that bilateral eye movements increased true memory for the event, increased recollection, and decreased the magnitude of the misinformation effect. The findings are discussed in terms of source monitoring, dual-process theories of memory and the potential neural foundations of such effects.

Keywords: Bilateral Eye Movements  False Memory  Hemispheric Interaction  Misinformation Effects  Source Memory  

Accuracy Verified: Yes

72. Matthews, T. (1992, Winter). REM correlated with emotional intensity not scanning in dreams. EMDR Network Newsletter, 2(3), 8-9.

Language: English

Format: Newsletter

Abstract:
Recent sleep research seems to be consistent with EMDR findings. The standard interpretation of Rapid Eye Movement (REM) during sleep is that they represent the dreamer’s visuals canning with the physical movement represented on his or her dream. Recent exploratory research by Hong et al. presented to the Association of Professional Sleep Societies did not find REM correlated with dream “movement” scores. Rather, REM correlated with measures of emotional intensity experienced during the dream and scored as dream themes: anger, verbal aggression, social attack, and surprise. “This finding seems consistent with our experience during EMDR.

Keywords: Rapid Eye Movement  REM  

Accuracy Verified: Yes

73. Thaxton, D. (2007, June). Star wars therapy: Integrating EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: EMDR with children can be clinically challenging. Traditional protocols are difficult to follow, especially with younger children. Unique to this approach, Star Wars therapy allows children to produce their own bilateral stimulation while the therapist installs verbal cognitive interweaves. Star Wars therapy facilitates the integration of resource installations; it provides children with an exciting venue to explore schemas and ego states resulting form trauma, abuse and neglect. Star Wars play therapy is a practical skill set for clinicians interested in integrating EMDR with children. Star Wars is unique in its immediate accessibility for children. The rich story line it provides them with accessible themes of good and evil, betrayal, injustice, universal hierarchy, and connectedness with “the force:’ the main characters act as primary archetypes. The body of this work is dived into two mains sections. The first section outlines Star Wars Play Therapy from a theoretical standpoint. The goal is to address the neurobiological, psychological, and attachment aspects which are the basis for treatment. The second reaction addresses the technique form a practical perspective. A complete clinical protocol is outlines, from conceptualization to execution of play, to the integration of EMDR instillations and trauma targeting.

Keywords: Children  Star Wars Therapy  

Accuracy Verified: Yes

74. Shapiro, F. (1994). Stray thoughts: Affect, imagery, and memory. EMDR Network Newsletter, 4(3), 1-3.

Language: English

Format: Newsletter

Abstract:
It has appeared me that affect plays a pivotal, and perhaps under It has appeared me that plays a pivotal, and perhaps under appreciated, role in the information processing we observe in EMDR therapy. I have found that the ability to achieve positive treatment effects is not based on the ability to retrieve images, but rather on the ability to tap into the network of dysfunctional material through the affect and connected body sensations. As I have explored in earlier Newsletters, in the Accelerated Information Processing model, the dysfunctionl information is typified by its storage in state-specific form, along with its inability to link up with more adaptive information characterized by different affect. In either case, the parallel positive or negative cognitions are merely constructions which are simply verbal manifestations of the affect. These verbalizations allow the dysfunctionally stored information to be more readily accessed which, in turn, stimulates physical sensations that can be both focal points for the client during processing, and indications of the degree of treatment success.

Keywords: Affect  

Accuracy Verified: Yes

75. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Sexologie, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 .

Language: English

Format: Journal

Abstract:
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged. Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities. In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches. Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance. The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological. Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.

Keywords: Dyspareunia  Dysesthetic Vulvodynia  Sexual Pain  Sexological Techniques  

Accuracy Verified: Yes

76. L'Abate, L. (1999). Taking the bull by the horns:  Beyond talk in psychological interventions. The Family Journal: Counseling and Therapy for Couples and Families, 7(3), 206-220.

Language: English

Format: Journal

Abstract:
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.

Keywords: Commentary  Computer Applications  Computer Assisted & Programmed Distance Writing Interventions  Oral Communication  Preference to Traditional Talk-Oriented Techniques  Therapeutic Processes  Written Communication  

Accuracy Verified: Yes

77. Punamaki, R.L., & Peltonen, K. (2008). Trauma among children and adolescents: Treatments and interventions. European Trauma Bulletin, 15(2), 3-13.

Language: English

Format: Newsletter

Abstract:

Keywords: Adolescents  Children  

Accuracy Verified: Yes

78. 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

79. Samardzic, D. (2010, August). Trauma and the body: The somatic experience in psychotherapy. John F. Kennedy University, Pleasant Hill, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
According to recent neuroscience research, psychological trauma disrupts homeostasis and can negatively affect various organs and biological systems (Solomon & Heide, 2005). Somatic therapy addresses the physiological elements of the trauma by focusing on the body, which, in turn, helps individuals cognitively and emotionally process trauma (Ogden & Minton, 2000; Levine, 1997). This qualitative study aimed to explore the experience of 5 participants who underwent ongoing somatic therapy in the treatment of symptoms associated with Posttraumatic Stress Disorder (PTSD). The results revealed twelve common essential elements among all the participants that illustrated their experience prior to and during the somatic therapeutic process. Some of the elements identified included: presence of severe trauma history of emotional, physical, and/or sexual abuse; failure to treat PTSD symptoms prior to somatic therapy; manifestation of PTSD in physical symptoms and/or illness; increasing awareness of body allowed access to trauma; newfound knowledge and tools gained in helping to manage triggers; and gaining a sense of physical and psychological freedom. Three additional essential elements were found that were not shared by all or most of the participants, which included: EMDR as unsuccessful in treating PTSD symptoms; healing through artistic expression; and ineffectiveness of psychotropic medication in the treatment of PTSD. A process was identified in which a non-verbal bodily experience became a verbal, intellectual, or cognitive experience. In addition, seven characteristics were identified within the transformative process of improving PTSD symptoms occurring during the somatic therapy. According to the participants’ reports, somatic therapy not only decreased their PTSD symptoms, but the process had a significant positive impact on the quality of their lives. This study’s findings highlight the potential of somatic therapy to help those dealing with the effects of psychological trauma.

Keywords: Body  Biological Systems  Somatic Therapy  Trauma  

Accuracy Verified: Yes

80. Cronauer, E., & Leutner, S. (2010, June). The trauma is in the body. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In this workshop the presenters will demonstrate how to get in touch and work with somatic ego states by simultaneously activating resourceful ego states in the body Participants will be informed about the impact trauma has on the body. They will learn how to apply EMDR combined with Gendlin's Focusing and Levine’s Somatic Experiencing to the special needs of traumatized persons in a live demonstration and subsequent exercises. Thus, getting the means to broaden the windows of tolerance of traumatized ego states. In this way psychotherapists will be able to supply their clients with a powerful tool for self-healing. The relation to EMDR is that our way of working facilitates the processing of body sensations related to trauma states, even if preverbal. Participants will be enabled while applying EMDR to take into account the need of traumatized clients to be in control by communicating with resourceful as well as with traumatized ego states thus facilitating the processing of trauma. Unique is that you first focus on body sensations on a deep unconscious level (bottom-up), so you directly access non-verbal trauma material which will then be processed carefully with EMDR. Also, the integration of EMDR makes body work more effective.

Keywords: Body  Trauma  

Accuracy Verified: Yes

81. Moskowitz, A. (2012, June). Trauma, dissociation and psychosis [Trauma, disociación y psicosis]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
What is the relationship between trauma, dissociation and psychosis? In this talk, I will discuss links between the historical concept of schizophrenia and dissociation, the meaning of ‘psychosis’, and interpretations of psychotic symptoms from a trauma/dissociation perspective. It is proposed that auditory verbal hallucinations or ‘voices’ are dissociative in nature, and that other psychotic symptoms may be related to traumatic experiences in a variety of ways.

¿Cuál es la relación entre trauma, disociación y psicosis? En esta charla se abordarán los puntos de conexión entre el concepto histórico de esquizofrenia y disociación, el significado de ‘psicosis’ y las interpretaciones de los síntomas psicóticos desde una perspectiva de trauma/disociación. Se propone que las alucinaciones auditivas verbales o ‘voces’ son de naturaleza disociativa y que otros síntomas psicóticos pueden estar relacionados de distintas maneras con experiencias traumáticas.

Keywords: Dissociation  Psychosis  Trauma  

Accuracy Verified: Yes

82. van den Berg, D. P. G., & van der Gaag, M. (2012, June). Treating trauma in psychosis with EMDR: A pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 664-671. doi:10.1016/j.jbtep.2011.09.011.

Language: English

Format: Journal

Abstract:
Background: Initial studies have shown that posttraumatic stress disorder (PTSD) can be effectivelytreated in patients with a psychotic disorder. These studies however used adapted treatment protocols, avoided direct exposure to trauma related stimuli or preceded treatment with stabilizing techniques making treatment considerably longer in duration. Method: An open trial in which adult subjects with a psychotic disorder and a comorbid PTSD (n = 27) received a maximum of six Eye Movement Desensitization and Reprocessing (EMDR) therapy sessions. PTSD symptoms, psychotic symptoms and additional symptoms were assessed at baseline and end-of-treatment. Results: The dropout rate was 18.5 percent (five subjects). Only five of the twenty-two completers (22.7%) still met criteria for PTSD after treatment. PTSD symptoms, auditory verbal hallucinations, delusions, anxiety, depression, and self-esteem all improved significantly. Paranoid ideation and feelings of hopelessness did not improve significantly. Treatment did not lead to symptom exacerbation in subjects. There were no adverse events, such as suicide attempts, self-mutilation, aggressive behavior or admission to a general or psychiatric hospital. Conclusions: This pilot study shows that a short EMDR therapy is effective and safe in the treatment of PTSD in subjects with a psychotic disorder. Treatment of PTSD has a positive effect on auditory verbal hallucinations, delusions, anxiety symptoms, depression symptoms, and self-esteem. EMDR can be applied to this group of patients without adapting the treatment protocol or delaying treatment by preceding it with stabilizing interventions.

Keywords: Auditory  Delusions  Pilot  Posttraumatic Stress  PTSD  Psychosis  Psychotic Disorder  Self-Esteem  Treatment  Verbal Hallucination  

Accuracy Verified: Yes

83. Mevissen, L. (2011, June). Treatment of people with developmental disabilities. How far can we go?. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
There is evidence to suggest that people with developmental disabilities are at greater risk to suffer from the disruptive effects of traumatic events. However, parents, teachers, caregivers and even clinicians who offer specialized outpatient treatments often lack awareness of this. In general, emotional and behavioural problems are attributed to other diagnosed disorders such as genetic syndromes, cognitive impairments, ADHD or autism. Taking history with regard to behavioural changes following overwhelming events appears not to be a common practice at all. Moreover, the expression of trauma symptoms as well as the interpretation of distressing experiences often differs in comparison with the general population. Furthermore, because of their limited communication skills, common treatment methods are not appropriate. As a result, this patient category seldom receives treatment for exposure to disturbing events, including apparent symptoms of PTSD. Preliminary research findings illustrate that EMDR, because of its strongly non-verbal character, seems to be an applicable, effective and efficient treatment method for this patient category. But how far can we go? During this workshop these findings will be presented, illustrated by many video clips of treatments of patients carried out in a centre for child and adolescent psychiatry and an outpatient treatment of adults with mental health problems. Special attention is given to creative adaptations of the EMDR protocol and the cooperation with parents, who are often traumatized themselves and have to be treated as well, either to make them able to function as a co-therapist or to strengthen their skills in educating a child with special needs. Learning objectives: After this workshop attendees will be aware of the specific expression of PTSD symptoms in people with various serious developmental disabilities and the various possibilities of EMDR treatment in this population.

Keywords: Developmental Disabilities  Treatment  

Accuracy Verified: Yes

84. 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

85. Wesselmann, D. (2013, April). Using EMDR to treat attachment trauma in adults and children. Preconference presentation at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.

Language: English

Format: Conference

Abstract:
Trauma experienced within the earliest attachment relationships leave children and adults at great risk for the development of psychiatric disorders. Maltreatment by attachment figures and traumatic losses are both closely associated with attachment disorganization, the attachment category identified in 70% of patients in psychiatric hospitals. Research shows insecure and disorganized attachments to be transmitted transgenerationally at a rate of between 70 and 80%.Adults and children with disturbed attachments frequently experience severe emotional dysregulation along with intense feelings of despair, anxiety, shame, and mistrust of others. Affected children and adults frequently lack helpful or adaptive information or insights and exhibit behaviors that elicit negative responses from those around them. Due to heavy defenses and poor self-regulation and self-awareness, patients suffering from attachment trauma are traditionally difficult to treat. However, with proper adaptations, the EMDR approach becomes a powerful method for healing attachment injuries in adults, children, and parent-child dyads. Participants will learn creative methods of adapting EMDR for the special challenges that accompany attachment injury. Participants will learn to utilize attachment resource development techniques designed to strengthen the capacity for closeness, trust, and self-compassion. They will discover how to coach an attachment figure to provide emotional regulation and help with cognitive interweaves. Participants will be able to write a therapeutic story to help process pre-verbal trauma and develop adaptive information for successful reprocessing. Creative interweaves, contained reprocessing, and methods for weaving together of past, present, and future will help participants experience successful EMDR with their most challenging cases. Case studies, video, and EMDR/attachment research will be presented.

Keywords: Adults  Children  Trauma Attachment  

Accuracy Verified: Yes

86. Paulsen, S. (2006, September). Using EMDR with individuals with austistic spectrum disorders – A protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Individuals with Autism have a number of complex differences that make Trauma processing exceptionally difficult. In order to use the eight step protocol with these individuals, preparation and some modifications are necessary. The process presented in this workshop will provide some general information about the characteristics of autistic individuals, step by step skill training to precede the EMDR process, the use of Carol Gray's Social Stories to help clarify those targets and situations being processed, and the EMDR protocol with slight adaptations for individuals with speech and language impairments. Also included are cautions for using EMDR with this population due to their complex differences. This process has been used successfully with individuals across the Autistic Spectrum as well as individuals with Asperger's Syndrome and other developmental disorders including Williams Syndrome. This has been developed over a 7 year span. This step by step program has been successful with abused individuals with global developtnent delays, significantly impaired speech and language abilities, and significant cognitive disabilities. Following use of the EMDR process, individuals have dcmonstrated a significant reduction in symptoms, increased verbal ability, as well as improved social relationships and self-regulation skills. These improvements have remained over time.

Keywords: Autistic Spectrum Disorder  

Accuracy Verified: Yes

87. Nijdam, M., de Vries, G.-J., Gersons, B., & Olff, M. (2011, June). Verbal memory as a predictor of treatment outcome in brief eclectic psychotherapy for PTSD and EMDR. Symposium at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Keywords: Brief Eclectic Psychotherapy  Posttraumatic Stress Disorder  PTSD  Symposium  Treatment Outcome  Verbal Memory  

Accuracy Verified: Yes

88. Martinez, M. (2001, June 25). Waking from the nightmare. El Paso, TX: El Paso Times, Relationships, 03D.

Language: English

Format: Newspaper

Abstract:
Many therapies and treatments are used to treat PTSD. Cognitive behavioral therapy, or verbal counseling, combined with medication is the most common. But experts are also using eye-movement desensitization and reprocessing, or EMDR, which was developed in 1987. In it, the patient discuss the traumatic event while the therapist conducts the directional eye movement therapy.

Keywords: El Paso  General  Overview  

Accuracy Verified: Yes

89. Crystal, S. (2009, March). “And they lived happily ever after”: EMDR and the use of stories for traumatized children and adolescents. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
The use of EMDR with younger age children presents extra challenges for the practitioner who often needs to include the child’s parents/carers as a resource in the treatment process. Parents /carers can become the child’s spokesperson through creating a narrative of the child’s story. Based on the work of Joan Lovell, the EMDR protocol is assimilated and adapted to suit the diversity of each child’s unique experience through the process of story writing where the traumatic events are digested and processed with the help of the protective parental figure(s). The presentation will illustrate through the use of clinical material (video; drawings; collage; etc) how the practitioner can develop a multitude of creative means to access the pre-verbal or the severely traumatized young child; for whom we need to step “outside the box” and transform the EMDR protocol to suit each child’s needs.

Keywords: Adolscents  Children  Stories  Symposium  

Accuracy Verified: Yes