Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.

Keywords: Children Dissociation

Accuracy Verified: Yes

2. Whisman, M., Bruzzesi, D., Ogren, D., Korn, D., Moore, P., Murphy, J., Hoffman, S., & Rouanzoin, C. (2001, June). "Once upon a trauma in Austin". Skit presented at the annual meeting of the EMDR International Association, Austin, Texas.

Language: English

Format: Other

Abstract:
Cerebella, a gifted facilitators, is teaching a level I training in Austin when fire alarms in the hotel lobby suddenly create fear and panic in our heroine.
Unable to overcome her trauma on her own, she seeks the help of a renknown EMDR therapist, Dr. Bilatera, a senior associate in the Clinical and Research Mental Health Institute of Dewey, Treat Em and Howe.
Narrator - Marcia Whisman, Amy Glia - Donna Bruzzesi, Hipo Campia - David Ogren, Video Cortexa - Debbie Korn, Anterior Cingulata - Peggy Moore, Broca Aria - Jerry Murphy, Prefrona Lobia - Sue Hoffman, Dr. Bilatera - Curt Rouanzoin, and Imprimatur - His excellency, the most cerebral Mens Sana

Keywords: Skit

Accuracy Verified: Yes

3. Oz, S. (2005). The "wall of fear": The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14(3), 23-47. doi:10.1300/J070v14n03_02.

Language: English

Format: Journal

Abstract:
A multitude of published books and papers on child sexual abuse (CSA) describe symptoms, long-term effects, and therapy for survivors of abuse. However, the parallels between the nature of the sexual trauma event(s) as originally experienced by the victim and the therapeutic process into which the survivor later becomes engaged have not been reported. This paper attempts to fill that gap and proposes that the concept of a "Wall of Fear" is the bridge connecting the two. In the first part of the paper, a model of the CSA experience based upon Furniss will be explained in order to point out the basis for the dissociation and other symptomology demonstrated by the CSA victim. Following that, the stages of therapy will be mapped out, with special attention to the concept of the Wall of Fear and traumatic memory resolution (abreactions) and with reference to the experience of the original traumatic events. Therapist fear of decompensation will be addressed. [Author Abstract]

Keywords: Child Abuse Rape Survivors Effects Psychotherapeutic Processes Adults Body Psychotherapy TIR Traumatic Incident Reduction

Accuracy Verified: No

4. 市井雅哉, 熊野宏昭 [Ichii Masaya & Kumano Hiroaki]. (1996). 急性ストレス障害の阪神・淡路大震災被災者に対する眼球運動による脱感作法(EMD)の適用ブリーフサイコセラピー研究 [Eye movement desensitization by Kobe earthquake victims with acute stress disorder (EMD) application]. ブリーフサイコセラピー、5、53-70の日本人会 [Japanese Association of Brief Psychotherapy, 5, 53-70].

Language: Japanese

Format: Journal

Abstract:
著者らは、EMDを（眼球運動脱感作）阪神淡路大震災から受けたとのASD（急性ストレス障害）の生存者として1ヶ月と診断地震次の2つの女性に適用されます。セッションの中で、彼らの恐れが減少した。その結果、EMDには、ASDクライアントのPTSDを防ぐために使用できることを示した。 25歳焦がすの女性は当初、外傷に関連する画像（例えば、火）、8の初期SUDにレベルを訴えた。眼球運動（EM）の苦痛のレベルの4つの後に0に減少した。眼球運動の7番目のセット後、彼女はそれが終わると、"として完全に本当だった認知"を評価した。 5ヵ月後には、これらの治療の変更が症状のいずれか再発することなく維持された。関連は、この場合、二次的利得と自己使用で議論された。また、結婚28歳の女性、EMDの治療のセッション中に恐怖感の強いreexperienced地震に関連する症状。迅速SUDには0のレベルに減少したEMの11セットの後に恐れている。同時に、彼女は彼女が望ましい認知または"すべては疑いの余地なくすべての権利"は信じられないと報じた。方法はEMDを適用することで画像や正認知の治療に議論された。また、症状の適用範囲やEMDとEMDRの違いが議論された。

Authors applied EMD (Eye Movement Desensitization) to two women who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD (Acute Stress Disorder) survivors one month following the earthquake. Within a session, their fears were diminished. The result showed that EMD can be used for ASD clients to prevent PTSD. A 25 year-old singe woman initially complained of trauma-related imagery (e.g., fire) with an initial SUD level of eight. After four sets of Eye Movement (EM) the level of distress decreased to 0. After the seventh set of eye movement, she rated the cognition "it was over," as completely true. Five months later, these therapeutic changes were maintained without any relapse of symptoms. Associated with this case, secondary gain and self use were discussed. In addition, a married 28-year-old woman, reexperienced earthquake-related symptoms with a strong sense of fear during the therapy session of EMD. The fear quickly decreased to a level of 0 on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or "everything is all right" without any doubt. The way to treat imagery and positive cognition in applying EMD was discussed. Furthermore, an applicable range of symptoms, and the differences between EMD and EMDR were discussed.

Keywords: Acute Stress Disorder ASD Earthquake Kobe

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy

Accuracy Verified: Yes

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

Language: Chinese

Format: Conference

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

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

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium

Accuracy Verified: Yes

7. 市井雅哉 [Ichii Masaya]. (1997年12月). 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用 : ストレス障害に対するストレスの少ない治療法 [Application of eye movement desensitization and reprocessing (EMDR) to ASD survivors of the Great Hanshin-Awaji Earthquake: Treatment with less stress for stress disorder]. バイオフィードバック研究、（24）、38から44 [Japanese Journal of Biofeedback Research, (24), 38-44].

Language: Japanese

Format: Journal

Abstract:
市井雅哉眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用: ストレス障害に対するストレスの少ない治療法バイオフィードバック研究日本バイオフィードバック学会
阪神・淡路大震災の被災者で急性ストレス障害を呈した2名の女性に対して震災1ケ月後にEMDRを適用した.いずれも1セッションで地震への恐怖感は消失した.EMDRをPTSDやASDといったストレス障害の治療に用いることの有効性が示された.治療技法としてのEMDRの特徴として、即効性,クライエント・治療者双方に対してのストレスの少なさを指摘し,作用機序についてこれまで提唱されている仮説について紹介した.

The Author applied EMDR (Eye movement desensitization and reprocessing) to two women survivors, who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD one month following the earthquake. Within a session, their fears of the earthquake were diminished. The results showed that EMDR is effective for stress disorders like ASD or PTSD. A 25-year-old single woman initially complained of trauma-related imagery (e.g. fire) with an initial SUD level of eight. After four sets of eye movement (EM) the level of distress decreased to zero. After the seventh set of EM, her rating of cognition as "it was over" went up to "completely true." Five months later, these therapeutic changes were maintained without any relapse of symptoms. A married 28-year-old woman, re-experienced earthquake-related symptoms with a strong sense of fear during a therapy session of EMDR. The fear quickly decreased to a level of zero on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or that "everything is all right" without any doubt. The author pointed out that the therapeutic characteristics of EMDR are rapid effectiveness and less stress for both clients and therapists. Also some hypotheses of working mechanisms of EMDR were introduced.

Keywords: Acute Stress Disorder Clinical Case Study Earthquake Empirical Study Females Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

8. 生月誠 , 田上不二夫 [Ikezuki Makoto, and Tagami Fujio]. (2003年12月). 視線恐怖の治療メカニズム [Terror mechanism eye treatment]. 教育心理学研究, 51(4), 425-430 [Educational Psychology, 51 (4), 425-430].

Language: Japanese

Format: Journal

Abstract:
本研究では,視線恐怖を主訴とする被験者の,視線恐怖軽減のメカニズムを解明することが目的である。実験1では,言語反復を含むリラクゼーションによる脱感作の手続きを,実験2では,拮抗動作法による脱感作の手続きを用いた。いずれも,自己視線恐怖より,他者視線恐怖の軽減に効果的であり,distractionが視線恐怖軽減の重要な要因となることが示唆された。また,自己視線恐怖は自己の視線に関する独特の認知を伴っ …

In this study, the subjects complained of fear that someone, the goal is to elucidate the mechanism of reduced eye phobia. In Experiment 1, the relaxation process of desensitization by repetitive language, including, in the second experiment, using a desensitization procedure by antagonistic action. Both look over fear, self and others effectively to reduce eye phobia, distraction was suggested to be an important factor in reducing the look of fear. The look of fear on the unique self-awareness accompanied by their own eyes ...

Keywords: Fear Terror

Accuracy Verified: Yes

9. Kuhn, G. (2008). 采用EMDR技术对消极表现经历的情绪再加工 [Emotional reprocessing of negative performance using the EMDR technique]. 天津体育学院学报第03期 [Journal of Tianjin University of Sport, 155(3)] .

Language: Chinese

Format: Journal

Abstract:
许多运动员在他们的职业生涯中都经历过在特定情境中承受反复的身心障碍（如恐惧对手，所谓的"不堪一击"，双腿灌铅）。

Many athletics have the experiences of suffering from repeating somatopsychic disorder in a given situation in their career life, such as fear of opponents, i.e. “cannot withstand a single blow”…).

Keywords: Emotional Reprocessing Negative Performance Practice Theory

Accuracy Verified: Yes

10. Koshal, A. (2010, June). The 4-fields-technic in the traumatherapy of complex traumatized and drug-addicted people (in methadone-treatment). In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Nowadays several international studies demonstrate that the problem of drug-addiction is very often found in combination with complex traumatization in early childhood and youth. (Felitti. 2903; Kufner et al. 2000; Langeland et al. 2006; Schmidt, 2000 etc.) As we all know PTSD and the other trauma symptoms cause a lot of psychophysical dysregulation. So the psychiatrist Khantrian postulated already 1985 the "self-medication hypothesis of addictive disorders". Janina Fisher, Trauma Center Boston, 2000, called this assumed combination of trauma-consequences and drug-addiction, "compensatory strategies aimed at self-regulation" In many years of working with drug-addicted people it became very obvious that a high percentage of this people are using drugs, for example to calm down after being aggressive, may be caused by an argue: or to reduce strong inner tensions; to sleep without nightmares, to alleviate the feeling of helplessness and fear etc. Drugs and alcohol do reduce all the mentioned symptoms for a while. To learn to cope in another, more adaptive way, the addicted people need to learn alternatives strategies for a good functioning self-regulation. After stabilization, the trauma therapy can start, so the patient can reduce some of the sources of psychophysiological dysregulation. Even when the addicted people still get methadone psychotherapy is possible. Practical experience over a long time. started 1990, did show a lot of successful treatments and that methadone does not interfere a traumatherapy. The 4-Fields-Technic is a special method of EMDR that was developed by Jarero et al. 1997 in Mexico after a hurricane disaster. Dorothee Lansch modified the group method into a therapy-setting for single persons. For complex traumatized and drug-addicted people this technic is very helpful. The focus is more easy to keep in mind, - in front of the eyes. In the 4-Fields-Technic the patient focuses on a self-painted picture, that represents the worst part of a trauma experience. The patient keeps his focus on this picture, combined with bilateral stimulation, till he feels the picture should be changed. And so the process is going on till finished. The participant will be able to learn: - about the correlation between complex trauma and drug-addiction - that drug-addicted people who get methadone are able to do trauma therapy -the 4-Fieids-Technic as a method to create resources. Psychotherapy and specially psychotraumatherapy with drug-addicted people who are as well in a methadone-treatment is for many therapists still controversial. This presentation will give you an idea how good it can work, based on various case series.

Keywords: 4-Fields-Technic Complex Trauma Drug Addiciton Methodone Treatment Symposium

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

12. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.

Language: Spanish

Format: Conference

Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas. El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos. Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo. En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento. Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas. Objetivos específicos: 1. Ser capaz de describir e identificar las manifestaciones del trauma. 2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma 3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio 4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos 5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve. Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos. La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender. Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es. Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan. En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa. Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima. Procedimientos: - El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios. - Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado. - Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.

The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances. Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors. Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it. Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought. The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative. Specific objectives: 1. Be able to describe and identify the manifestations of trauma. 2. Learn and describe two brief therapeutic techniques in the treatment of trauma 3. Define a short therapeutic technique that can be used to promote change 4. Outline the role of the therapist or during treatment of injuries 5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques. Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy. The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood. Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not. Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek. In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house. Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem. Procedures: - The workshop will be taught in Spanish and students will receive extensive additional brochures. - Will be held in a single day, in morning session and afternoon theory to practice, working each model separately. - Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.

Keywords: Brief Therapy

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Addictions Substance Abuse Symposium

Accuracy Verified: Yes

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

Language: Turkish

Format: Journal

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

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

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

Accuracy Verified: Yes

15. de Jongh, A. (2005, November). Angstjes, angsten en fobieën: Hoe pak je het simpel aan met EMDR? [Anxiety, fears and phobias: How to go about it simple with EMDR?]. Presentatie op de eerste congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
EMDR is een gevalideerde behandelmethode voor psychisch trauma. Maar niet altijd leidt het meemaken van een vervelende gebeurtenis tot PTSS: angsten of fobieën zullen veel vaker het gevolg zijn. In veel gevallen is de behandeling van een fobische stoornis zelfs een stuk lastiger dan van een PTSS. Dit komt omdat er meer geheugenrepresentaties moeten worden bewerkt. Een complicerende factor in de behandeling kan verder zijn dat we te maken hebben lastig, ingesleten vermijdingsgedrag (bijv. bij sociale angst) of dat een bepaalde stimulussituatie objectief vervelende kantjes heeft (bijv. bij sommige medische angsten). In deze workshop leren de deelnemers:
- een handige manier om angsten te diagnosticeren en casuïstiek te conceptualiseren in termen van EMDR - te beslissen in welke gevallen EMDR is aangewezen, wanneer een cognitief gedragstherapeutische aanpak (of een combinatie) beter geschikt is en hoe deze behandeling eruit ziet - gericht angsttargets te identificeren en snel tot de juiste NCs en PCs te komen - cliënten voor te bereiden op moeilijke of relatief onveilige stimulussituaties
Het materiaal wordt gepresenteerd aan de hand van videobeelden, demonstraties en oefeningen. De workshop is geschikt voor ervaren en minder ervaren behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd.

EMDR is a validated treatment for psychological trauma but does not require the experience of an unpleasant event for PTSD: fear or phobias are more often the result. In many cases, the treatment of a phobic disorder even more difficult than one PTSD. This is because more memory representations should be modified. A complicating factor in treatment may also be that we are facing difficult ingrained avoidance behavior (e.g. social anxiety) or that a certain objective stimulussituatie nasty lace has (e.g. some medical fears). In this workshop participants learn:
- A convenient way to diagnose anxiety and case studies to conceptualize in terms of EMDR - To decide cases in which EMDR is appropriate when a cognitive behavioral approach (or a combination) is more suitable and how this treatment looks - Terror targets aimed to identify and quickly correct the NCS and PCs to come - Clients to prepare for difficult or relatively unsafe stimulussituaties
The material is presented on the video footage, demonstrations and exercises. The workshop is suitable for experienced and less experienced practitioners, both in the field of adults and children and youth.

Keywords: Anxiety Fears Phobias

Accuracy Verified: Yes

16. Roker, A. (2000, May 24). Ann Curry faces her fear of sharks. NBC News.

Language: English

Format: Video

Abstract: Curry: The theory behind this therapy, often called EMDR, is that when a disturbing event occurs, it can get locked in the nervous system with the original picture, sounds, thoughts, and feelings. The eye movement purportedly serves to unlock the nervous system and allow the brain to process the unconscious painful memories.

Keywords: General Overview Sharks

Accuracy Verified: No

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

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

Language: Italian

Format: Conference

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

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

Keywords: Postpartum Depression RDI Resource Development and Installation

Accuracy Verified: Yes

19. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come : - la velocità di intervento; - l’ esigenza di applicare protocolli rapidi ed efficaci. La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia); l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici. Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali: -PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione). -disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie). Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate. Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.

Psychological intervention in the hospital has special features that meet certain characteristics such as: - The speed of intervention; - 'S need to implement protocols for rapid and effective. The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography); effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms. Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as: -PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) . -Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy). In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations. Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.

Keywords: Hospitals Treatment

Accuracy Verified: Yes

20. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
“Where I am? I am somewhere between heaven and earth, but I don't know where exactly." "My therapist waited for my anger, but it just isn't there...nowhere” – “I can't imagine anything helpful when I feel bad, I just don't have the energy... it's all too much for me." – “I just want to give up...” Reaction to traumatic events can vary a lot. This is true even when a PTSD has been diagnosed. Contrary to the 'classical' hyper-arousal response to traumatic memories there is also a different pattern of response that is characterized by a lack of an increase in heart rate, and very different pattern of neural activations, despite having a severe case of acute and subsequent PTSD'[l] and may go along with (peri- and posttraumatic) dissociation, emotional numbness, exhaustion, withdrawal and depression. The above statements belong to people with this pattern of response who have experienced subsequent difficulties already in the stabilization phase of their trauma-therapy. First, I will present an understanding of this symptomatology, the hypothesis being a predominance of the dorsal vagal system (see: Polyvagal Theory [2] and activation of the early withdrawal reflex (or: fear-paralysis reflex). This goes along with particular cognitive and especially emotional and physical features. Second, I will present a way to work with this condition, taking into account that the completion of "interrupted action." In this case does not imply an outward (fight or fight response) but an inward orientation withdrawal). EMDR with an adjusted protocol and tactile bilateral stimulation provides the way to process and pull through this interrupted (or unsatisfied) organismic withdrawal and the fear mostly associated with this process. Returning from this deep and primary withdrawal from life brings back the energy and the patient turns back towards life; vagal predominance subsides and the stuck impulse to withdraw releases. 1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual Differences in a Husband and Wife Who Developed PTSD After a Motor Vehicle Accident: A Functional MRI Case Study. Am J Psychiatry 160:4. April 2003, p. 668. 2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123-146. Learning objectives: 1. Recognize dorsal vagal predominance and primary withdrawal after trauma, 2. Understand the different orientation of interrupted action/ trauma scheme, 3. Know how to help withdrawal-patients to stabilize and process with adjusted EMDR-protocol and tactile or auditory bilateral stimulation. New and unique: Identifying this withdrawal-type of traumatic reaction and scheme, understanding it with the help of Polyvagal Theory and development of EMDR- adjusted protocol and way to process this.

Keywords: Primary Withdrawal Symposium

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

Keywords: Complex Trauma

Accuracy Verified: Yes

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

Language: Dutch

Format: Magazine

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

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

Keywords: Oral Implant Posttraumatic Stress Disorder PTSD Tooth Root

Accuracy Verified: Yes

23. 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

24. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201. doi:10.1007/s00399-011-0148-8.

Language: German

Format: Journal

Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.

In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.

Keywords: Acute Stress Disorder Anxiety ASD Cardiology Depression ICD Shocks Internal Medicine Posttraumatic Stress Disorder PTSD Treatment Manual

Accuracy Verified: Yes

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

Language: Dutch

Format: Newsletter

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

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

Keywords: Reprocessing Stabilization

Accuracy Verified: Yes

26. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used, the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach, Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework. Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a person has experienced and the way in which they have interpreted, experienced and stored them that is most important in determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's own idiosyncratic set of vulnerabilities, his/her schemas or life themes. One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press, Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives, Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are stored. (Use 'Types of Fruit' metaphor here.) Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and the client to be aware of these issues. Also, it can be very helpfull in your couples work. Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable. How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned once again. Might this interpretation allow both of them to respond in ways helpful to the relationship? With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the usefulness of the conceptualization you did or the problems you ran into when you didn't. Case # 1 Case discussion. Case presentations and discussion by participants.

Keywords: Conceptual Issues

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Attention Bereavement Dreams Eye Movements Metaphors REM Sleep Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Birth Defects

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Bilateral Stimulation BLS Brief EMDR Spider Phobia

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

31. Shapiro, F. (2012). Can you benefit from EMDR therapy?. Psych Central. Retrieved from http://psychcentral.com/lib/2012/can-you-benefit-from-emdr-therapy/ on 4/18/2012.

Language: English

Format: Other

Abstract:
That’s where EMDR therapy can help. While EMDR cannot remove a problem caused by genetics or organic injury, the research indicates that even in these cases negative life experiences can exacerbate problems. When a person is held back from doing things he or she would like to do by feelings of insecurity, anxiety, fear, or unremitting sadness, or is pushed into doing things that are not useful — such as overreacting to people or situations — the reason can generally be found in the memory networks. Many times the problems are unprocessed memories from the past that are poisoning the present.

Keywords: General Overview

Accuracy Verified: Yes

32. Boore, J. (1993, Fall/Winter). Case history: A client unable to track. EMDR Network Newsletter, 3(2), 17-18.

Language: English

Format: Newsletter

Abstract:
I recently worked with a woman in her early forties who, for the better part of our sessions, could not track my moving fingers. She presented as highly distraught and reported that her husband of 14 years had just left the marriage the week before our session. This woman, who has been a therapist for nearly two decades, wandered distractedly about my office, touching things, and barely able to speak. She has no known medical problems, other than myopia, and takes no meciications. I had used EMDR with her six months earlier on her fear of flying with no noticeable (to me) tracking difficulty, although she commented on how difficult tracking was for her then.

Keywords: Case Report Tracking

Accuracy Verified: Yes

33. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-24.

Language: English

Format: Journal

Abstract:
Torture is used to create fear, destroy individuals and communities, and to suppress unwanted political or religious views. The survivor of torture often endures significant physical and psychological trauma. The basis for treating this trauma varies according to individual needs, community resources, programme designs, and cultural acceptance. The case presented here focuses on torture occurring during the Bosnian conflict of 1992 and demonstrates how the utilisation of a community-based, multidisciplinary network model can be effective in helping survivors through the recovery process. The unique circumstances of the study identify factors of imprisonment, rape, deprivation, physical violence and, particularly, body mutilation through tattooing. [Author Abstract]

Keywords: Bosnians Case Report Cognitive Therapy Depressive Disorders Disfigurement Drug Therapy Females Generalized Anxiety Disorder Middle Aged Muslims Plastic Surgery Treatment Posttraumatic Stress Disorder PTSD Refugees Survivors Torture Yugoslav of Secession

Accuracy Verified: Yes

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

Language: Dutch

Format: Book Section

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

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

Keywords: Depression Traumatic Mourning Panic Attacks Woman

Accuracy Verified: Yes

35. ten Broeke, E. (2009). Casus 11 – ‘Ze moeten me niet… en dat is terecht’: Zelfbeeldreparatie bij een sociaal angstige jonge vrouw [Case 11 - “They do not like me ... and rightly so": Self-image repair in a a socially anxious young woman.]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 169-178). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_17.

Language: Dutch

Format: Book Section

Abstract:
Suzanne is 30 jaar als ze zich aanmeldt voor behandeling van al lang bestaande en zich steeds verder uitbreidende angst en onzekerheid in het contactmet mensen. Het is niet de eerste keer dat zij behandeling zoekt. Een aantal jaren eerder werd zij behandeld met een min of meer geprotocolleerde cognitieve gedragstherapie binnen een Riagg. De resultaten vielen echter tegen en hoewel zij een aantal zinvolle gedragsveranderingen doorvoerde en zich had getraind in een meer realistische manier van denken, staakte zij teleurgesteld de behandeling. Niet in het minst omdat de behandelaar geen mogelijkheden zag de behandeling aan te passen aan het specifieke van Suzannes klachten. Nu zoekt Suzanne opnieuw hulp. Ze heeft via-via gehoord dat EMDR – in combinatie met cognitieve gedragstherapie – vaak goede resultaten geeft bij (sociale) angst.

Suzanne is 30 years when they register for treatment of longstanding and ever expanding contactmet fear and insecurity in people. It is not the first time they seeking treatment. A few years earlier she was treated with a more or less within a manualized cognitive behavioral Mental Health. The results were, however, opposed and even though they had implemented a number of meaningful changes in behavior and had trained in a more realistic way of thinking, disappointed they stopped the treatment. Not least because the therapist saw no possibility of treatment to suit the specific complaints of Suzanne. Now looking for help again Suzanne. She has heard through-via EMDR - in combination with cognitive behavioral therapy - often with good results (social) anxiety.

Keywords: Self-Image Social Anxiety Women

Accuracy Verified: Yes

36. Mevissen, E. (2009). Casus 15 – Groetjes van de tandarts: Meisje met ernstige verstandelijke beperking en ingrijpende medische voorgeschiedenis [Case 15 - Greetings from the dentist: Girl with severe intellectual disabilities and a comprehensive medical history]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 229-241). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_23.

Language: Dutch

Format: Book Section

Abstract:
Nina is 10 jaar oud als ze bijmij wordt aangemeld. Voor de ouders zijn Nina's hevige angsten het kernprobleem. Ze hebben altijd overal oplossingen voor kunnen vinden, maar als de paniek bij Nina toeslaat en Nina blokkeert, dan helpt geen enkel pedagogisch middel meer. Nina heeft last van paniekaanvallen als ze (para)medische behandelingen moet ondergaan. De angst voor ziekenhuizen en artsenbezoeken is het sterkst. In verband met haar aandoening moet zij iedere zes weken naar de oorarts. Deze bezoeken zijn het allermoeilijkst. Haar angsten zijn ook het gewone dagelijkse leven gaan beheersen. Dan is de aanleiding voor een paniekaanval niet altijd zichtbaar.

Nina is 10 years old when they bijmij notified. For Nina's parents are strong fears the core problem. They have always been able to find solutions for anywhere, but when the panic strikes and Nina Nina blocks will help any teaching tool anymore. Nina suffers from panic attacks if they (para) medical treatments. The fear of hospitals and medical care is the strongest. Due to her condition must every six weeks to the audiologist. These visits are the most difficult. Her fears are normal everyday life to dominate. Then the reason for a panic attack is not always visible.

Keywords: Dentistry Intellectual Disability

Accuracy Verified: Yes

37. de Roos, C. (2009). Casus 6 – Van nutridrink tot pizza: Een 17-jarige jongen met slikangst na het overlijden van zijn oma [Case 6 - From fluid food to pizza : A 17-year-old boy with fear of swallowing after the death of his grandmother]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 109-120). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_11 .

Language: Dutch

Format: Book Section

Abstract:
Stefan wordt in verband met slik- en benauwdheidsklachten door de huisarts verwezen naar de kinder- en jeugdafdeling van de GGZ. De klachten bestaan dan al een half jaar.

Stefan is associated with swallowing problems and distress by the GP referred to the department of child and adolescent mental health care. The complaints are already half years.

Keywords: Swallowing

Accuracy Verified: Yes

38. de Jongh, A. (2009). Casus 9 - Angst voor misselijkheid en braken: Een 35-jarige vrouw wier leven wordt beheerst door haar angsten [Case 9 - Fear of nausea and vomiting: A 35-year-old woman whose life is governed by her fears ]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 147-155). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_15.

Language: Dutch

Format: Book Section

Abstract:
Marijke, 35 jaar, getrouwd met Joop (38 jaar) en moeder van twee jongens (6 en 8 jaar), heeft via-via gehoord dat ik mensen behandel met braakangst. Ze heeft al bijna haar hele leven een extreme angst voor overgeven, maar heeft hier nooit hulp voor gezocht. Zij wist bijna niet beter en deed er daaromalles aan om te voorkomen dat ze zou zien dat anderen, bijvoorbeeld haar eigen kinderen, over hun nek zouden gaan. Ze was bang dat ze daardoor zelf misselijk zou kunnen worden en zou moeten braken. Marijke vermeed allerlei situaties, waaronder bezoek aan ziekenhuizen. Ook durfde ze niet naar bepaalde tv-programma's en films te kijken uit angst dat dit haar zou confronteren met mensen die ziek zouden kunnen zijn (en dus zouden kunnen braken). DoordatMarijke in haar leven langzamerhand steeds meer van deze situaties uit de weg was gegaan, was haar leefwereld behoorlijk ingeperkt geraakt.

Maria, 35 years old, married with Joop (38 years) and mother of two boys (6 and 8 years), has over-heard from people that I treat with breaking fear. She has most of her life an extreme fear of vomiting, but this has never sought help for. She did not get much better and so did everything to prevent them would see that others, including her own children were going about their necks. She was anxious about itself could be sick and should vomiting. Marijke avoided all situations, including visits to hospitals. Also, she dared not go to certain TV programs and watch movies for fear that it would lead to people who might be sick (and thus might vomit). DoordatMarijke in her life slowly increasing number of these situations from the road was gone, her world had become quite restricted.

Keywords: Fears Nausia Vomiting

Accuracy Verified: Yes

39. Burns, M. (2009, March). The challenges of using EMDR with refugee and asylum seeking children/adolescents. Symposium conducted the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
This paper discusses the use of EMDR with refugee and asylum seeking children and adolescents using clinical case examples and shares the clinician’s own personal reflections on the lessons learned. The challenges of working with this group are explored drawing on research findings as well as the clinician’s experiences. Language and cultural differences can act as barriers to assessing children’s mental health or their suitability for EMDR even though in some cases it might be thought of as the treatment of choice. Working with Interpreters is often a key feature of this therapeutic work. The challenges are discussed with direct reference to The British Psychology Society’s recently published guidelines. There are ongoing stresses for these children and young people associated with displacement and their current situation in the UK. These stresses contribute to their psychological distress. Fear of being sent home or mistrust may also prevent them from providing full and accurate information hindering the clinician from obtaining an accurate assessment or trauma history. The importance of good therapeutic skills as the basis of an EMDR Approach is highlighted drawing upon a host of interventions (behavioural, physical, cognitive and motivational) to support clients in building up their own resources so that they can manage their distress between sessions. The therapist’s role in managing expressed emotions within the sessions is examined, not forgetting the impact of this on the therapist.

Keywords: Adolescents Asylum Children Refugees Symposium

Accuracy Verified: Yes

40. Allen, W. (2002). Coaching amateur athletes: From frozen to fearless. In L. Grodzki (Ed.), The new private practice: Therapist-coaches share stories, strategies, and advice (pp. 178-191). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
This chapter presents a case study in which the coach, who works with amateur athletes, addresses the fear of an amateur horseback rider who broke her arm horseback riding but wanted to continue the sport. The author describes how she set the goals of addressing and diffusing the upsetting mindset; installing a cognitive-behavioral link to support new skill integration and application; and looking at the client's riding through the lens of an amateur but competitive athlete to see how she could best make certain training decisions. She discusses her tools and techniques, including eye movement desensitization and reprocessing (EMDR), neurolinguistic programming, shamanic healing, and Buddhist meditation, and presents an extract from her first EMDR session with her silent thinking about the process as it unfolded. (PsycINFO Database Record (c) 2008 APA, all rights reserved).

Keywords: Athletic Performance Buddhism Buddhist Meditation Coaches Coaching Amateur Athletes Emotional Trauma Fear Goals Horses Neurolinguistic Programming NLP Professional Development Shamanic Healing Shamanism Therapists

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

42. Merkies, Y. (2012, March). Complexe PTSS: Evaluatie van een behandeling door cliënt en therapeut - "Je moet niet typen tijdens de EMDR" [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Inhoud Presentatie: Het behandelen van complexe PTSS gaat met ups en downs. Tevreden zijn over een behaald succes kan afgewisseld worden met een periode van wanhoop. Het is voor de behandeling van belang dat de therapeut steeds een helikopterview houdt. Vragen die de therapeut daarbij zichzelf onder andere stelt zijn: waar zitten we in het proces, ben ik als therapeut te voortvarend of neem ik te weinig risico. De patiënt kan indien mogelijk gestimuleerd worden van een afstand naar zijn eigen behandeling te kijken en te leren analyseren: waardoor krijg ik nu een terugval of hoe gaat het nu met me? De verantwoordelijkheid en de regie liggen uiteraard bij de therapeut. Hoe kijkt de patiënt achteraf terug op zijn behandeling en de verschillende fasen hierin? Wat heeft hem in moeilijke periodes geholpen? Welk gedrag van de therapeut heeft hem echt geholpen en wat was juist storend (zie titel)? In hoeverre was humor helpend? Hoe kijkt de patiënt terug op de mate van inspraak. In deze presentatie wordt aan de hand van videobeelden en een interview met een patiënt teruggekeken op het therapieproces. De patiënt is een ernstig getraumatiseerde man, die na een periode van stabilisatie zijn traumatische ervaringen op papier tekende. De tekeningen zijn in het begin gebruikt bij de ordening en bij bepaling van de werkvolgorde van de EMDR- behandeling. Tijdens de behandeling kon hij zelf goed aangeven wat hem hielp en wat niet. Na een forse terugval was hij in staat om te analyseren waardoor dit kwam en wat er voor nodig was om hier weer uit te komen. Deelnemers krijgen mee wat de do’s en don’ts zijn vanuit patiënt perspectief. Het belang van het nadenken over de therapeutische houding wordt gestimuleerd. De mogelijke angst om blunders te maken is hierna verminderd.

"You need not type during the EMDR" Content Presentation: The treatment of complex PTSD goes with ups and downs. Satisfied with a success achieved can be varied with a period of despair. It is important that the treatment the therapist still keeps a helicopter view. Questions that the therapist himself, among other states are: where we are in the process, I as a therapist to energetically or I take too little risk. The patient may be encouraged where possible from a distance to his own treatment to look and learn to analyze: how do I get a relapse or how is it going with me? The responsibility and control are of course with the therapist. How does the patient subsequently returned to his treatment and the different phases in this? What has helped him in difficult times? What behavior of the therapist has really helped him and what was just annoying (see title)? To what extent humor was helpful? How does the patient back on the degree of involvement. In this presentation, using video footage and an interview with a patient look back on the therapy process. The patient is a severely traumatized man, who after a period of stabilization are traumatic experiences on paper signed. The drawings are in the beginning when used in the arrangement, and determining the operating sequence of the EMDR-treatment. During treatment, he could well indicate what helped him and what not. After a sharp decline, he was able to analyze and so this was what it took to come here again. Participants will take what the do's and don'ts are from patient perspective. The importance of thinking about the therapeutic attitude is encouraged. The possible fear of making mistakes is reduced below.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD

Accuracy Verified: Yes

43. Seyhan, M. M. (2012). Conditionering en de rol van oogbewegingen bij US devaluatie [Conditioning and the role of eye movements in U.S. devaluation]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Anxiety Conditioning Eye Movements Fear Renewal Intrusive Memories Posttraumatic Stress Disorder PTSD U.S. Devaluation, U.S. Deflation

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

Keywords: Posttraumatic Stress DIsorder PSTD Psychotic Disorders

Accuracy Verified: Yes

46. Bosma, F. (2011). De invloed van oogbewegingen op fear renewal en US devaluatie [The influence of eye movements in fear renewal and U.S. devaluation]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Anxiety Conditioning Eye Movements Fear Renewal Intrusive Memories U.S. Deflation U.S. Devaluation

Accuracy Verified: Yes

47. de Jongh, A., ten Broeke, E., & van der Meer, K. (1997). Die bedeutung der kognitiven faktoren im rahmen des 'eye movement desensitization and reprocessing' (EMDR): Ein fallbeispiel einer klientin mit angst vor erbrechen [The significance of cognitive factors in the 'eye movement desensitization and reprocessing "(EMDR): A case example of a client framework vomiting with fear before]. In C.T. Eschenröder (Ed.), EMDR: Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 123-133). Tübingen: DGTV-Verlag.

Language: German

Format: Book Section

Abstract:
No abstract available.

Keywords: Vomiting

Accuracy Verified: Yes

48. Schubbe, O. (2000). Die wirksamkeit von EMDR: Zur behandlung posttraumatischer störungen [The effectiveness of EMDR]. Institut für Traumatherapie.

Language: German

Format: Other

Abstract:
Der steile Weg von EMDR zur wissenschaftlichen Anerkennung war von Anfang an von großer Begeisterung und heftigen wissenschaftlichen Kontroversen begleitet. Shapiros erste Berichte (1989a, 1989b) mit Darstellungen der Vorgehensschritte beschrieben bedeutsame Besserungen der Posttraumatischen Belastungsstörung (PTBS) nach einer einzigen Sitzung "Eye Movement Desensitization" (EMD). Auf dem Hintergrund, dass PTBS bis dahin als schwer behandelbar und die Behandlungsmethoden als langwierig, anstrengend und begrenzt wirksam galten (Solomon, Gerrity, & Muff, 1992), stieß EMDR zunächst auf skeptische Zurückhaltung. Zu diesem Zeitpunkt gab es nur noch eine weitere Wirksamkeitsstudie zur Therapie von PTBS, in der Peniston (1986) 45 Sitzungen Entspannung und Systematische Desensibilisierung plus Biofeedback mit einer Kontrollgruppe ohne Therapie verglichen und nur bei einzelnen Symptomen [Albträume, Muskelanspannung, Angst] von PTBS einen signifikanten Rückgang festgestellt hatte. Im Jahr der ersten Untersuchung von Francine Shapiro wurden noch drei weitere Untersuchungen zur Behandlung von PTBS veröffentlicht, von denen keine auch nur annähernd vergleichbare Behandlungserfolge berichten konnte.

The steep path of EMDR to the scientific recognition was accompanied by the beginning of great enthusiasm and fierce scientific controversies. Shapiro's first reports (1989a, 1989b) with descriptions of the action steps described significant improvement of post-traumatic stress disorder (PTSD) after a single session "Eye Movement Desensitization (EMD). On the background of PTSD until then treated as serious and the treatment methods were considered to be lengthy, exhausting, and have limited effect (Solomon, Gerrity, & Muff, 1992), EMDR struck first on skeptical restraint. At this time there was only one additional efficacy study for the treatment of PTSD, in the Peniston (1986) 45 meetings, relaxation and systematic desensitization plus biofeedback with a control group compared with no therapy and only in individual symptoms [nightmares, muscle tension, fear] of PTSD a significant decrease was noted. In the first investigation by Francine Shapiro, three other studies have been published for the treatment of PTSD, which was able to report not even close to comparable treatment results.

Keywords: Effectiveness Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

49. Furukawa, D. K. (1998, June). The dive method. EMDRIA Newsletter, 3(2), 26, 31.

Language: English

Format: Newsletter

Abstract:
In life, we find that much of what holds us back is fear. This was the theme of the movies, “Defending Your Life,” in which, after dying, the main character must examine his life only to find that he continually made decisions which restrained his personal growth due to his fear and lack of belief in self. Certainly other emotions like shame and guilt, sadness and anger play key parts in the reprocessing of trauma. However, experience has shown that fear is quite often either related to the emotion that is associated with the trauma focus, or the stated emotion turns into fear as reprocessing commences.

Keywords: Dive Method Fear

Accuracy Verified: Yes

50. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.

Language: English

Format: Journal

Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.

Keywords: Anxiety Depression

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

52. Temple, M. (2011, October). Eating disorders and EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
This workshop will focus on EMDR in eating disorders, particularly Anorexia Nervosa, commencing with a review of the evidence base particularly in relation to EMDR and perspective on aetiology / causations. The discussion will focus on physical risks and need for combined multi-disciplinary working for safe management with a specific focus on published EMDR work and the importance of the preparatory / resource phase. Target areas for using EMDR including identified trauma, attachment / abandonment issues, fear of need / emotion, specific experiences of the anorexia itself and symptom areas such as body image distortion will all be considered leading to a possible overall ‘EMDR and Eating Disorders’ model. (Author abstract)

Keywords: Eating Disorders

Accuracy Verified: Yes

53. Martin, G. (2007). Editorial - On rural services for mental. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-4.

Language: English

Format: Journal

Abstract:
Sumithra attended the village clinic for three sessions of CBT and EMDR lasting ninety minutes each, during a three week period. EMDR involved supporting her to describe her fears and hold all the elements in mind while simultaneously engaging in bilateral eye-movements. Feedback was obtained on the material that was emotion provoking. This cycle was repeated, while observing for shifts in affect, physiological states and cognitive insights. Sumithra identified emotions and physical sensations, elicited when visual images of death and destruction were combined with the belief that ‘my family is dead’, ‘I have no one’, and ‘I am alone in this world’. Three cycles were carried out by rewinding to sections of the narrative that generated sadness and fear. On each occasion she reported the level of distress she experienced, and her distress scores (SUDS) were noted.

Keywords: Editorial Mental Health Rural

Accuracy Verified: Yes

54. Dumery, J. (2005, September-Oktober). Eeen ogenblik EMDR [EMDR and time]. Het Perron, 21(5), 1290-1294.

Language: Dutch

Format: Magazine

Abstract:
Een T-shirt met de tekst laat zien hoe cynisch angst. We hebben aan te vallen, voor trauma, en hoe wij proberen te behandelen. Cynisme is een onaangename manier om de waarheid te vertellen misschien, Eye Movement Desensibilisatie and Reprocessing (EMDR) is een meer passende reactie op de behandeling van psychologische trauma's.

A T-shirt with the text shows how cynical fear. We have to attack, for trauma, and how we try to deal with. Cynicism is an unpleasant way to tell the truth, perhaps Eye Movement Desensitization and Reprocessing (EMDR) is a more appropriate response to the treatment of psychological trauma.

Keywords: Practice Theory

Accuracy Verified: Yes

55. de Jongh, A., & ten Broeke, E. (1993). Een nieuwe behandelingsmethode voor angst en trauma's: ‘Eye movement desensitization and reprocessing’ [A new treatment for anxiety and trauma: Eye movement desensitization and reprocessing]. Directieve Therapie, 13(2), 78-83. doi:10.1007/BF03060028 .

Language: Dutch

Format: Magazine

Abstract:
In deze bijdrage wordt een beschrijving gegeven van de achtergronden en principes van ‘Eye movement desensitization and reprocessing’ ( EMDR), een recente ontwikkeling op het gebied van de psychotherapie. Deze procedure wordt gepresenteerd als een snelle en effectieve behandelmethode voor aan angst gerelateerde klachten, waaronder posttraumatische stress-stoornissen. Een belangrijk onderdeel van EMDR is dat de therapeut bij de cliënt een aantal snelle en ritmische oogbewegingen uitlokt door hem te vragen zijn vinger te volgen, terwijl de cliënt een beeld van de traumatische herinnering in gedachten houdt. Dit zou resulteren in cognitieve veranderingen en een langdurige vermindering van angst, alsmede een verdwijnen van terugkerende herinneringen en indringende gedachten. Zoals naar voren komt uit onderzoek en twee gepresenteerde gevalsbeschrijvingen (een geval van extreme angst voor de tandheelkundige behandeling en een geval van seksueel misbruik), kan EMDR reeds effectief zijn in slechts één zitting. Het artikel sluit af met evaluatieve opmerkingen en aanbevelingen met betrekking tot het gebruik van deze behandelingsmethode in de praktijk.

In this article describes the background and principles of "Eye movement desensitization and reprocessing "(EMDR), a recent development in the field of psychotherapy. This procedure is presented as a rapid and effective treatment for anxiety-related symptoms, including post-traumatic stress disorder. EMDR is an important part of the therapist to the client a number of rapid and rhythmic eye movements provokes him by asking his finger to follow, while a client image of the traumatic memory in mind. This would result in cognitive changes and a lasting reduction of anxiety and a loss of recurrent and intrusive recollections thoughts. As emerges from two studies and presented case studies (one case extreme fear of dental treatment and one case of sexual abuse), EMDR can already effectively in only one session. The article concludes with evaluative comments and recommendations regarding the using this treatment method in practice.

Keywords: Anxiety Trauma

Accuracy Verified: Yes

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

Language: Korean

Format: Journal

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

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

Accuracy Verified: Yes

57. Khalfa, S. (2012, June). Effects of EMDR on cognition, psychophysiology and cerebral mechanisms in PTSD [Efectos del EMDR en cognición, psicofisiología y mecanismos cerebrales en TEPT]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Despite the emergence of many theories on biological EMDR mechanisms, research is still needed to understand the healing processes of EMDR. We conducted four experiments to explore the effects of EMDR on PTSD with 17 to 22 patients suffering from one unique trauma. The first experiment evidenced attentional bias in PTSD towards negative words that disappeared after successful EMDR Therapy. The second experiment has shown a less efficient control of emotion in PTSD as compared to healthy controls. This altered emotional suppressing measured through psychophysiological responses was restored after symptoms disappearance following EMDR. The third experiment also using psychophysiological measures confirmed the increased fear sensitization and delayed fear extinction in PTSD and again the restoration of a normal fear conditioning and extinction processes after EMDR. The last experiment explored the negative emotional cerebral mechanisms using functional magnetic resonance imagery in PTSD. Activities in prefrontal structures were modified in PTSD as compared to healthy controls. After the EMDR treatment accompanied by symptoms removal, the prefrontal responses were not different between PTSD patients and their controls. Theoretical issues of these results will be discussed in order to integrate cognitive, psychophysiological and cerebral mechanisms observations.

A pesar del emerger de muchas teorías sobre los mecanismos biológicos del EMDR, la investigación aún necesita entender el proceso de curación que se produce en EMDR. Hemos realizado 4 experimentos para explorar los efectos del EMDR en TEPT de 17 a 22 pacientes que sufrieron un único trauma. El primer experimento evidencia un sesgo atencional del TEPT ante las palabras negativas que desaparecen después de una terapia exitosa de EMDR. El Segundo experimento mostró una baja eficiencia del control de las emociones en los TEPT comparados con el control de individuos sanos. Esta alterada supresión emocional medida a través de respuestas psicofisiológicas fue restaurada después de una desaparición de los síntomas realizando EMDR. El tercer experimento también confirma mediante medidas psicofisiológicas el aumento de la sensación de miedo y un retraso en la extinción del mismo en el TEPT. De nuevo tras administrar una terapia EMDR se produjo una restauración a una condición normal de miedo y un proceso de extinción. El último experimento explica los mecanismos negativos emocionales cerebrales usando resonancia funcional magnética en TEPT. La actividad en las estructuras prefrontales fue modificada en el TEPT comparado con el control. Después del tratamiento de EMDR acompañado de una remisión de los síntomas, las respuestas prefrontales no fueron diferentes entre los pacientes con TEPT y los controles. Cuestiones teoréticas sobre estos resultados serán discutidas con el fin de integrar cognitivamente, psicofisiológicamente y observar los mecanismos cerebrales del EMDR.

Keywords: Cognition, Psychophysiology and Cerebral Mechanisms Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

58. Bates, L. W., McGlynn, F., Montgomery, R. W., & Mattke, T. (1996, November/December). Effects of eye-movement desensitization versus no treatment on repeated measures of fear of spiders. Journal of Anxiety Disorders, 10(6), 555-569. doi:10.1016/S0887-6185(96)00030-8.

Language: English

Format: Journal

Abstract:
Multiple measures of fear of spiders were acquired during in vivo tests once before and several times after 7 subjects were exposed to an experimental rendition of eye-movement desensitization. The pre- and posttreatment measures were compared with corresponding measures acquired from 7 other subjects once before and several times after a concurrent no-treatment interval. There was no evidence from the in vivo tests that eye-movement desensitization affected fear of spiders.

Keywords: Phobias Spiders

Accuracy Verified: Yes

59. Largo-Marsh, L. K., & Spates, C. R. (2002, December). The effects of writing therapy in comparison to EMD/R on traumatic stress: The relationship between hypnotizability and client expectancy to outcome. Professional Psychology: Research & Practice, 33(6), 581-586. doi:10.1037//0735-7028.33.6.581.

Language: English

Format: Journal

Abstract:
Many psychologists encourage clients to engage in journal writing to supplement individual psychotherapy. Empirical evidence supports the use of writing when targeted at traumatic memories. The most thoroughly researched writing strategy suggests that writing is most effective when it targets a specific memory along with the emotional components of that memory. Effective writing therapy is thus procedurally similar to effective exposure therapy for fear and traumatic memories. This investigation examined structured writing as a self-contained treatment by comparing it to eye movement desensitization and reprocessing, and it was found to be effective. [Adapted from Author Abstract]

Keywords: Adults Empirical Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Therapeutic Writing Treatment Effectiveness

Accuracy Verified: Yes

60. de Bont, P. (2011, August-September). Efficacy and safety of prolonged exposure or EMDR-treatment for PTSD with patients with a vulnerability for psychosis. A multiple baserate N=10 single case design. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Objectives: Untill now, only a small number of studies have investigated the safety and effects of psychological treatment for PTSD in psychotic patients. The main aim of this study was to explore the effects of two psychological, highly manualized, guideline PTSD treatments: EMDR and prolonged exposure. Another important aim was to determine if negative side effects would occur as a result of therapy. Among clinicians fear exists of harming vulnerable patients with confronting therapeutic procedures, thus risking psychotic exacerbation, suicidal behaviour or other adverse events. Methods: In a N=10 single case study design the effects of psychological PTSD treatment were studied in psychiatric patients who suffer from psychoses. Participants were randomly assigned to either EMDR or Prolonged Exposure. Weekly measurements of PTSD and psychotic symptoms prior to, during and after treatment, gave a strong impression of how symptoms respond to treatment. The treatment in both conditions consisted of 12 sessions of 90 minutes. Adverse events were monitored weekly. Before, directly after and 3 months after treatment all subjects were tested more extensively for the variables PTSD and psychosis, and for three secondary outcome measures cognitive style, social functioning and quality of life. Results: The results show that PTSD-treatment can be quite effective for both PTSD and even some of the psychotic symptoms. PTSD symptoms dropped considerably, in a number of cases below the point of still having a PTSD. In some cases treatment helped diminish the occurence of harming voices. Not one patient became psychotic as a result of therapy, not even patients that went through the guided reliving of traumatic psychotic events during Prolonged Exposure. No suicide attempts occured. Occasional minor adverse events with medication occurred, but results taken as a whole the treatments were obviously safe. Conclusion: This study shows that PTSD-treatment in psychotic patients is a serious option, next to medical treatment. It can be done safely, effectively and in a manualized fashion. No information can be derived from this study as to which of the two, Prolonged Exposure or EMDR, can be best applied in specific situations. Both seem to be equal in the limited number of cases.

Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium

Accuracy Verified: Yes

61. Abbasnejad, M., Mahani, K. N., & Zamyad, A. (2007, Winter). Efficacy of "eye movement desensitization and reprocessing" in reducing anxiety and unpleasant feelings due to earthquake experience. Psychological Research, 9(3-4), 104-117.

Language: English

Format: Journal

Abstract:
“EMDR is effective in reducing earthquake anxiety and negative emotions (e.g. PTSD, grief, fear, intrusive thoughts, depression, etc) resulting from earthquake experience. Furthermore, results show that, improvement due to EMDR was maintained at a one month follow up.”

Keywords: Anxiety Earthquake Experience Empirical Study Eye Movements Follow-up Study Natural Disasters Quantitative Study Randomized Controlled Study Unpleasant Feelings

Accuracy Verified: Yes

62. de jongh, A., & van de Oord, H. J. M. (2002). Efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of specific phobias: Four single-case studies in dental phobia. Presentation at the 80th General Session of the International Association for Dental Research, San Diego, CA.

Language: English

Format: Conference

Abstract:
Objectives: Several years ago a new treatment for anxiety related problems was introduced, named Eye Movement Desensitization and Reprocessing (EMDR). EMDR combines short exposure periods with an external distracting stimulus. The aim of this study was to examine the applicability of EMDR to trauma-based dental phobia. Methods: EMDR treatment outcome was tested with four dental phobic individuals by means of a single-subject experimental design. Pretreatment assessment included: severity of dental fear (DAS), trauma-related symptomatology (IES), occurrence and believability of negative cognitions (DCQ), and general psychopathology (SCL-90-R). A psychologist administered a clinical interview and a behavior test. Behavior tests were videotaped and rated for observed anxiety level (0-10) by a blind and independent observer. Results: Following two to three sessions of EMDR treatment three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs, and behavior changes. These gains were maintained at six weeks follow-up. In all four cases the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. Conclusion: The findings support the notion that EMDR can be an effective treatment alternative for traumatically induced dental phobia.

Keywords: Specific Phobias

Accuracy Verified: Yes

63. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
"The Body Keeps the Score" (B. v.d. Kolk, 1996) Clients who suffer from traumatic stress are often afraid about disturbing and painful somatic symptoms. Structural dissociation alienates from body reactions. Nevertheless it is the body that "holds" the discomfort and painful memory of neglect and violence. Trauma Survivors tend to perceive their body as hostile. They suffer from Alexithymia deficiency of interpreting the meaning of body reactions and muscle activation. Trauma Survivors are easily irritated and tend to react with rage on very slight provocations and freeze when they are frustrated. Even minor problems cause fear and helplessness. The Polyvagal Theory (S. Porges 2010) proves the neurological aspect of behavioral patterns. Neurozeption describes how we perceive others in a neurological way. Certain behavioral patterns are established through life experiences. This research underlines Francine Shapiros AIP model and confirms the importance of a body orientated approach. We know that experiencing the effect of eye movement -‐ and other bilateral stimulation, is a gentle and powerful way to bring the voice of the body into the therapeutic space. EMDR helps to integrate cognitive, emotional and body sensations. Using movement and body orientated skills in difficult processes f.e. with severely and/or early traumatised clients, even enhances the effect of EMDR. Content of the Workshop: Short theoretical implications: Polyvagal Theory and AIP Model. Stabilisation and Movement -‐ creating a „Moving Container“: How to create a safe place of relationship and attachment between the client and the therapist by using movement and bodywork? The body is the most powerful resource: How to use movement to access this power. How to recognize and dissolve dissociation by body and movement awareness. EMDR Process and Movement : How to widen the „window of tolerance“ by using movement and deeper levels of body consciousness. Adding a fourth level of attention to the EMDR process: cognition -‐ emotion -‐ body scan -‐ movement. Movement and reflex feedback as interweave technique in difficult processes. Methods used in the Workshop: Lecture and Video Presentation. Practical demonstration of some movement orientated techniques. Discussion.

“El cuerpo lleva la cuenta” (B. v.d. Kolk, 1996), los clientes que sufren de estrés traumático tienen a menudo miedo sobre sus síntomas somáticos preocupantes y dolorosos. La disociación estructural aliena las reacciones del cuerpo, sin embargo es el cuerpo el que “mantiene” el disconfort y el recuerdo doloroso de negligencia y violencia. Los supervivientes a un trauma suelen tender a percibir su propio cuerpo como hostil. Sufren de Alexitimia, deficiencias para interpretar las señales corporales y la activación muscular. Son fácilmente irritables y tienden a reaccionar con ira, con leves provocaciones y se “congelan” cuando están frustrados. Incluso problemas de fuerza menor causan miedo y desesperanza. La teoría polivagal (S. Porges 2010) prueba el aspecto neurológico de los patrones de comportamiento. La neurocepción describe cómo percibimos a los otros desde un punto de vista neurológico. Ciertos patrones de comportamiento están establecidos a través de las experiencias vitales. Esta investigación se basa en el modelo SPIA de Francine Shapiro y confirma la importancia del enfoque orientado al cuerpo. Sabemos que al experimentar el efecto de la estimulación ocular, y otras estimulaciones bilaterales, es un camino poderoso y suave para traer la voz del cuerpo dentro del espacio terapéutico. EMDR facilita la integración cognitiva emocional y corporal. Usar el movimiento y las habilidades orientadas al cuerpo en los procesos difíciles con clientes traumatizados, severamente o tempranamente, incluso amplifica el efecto terapéutico del EMDR Contenido del taller: Implicaciones teóricas: Teoría Polivagal y modelo SPIA Estabilización y movimiento – Crear un “recipiente de movimiento” Cómo crear un lugar seguro en relación al apego entre el cliente y el terapeuta usando movimiento y trabajo corporal. El cuerpo es el recurso más poderoso: Cómo usar el movimiento para acceder a este poder. Cómo reconocer y disolver la disociación en el cuerpo y la atención al movimiento. Procesamiento EMDR y movimiento: Cómo ampliar la "ventana de tolerancia" mediante el uso de movimientos y niveles más profundos de la conciencia del cuerpo. Añadir un 4 nivel de atención al procesamiento de EMDR: Cognición-‐Emoción-‐ Escáner corporal-‐movimiento.

Keywords: Body Oriented Therapeutic Interweaves

Accuracy Verified: Yes

64. Bonstein, U. (2008, March). EMDR היבטים היפנוטיים בשיטת [Hypnotic Aspects of EMDR method/Professor Oren Kaplan]. Israel Society of Hypnosis, Ramat Gan, Israel.

Language: Hebrew

Format: Other

Abstract:
תרגום לאנגלית של עברית: המאמר בוחן את ההיבטים שיטת Hhifnotim - EMDR. אין ספק כי ה-EMDR אינו היפנוזה סמכות פורמלית. אם EMDR היא סוג של היפנוזה, ואז זה היפנוזה Arixoniani טבע, מתירנית פתוח. זה פותח את האפשרות עבור מטופלים אשר מתקשים תהליך היפנוזה פורמלית בעיניים עצומות (לרוב בשל קושי או פחד מאובדן שליטה) כדי היפנוזה "EMDR" בעיניים פקוחות מתוך אשליה כי זה לא ממש טראנס היפנוטי. גם אם ה-EMDR אינו היפנוזה יש בהחלט אלמנטים רבים ההופכים מערכת משפחתה תופעות המצב הייחודי מודעות מערכת שמשתמשת בעקרונות של תקשורת היפנוטית - סוגסטיבי. המאמר עוסק גם את המגבלות והסכנות של זה שייך

The article examines aspects Hhifnotim method - EMDR. There is no doubt that EMDR is not hypnosis formal authority. If EMDR is a form of hypnosis, then it is hypnosis Arixoniani nature, open permissive. This opens the possibility for patients who find it difficult to process a formal hypnosis with eyes closed (usually due to difficulty or fear of losing control) to "EMDR hypnosis" with open eyes from the illusion that this is not really a hypnotic trance. Even if EMDR is not hypnosis has certainly many elements that make her family system phenomena unique situation awareness system that uses the principles of hypnotic communication - suggestive. The article also discusses the limitations and dangers of this belonging.

Keywords: Hypnosis

Accuracy Verified: Yes

65. Hogberg, U. (2007). EMDR - möjlig behandling vid PTSD efter förlossning [EMDR - possible treatment for PTSD after childbirth]. Läkartidningen, 104(17), 1312 .

Language: Swedish

Format: Magazine

Keywords: Childbirth Parity Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

66. Bergmann, U. (2000, September). EMDR and ego state therapy: Treating the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn the applications of the Ego State concepts and techniques to all phases of the EMDR process in order to facilitate the treatment of clients with personality disorders; 2) learn how to developmentally assess, identify, map, and access ego states of personality disordered clients and how to promote their ego state participation in EMDR sessions; and 3) understand how treatment of personality disorder is usually longer-term EMDR, interweaving the activation of fear-based, aggressivized infantile ego states necessary to deepen and accelerate processing and desensitization.

Keywords: Ego State Therapy Personality Disorders

Accuracy Verified: Yes

67. Rasolkhani-Kalkorn, T., & Harper, M. L. (2006, March). EMDR and low frequency stimulation of the brain. Traumatology, 12 (1), 9-24. doi:10.1177/153476560601200102.

Language: English

Format: Journal

Abstract:
Laboratory research on animals indicates that the potentiation of synapses in various areas of the limbic system is the primary step in fear memory formation. Depotentiation of these synapses can result in erasure or modification of these memories. The principal mechanism for depotentiation is induction of low frequency stimulation (LFS). This research has also shown that during memory recall, potentiated circuits within the limbic system become labile, and more vulnerable to depotentiation. The authors propose that LFS can be induced in the human brain during eye-movement desensitization and reprocessing therapy (EMDR), and that this can lead to quenching or modification of fear memory traces. Hence, the authors theorize that this process is the main biological basis for the therapeutic effects of EMDR. [Author Abstract]

Keywords: Neurophysiology Transcranial Magnetic Stimulation

Accuracy Verified: Yes

68. de Jongh, A. (2008, September). EMDR and phobias: Treatment of fears and phobias with eye movement desensitization and reprocessing (EMDR)[EMDR bei angst: Und panikstörungen]. Pre-Congress presentation at the European Congress of Hypnosis, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been shown to be a structured, noninvasive, time-limited, and evidence-based treatment for the processing of memories of traumatic conditioning events and related symptomatology. There is a growing body of evidence showing the effectiveness of EMDR for specific phobias, a group of conditions that have been found to be more prevalent than any other group of psychiatric disorders studied. This workshop focuses on EMDR as a treatment approach for fear reactions related to - and avoidance of - specific objects and situations. The participants will learn: 1) about the fascinating possibilities of using EMDR in their work 2) how EMDR can be applied with clients who suffer from fears and phobias 3) to assess clients with patterns of fearful avoidance and to identify strategically important memories of earlier negative learning experiences for processing 4) to integrate EMDR interventions into a general (hypno)therapeutic approach. This will be illustrated by segments of video taped treatment sessions of clients suffering from a broad diversity of phobias (e.g., dental phobia, vomiting phobia, shark phobia).

Keywords: Phobias Dental Phobias Shark Phobias Vomiting Phobias

Accuracy Verified: Yes

69. Allon, M. (2004, June). EMDR and right-left brain stimulation. Poster presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This presentation will present and demonstrate my clinical observations, that clients while talking or working on their issues will sometime lean their heads toward the right or the left shoulder. People with their heads to the left will tend to report thoughts, while those with their heads to the right will tend to report images and emotions. In therapy, utilizing EMDR when clients have leaned their heads to one side, I have tended to reinforce the side they put their head to, utilizing eye movements in a diagonal direction, corresponding to the direction the head was learning. That is. If the person learned their head to the left, I would move my hand from their upper left side to their lower right side, and opposite if their heads leaned to the right. The outcome of these diagonal eye movements was that it tended to evoke cognitions when the head leaned to the left or images when the head learned to the right. Client who come to therapy requesting help concerning fears, tend to lean their heads to the rights, corresponding with imagery and imagination of the right hemisphere and may lack the cognitive, logical thinking skills (left hemisphere) to counter their fears. With these clients, when the SUDS do not drop significantly, I will tend to do body-cognitive interweave. I request that the client lean their head on the left and work over and over with cirrsponding sets of diangonal eye movmenets. The left hemisphere of the brain is thus stimulated and logical thinking (PC) is enhanced. This helps to counter and balance out the negative images, and the fear decreased.
Through care histories and examples, I would like to accomplish the following objectives: 1) to make the participants more aware of body language and it its significance in therapy; 2) to examine the differences between the right and left hemispheres of the brain and their relationship to therapy with EMDR; and 3) to introduce and demonstrate a body-cognitive interweave in EMDR therapy with client s who request help with fears.

Keywords: Body-Cognitive Interweave Left-Right Brain Hemispheres of the Brain Poster

Accuracy Verified: Yes

70. Zangwill, W. M. (1994). EMDR and shame: A brief report. EMDR Network Newsletter, 4(3), 13.

Language: English

Format: Conference

Abstract:
One of the most difficult issues in an EMDR session is when a patient is not able to "let go" and experience the process. There are a variety of reasons for this happening, one of which involves the shame patients sometimes feel in both reexperiencing the memories and of sharing them with us. Despite assurances that they do not have to share content, some patients have still reported difficulty in letting past material arise to be reprocessed because of fear of embarrassment and humiliation.

Keywords: Shame

Accuracy Verified: Yes

71. Silver, S. M. (2002, January/February). EMDR and terrorism: Combating fear of the future. EMDRNews.com, 1, 3.

Language: English

Format: Newsletter

Abstract:
The events of September 1lth further stimulated the growing interest in the uses of EMDR for traumatic reactions to terrorism. For many years EMDR has been used with survivors of terrorism all over the world and this has led to a greater understanding of terrorism, how to respond to it, and how to treat the reactions it produces.

Keywords: Terrorism

Accuracy Verified: Yes

72. Wizansky, B. (2011). EMDR and the challenge of treating childhood trauma: A theoretical and clinical discussion with case examples. In V. Ardino (Ed.), Post-traumatic syndromes in childhood and adolescence: A handbook of research and practice (pp. 297-321). Wiley-Blackwell.

Language: English

Format: Book Section

Abstract:
Treating childhood trauma with EMDR (Eye Movement Desensitization Reprocessing) requires the practitioner to be aware of the challenge inherent in adapting a focused therapeutic model created for adults to young developing clients. Problems involved in exposing young children to disturbing, often terrifying memories loom large. How do we cope with parents' fear of damaging their son or daughter? How do we answer our own internal resistance to leading a young client into a difficult session and the dangers of retraumatizing a child? These are problems which demand solutions. Recent neurological research has defined the necessity of including the processing of traumatic material into the treatment plan as directly as possible. No part of the brain can change if it is not activated. The chapter aims to detail how EMDR meets this challenge.

Keywords: Childhood Trauma Children Focused Therapeutic Model

Accuracy Verified: No

73. Gelinas, D. J. (2011, August). EMDR and the phobias of structural dissociation in treating complex traumatization. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Managing dissociative interference when treating individuals with early repetitive traumatization requires recognition, then direct intervention. The “phobias of structural dissociation” are especially helpful in recognizing the less readily apparent dissociative interferences. These refer to the individual’s fear and avoidance of their own internal experiencing, (e.g., thoughts, parts, memories) rather than the traditional fear of external objects or processes. They can be responsible for failures to establish the therapy or Safe Place, refusal of EMDR, looping, “stuck” NCs, etc. This presentation describes the phobias (with clinical illustrations), recognition markers, and a stepped hierarchy of EMDR interventions to manage dissociative interferences.

Keywords: Complex Trauma Phobias Structual Dissociation

Accuracy Verified: Yes

74. Hale, S. J. N. (2009). EMDR and the six healing sounds. Universal Healing Tao System, Thailand.

Language: English

Format: Other

Abstract:
Master Chia has recently incorporated the use of Eye Movement Desensitization and Reprocessing (EMDR) when utilizing the Six Healing Sounds in the practice of the Universal Tao system. According to the literature on EMDR, it is believed that the left/right pattern of eye movements assist in completing emotional processing. Most of us are not very good at letting go of our negative emotions, but through the practice of using the Six Healing Sounds we learn to compost the less healthy emotions of sadness, depression, fear, anxiety, anger, cruelty, impatience, hastiness, worry or pity and change or transform them into their positive counterpart emotions of courage, stillness, generosity, happiness and compassion.

Keywords: Sounds Tao

Accuracy Verified: Yes

75. Levin, C. (1992, July). EMDR and the treatment of partners of survivors of sexual abuse. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .

Language: English

Format: Conference

Abstract:
Although there are estimated to be millions of survivors of child sexual abuse, little has been said about the partners of these survivors and the extreme difficulties which they encounter. Awe believe that these partners are “vicarious” victims of child sexual abuse themselves. As the survivor begins to deal with the issues of his/her own sexual abuse, it catalyses experiences of guilt, shame, rage, feelings of dissociation, fear, sadness, resentment, etc. The victim’s feelings towards the family or origin and the perpetrator is both emotionally draining and reoccupying to the detriment of the current relationship. The partner may be blamed for lack of understanding and caring and, almost certainly, the quality of the sexual relationship changes for the worse. Often, as the victim bombards the partner with disparaging comments and temper tantrums, the partner may begin a process of emotionally distancing. The survivor experiences this distancing as a further injury and the relationship continues a downward spiral.

Keywords: Partners of Survivors

Accuracy Verified: Yes

76. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability and/or control. A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event, prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism for people who need further follow-up, including EMDR. The steps of a CISD include: 1) introduction - to introduce the intervention team, explain the process, and set expectations. 2) fact - to describe the event from each participant's perspective on a cognitive level. 3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions. 4) reaction - to identify the most traumatic aspect of the event for participants. 5) symptom - to identify personal symptoms of distress and transition back to the cognitive level. 6) teaching - to educate as to normal reactions and adaptive coping strategies 7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up. In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in dysfunctional form. EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing. In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it. EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process, EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are relevant to the individual (e.g. Smells, tastes, etc.). The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed. Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such dynamics are understood when formulating the negative cognition. The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.

Keywords: CISM Critical Incidence Stress Management Recent Events

Accuracy Verified: Yes

77. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Deze lezing gaat over het implementeren van EMDR in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep: • Meervoudige persoonlijkheidsstoornissen • Meervoudig ernstig getraumatiseerd • Verslavingsproblematiek • Specifieke psychiatrische problematiek • Forensische problematiek • Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren. Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.

This lecture is about the implementation of EMDR In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target: • Multiple personality disorder • Multiple severely traumatized • Addiction Problems • Specific psychiatric problems • Forensic issues • Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors. Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.

Keywords: TBS System of Treatment

Accuracy Verified: Yes

78. 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

79. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo. Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR. Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate. In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico. Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo. Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP. Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.

As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.

Keywords: Panic Disorder

Accuracy Verified: Yes

80. Schubbe, O. (2000). EMDR in der therapie mit psychisch traumatisierten jugendlichen [EMDR in the treatment of the mentally traumatized young people]. Institut für Traumatherapie.

Language: German

Format: Other

Abstract:
Der erste Teil des Beitrags fasst den Stand der Forschung zu EMDR zusammen. Der zweite Teil beschreibt ein paar allgemeine Aspekte der Traumatherapie mit Jugendlichen und der dritte die Anwendung von EMDR bei Jugendlichen in Verbindung mit einer manualisierten Vorgehensweise nach Dr. Ricky Greenwald. EMDR ist keine neue Therapierichtung, sondern ein schulenergänzendes Zusatzverfahren; und so ist die hier vorgestellte Möglichkeit, EMDR bei Jugendlichen anzuwenden, nur eine von vielen, die sich allerdings bewährt hat.
Der steile Weg von EMDR zur wissenschaftlichen Anerkennung war von Anfang an von großer Begeisterung und heftigen wissenschaftlichen Kontroversen begleitet. Shapiros erste Berichte (1989a, 1989b) mit Darstellungen der Vorgehensschritte beschrieben bedeutsame Besserungen der Posttraumatischen Belastungsstörung (PTBS) nach einer einzigen Sitzung "Eye Movement Desensitization" (EMD). Auf dem Hintergrund, dass PTBS bis dahin als schwer behandelbar und die Behandlungsmethoden als langwierig, anstrengend und begrenzt wirksam galten (Solomon, Gerrity, & Muff, 1992), stieß EMDR zunächst auf skeptische Zurückhaltung. Zu diesem Zeitpunkt gab es nur noch eine weitere Wirksamkeitsstudie zur Therapie von PTBS, in der Peniston (1986) 45 Sitzungen Entspannung und Systematische Desensibilisierung plus Biofeedback mit einer Kontrollgruppe ohne Therapie verglichen und nur bei einzelnen Symptomen [Albträume, Muskelanspannung, Angst] von PTBS einen signifikanten Rückgang festgestellt hatte. Im Jahr der ersten Untersuchung von Francine Shapiro wurden noch drei weitere Untersuchungen zur Behandlung von PTBS veröffentlicht, von denen keine auch nur annähernd vergleichbare Behandlungserfolge berichten konnte.

The first part of the paper summarizes the state of research on EMDR. The second part describes some general aspects of trauma therapy with adolescents and the third is the use of EMDR among young people in conjunction with a manualized approach to Dr. Ricky Greenwald. EMDR therapy is not a new direction, but a schulenergänzendes additional procedures, and so is the opportunity presented here, EMDR applicable to young people, only one of many that has proven, however. The steep path of EMDR to the scientific recognition was accompanied by the beginning of great enthusiasm and fierce scientific controversies. Shapiro's first reports (1989a, 1989b) with descriptions of the action steps described significant improvement of post-traumatic stress disorder (PTSD) after a single session "Eye Movement Desensitization (EMD). On the background of PTSD until then treated as serious and the treatment methods were considered to be lengthy, exhausting, and have limited effect (Solomon, Gerrity, & Muff, 1992), EMDR struck first on skeptical restraint. At this time there was only one additional efficacy study for the treatment of PTSD, in the Peniston (1986) 45 meetings, relaxation and systematic desensitization plus biofeedback with a control group compared with no therapy and only in individual symptoms [nightmares, muscle tension, fear] of PTSD a significant decrease was noted. In the first investigation by Francine Shapiro, three other studies have been published for the treatment of PTSD, which was able to report not even close to comparable treatment results.

Keywords: Children Trauma

Accuracy Verified: Yes

81. Dogan, E. (2009, Ocak). EMDR nedir nasil uygulanir? [How is EMDR to be applied?]. Epsikiyatri Haberleri. Retrieved from http://www.mcaturk.com/EMDR-NEDIR-NASIL-UYGULANIR_2019.html 6/12/2010.

Language: Turkish

Format: Journal

Abstract:
Herkesin geçmişinde büyüklü küçüklü travma yaşantıları vardır. Deprem, taciz, tecavüz gibi bir defada olan büyük travmalar olabileceği gibi çok göze çarpmayan ama süreklilik sergilediği için kişiyi ilerideki yaşantısında olumsuz etkileyebilecek olan küçük ve orta büyüklükte travmalar da vardır. İkinci gruptakileri "olay" dan ziyade süreklilik arz eden "durumlar" olarak isimlendirmek sanırım daha doğru olur. Bu gruptakilerin kişi üzerinde ileriki yaşantılarında, büyük olarak nitelendirdiklerimizden daha az etki yapacaklarını söyleyemeyiz. Bu tanımlamada büyük-küçük ayrımını yaparken kastedilenin daha çok dışarıdan bakan birisinin bu olayın ciddiyeti ile ilgili görüşü olduğu izlenimini ediniyoruz. Ancak psikolojik sağlık açısından önemli olan kişin bu olay ya da durumu iç dünyasında nasıl yaşadığıdır. Kişi çocukluğunda yaşadığı ve bir başkasının travmatik olarak isimlendireceği bir durumun etkisi ile ileride psikolojik bir problem geliştirmek zorunda değildir. Aynı şekilde, dışarıdan bakan birisinin fark edemeyeceği ama kişinin çocukluğunda maruz kaldığı olumsuz bir olay ya da süre giden bir durum o kişinin ileride psikolojik bir sıkıntı geliştirmesine neden olabilir. Örneğin, babasının yaptığı şeyleri beğenmediğini ve büyük başarılar dışında yaptığı küçük şeyleri görmediğini algılayan bir çocuk bu süre giden deneyimlerin etkisi ile ileri de ancak çok başarılı olduğu durumlarda takdir edileceği hissine sahip olabilir ve enerjisinin büyük kısmını önemli gördüğü insanlardan büyük başarılar sağlayarak takdir almaya adayabilir. Yukarıda tanımladığımız anlamda, yani kişinin ruhsal dünyasında uzun dönemli olumsuz etki yaratan bir durum olması anlamında bu durum tarvmatiktir. Diğer bir deyişle, küçüklüğünde bu kişinin maruz kaldığı durum o kişi üzerinde travmatik bir etki yaratmış ve o kişinin geleceğini etkilemiştir.

Everyone has experiences of past trauma, large and small. Earthquake, harassment, rape, such as major trauma at a time, which can be very subtle, but the person to exhibit continuity in the future could adversely affect the life of the trauma, there are also small and medium-sized. The second group are "event" rather than from the persistent "cases" as I think I would be more accurate to name. In Group on the future life of these people, do not say a large effect in less than nitelendirdiklerimizden. While this distinction meant little more than identifying large-outsider's view of someone with the impression that the seriousness of this incident ediniyoruz. However, in terms of psychological health status of the person inside the world of this event or how you live. Contact someone else's traumatic childhood and live in the future be called the psychological impact of a situation to develop is not a problem. Similarly, outsiders can not but notice one person while a child is exposed to an adverse event or a situation to develop that person's future can cause psychological distress. For example, outside the great achievements of his father and his little things he did not see things beğenmediğini detect the effect of experiences with a child going forward at this time but would be appreciated if the feeling may have to be very successful and very successful in providing energy to the majority of people it deems important to appreciate the adayabilir. Sense defined above, that person's mental world in terms of long-term negative impact that this is a situation tarvmatiktir. In other words, this person's childhood exposure to a traumatic effect on the situation created by that person and that person has affected the future of.

Keywords: Death Fear Harassment Neurophysiology Rape Trauma

Accuracy Verified: Yes

82. Montes-Berges, B., Aranda, M., Castillo-Mayén, M. del R. (2011). EMDR Para el tratamiento de estrés postraumático en casos de violencia de género [EMDR for treatment of PTSD in cases of domestic violence]. Universidad de Jaén, Jaén, Spain.

Language: English

Format: Dissertation/Thesis

Abstract:
Introducción: La violencia de género es uno de los problemas sociales más graves de nuestra sociedad tanto por su prevalencia (en el pasado año 2010 fueron asesinadas 74 mujeres, y se estima que alrededor del 11.1% de las mujeres andaluzas son maltratadas), como por las consecuencias psicológicas que conlleva en las víctimas. Objetivos: En el Gabinete de Psicología de la Universidad de Jaén, atendemos a las mujeres (alumnas, PAS o PDI o familiares de éstos) que han sido o aún son víctimas de violencia de género, con el objetivo prioritario de que superen las situaciones traumáticas y que estén preparadas emocional y cognitivamente para llevar una vida plena con el desarrollo máximo de sus capacidades. Durante la evaluación, entre otras escalas, las usuarias contestan al cuestionario sobre Síndrome de Estrés Postraumático (Echeburúa, Corral, Amor, Zubizarreta y Sarasúa, 1997), pues los episodios de violencia psicológica, sexual y física extrema que la mayoría de ellas viven, ocasionan en el 100% de los casos este síndrome de manera crónica y acusada. Metodología: Para tratar este síndrome se acomete el entrenamiento en técnicas de respiración y relajación y posteriormente el tratamiento con EMDR. Esta técnica consiste en el procesamiento de los sucesos que quedaron bloqueados por el miedo sentido en el momento en que ocurrieron, mediante la movilización de los ojos de manera simultánea a la escucha del episodio, tratando nuevamente de revivirlo. Aplicamos esta técnica con 5 pacientes. Resultados: En todos los casos las usuarias superaban la situación en 4 o 5 sesiones de 5 minutos cada una, de manera que posteriormente, informaron de que la situación ya no les producía tristeza ni dolor, y que la habían aceptado. Discusión: Estos resultados sugieren que esta técnica es eficaz y rápida en la intervención de sucesos traumáticos de violencia de género, por lo que resulta altamente recomendable para estos casos.

Introduction: Gender violence is one of the most serious social problems our society because of its prevalence (in the past year 2010 were killed 74 women, and it is estimated that about 11.1% of women are battered Andalusian), as for the psychological consequences on the victims involved. Objectives: In the Cabinet of Psychology, University of Jaén, we look at women (students, PAS or PDI or their relatives) who have been or still are victims of domestic violence, with priority objective of exceeding trauma and who are prepared emotionally and cognitively to lead a full life with the maximum development of their capabilities. During the assessment, including scales, users answer the questionnaire on PTSD (Echeburúa, Corral, Love, Zubizarreta and Sarasua, 1997), because episodes of psychological, physical and sexual extreme than most living, result in 100% of cases this syndrome chronically and charged. Methodology: To treat this syndrome is undertaken the training in breathing and relaxation techniques and subsequent treatment with EMDR. This technique consists in processing events that were blocked sense of fear at the time they occurred, by mobilizing the eyes simultaneously listening to the episode, trying to revive him again. We apply this technique in 5 patients. Results: In all cases the user exceeded the 4 or 5 position in 5-minute sessions each, so that subsequently reported that the situation no longer produce sadness or pain, and that the had accepted. Discussion: These results suggest that this technique is effective and fast intervention in the traumatic events of violence, so it is highly recommended for these cases.

Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

83. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]

Keywords: Performance Enhancement Protocol

Accuracy Verified: Yes

84. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b.

Language: German

Format: Journal

Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern bzw. zu hemmen und somit auch die Symptomatik der posttraumatischen Belastungsstörung abzubauen. Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv, verhaltenstherapeutischen Vorgehens das Modell von Ehlers und Clark, ebenso das EMDR-Verfahren von Shapiro. Das Biofeedbackverfahren nutzen die Autoren als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches Therapiekonzept und Behandlungsprotokoll vor. Es wird eingehend auf die Diagnostik (psychologische Testverfahren sowie Biofeedback eingegangen, ein wichtiger Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten zwischen den Sitzungen bekommen mit eingehenden Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien. Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll für EMDR. Gegen Ende des Bandes schließen sich Fallstudien aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen. Im Anhang gibt es Adressenverzeichnisse über den Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen. Zusammenfassend kann man sagen, dass der Band kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische Praxis in Bezug auf Traumabehandlungen erscheint. Das Buch richtet sich an Fachleute und ist für Laien eher weniger geeignet.

In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy, the EMDR method and biofeedback combined to the fear reaction Framework to reduce traumatic memories or to inhibit and thus the symptoms of reduce post-traumatic stress disorder. In the first part of the book, the authors detail to the theoretical background (neurophysiology, Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories. Here, they argued that the neuronal Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model by Ehlers and Clark, as well as the method of EMDR Shapiro. The biofeedback method, the authors use as a diagnostic tool for the subjective evaluation on the part of the patients also making objectively verifiable by measuring electrodermal activity (EDA). In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at all patients, and patients had a significant positive Detect symptom change the PTB have been. In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis ( Test procedures and biofeedback received an important Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises. The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded. The stabilization exercises are described practically (Safe Place, Safe), as well as the practical Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice. In the appendix, there are records of the address Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

85. ter Heide, F. J. J. (2011). EMDR versus stabilisaite: Resulten van een pilot studie [Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the outpatient treatment of traumatised asylum seekers and refugees: A randomised controlled trial]. Refereer Centrum '45, Oegstgeest, the Nederlands.

Language: Dutch

Format: Publication

Keywords: Asylum Seekers Randomized Control Trial Outpatient Treatment RCT Refugees

Accuracy Verified: Yes

86. ter Heide, J. J. (2008, June). EMDR versus stabilisation in the treatment of traumatised asylum seekers and refugees: Preliminary results of a pilot RCT. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK.

Language: English

Format: Conference

Abstract:
Despite the high prevalence of PTSD in refugee populations, it is as yet unclear how to treat traumatised refugees and asylum seekers most effectively. Whilst EMDR is a treatment of choice for PTSD, it is considered good clinical practice to use a phased model of intervention with these patients. In this model, a stabilisation phase precedes EMDR. Many clinicians are reluctant to try EMDR with this population for fear of psychological decompensation. They tend to stick to stabilisation techniques. Centrum ’45 in the Netherlands is a national centre for mental health care, specialising in the treatment of victims of war and organised violence. In order to optimise the mental health care offered, the centre is conducting a pilot RCT to see which is more effective in the treatment of traumatised asylum seekers and refugees: eight sessions of EMDR or eight sessions of stabilisation. The study population consists of 20 adult patients who applied for treatment and who met the DSM-IV criteria of PTSD, excluding those who are suicidal, psychotic, (hypo) manic or who suffer from substance abuse or eating disorders. Patients are screened for participation using the SCID module PTSD and part of the MINI. Symptoms of PTSD, depression and anxiety, and quality of life are assessed at pre- and post-treatment and follow-up, using the HTQ, HSCL-25 and the WHOQOL-BREF. The pilot study is due to finish in October 2008. In this poster presentation, we present preliminary findings, including data from the pre- and post-treatment assessments.

Keywords: Asylum Seekers Poster Refugees

Accuracy Verified: Yes

87. ter Heide, F. J. J., Mooren, T. M., Kleijn, W., de Jongh, A., & Kleber, R. J. (2011, August). EMDR versus stabilisation in traumatised asylum seekers and refugees: Results of a pilot study. European Journal of Psychotraumatology, 2, 5881. doi:10.3402/ejpt.v2i0.5881.

Language: English

Format: Journal

Abstract:
Background: Traumatised asylum seekers and refugees are clinically considered a complex population. Discussion exists on whether with this population treatment guidelines for post-traumatic stress disorder (PTSD) should be followed and Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT) or Eye Movement Desensitisation and Reprocessing (EMDR) should be applied, or whether a phased model starting with stabilisation is preferable. Some clinicians fear that trauma-focused interventions may lead to unmanageable distress or may be ineffective. While cognitive-behavioural interventions have been found to be effective with traumatised refugees, no studies concerning the efficacy of EMDR with this population have been conducted as yet. Objective: In preparation for a randomised trial comparing EMDR and stabilisation with traumatised refugees, a pilot study with 20 participants was conducted. The objective was to examine feasibility of participation in a randomised trial for this complex population and to examine acceptability and preliminary efficacy of EMDR. Design: Participants were randomly allocated to 11 sessions of either EMDR or stabilisation. Symptoms of PTSD (SCID-I, HTQ), depression and anxiety (HSCL-25), and quality of life (WHOQOL-BREF) were assessed at pre- and post-treatment and 3-month follow-up. Results: Participation of traumatised refugees in the study was found feasible, although issues associated with complex traumatisation led to a high pre-treatment attrition and challenges in assessments. Acceptability of EMDR was found equal to that of stabilisation with a high drop-out for both conditions. No participants dropped out of the EMDR condition because of unmanageable distress. While improvement for EMDR participants was small, EMDR was found to be no less efficacious than stabilisation. Different symptom courses between the two conditions, with EMDR showing some improvement and stabilisation showing some deterioration between pre-treatment and post-treatment, justify the conduct of a full trial. Conclusion: With some adaptations in study design, inclusion of a greater sample is justifiable to determine which treatment is more suitable for this complex population.

Keywords: Asylum Seekers Refugees Posttraumatic Stress Disoder PTSD TF-CBT Trauma-Focused Cognitive-Behavioural Therapy

Accuracy Verified: Yes

88. Darker-Smith, S. (2007, June). EMDR vs CBT in the treatment of anorexia nervosa: A preliminary study. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In working with clients with anorexia nervosa for the past 18 months, it has become apparent that while many clinicians continue to utilise a variety of treatment means, CBT or systemic family therapy are often treatments most frequently offered to the sufferer. However, what does appear to be consistent is the general view (e.g., Waller; Treasure; Brewer) that ‘recovery’ will take an average between 1 to 2 years with many clients suffering from this disorder never making a full or complete recovery.
With this in mind, sixteen clients with a previous diagnosis of anorexia nervosa and under medical supervision with a BMI of 16.5 – 18 and still meeting the mental criteria of anorexia nervosa (DSM IV) were offered either EMDR (N.10) or CBT (N.6). Starting with the premise that most sufferers of anorexia nervosa argued that simply ‘eating’ is not the answer – but rather the mechanism by which control is maintained – it was agreed that regular weigh-ins and the use of food journals would form part of the study – however, no therapeutic emphasis would be placed directly on food in either the CBT or the EMDR group.
Those receiving EMDR recovered substantially quicker and with less food-related exposure, once the target memory precipitating the anorexic onset was identified. Interestingly, food intake and weight increased without needing to be targeted as a separate matter, once the ‘feeder’ memory had been adapted in 8 out of the 10 EMDR clients. In the remaining two clients, behavioural experiments targeting the “practice of behaving (and eating) normally’ one day a week in order to reduce the fear of ‘normality’ was used with good effect.
Whilst the CBT group did improve, they continued to fluctuate in terms of active anorexic patterns of behaviour and their weight or food intake did not appear to improve significantly.
Although the trial lasted for 6 months duration, on average, the EMDR group reached ‘recovery’ at around 3-4 month mark, compared to the CBT group of which five noticed ‘improvement,’ however, did not appear to have increased weight and still reported phobic reactions to both body-mage and food at the 4 month mark. One in the CBT group did make a significant improvement based on cognitive restructuring alone and this client did increase weight and intake significantly at the same ratio as the EMDR group.
At the initial 1-month follow-up post-study, the CBT group were still exhibiting symptoms of mental pre-occupation with diet/weight compared to the EMDR group who had reached normal BMI ranges (N.9) and all reported little to no pre-occupation with diet/eight.
Although this study is still pending follow-ups of all clients, there would appear, on the basis of this preliminary study that anorexia nervosa appears to respond better to EMDR in shorter treatment duration than CBT.
Furthermore, six of the EMDR group reposed using safe-space imagery to reduce their anxieties surrounding food and this may have been a contributory factor.

Keywords: Anorexia Nervosa CBT Cognitive Behavioral Therapy

Accuracy Verified: Yes

89. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli. The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions. Learning objectives: This workshop will provide you with the following information: •a short review of current research and literature •the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations by working with flashforwards, future template and video check •ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.

Keywords: Dentophobia

Accuracy Verified: Yes

90. Hogberg, U. (2007). EMDR – Mojligt behandling vid PTSD efter forlossning [EMDR - Possible treatment for PTSD after childbirth]. Läkartidningen, 104(17), 1312.

Language: Swedish

Format: Magazine

Abstract:
Posttraumatiskt stressyndrom (PTSD) inträffar efter förlossning hos 1–3 procent. Hos omföderskor med förlossningsrädsla förekommer i stor utsträckning en tidigare traumatisk förlossningsupplevelse. Ögonrörelsebehandling, eye movement desensitization and reprocessing (EMDR), är en evidensbaserad behandlingsmetod för PTSD [Läkartidningen. 2007;104:782-3; Nord J Psychiatry. 2007;61:54-61]. inträffar efter förlossning hos 1–3 procent. Hos omföderskor med förlossningsrädsla förekommer i stor utsträckning en tidigare traumatisk förlossningsupplevelse. Ögonrörelsebehandling, eye movement desensitization and reprocessing (EMDR), är en evidensbaserad behandlingsmetod för PTSD [Läkartidningen. 2007;104:782-3; Nord J Psychiatry. 2007;61:54-61].

Post-traumatic stress disorder (PTSD) occurs after birth in 1-3 per cent. In multipara with fear of childbirth occurs to a large extent a previous traumatic birth experience. Eye movement therapy, eye movement desensitization and Reprocessing (EMDR), is an evidence-based treatment for PTSD [Lakartidningen. 2007, 104:782-3; North J Psychiatry. 2007; 61:54-61]. occurs after birth in 1-3 per cent. In multipara with fear of childbirth occurs to a large extent a previous traumatic birth experience. Eye movement therapy, eye movement desensitization and Reprocessing (EMDR), is an evidence-based treatment for PTSD [Lakartidningen. 2007, 104:782-3; North J Psychiatry. 2007; 61:54-61].

Keywords: Childbirth Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

91. 杨善真 [Yang Zhen]. (2006). EMDR（眼动身心重建法）的研究探讨 [EMDR (Eye Movement mental and physical reconstruction of Law), a detailed study]. 嘉义大学辅导咨商学系研究所 [National Chiayi University, Counseling Institute, Chiayi, Taiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
EMDR（眼動身心重建法）的研究探討
眼物质重建法（眼动脱敏和再加工）在过去10年来，作为一个新兴的心理治疗方法，并正成为越来越受欢迎，并确保特别是对创伤后应激综合征的治疗，是新兴的治疗方法，根据Greewald回想起来，一个文献研究指出，“它已被用于治疗许多人的选择”（由约翰库萨克和斯帕茨，1999年报价），因为传统的治疗心理咨询技术的使用往往需要耗费时间，对于一些不长的治疗或治疗病人的具有时间限制并不适用，而且还描述伤痛的经历，以repeat简单动作usually只会使病情恶化，最后连药物也无效，所以今天非常受欢迎并EMDR可应用于其他精神疾病，如：恐惧，疼痛疾病，性虐待的创伤，手术后感情伤害，而且由于其方法和结果仍在广泛讨论，因此对EMDR in treatment和谐促进more 。

Eye physical reconstruction method (Eye Movement Desensitization and Reprocessing) for the last 10 years, emerging as a psychological treatment method, and are becoming increasingly popular, and sure, especially for the treatment of post-traumatic stress syndrome is emerging treatment techniques, according to Greewald In retrospect, a study of the literature pointed out that "it has been used as treatment for many people a choice" (a quote from Cusack & Spates, 1999), because the use of traditional healing counseling psychology techniques often require time-consuming, for some not long for treatment or for treatment of patients has its time limits do not apply, but also describing the traumatic experience to repeat simple movements usually only make the patient's condition worsened and finally even the drugs are also ineffective, so very popular today and be EMDR be applied to other mental diseases, such as: fear, pain diseases, sexual abuse trauma, post-operative emotional harm, and because of its methods and results are still being widely discussed, so the promotion of EMDR in treatment more harmony.

Keywords: Practice Theory

Accuracy Verified: Yes

92. D‘Hooghe, D. (2010, June). EMDR‘s application in the treatment of children with selective mutism. In Experimental use of EMDR. Symposium presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This case concerns a 4,5 year old girl with Selective Mutism. In this particular case. I considered Selective Mutism a symptom of an attachment trauma. Since the trauma wasn't accessible seeing her age and the complexity of the trauma, I used the symptom as a target. I applied EMDR within a phase model: the preparation phase, confrontation phase and integration phase. During these three phases I continuously worked with bilateral stimulation It is my hypothesis that in this case the bilateral stimulation: 1. stimulated and strengthened positive links in the adaptive network. 2 synchronized the activity of both cerebral hemispheres, resulting in a connection between the primary emotions of traumatic experiences and rational insights and language. 3. unblocked the traumatic information and reactivated the natural healing process of the brain. I used several forms of bilateral stimulation as visual stimulation, tactile stimulation and the butterfly hug. Because of her lack of words, she wasn't able to tell me anything. So through storytelling I offered her different themes to which she could respond by making drawings, figures in clay, etc. During the preparation phase, I focused on safety, ego strengthening and affect management to reduce the fear to speak. 1. Working with safety : the eye movements were first accomplished using a safe Image which brought up her own sense of security. Then, after imagining this safe place, the child was willing to play tapping games to strengthen feelings of safety. 2. Ego strengthening : to feel as strong as possible by installing resources and positive cognitions, and guiding the child towards acceptance and development of its unique being. Bilateral stimulation was used to strengthen the positive experiences. 3. Affect management: in the process of strengthening affect management, the child was given access to her anxiety by storytelling linked to visualization, the use of images and bodywork. Again, bilateral stimulation was used to strengthen the positive experiences/skills. After a few sessions. I introduced the use of language and stimulated her to make sounds, followed by pronouncing places of words and finally the pronunciation of complete words and sentences. Through this whole process, 1 combined the specific exercises to learn how to speak with bilateral stimulations. During the twelfth session, the child started talking spontaneously Given the fact that there wasn't any direct confrontation work during the sessions, we are left to wonder whether there has or hasn't occurred any trauma processing. The symptom came to a halt, together with the disappearance of other symptoms that were Inked to the trauma. The question is whether it is necessary to confront young children with their trauma in order to heal. Nevertheless, it seems like the combination of bilateral stimulation with storytelling, art therapy, play therapy and visualization speeded up the elimination of the child's trauma symptoms considerably.

Keywords: Experimental Use Selective Mutism

Accuracy Verified: Yes

93. O'Brien, E. (1993, November/December). The enigma of EMDR: Pushing the panic button. Family Therapy Networker, 17(6), 33-39.

Language: English

Format: Magazine

Abstract:
When she first heard about EMDR, and the CWMS about its high success rate with agoraphobics, I thought, 'Yeah, right-I just roll my eyeballs around and suddenly I'm cured!" That this trendy, new technique could end almost 20 years of paralyzing fear and dread seemed doubtful, to put it mildly. I'd already experienced enough standard, name-brand therapies and assorted snake-oil cures to become a one-woman encyclopedia of clinical failures. So my cynicism about this latest entry in the cure-all sweepstakes was almost, almost as great as my desperation to try anything once. Desperation won out by a hair. Nothing, I thought, not even putting myself through the paces of another half-baked new fad, could be as bad as what I was going through now, and what I had been through, off and on, for the last 18years of my life.

Keywords: Panic

Accuracy Verified: Yes

94. Doering, S., Bisping, V., Nora Liebergesell, N., Hoffkes, B., Junghofer, M., & Dobel, C. (2012). Erfassung neurobiologischer orrelate der EMDR-behandlung bei patienten mit zahnbehandlungsangst [Detection of neurobiological correlates of EMDR treatment in patients with dental anxiety]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie, Forschung, Munster, Deutschland.

Language: German

Format: Other

Abstract:
Im Rahmen des zuvor dargestellten Projektes werden die Patienten vor und nach der EMDR-Intervention mit einer Magnetencephalografie (MEG) untersucht. Dabei soll erfasst werden, ob die erwarteten angstassoziierten kortikalen Aktivierungen nach der EMDR-Behandlung zurückgehen. Als Angst auslösende Stimuli werden im MEG Bilder, Geräusche und Gerüche dargeboten werden, die in Zusammenhang mit der Zahnbehandlung stehen.

As part of the [Wirksamkeit des Eye Movement Desensitization and Reprocessing (EMDR) bei Patienten mit Zahnbehandlungsphobie, (Doering, Bisping, Bohnke)] project a Magnetencephalografie (MEG) will be presented before the patients were examined before and after the EMDR intervention. It should be recognized that the expected angst associated cortical activations to go back to the EMDR treatment. As fear-inducing stimuli in the MEG images, sounds and smells will be presented, which are associated with dental treatment.

The purpose of this study is to find out whether Eye Movement Desensitization and Reprocessing (EMDR) is effective in the treatment of patients with dental phobia. This U.S. National Institues of Health Clinical trial has been completed. (U.S. National Institutes of Health ClinicalTrials.gov Identifier: NCT01207960)

Keywords: Dental Phobia

Accuracy Verified: Yes

95. ter Heide, J. J., Mooren, T., & Kleber, R. (2009, November). Evidence-based vs. good practice: The treatment of traumatized refugees with EMDR. In M. Olff, J. J. Ter Heide, M. J. Nijdam, & S. Guay (Chairs), Advances in evidence-based treatment for PTSD. Symposium conducted at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Despite the scientific evidence concerning the efficacy of EMDR in the treatment of PTSD, in clinical practice many clinicians are reluctant to apply EMDR to traumatized asylum seekers and refugees. Because they regard the traumatization of this population as too complex, and for fear of psychological decompensation, they tend to avoid confrontation with traumatic memories and stick to stabilization techniques. In a pilot study with 20 traumatized asylum seekers and refugees, we tested the hypothesis that, in accordance with treatment guidelines, EMDR would be more effective than stabilization in asylum seekers and refugees. Adult asylum seekers and refugees who applied for treatment at Centrum ’45, a Dutch national centre for psychological treatment of victims of war and organized violence, were randomly allocated to either 11 sessions of EMDR or 11 sessions of stabilization. PTSD and comorbid symptomatology and quality of life were assessed at pre- and post-treatment and three-month follow-up. In this presentation, the results of this pilot RCT will be discussed. Significant differences favouring EMDR over stabilization were found. Despite several drawbacks including a high drop-out and limited clinical improvement, study design seems feasible with this population.

Keywords: Evidence-Based Good Practice Refugees Symposium Trauma

Accuracy Verified: Yes

96. Alexander, J. (2000, February 14). Exploring the alternatives. The Express.

Language: English

Format: Newspaper

Abstract:
EMDR is a technique which can help you look fears and phobias in the eye. With a simple series of rapid eye movements, practitioners believe you can access the source of anxieties and dispel the fear. It's swift, effective and the results are long-lasting.

Keywords: General Overview

Accuracy Verified: Yes

97. Garner, C. (2003, January 20). Expresswoman: What's the alternative? Speech therapy. The Express, Features, 37.

Language: English

Format: Newspaper

Abstract:
EMDR involves desensitising the emotion attached to a particular issue. A typical session begins with a discussion of what is responsible for the fear. Often it comes from having being put on the spot in childhood. It may be that your father or teacher was always critical.

Keywords: General Overview

Accuracy Verified: Yes

98. Kiessling, R. (2009). Extending resources. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 87-89). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Some clients may be able to talk about their trauma; however, the thought of processing it with the Standard EMDR Protocol may seem too overwhelming. In cases such as these, having the client develop a resource to address the "fear of the fear" may reduce the anxiety of reprocessing the traumatic memory. The Wedging Technique Script is provided. (PsycINFO Database]

Keywords: Protocol Resources

Accuracy Verified: Yes

99. Hollander, H. E. (2009, March 10). Eye closure, eye movements: ECEM for the treatment of panic and depersonalization disorders. Presentation at the 51st American Society of Clinical Hypnosis Annual Scientific Meeting, Boston, MA .

Language: English

Format: Conference

Abstract:
ECEM, a novel technique that integrates the eye movement component of EMDR within hypnosis, will be presented, with specific application to panic disorder and to depersonalization disorder, conceptualized as a subtype of panic disorder. The workshop will (1) provide a research review of neurophysiology and behavioral measures that support conceptualization of depersonalization disorder as a subtype of panic disorder; (2) discuss the use of ECEM (eye movements within hypnosis) to treat panic and depersonalization disorder; (3) describe specifi c procedures using ECEM to interrupt attacks of panic and depersonalization disorder; (4) describe how ECEM is used to reverse (up-regulate) feeling of unfamiliar self, sensory numbness, cognitive freezing, de-realization - core symptoms of depersonalization disorder; and (5) describe how ECEM is used to manage anticipatory anxiety associated with panic or depersonalization disorder, recognizing overlap and differences in hypnotic techniques and utilization of eye movements within hypnosis for each disorder. Participants should be familiar with, or planning to take courses in EMDR. The experiential component will include practice in managing dysfunctional breathing patterns, practice in utilization of self-generated eye movements within hypnosis to treat anticipatory anxiety-fear of panic or depersonalization episodes, and demonstration of hypnotic techniques to up-regulate core symptoms of depersonalization disorder. Upon completing this workshop, the participant should be able to: 1. Define three key characteristics of panic disorder and depersonalization; 2. Discuss ECEM and describe how ECEM is varied to treat one key similarity and one key diff erence that is required in the management of an episode of depersonalization disorder as distinct from panic disorder; and 3. Apply ECEM (hypnotic techniques and eye movements within hypnosis) to modify anticipatory anxiety that is a feature of both panic and depersonalization disorder.

Keywords: Depersonalization Disorders ECEM Eye CLosure Eye Movements Panic Disorders

Accuracy Verified: Yes

100. Mevissen, L. (2008). Eye movement desensitization and reprocessing (EMDR). Wetenschappelijk Tijdschrift Autisme, (3), 123-135.

Language: Dutch

Format: Journal

Abstract:
D. is altijd al bang geweest om alleen met het openbaar vervoer te reizen, vooral vanwege al die vreemde mensen die naar haar kijken. Sinds ze in een volle metro door een man is bedreigd durft ze niet meer zelfstandig met de metro naar haar werk. Moeder: “we zijn weer terug bij af”. Gebrek aan zelfrefectie, onvermogen om een therapeutische relatie aan te gaan, problemen in de communicatie, de angst dat klachten juist gaan toenemen met misschien wel decompensatie tot gevolg; het zijn veel gebruikte argumenten om af te zien van psychotherapie bij mensen met een ASS. Eye Movement Desensitization and Reprocessing (EMDR) is een vrij nieuwe behandelmethode met een sterk geprotocolleerde werkwijze die zich duidelijk onderscheidt van veel andere methoden die een beroep doen op vaardigheden waar mensen met een ASS per defnitie in tekort schieten. Zou EMDR perspectieven kunnen bieden als het gaat om psychotherapie bij cliënten met een ASS en comorbide stoornissen, die zijn ontstaan ten gevolge van ingrijpende gebeurtenissen?

D. is a normally gifted young adult woman with Asperger syndrome. She has always been afraid to be alone on public transport to travel, especially because of all those strange people who look at her. Since they are in a full subway is threatened by a man she dares not own the subway to her job. Mother: "We're back to square one". Lack zelfrefectie, inability to enter a therapeutic relationship, problems in communication, just the fear that complaints will increase by perhaps decompensation result, they are commonly used arguments to refrain from psychotherapy for people with ASD. Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new treatment with a strong protocolled method clearly differs from many other methods that rely on skills that people with ASD in a defnitie fail. EMDR perspectives might offer in terms of psychotherapy for clients with ASD and comorbid disorders that have arisen as a result of traumatic events?

Keywords: Asperger's Autistic Spectrum Disorders Stress Symptoms

Accuracy Verified: Yes

101. Balk, J. L. (2001, Nov 1). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder. Alternative Medicine Alert, 4, 121-124.

Language: English

Format: Newsletter

Abstract:
Post-traumatic stress disorder (PTSD) is a fairly common disorder. Roughly 8-10% of the population will suffer from PTSD at some point in their lives. For victims of violent crimes such as rape, the rate of PTSD may be 60-80%. (1) According to the DSM-IV, diagnostic criteria for PTSD include: 1) perceived or actual threat to life or physical integrity, accompanied by an emotional response of horror, helplessness, or intense fear; 2) re-experience of the trauma (e.g. flashbacks and nightmares); 3) avoidance of trauma-related stimuli and numbing of interest and affect; and 4) increased unwanted arousal, such as concentration difficulties, irritability, and insomnia. Specific criteria exist regarding the numbers of symptoms in each category that must be present.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

102. Goldstein, A., & Feske, U. (1994, October-December). Eye movement desensitization and reprocessing for panic disorder: A case series. Journal of Anxiety Disorders, 8(4), 351-362.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), a new technique that has shown some promise in the treatment of traumatic memories, was evaluated in this pilot study. Subjects were seven clients suffering from panic disorder who received EMDR treatment for memories of past and anticipated panic attacks and other anxiety-evoking memories of personal relevance. Standardized self-report inventories and behavioral monitoring instruments were employed to measure change with treatment. After five sessions of EMDR, subjects reported a considerable decrease in the frequency of panic attacks, fear of experiencing a panic attack, general anxiety, thoughts concerning negative consequences of experiencing anxiety, fear of body sensations, depression, and other measures of pathology (ScienceDirect).

Keywords: Adults Americans Anxiety Disorders Empirical Study Panic Disorder Phobia Treatment Effectiveness

Accuracy Verified: Yes

103. de Jongh, A. (1993, November). Eye movement desensitization and reprocessing: Een nieuwe techniek voor de behandeling van aan trauma gerelateerde angst [Eye movement desensitization and reprocessing: A new technique for the treatment of trauma-related fear]. Presentatie bij de zondeval Conferentie Vereniging van Gedragswetenschappen, Veldhoven, Nederland.

Language: English

Format: Conference

Keywords: Fear Trauma Treatment

Accuracy Verified: Yes

104. 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

105. Datta, P. C. (1995). Eye movement desensitization reprocessing (EMDR) and clinical hypnosis (CH): Possible role of melatonin in the attenuation of trauma. In G. D. Burrows & R. Stanley, (Eds.) Contemporary International Hypnosis, Proceedings of the XIIIth International Congress of Hypnosis, Melbourne, Australia, August 6-12, 1994 (pp. 177-188). New York: Wiley.

Language: English

Format: Book Section

Abstract:
Eye movement desensitization and Reprocessing (EMDR), also called by some EMD or EMD/R, is a relatively new therapeutic procedure. This therapeutically beneficial procedure was originally designed and envisaged for the treatment of post-traumatic stress disorder (PTSD) by Dr. Francine Shapiro (Shapiro, 1989, a,b). Various subsequent studies showed that -4 sessions (ach of ½ to 2 hrs duration) of EMDR are effective in significantly reducing the traumatic memories and associated anxiety to negligible levels (Lipke & Botkin, 1992; Shapiro, 1989 a,b; Spector & Huthwaite, 1993). There are, however, scanty reports of lack of treatment outcome with EMDR which has been explained by the client’s lack of cooperation in following the procedure or the therapist’s lack of experience (Lipke & Botkin, 1992). Similar reports are available with many other effective therapeutic procedures including clinical hypnosis (CH), mainly where there is “fear of failure” or “anxiety to succeed” present in the client’s mind, in addition to lack of experience of the therapist (Hartland, 1982).

Keywords: Hypnosis Melatonin

Accuracy Verified: Yes

106. Sonnenberg, M. (2005, November 22). Eye therapy eases intense fear trauma victims feel. Melbourne, FL: Florida Today, Final/All, Health, G01.

Language: English

Format: Newspaper

Abstract:
Peters, along with several other therapists in the area, instead have turned to EMDR, or eye movement desensitization and reprocessing.

Keywords: Fear Melbourne, FL Trauma Victims

Accuracy Verified: Yes

107. Medeiros, K. (2009). Eye-movement desensitization and reprocessing: Implementation and utilization of EMDR as a treatment for trauma. Undergraduate Review, 5(9), 32-36.

Language: English

Format: Audio

Abstract:
Trauma is a pervasive global issue that affects both children and adults. It is officially defined in the most recent Diagnostic Manual as an event that threatens death or serious injury, and that elicits a response of fear, helplessness, or horror (American Psychiatric Association, 2002). Other respected definitions include a “sudden, unexpected, overwhelmingly intense emotional blow....[that] quickly becomes incorporated into the mind” (Terr, 1992, p. 8), and something that makes “both internal and external resources... inadequate to cope with external threat” (Van der Kolk, 1989, p. 393). Literature suggests that people who have experienced trauma may present with symptoms including depression, anxiety, insomnia, phobias, delayed development, difficulty maintaining social relationships, and personality disorders.

Keywords: Trauma Treatment

Accuracy Verified: Yes

108. Wesselman, D. (2010, September/October). Facilitating the journey from fear to love: Using EMDR to treat insecure and disordered attachments in children and adults. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Participants will learn to identify the anxious core beliefs of adults and children and the unspoken bonding contract developed in early childhood. Participants will discover new tools for creating more secure attachments, including resource development exercises to strengthen adults’ capacity to nurture self and others, resource development for strengthening attachments between children and parents, and parenting techniques to help facilitate attachment in children. Participants will learn to adapt EMDR to help children with Reactive Attachment Disorder effectively resolve attachment traumas and remove obstacles to love. The presenter will share research data illustrating the impact of EMDR on attachment issues.

Keywords: Adults Attachment Children

Accuracy Verified: Yes

109. Wizansky, B. (2001, May). Fashioning EMDR targets with non co-operative Children: Tailoring the technique to the child. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Book Section

Abstract:
Utilising EMDR with non co-operative children presents a challenge to the therapist's creativity and flexibility. Non co-operation may be based on any one of a number of issues, such as generalised anxiety, strong need for control, fear of experiencing uncomfortable emotions. This paper looks at several clinical manifestations of non co-operation in the therapy room and discusses ways in which these reluctant children have been helped to identify a target problem and process it.

Keywords: Children Non Co-operation

Accuracy Verified: Yes

110. Parnell, L. (2010). Fear of learning. Vernon, CT: Fair Point Productions.

Language: English

Format: Video

Abstract:
Live EMDR demonstration session conducted by Laurel Parnell with a participant from her EMDR training course. The session took place in a classroom setting with EMDR trainees observing the work. In this video, the client is a woman who had a life-long fear of learning. She felt anxious whenever she was in a classroom situation, feeling that she would fail and wouldn't be able to learn.

Keywords: Fear of Learning

Accuracy Verified: Yes

111. de Jongh, A. (2010, April). Fijne kneepjes bij angsten en fobieën [Intricacies of fears and phobias]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
De fijne kneepjes van het behandelen van angsten- en fobieën Een fobie is de meest voorkomende psychische aandoening. Het hebben van een dergelijke angst is vervelend en degene die er last van heeft wordt vaak behoorlijk beperkt in het dagelijks functioneren. Omdat angsten meestal ontstaan als gevolg van gebeurtenissen blijkt EMDR – middels het op therapeutische wijze beïnvloeden van de kennisbestanden die daaraan ten grondslag liggen - een bijzonder geschikte behandelaanpak. Deze workshop is bedoeld voor ervaren therapeuten die hun reikwijdte ten aanzien van behandeling van patiënten met een angst of fobie - al dan niet met behulp van EMDR - verder wil vergroten. De deelnemers krijgen naast tips en ideeën, een nieuwe vorm van casusconceptualisatie en targetselectie aangereikt die vooral bij patiënten met veel vermijdingstendenties effectief is. Daarnaast wordt uitgelegd hoe cognitieve gedragstherapeutische interventies behulpzaam kunnen zijn om de patiënt voor te bereiden op - of te laten wennen aan – toekomstige, potentieel moeilijke confrontaties met de fobische stimulussituatie. Het aangeleerde materiaal - dat wordt ondersteund door videobeelden uit de praktijk - kan direct in de praktijk worden toegepast. Aan de orde komen een grote variëteit aan voorbeelden van behandelingen van patiënten met fobische problematiek: braakfobie, tandartsfobie, stikfobie, kattenfobie en bloed-letsel-injectiefobie. De workshop is geschikt voor behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd. Het doel van de workshop is deelnemers na de workshop in staat te stellen om: ● fobische problematiek te conceptualiseren in termen van EMDR ● gebruik te maken van een nieuwe methode van casusconceptualisatie en targetselectie voor het behandelen van angsten en fobieën ● de verschillende effectieve componenten van een EMDR behandeling aan te wenden en te integreren (cognitive interweaves, future template, mental video etc.) ten behoeve van de behandeling van angsten en fobieën ● EMDR te combineren met diverse evidence based interventies zoals, copingstrategieën (bijvoorbeeld bij injectiefobie) gedragsexperimenten (bijvoorbeeld bij stikfobie) en applied tension (bij bloed-letsel-injectiefobie)

This workshop is designed for experienced therapists who range in relation to treatment of patients with a fear or phobia - or not using EMDR - continue to increase. Participants receive tips and ideas in addition, a new form of target selection and casusconceptualisatie handed mainly in patients with many avoiding tendencies effective. Besides explaining how cognitive behavioral interventions may be helpful to the patient to prepare for - or get used to - future, potentially difficult confrontation with the phobic stimulussituatie. The learned material - supported by video footage from the ground - straight into practice. It discusses a variety of examples of treatments of patients with phobic problem: empty phobia, dentist phobia, phobia sewing, cats phobia and blood-injection-injury phobia. The workshop is suitable for therapists, both in the field of adults and children and youth. The aim of the workshop participants after the workshop to allow for: ● phobic to conceptualize problems in terms of EMDR ● Using a new method of target selection and casusconceptualisatie to treat fears and phobias ● the various components of an effective EMDR treatment to use and integrate (cognitive interweaves futures template, mental video etc.) for the treatment of fears and phobias ● EMDR combined with various evidence based interventions such as coping strategies (eg injection phobia) behavioral experiments (eg nitrogen phobia) and Applied tension (In blood-injection-injury phobia)

Keywords: Fears Phobias

Accuracy Verified: Yes

112. Logie, R. (2012, October). Flash forwards. A special type of future template. Presentation at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
The “Flashforwards” procedure will explained as a sub category of the existing concept of the “Future Template”. Situations in which the use of Flashforwards might be appropriate will be explained. The use of Flashforwards for various disorders in which there is a fear of future events (eg phobia, PTSD, OCD) will be outlined together with case examples including video. Participants will work through the Assessment phase of the EMDR protocol for a future feared situation using their own material.

Keywords: Flash Forward Future Template

Accuracy Verified: Yes

113. 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

114. Terwilliger, K. (1994, September 25). Fly anxiety: Fears of air travel can be paralyzing. Colorado Springs, CO: The Gazette, Lifestyle, 1.

Language: English

Format: Newspaper

Abstract:
Some therapists claim success with Eye Movement Densensitization and Reprocessing - EMDR - an innovative technique that involves eye movement in tandem with visualization. Friedman participated in a recent Colorado Springs study of EMDR; she's also done some conventional therapy. Neither seemed to help her overcome her phobia - "but in some ways, I gave up," she says. Now, she's considering trying again.

Keywords: Colorado Springs Fear of Flying

Accuracy Verified: Yes

115. Fay, D., Corrigan, F. Fisher, J., Galloway, J., & Mcafee, F. (2010, April). An fMRI study of the integration of “Becoming safely embodied” and EMDR techniques for the de-activation of fear motor neurocircuitry. Symposium presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
An fMRI Study of the Integration of “Becoming Safely Embodied” and EMDR Techniques for the De-Activation of Fear Motor Neurocircuitry Frank Corrigan, Consulting Psychiatist, Argyll & Bute Hospital, Lochgilphead, Argyll This panel discussion explores brain imaging results using BSE skills activating left anterior insula intensified with alternating bilateral stimulation (ABS) from Eye Movement Desensitisation and Reprocessing (Shapiro 1992). It suggests positive feelings associated with brain activations deactivate areas involved in motor responses to threat.

Keywords: Fear Motor Neurocircuitry fMRI Study

Accuracy Verified: Yes

116. Hornsveld, H., & Berendsen, S. (2009). Geschiedenis en achtergronden [History and background]. In H. K. Hornsveld & S. Berendsen, Casusboek EMDR, 25 voorbeelden uit de praktijk , (1st Ed.), (pp. 17-25). Houten: Bohn Stafleu Van Loghum, 358 pages. doi:10.1007/978-90-313-7358-1_1.

Language: Dutch

Format: Book Section

Abstract:
‘Eye Movement Desensitisation and Reprocessing’ (EMDR) is een therapievorm die ontwikkeld is voor mensen die last hebben van de gevolgen van een ingrijpende gebeurtenis. Kenmerkend voor de effecten van een ingrijpende gebeurtenis is dat de persoon de herinnering niet kan loslaten; telkens komen beelden terug (soms als flashbacks of nachtmerries) en elke keer blijft de herinnering nare emoties oproepen, zoals angst, verdriet of walging. Tijdens de behandeling zal de EMDR-therapeut vragen weer aan de nare gebeurtenis terug te denken, inclusief de beelden, de gedachten en de gevoelens bij de herinnering. Als de herinnering zo goed mogelijk is opgehaald, starten de ‘eye movements’: de cliänt wordt gevraagd om met de ogen de hand van de therapeut te volgen die zich horizontaal heen en weer beweegt. Aan deze oogbewegingen dankt EMDR zijn naam, hoewel deze oogbewegingen tegenwoordig vaak vervangen worden door geluiden, die door een koptelefoon afwisselend links en rechts worden aangeboden. Bij kinderen worden vaak ‘handtaps’ gebruikt. Na elke set oogbewegingen (of andere stimuli) wordt er gevraagd wat er naar boven komt.

'Eye Movement Desensitisation and Reprocessing (EMDR) is a form of therapy developed for people who suffer from the effects of a dramatic event. Characterize the effects of a drastic event that the person can not release the memory, always come back images (sometimes as flashbacks or nightmares) and each time the memory remains nasty emotions like fear, sadness or disgust. During treatment, the EMDR therapist questions back to the bad event to remember, including images, thoughts and feelings at the memory. If the memory is retrieved as well as possible, start the 'eye movements': THE CUSTOMER will be asked to hand the eyes of the therapist to follow horizontally back and forth. These EMDR eye movement owes its name, although eye movements now often replaced by sounds, by an alternating left and right headphones are offered. When children are often "hand tapping 'is used. After each set of eye movements (or other stimuli) are asked what comes up.

Keywords: History

Accuracy Verified: Yes

117. Shapiro, F. (2012, March 19). Getting past the past: Healing the suffering heroes of war. Big Think. Retrieved from http://www.bigthink.com/ideas/getting-past-the-past-healing-the-suffering-heroes-of-war?page=1 on 3/19/2012.

Language: English

Format: Other

Abstract:
As a psychologist for the last 20 years, the first combat veterans I treated were those of the Vietnam War. When I walked into my local Veterans Outreach Center, I was startled to see how much suffering still existed. Although the war had ended twenty years earlier, these men were still haunted by their experiences. It was then that I learned about the depth of their suffering. The memories they often talked about, ones that still awoke them screaming from nightmares, involved the people who had died. One veteran spoke of the guilt he felt because, after going to war at the age of 19 to serve his country and help his fellow soldiers, he discovered that to do that he had to take lives. He cried as he recounted his fear that the artillery he had called in to save his battalion might have killed children in a nearby village. Others spoke of being powerless as they watched a friend die. They felt anger, fear, powerlessness and above all guilt. [Excerpt]

Keywords: Posttraumatic Stress Disorder Veterans War

Accuracy Verified: Yes

118. Korkmazlar-Oral, U., & Pamuk, S. (2002). Group EMDR with child survivors of the earthquake in Turkey. In J. Morris-Smith (Ed.), EMDR: clinical applications with children, Occasional paper No. 19 (pp. 47-50) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
This study was structured under emergency conditions to support and help children psychologically, just after the acute period of the earthquake that took place on 17 August 1999 in Turkey. EMDR, healing stories and artwork were administered to 16 children (10-11 years old) on a group basis in the tent city. Their symptoms were restlessness, not being able to stay alone, fear of the dark, fear of loud noises and anxiety. The children enjoyed the opportunity to express and reprocess their traumatic experiences with the help of EMDR and artwork, which became apparent when their SUDs level went down from 9/10 to 10.

Keywords: Children Earthquakes Occasional Paper Recent Events Survivors

Accuracy Verified: Yes

119. Maltz, W. (1995, June). Healing the sexual problems caused by sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Sexual abuse is abuse to a person's sexuality. It can seriously harm the development of healthy sexual attitudes, self-concept, and behavior. In particular, survivors are often troubled by a variety of sexual problems, such as, fear and avoidance of sex, approaching sex as an obligation, automatic negative reactions to touch, difficulty becoming aroused or feeling sensation, emotional detachment during sex, disturbing sexual thoughts and fantasies, compulsive sexual behaviors, difficulty with intimate partners, and sexual functioning concerns. EMDR is a technique which can effect significant changes in cognition, sensation, and emotional experience. It can be a powerful tool to help survivors reprocess traumatic material blocking healthy sexual experience. But because sex is often an extremely loaded issue for survivors, and EMDR is seen as technique in which the therapist "does something" to the client, precautions must be taken to avoid negative, retraumatizing reactions and increase positive results. Due to the high potential for negative transference in sex therapy with survivors, the therapist must present the EMDR technique in a style which values client safety and empowerment. This can involve associating the techque with safe images and prior positive experiences, developing relaxation and containment skills, and modifying the physical aspects associated with the technique. There are a variety of sexual concerns which respond well to EMDR intervention. EMDR can be used to help replace old negative messages about sex with new messages which view sex as based on consent, equality, respect and safety. Sexual self-concept can be improved as survivors undo irrational belief systems which blame their sexuality and/or sexual parts for having caused the abuse. EMDR can help introduce new experiences of self-forgiveness and self-acceptance. EMDR can also help desensitize particular objects, sexual settings, types of touch, and associations to the intimate partner which trigger negative reactions. Therapists who focus on sexual healing need to be familiar with a variety of sexual healing techniques. These include the sexual response cycle exercise, relearning touch exercises, techniques for healing unwanted sexual fantasies, and techniques for improving sexual functioning. Therapists can use EMDR to help survivors work through blocks and impasses encountered with the techniques.

Keywords: Sexual Abuse Sexual Issues

Accuracy Verified: Yes

120. Laliotis, D. (2009). Healing the wounds of attachment: An EMDR relational approach. In A. Bloomgarden & R. B. Mennuti (Eds). (2009). Psychotherapist revealed: Therapists speak about self-disclosure in psychotherapy. (pp. 151-162). New York, NY, US: Routledge/Taylor & Francis Group. xviii, 324 pp..

Language: English

Format: Book Section

Abstract:
In this chapter the author describes the use of self-disclosure during eye movement desensitization and reprocessing (EMDR) psychotherapy with a patient, Melina, who had a poor sense of self and a fear of abandonment. As an EMDR therapist with a psychodynamic, object relations background, the author describes how she explores with Melina how her early experiences as a child informed how she felt about herself as a person and how she relates to family and friends as well as her intimates. (PsycINFO Database Record (c) 2009 APA, all rights reserved)

Keywords: Attachment Early Childhood Experiences Psychotherapy Relational Approach Self-Disclosure

Accuracy Verified: Yes

121. Bergmann, U. (2008). Hidden selves: Treating dissociation in the spectrum of personality disorders. In C. Forgash & M. Copeley (Eds.), Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (pp. 227-265). New York: Springer Publishing Co. xxi, 361 pp.

Language: English

Format: Book Section

Abstract:
This chapter will examine the applications of the ego state concepts and techniques to all phases of the EMDR process in order to facilitate the treatment relationship--especially with the lonely, vulnerable ego states--as well as identify and strengthen the more developed self-aspects. Treatment is usually long-term EMDR, interweaving the activation of fear-based, aggressive, infantile ego states necessary to facilitate, deepen, and accelerate desensitization and reprocessing. Case examples will be offered of the treatment of passive-aggressive and narcissistic personality disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Dissociation Personality Disorders

Accuracy Verified: Yes

122. Delling, D. (2008, April). How do you beat fear of flying?. Outside, 33(4), 98.

Language: English

Format: Magazine

Abstract:
The article offers ways on how to fight aerophobia, or the fear of air travel. Travelers must review the statistics related to safe air travel. They may also take anxiety medicines like Ativan. They may also perform eye-movement desensitization and reprocessing (EMDR). It is a process in which the brain would reprocess fears while talking to a therapist.[EBSCOHost]

Keywords: Fear of Air Travel fear of Flying Phobias

Accuracy Verified: Yes

123. Catherall, D. R. (2003, June). How fear differs from anxiety. Traumatology, 9(2), 76-92. doi:10.1177/153476560300900202.

Language: English

Format: Journal

Abstract:
Animal models conceptualize anxiety as a response to potential danger while fear is a response to present danger. The way humans experience anxiety involves our capacity for higher thinking while the human experience of fear appears to be much the same as the animal model. This article examines these differences at both a phenomenological and neurological level and highlights implications for the treatment of conditioned fear in PTSD. The stimuli for human fear are sensory-perceptual, while the stimuli for most forms of anxiety are conceptual-linguistic. Individuals in a state of fear/terror undergo a radical shift from top-down to bottom-up processing in which access to conceptual-linguistic thought processes is severely restricted and the frontal regions of the cortex are no longer able to override impulses from brain stem and midbrain regions. Conditioned fear involves actual neurological changes in the limbic system. To overcome a traumatic memory, the individual must (1) gain some level of access to the bottom-up state in order to habituate or extinguish the conditioned fear response, and (2) also achieve access to the top-down state in order to process the fear. ]Sage Journals]

Keywords: Anxiety Fear Cognitive Neuroscience Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

124. Shusta-Hochberg, S. R. (2003). Impact of the World Trade Center disaster on a Manhattan psychotherapy practice. Journal of Trauma Practice, 2(1), 1-16. doi:10.1300/J189v02n01_01.

Language: English

Format: Journal

Abstract:
On September 11, 2001, when two hijacked planes destroyed the World Trade Center, the world changed. As a clinical psychologist practicing in Manhattan, and specializing in trauma, the author has found the event's impact upon her work to be profound. For most of her patients, in particular the severely dissociative, this event triggered the deepest feelings of vulnerability, fear and rage. She describes the varied trauma responses of her patients, effective interventions, and her own experiences as a psychologist and a New Yorker both on and since September 11. [Author Abstract]

Keywords: 9/11 Americans DID Dissociative Identity Disorder Personal Narrative Posttraumatic Stress Disorder Psychologists PTSD September 11 Survivors Terrorism Terrorist Attacks

Accuracy Verified: Yes

125. Meertens, K. (2007, November). In eigen woorden: Cliënt over EMDR-therapie: “De angst is weg” [In her own words: Client on EMDR therapy: "The fear is gone"]. Over Riagg Rijnmond, 49, 21-22.

Language: Dutch

Format: Magazine

Abstract:
Nu moest ik in de therapie die verkrachting gaan verwerken. Terwijl ik de gevoelens daarover van mijn 16e tot mijn 43ste heb vastgehouden. Ik vond dat heel moeilijk, was bang dat ik het weer moest meemaken. Wat zou er met mij gebeuren als ik het zou vertellen? Zou ik doordraaien, in de war raken, de controle over mijzelf verliezen? Een paar dagen voordat ik met de EMDRbehandeling EMDRbehandeling zou beginnen, voelde ik me al slecht. De dag voor de behandeling, verzon ik allerlei smoezen om af te bellen. De eerste keer heb ik dus ook afgebeld. Ik heb de therapie een week uitgesteld, omdat ik me zo rot voelde. Gelukkig haalde mijn therapeut mij over de drempel heen. Ze zei dat ze me sowieso wilde zien, ook als ik me rot voel. ‘Dan gaan we dáár iets mee doen’, zei ze. Gelukkig maar, anders zou ik het nu nog voor me uitschuiven.

Now I had the therapy that rape going process. While I feel about my 16th to my 43th I held. I found that very difficult, was afraid that I again had to go through. What would happen to me if I could tell? I would run through, get confused, control about myself lose? A few days before I EMDRbehandeling the EMDRbehandeling would begin, I already felt bad. Day before treatment, I made all kinds of excuses to call off. the first time I have also been called. I have therapy one week postponed, because I felt so bad. Luckily got my therapist me across the threshold. She said she me anyway wanted to see, even when I feel bad. "Then we go over there something do, "she said. Fortunately, otherwise I would still for me extend. [Excerpt]

Keywords: Rape Victims

Accuracy Verified: Yes

126. D'Hooghe, D. (2012, June). Integrating attachment theory and the AIP model in working with early childhood trauma in an attachment relationship [La integración de la teoría del apego y el modelo AIP al trabajar sobre el trauma infantil precoz dentro de una relación de apego]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In this presentation I would emphasize the relationship between attachment, trauma and the development of the AMN (adaptive memory network). From a psychobiological point of view, we understand that early relational experiences shape brain growth and organization and that the major environmental influence on the development of the brain is the attachment relationship. Reductions in brain volume and dysfunctional memory networks following traumatic experiences in early childhood are documented. When there is a distressing incident, it may become stored in state-‐specific form, unable to connect with other memory networks that hold adaptive information. The research of the neurobiology of the social brain and the mirror neuron system let us assume that the AMN is developing in the presence of an attuned caretaker. Healing traumatic memories is relational and procedural. I use EMDR within the Phase-‐ model of trauma-‐informed treatment. During the preparation phase (phase 1 and 2 EMDR protocol) I would like to stress the importance of: • evaluating the attachment pattern of the child. It affects how the child relates to the therapist. Establishing a healing therapeutic relationship is a goal of phase 2. • the activation of networks containing adaptive information and positive memories • increasing coping abilities, self-‐efficacy and sense of mastery. That may result in reduction of the fear responses and enabling changes in the meaning of the experiences, and a new memory can be formed.

En esta presentación, queremos enfatizar la relación que existe entre apego, trauma y desarrollo de la red adaptativa de memoria (AMN). Desde un punto de vista psicológico, entendemos que una temprana experiencia relacional forma el cerebro y hace crecer la organización y consideramos que la principal influencia ambiental del desarrollo del cerebro es la relación de apego. Las reducciones en el tamaño del volumen del cerebro y las redes de memoria disfuncionales seguidas de experiencias traumáticas en la infancia están documentadas. Cuando existe un evento vital estresante, puede ser almacenado en una forma específica de estado, impidiendo conectar con otras redes de memoria que retienen la información adaptativa. La investigación de la neurobiología del cerebro social y el sistema de neuronas espejo, nos permite asumir que la AMN se desarrolla en presencia de un cuidador acostumbrado. Sanar recuerdos traumáticos es relacional y referente al procesamiento. Yo uso EMDR dentro del modelo-‐fase del tratamiento para el trauma informado por el paciente. Tratamiento del modelo de fase para el trauma informado: Durante la preparación fase (fase 1 y 2 del protocolo EMDR) me gustaría recalcar la importancia de: -‐ Evaluar el patrón de apego del niño. Que afecta en como el niño se relaciona con el terapeuta. -‐ La activación de redes que contienen información adaptativa y recuerdos positivos. -‐ Incremento de las habilidades de afrontamiento, autoeficacia y autocontrol. Esto puede conllevar una reducción de las respuestas de miedo e inhibir cambios en significado de las experiencias y puede llevar a la formación de un nuevo recuerdo.

Keywords: Adaptive Information Processing AIP Attachment Theory Childhood Trauma

Accuracy Verified: Yes

127. Whisman, M., & Keller, M. (1999, June). Integrating EMDR in the treatment of obsessive compulsive disorder. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn the model of understanding and educating the client about OCD; 2) gain an understanding of biological, cognitive, behavioral, and affective theoretical orientations as they apply to OCD; 3) learn the eight stages of treatment, modification of the standards model, cognitive interweave, and resource installation; 4) learn of the foundation of success of EMDR and OCD treatment, information processing, avoidance of emotions, and the development of self; 5) be able to define a successful treatment, therapeutic stance, similarities in processing to trauma processing; and 6) learn about fear, superstition, ridigity, and control within the family context.

Keywords: Cognitive Interweave Obsessive Compulsive Disorder OCD Resource Installation

Accuracy Verified: Yes

128. Faretta, E. (2004, June). Integration of hypnotic therapy with EMDR for the treatment of panic disorder: Report of twelve single case studies. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
The author describes a special protocol she designed for the psychotherapy of Panic Disorders based upon a precise integration of Ericksonian hypnotic techniques with EMDR. This symposium presentation reports on the results of twelve completed singles cases and four in which treatment will still be ongoing at the time of the conference. This therapy approach is based upon the standard EMDR protocol and it eight phases of treatment. However, a noteworthy aspect of this intervention is the comprehensive management of the panic episodes themselves. This protocol assists the client in learning to cope with all the symptomology related to panic attacks, that is, the physiological, cognitive, emotional, and behavioral aspects. The first panic attach is considered the primary traumatic event. From this beginning point, the client is taught to face, step by step, the subsequent panic attacks utilizing both hynotherapeutic strategies and the EMDE processing. This protocol has permitted the successful processing of the memories related to the panic episodes (including imagining of the entire scene from start to finish), appropriate cognitive restructuring of the elements of irrational fear, and planned exposure through encouragement and support for confronting avoid situations and places. A conclusion of treatment is an agreement to face new situations of life that had seemed impossible before treatment because of the level of fear.

Keywords: Anxiety Disorders Case Study Hypnosis Integrated Approach Panic Disorder Symposium

Accuracy Verified: Yes

129. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be discussed. 1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized. Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation, assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are examples of negative cognitions whlch interfere with first stage stabilization goals: - I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better. - If I take care of myself, no one will know I hurt. - I'm pathetic, a failure. - I will die/go crazy fiom these feelings. - I can never do anything right. - I can't stand this feeling. I must cut myself. - Don't trust anyone or anything. Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc. 2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues: - fear/terror and associated avoidance - sense of powerlessnesshelplessness - responsibility/accountability - safety - self, others, environment - self-esteem/self as bad, defective, unlovable - lack of individuation - dependency - anger - grief/mouming - trust/mistrust - fear of abandonment - guilt/self-blame - shame/self-loathing With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing assessment and data collection in making decisions about EMDR targets will be addressed. 3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and issues addressed via EMDR include: - Increasing intimacy and healthy connections - Increasing self-esteem - Increasing self-efficacy and sense of mastery - Reclaiming sexuality - Increasing self-efficacy and sense of mastery - Identity exploration and development - Establishing goals, initiating new projects, and taking reasonable risks At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive and vital self-image. The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying EMDR at a specific stage of treatment.

Keywords: Sexual Abuse Survivors

Accuracy Verified: Yes

130. 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

131. Lendl, J., & Foster, S. (2011, August). Intro to EMDR performance enhancement psychology: A twenty year update. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
While EMDR Performance Enhancement Psychology can address clinical issues such as performance anxiety, self-defeating beliefs, behavioral inhibitions, PTSD, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes; it can also be very useful with everyday non-pathological complaints such as procrastination, fear of failure, setbacks and life transitions. Lendl and Foster initiated EMDR-PEP in 1991. This workshop will be a twenty year update to the introduction of EMDR-PEP. There will be a brief history of EMDR-PEP, research, AIP theory, and useful performance skills that therapists can integrate into their work with clients. The workshop will include lecture, role playing demo with group practice and, hopefully, time for questions.

Keywords: Performance Enhancement Update

Accuracy Verified: Yes

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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes

133. Munaro, D., Anchisi, R., Bossa, R., & Guzzi, R. (2001, October). Is orienting reflex in EMDR successful?. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics, (pp 149-158) Palermo, Italy.

Language: English

Format: Conference

Abstract:
We tried to “dissect” the EMDR method in the component desensitization through rapid eye movement (EMD), that is also the original part, to explain the neurophysiological functioning, Charney et al, say that a lot of persistent symptoms of PTSD are caused by an elevate arousal of NVS, particularly due to the increase of norepinephrine. Others hypothesize, again, that EMDR method is rapid because it is based on Classic Conditioning. Pavlov found that every stimulus of environment causes to the organism (animal or human) an immediate orienting response due to the arousal of the Autonomic Nervous System. In this situation the animal begins to look around moving its eyes laterality (as it happens during ocular movements of EMD); if it perceives a danger in the environment it stimulates a visceral negative response (hyperactivation that means fear) that leads an an avoidance behaviour (stiffening) and/or fighting. In other cases it causes a visceral positive response (de-arousal process that means reassurance) that leads to an approach behaviour through interaction or exploration.
The EMD should produce an orienting reflex in the patient in a protective sitaution like a psychotherapeutic setting; that means an important reduction of neuro-vegetative nervous system activity (dearousal) and some visceral positive response. We propose an experimental design with a single subject (ABACADA) by interruption treatment and by monitoring Neurophysiological functions through biofeedback instruments to test this neurophyiological hypothesis.

Keywords: Orienting Reflex

Accuracy Verified: Yes

134. Tutarel-Kıslak, S. (2004). Kaygi duyarligini azaltmada göz hareketieriyle duyarsizlastirma ve yeniden isleme (EMDR) tedavisi [Eye movement desensitization and reprocessing (EMDR) approach in the treatment of anxiety sensitivity]. Türk Psikoloji Dergisi, 19(53), 65-67.

Language: Turkish

Format: Journal

Abstract:
Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (EMDR) ve kontrollü araştırma destek olmak amacıyla Travma Sonrası Stres Bozukluğu (TSSB) ilk tedavilerden biridir artık giderek diğer psikolojik bozukluklar kadar uzatıldı. Bu çalışmada anksiyete duyarlılığı tedavisinde kas gevşetme ve EMDR işlemlerin etkilerini karşılaştırmak için planlandı. Ondokuz lisans öğrencileri dört alt ölçekleri ile standartlaştırılmış, özbildirim ölçmek oldu Anksiyete Duyarlılığı Profile (ASP) cevap verdi. Onlar rastgele iki gruba (; kas gevşeme ve EMDR tedavisi koşul); atanmış oldukları ve beş gün önce, ASP ölçek doldurulan ve girişim (müdahale süresi; öncesi ve sonrası müdahale ve takip) dört ay sonra. Sonuçlar, EMDR tedavisi alt puanı solunum semptomları korkusu önemli bir düşüş gösterdi üretilen bu düşüşün ardından devam etmek için ortaya dört aylık takip. Kardiyak semptomların yanı sıra korku içinde çok sonra EMDR durumda azalmış dört aylık takip. bulgular EMDR kim bir travma ilgili etyolojisi bir kaygı duyarlılığı olanlar için kas gevşeme daha etkili tedavi ve ayrıca bazı durumlarda deneyim kaygı duyarlılığı edilebilir olduğu görüşünü desteklemektedir. literatür ile elde edilen bulguların tutarlılığı tartışılmıştır. (PsycINFO Veritabanı Record (c) 2008 APA, tüm hakları saklıdır) (dergi soyut)

Eye Movement Desensitization and Reprocessing (EMDR) is one of the first treatments of Posttraumatic Stress Disorder (PTSD) to be supported in controlled research, and it is now increasingly extended to other psychological disorders. The present study was designed to compare the effects of muscle relaxation and EMDR procedures in the treatment of anxiety sensitivity. Nineteen undergraduate students responded on the Anxiety Sensitivity Profile (asp) which was a standardized, self-report measure with four subscales. They were randomly assigned to two groups (treatment condition; muscle relaxation and EMDR); and they were filled out the ASP scale before, five days, and four months after the intervention (intervention time; pre and post intervention and follow up). Results showed that EMDR treatment produced a significant decline in fear of respiratory symptoms subscale score, and this decline appeared to continue after a four month follow-up. In addition fear of the cardiac symptoms too decreased in EMDR condition after a four month follow-up. The findings support the notion that EMDR can be a more effective treatment than the muscle relaxation for those who have an anxiety sensitivity with a trauma related etiology and also who experience anxiety sensitivity in certain circumstances. Consistency of the findings with the literature was discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved)(from the journal abstract)

Keywords: Anxiety Sensitivity Empirical Study Etiology Follow-up Study Psychological Disorders Posttraumatic Stress Disorder PTSD Quantitative Study Treatment

Accuracy Verified: Yes

135. Bruno, T. (2006, Maggio). Le emozioni dei terapeuti nel lavoro con persone vittime di traumi interpersonali [The emotions of therapists working with victims of interpersonal trauma]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.

Language: Italian

Format: Conference

Abstract:
Quando ascoltiamo storie di devastazione, terrore, impotenza e di tradimento della fiducia, come naturale conseguenza, le nostre sicurezze più profonde possono essere messe in crisi. Applicando l’EMDR, a volte, possiamo essere messi di fronte alla “realtà del trauma” inaspettatamente, senza parole: il/la paziente “torna là” rivive l’esperienza col corpo e noi assistiamo e “viviamo il suo trauma”. Le emozioni (paura, schifo, terrore, rabbia, senso di paralisi ecc.) possono irrompere nello spazio sicuro della stanza di terapia e sfidare il nostro senso di “invulnerabilità” e prevedibilità. Rispetto all’impatto del materiale traumatico sul terapeuta quando si trova come testimone di eventi terribili e delle loro conseguenze ci possono essere risposte quali senso di paralisi, paura, desideri sadici e di vendetta, fino a “violazioni del setting”. Nel lavoro sul trauma possiamo agire in un continuum che va da risposte di evitamento con sentimenti di rifiuto e rabbia verso risposte di iper identificazione con la vittima. Esiste un rapporto circolare fra aspetti controtransferali e traumatizzazione secondaria negli operatori. Possono emergere problemi esistenziali e spirituali, sentimenti aggressivi e di giudizio, orrore, rabbia, senso di vulnerabilità, dolore-pena e sintomi classici del Disturbo da Stress Post Traumatico. La conoscenza, la consapevolezza e la gestione di questo processo all’interno della relazione terapeutica è fondante rispetto alla riparazione del danno nelle vittime e alla salute mentale dei terapeuti. Nel corso della presentazione ci sarà una focalizzazione sugli aspetti del ciclo del controtranfert e della traumatizzazione secondaria nel terapeuta e si forniranno elementi di protezione per i terapeuti.

When we hear stories of devastation, terror, helplessness and betrayal of trust, as a natural result, our securities may be made deeper into crisis. Applying EMDR, sometimes, we may be confronted with the "reality of trauma" unexpectedly, without words, it/the patient "back there" relive the experience with the body and we are seeing and "live her trauma." Emotions (fear, disgust, fear, anger, sense of paralysis, etc.) can break into the safe space of the therapy room and challenge our sense of "invulnerability" and predictability. Compared to the impact of traumatic material when the therapist is as a witness to terrible events and their consequences there may be responses such as sense of paralysis, fear, desires and sadistic revenge, to "violations of the setting." In work on trauma, we can act on a continuum ranging from avoidance responses with feelings of rejection and anger responses of hyper identification with the victim. There is a circular relationship between trauma and countertransference issues in the secondary players. Existential and spiritual problems can arise, aggressive feelings and judgments, horror, anger, sense of vulnerability, pain and pain-classic symptoms of Post Traumatic Stress Disorder. Knowledge, awareness and management of this process within the relationship Therapeutic compliance is fundamental to repairing the damage in the victims and mental health therapists. During the presentation there will be a focus on aspects of the cycle controtranfert and secondary traumatization in the therapist and will give protection elements for therapists.

Keywords: Interpersonal Trauma

Accuracy Verified: Yes

136. Olson, M. (1992, May). Lessons from geese. EMDR Network Newsletter, 2(1), 10-11.

Language: English

Format: Newsletter

Abstract:
As each bird flaps its wings, it creates an "uplift" for the bird following. By flying in a "V" formation, the whole flock adds 71% greater flying range than if the bird flew alone.

Keywords: Geese Lessons

Accuracy Verified: Yes

137. Muller-Paiser, V. (2008, December). Letting go of fear, learn how eye movement desensitization and reprocessing (EMDR). Dressage Today, 22-23.

Language: English

Format: Magazine

Keywords: Practice Theory

Accuracy Verified: No

138. Hamner, M. B. (2007, June 1). Long-term treatment of posttraumatic stress disorder. Psychiatric Times, 24(7), 36. Retrieved from http://www.psychiatrictimes.com/display/article/10168/54861 8/9/2007.

Language: English

Format: Magazine

Abstract:
Posttraumatic stress disorder (PTSD) is an anxiety disorder that occurs after severe psychological stress, e. g., assault, combat, natural disasters, terrorism, or other stressors. The stressor induces intense fear or helplessness in the patient. Three symptom clusters are included in DSM-IV criteria for PTSD: re-experiencing the traumatic event, avoidance of reminders of the event and psychological numbing, and hyperarousal symptoms.

Keywords: Posttraumatic Stress Diorder PTSD Symptom Clusters

Accuracy Verified: Yes

139. Kiessling, R. (2009). Managing the "fear of fear". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 81-83). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
For some clients finding a Safe/Calm Place is very difficult, either because of their life experiences or their difficulty in using their imagination. In cases such as these, construction of a container to hold traumatic material, both during desensitization and between sessions, may be an alternative strategy to help the client develop a sense of safety. Constructing a container follows the same basic setup protocol as establishing the Safe/Calm Place. In this chapter, the Managing "The Fear of the Fear" Script is provided. [PsycINFO Database]

Keywords: Fear Protocol

Accuracy Verified: Yes

140. Shapiro, F. (2012, February 29). The many faces of fear and how to deal with them. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-fear_b_1299786.html on 2/29/2012.

Language: English

Format: Other

Abstract:
We've all heard the phrase "life is suffering." Unfortunately, some people misinterpret this to mean there is nothing they can do about their unhappiness. Everyday fears can range from minor anxieties to an intense fear of things that can often be avoided, like snakes or spiders. But generally people enter therapy when life has become unmanageable -- when they can't ignore the level of emotional pain they are experiencing. That often happens when they can't avoid the situation that disturbs them. For some, turning to therapy makes them feel like they have "failed" on their own and that their fears are a sign of "weakness." It helps to know that fear is not a "mental" problem. It's a physiological response arising from physiologically stored memories in your brain. However, just because a fear is "irrational," doesn't mean there is no reason for it. It just means it is unnecessary and that there are things you can do to change it. [Excerpt]

Keywords: Blog Mental Health Military Posttraumatic Stress Disorder PTSD Stress Veterans War

Accuracy Verified: Yes

141. Gómez, A. M. (2011). Mecanismos neurobiologicos del trastorno por estrés postraumático y la Terapia EMDR[Neurobiological mechanisms of PTSD and EMDR therapy]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1). Retrieved from http://revibapst.com/ARTICULO%20ALAIDE%202011.pdf on 12/9/2012.

Language: Spanish

Format: Other

Abstract:
El trastorno por estrés postraumático (TEPT) se caracteriza por temor, desesperanza u horror intensos en personas que han sido expuestas a acontecimientos traumáticos. La terapia de Desensibilización y Reprocesamiento por Movimiento Ocular (EMDR), es reconocida como un tratamiento efectivo y eficiente para tratar el TEPT. Diversos estudios han demostrado alteraciones anatómico-fisiológicas y neurobiológicas en los pacientes que presentan este trastorno, ya que intervienen estructuras como la amígdala, tálamo y diferentes áreas de la corteza prefrontal. Debido a lo anterior, se han realizado estudios sobre los mecanismos neurales y la implicación neurobiológica de la terapia EMDR en el TEPT, así como alteraciones en la función cognitiva dentro de la sintomatología clínica que se observa en los pacientes con este trastorno.

Posttraumatic stress disorder (PTSD) is characterized by fear, helplessness or horror severe in people who have been exposed to traumatic events. Eye Movement Desensitization and Reprocessing (EMDR) is recognized as an effective and efficient in treating PTSD. Several studies have shown anatomical and physiological alterations in neurobiological patients with this disorder, and involved structures like the amygdala, thalamus and different areas of the prefrontal cortex. Because of this, there have been studies on the neural mechanisms and neurobiological implications of EMDR in PTSD, as well as alterations in cognitive function within the clinical symptoms observed in patients with this disorder.

Keywords: Cognitive Function Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

142. Perry, B. D. (2002). Memories of fear: How the brain stores, retrieves physiologic states, feelings, behaviors and thoughts from traumatic events. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Keywords: Brain Trauma

Accuracy Verified: Yes

143. Suzuki, A., Josselyn, S. A., Frankland, P. W., Masushige, S., Silva, A. J., & Satoshi, K. (2004). Memory reconsolidation and extinction have distinct temporal and biochemical signatures. Journal of Neuroscience, 24(20), 4787–4795. doi:10.1523/jneurosci.5491-03.2004.

Language: English

Format: Journal

Abstract:
The article explores the differences between memory reconsolidation and extinction. This new area of investigation is worthy of additional attention. Reconsolidation may prove to be the underlying mechanism of EMDR, as opposed to extinction caused by prolonged exposure therapies. “Memory reconsolidation after retrieval may be used to update or integrate new information into long-term memories . . . Brief exposure … seems to trigger a second wave of memory consolidation (reconsolidation), whereas prolonged exposure . . leads to the formation of a new memory that competes with the original memory (extinction).”

Keywords: Consolidation Extinction Fear Conditioning Reconsolidation Protein Synthesis Spatial Memory

Accuracy Verified: Yes

144. Sun, T.-F.; Wu, C.-K.; Chiu, N.-M. (2004年，6月). Mindfulness meditation training combined with eye movement desensitization and reprocessing in psychotherapy of an elderly patient. Chang Gung Medical Journal, 27(6), 464-469.

Language: English

Format: Journal

Abstract:
We present our experiences with an elderly patient with depression that was attributed to a surge of physical ailments who also had trauma-derived fear of having to undergo a tracheotomy. He refused pharmacotherapy and was offered intensive training in Mindfulness Meditation (MM) plus Eye Movement Desensitization and Reprocessing (EMDR) therapy during the 2 weeks of hospitalization. This treatment combination had not been used previously. We suggest that EMDR eliminated his fear of surgery, whereas MM relieved his depression and attendant anxiety. However, the two techniques appeared to work synergistically. Following his discharge, he continued to practice MM, which prevented the recurrence of emotional distress, and even helped to reduce its causative physical symptoms. We offer an explanation for the success of our combined treatments and discuss the potential usefulness in specific psychotherapeutic situations. We also propose a place for MM within general geriatric care, and point out the reluctance to consider the therapeutic value of meditation. (Chang Gung Med J 2004;27:464-9) Key words:

Keywords: Case Report Depression Geriatrics Meditation Mindfulness Trauma

Accuracy Verified: Yes

145. Winter, L. B. (2004). Moglichkeiten der behandlung von patienten mit folgeerkrankungen nach psychischer traumatisierung: Eine literaturubersicht [Allowed the treatment of patients with sequelae after psychological trauma: A literature review]. Aus der Klinik fur Psychiatrie und Psychosomatik, Abteilung fur Psychosomatische Medizin und Psychotherapie der Albert-Ludwigs-Universitat Feiburg im Breisgau.

Language: German

Format: Dissertation/Thesis

Abstract:
In unserem Sprachgebrauch werden immer wieder Worte wie „traumatisch“ oder „katastrophal“ zur Beschreibung unangenehmer Erlebnisse benutzt. Dabei führen längst nicht alle derartig betitelten Ereignisse zu einem seelischen Trauma. Vielmehr ist die Entwicklung eines Traumas im Sinne einer seelischen Verletzung abhängig von dem Stressor.
Während eine Trennung, eine hohe Belastung am Arbeitsplatz oder auch der Verlust desselben nur selten zu einem Trauma führen, obwohl diese Ereignisse meist als tragisch empfunden werden, ähneln sich die Stressoren, die häufig ein Trauma auslösen, vor allem in einem: Die Person befindet sich in einer unerwartet eingetretene Gefahrensituation, die sie aus eigener Kraft nicht verändern kann und die große emotionale Aufruhr wie Angst und Panik oder körperliche Verletzungen und Schmerzen bewirkt. Manchmal reicht es auch aus, Zeuge einer solchen Situation zu sein.

In our language again and again such words as "traumatic" or "catastrophic" for the Description of unpleasant experiences in use. This result not all such titled Events to a psychic trauma. Rather, the development of trauma in terms of a mental injury depends on the stressor. During a separation, a high stress at work or even the loss of it rarely lead to trauma, although these events are often perceived as tragic, similar to the Stressors that cause frequent trauma, especially in one: The person is in a unexpected conditions hazardous situation, which they can change their own efforts and not the great emotional turmoil such as fear and panic or causes physical injury and pain. Sometimes it is better just to witness such a situation

Keywords: Literatire Review Trauma

Accuracy Verified: Yes

146. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14.

Language: English

Format: Journal

Abstract:
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values. From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client. Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories. Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings. [AAETS]

Keywords: Eriksonian Hypnosis Narrative Constructionist

Accuracy Verified: Yes

147. Lewis, B. (2009, July 4). New PTSD program answers need for comprehensive treatment. U.S. Department of Defense News Release.

Language: English

Format: Publication

Abstract: The first few weeks focus on learning basic coping skills such as how to reduce anxiety and fight fear, as well as yoga and meditation for relaxation. Eye Movement Desensitization and Reprocessing, an evidence-based practice for treating PTSD, is also conducted during the early phases of the treatment program.

Keywords: General Overview

Accuracy Verified: Yes

148. Gower, T. (2002, May). The new quick-fix therapy. Health, 98-99.

Language: English

Format: Magazine

Abstract:
Anita Anderson tried all sort of ways to relieve her fear of flying. She listened to soft music before takeoff, make herself think soothing thoughts – nothing worked. Then, two years ago, the 52-year-old from Brewster, Massachusetts, learned that a psychotherapist friend of hers had been trained to perform EMDR, a new treatment that allegedly relieves anxiety quickly. She promptly made an appointment.

Keywords: Fear of Flying General Overview

Accuracy Verified: Yes

149. Armbruster, S. (2000, July 9). No fear Valley: Readers share their flying anxieties and how they got over them. Fresno, CA: The Fresno Bee, Final, Life, E1.

Language: English

Format: Newspaper

Abstract:
Fresno therapist Stark, who specializes in helping people with trauma, including flying phobia, claims success with a psychotherapy method called EMDR, or eye movement desensitization and reprocessing.

Keywords: Fear of Flying Fresno

Accuracy Verified: Yes

150. Isaacs, J. S. (2004, March). Numerical distraction therapy: Initial assessment of a treatment for posttraumatic stress disorder. Traumatology, 10(1), 39-54. doi:10.1177/153476560401000104 .

Language: English

Format: Journal

Abstract:
The efficacy of a new therapy, numerical distraction therapy (NDT), in treating symptoms of PTSD was investigated. It was hypothesized that the therapy would change the traumatic visual memories of PTSD patients and reduce the intensity of negative feelings associated with them. Both hypotheses were supported: 92% of patients reported post-treatment (positive) changes in their visual memories, and these same patients reported diminished levels of fear, shame, anxiety, and other negative feelings. A subsample of patients reported stable treatment effects in follow-up surveys conducted two to four months later. The author also discusses possible mechanisms of NDT and suggests that NDT, eye movement desensitization and reprocessing (EMDR), and some forms of thought field therapy (TFT) might have "dual attention" as a common underlying mechanism. [Author Abstract]

Keywords: Adults Americans Behavior Therapy Empirical Study PTSD Quantitative Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

151. Yoeli, F. R., & Prattos-Spongalides, T-A. (2004, June). OCD: Anxiety, rituals, co-morbidity or altered state? Treatment outcomes with EMDR. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the annual meeting of th EMDR Europe Association, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Trauma-generated OCD repeats the trauma through its own ritual behavior patterns. This altered state re-traumatizes the core personality through the repetition of rituals similar to the original trauma. The presenters hypothesize that trauma-based OCD is an altered state not co-morbid with diagnosis for dissociative disorders. This OCD persona served the dissociative adult cope with traumatic memories changing and influencing reactions to ongoing trauma, life choices, and other behavior patterns.
This aim of this workshop is to focus on the development of trauma-based, anxiety-motivated dissociative states. Life in the shadow of chronic anxiety stemming from living under constant and consistent life-threatening conditions produces a (sub)-population of persons suffering from PTS/D. The anxiety and fear from elements of unprocessed traumatic events are retained and embedded in the body and are repeatedly triggered in daily life. This PTSD population dissociates into anxiety-based altered states ranging along a continuum from mild tension to phobias, panic attacks, denial, PCD, aggression, indifference and apathy and finally full blown trauma generated OCD.
The presenters provide cross-cultural examples demonstrating how ongoing threat of man-made or natural disasters often leads to a dissociative OCD state. Case examples are explored which demonstrate how processing with EMDR effectively enables resolution and change. EMDR is particularly useful in processing the “anxiety” via current behavior patterns.
Objectives: 1) to examine the co-morbidity aspects of trauma-based OCD and dissociation 2) to present the parallel continuums of types of stress and anxiety (on the intensity and severity axis 3) to compare the differences and similarities in behavioral patterns in different cultures under the stress of constant threat of annihilation (man-made vs. natural threats) 4) to demonstrate the effectiveness of EMDR on trauma induced OCD, through case illustration and discussion.

Keywords: Altered States Anxiety Disorders Co-morbidity Obsessive Compulsive Disorder OCD Rituals Symposium Treatment Outcomes

Accuracy Verified: Yes

152. Harper, M., Rasolkhani-Kalhorn, T., & Drozd, J. F. (2009, June). On the neural basis of EMDR therapy: Insights from qEEG studies. Traumatology, 15(2), 81-95. doi:10.1177/1534765609338498 .

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) therapy has been shown by empirical studies to be effective in relief from psychological traumas including posttraumatic stress disorder (PTSD). Several logical concepts regarding the origin of the EMDR effect have been presented, but no detailed neural explanation is available. This lack of a widely accepted scientific explanation for the EMDR effect has led to skepticism about the therapy by many therapists and potential clients. The authors present evidence based primarily on quantitative electroencephalogram studies that the neural basis for the EMDR effect is depotentiation of fear memory synapses in the amygdala during an evoked brain state similar to that of slow wave sleep. These studies suggest that brain stimulation during EMDR significantly increases the power of a naturally occurring low-frequency rhythm in memory areas of the brain, binding these areas together and causing receptors on the synapses of fear memory traces to be disabled. This mechanical change in the memory trace enables it to be incorporated into the normal memory system without the extreme emotions previously associated with it. EMDR is a medical procedure because it changes the physical structure of the brain to modify problematically stored memories.

Keywords: Memory Neuronal Response Frequency Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

153. Dale, S. (2012, April). One in ten: Treating needle phobias with EMDR. Presentation at the annual meeting of the EMDR Canda, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
One in ten people has a needle phobia. This condition can be disabling for people whose inordinate fear of needles can keep them from accessing medical testing and treatment. In this presentation, needle phobia are defined and the types explained, including vaso-vagal, associative, resistive, and hyperalgesic. The EMDR Protocol for Phobias is outlined, and research on using EMDR with needle phobia is reviewed. Case studies are presented in which clients with different types and degrees of needle phobia are treated. Discussions on challenges working with this client group are presented, and cognitive interweaves specific to needle phobia are introduced.
Learning Objectives: 1. Examine the definition and prevalence of phobias 2. Identify the types and prevalence of needle phobia 3. Outline the psychological and physical impact of needle phobia 4. Discuss the EMDR Protocol for Phobias 5. Explore how EMDR can be used to treat needle phobia

Keywords: Phobia

Accuracy Verified: Yes

154. Zlomke, K., & Davis III, T. E. (2008, September). One-session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39(3), 207–223. doi:10.1016/j.beth.2007.07.003.

Language: English

Format: Journal

Abstract:
One-Session Treatment (OST) is a form of massed exposure therapy for the treatment of specific phobias. OSTcombines exposure, participant modeling, cognitive challenges, and reinforcement in a single session, maximized to three hours. Clients are gradually exposed to steps of their fear hierarchy using therapist-directed behavioral experiments. Although there are several studies in the literature examining the efficacy of OST, little has been done to summarize this research. In the following review, research on and empirical support for OST are reviewed with an emphasis on the types of stimuli, samples, and methodologies utilized. Research generally supports OST's efficacy, although replication by independent examiners using adult and child samples is needed using more rigorous comparisons (e.g., psychological placebo or other treatments). Overall, OST continues to be a promising treatment for specific phobias; however, a great deal more investigation is needed to identify mechanisms of change, mediators, and moderators.

Keywords: Phobias

Accuracy Verified: Yes

155. de Jongh, A., & ten Broeke, E. (1994, June). Opmerkelijke veranderingen na één zitting met eye movement desensitization and reprocessing: Een geval van angst voor misselijkheid en braken [Noteworthy changes after one session with eye movement desensitization and reprocessing: A case of fear of nausea and vomiting]. Directieve Therapie, 14(2), 90-102. doi:10.1007/BF03060064 .

Language: Dutch

Format: Journal

Abstract:
In deze bijdrage worden enkele principes van Eye Movement Desensitization and Reprocessing (EMDR) beschreven. Met name het ‘reprocessing’ gedeelte van deze procedure wordt nader toegelicht, waaronder de selectie van negatieve en positieve cognities voorafgaande aan de therapie. Aan de hand van een gevalsbeschrijving van een cliënt met angst voor misselijkheid en braken worden de vaak optredende spontane cognitieve veranderingen tijdens EMDR gedemonstreerd. Ingegaan wordt op de vraag hoe de geconstateerde veranderingen kunnen worden verklaard.

The current paper presents some principles of EMDR (eye movement desensitization and reprocessing). The reprocessing part, particularly the selection of negative and positive cognitions concerning the traumatic event, is described. A case history of a client with fear of nausea and vomiting demonstrates the spontaneously occurring cognitive changes, and subsequent improvements in complaints, that are often associated with the EMDR procedure. Some plausible explanations for these rapid effects are discussed.

Keywords: Adults Case Report Dutch Females Phobia

Accuracy Verified: Yes

156. Denny, N. (1995, March). An orienting reflex/external inhibition model of EMDR and thought field therapy. Traumatology, 1(1), 1-6, Article 1. doi:10.1177/153476569500100101.

Language: English

Format: Journal

Abstract:
The clinical phenomena of the conduct of EMDR and Thought Field Therapy were interpreted in light of concepts in the field of classical conditioning with emphasis on the orienting reflex and its external inhibiting effects on conditioned responses. A model was proposed using the temporary suppression through external inhibition of the fear and avoidance conditioned responses to disturbing memories. The clinically helpful effect proposed is the emergence of previously suppressed competing responses to the troublesome memories. Those newly emerged responses are responsible for spontaneous cognitive restructuring of the meaning attribution of the memories, thus lowering SUDS ratings. [Author Abstract]

Keywords: Conditioned Emotional Responses Cognitive Processes TFT Thought Field Therapy

Accuracy Verified: Yes

157. Editors. (2010). Overcome trauma, fear of riding through eye therapy. Retrieved from http://www.equisearch.com/horses_riding_training/training/general/trauma_fear_eye_041310/ 1/7/13. Horse & Rider.

Language: English

Format: Magazine

Abstract:
Is your fear of riding overwhelming, and perhaps stemming from a traumatic event? Then Eye Movement Desensitization and Reprocessing (EMDR) is a therapy that can provide surprisingly speedy relief to those who feel stuck in negative reactions and behaviors.

Keywords: Horses Riding

Accuracy Verified: Yes

158. Morfeld, D. (1997, September 30). Overcoming fear and phobia. Boulder, CO: Daily Camera, 10.

Language: English

Format: Newspaper

Abstract:
Help finally came through a newer method of psychotherapy - Rapid Eye Movement Desensitization and Reprogramming, or EMDR. The therapy helped Morris to make a major life turnaround, she says. "It was not a bandage. For me, it was a genuine miracle."

Keywords: Fear Boulder Phobias

Accuracy Verified: Yes

159. de Jongh, A., & Whisman, M. (2001, June). Panic and phobias: Diagnosis, treatment, and incorporation of EMDR. Preconfernece presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
EMDR has been found to be a valuable method to incorporate into the treatment of PTSD. It has also been found to be a structured, non-invasive treatment for a number of other anxiety disorders. This workshop will focus on the clinical application of EMDR with Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, and Obsessive Compulsive Disorder. Participants will learn: 1) to assess clients with phobic conditions; 2) to identify core negative congitions related to fear; 3) to know when and how to apply EMDR with clients suffering from an anxiety disorder; and 4) to use creative adaptions of EMDR for these clients. Presenters will make use of lecture, case studies, and videotaped treatment sessions.

Keywords: Fear Panic Phobias

Accuracy Verified: Yes

160. Nickeson, C. (2002, June). Panic disorder and physiology phobia: EMDR treatment. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Panic disorder can be viewed as a phobic fear of the body's physical sensations. It results from conditioning by the traumatic experience of having panic attacks. Conceptualizing panic disorder in this way provides a powerful way to structure treatment with EMDR since EMDR is clearly effective with trauma resolution. This workshop will describe how the preparation phase is especially important and, must be expanded in order for reprocessing to be successful. Participants will also learn how to select appropriate targets for the desensitization phase, how to identify suitable negative cognitions and positive cognitions, and how to employ cognitive interweave when needed. A videotape illustrating an important part of a client's work will be shown.

Keywords: Panic Disorder Phobia Physiology

Accuracy Verified: Yes

161. Foster, S., & Lendl, L. (2002, March). Peak performance EMDR: Adapting trauma treatment to positive psychology outcomes and self-actualization. EMDRIA Newsletter, 7(1), 4-7.

Language: English

Format: Newsletter

Abstract:
An expansion of the basic EMDR protocol (Lendl & Foster, 1997) has been developed for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced by creative and performing artists, and for competition preparation and psychological recovery from injury in athletes. The authors, in their Silicon Valley practices, often witnessed the upsetting, even traumatic effect that layoffs and competitive pressures could have on employees in corporate workplaces. They likewise observed the adverse impact that ‘stage fright’ and audition anxiety could have on actors, dancers, and musicians, as well as the emotionally bruising experience for an athlete who loses a crucial competition. Reasoning that a trauma method such as EMDR could be applied to procrastination, fear of failure, and the reprocessing of actual setbacks, the EMDR Peak Performance protocol was created (Lendl & Foster, 1997).

Keywords: Peak Performance

Accuracy Verified: Yes

162. Foster, S., & Lendl, J. (2001). Peak performance EMDR: Adapting trauma treatment to positive psychology outcomes and self-actualization. Portale Italiano de Psicotraumatologia e Psciopteri.

Language: English

Format: Newsletter

Keywords: Peak Performance Performance Enhancement

Accuracy Verified: Yes

163. Luber, M. & Shapiro, F. (2009). Phobia protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 155-173). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This chapter presents a summary of the Phobia Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). Shapiro distinguishes between two types of phobias: simple phobia (e.g., fear of an object), and process phobia (feature of a situation in which the client must actively participate). Therapists are instructed to use the Standard EMDR Protocol for the following targets over six steps: past memories, present triggers, and a future template. To do the full Phobia Protocol, all six steps should be included. The Phobia Protocol Script is included. [PsycINFO Database]

Keywords: Phobias Protocol

Accuracy Verified: Yes

164. Staff. (2000). Phobia: When an irrational fear takes control. Films for the Humanities & Sciences, Princeton, NJ.

Language: English

Format: Video

Abstract:
For a person with a phobia, overcoming the fear--or at least learning how to resist its debilitating effects--can open the door to a fuller, freer life. This riveting two-part series uses MRI scans, body imaging, EEG tracing, and thermal photography to take an unflinching look at the biological and psychological mechanics of terror, as courageous patients seek to master their fears through medication, behavioral therapy, hypnotherapy, desensitization, virtual reality exposure therapy, the controversial technique of flooding, and a new treatment called EMDR.

Keywords: Fear Phobias Psychosocial Factors Treatment

Accuracy Verified: No

165. Bondy, N., & Cable, S. (2001). Phobias. Princeton, N.J.: Films for the Humanities & Sciences.

Language: English

Format: Video

Abstract: (Producer) In this program, the treatment of John's claustrophobia, Judith's fear of flying and David's fear of heights-phobias described by the DSM-IV as Situational Type and Natural Environmental Type-are documented. Groundbreaking applications of virtual reality, by Emory University's Barbara Rothbaum, and eye movement desensitization and reprocessing, by clinical psychologist Carl Nickeson, are profiled. The research of Jeffrey Gray, of the Institute of Psychiatry (London), into blood flow in the brain during moments of stress, panic, and terror is also examined.

Keywords: Phobias

Accuracy Verified: Yes

166. Mattioli, G. (2004, May). The post traumatic stress disorder and EMDR therapy. Full Informatiu, 169. Retrieved http://guillermomattioli.com/?p=540&lang=en on 2/10/2013.

Language: English

Format: Other

Abstract:
“Post traumatic stress” contains all the features required to mark an epoch. To start with, it has a long prehistory under the name of traumatic neurosis, which includes all the debates about trauma and its etiological value, a “narrative” (here’s another one) that began with Freud and have still not finished. As a coined label (post traumatic stress disorder, PTSD) is fairly recent, appears about the 80ties in the DSM-III, ranged in the chapter on Anxiety Disorders, although some doubts have later been raised about this classification, since PSTD could also be included under Major Depression or also Dissociation. Finally, PSTD has triggered a proliferation of methods to treat it, based on advances in general psychology and neuroscience. Suffering PTSD means that the person affected has experienced, witnessed, imagined or listened about one or more events entailing deaths or threats to his or another one’s safety, and has reacted with fear, helplessness and horror leaving intense negative feelings warded off into his emotional memory, stored in the limbic system. Traumatic scenes may come from either natural disasters, or caused by terrorist acts, of being involved in violent situations, such as war veterans or out of having suffered physical and sexual violence, such as abused children or women

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

167. McLean, P. D., & Woody, Sheila, R. (2001). Posttraumatic stress disorder. In P. D. McLean & S. R. Woody (Eds.), Anxiety disorders in adults: An evidence-based approach to psychological treatment (pp. 205-241). New York: Oxford University Press.

Language: English

Format: Book Section

Abstract:
Description and conceptualization (phenomenology; diagnostic trends; prevalence and course); Theoretical perspectives; Assessment (diagnosis; assessment of symptoms; assessing contextual factors: social support, cognitive distortions, avoidant coping, multiple trauma history, occupational adjustment, physical history/pain/litigation; case formulation); Treatment models and guidelines (cognitive behavioral therapy for PTSD: education, exposure, cognitive control, cognitive restructuring, relaxation training; specific types of trauma: sexual assault, motor vehicle accident, combat; pharmacological treatment for PTSD; eye movement desensitization and reprocessing [EMDR]; client-treatment matching; minimal vs. optimal interventions; common problems: noncompliance due to fear and avoidance, comorbidity, medical and litigation complications; treatment outcome evaluation and life planning). [Pilots]

Keywords: Adults Evidence Based Treatment Posttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

168. Benedek, D. M., & Ursano, R. J. (2009, Spring). Posttraumatic stress disorder: From phenomenology to clinical practice. Focus, 7(2), 160-175.

Language: English

Format: Journal

Abstract:
The psychological and behavioral consequences of exposure to traumatic events—particularly combat—have been recognized throughout the ages. Since its 1982 introduction in the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition much has been learned about the pathophysiology of PTSD. Current theories focus on brain regions and neurobiological systems regulating stress and fear response, fear memory formation and retrieval. Effective pharmacologic and psychotherapeutic interventions target these systems. New treatments must prove more effective in specific subpopulations of patients with PTSD. These will include combinations of pharmacologic agents and psychotherapy, and treatments targeting different regions, receptors, or mechanisms involved in the traumatic stress response.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

169. Salvatore, R. P. (2009, May). Posttraumatic stress disorder: A treatable public health problem. Health and Social Work, 34(2), 153-155. doi:10.1093/hsw/34.2.153.

Language: English

Format: Journal

Abstract:
Clinical social workers need to be aware of the growing problem of untreated and under treated trauma in society. This is an especially important issue affecting our veteran population. However, most veterans do not ask for help with posttraumatic stress disorder (PTSD) symptoms out of shame or fear that it will negatively affect their career advancement. There is a highly effective psychotherapeutic treatment called eye movement desensitization and reprocessing (EMDR) that works very quickly to end PTSD in clients. Veterans typically dislike talking to non veterans about their combat experience. One of the benefits of using EMDR (for patients and therapists) is that they do not have to talk about the details of their trauma for the EMDR process to work. During EMDR, the patient's brain heals itself and the therapist just needs to adhere to the EMDR protocol. In light of its effectiveness, it makes sense that all social workers should familiarize themselves with EMDR. The most clinical social workers should be trained in EMDR, as most of our clients have trauma histories. If the estimates of PTSD in veterans are accurate, we could save them and their families from years of suffering. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Commentary Posttraumatic Stress Disorder PTSD Social Casework Treatment Effectiveness Veterans

Accuracy Verified: Yes

170. Commons, M. L. (2000, August). The power therapies: A proposed mechanism for their action and suggestions for future empirical validation. Traumatology, 6(2), 119-138. doi:10.1177/153476560000600205 .

Language: English

Format: Journal

Abstract:
Power Therapies claim to achieve rapid results in reducing fear elicited by a large number of situations. This paper presents a theory of how competition among stimuli may be the basis for how the Power Therapies work. The compelling features of these therapies are that they all interrupt old habits and conditioned reflexes and provide new habits and conditioning. Therefore, many of the protocols involve overcoming prior-stimulus dominance. In addition to proposing a mechanism for these therapies, this article also reveals that, despite superficial differences, power therapies fundamentally accomplish the same thing. These therapies reduce the intensify of emotional responses elicited by stimuli associated with trauma. It is proposed that they accomplish this end through working at the subcortical level of brain activity to interrupt the negative emotional responses elicited by the trauma stimuli. [Author Abstract]

Keywords: Conditioned Emotional Responses TFT Thought Field Therapy Neurolinguistic Programming NLP: Posttraumatic Stress Disorder PTSD TIR: Traumatic Incident Reduction

Accuracy Verified: Yes

171. Rougemont-Buecking, A. (2006). Prendre un nouveau cap sur l’océan. EMDR et patients chroniques — quand patient et thérapeute deviennent acteurs [A new course on the ocean. EMDR and chronic patients - when patient and therapist become involved]. Santé mentale au Québec, 31(2), 277-279.

Language: French

Format: Magazine

Abstract:
Dans son exposé, André Gagnon parle des critiques souvent très vives, du rejet et des réticences qui sont exprimés à l’égard de l’EMDR par les professionnels. J’ai également cette impression, mais j’observe aussi une réticence parfois étonnante chez bon nombre de patients — surtout des patients chroniques. Je me demande s’il ne se cache pas derrière cette réticence une peur majeure de l’inconnu, et si nous ne devons pas nous pencher sur cette peur plutôt que de nous livrer à des débats dans lesquels les différents partis cherchent la faille chez l’autre à l’aide d’une argumentation dite « scientifique ».

In his presentation, Andre Gagnon speaks often of critical bright, rejection and reluctance that are expressed with respect to EMDR by professionals. I also have this impression, but I note also sometimes surprising reluctance among many patients - especially chronic patients. I wonder if it is not hidden behind this reluctance a major fear of the unknown, and if we must not look at this fear, rather than just deliver in debates in which various parties seek fault in the other using an argument called "scientific".

Keywords: Practice Theory

Accuracy Verified: Yes

172. Ilic, Z. (2004). Psychological preparation of torture victims as witnesses toward the prevention of retraumatisation. In Ž. Špiric, G. Kneževic, V. Jovic, & G. Opacic (Eds.), Torture in war: Consequences and rehabilitation of victims – Yugoslav experience. (pp. 377-387) Belgrade, Serbia: International Aid Network.

Language: English

Format: Book Section

Abstract:
This work presents psychological specificities of situations where torture victims are witnesses at the court trial of perpetrators at the same time. Witnesses are subject to the risk of secondary traumatisation, retraumatisation and revictimatisation, which may lead to the deterioration of existing PTSD symptoms. Starting from the very act of reaching the decision whether to testify, witnesses are in a state of ambivalence associated with a need for truth and justice, the need that perpetrators should be adequately punished and thus certain compensation be provided as well as with fear of the course that the trial itself may take, they being partially aware of the risk for retraumatisation and retraumatisation. The author sets forth the need for psychological-psychiatric preparation of the witness prior to the trial, as well as co-operation between judicial organs and psychiatric-psychological service. The paper features examples from the Centre for Rehabilitation of Torture Victims – IAN Belgrade.

Keywords: Torture War

Accuracy Verified: Yes

173. Adshead, G. (2000). Psychological therapies for post-traumatic stress disorder. British Journal of Psychiatry, 177(2), 144-148. doi:10.1192/bjp.177.2.144.

Language: English

Format: Journal

Abstract:
Background After exposure to traumatic stressors, a subgroup of survivors (20-30%) will develop post-traumatic stress disorder (PTSD). Aims: Since the incidence and prevalence rates for PTSD in the community are significant, it is important that general practitioners and psychiatrists be familiar with possible therapeutic options. In this review we shall look at the published evidence about the effectiveness of psychological treatments for PTSD. Method: The psychopathological mechanisms involved in PTSD are discussed. Studies of the effectiveness of different psychological therapies are reviewed. Results: The review suggests that persistent fear or shame reactions are key aspects of PTSD. Evidence from systematic reviews suggests that psychotherapeutic treatments are effective in the therapy of reactions based on fear, and may increase the effectiveness of pharmacological therapy. There is less systematic evidence for the efficacy of interventions for symptoms based on shame. Conclusions: Although a proportion of patients with complex or chronic PTSD may require specialist interventions, most patients can be treated effectively by a general psychiatric service which can offer both pharmacological and psychological interventions (BJPsych).

Keywords: Fear Posttraumatic Stress Disorder PTSD Shame

Accuracy Verified: Yes

174. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51.

Language: English

Format: Journal

Abstract:
This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

175. 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

176. Arditi, I. (2009, May). Rafael de Morra: Performance anxiety due to inferiority and cultural difference in "The Bewitched". York University, Toronto, Canada. AAT MR51500.

Language: English

Format: Dissertation/Thesis

Abstract:
This thesis is about my primary artistic challenge and how it was addressed in my thesis role, the character Rafael De Morra (the court jester to Carlos II the King of Spain) in the play The Bewitched by Peter Barnes. My artistic challenge was to overcome the performance anxiety and the fear of humiliation that had surfaced during training and performance work at York University. I chose to address my performance anxiety by incorporating internal and external approaches simultaneously. The internal approach I developed to deal with my performance anxiety was a combination of different procedures: defining and analyzing it (and the inferiority complex behind it) through personal practices of psychoanalysis and EMDR Therapy (Eye Movement Desensitization and Reprocessing), examining the cultural factors that reinforce it, exploring it in other actors, observing it in my studio work, rehearsals and performance and investigating personal practice of Yoga, Feldenkrais and Craniosacral Therapy as tools to work on it. To further prepare for my thesis role Rafael De Morra, I researched the historical period in Spain and Europe between 1600 and 1700, the years during which the play takes place and the origins and significance of court jester tradition at the time. Such research helped me to better understand my character, Rafael De Morra. The external approach, on the other hand included confronting the anxiety by taking risks in my thesis role such as accentuating the more theatrical aspects of Rafael and creating an effective physicality for the character, both of which were difficult for me as an actor. The internal approach and the research I've done about the time period, the playwright and the court jester tradition prepared me for my external approach: taking risks in performing my thesis role. I can conclude that the methodology I devised to overcome my performance anxiety yielded favourable results as I didn't experience extreme versions of it in acting Rafael De Morra in the play The Bewitched by Peter Barnes. At the end of the process I also discovered some other actor challenges that I should be working on in the future.

Keywords: Cultural Differences Performance Anxiety

Accuracy Verified: Yes

177. Kleinknecht, R. (1993, September). Rapid treatment of blood and injection phobias with eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 24(3), 211-217. doi:10.1016/0005-7916(93)90023-P .

Language: English

Format: Journal

Abstract:
A 21-year-old woman with injection and blood phobias was treated successfully using eye movement desensitization. Treatment was conducted over four abbreviated sessions involving less than 1 hour of actual treatment time. Fear changes following treatment were monitored through self-report and physiological response, both within and between sessions, and in relation to the behaviors of seeking and receiving an injection (flu shot) and having blood drawn. Treatment effects were maintained at follow-ups of 1, 14, and 24 weeks.

Keywords: Blood Phobia Injection Phoba

Accuracy Verified: Yes

178. Goldberg, A. (2010, October). Relational affect regulation: An integrative protocol for complex trauma surviviors. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Attachment theory and interpersonal neurobiology demonstrate the importance of the therapeutic relationship as a primary change mechanism. With survivors of childhood relational trauma, betrayal of trust and attachment issues create obstacles to developing a secure therapeutic alliance. Even when the therapeutic relationship feels more secure, these clients often experience separation between sessions as attachment loss. This can feel burdensome to the therapist, who may receive multiple crisis phone calls throughout the week. In this presentation, the relational affect regulation protocol will be explained and case examples will illustrate how it is put into practice. Drawing upon concepts from Stress Inoculation Training (SIT), Accelerated Experiential Dynamic Psychotherapy (AEDP) and Eye Movement Desensitization and Reprocessing (EMDR), the protocol helps facilitate dyadic affect regulation and object constancy during the stabilization phase of treatment with complex trauma survivors. The elements of an SIT script will be described and creative adaptations will be proposed. AEDP microprocessing of the client’s experience of the therapist reading the script to the client will be explained and illustrated. The EMDR procedure for installation of the therapist as a resource will be taught and strategies for utilizing this as a selfsoothing method between sessions will be delineated.
Participants will be able to: discuss two problems clients ♦♦ with Complex PTSD have with attachment and fear of attachment loss in therapy, and will be able to identify three strategies to address this issue. ♦♦ explain AEDP microprocessing of interactions between client and therapist, and how this technique can help survivors of childhood relational trauma to develop trust in the therapist. ♦♦ list the four essential elements of an SIT script and utilize the steps involved in the relational affect regulation protocol with their clients.

Keywords: Complex Trauma Relational Affect Regulation

Accuracy Verified: Yes

179. Parnell, L. (2009, July). Resource tapping: Step-by step instructions for managing emotions and reducing anxiety with trauma patients . Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, S.C..

Language: English

Format: Conference

Abstract:
Resource Tapping is a powerful and effective EMDR-related technique that uses imagery and bilateral stimulation to harness the power of inner resources. It is an effective, easy-to-use technique for ego strengthening, affect regulation and stress reduction in the treatment of trauma. This technique can be used to help rebalance the nervous system, activate the parasympathetic restoration cycle, and teach self-regulation. Participants will learn to interweave this mind-body technique throughout the course of treatment to help with anxiety, sleep problems, triggers, depression, and strong emotions such as fear, anger, and sadness. .

Keywords: Mind-Body Medicine Resource Tapping

Accuracy Verified: Yes

180. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT), Traumatic Incident Reduction (TIR), and Visual/Kinesthetic Dissociation (V/KD) are relatively new approaches in the treatment of trauma-related disorders. These approaches have come under intense scientific and professional scrutiny and criticism, with proponents and critics offering diverse and intriguing arguments in support of their respective points of view. This discussion will focus on the current empirical and anecdotal evidence on the efficacy of these five approaches, as well as various criticisms that have been proferred in response to the empirical and clinical literature on treatment efficacy and theory. EMDR will be highlighted, given the growing empirical database on EMDR outcome studies and the contention surrounding the treatment and its’ theory. The evidence for and/or against the other four approaches will also be presented, upon which we will raise for discussion issues relating to methodological rigour, scientific reporting of clinical data, and the interpretation of efficacy studies in general. The discussion will occur within the context of philosophical discourse on the ideal of integration of science and practice, and the feasibility of attaining this ideal within the current scientific Zeitgeist. INTERVENTION RESEARCH, CLINICAL CASE STUDY Sandringham Skills-Based Treatment of Dissociation: A Case Study 238 Chair: ELHAI, Jon D., Nova Southeastern University Discussant: GOLD, Stephen A clinical case study of skills-based treatment of a 48-year-old, female survivor of child sexual abuse (CSA) reporting severe dissociative symptomatology is presented. Chief complaints were daily amnestic episodes, depersonalization, panic attacks, agoraphobia, and consequent long-term unemployment. In contrast to most approaches to therapy for dissociative syndromes, it is argued that treatment does not need to be primarily trauma-focused. Instead treatment focused on targeting dissociation and anxiety by teaching skills to be implemented by the client outside of session. Functional behavioral analysis of particular recent incidents of dissociation were conducted over several sessions. Imagery-based relaxation and progressive muscle relaxation were used and monitored to help the client learn additional methods of reducing distress. Grounding techniques were implemented to counter the dissociative tendency to lose experiential awareness of the here and now. Cognitive interventions were utilized to challenge the erroneous notions reported about dissociative experiences, such as the panic she experienced when her dissociation had been revealed to others. Last, in vivo systematic desensitization was used with a fear hierarchy, ranging from the least to most fearful stimuli that precipitate dissociation, where graduated exposure was followed by relaxation. At termination the client reported elimination of panic attacks, resumption of driving, and marked reduction in frequency and duration of amnestic periods, with substantial additional gains and progress in finding full-time employment reported at 8 month follow-up. Treatment outcome is assessed based on psychological test data obtained at intake, discharge, and 8 month follow-up, as well as client anecdotal report.

Keywords: Neoteric Trauma Treatments Practice Guidelines

Accuracy Verified: Yes

181. Amendolia, R. D., Bressler-Wakesburg, E., & Giles-Monroe, E. (2004, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and beliefs, becomes rigidified around the "trauma story.” Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spiritually salient metaphors as well as appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.

Keywords: Culture Ethnicity Spirituality Trauma

Accuracy Verified: Yes

182. Amendolia, R. D., & Gemme, J. (2006, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and spiritual beliefs, becomes rigidified around the "trauma story." Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spilitually salient metaphors, as well appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.

Keywords: Culture Ethnicity Spiriturality

Accuracy Verified: Yes

183. Chang, S. H. (2007, September). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. Presentation at the annual meeting of the EMDR International Association Conference, Dallas, Texas. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Semantic Association

Accuracy Verified: Yes

184. Chang, S. H. (2009). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Sematic Association

Accuracy Verified: Yes

185. Wizansky, B. & Overkamp, B. (2007, März-August). Schritte durch das labyrinth: Ein modell zum leichteren einsatzgruppen von EMDR bei kindern [Footsteps through the maze - A model for facilitating the use of EMDR with children]. EMDRIA Deutschland e.V. Rundbrief, 12, 14-27.

Language: German

Format: Newsletter

Abstract:
Dieser Artikel stellt ein Modell vor, das den Einstieg in die Therapie mit Kindern erleichtern soll, die mit dem Einsatz von EMDR als Therapiemethode Schwierigkeiten haben und im therapeutischen Prozess nicht mitarbeiten können. Das dem Modell zugrunde liegende Konzept bezieht sich auf einen aus Erinnerungen und Assoziationen bestehenden inneren psychischen Raum, in dem es die gesamte Bandbreite an Emotionen gibt, die dem Kind zur Verfügung stehen, wenn es sich durch seinen Alltag navigiert. Nach meiner Vorstellung muss ein Kind diesen inneren Raum betreten, wenn es Ausgleich und Veränderung erreichen will. Für die Kinder aber, für die dieses Modell entwickelt wurde, ist das In Kontakt kommen mit möglicherweise unangenehmen Gefühlen unerträglich gefährlich. Seine Angst vor dem Erleben unkontrollierbarer Emotionen schließt Kommunikation aus – sowohl mit sich selbst als auch mit dem Therapeuten.

This article presents a model that will facilitate entry into therapy with children, with the use of EMDR as a treatment method with children who have difficulties and can not participate in the therapeutic process. The model underlying concept refers to an existing memories and associations inner mental space in which there is a whole range of emotions that the child finds when it navigates through his everyday life. I imagine a child must enter this inner space, if it is to achieve balance and change. This model was developed for the children who come in contact with potentially dangerous unpleasant insufferable feelings. Their fear of the experience of uncontrollable emotions does connect with both themselves and the therapist.

Keywords: Children Footsteps Through the Maze

Accuracy Verified: Yes

186. HaLevi, E. (2008, February 7). Sderot teacher's song empowers children in face of rockets. Arutz Sheva 7, Israel National News.

Language: English

Format: Video

Abstract:
A Sderot teacher’s song has empowered area schoolchildren to deal with the fear of Kassam rocket attacks, integrating forms of relaxation therapy into a children’s diddy.

Keywords: Butterfly Hug Children Israel Song War

Accuracy Verified: Yes

187. Forrest, M. S. (1995, June). Self-soothing and the multiple trauma survivor. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Remember the joke about the doctor who says, "The operation was a success, but the patient died"? That's how some clients feel about EMDR. They succeed in accessing deep and important material, but find themselves extremely depressed and/or anxious in the days afterward. For these clients, who are often survivors of multiple trauma such as long-tenn child abuse or incest, the ability to self-soothe (both during and after an EMDR session) makes the difference between whether they regard EMDR as a useful tool or a necessary evil. To find out what self-control techniques work best for such clients, I interviewed EMDR clients (all women) who had experienced long-term sexual abuse in childhood. The first thing I learned was that for survivors of multiple trauma, the ability to feel safe starts long before EMDR is ever used. Many women cited their relationship with their therapist as the foundation of their feeling safe with EMDR: "I trust my therapist absolutely." One client's therapist told her he had used EMDR himself: "That made a huge difference to me," she said. Other advance work included planning and taking preventative measures. Planning means picking the right time (and pace) for doing EMDR: being sure the therapist and/or other support people will be available in the days after the session; not driving or going back to work afterward (if possible); being able to have plenty of alone time; and going slowly, doing EMDR in small increments. "I didn't expect myself to go out in the world and be social afterward. I was pretty raw for a few days, sometimes for a whole week," B. told me. Planning also means taking preventive measures, such as teaching the client how to find "a safe place." Most clinicians know the importance of this, but one of the women I interviewed was emphatic that creating a safe place was very different from being able to go to it when she was in a session and reliving the experience of being a three-year-old overwhelmed by extreme grief or terror. She said she needed a lot of practice accessing her safe place and some special interventions (see below) to get through the intense times. Being able to self-soothe between sets of eye movements was very difficult for most clients. "I cry all the time we do it," S. told me. "I have to sit near the door and not have my therapist sit too close," said M. Another woman said, "We do the eye movements for a few seconds and we talk in between."One successful intervention, especially for clients overwhelmed by the intensity of their feelings, involved the therapist asking his client to listen to the sound of his breathing and to breathe along with him. Another clinician has his client when she gets extremely upset ask her "inner guide or "higher power" whether it's "okay to continue;" a third asks, "Is there more underneath or is it time to wind down?" Letting the client control the pace and progress of his/her own processing can be an important way to teach self-trust -- especially to people for whom loss of power was endemic to their abuse. Some clients are able to repeat special phrases or afirmations over and over between sets to calm themselves. L., a ritual abuse survivor, said she grounds herself by silently reciting a mindfulness verse from Zen master Thich Naht Hanh in time with her inbreath and out-breath: "In, out. Deep, slow, Calm, ease. Smile, release. In, out. Deep, slow ...... Different kinds of self-soothing techniques work best after the eye-movement sets are completed. Immediately afterwards, while still in session, one client said she falls asleep for a few minutes -- she finds this a big help in countering the dissociated state in which she typically concludes an EMDR session. Another said she and her therapist share a cup of tea and talk over what happened as a way to "come down" and normalize the experience. Some clinicians close a session by doing eye movements to reinforce the client's safe place. One woman said her therapist has her "cement the present in place" by doing eye movements on either a present-day image, an image of her inner child in the safe place, or a positive statement. Francine Shapiro has often said that what happens after the EMDR session can be as important as what happens during it. The women I interviewed felt exactly the same way. They had learned the necessity of talung exquisitely good care of themselves in the hours and days that follow. "I take time-and time out," declared B., who often has a delayed fear reaction following EMDR. Most clients said they go home and either curl up in bed or in a favorite rocking chair with their stuffed animals. They cry, sleep, write in their journals, draw pictures, listen to music, look at favorite photographs, and/or call a support person. M. uses self-talk to ease her feelings: "I say to myself, 'You know that knot of fear. I know it's only fear. I know that nothing is going to hurt me right now'." For others, going home immediately is not the best option: D. takes a walk along the shores of Long Island Sound; C., the mother of three young children, finds solace in a favorite bookstore. Sometimes all the planning in the world doesn't help: the abreaction seems to launch the client back to the age she was when she was abused - and she simply can't remember how to calm herself. To counter this, several clients said they carry a list of things they can do to quiet themselves. S. finds reading mystery stories comforting("At the end you always find out what really happened."), but has to keep two of them on her bedside table at all times: "If they're not in full view, I forget about using them." One interesting example of "assigned" self-soothing was given by a ritual abuse survivor who was new to EMDR. After a session when a lot of memories came up about how her sexuality was used and degraded during the abuse, her therapist gave her very specific instructions on how to care for herself, including buying a romantic nightgown and soaking in bath salts for 45 minutes; listening to romantic music; and not touching or kissing her partner for 48 hours. "It worked out great!" she told me happily. "I felt SO pretty and so safe." The conclusion I reached about how multiple-trauma survivors learn to self-soothe in the face of the intense feelings EMDR can trigger is not revolutionary. The recipe is: Step 1. Plan for the worst. Step 2. Let the client select the self-soothing techniques that specifically fit for her or him. Step 3. Make sure s/he is able to use these techniques no matter how intense his/her emotions are. Sometimes this will call for the therapist to take an active role by either leading the client in specific calming techniques or by assigning very clear-cut homework. If the recipe calls for planning and practicing, then the pot in which the ingredients are cooked is labeled "TRUST"-trust before initiating EMDR, trust during the eye movements, and trust after the sets are completed. Unless the client deeply trusts the clinician, the method itself, and his or her own capacity to go into the feelings and me out safely, the recipe for success with EMDR can turn into a recipe for disaster.

Keywords: Survivor Trauma

Accuracy Verified: Yes

188. Carlos, R. M. (2011, janeiro). Sem medo de voar: Terapia de reprocessamento de memórias promete combater os antigos [Flying without fear: Therapy for the reprocessing of old memories vows to fight]. Aero Magazine, 26-27.

Language: Portuguese

Format: Magazine

Abstract:
O medo de avião já virou até música composta por Belchior. Mas, nem sempre, é fácil conviver com o problema, que acaba afetando a vida pessoal e profissional, e transformá-lo em arte. Novas terapias foram desenvolvidas para tentar curar esse problema, que atinge diversas pessoas. Um método de tratamento é o reprocessamento de lembranças difíceis, usado em terapias como o EMDR (Eye Movement Desensitization and Reprocessing ou Dessensibilização e Reprocessamento por meio de Movimentos Oculares), que permite resolver medos, ansiedades e fobias de uma forma rápida e eficiente.

The fear of flying has turned to music composed by Belchior. But not always easy to live with the problem, which ultimately affects the personal and professional life, and transform it into art. New therapies have been developed to try to cure this problem, which affects many people. A method of treatment is difficult to reprocess memories, used in therapies such as EMDR (Eye Movement Desensitization and Reprocessing and Desensitization and Reprocessing by Eye Movements), which allows resolving fears, anxieties and phobias quickly and efficiently.

Keywords: Fear of flying Carvalho

Accuracy Verified: Yes

189. Strenge, H. (2005). Sexuelle traumata und ihre behandlung mit EMDR [Sexual traumas and their treatment with EMDR]. In G. Nissen, H. Csef, W. Wolfgang, & F. Badura (Eds.), Sexualstörung: Ursachen - Diagnose- Therapie (pp. 147-155). Darmstadt: Steinkopff. doi:10.1007/3-7985-1600-6_12.

Language: German

Format: Book Section

Abstract:
Die EMDR-Therapie mit sexuell traumatisierten Patienten erfordert psychotraumatologische Behandlungserfahrung (Peichl 2000). Auf unbewusste Blockierungen während des Prozesses, Affektdysregulation, chronische Übererregung oder dissoziative Zustände ist zu achten und angemessen zu reagieren, beispielsweise mit geleiteten Imaginationen oder differenzierten Einwebtechniken (Shapiro 1995; Parnell 2003). Der Sicherheitsaspekt spielt eine große Rolle, vor allem bei Patienten aus inzestuösen Familien, die häufig nur im Alleinsein ausreichend Schutz und Sicherheit empfanden. Jede neue Beziehung, auch in der Therapie, muss daher im Vorfeld einen Glaubwürdigkeitstest bestehen und für den Patienten eine klare Unterscheidung zwischen Fürsorglichkeit und ausbeutender Sexualität ermöglichen. Dabei erscheint unentbehrlich, dass sich der Therapeut seiner Wertvorstellungen und Überzeugungen hinsichtlich der zahlreichen Aspekte von sexueller Gewalt bewusst wird. EMDR bei sexuell Traumatisierten stellt erhöhte Anforderungen an die Stabilisierungsbedürfnisse der Patienten und die therapeutische Flexibilität des Therapeuten. Die frühzeitige Erkennung und therapeutisch angemessene Bewertung von spontan auftauchenden dissoziativen Symptomen, Körpersensationen ohne visuelle Erinnerungen und starken Abreaktionen stellen besondere therapeutische Herausforderungen dar. Hierbei entscheidet sich, ob der Therapeut vom Patienten als empathisches, gegenwärtiges und angstfreies Objekt erlebt und geschätzt werden kann.

The EMDR therapy with sexually traumatized patients requires psychotraumatological treatment experience (Peichl 2000). blockages at the unconscious during the process, Affektdysregulation, chronic hyperarousal or dissociative states to respect and respond appropriately, for example with guided imagery or differentiated Einwebtechniken (Shapiro 1995, Parnell 2003). The security aspect plays an important role, especially in patients from incestuous families, often felt only in being alone sufficient protection and security. Each new relationship, even in therapy must, therefore run in a credibility test for the patient there and make a clear distinction between caring and exploitative sex. It seems essential that the therapist's values and beliefs regarding the many aspects of becoming aware of sexual violence. EMDR for sexually traumatized places increased demands on the stabilization needs of patients and the therapeutic flexibility of the therapist. The early diagnosis and therapeutic proper assessment of spontaneously arising dissociative symptoms, body sensations without visual memories and strong abreaction provide special therapeutic challenge this will determine whether the therapist can be experienced by the patient as empathic, present, and fear-free object and appreciated.

Keywords: Sexual Trauma

Accuracy Verified: Yes

190. Mellskog, P. (2004, January 1). Shame and fear can bury a multitude of sins and sorrows - but not forever, according to survivors of traumatic events. The Associated Press State & Local Wire, State and Regional.

Language: English

Format: Other

Abstract:
"I thought it was a bunch of hocus-pocus," said Lisa's therapist, Karen Wray, a Longmont counselor certified to practice EMDR by the Texas-based EMDR International Association.

Keywords: General Overview

Accuracy Verified: Yes

191. Newgent, R.A., Paladino, D. A., & Reynolds, C. A. (2006, January). Single session treatment of nontraumatic fear of flying with eye movement sensitization reprocessing: Pre and post-September 11. Clinical Case Studies, 5(1), 25-36. doi:10.1177/1534650103261196.

Language: English

Format: Journal

Abstract:
Eye movement desensitization reprocessing (EMDR) was originally developed to treat traumatic memories. Since its development, the application of EMDR has proliferated to various disorders. A single session utilizing the EMDR approach applied to the treatment of nontraumatic fear of flying is presented. For this study, the EMDR process was adapted tomeet the needs of the client. The purpose of this study is to provide an example of the in-flight application of a single session of EMDR to nontraumatic or small "t" fear of flying. The case of a client successfully treated with in-flight EMDR is presented. Pre-September 11 and post-September 11 follow-up with the client is also documented.

Keywords: 9/11 Clinical Case Study Emotional Trauma Empirical Study Event Memories Experiences (Events) Fear of Flying Follow-up Study Memory Phobias September 11 Single Session Terrorism

Accuracy Verified: Yes

192. Maxfield, L., & Melnyk, W. (2000, April). Single session treatment of test anxiety with eye movement desensitization and reprocessing (EMDR). International Journal of Stress Management, 7(2), 87-101. doi:10.1023/A:1009580101287.

Language: English

Format: Journal

Abstract:
One session of Eye Movement Desensitization and Reprocessing (EMDR) appeared to be an effective treatment for test anxiety, reducing reported physiological distress, worry, and fears of negative evaluation. The research design included two components: a comparison study, comparing Immediate Treatment and Wait List groups, and a replication study comparing the treatment response of Immediate and Delayed (Treated Wait List) groups. 17 test anxious university students were randomly assigned to one session of EMDR or Wait List. At post-test, the Immediate group demonstrated significant improvement, compared to the Wait List group, on the Test Anxiety Inventory (TAI) and Fear of Negative Evaluation Scale. Treatment effects were maintained at follow-up. The Wait List group received treatment after post-measures were taken. Treatment of the Delayed group replicated effects. Improvement was reflected by large treatment effect sizes and a decrease in percentile ranking on the TAI from the 90th to the 50th percentile (Pilots).

Keywords: Anxiety Disorders Brief Psychotherapy College Students Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Random Clinical Trial RCT Stressors Survivors Test Anxiety Treatment Effectiveness Treatment Outcome

Accuracy Verified: Yes

193. Cox, J. (2005, January 11). Skittish riders —afraid of getting hurt again — use calming techniques to get back in the saddle. Denver, CO: The Denver Post, Scene, F-01.

Language: English

Format: Newspaper

Abstract:
Clinical psychologist Margot Nacey of Greeley, a lifelong equestrian who calls such fear a form of post-traumatic stress, says she has had great success treating it with the brain-reprogramming technique EMDR - eye movement desensitization and reprocessing.

Keywords: Denver General Margot Nacey Overview

Accuracy Verified: Yes

194. de Roos, C., & de Jongh, A. (2006). Slikken of stikken - EMDR bij kinderen en jongeren met een slikfobie [Do or die - EMDR in children and adolescents with a mud phobia]. Kinder- & Jeugdpsychotherapie, 33(3), 83-102.

Language: Dutch

Format: Journal

Abstract:
In de kindertijd zijn ontwikkelingsgerelateerde angsten normaal. Wanneer een angst echter aanhoudt en uitgelokt wordt door de aanwezigheid van of anticipatie op een bepaald voorwerp of een specifieke situatie spreekt men van een specifieke fobie (American Psychiatric Association, 2003). De in de literatuur gerapporteerde prevalentiepercentages lopen nogal uiteen en variëren van 1,7 tot 16 procent, maar de meeste studies komen uit op een percentage tussen de 7 en 9 procent (Silverman & Moreno, 2005).

In childhood development-related fears are normal. When a But fear persists and is triggered by the presence or anticipation of a certain object or a particular situation is called a specific phobia (American Psychiatric Association, 2003). In the literature reported prevalence rates vary considerably, ranging from 1.7 to 16 percent, but most studies come up with a percentage between 7 and 9 percent (Silverman & Moreno, 2005).

Keywords: Adolescents Children Mud Phobia

Accuracy Verified: Yes

195. Liggan, D. Y., & Kay, J. (1999, Spring). Some neurobiological aspects of psychotherapy: A review. Journal of Psychotherapy Practice and Research, 8(2), 103-114.

Language: English

Format: Journal

Abstract:
Ever since the idea was accepted that memory is associated with alterations in synaptic strength, studies on the cellular and molecular mechanisms responsible for the plastic changes in neurons have attracted wide interest in the scientific community. This article explores the process of memory consolidation leading to persistent modifications in synaptic plasticity as a mechanism by which psychotherapy facilitates changes in the permanent storage of information acquired throughout the individual's life. The psychobiological interrelationships of affect, attachment, and memory offer a perspective regarding the etiology and treatment of clinical disturbances of affect. Analogies between brain physiology and modes of psychotherapy provide the foundation for a review of psychiatric disorders involving the inability to control fear, obsessions, compulsions, and delusions, all of which respond to psychotherapeutic interventions.

Keywords: Brain Physiology Compulsions Delusions Fear Modes of Psychotherapy Obsessions

Accuracy Verified: Yes

196. Evans, R. (2000, September). Speak to the wind. EMDRIA Newsletter, 5(4), 10.

Language: English

Format: Newsletter

Abstract:
Seven years after a tree suddenly fell across their car in a rainstorm, severely injuring her husband, but sparing her, a woman of 58 was referred to me with a curious, persistent post traumatic symptom. In most regards she had recovered well from the accident which left her husband seriously brain damaged and wheelchair bound in a nursing home where she visited him frequently. She worked regularly in the business department of a theatre company, had a strong social network and had, in several years of traditional therapy, been able to move beyond her rage and sorrow concerning the event. She was, however, “terrified of the wind” and this fear, while not having major impact upon her daily activities, often led to night time awakenings when the wind “howled” outside her window, and limited her outdoor activity whenever there was moderate wind. She was determined to “overcome” this last residue of the accident and was told by a client who had worked with me that EMDR could be of help.

Keywords: Practice Theory

Accuracy Verified: Yes

197. de Jongh, P. J., Andrea, H., & Muris, P. (1997, June). Spider phobia in children: Disgust and fear before and after treatment. Behaviour Research and Therapy, 35(6), 559-562. doi:10.1016/S0005-7967(97)00002-8.

Language: English

Format: Journal

Abstract:
Fear of spiders, disgust sensitivity, and spiders' disgust-evoking status were assessed in a group of spider phobic girls (n = 22) who applied for treatment, in a group of non-phobic girls (n = 21), and in the parents of both groups of children. The phobic girls were tested both before and after behavioural treatment which consisted of 1.5 hr eye movement desensitization and reprocessing and 1.5 hr exposure in vivo. Findings support the idea that disgust is an important aspect of spider phobia: (a) spider phobic girls exhibited higher levels of disgust sensitivity and considered spiders per se as more disgusting than non-phobic girls; (b) there was a parallel decline of spider fear and spiders' disgust-evoking status as a result of treatment; and (c) spiders' disgust-evoking status was relatively strong in mothers of spider phobic girls. The latter finding may indicate, that the acquisition of spider fear is facilitated by specific parental disgust reactions when confronted with spiders. [ScienceDirect]

Keywords: Disgust Exposure In Vivo Exposure Therapy Fear of Spiders Disgust Sensitivity Parents Phobias Spiders' Disgust Evoking Status

Accuracy Verified: Yes

198. Kitchur, M. (2005). The strategic developmental model for EMDR. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 8-56). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
The strategic developmental model (SDM) for EMDR originated in Canada in 1996. It is a model that was born out of desperation in the face of the overwhelming treatment needs of severe- and multiple trauma victims, forensic clients, and short-term funded high-risk individuals. It is an efficient and comprehensive method for maximally delivering the benefits of EMDR to high-needs clients before their therapy might be prematurely interrupted by the realities of funding or of a multiproblem life. Such a method, I felt, would need to effectively facilitate rapid engagement and address or circumvent the fear, hostility, anxiety, and resistance that so often undermine or sabotage therapy with high-need and high-risk populations. Clinical experience also suggested the importance of having some systematic manner of assessing and treating the often multiple fundamental underlying causes of pathology and symptomatology in order to assist these high-risk and high-need clients to break the cycles and patterns that likely would repeat in their lives. I hypothesized that any process or strategies that might facilitate healing in these ways could also be anticipated to optimize therapeutic outcome for high-functioning clients and diverse client populations. [Text, p. 8] [Pilots]

Keywords: Patient History Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

199. van Uijen, S. L. (2010). Taxing working memory during memory recall and the startle reflex. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
A dual-task during recall of an emotional memory reduces its vividness and emotionality, which may be due to both tasks competing for limited working memory (WM) resources. The dose-response relationship between WM taxing during memory recall and its benefits was investigated. Additionally, the fear-potentiated startle reflex was measured to obtain more objective information about the expected decrease in vividness and emotionality. Participants recalled negative and positive memories while performing no dual-task, a moderately taxing dual-task (eye movements), or a very taxing dual-task (Tetris), after which vividness, emotionality and the startle reflex were measured. Compared to no dual-task, eye movements and Tetris similarly decreased image vividness and/or emotionality, and the startle reflex. The findings suggest a WM account of EMDR, which indicates that a concurrent task is beneficial because it taxes WM during memory recall; and that WM taxing during memory recall and its benefits are not linearly related.

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

Accuracy Verified: Yes

200. Araujo Souza, A. M. N. (2012, Novembro). Técnica grupal integrativa - MGI: Prevenção de TEPT–transtornos de estresse pós-traumático em grupos de crianças Vvítimas de catástrofe [Technical integrative group - MGI: Preventing PTSD disorders-posttraumatic stress in children groups Vvítimas disaster]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Objetivo: Analisar o uso do Protocolo Grupal Integrativo (MGI) com o EMDR (Método de Dessensibilização e Reprocessamento pelo Movimento dos Olhos), na prevenção do Transtorno de Estresse Pós-Traumático (TEPT), em crianças vítimas de catástrofe. Método: Aplicação do Protocolo Grupal Integrativo (MGI- EMDR) em 16 crianças no município de Anchieta-SC, vítimas de tornado. Trata-se de um protocolo de EMDR utilizado em grupos, frente às situações traumáticas e permite que as vítimas entrem em contato com o evento, expressem lembranças traumáticas e sentimentos através de desenhos. Após cada desenho, o grupo foi estimulado a dessensibilizar e reprocessar os sentimentos e imagens perturbadoras através de movimentos bilateralizados do cérebro, sendo esses movimentos oculares, táteis ou sonoros. A técnica de estimulação utilizada foi o “Abraço Borboleta”, técnica desenvolvida por Artigas (2000) que consiste em cruzar as mãos e tocar a região entre a clavícula e o ombro com os dedos (estimulação tátil). A Escala de Unidade Subjetiva de Perturbação (SUDS) foi utilizada para medir o nível de perturbação ao lembrar da catástrofe. Como passo final, foi feita uma checagem corporal para verificar se havia alguma tensão física residual e a instalação de uma crença positiva de futuro. Resultados: houve redução da Escala Subjetiva de Perturbação (SUDS) na maioria das crianças e a qualidade dos sentimentos das mesmas ao entrarem em contato com a situação do tornado – “medo, desespero, tristeza, angústia” – como consequência dos fatos passados, se transformaram ao ser reprocessados em um reconhecimento de que o perigo passou. Os sentimentos se transformaram em “feliz, alívio, muito feliz, alegre“. Conclusão: O uso do MGI com EMDR em situações de catástrofes facilita a expressão da lembrança traumática armazenada no cérebro de forma disfuncional.

Objective: To analyze the use of Group Integrative Protocol (MGI) to EMDR (Desensitization and Reprocessing Method for Eye Movement), the prevention of disorder Post Traumatic Stress Disorder (PTSD) in children victims of disaster. Method: Application Protocol Integrative Group (MGI-EMDR) in 16 children in the municipality of Anchieta-SC, tornado victims. It is a protocol used EMDR in groups, face the trauma and allows victims to contact the event, express traumatic memories and feelings through drawings. After each drawing, the group was encouraged to desensitize and reprocess disturbing images and feelings through movements bilateralizados the brain, and these eye movements, tactile or audible. The stimulation technique used was the "butterfly hug" technique developed by Artigas (2000) which is to cross your hands and touch the area between the collarbone and the shoulder with fingers (tactile stimulation). The Scale of Subjective Unit of Disturbance (SUDS) was used to measure the level of disturbance to remember the disaster. As a final step, we performed a body check to see if there was any residual physical tension and installation of a positive belief in the future. Results: decreased Subjective Disturbance Scale (SUDS) in most children and quality of the same feelings to get in touch with the situation of the tornado - "fear, despair, sadness, distress" - as a result of past events, became to be reprocessed in a recognition that the danger has passed. The feelings became "happy, relieved, happy, happy." Conclusion: The use of EMDR with MGI in disaster situations facilitates the expression of traumatic memories stored in the brain so dysfunctional.

Keywords: Children MGI - Integrative Group Protocol with EMDR Reprocessing Catastrophe

Accuracy Verified: Yes

201. Nagle, A. (1998, October 29). These books can help take fear out of life anxiety disorder are common and you can take out books about them confidentially. Syracuse, NY: The Post-Standard, Final Neighbors East, 32.

Language: English

Format: Newspaper

Abstract:
"EMDR," by Francine Shapiro and Margot Silk Forrest focuses on Eye Movement Desensitization and Reprocessing therapy, described by the authors as a breakthrough therapy for overcoming anxiety, stress and trauma.

Keywords: General Overview Syracuse

Accuracy Verified: No

202. Kaplan, S. (1998, September). Thoughts on EMDR and Arundhati Roy’s novel, The God of small things. EMDRIA Newsletter, 3(3), 28-30.

Language: English

Format: Newsletter

Abstract:
I want to bring Arundhati Roy’s remarkable, new novel, The God of Small Things, to the attention of psychotherapists, especially EMDR therapists, as we work with people in pain and suffering from serious psychological trauma. Almost every character in the book, like many of our clients, has been traumatized y death, loss, rejection, sexual abuse gender or caste exploitation, abandonment, violence, deceit, betrayal, inappropriate blaming, shame, rage, guilt, lack of validation, humiliation, fear, and/or terror.

Keywords: Arundhati Roy

Accuracy Verified: Yes

203. Tinker, R. H., & Wilson, S. A. (1999). Through the eyes of a child: EMDR with children. New York W. W. Norton.

Language: English

Format: Book

Abstract:
Explores the use of eye movement desensitization and reprocessing (EMDR) with children and adolescents. The book demystifies the application of EMDR for children, from the first session with the parents to later sessions with children at all developmental stages. The adult protocol is modified so that it can be applied to children as young as two years old (and possibly younger). A system of classification of childhood trauma allows therapists to predict a child's response to EMDR is presented. Myriad cases illustrate the use of EMDR with various traumas. Many examples of simple traumas are presented, including automobile accidents, lightning strikes, bereavement, and specific phobias such as a fear of animals. In addition, cases illustrate success with complex traumas, where aspects of the trauma are ongoing and EMDR becomes part of several possible therapeutic interventions. EMDR is also discussed as an intervention for children who have problems that are not caused by trauma. Case illustrations show how EMDR can be used with children with attention deficit hyperactivity disorder (ADHD), anxiety, depressive, or reactive attachment disorders as well as learning difficulties and somatoform disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Children Mental Disorders Phobias Posttraumatic Stress Disorder PTSD Stressors Survivors Therapeutic Processes

Accuracy Verified: Yes

204. Coste, L. (2007, Juin). Traitement EMDR d'une anorexie dan le cadre d'une thérapie globale et familiale [EMDR treatment of anorexia dangerous part of a comprehensive therapy and family]. Affiche présentée à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Voici le cadre du traitement d’une anorexie chez une adolescente, Annie, 13 ans. Le traitement a duré 10 mois.
Annie est née cinq ans après une demi-soeur, Joanna, 18 ans. Joana n’a pas même père. Le père d’Annie a accepté l’adoption.
Le père, d’Annie, la mère, Annie et Joana vivent sous le même toit. Annie entre difficilement dans l’adolecence, alors que Joana s’exhibe depuis quelques mois avec son compagnon dans la chambre contiguë de celle d’Annie. Les rapports sexuels particiliers sont utilises par Joana à la fois comme instrument de vengeiance envers sa demi-soeur, et encore pour attirer l’attention de des parents sa problématique liée à son arrive dans la famille.
Joana souhaite ainsi impliquer et irriter houte la famille pour résoudre un conflit interne.
Elle réussit à persécuter Annie qui entre dans une phase aiguë de régression avec le souhait de se fonder en sa mère, au point de devoir dormer à ses côtés. Annie développe progressive une depersonalization. Pour autant, Joans ne tente as de s’approprier sin beau-père: au contraite, elle le rejette d’autant plue qu’elle se rend très souvent sur les lieux de père-géniteur dont a elle retrouvé les traces.
Cette situation culpabilise a posteriori un beau-père qui estime avoir éléve sa belle-fille avec amour. Sa position de chef de famille est remise en cause. La situation culpabilise également la mère qui avait pourtant choisi de garder Joana plutôt que d’avorter. Joana gignote de jour en our le territoire de sa dem-soeur sans poor autant vouloir continuer à s’insérer dans cette famille.
Le traitement préconisé sera:
- dans un premier temps, d’enrayer rapidement la dénutrition d’Annie par traitement EMDR (cogntions autour de l’estime de soi) puis traitement d’une peur de mourir (cognitions liées à la sécurité/survie), suivi du choix de “réussiré (congitions liées à la possibilité de contrôle).
- de suivre en alternance les parents, Annie et Joana;
- dans un second temps, de suivre Annie et Joana;
- dans un troisième temps de traiter par EMDR quelques peurs chez Joana et abaisser son irritation en famille, puis preparer son depart.
- Séance après séance, Annie se réappropriera son corps grâce à un imagination et une activité onirique du veille mises au service de la guérison. Annie parviendra finalement à croire en la possibilité de “réussir” sa vie.

Here the treatment of anorexia in a teen, Annie, 13. The treatment lasted 10 months.
Annie was born five years after a half-sister, Joanna, 18. Joana has not even father. Annie's father accepted the adoption.
The father of Annie, mother, Annie and Joana live under the same roof. Annie easily into the adolecents, while Joana showing off for several months with his companion in the room next to that of Annie. Sex particiliers are used by Joana both as an instrument of vengeiance to his half-sister, and again to draw the attention of his parents' problems related to his arrival in the family.
Joana hopes to involve and irritate houte family to resolve an internal conflict.
She managed to persecute Annie enters a critical phase of regression with the desire to rely on his mother, to the point of having to sleep on his side. Annie develops a gradual depersonalization. However, no attempts have Joans sin to appropriate father-to Constrain, she rejects all Plue it goes very often on-site parent whose father she has found the traces.
This guilty post a stepfather who feels his pupil step-daughter with love. His position as head of family is challenged. The situation also blames the mother who nevertheless chose to keep rather than abort Joana. Joana gignote from day o the territory of its dem-sister without all the poor would continue to fit into this family.
The recommended treatment is:
- Initially, to stem the rapid wasting of Annie by EMDR treatment (cogntions around self-esteem) and subsequent treatment of a fear of dying (cognitions related to safety / survival), followed by the choice of "réussiré (congitions related to the possibility of control).
- Follow-linked parents, Annie and Joana;
- A second time, Annie and follow Joana;
- A third time to deal with some fears among EMDR Joana and lowering his irritation with the family, then prepare his departure.
- Session after session, Annie reclaim his body with an active imagination and dream of a day in the service of healing. Annie finally succeed to believe in the possibility of "successful" life.

Keywords: Anorexia Eating Disorders Family Poster

Accuracy Verified: Yes

205. Dodgson, P., Zaghrout-Hodali, M., Ferdoos, A., Wright, J., & Moore, P. (2008, September). Transforming fear: EMDR with victims of torture and organized violence. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract: to EMDR HAP in the Middle East and presentation of clinical work and a pilot study in a situation of ongoing conflict, including early intervention; a presentation of clinical work with victims of torture and organized violence and treatment protocols relating to safety, shame, and working with interpreters; outline of a preliminary study in the use of an EMDR group protocol with adults; clinical case discussion and interactive questions and answers. Participants are invited to bring case outlines and material and to take part in use of the group protocol.

Keywords: Fear Organized Crime Torture Vicitms

Accuracy Verified: Yes

206. Pupulin, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in cancer patients]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe. Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress. Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR. Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD. Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare. Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare: 1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta; 2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso; 3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia); 4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva. L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia. Il trauma della diagnosi di cancro quindi deve essere affrontato per primo, per evitare che il paziente si ritrovi costantemente bloccato a pensare all’idea della morte. In questo modo si può facilitare e favorire il processo che porterà ad intraprendere la via della guarigione.

The intensity of individual reactions notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a state of psychological shock to the news learned as a catastrophe. The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as post-traumatic stress disorders. The workshop will discuss the effective ways to approach treatment with EMDR. The first objective to establish the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve symptoms related to PTSD. After treatment, EMDR, the patient is no longer blocked at diagnosis and the fear of not succeeding, but with a more aware and stronger associated with the feeling that I can do. In addition to the trauma of diagnosis, EMDR can be used very effectively to reprocess other traumatic knots that patients may experience: 1. fear of the same fate of his friend / relative suffering from cancer, now deceased; 2. fear of looking in the mirror and see a mutilated body or disgusting; 3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy); 4. anxiety, which tends to appear at the end of this long path of recidivism. EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease over future that create anxiety and anticipatory anxiety. The trauma of cancer diagnosis therefore must be addressed first, so that the patient constantly find yourself stuck to think the idea of death. In this way we can facilitate and encourage the process leading to take the path of healing.

Keywords: Cancer Trauma

Accuracy Verified: Yes

207. Paola, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in patients with cancer]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe. Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress. Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR. Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD. Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare. Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare: 1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta; 2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso; 3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia); 4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva. L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia.

The intensity of individual reactions will be notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a psychological state of shock for information acquired as a catastrophe. The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as Post Traumatic Stress Disorder. The workshop will discuss the effective ways to approach treatment with EMDR. The first objective to determine the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve the symptoms related to PTSD. After treatment, EMDR, the patient is no longer locked at the time of diagnosis and the fear of not succeeding, but with a more conscious and more associated with the strong feeling we can do it. In addition to the trauma of diagnosis, EMDR can be used very effectively in other nodes to reprocess traumatic patients may experience: 1. the fear of the same fate of his friend / relative suffering from cancer, now deceased; 2. fear of looking in the mirror and see a mutilated body or disgusting; 3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy); 4. anxiety, which tends to appear at the end of this long process of relapse. EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease about future ones that create anxiety and anticipatory anxiety.

Keywords: Cancer Trauma

Accuracy Verified: No

208. Zantvoord, J. (2012, November). Trauma focused psychotherapies from a neurodevelopmental perspective: fMRI and physiological pilot outcome data from a RCT conducted in the Netherlands with children suffering from PTSD. Symposium conducted at the 28th annual meeting of the ISTSS, Los Angeles, CA.

Language: English

Format: Conference

Abstract:
Neurobiological treatment outcome studies in adults with PTSD have shown that successful treatment is associated with changes in activity of frontal brain areas and the amygdala, brain areas which are involved in fear conditioning and extinction. Frontal brain regions undergo considerable maturation during childhood and adolescence and only reach anatomical and functional maturity well within the third decade of life. In this light, results obtained in neurobiological studies in adults can’t be readily translated to children and adolescents. Neurobiological treatment outcome studies in children with PTSD are thus required, yet are almost nonexistent to date. Neurobiological treatment outcome studies addressing the mechanism involved in treatment response or non response can contribute to improve treatment strategies for non responders especially for treatment non responders and in time help clinicians to tailor treatment for individuals with PTSD. In this part of the symposium we will present treatment outcome data of our neurobiological pilot study conducted in children with PTSD in the Netherlands. Children aged 8 to 18 with PTSD were randomly assigned to receive either 8 sessions of manualized Trauma Focus cognitive behavioral therapy or EMDR. fMRI data of a working memory task with emotional distracters and physiological data obtained during script driven imagery will be presented. Treatment outcome results will be placed in a neurodevelopmental framework.

Keywords: Children, fMRI Netherlands Neurodevelopment Pilot Posttraumatic Stress Disorder PTSD Random Control Trial RCT

Accuracy Verified: Yes

209. Tapanya, S. (2008, June). Trauma therapy for bullying victims in Thai schools. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
The knowledge on the treatment of psychological trauma in Thailand is still in its rudimentary stage despite the fact that the country has been known for its highly trained medical personnel who are capable of providing sophisticated medical treatment such as plastic surgery, high quality dental care, and sex-change operation. And although the problem of violence has been well recognized, especially relating to child abuse and domestic violence, a more subtle form of violence such as bullying in school has been largely ignored. The author aims to present the summary from his survey of bullying incidence from over 3,000 students in all regions of Thailand. The problem appears to be wide-spread and resulted in fear and anxiety about going to school. During the past few years a number of bullying survivors have come forward to receive treatment for their traumatic memories that continue to trouble them. The presentation will outline treatment strategies for this client population and cite several case studies which may show how EMDR can be applied in a way that is unique to Thai culture.

Keywords: Bullying Poster Thailand Trauma Therapy

Accuracy Verified: Yes

210. Urtz, A. (2010, June). Trauma treatment via EMDR after heart attack. A psychologist´s report from a rehabilitation hospital for heart and cardiovascular diseases. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Incidence of heart disease: 43 % of all death cases are caused by heart disease. In total this means 32,294 persons a year in Austria. Stationary treatment receiving 314,010 patients, with an average term of hospitalization of 8 days (Statistics Austria 2008). For Germany the total figures are around 10 times higher. This is the largest single patient group. 11.25% of the heart disease patients get PTSD, adjustment disorder or other reactions to severe stress (Titscher. 2008). Only for Austria a minimum of 35.000 patients could benefit from a trauma treatment like EMDR. For Germany the figure rises up to 350,000 patients a year who could benefit from EMDR. To physicians the problem is well known, but the only treatment they can offer is medication or further diagnostics like angiography which doesn't cure the problem. Despite the high number of traumatized heart patients, there are only publications about trauma as a risk factor for heart disease. There are a few publications about heart disease causing trauma, but there are nearly no publications about treating trauma caused by heart disease. Typical symptoms for trauma after heart attack: Feeling of tightness or pressure on the chest, tightness in the throat, with difficulties in breathing. Ascending feeling of heat from the stomach, trembling, weeping, fear and panic. Flashbacks of the heart attack, with symptoms looking similar to angina pectoris. Reduced stress tolerance by getting easily angry or depressed. Useful questions for differential diagnostics between organic and mental symptoms: What are the symptoms? How long do they last? Were there any symptoms prior to the heart disease? Which symptoms were present during the heart attack? Is it distressing to remember the heart attack? How distressing on a SUD-scale 0 to 10. What are the medical findings? Two specifics: 1. Mainly I use the butterfly hug or tapping on the chest for processing. This form of tapping is easy applicable and the patients like it. 2. Weaving in Positive Cognitions (PCs) during the processing, makes the processing less stressful, I offer PCs during the processing and look if they help to reduce the stress. Useful PCs: I survived. I am still alive. I am through. It is a long time ago. i have trust in my body and my heart. If that doesn't work: Even when my trust in my heart is shattered, I love and accept myself. I am grateful. I live as long as I may I am confident. Usually I use them in that succession with some adoptions according to the process. What is special about my presentation. 1. Hear about a large group of patients who can benefit from EMDR. 2. Mostly heart disease are to consider as mono-traumatic. With some specific knowledge and experience they are not difficult to treat. 3. Notice the advantage of bipolar tapping on the chest. 4. Understand the advantage of weaving in PCs during the processing. 5. The big question is: How to install EMDR in the rehabilitation system?

Keywords: Heart Attack Medical Issues Symposium

Accuracy Verified: Yes

211. Unfried, N. (2003). Trauma und entwicklung: Physiologische und biologische veränderungen nach frühen kindlichen traumata und deren behandlungsmöglichkeit [Trauma and development: Physiologic and biologic variations after early infant traumatisations and attendance of them]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 59-71.

Language: German

Format: Journal

Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Entwicklung des Kindes ist heutzutage als Prozess zu verstehen. Ein Kind ist dementsprechend zu jedem Zeitpunkt seiner Entwicklung "reif", einschließlich seines intrauterinen Lebens, d.h. es verfügt über die für die jeweilige Zeit notwenige Ausstattung. Von Beginn an erfolgt dieses mehr oder weniger störanfällige Geschehen mit anderen im aktiven intra- und interagierenden informativen, energetischen und stofflichen Austausch. An diesem Entwicklungsprozess nimmt der gesamte Körper, jede Zelle, einschließlich des Gehirns als Organ der sensomotorischen und psychophysischen Verarbeitung teil. Die Stressreaktion und Stress auf bewältigbarem Niveau hilft dem Kind kritische Phasen zu überstehen (Hüther, 1999). Jedoch führt nicht bewältigbarer Stress zu tiefgreifenden Veränderungen funktionell bis strukturell, wenn der Organismus keine neue Lösungsmöglichkeit findet. Mehrere Autoren belegen, dass traumatische Erlebnisse Veränderungen im limbischen System und Cortex zeigen können (Hüther, 1999; van den Kolk, 1998; Roth, 1998). Bei unkontrolliertem Stress (frühzeitig) kommt es zur Daueraktivierung der Amygdala und über die Amygdala zur Aktivierung mehrerer Systeme, unter anderem auch der Hypothalamus-Hypophysen-Nebennieren- Achse mit einem Ausschütten von Stresshormonen. Diese Daueraktivierung löst körperlich die Notfallreaktion im Sinne einer Schockreaktion aus, gleichzeitig führt sie zur Störung der Einspeicherung von Informationen in den Hippocampus. Die imaginativ-methodische Herangehensweise scheint für frühtraumatisierte Kinder und Jugendliche eine Möglichkeit zu sein, die dissoziierten Anteile der traumatischen Szene abzurufen und somit einen Weg zur Integration zu finden. Die therapeutische Beziehung ermöglicht das Wiedererleben der Schmerzen, der Angst, aber auch die Beendigung der traumatischen Situation. Es konnte gezeigt werden, wie die triggerabhängigen Projektionen bei den Kindern endeten und Veränderungen der Persönlichkeitsentwicklung nachweisbar waren. Der Erfahrungsbericht stellt ein vorläufiges Ergebnis dar.

Psychosocial treatment of traumatic stress disorders with EMDR
Children’s development is now understood as a process. Balance and imbalance are said to alternate with one another, and impaired functioning is to be seen as an inducement for further development. Even the early organism has the opportunity of finding a new level of organisation. Right from the beginning, this process, which is susceptible to disruption to a greater or lesser extent, takes place with others in an intra- and interactive exchange of energy and material. This developmental process involves the entire body, every cell, including the brain as the organ of sensomotoric and psychophysical processing. The stress reaction and stress at a manageable level help the child to survive critical periods (Hüther, 1999). However, stress that is not manageable leads to far-reaching changes, in both functional and structural terms, unless the organism finds new solutions. There are sensitive stages during prenatal development that give the brain a high degree of adaptability; however, they also make the embryo, foetus and young infant receptive for disruptive or even hostile influences can lead to changes in the limbic system and the cortex (Hüther 1999; van den Kolk 1998; Roth, 1998). In the event of (early) uncontrolled stress, the amygdala becomes permanently activated, and via the amygdala, several systems are also activated, including the hypothalamic-pituitary-adrenal axis, by the secretion of stress hormones. This permanent activation triggers a physical emergency reaction in the sense of a shock reaction and at the same time leads to a disruption of the storage of information in the hippocampus. The imaginative approach to be a way for children and adolescents with early traumas to recall the dissociated parts of the traumatic scene and hence to find a way of integrating them. The therapeutic relationship allows the pain and fear to be reenacted, but also enables the traumatic situation to be brought to a close. It was able to be shown how the trigger-dependent projections stopped in the children, and changes in personality development were able to be observed. The report presents preliminary results.

Keywords: Attachment Chidlren Biologic Variations Psysiologic Variations Trauma

Accuracy Verified: Yes

212. Qirjako, E. (2007, Feburar). Traumatisierte kinder und jugendliche. Einfluss posttraumatischer belastungsstörung auf psychische auffälligkeiten bei kindern und jugendlichen [Traumatized children and youth. Influence of post-traumatic stress disorder to mental disorders in children and adolescent trauma]. Ludwig-Maximilians-Universität München.

Language: German

Format: Dissertation/Thesis

Abstract:
Die Geschichtsbücher über die Kriege zeichnen ein furchtbares Bild des Grauens. Erlebte Realität ist nicht gedruckte Seiten, das wir lesen, sondern die Angst, Schmerz und Leiden, die uns für den Rest unseres Lebens begleiten werden. Tragische Ereignisse wie der Krieg im ehemaligen Jugoslawien haben bei der betroffenen Bevölkerung tiefe seelische Wunden hinterlassen. All das hat das Zusammenleben der verschieden ethnokulturellen Gruppen stark erschüttert und ist meistens nicht mehr möglich. Die Kriegs- und Traumaopfer leiden häufig noch Jahren unter den schlimmen Folgen der Extrembelastungen. Typische „posttraumatische“, psychische Folgen sind das ständige schmerzliche Wiedererleben der durchlittenen Situationen, Alpträume, erhöhte Schreckhaftigkeit, Reizbarkeit sowie Auswirkungen im sozialen Bereich. Diese Symptome werden seit 1980 unter dem Begriff Posttraumatische Belastungsstörung (PTB) in den offiziellen Klassifikationsmanualen psychischer Störungen zusammengefasst (DSM-IV-R, 1994).

The history books about the wars paint a terrible picture of horror. Experienced reality is not printed pages, we read, but the fear, pain and suffering that will accompany us for the rest of our lives. Tragic events like the war in former Yugoslavia have left deep emotional scars, the affected population. All this shook the coexistence of different ethno-cultural groups is not strong and more usually possible. The war and trauma victims often suffer for years under the terrible consequences of extreme stress. Typical "post-traumatic", the constant psychological consequences are painful reliving of the artist went through situations, nightmares, increased nervousness, irritability and social impact. These symptoms are grouped together since 1980 under the term Post Traumatic Stress Disorder (PTB) in the official classification manual of mental disorders (DSM-IV-R, 1994).

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

213. Kavakcı, Ö., Yildirim, O., & Swan, N. (2010). Travma sonrası stres bozukluğu ve sınav kaygısı için EMDR: Olgu sunumu [EMDR for post traumatic stress disorder and test anxiety: A case report]. Klinik Psikiyatri Dergisi, 13(1), 42-47.

Language: Turkish

Format: Journal

Abstract:
Travma sonrası stres bozukluğu (TSSB) gelişmesine yol açan etkenlerden biri de trafik kazalarıdır ve Türkiye'de oldukça yaygındır. Göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) son yıllarda özellikle travma sonrası stres bozukluğunda (TSSB) etkili olduğu gösterilmiş bir yaklaşımdır. Sınav kaygısı; öğrenciler için sıklıkla akademik alanda performans düşüklüğü ve psikolojik problemlerle birlikte olan önemli bir sorundur. Sınav kaygısı olanlar; değerlendirileceği zaman gerilim, endişe ve santral sinir sisteminin aşırı uyarılmasını içeren istenmeyen bir durum yaşarlar. Endişe içeren tekrarlayıcı düşünceler, kendini eleştiren felaketleştirici düşünceler, fizyolojik uyarılmışlık ve belirgin duygusal sıkıntı sınav kaygısına eşlik eder. Sınavlarla ilgili olumsuz deneyimler sınav kaygısının oluşmasına neden olabilmektedir. Sınav kaygısının tedavisi için çeşitli psikoterapi yöntemlerinin yararlı olduğu bildirilmiştir. Sınav kaygısı tedavisinde EMDR denediğini bildiren az sayıda yayın vardır. Bu çalışmada trafik kazası sonrası TSSB gelişen ve EMDR uygulanması sonucunda iyileşen 17 yaşında bir olgu sunulmuştur. TSSB belirtilerinin düzelmesinin ardından üniversite giriş sınavı ile ilgili yoğun korku ve kaygı bildiren hastada, bu kaygının önceki olumsuz sınav yaşantıları ile ilişkili olduğu belirlenmiş, bu yaşantılarına yönelik EMDR tedavisi sonunda sınav kaygısı belirtilerinde belirgin düzelme görülmüştür.

Prevalence of traffic accidents is very high in Turkey and traffic accidents are one of the underlying reasons of Posttraumatic Stress Disorder (PTSD). Eye Movement Desensitization and Reprocessing (EMDR) is a new therapeutic method which is effective for PTSD. Test anxiety is a significant problem for students which leads to a decline in academic performance and cause severe psychological problems. People with test anxiety experience undesirable symptoms like tension, worry and overstimulation of the central nervous system when they are under evaluation. Recurrent worried, self-critical and catastrophic thoughts and physiologic arousal accompany test anxiety. Negative experiences about examinations can lead to test anxiety. Various psychoterapeutic approaches have been reported that are beneficial in the treatment of test anxiety. Few publications have reported trial of EMDR in the treatment of test anxiety. We describe a 17 year-old girl who had PTSD following a traffic accident and who was treated by EMDR. After treatment of PTSD, the girl reported intense fear and anxiety about the university entrance examination. This anxiety was associated with negative experiences about previous examinations. EMDR treatment focused on these negative experiences and significant improvement was obtained.

Keywords: Case Report Posttraumatic Stress Disorer PTSD Test Anxiety Traffic Accidents

Accuracy Verified: Yes

214. Kavakci, O., Yildirim, O., & Kugu, N. (2010). Travma sonrasý stres bozukluðu ve sýnav kaygýsý için EMDR: Olgu sunumu [EMDR for postraumatic stress disorder and test anxiety: A case report]. Klinik Psikiyatri Dergisi[Journal of Clinical Psychology], 13(1), 42-47.

Language: Turkish

Format: Journal

Keywords: Posttraumatic Stress Disorder PTSD Test Anxiety

Accuracy Verified: Yes

215. Films for the Humanities (Firm). (2000). Treating phobias 1. Princeton, NJ: Films for the Humanities & Sciences.

Language: English

Format: Video

Abstract:
In this program, the treatment of John's claustrophobia, Judith's fear of flying, and David's fear of heights--phobias described by the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) as Situational Type and Natural Environment Type--are documented. Applications of virtual reality, by Emory University's Barbara Rothbaum, and eye movement desensitization and reprocessing, by clinical psychologist Carl Nickeson, are profiled. The research of Jeffrey Gray, of the Institute of Psychiatry (London), into blood flow in the brain during moments of stress, panic, and terror is also examined. This program is part of the series "Phobia: When an Irrational Fear Takes Control." This two-part series uses MRI scans, body imaging, EEG tracing, and thermal photography to take an unflinching look at the biological and psychological mechanics of terror, as courageous patients seek to master their fears through various forms of treatment.

Keywords: Behavior Therapy Phobias

Accuracy Verified: No

216. Blowers, C., Pawelzik, M., Zangwill, W., Fetko, D., Bondy, N., Cable, S., Thomson, J., & Fairhead, D. & Harrowes, M. (2003). Treating phobias desensitization, virtual reality exposure therapy, and EMDR. Princeton, NJ: Films for the Humanities & Sciences.

Language: English

Format: Video

Abstract:
This DVD draws excerpts from two programs, Treating Phobias: Behavioral Therapy, Hypnosis, Flooding, and SSRIs and the program Treating Phobias: Desensitization, Virtual Reality Exposure Therapy, and EMDR. Both are issued as parts of the series Phobia: When an Irrational Fear takes control. Included from these two programs are the work of Dr. Colin Blowers who uses behavioral therapy to treat fear of dogs, Dr. Markus Pawelzik of the Christoph Dornier Centrum who uses flooding to treat the fear of heights and Dr. William Zangwill who uses EMDR (eye movement desensitization reprocessing) to treat the fear of driving. Also shown is a fear of flying course which combines behavioral therapy and flooding to combat this phobia. The work of animal behaviorist Dr. Dennis Fetko, "Dr. Dog" is also highlighted. (WorldCAT)

Keywords: Phobias Virtual Reality Exposure Therapy

Accuracy Verified: Yes

217. Blowers, C., Pawelzik, M., Zangwill, W., Fetko, D., Bondy, N., Cable, S., Thomson, J., Fairhead, D., & Harrowes, M. (2003). Treating phobias, behavioral therapy, hypnosis, flooding, and SSRIs. Princeton, NJ: Films for the Humanities & Sciences: Distributed under license from BBC Worldwide Americas.

Language: English

Format: Video

Abstract:
This DVD draws excerpts from two programs, Treating Phobias: Behavioral Therapy, Hypnoisis, Flooding, and SSRIs and the program Treating Phobias: Desensitization, Virtual Reality Exposure Therapy, and EMDR. Both are issued as parts of the series Phobia: When an Irrational Fear takes control. Included from these two programs are the work of Dr. Colin Blowers who uses behavioral therapy to treat fear of dogs, Dr. Markus Pawelzik of the Christoph Dornier Centrum who uses flooding to treat the fear of heights and Dr. William Zangwill who uses EMDR (eye movement desensitization reprocessing) to treat the fear of driving. Also shown is a fear of flying course which combines behavioral therapy and flooding to combat this phobia. The work of animal behaviorist Dr. Dennis Fetko, "Dr. Dog" is also highlighted. (WorldCAT)

Keywords: Phobias Virtual Reality Exposure Therapy

Accuracy Verified: Yes

218. Films for the Humanities & Sciences (Firm); Films Media Group.; BBC Worldwide Ltd. (2006). Treating phobias. Pt. 1. New York, N.Y. : Films Media Group.

Language: English

Format: Video

Abstract: For 10-year-old Danny, it's dogs. For Trevor, it's falling. For Diane, it's air travel. And for Donna, it's the everyday act of driving a car. In this program, these four patients come to grips with their phobias by undergoing treatments involving behavioral therapy, flooding, and EMDR, eye-movement desensitization reprocessing-with impressive results.

Phobia: Uncontrollable Fear (4:37) -- Fear of Heights (4:47) -- Radical Phobia Treatment (3:27) -- Fear of Flying (2:28) -- Fear of Heights: Facing the Fear (3:08) -- Animals With Phobias (4:05) -- Behavior Treatment for Fear of Dogs (2:41) -- Treatment for Fear of Flying (4:11) -- Flooding Treatment for Fear of Heights (2:42) -- Fear of Driving: EMDR Treatment (5:09) -- Behavioral Treatment for Phobias (2:38) -- Flooding Therapy (3:29) -- Success With Phobias (2:54).

Accuracy Verified: Yes

219. Thomson, J., & Bondy, N. (2000). Treating phobias: Desensitization, virtual reality exposure therapy, and EMDR. Princeton, NJ: Films for the Humanities & Sciences.

Language: English

Format: Video

Abstract:
In this program, the treatment of John’s claustrophobia, Judith’s fear of flying, and David’s fear of heights—phobias described by the DSM-IV as Situational Type and Natural Environment Type—are documented. Groundbreaking applications of virtual reality, by Emory University’s Barbara Rothbaum, and EMDR (eye movement desensitization and reprocessing), by clinical psychologist Carl Nickeson, are profiled. The research of Jeffrey Gray, of the Institute of Psychiatry (London), into blood flow in the brain during moments of stress, panic and terror is also examined.

Keywords: Phobias Virtual Reality Exposure Therapy

Accuracy Verified: No

220. Muris, P., Merckelbach, H., Holdrinet, I., & Sijsenaar, M. (1998, February). Treating phobic children: Effects of EMDR versus exposure. Journal of Consulting & Clinical Psychology, 66(1), 193-198. doi:10.1037/0022-006X.66.1.193.

Language: English

Format: Journal

Abstract:
This study examined the efficacy of eye movement desensitization and reprocessing (EMDR) and exposure in the treatment of a specific phobia. 26 spider phobic children were treated during 2 treatment phases. During the first phase, which lasted 2.5 hr, children were randomly assigned to either (a) an EMDR group (n = 9), (b) an exposure in vivo group (n = 9), or (c) a computerized exposure (control) group (n = 8). During the 2nd phase, all groups received a 1.5 hr session of exposure in vivo. Therapy outcome measures (i.e., self-reported fear and behavioral avoidance) were obtained before treatment, after Treatment Phase 1, and after Treatment Phase 2. Results showed that the 2.5 hr exposure in vivo sesson produced significant improvement on all outcome measures. In contrast, EMDR yielded a significant improvement on only self-reported spider fear. Computerized exposure produced nonsignficant improvement. Furthermore, no evidence was found to suggest that EMDR potentiates the efficacy of a subsequent exposure in vivo treatment. Exposure in vivo remains the treatment of choice for childhood spider phobia. [Author Abstract]

Keywords: Adolescents Children Empirical Study Phobia Treatment Effectiveness

Accuracy Verified: Yes

221. de Jongh, A. (2012). Treatment of a woman with emetophobia: A trauma focused approach. Mental Illness, 4(1), 10-14. doi:10.4081/mi.2012.e3.

Language: English

Format: Journal

Abstract:
A disproportionate fear of vomiting, or emetophobia, is a chronic and disabling condition which is characterized by a tendency to avoid a wide array of situations or activities that might increase the risk of vomiting. Unlike many other subtypes of specific phobia, emetophobia is fairly difficult to treat. In fact, there are only a few published cases in the literature. This paper presents a case of a 46-year old woman with emetophobia in which a trauma-focused treatment approach was applied; that is, an approach particularly aimed at processing disturbing memories of a series of events which were considered to be causal in the etiology of her condition. Four therapy sessions of Eye Movement Desensitization and Reprocessing (EMDR) produced a lasting decrease in symptomatology. A 3-year follow up showed no indication of relapse.

Keywords: Emetophobia Specific Phobia Vomiting Phobia

Accuracy Verified: Yes

222. de Jongh, A. (2006, June). Treatment of anxiety and phobias with EMDR: Rapid conceptualization: Effective procedures and proposals for changes of the protocol. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Fears and phobias associated with EMDR situations where a single event for the well-structured, and short-term treatment is not compelling. Exposure in vivo EMDR'ın cognitive behavioral interventions, such as advantages, the fear-inspiring re-creation of the situation, situation (eg, sexuality, illness or death-related moments, situations) or phobic stimuli (eg, aircraft, mouse, snake) real life should be revived. However, inspiring fear and phobia on the basis of the number of lives to be in that situation, the phobic anxiety reactions to certain situations people may continue to give. Therefore EMDR'la fear and / or while working with phobias, anxiety-fear may danışanalr work preparing for the future status should not be terminated. This adaptive coping mechanisms to obtain, provide relief to improve the mental strategies in the future will need to be placed in a behavioral patterns and behavioral experiments can be done. EMDR'ın with fear and phobia clinical applications focusing on this at the end of the study group participants: 1) consult those who fear, avoidance of situations of mold assessment, 2) in terms of EMDR cases quickly formulated, 3) for those who need counseling EMDR protocol creative format can be adapted, and 4 ) EMDR intervention for their general treatment approach (cognitive-behavioral) to integrate aims to provide skills to develop.

Keywords: Anxiety Phobias

Accuracy Verified: Yes

223. Klaff, F. R. (1995, June). Treatment of children's fears with EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Through case material, the usefullness of EMDR is illustrated for the treatment of children's fears and phobias. The issue of integrating EMDR treatment with more traditional treatment is also addressed, especially with more complex contextual problems. Three case histories are presented with emphasis on the most complicated case. Family therapy treatment espouses the notion that psychopathology in the child results from dysfunctional family functioning, and as such the entire family system has to be treated. This concept is broadened with the use of EMDR. The first case illustrates a single trauma event in which a 6 year old boy was bitten by a rottweiler. Presenting symptoms were nightmares, fear of sleeping alone, poor school performance, persistent thoughts and fear of dogs. The first session of EMDR was successful in eliminating most of these fears. A second EMDR session focusing on a nightmare was also successful. Two follow up sessions with the family dealt with other parenting issues and the possibility of attention deficit disorder. The targeted problem was eliminated via EMDR. The second case demonstrates a successful one session treatment of an otherwise healthy 6 year old girl who had fears of the dark and had slept in her parent's bed for years. In the third case, a complex symptomatology is presented of a nine year old girl (Lily) with a severe, life threatening heart condition for which she has undergone 4 delicate aortal surgeries since age 2 and is on a medication maintenance regimen. Future surgery is anticipated during adolescence. Family history is significant for mother's struggle to overcome alcohol addiction, depression and past abuse. The family has financial pressures. Family system analysis reveals over involvement between mother and daughter, peripheral father and sibling rivalry (daughter 11). Family treatment involved boundary and limit setting, hierarchical restructuring and family communication skills. The illness as an organizing factor in the family system was repeatedly addressed. Interspersed with this treatment approach were EMDR sessions for daughters and mother. Lily had fears of separation fiom mother, fears of dying, choking, becoming ill, swimming, going to bed, and fears of the devil (as learned in their fundamentalist religion) as well as several other fears. EMDR sessions targeted these fears, and sometimes several fears were intertwined, such as fear of sleeping, the devil coming into her room and taking her away to die. Cognitive interweave was used when she appeared stuck. Through the EMDR treatments, Lily was able to deeply examine her fears, based on the real life uncertainties she faced. Her progress demonstrated a particularly poignant attempt to make sense of the meaning of life and cope with the threat of death.

Keywords: Children Fears

Accuracy Verified: Yes

224. de Jongh, A., & ten Broeke, E. (1998). Treatment of choking phobia by targeting traumatic memories with EMDR: A case study. Clinical Psychology and Psychotherapy, 5(4), 264-269. doi:10.1002/(SICI)1099-0879(199812).

Language: English

Format: Journal

Abstract:
Choking phobia is a specific phobia characterized by fear and avoidance of swallowing foods and liquids. It often develops following an episode of choking on food. A prospective case study of a 30-year-old woman with a phobia of choking, acquired after a series of traumatic incidents 5 years previously, demonstrates the usefulness of an approach that is aimed at processing the disturbing memories of a traumatic event. Two therapy sessions of Eye Movement Desensitization and Reprocessing (EMDR) produced a lasting decrease in symptomatology. [Author Abstract]

Keywords: Adults Report Females Medical Procedures Multiple Traumatic Events Phobia Survivors Treatment Effectiveness

Accuracy Verified: Yes

225. Coste, L. (2007, June). Treatment of complex drivng phobia on the expressway (demonstrating the value of dreams, daydreams and metaphors through EMDR treatment). Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Here is the summary of the treatment of a complex phobia develop since 1 year by a 35 year old man who past brittleness symptoms, considered as a continuation of the parental separation, first appeared in adolescence. In fact, around this period, the malaises of the patient took various forms without releasing insurmountable fears.
Been born of Cameroonian father and a French mother, Mr. G. is the third child, two sisters preceding him. An abortion followed the birth of Mr. G. A few months after that event the parents divorced.
Mr., G. is living and working in a pharmaceutical and cosmopolitan environment. He met his English girlfriend 8 years ago in Spain, where they lived for 4 years. Mr. G. lives since 4 years in France, his birthplace. He frequently travels abroad. His resides in France 9 months. A year ago, Mr., G. met a woman that had tunnel anguishes too. Now, since his installation, Mr., G. complains about phobia on the expressway.
That began for the first time when he prepared himself to go by car from London to Marseilles. But arriving to Montpellier, a fear panic paralyzes him. He could not drive any more. His three year old girl sat down in the rear seat. And he said: “My girl will die.”
Besides, Mr. G. does not suffer from declared anguishes in other places or in other vehicles.
A treatment by medicines is followed since 5 months successfully.
My interventions have held, before each new session, taking into account the following originally: the content of dreams, referring to the psychoanalytic models; metaphors evolution through the “sure place” during treatment; the free expression of the patient after bilateral alternate stimulations, being able to evolve through awaken dreams, without systematic return to the target when the cognition-arborescence deviates lightly.
These three tools are excellent to prove and judge advances in therapy, because they constitute an ideal unconscious bottom revealed by the therapist is compared with the cognitions quoted by the patient, then discussed in order to obtain in the filed of future cognitions, the most adequate ones.
The first treatment being urgent, it is a matter to target priority the situation that releases the panic. The cognitions will evolve logically from the “one’s self esteem” to “the possibilities of choice.”
At the end of 9 EMDR sessions and three months of treatments, Mr. G. drives freely on the expressways. Consecutively, he did “the mourning” of his father and feels from that time the need to protect this mother.

Keywords: Daydreams Dreams Driving Phobia Metaphors Phobia Poster

Accuracy Verified: Yes

226. Cohen, A. (2009). Treatment of dissociation with EMDR when war interrupts the process: The integration of EMDR with e-mail therapy. Journal of EMDR Practice and Research, 3(1), 50-56. doi:10.1891/1933-3196.3.1.50.

Language: English

Format: Journal

Abstract:
This article describes the integration of e-mail correspondence with EMDR treatment for a woman with a fear of driving and a diagnosis of dissociative disorder, not otherwise specified (DDNOS). When the client first presented for treatment, her diagnosis was unrecognized, and treatment showed limited success. With recognition of the DDNOS diagnosis, the treatment contract was renegotiated, with the focus of therapy shifting to addressing her dissociative experiences. Therapeutic progress was being made when the course of the treatment was interrupted by war in the north of Israel, and regular meetings became impossible. Communication was maintained by e-mail correspondence. When face-to-face sessions recommenced, the e-mail therapy continued because writing had become a powerful therapeutic tool. Therapy concluded with the successful treatment of both the dissociative disorder and the fear of driving. Cautions regarding the use of e-mail therapy are provided.

Keywords: Dissociative Disorder Dissociation E-Mail Not Otherwise Specified War Writing

Accuracy Verified: Yes

227. de Jongh, A. (2010; June). Treatment of fears and phobias with EMDR: Assessment, conceptualization and effective treatment strategies. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Specific phobias are more prevalent than any other group of psychiatric disorders. Given that specific phobias and PTSD share a number of important features, and that a wide array of controlled studies support EMDR's effectiveness with treatment for unprocessed events and related conditions, EMDR has also been claimed to be an effective treatment for specific fears and phobias.
This workshop focuses on EMDR as a treatment approach for a wide variety of fears and phobias. Participants will learn how: 1) to assess clients with patterns of fearful avoidance, 2) to rapidly conceptualize cases in terms of EMDR, 3) to adequately identify core targets and cognitions, 4) to use creative adaptations of the EMDR protocol for difficult clients, and 5) to integrate EMDR interventions into a general treatment approach. Many of these approaches will be illustrated by segments of video taped treatment sessions.

Keywords: Fear Phobias Treatment Strategies

Accuracy Verified: Yes

228. de Jongh, A. (2001, May). Treatment of phobias with EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
In contrast with the learning model which proposes a strategy of gradual exposure to the 44 feared stimuli, the primary goal in EMDR is the processing of traumatic memories which are thought to be impaired. One advantage of EMDR above an exposure approach involves client comfort. Prolonged real-life exposure to anxiety provoking stimuli or thought is not always easy to pursue. Consequently, clients are not always ready or motivated enough to endure such a procedure; a procedure which also holds a potential risk of drop out before treatment can often not be successfully concluded. Another possible advantage of EMDR relates to the costs of treatment. For example, it may be more useful to apply EMDR than exposure in vivo treat flying phobia for which in many cases, as part of their in vivo treatment, clients have to take costly flights. The most important advantage seems to be the possibility of utilising EMDR for situations where the critical triggers cannot be reproduced or simulated in real life (e.g., certain sexual, illness or death situations) or, more generally, for which phobic stimuli are hard to obtain. This workshop focuses on the clinical application of EMDR with specific phobias. Participants will learn when and how to apply EMDR with phobias and integrate this into a general (cognitive-behavioural) treatment approach. This approach is illustrated by several video taped treatments.

Keywords: Phobias

Accuracy Verified: Yes

229. Roman, M. W. (2010, May). Treatment of post traumatic stress disorders: Part II: Non-pharmacological treatments. Issues in Mental Health Nursing, 31(5), 370-372. doi:10.3109/01612841003675311.

Language: English

Format: Journal

Abstract:
The article discusses non-pharmacological treatments for posttraumatic stress disorder (PTSD). Research has demonstrated that Cognitive Behavioral Treatment (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) have been effective in treating PTSD but not necessarily in preventing it. The author describes the use of exposure, which aims to disrupt a fear-conditioned response by altering the meaning attached to it, as a means of treating PTSD. The author notes that exposure treatment has been found to be more efficacious when combined with CBT, as opposed to when used alone.

Keywords: Cognitive Therapy Fear--Psychological Aspects PTSD Treatment Psychic Trauma Patients Psychotherapy

Accuracy Verified: Yes

230. Nijdam, M., Pol, M. V. D., Dekens, R., Olff, M., & Denys, D. (2013). Treatment of sexual trauma dissolves contamination fear. European Journal of Psychotraumatology, 3(0). doi:10.3402/ejpt.v4i0.19157.

Language: English

Format: Journal

Abstract:
Background: In patients with co-morbid obsessive−compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may be crucial for successful treatment of these symptoms.
Objective: In this case report, we describe a patient with comorbid OCD and PTSD who underwent pharmacotherapy and psychotherapy.
Methods: Case Report. A 49-year-old Dutch man was treated for severe PTSD and moderately severe OCD resulting from anal rape in his youth by an unknown adult man.
Results: The patient was treated with paroxetine (60 mg), followed by nine psychotherapy sessions in which eye movement desensitization and reprocessing (EMDR) and exposure and response prevention (ERP) techniques were applied. During psychotherapy, remission of the PTSD symptoms preceded remission of the OCD symptoms. Conclusions: This study supports the idea of a functional connection between PTSD and OCD. Successfully processing the trauma results in diminished anxiety associated with trauma reminders and subsequently decreases the need for obsessive−compulsive symptoms.

Keywords: Combined Treatment Comorbidity Obsessive Compulsive Disorder OCD Pharmacological Treatment Posttraumatic Stress Disorder Psychotherapy PTSD

Accuracy Verified: Yes

231. Brisch, K. H. (2005, June). Treatment with EMDR of a boy with generalized tic disorder. In EMDR and children. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
The treatment with EMDR of a boy with generalized tic disorder is demonstrated with video material. This boy who had heart surgery at age 4 developed a generalized acute tic disorder at age 11 after an episode of reanimation as a result of an instrument error that occurred during ECG monitoring. This incident was not known to the parents, and neither the boy nor the hospital staff reported on this. Within a few weeks the boy was completely disabled not able to walk and to speak properly anymore. He could neither attend school nor participate in leisure amenities with his friends. After comprehensive diagnostic procedures and unsuccessful treatment with different types of medication, the tic disorder was diagnosed as symptomatology of an acute PTSD after traumatic experience of reanimation with fear of near death.
After EMDR treatment the boy had a complete recovery and could participate in school and leisure-time activities without any tic symptoms. The recovery proved to be stable over the follow-up period of one year.

Keywords: Children Symposium Tic Disorder

Accuracy Verified: Yes

232. Acierno, R., Tremont, G., Last, C., & Montgomery, D. (1994). Tripartite assessment of the efficacy of eye-movement desensitization in a multi-phobic patient. Journal of Anxiety Disorders, 8(3), 259-276. doi:0.1016/0887-6185(94)90007-8.

Language: English

Format: Journal

Abstract:
The relative efficacy of Eye-Movement Desensitization (EMD) and Eye-Focus Desensitization (i.e., a treatment procedure designed to control for the effects of eye movement) in treating multiple phobias was assessed along behavioral, cognitive, and physiological response channels in a single-subject, multiple-baseline design across fear areas. Continuous physiological measurements, rather than presession/post- session change scores, were employed to permit accurate, fine-grained analysis of each intervention's effects. Results indicated that EMD failed to produce clinically significant intra- and intersession improvements beyond those produced by the control procedure on all dependent measures. A second multiple-baseline design across fear areas was implemented with the same subject and employed in vivo exposure/reinforced practice in order to demonstrate the patient's potential responsiveness to treatment. This procedure produced dramatic improvement on behavioral and subjective measures, but not on physiological indices. Results from this single-case experiment did not support the effectiveness of EMD. [ScienceDirect]

Keywords: EMD Phobia

Accuracy Verified: Yes

233. Diegelmann, C., & Isermann, M. (2011, July). Trust: Activating positive emotions in patients facing cancer or death. Poster presented at the 2nd World Congress on Positive Psychology, Philadelphia PA..

Language: English

Format: Conference

Abstract:
Trust interventions focus on strengthening resilience and prevent clients from being flooded by uncontrollable ideas. They include working with imagination, metaphors, symbols and artwork and cognitions. Bilateral stimulation (BLS), an element of EMDR therapy is used for: 1) resource installation and anchoring, 2)reducing distress, 3) creating new chains of associations, 4) finding new perspectives. Trust interventions aim to: 1) bring the brain back from fear made into a a state of balance, 2) draw attention to concrete [new] experiences, 3) discover and strengthen subjective and objective resources in everyday life, 4) identify and, if required, change evaluation processes and attitudes.

Keywords: Cancer Positive Emotions Trust

Accuracy Verified: Yes

234. MacPhee, A. R., & Andrews, J. J. W. (2003, December). Twelve-year review of in vivo exposure: Treating specific phobias in children. Canadian Journal of School Psychology, 18(1/2). 183-201. doi:10.1177/082957350301800109.

Language: English

Format: Journal

Abstract:
This article reviews 15 studies using in vivo exposure to treat specific phobias in children. Six elements of research methods are considered: (a) participants clinically diagnosed; (b) subjective, behavioral, and physiological components of the fear reaction measured; (c) research design; (d) inclusion of a control group; (e) follow-up data collected; and, (f) necessity of including other treatments with in vivo exposure. The studies were obtained through a computerized search of PsycINFO and CISTI This investigation revealed that all six elements of research mc-,ethods examined inthis reieware in need ofimprovement. Suggestions for future research in this area are provided.

Keywords: Children In Vivo Phobias

Accuracy Verified: Yes

235. Triscari, M. T., Faraci, P., D’Angelo, V., Urso, V., & Catalisano, D. (2011). Two treatments for fear of flying compared: Cognitive behavioral therapy combined with systematic desensitization or eye movement desensitization and reprocessing (EMDR). Aviation Psychology and Applied Human Factors, 1(1), 9-14. doi:10.1027/2192-0923/a00003.

Language: English

Format: Journal

Abstract:
This study aimed to test a combined treatment with eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT), compared with CBT integrated with systematic desensitization, in reducing fear of flying. Participants were patients with aerophobia, who were randomly assigned to two experimental groups in a before- and after-treatment research design. The Flight Anxiety Situations Questionnaire (FAS) and the Flight Anxiety Modality Questionnaire (FAM) were used. The efficacy of each program was evaluated comparing the pre- and post-treatment levels of fear of flying within subjects. A comparison of the post-treatment scores between subjects was also conducted. Results showed the effectiveness of each model with a significant improvement in the examined psychological outcomes in both groups. (PsycINFO Database Record (c) 2011 APA, all rights reserved

Keywords: Air Transportation Phobias Psychotherapeutic Techniques Psychotherapy Treatment Effectiveness Evaluation

Accuracy Verified: Yes

236. Ponzano, R. A., & Gozzano, E. (2008, June). Use and consumption of the traumatic experience as a defence from pain: EMDR and defence mechanisms. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Objective: to illustrate the EMDR usefulness within the psycho-dynamical therapy. Foreword: a type of pain exists that’s nameless and inenarrable. During our psycho-dynamical practice as EMDR specialists, we met various defensive modalities adopted by patients presenting diverse pathologies to elude grief associated to that type of pain left segregated within the emotional portion of the brain. In particular, we take into account patients keen to coactively repeat the traumatic experience either directly in-person or through using others. The presumption is that the traumatic experience, when too early, too invasive or reiterated, may render it impossible to be expressed verbally (by use of the cortex), leading to express it either through the body or through reiterated use of the traumatic experience itself (coactions to repeat). This last point, within our clinical experience, seems being linked to ambivalent feelings vs. the very resolution of the experience itself (healing). Patients living this type of situation may namely be entangled by two conflicting wishes to either wish a real improvement of their condition or to seek maintaining that pathology in the fear of loosing the sense of security inspired them by the type of fake identity they built around the trauma. Benefits: using the technique of bilateral sensorial stimuli strives breaking off that defensive mood that feeds pathological coactions to reiterate the experience as the means to tolerate the grief. Namely its purpose is to penetrate through those defensive modalities and to successfully aid patients to abandon them thanks to a low structured context adequately freed by internal or external conditioning (ambivalence, judgement, rationalization, etc.).

Keywords: Defense Mechanisms Pain

Accuracy Verified: Yes

237. Yellin, Z. (1993, Spring). The use of EMDR with a behavioural cognitive approach in the treatment of a patient with a long history of depression and anxiety. EMDR Network Newsletter, 3(1), 6-7.

Language: English

Format: Newsletter

Abstract:
I used EMDR with a 45 year-old man called David who presented with a long history of depressive anxiety episodes, characterized by intense feelings of fear and anger, the later directed at women whom he had always fear and by whom he felt rejected.

Keywords: Anxiety Depression

Accuracy Verified: Yes

238. Bermudez, J. S. (2002, January). The use of eye movement desensitization and reprocessing (EMDR) within a multi-modal treatment program for child victims of extrafamilial sexual abuse. Carlos Albizu University, Miami, FL. AAT 3057608.

Language: English

Format: Dissertation/Thesis

Abstract:
Sexual abuse has created multiple short and long term problems for many individuals in society today. It often occurs in childhood and the scars that are left can be permanent. Statistically, it occurs with far greater frequency than should be tolerated. However, it is frequently unreported and can be difficult to detect in a child that experiences this form of trauma. There is a significant need to help these children that have been victims of this crime. Extrafamilial sexual abuse in particular appears to occur with greater frequency than intrafamilial sexual abuse. Studies show that it has lasting effects on children. Two of the most common and consistent symptoms seen with these children are PTSD and sexualized behavior. Other symptoms that have been found with these children include: depression, anxiety, fear, and difficulty managing anger.Although there have been many program designs implemented for child sexual abuse victims, most do not properly assess the level of improvement through objective measures that show that the treatment was responsible for the observed change and not some other variable. Many different forms of treatment have been used to treat sexual abuse victims, such as different forms of traditional individual therapies, family therapy, group therapy, drama therapy, and art therapy. One innovative psychotherapeutic technique that has been used recently with these types of clients and those who have experienced other types of traumatic events is Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a relatively new form of treatment developed in 1987 by Francine Shapiro. There have been controlled research studies that have shown the efficacy of this technique. Although there are some researchers who are skeptical of the use of this technique and challenge its effectiveness, studies have nonetheless shown that it is an effective form of brief therapy with long-term effects. This proposed treatment program would be developed for children, aged 6-12 years, who have been victims of extrafamilial sexual abuse. It is designed to be short term, lasting 4 months, and EMDR will be utilized as the primary psychotherapeutic tool to assist the children in reprocessing their traumatic experience. Mental health services that would be provided include individual therapy consisting primarily of EMDR, group therapy for the child and the parents or caretakers provided separately, and family therapy that would include the parents, child, and siblings if deemed necessary. The children admitted to the program would meet criteria for a diagnosis of PTSD. They would also be given psychological measures in order to establish a baseline in terms of current symptoms such as depression and anxiety. The same measures would be administered again at the completion of treatment allowing for the measurement of any improvements. It is expected that children who complete the program would show a significant reduction or elimination of PTSD symptoms. This can be done more effectively by treating the family as a unit in dealing with such a traumatic experience. It is believed that this form of treatment would provide a valuable service to the community and further our understanding regarding the efficacy of EMDR. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(6-B), Jan 2002, pp. 3000.

Keywords: Brief Psychotherapy Child Abuse Empirical Study Family Therapy Posttraumatic Stress Disorder PTSD Rape School Age Children Survivors

Accuracy Verified: Yes

239. de Jongh, A., Holmshaw, M., Carswell, W., & van Wijk, A. (2011, March-APril). Usefulness of a trauma-focused treatment approach for travel phobia. Clinical Psychology and Psychotherapy, 18(2), 124-37. doi:10.1002/cpp.680.

Language: English

Format: Journal

Abstract:
Despite its prevalence and potential impact on functioning, there are surprisingly little data regarding the treatment responsiveness of travel phobia. The purpose of this non-randomized study was to evaluate the usefulness of a trauma-focused treatment approach for travel phobia, or milder travel anxiety arising as a result of a road traffic accident. Trauma-focused Cognitive Behavioural Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing were used to treat a sample of 184 patients, who were referred to a psychological rehabilitation provider. Patients in both treatment groups were encouraged to encounter their feared objects and situations between sessions. Specific (i.e., travel) phobia was diagnosed in 57% of cases. Patients in both treatment conditions showed equally large, and clinically significant, decreases in symptoms as indexed by three validated measures (Impact of Event Scale, Hospital Anxiety and Depression Scale, and General Health Questionnaire), therapist ratings of treatment outcome, and a return to driving or travelling by car or motorbike. These improvements were obtained within an average course of 7.3 sessions of 1 hour each. Patients with travel phobia responded with a greater reduction of anxiety and post-traumatic stress disorder symptoms than those with milder travel anxiety. Passengers reported higher levels of trauma symptoms than drivers, but no difference in effectiveness of treatment was found between these groups. The results suggest that trauma-focused psychological interventions can be a treatment alternative for patients with travel anxiety. Given the seriousness of the clinical problems related to road traffic accidents more rigorous outcome research is warranted and needed. Copyright (c) 2010 John Wiley & Sons, Ltd.Key Practitioner Message: As the literature on the treatment of travel phobia is largely limited to small-n studies, this is the largest naturalistic outcome study of the treatment of patients with fear and avoidance of travel, subsequent to a traumatic event, to date. Travel phobia following road traffic accidents should be regarded as a treatable psychological condition requiring a limited number of sessions. In a significant minority of cases the condition is unlikely to remit spontaneously, potentially disrupting occupational, social and personal adjustment. Besides a purely exposure, in vivo-based approach, a mainly trauma-focused approach, such as imagery exposure or Eye Movement Desensitization and Reprocessing, can be an effective intervention for both travel phobia and milder forms of travel anxiety, and for both drivers and passengers.

Keywords: Phobia Travel Phobia

Accuracy Verified: Yes

240. Foster, S. (2004, September). Using EMDR for performance enhancement in career and creative performing arts. Presentation at the annual meeting of the EMDR International Association, Montréal, Ontario Canada.

Language: English

Format: Conference

Abstract:
In her thirteen years of work with EMDR and peak performance, Dr. Sandra "Sam" Foster has found that EMDR can be a powerful tool for helping higher functioning people achieve their goals in career and in the performing and creative arts. This advanced EMDR specialty training teaches you how to use the EMDR Peak Performance Protocol to help clients break rhrough obstacles of performance anxiety, perfectionism, fear of failure, and concerns about sustaining success. This protocol is also useful for clients who have made good progress in their therapy and now wish to make their future template real -- going to work, beginning a relationship, or starting a family. Come learn how to develop an area of private practice with healthy clients who want to overcome past setbacks and disappointments to become all they wish to be. Experience for yourself how to create resources for possibility and self-actualization.

Keywords: Peak Performance Protocol

Accuracy Verified: Yes

241. Justus, W. (2004). Using EMDR with recovering addicts: An interview with Wendy Justus. Journal of Social Work Practice in the Addictions, 4(2), 85-93. doi:10.1300/J160v04n02_07.

Language: English

Format: Journal

Abstract:
Presents an interview with Wendy Justus on the efficacy of using Eye Movement Desensitization and Reprocessing (EMDR) with recovering addicts. People who survive trauma often carry around a great deal of shame, usually based on a flawed belief that they could or should have prevented something terrible from happening. Addicts are usually riddled with shame, and Justus believes that this shame directly prolongs the life of their addiction and makes recovery seem impossible. So helping to lessen shame is her primary goal when working with addicts. She believes that EMDR, focused on either "large T" trauma, such as sexual abuse, or "small t" trauma, such as the fear induced by growing up in a dysfunctional family, can alleviate the shame attached to those traumas and therefore relieve the addict's need for a substance to quiet the shame. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Dysfunctional Family Drug Addiction Emotional Trauma Interviews Recovering Addicts Substance Abusers

Accuracy Verified: Yes

242. Zantvoord, J. B., Diehle, J., & Lindauer, R. J. (2013, March). Using neurobiological measures to predict and assess treatment outcome of psychotherapy in posttraumatic stress disorder: Systematic review. Psychotherapy and Psychosomatics, 82, 142-151. doi:10.1159/000343258.

Language: English

Format: Journal

Abstract:
Background: Trauma-focused cognitive-behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are effective treatments for posttraumatic stress disorder. However, little is known about their neurobiological effects. The usefulness of neurobiological measures to predict the treatment outcome of psychotherapy also has yet to be determined. Methods: Systematic review of randomized controlled trials (RCTs) focused on neurobiological treatment effects of TF-CBT or EMDR and trials with neurobiological measures as predictors of treatment response. Results: We included 23 publications reporting on 16 separate trials. TF-CBT was compared with a waitlist in most trials. TF-CBT was associated with a decrease in heart rate and blood pressure and changes in activity but not in volume of frontal brain structures and the amygdala. Neurobiological changes correlated with changes in symptom severity. EMDR was only tested against other active treatments in included trials. We did not find a difference in neurobiological treatment effects between EMDR and other treatments. Publications on neurobiological predictors of treatment response showed ambiguous results. Conclusion: TF-CBT was associated with a reduction of physiological reactivity. There is some preliminary evidence that TF-CBT influences brain regions involved in fear conditioning, extinction learning and possibly working memory and attention regulation; however, these effects could be nonspecific psychotherapeutic effects. Future trials should use paradigms aimed specifically at these brain regions and physiological reactivity. There are concerns regarding the risk of bias in some of the RCTs, indicating that methodologically more rigorous trials are required. Trials with neurobiological measures as predictors of treatment outcome render insufficient results to be useful in clinical practice. Copyright © 2013 S. Karger AG, Basel.

Accuracy Verified: Yes

243. Demick, I. (2007, Juin). Utilisation du dispositif tac/audioscan (neurotek) dans la traitement des migraines [Use of the tac/audioscan machine (neurotek) in treatment of migraines]. Document présenté à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Ce qui suit est une procédure expérimentale proposée comme traitement préliminaire pour les patients souffrant de migraines chroniques qui nécessitent de repos total, le retrait de tous active sociale et professionnelle et qui doivent être traités par des médicaments. Cette procédure utilise l'EMDR, l'hypnose et la relaxation et est destiné aux patients souffrant de douleur chronique (symptômes connus et traités depuis cinq à 10 ans).
Les trois composantes de la migraine sont les suivants: MENTALE - expressions de l'impuissance, la solitude, le rejet, l'épuisement physique et psychique, perte de contrôle; émotionnel - la dépression, la colère, la peur, et physique - les sensations physiques, dans des séquences fluctuant évalué entre 6 et 10 sur le échelle de la douleur.
La durée moyenne de ce traitement est de 4 mois pour 6 consultations.
L'objectif du traitement est de rétablir la confiance du patient par l'amélioration physique et bien-être psychologique.
Le principe cliniques: Le patient
douloureux chronique alterne entre le désespoir, la peur de ne jamais trouver un remède (un état mental qui peut être provoquée par l'entourage familial et médical), de la colère contre une histoire personnelle qui peut être amené le syndrome douloureux ( maltraitance parentale ou de l'absence, accident, intervention chirurgicale), l'épuisement physique et l'espoir qu'il ya encore la possibilité d'une guérison. Il est donc important de transmettre un message d'espoir et de la vision d'un traitement qui implique les patients avec son physique, émotionnelle, les ressources psychiques. Explication de la souffrance comme une accumulation de facteurs de stress et le cerveau comme ayant la possibilité de solution, il est proposé au patient de se concentrer sur cette partie du corps qui «parle» dans le phénomène de la douleur. Le patient entend »ou« sent »le mouvement alternatif du Tac / machine Audioscan (Neurotek) tout en étant assuré de la physique et bien-être psychique au cours du traitement.
Le principe neuropsychologiques:
Le patient se concentrer sur la "douloureuse" zone associés sensorielle, psychique souvenirs conscients et inconscients; ces souvenirs traités progressivement par le mouvement de la Tac / machine Audioscan qui fonctionne comme un balayage interne pour éliminer les tensions et à intégrer mental, émotionnel, physique et informations par les chaînes successives.

The following is an experimental procedure proposed as preliminary treatment for patients suffering from chronic migraines which require total rest, withdrawal from all social and professional activates and which must be treated by medication. This procedure used the EMDR, hypnosis and relaxation and is intended for patients suffering from chronic pain (symptoms known and treated since five to 10 years).
The three components of the migraines are: MENTAL – expressions of impotence, loneliness, rejection, physical and psychic exhaustion, loss of control; EMOTIONAL – depression, anger, fear; and PHYSICAL – physical feelings in fluctuating sequences evaluated between 6 and 10 on the pain scale.
The average duration for this treatment is 4 months for 6 consultations.
The objective of the treatment is to restore the patient’s confidence by improving physical and psychological well-being.
The clinical principle:
The chronic painful patient alternates between despair, fear of never finding a cure (a mental state which may be provoked by the family and medical entourage), anger against a personal history which may have cause the painful syndrome (parental maltreatment or absence, accident, surgical operation), physical exhaustion and hope that there is still the possibility for a cure. It is therefore important to transmit a message of hope and the vision of a treatment which involves the patients with his physical, emotional, psychic resources. Explaining the suffering as an accumulation of stressful factors and the brain as having the possibility of solution, it is proposed to the patient to concentrate on that part of the body which 'speaks’ in the phenomenon of pain. The patient ‘hears’ or ‘feels’ the alternative movement of the Tac/Audioscan machine (Neurotek) while being assured of the physical and psychic well-being during the treatment.
The neuropsychological principle:
The patient’s concentration on the “painful zone” associates sensory, psychic conscious and unconscious memories; these memories treated progressively by the movement of the Tac/Audioscan machine which operates like an internal sweeping to eliminate tensions and to integrate mental, emotional, and physical information by successive channels.

Keywords: Medical Illness Migraines

Accuracy Verified: Yes

244. Foster, S. (1998, July). Utilizing EMDR to reduce the fear of public speaking. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand Beck's formulation of evaluation anxieties in general and speech anxiety in particular; 2) learn the research-based cognitive-behavioral (CB) strategies helpful in reducing speech anxiety; 3) and learn a modified EMDR process phobia protocol that enhances the efficacy of the CB approach to treating speech anxiety.

Keywords: Beck Process Phobia Protocol Protocol Public Speaking Speech Anxiety

Accuracy Verified: Yes

245. Torun, F. (2010, Spring). Vajinismusun EMDR yöntemi ile tedavisi: İki olgu sunumu [Treatment of vaginismus with EMDR: A report of two cases]. Türk Psikiyatri Dergisi, 23(3), 243-248.

Language: Turkish

Format: Journal

Abstract:
Vajinismus kadının vajina kaslarındaki istemsiz kasılmalar nedeniyle hiçbir şekilde cinsel ilişkinin gerçekleşemediği bir cinsel işlev bozukluğudur. Vajinismus için temel tanı kriteri vajinanın dış üçte birindeki kaslarda koitusu engelleyecek, yineleyici bir biçimde ya da istem dışı spazmın olması olarak tanımlanmıştır. Birçok olguda ağrı ya da ağrının olabileceğine ilişkin korku vajinismusun ortaya çıkması ve sürmesine neden olmaktadır. Bu yazıda, çocukluk çağında geçirilmiş cinsel travmaya bağlı olarak ortaya çıkan iki vajinismus olgusunun Göz Hareketleri ile Duyarsızlaştırma ve Yeniden İşleme (Eye Movement Desensitization & Reprocessing-EMDR) tekniği ile tedavisi sunulacaktır. EMDR ağırlıklı olarak ruhsal travma tedavisinde kullanılan bir tedavi tekniğidir. EMDR tekniğinin etkinliği, travma sonrası stres bozukluğu, cinsel travma mağdurları gibi birçok grupta yapılan randomize kontrollü çalışmalarla gösterilmiştir. Her iki olguda da standart olarak sekiz aşamalı EMDR protokolü uygulanmıştır. 3 seanslık EMDR seansı sonrasında her iki olguda da hem kaygı düzeylerinde azalma, hem de cinsel ilişkiye yönelik işlevsel olmayan düşüncelerin ortadan kalktığı görüldü ve vajinismus sorunu ortadan kalktı. Bu çalışmada sunulan iki olgudan hareketle, travmanın neden olduğu vajinismus olgularında EMDR’nin alternatif bir tedavi tekniği olarak etkili olabileceği söylenebilir.

Vaginismus is a type of sexual dysfunction in which spasm of the vaginal musculature prevents penetrative intercourse. The main diagnostic criterion is the presence of recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse. In many cases associated pain or the fear of pain may contribute to its persistence. Herein we report 2 patients that presented with vaginismus that developed secondary to childhood sexual trauma, which was treated with the Eye Movement Desensitization and Reprocessing (EMDR) technique. EMDR is a non-pharmacologic treatment for psychological trauma. Randomized controlled trials with posttraumatic stress disorder patients and with victims of sexual abuse have shown that EMDR is effective. The standard 8-phase EMDR protocol was used in both of the presented cases. Following 3 sessions of EMDR, the patients exhibited a substantial reduction in self-reported and clinician-rated anxiety, and a reduction in the credibility of dysfunctional beliefs concerning sexual intercourse. These findings support the notion that EMDR could be an effective treatment alternative for patients with vaginismus of traumatic etiology.

Keywords: Adult Desensitization, Female Humans Psychologic Sexual Behavior Vaginismus Wounds and Injuries

Accuracy Verified: Yes

246. de Bas, R., & Moene, F. (2011, April). Verlamd door angst. EMDR als onderdeel van de behandeling van conversiestoornis [Paralyzed by fear. EMDR as part of the treatment of conversion disorder]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Conversiestoornis, trauma en ingrijpende levensgebeurtenissen zijn nauw met elkaar verbonden. Hoewel we niet kunnen spreken van ‘de oorzaak’, is er bij veel conversiepatiënten sprake van een opeenstapeling van stressoren en trauma’s voorafgaand aan het ontstaan van de eerste verschijnselen en/of in de kindertijd. De relatie tussen conversiestoornis en trauma maakt het de moeite waard om EMDR als onderdeel van de behandeling te overwegen. Wij bieden een workshop waarin we onze ervaringen delen, die we hebben opgedaan met EMDR bij deze doelgroep. We kwamen daarbij ‘onverwachte’ verschijnselen tegen, tijdens en tussen de zittingen, zoals wegrakingen, uitvalsverschijnselen en trillen/schudden. Zijn dit complicaties of kunnen we het opvatten als onderdeel van het verwerkingsproces? Wat maakt dat EMDR bij de ene persoon met conversiestoornis wel direct effect heeft op de conversie en bij de ander niet? Wat is wijsheid bij lichamelijke terugval: stoppen of doorgaan? EMDR bij conversiestoornissen vergt moed, ook van de therapeut. Op deze en andere aspecten zullen wij in de workshop verder ingaan. Targetselectie, de bodyscan en het gebruik van cognitive interweaves komen aan de orde. We gaan in op een breed spectrum aan conversieverschijnselen en hoe daar mee om te gaan tijdens de EMDR. We maken gebruik van videomateriaal en casuïstiek. Er is gelegenheid voor vragen en het uitwisselen van ervaringen.

Conversion disorder, trauma and major life events are closely linked. While we can not speak of 'cause', there is much in tracking patients experienced an accumulation of stressors and traumas before the emergence of the first symptoms and / or in childhood. The relationship between conversion disorder and trauma makes it worth EMDR as part of treatment to consider. We offer a workshop where we share our experiences, we have gained in EMDR with that audience. We lost their "unexpected" phenomena to, during and between sessions, such as fainting, loss of function and vibrate / shake. Are these complications or we can take as part of the process? What makes EMDR with one person with conversion disorder have a direct effect on the conversion and the other not? What is wisdom with physical decline: stop or continue? EMDR with conversion disorders takes courage, including the therapist. These and other aspects, we will go into the workshop. Target Selection, the body scan and use of cognitive interweaves are discussed. We detect a broad spectrum of conversion symptoms and how to handle it during EMDR. We use video material and case studies. There is opportunity for questions and share experiences.

Keywords: Conversion Disorder

Accuracy Verified: Yes

247. de Jongh, A., & ten Broeke, E. (2002). Verwerking van schokkende gebeurtenissen met eye movement desensitization and reprocessing (EMDR) [Processing of shocking events in eye movement desensitization and reprocessing (EMDR)]. Psychopraxis, 4(1), 18-20. doi:10.1007/BF03071976.

Language: Dutch

Format: Journal

Abstract:
Een verkrachting, een gewapende overval of de plotselinge dood van een dierbaar persoon, is een gebeurtenis die in het algemeen diep ingrijpt in het leven van betrokkenen. In eerste instantie kan dit leiden tot klachten als ontreddering, hulpeloosheid en gevoelens van angst en verdoving. Op langere termijn kan men last krijgen van indringende beelden (herbelevingen) van het gebeurde, vermijding van zaken die ermee te maken hebben en extreme schrikachtigheid. We spreken dan vaak van een posttraumatische stress-stoornis (PTSS). Een PTSS is een invaliderende aandoening die echter goed te behandelen is als dit op de juiste manier gebeurt.

Rape, armed robbery or the sudden death of a loved one, an event which is generally far reaching effects on the lives of those involved. Initially this can lead to symptoms such as confusion, helplessness and feelings of fear and numbness. In the longer term, can suffer from intrusive images (flashbacks) of the event, avoidance of things that have to do, and extreme nervousness. We often speak of a post-traumatic stress disorder (PTSD). PTSD is a debilitating disease but is treatable if properly done.

Keywords: Trauma

Accuracy Verified: Yes

248. Kortlandt, A. (2011, January 21). Voar sem medo: Como o EMDR pode ajudar você a levantar vôo [Flying without fear: How EMDR can help you take flight]. Nós – Fora dos Eixos. Thesaurus Editora de Brasília.

Language: Portuguese

Format: Other

Abstract:
Entrevista com Esly Regina de Carvalho, mestre em Psicologia, e Treinadora de EMDR, reconhecida pelo EMDR Institute dos Estados Unidos. Esly tem consultório em Brasília e viaja com freqüência para dar cursos de formação em EMDR para psicólogos e psiquiatras.

Interview with Esly Regina de Carvalho, MA in Psychology and EMDR trainer, recognized by the EMDR Institute of America. Esly has office in Brasilia and travels frequently to give training courses in EMDR for psychologists and psychiatrists.

Keywords: Esly Carvalho Fear of Flying Interview

Accuracy Verified: Yes

249. Kiessling, R. (2009). The wedging technique. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 91-92). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Protocol

Accuracy Verified: Yes

250. van Minnen, A., Hendriks, L., & Olff, M. (2010, April). When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors. Behaviour Research and Therapy, 48(4), 312-320. doi:10.1016/j.brat.2009.12.003 .

Language: English

Format: Journal

Abstract:
To investigate when and why therapists opt for or rule out imaginal exposure (IE) for patients with posttraumatic stress disorder (PTSD), 255 trauma experts were randomized to two conditions in which they were presented with four cases in which the patients’ comorbidity and treatment preferences were manipulated. The results confirmed IE to be an underutilized approach, with the majority of professionals being undertrained in the technique. As predicted, the patient factors influenced the expert’s choice of therapy: in case of a comorbid depression, IE was significantly less preferred than medication. Also, IE was significantly more likely to be offered when patients expressed a preference for traumafocused treatment. The therapist factors were also found to be importantly related to treatment preferences, with high credibility in the technique being positively related to the therapists’ preference for IE. Perceived barriers to IE, such as a fear of symptom exacerbation and dropout, were negatively related to the perceived suitability of the treatment when patients had suffered multiple traumas in childhood. The results are discussed in the light of clinical implications and the need of exposure training for trauma professionals.

Keywords: Controlled Study: Exposure Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

251. Foster, S. (1998, July). Where do you want to go tomorrow? Issues of self-actualization, fear of success, and fear of failure in EMDR peak performance work. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the primary factors involved in fear of failure when clients desire to improve their performance; 2) understand the primary factors involved in fear of success when clients desire to improve their performance; and 3) be able to discuss the "extended" use of future templates in EMDR peak performance work.

Keywords: Extended Use of Future Templates Fear of Failure Fear of Success Peak Performance

Accuracy Verified: Yes

252. de Jongh, A., & ten Broeke, E. (2000, September). Why and how to use ‘in vivo exposure’ in EMDR. EMDRIA Newsletter, 5(3), 18.

Language: English

Format: Newsletter

Abstract:
An important feature of PTSD is that it is not very likely that the same traumatic event will ever happen again. Accordingly, if a client has been raped and succesfully been treated with EMDR, generally not many clinicians will feel the urge to prepare this client for a next rape. Conversely, in a number of cases (particularly phobic conditions) the client does have to anticipate future situations in which fear evoking stimuli are present; and where he will have to interact with these. For example, if a person who suffered from a dental phobia has been successfully treated for his phobia, it is likely that he will still have to undergo invasive dental work, such as injections, root canal treatments, or extractions. This has implications for treatment. As a result of the successful application of the EMDR basic protocol, the likelihood or severity of the initial threat may have been reappraised, and the incident that initially felt traumatic may have been reattributed to an innocuous event. Yet, it is possible that the client is still not completely convinced of her ability to cope, and therefore, avoids certain activities or situations. In that case, the client should be properly prepared for future encounters with the anxiety provoking objects and situations. One way to prepare the client for such confrontations, is the use of in vivo exposure.

Keywords: In Vivo Exposure

Accuracy Verified: Yes

253. Kasiviswanathan, T. K. (2002, November-December). Why not EMDR for PTSD?... eye movement desensitization and reprocessing. National Journal of Homoeopathy, 4(6), 359-361.

Language: English

Format: Journal

Abstract:
People with PTSD frequently feel as if the trauma is happening again. This is technically called "Intrusive re-experiencing. The person may have intrusive pictures in his/her head about the trauma, have recurrent nightmares or may even experience hallucinations about the trauma. Intrusive symptoms sometimes cause people to lose touch with the "here and now" or the present moment and react in ways that they did when the trauma originally occurred. Earlier the psychotherapists often downplayed this aspect until after the return of the Vietnam War veterans with severe PTSD. While with counseling and rational minds these patients might very well understand that this trauma was not of their making, yet their lives would continue to be disrupted by anger, shame and fear with recurring nightmares. Special techniques such as flooding and systematic desensitization, devised to diminish the emotional charge of traumatic memories ironically and unfortunately involved reliving those memories again and again."

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

254. Bisping, V. S. (2011). Wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei zahnbehandlungsphobie [Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for dental phobia]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie,Forschung, Munster, Deutschland .

Language: German

Format: Dissertation/Thesis

Abstract:
In dieser Studie werden 30 Patienten mit Zahnbehandlungsphobie in einem Warte-Kontrollgruppen-Design mit Eye Movement Desensitization and Reprocessing (EMDR) behandelt. Die manualisierte Intervention umfasst drei ca. 90-minütige Sitzungen. Vor und nach der Behandlung wird die Angst vor der Zahnbehandlung mit Fragebögen und einem Verhaltenstest erfasst. Darüber hinaus werden bildgebende Untersuchungen durchgeführt (siehe folgendes Projekt).

In this study, 30 patients treated with dental anxiety in a wait-control group design with Eye Movement Desensitization and Reprocessing (EMDR). The manualized intervention includes three 90-minute sessions. Before and after the treatment, the fear of dental treatment with a behavior test questionnaires and is detected. In addition, imaging studies are performed (see next project: Erfassung neurobiologischer Korrelate der EMDR-Behandlung bei Patienten mit Zahnbehandlungsangst, by S. Doering, V. Bisping, N. Nora Liebergesell, B. Höffkes, M. Junghöfer, C. Dobel).

Keywords: Dental Phobia

Accuracy Verified: Yes