Francine Shapiro Library: EMDR Bibliography

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1. 天野タマキ 市井雅哉 [Amano Tamaki, and Ichii Masaya]. (2009年5月). EMDR痴呆(BPSD)の行動と精神的症状の治療 [Treatment of behavioral and psychological symptoms of dementia (BPSD) with EMDR]. EMDR研究1(1)、24から33 [Japanese Journal of EMDR Research and Practice, 1(1), 24-33].

Language: Japanese

Format: Journal

Abstract:
回想療法と検証療法などの非薬物療法が BPSD(の行動と精神的症状の治療に過去の記憶へのアクセス 認知症)が有効であることが証明されている。眼球運動脱感作と再処理 (はEMDR)また、メモリにアクセスする治療の別のフォームは、効果が証明されています 外傷性記憶の処理。本論文では、2つのBPSDの場合はによって引き起こされると考えられて traumaric思い出とEMDRによる処理が記載されている:最初の67歳女性歳 アルツハイマー病の早期発症に苦しむ患者と、2番目の85歳の男性歳 血管性認知症の患者。外傷性記憶を処理の結果 EMDR、女性患者ののろいが低下慢性的な、彼女は多くの場合、笑顔。と男性 患者の不安と大きな声を大幅に削減されます。これらの結果は衝撃的な記憶によって引き起こされるいくつかのBPSDの場合に効果的な心理療法としてEMDRを示す

Non-pharmacological therapies such as Reminiscence therapy and Validation therapy which access to past memories in the treatment of BPSD (behavioral and psychological symptoms of dementia) have been proven to be effective. Eye movement desensitization and reprocessing (EMDR), another form of therapy which also accesses to memory, has been proven effective in the processing of traumatic memories. In this paper, two BPSD cases believed to be caused by traumaric memories and treated by EMDR are discussed: the first with a 67-year-old female patient suffering from early-onset Alzheimer's disease, and the second with an 85-year-old male patient suffering from vascular dementia. As a result of processing traumatic memories with EMDR, the female patient's chronic cursing decreases and she smiles more often. and the male patient's restlessness and loud voice are drastically reduced. These results indicate EMDR as an effective psychotherapy for some BPSD cases which are caused by traumatic memories.

Keywords: Behavioral and Psychological Symptoms of Dementia  BPSD  Non-Pharmacological Therapies  Resource Development and Installation  RDI  


2. Arnone, R., Orrico, A., D'Aquino, G., & Di Munzio, W. (2012, March-April). EMDR e terapia psicofarmacologica nel trattamento del disturbo da stress post-traumatico [EMDR and psychopharmacological therapy in the treatment of the post-traumatic stress disorder]. Rivista di Psichiatria, 47(2), 8-11. doi:10.1708/1071.11732 .

Language: Italian

Format: Journal

Abstract:
Questo studio si propone di valutare l’efficacia di due diversi trattamenti nella cura del disturbo da stress post-traumatico (PTSD): la terapia psicofarmacologica, attraverso l’utilizzo di serotoninergici, e l’EMDR. Metodo. Sono stati utilizzati due gruppi indipendenti ai quali venivano somministrati due trattamenti differenti: il trattamento con sertralina per il gruppo assegnato alla terapia psicofarmacologica; il trattamento con sedute monosettimanali di EMDR per l’altro gruppo. Per la valutazione dei sintomi del PTSD è stata utilizzata la Clinician-Administered PTSD Scale (CAPS). L’assegnazione dei soggetti ai due gruppi è stata randomizzata. Risultati. I risultati confermano precedenti studi riportati in letteratura, evidenziando l’efficacia sia dell’EMDR sia della sertralina nel migliorare la sintomatologia post-traumatica e i livelli di sofferenza soggettiva. Tuttavia il numero di soggetti che al termine della condizione sperimentale non rientrava più nei criteri diagnostici del PTSD è risultato nettamente superiore nel gruppo trattato con EMDR. Conclusioni. Data la differenza nei due gruppi, a favore di quello trattato con EMDR, del numero di soggetti che possono essere considerati responder e che, come tali, non soddisfano più i criteri del PTSD al termine della condizione sperimentale, possiamo affermare che l’ipotesi per cui l’EMDR è un trattamento più efficace rispetto al trattamento psicofarmacologico è stata confermata. Questo dato potrebbe stimolare ricerche future con campioni più numerosi che indaghino anche l’efficacia a lungo termine.

This study evaluates the efficacy of two different treatment for post-traumatic stress disorder (PTSD): the psychopharmacological therapy, with a SSRI drug, and EMDR. Method. Two indipendent groups have been administered two different treatments: the treatment with sertraline to the group for psychopharmacological therapy; the treatment with one-week sessions of EMDR to the other group. For the evaluation of the symptoms of PTSD has been used the Clinician-Administered PTSD Scale (CAPS). The inclusion of the subjects in the two groups has been absolutely random. Results. The results confirm previous studies available in literature, pointing out the efficacy of EMDR and of sertraline in improving the post-traumatic symptomatology and the levels of subjective sufference. But the number of subjects which at the end of the study didn't satisfy any more the criteria for PTSD has been absolutely greater in the group treated with EMDR. Conclusions. The study confirms the hypothesis of EMDR as a more efficacious treatment for PTSD compared to psychopharmacological therapy. This result could be a stimolous for further research with greater groups to investigate also the long term efficacy.

Keywords: CAPS  Clinician-Administered PTSD Scale  Efficiacy  PTSD, Sertraline  


3. Atkinson, C. (2011, June 6). PTSD therapy offered to army by Ministry of Defence. BBC News. Retrieved from http://www.bbc.co.uk/news/health-13672770 on June 12, 2011.

Language: English

Format: Other

Abstract:
The Ministry of Defence has awarded a three year contract to offer a relatively unknown psychological therapy to help service personnel with Post Traumatic Stress Disorder. Known as EMDR it's one of two therapies recommended by the National Institute for Health and Clinical Excellence for PTSD.

Keywords: Military  Ministry of Defence  Posttraumatic Stress Disorder  PTSD  


4. Barker, S. (2010, November). Eye movement desensitization and reprocessing (EMDR) in the treatment of trauma-based disorders. Presentation at the 23rd Annual U.S. Psychiatric and Mental Health Congress Conference and Exhibition, Orlando, Florida.

Language: English

Format: Conference

Abstract:
EMDR is a recommended treatment for PTSD by the APA, DOD, and other professional bodies, yet many clinicians are unaware of this approach or question its efficacy. With accumulating research documenting the efficiency of EMDR, clinicians may be overlooking an effective treatment option for their patients. This session explains the 8-stage EMDR process summarizing efficacy research and demonstrating through case examples. Learning Objectives: After completing this activity, participants should be able to: 1.Assess and identify appropriate patients for EMDR when determining treatment of trauma-based disorders. 2.Describe the EMDR process and when to appropriately incorporate the therapy into practice. 3.Monitor therapy progress and patient improvement with evidence-based patient outcomes of EMDR.

Keywords: Psychiatric Disorders & Diagnosis  Psychopharmacology  Psychotherapy  


5. Berendsen, S. (2009). Alarmbellen gaan te laat rinkelen: Een brandweervrouw met jarenlange klachten na een noodlottige brand [Alarm bells are ringing too late: A woman fire fighter with years of complaints after a fatal fire]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 57-65). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_5.

Language: Dutch

Format: Book Section

Abstract:
Marita is 29 jaar oud wanneer ze wordt verwezen wegens slaapproblemen en nare dromen. Deze hebben betrekking op een grote brand waar zij vijf jaar geleden als brandweervrouw bij betrokken was en waarbij drie brandweermensen om het leven kwamen. Na het verbreken van haar relatie, ongeveer een half jaar geleden, is alles weer naar boven gekomen; zij is slecht gaan slapen en kreeg last van nare dromen.

Marita is 29 years old when they are referred because of insomnia and bad dreams. These cover a huge fire where they fire five years ago as a woman was involved and in which three firefighters were killed. After breaking her relationship, approximately half years ago, everything came back up, it is bad to sleep and had nightmares.

Keywords: Fire  Firefighter  


6. Bisson, J. (2008, June). “Evidence, treatment guidelines, consensus & harmony”. Plenary presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Disagreements regarding the efficacy and effectiveness of interventions to prevent and treat post traumatic disorders have caused divisions within the traumatic stress field and had a negative impact on its image to the outside world. The emergence of an evidence based approach to management has been considered threatening by some but, in fact, has helped regulate and improve clinical provision. Its detractors have fairly criticised over-reliance on and over-generalisation of the results from some randomised controlled trials but used sensibly an evidence based approach has many advantages. For example, it has allowed effective interventions that have not been widely supported in the past to become accepted. The emergence of EMDR as a first-line treatment for chronic PTSD is an excellent example of this. The use of evidence to determine treatment guidelines for PTSD will be used to illustrate how an evidence based approach can be effectively adopted.

Keywords: Plenary  Treatment Guidelines  


7. Bowden, M. (1994, July 3). Finger-wagging, schoolmarm style, the rage in therapy. Tampa, FL:  The Tampa Tribune, Metropolitan Edition, Nation/World, 16.

Language: English

Format: Newspaper

Abstract:
Now, they've taken to furiously wagging their fingers in front of the patient's face. It's called "Eye Movement Desensitization and Reprocessing," or EMDR to the cognoscenti, and it's the latest rage, practiced now by thousands of respected therapists in the treatment of traumatic memories and phobias.

Keywords: General  Overview  Tampa  


8. Brenner, M. D. (1999, March). Coordinating EMDR and psychopharmacologic treatment. EMDRIA Newsletter, 4(1), 7-8.

Language: English

Format: Newsletter

Abstract:
Coordinating psychopharmacologic treatment with psychotherapeutic treatment sometimes presents a challenge. Events arise that the psychotherapist and the prescribing psychiatrist do not expect.

Keywords: Pharmacology  


9. Cahill, S., Foa, E., Rothbaum, B., & Resnick, P. (2004, November). First do no harm: Worsening or improvement after prolonged exposure. In A. Maercker & G. Berthold (Chairs), Beyond RCT research: Evaluating cmmon and new treatment components. Symposium conducted at the 20th International Society of Traumatic Stress Studies Conference, New Orleans, LA .

Language: English

Format: Conference

Abstract:
During the past years, PTSD treatment competencies raised tremendously due to the development and evaluation in randomized controlled trials. Exposure and cognitive restructuring techniques are basics of a variety of effective psychotherapies. Our symposium discusses challenges, possible shortcomings, implications, and new applications of efficacious techniques (e.g., using the internet).
First do no harm: Worsening or improvement after prolonged exposure: Despite a substantial body of research accumulated over the 15 years indicating that exposure therapy programs are highly effective in reducing PTSD symptom severity and associated anxiety and depression across a wide range of trauma populations, few therapists utilize this treatment. One reason offered by therapists for not providing this treatment is their concern that exposure therapy may result in symptom worsening among individuals with PTSD (Becker et al., 2003). The purpose of this study was to investigate the frequency of symptoms worsening and symptom improvement following Prolonged Exposure (PE), one particular exposure therapy protocol developed for use in the treatment of PTSD, across five separate treatment studies (Foa et al., 1991, 1999, in preparation; Resick et al., 2002; Rothbaum et al., in preparation) and to compare it with other forms of cognitive behavior therapy (stress inoculation training, cognitive processing therapy, EMDR) and waitlist controls. Preliminary results based on two of the five studies (Foa et al., 1999; in preparation) found worsening of PTSD symptom in less than 1% of participants completing active treatment (N = 162) and 8% of participants completing waitlist (N = 39). PTSD symptom improvement was found in 90% of participants completing cognitive behavior therapy (N = 149) compared to 36% participants completing waitlist.

Keywords: Prolonged Exposure  Symposium  


10. Calof, D. (1994, March). Managing self-harm. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Self-Harm  


11. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.

Language: English

Format: Journal

Abstract:
Sexual assault occurs with alarming frequency in Canada. The prevalence of Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national prevalence of the disorder, which is a strong indication that the current therapies for sexualassault- related PTSD are in need of improvement. Increasing knowledge and understanding of the pathologies associated with rape trauma in biological, psychological and sociological domains will help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic- Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms. Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted by the survivor. Psychological health is compromised following interpersonal trauma and many psychological therapies are available, but with varying efficacy. A person's cognitions have a dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological impacts of assault influence the development of PTSD through victim-blaming attitudes and the perpetuation of rape myths. Perceived positive regard and early social support is shown to be important to successful recovery. Education is vital in rape prevention and to foster a supportive environment for survivors. The biological, psychological and sociological impacts and treatments should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate the physical and emotional pain following the trauma of rape.

Keywords: Pharmacotherapy  Posttraumatic Stress Disorder  PTSD  Rape  Sexual Assault  Trauma  


12. Clapson, J. (2013, February 3). Treating PTSD in the armed forces: How pupil movement is helping symptoms of post-traumatic stress. Soldier Magazine. Retrieved from https://www.gov.uk/government/news/treating-ptsd-in-the-armed-forces on 2/3/2013.

Language: English

Format: Newspaper

Abstract:
Lost in mental illness, he became one of the first troops to try out the intriguing and cutting-edge therapy called eye movement desensitisation and reprocessing (EMDR) - a practice which would force him to relive suicidal thoughts but ultimately go on to help save his life. [Excerpt]

Keywords: Posttraumatic Stress Disorder  PSTD  Military  Soldiers  


13. Connell-Jones, G. (2007, March). The role of EMDR in the treatment of personality disorder in self-harming women. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.

Language: English

Format: Conference

Keywords: Personality Disorders  Symposium  


14. Cukor, J., Olden, M., Lee, F., & Difede, J. (2010, October). Evidence-based treatments for PTSD, new directions, and special challenges. Annals of the New York Academy of Sciences, 1208(1), 82-89. doi:10.1111/j.1749-6632.2010.05793.x.

Language: English

Format: Journal

Abstract:
This paper provides a current review of existing evidence-based treatments for posttraumatic stress disorder (PTSD), with a description of psychopharmacologic options, prolonged exposure therapy, cognitive processing therapy, and eye movement desensitization and reprocessing, especially as they pertain to military populations. It further offers a brief summary of promising treatments with a developing evidence base, encompassing both psychotherapy and pharmacotherapy. Finally, challenges to the treatment of PTSD are summarized and future directions suggested.

Keywords: Cognitive Processing Therapy  CPT  Evidence-Based Treatment  Military  PE  Posttraumatic Stress Dsorder  PTSD  Prolonged Exposure  Psychopharmacology    


15. Cummings, P. (2004, September). The attachment repair model (ARM) – One year later. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is one comprehensive fix after all else fails within the basic EMDR Model. The importance of neurological functioning, at an ego state level, must be repaired before the processing of traumatic event work is sustainable. Within various descriptions of the ARM, the basic EMDR protocol is expanded into a secondary goal of sustained neurological integration at a traumatic event(s) level. Learning about the ARM will peek a therapist’s thinking about their larger role as an emotionally attuned healer versus the more established role of facilitator of trapped life experience(s).

Keywords: Attachment Repair Model  


16. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as healers.

Keywords: ARM  Attachment Repair Model  Positive Parts and Hurting Parts (PP-HP) Meetings Protocol  


17. Darker-Smith, S. (2007, June). Application of mindfulness for impulse control and self harm. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Self harm presents a risk in using EMDR with emotionally vulnerable clients, due to the dangers of their immediate behaviours. However, often these behaviours are in response to deep-seated memories linked to traumas, which with the help of EMDR could safely be processed once the impulsive and risky behaviours are controlled. Mindfulness has been utilised by the Author as a stabilisation method of reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005). More recently, the author has discovered that the application of mindfulness and imagery techniques work more effectively for clients with tendencies for self-harm, compared to alternative behavioural techniques designed to distract from or substitute for impulsive desires to self-harm (e.g.., the use of ice cubes or elastic bans, to create a distraction from the impulse). Two groups were studied in the process of treating co-morbid symptoms for alternative conditions with EMDR, ranging from eating disorders, anxiety disorders, and trauma, prior to EMDR processing. For clinical reasons, clients with depression, personality disorders and other Axis 2 disorders were not included in this study due to contraindications in current research relating to Mindfulness. Participants self-harming behaviours related to superficial cutting, punching, and burning. Group 1 consisted of six clients who were offered alternative behavioural techniques (e.g., elastic bands or ice cubes) to distract or substitute for the desire for self-harm. Group 2 consisted of eight clients who were offered mindfulness techniques, including imagery meditations to distract or substitute for the desire to self harm. The groups were distributed as evenly as possible and no major emphasis was placed on the treatment of self-harming behaviours, instead being placed on the major problems (anxiety, eating disorder or trauma).
The Group (1)[consisted of 6 persons:(3 with Anxiety, 3 with Eating Disorders, 1 with Trauma)] who were offered suitable behavioural techniques utilised them effectively when their distress levels were mild (between 1-4 on a 0-8 behavioural scale), however, reverted back t self harming behaviours (e.g., cutting, burning, pinching) when distress levels reached 5 or higher. The Group (2)[consisted of 8 persons: (3 with Anxiety, 4 with Eating Disorders, 1 with Trauma)] who were offered aspects of Mindfulness training to facilitate tolerance of distressing emotions and being aware of the active moment did not tend (on average) to revert back to self-harming behaviours, choosing instead to utilise mindfulness methods (such as 3-minute breathing space).
Conclusion: Mindfulness is more effective as impulse control for self-harming behaviours than behavioural alternative strategies and can be utilised as a form of stabilisation in combination with controlling impulsive behaviours, prior to EMDR.

Keywords: Impulse Control  Mindfulness  Poster  Self Harm  


18. Dattilio, F. (2001). Crisis intervention techniques for panic disorder. American Journal of Psychotherapy, 55(3), 388-405.

Language: English

Format: Journal

Abstract:
Panic disorder is estimated to affect more than 4% of the U.S. population. It is assumed that this incident rate increases during crisis situations. While the professional literature is replete with references on the treatment of panic disorders, few authors address the use of nondrug treatment in conjunction with crisis intervention. This article provides an overview of the latest nonpharmacologic interventions for panic along with a description of their effectiveness in reducing the onset of symptomatology as well as preventing relapse during crisis.

Keywords: Crisis Intervention  Non-drug Treatment  Panic dsiorder  Nonpharmacological Interventions  


19. del Carmen Sang Chang, M. (2010, Octubre/Noviembre). Trastorno de estrés postraumático, neurociencia, neuropsicofarmacología Y EMDR [PTSD, neuroscience, neuropsychopharmacology and EMDR]. Ponencia presentada en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Keywords: Neuropsychopharmacology  Neuroscience  Posttraumatic Stress Disorder  PTSD  


20. Diaz, L. (2008). EMDR treatment for post-traumatic stress disorder. CBS News Reports, CBS 2 News.

Language: English

Format: Video

Keywords: Daniel Amen  Farmer's Market  Posttraumatic Stress Disorder  PTSD  Sara Gilman  


21. Frieder, P. (2008). Trastorno por estrés postraumático neurobiología y tratamiento farmacológico. Nuevas aportaciones [Posttraumatic stress disorder neurobiology and medications. New contributions]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery, Addictions] (1st ed) (pp. 93-107). Buenos Aires: TdeA Ediciones.

Language: Spanish

Format: Book Section

Abstract:
No abstract available.

Keywords: Medications  Neurobiology  Posttraumatic Stress Disorder  PTSD  


22. Guner, O., Pamuk, S., & Dincer-Genc, N. (2006, June). A group intervention program for children living in the Maramara region of Turkey, three years after the earthquake. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Children  Earthquake  Marmara  Posttraumatic Stress Disorder  PTSD  Recent Events  Turkey  


23. Harnett, S. (2012, November 12). Even with new treatments, few PTSD vets seek help. KALW, San Francisco, CA. Retrieved from http://www.kalw.org/post/even-new-treatments-few-ptsd-vets-seek-help on 12/10/212.

Language: English

Format: Other

Abstract:
PTSD was only formally recognized as a mental disorder by the American Psychiatric Association in 1980. Modern day treatments still focus on accessing and reprocessing traumatic memories. In 1981, Bay Area doctor Francine Shapiro developed a new therapy called EMDR, or eye movement desensitization and reprocessing. The treatment combines physical stimulation and talk therapy. “You ask the person to identify the image that has been bothering them and the thoughts that have been bothering them,” says Doctor Shapiro. Then you add bilateral stimulation: “Either taps or tones or eye movement, generally. All this together helps to activate the brain's information processing system, and then you just allow the brain to go wherever it needs to go. You allow whatever associations that need to come up, come up.” [Excerpt]

Keywords: Army  Posttraumatic Stress Disorder  PTSD  Veterans  


24. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.

Language: English

Format: Other

Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages. Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light. This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level. The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks. The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.

Keywords: Combat  Military  Monograph  Posttraumatic Stress Disorder  PTSD  Stressors  


25. Herbert, C. (2002, June). A CBT-based therapeutic alternative to working with complex client problems. European Journal of Psychotherapy, Counseling & Health, 5(2), 135-144.

Language: English

Format: Journal

Abstract:
This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.

Keywords: CBT  Cognitive Behavioral Therapy  Countertransference  Distress  Phenomenology  Physical Manifestations  Psychoanalysis  Psychotherapy  Psychoanalytic Psychotherapy  Psychological Distress  Psychosomatic Phenomena  Self Destructive Behavior  Self Harm  Somatoform Disorders  Thinking  Trauma Therapy  


26. Leeds, A. (2012). EMDR treatment of panic disorder and agoraphobia: Two model treatment plans. Journal of EMDR Practice and Research, 6(3), 110-119. doi:10.1891/1933-3196.6.3.110.

Language: English

Format: Journal

Abstract:
This article, condensed from Chapter 14 of A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants (Leeds, 2009), examines applying eye movement desensitization and reprocessing (EMDR) to treating individuals with panic disorder (PD) and PD with agoraphobia (PDA). The literature on effective treatments for PD and PDA is reviewed focusing on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Case reports and controlled studies of EMDR treatment of PD and PDA are examined for lessons to guide EMDR clinicians. Two model EMDR treatment plans are presented: one for cases of simple PD without agoraphobia or other co-occurring disorders and the other for cases of PDA or PD with co-occurring anxiety or Axis II disorders. A more extensive literature discussion, detailed treatment guidelines, and client education resources can be found in the original chapter.

Keywords: Agoraphobia  CBT  Cognitive Behavior Therapy  Panic  Pharmacotherapy  Review  


27. Lohr, J. M., Devilly, G., Lilienfeld, S. O., & Olatunji, B. O. (2006). First do no harm, and then do some good: Science and professional responsibility in the response to disaster and trauma. the Behavior Therapist, 29, 131-135.

Language: English

Format: Newsletter

Abstract:
Qualitative reviews and meta-analyses of peer-reviewed EMDR outcome studies have consistently found that there is overwhelming evidence that eye movements are neither a necessary nor useful component of the general clinical protocol (e.g., Devilly, 2002; Lohr, Lilienfeld, Tolin, & Herbert, 1999; Davidson & Parker, 2001); there is strong and consistent evidence that EMDR is better than no treatment and ineffective treatments, but no more effective than other treatments that use some aspect of exposure therapy (Devilly, 2002; McNally, 1999); and there is growing evidence that a cognitive-behavioral treatment including exposure is superior to EMDR for long-term effectiveness (Devilly & Spence, 1999; Taylor, Thodarson, Maxfield, & Fedoroff, 2003). In sum, “what is effective in EMDR is not new, and what is new is[not effective” (McNally, 1999, p. 619.[Excerpt]

Keywords: Skeptic  


28. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .

Language: English

Format: Journal

Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks

Keywords: Acupuncture  Anxiety  Bi-Digital O-Ring Test  Dental Phobic Patients  Pharmacological sedation  Preferred Patterns  Visual Pathway  


29. McCrone, P. R., Knapp, M. R. J., & Cawkill, P. (2003, October). Post-traumatic stress in the armed forces: Health economic considerations. Journal of Traumatic Stress, 16(5), 519-522. doi:10.1023/A:1025722930935.

Language: English

Format: Journal

Abstract:
This paper discesses the uses of health economics in relation to posttrauamtic stress disorder (PTSD) in the Armed Forces, with a view to assessing the feasibiity of carrying out future evalutive studies. Although psychologoical and pharmacological interventions can be used to treat PTSD, no economic evaluations are known to exist. There is an econimic 'burden' associated with PTSD and treatments require the use of scarce resources. Health economics provides tools (inlcuding cost-effectivness, cost-benefit and cost utility analyses) to ascertain the relative efficiency of different treatment options. This paper concludes that the quality of life and resource consequences of PTSD require a better understanding of the economics of the disorder and the alternative ways to treat it.

Keywords: Postraumatic Stress Disorder  PTSD  


30. McLaughlin, D. F., McGowan, I. W., Paterson, M. C., & Miller, P. W. (2008, September). Cessation of deliberate self harm following eye movement desensitisation and reprocessing: A case report. Cases Journal, 1, 177-180. doi:10.1186/1757-1626-1-177.

Language: English

Format: Journal

Abstract:
We present a case report of an eighteen year old female patient presenting with a psychological trauma related complaint. Part of the manifestation of the complaint included acts of self cutting over a number of years. Following two sessions of Eye Movement Desensitization & Reprocessing with one of the authors (DM) her self cutting ceased. This is maintained at thirteen months follow up. We conclude that Eye Movement Desensitization & Reprocessing may be an effective treatment option in reducing repeat self harm where traumatic events are noted to be the precursor to deliberate self harm.[Author abstract]

Keywords: Self Harm  


31. 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  


32. Otto, M. W., Penava, S. J., Pollack, R. A., & Smoller, J. W. (1996). Cognitive-behavioral and pharmacologic perspectives on the treatment of posttraumatic stress disorder. In M. H. Pollack, M. W. Otto, & J. F. Rosenbaum (Eds.). Challenges in clinical practice:  Pharmacologic and psychosocial strategies (pp. 219-260). New York:  Guilford Press.

Language: English

Format: Book Section

Abstract:
The following sections consider biologic and cognitive-behavioral perspectives on PTSD and strategies for its treatment. Pharmacologic strategies examined to date have included treatment with beta-adrenergic blockers and alpha-adrenergic agonists, benzodiazepines, antikindling agents, mood stabilizers, and various antidepressants. Exposure-based treatments have been included in a number of approaches to the disorder, but have received the most direct attention in cognitive-behavioral conceptualizations. Each of these interventions has the potential to change one aspect or a constellation of PTSD symptoms, and must be evaluated relative to the number of symptom domains that each affects. [Text, p. 222]

Keywords: Behavior Therapy  Cognitive Therapy  Drug Therapy  Literature Review  Neurobiology  Psychopharmacology  PTSD  Stressors  Survivors  Treatment Effectiveness  


33. Paulsen, S. L., & Watkins, J. G. (2005, November). Best resourcing, affect regulation & abreaction techniques: From the armamentaria of hypnoanalytic, EMDR, somatic experiencing, and cognitive behavioral sources. Presentation at the International Society for the Study of Dissociation, Toronto, Ontario Canada.

Language: English

Format: Conference

Keywords: Abreaction Techniques  Affect Regulation Techniques  


34. Paulsen, S. L., & Watkins, J. G. (2005, November). Best techniques from the armamentarium of hypnoanalytic, EMDR, somatic psychotherapy and cognitive behavioral methods. Presentation at the annual meeting of the International Society for the Study of Dissociation. Fall Conference, Toronto, Canada.

Language: English

Format: Conference

Keywords: Best Techniques  


35. 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  


36. Rovetto, F. (2006). EMDR e intervento farmacologico [EMDR and pharmacological intervention]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 317-325). Milano, Italy: McGraw-Hill.

Language: Italian

Format: Book Section

Keywords: Pharmacological Intervention  


37. Russell, M. C. (2008, April). Treating traumatic amputation-related phantom limb pain: A case study utilizing eye movement desensitization and reprocessing within the Armed Services. Clinical Case Studies, 7(2), 136-153. doi:10.1177/1534650107306292.

Language: English

Format: Journal

Abstract:
Since September 2006, more than 725 service members from the global war on terrorism have survived combat-related traumatic amputations that often result in phantom limb pain (PLP) syndrome. Combat amputees are also at high risk of developing chronic mental health conditions such as posttraumatic stress disorder (PTSD) and clinical depression as they deal with wartime experiences, rehabilitation, and postrehabilitation adjustments. One active-duty patient was referred to a military outpatient clinic for treatment of PLP and PTSD following a traumatic leg amputation from a noncombat-related motor vehicle accident. Four sessions of eye movement desensitization and reprocessing (EMDR) led to elimination of PLP and a significant reduction in PTSD, depression, and phantom limb tingling sensations. A detailed account of this treatment, as well as a review of the benefits of EMDR research and treatment in the military, is provided. The results are promising but in need of further research.

Keywords: Clinical Case Study  Military  Pain  Phantom Limb  Posttraumatic Stress Disorder  PTSD  


38. Russell, M. C. (2008). War-related medically unexplained symptoms, prevalence, and treatment: Utilizing EMDR within the armed services. Journal of EMDR Practice and Research, 2(3), 212-225. doi:10.1891/1933-3196.2.3.212.

Language: English

Format: Journal

Abstract:
The mental health impact of war is often underestimated by military, government, and media officials who focus primarily on well-known conditions like depression and posttraumatic stress disorder (PTSD) while ignoring the complex toll of modern warfare. These effects are clearly evident in "war syndromes," many of which can be collectively understood as medically unexplained symptoms (MUS). The current study provides a brief historical review of combat-related MUS as well as an analysis of present evidence of a possible "Iraqi War Syndrome." An overview of past and current treatments for combat MUS is followed by a single case study treating an Iraqi war combat veteran with combat-related MUS with eye movement desensitization and reprocessing (EMDR). Therapy resulted in significant improvement of the patient's 1-year psychophysical condition and comorbid PTSD. We provide a detailed account of those treatment sessions as well as a discussion of EMDR's potential to simultaneously treat a range of combat-related psychophysical conditions without requiring extensive homework or self-disclosure that some military patients may resist. The results are promising, but they require further research. [Author Abstract]

Keywords: Adults  Americans  Iraq War  Marine Personnel  Medically Unexplained Symptoms  Military Psychiatry  Operation Iraqi Freedom  Combat  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Somatic Symptoms  Veterans  War Syndromes  


39. Russell, M. C., & Friedberg, F. (2009). Training, treatment access, and research on trauma intervention in the armed services. Journal of EMDR Practice and Research, 3(1), 24-31. doi:10.1891/1933-3196.3.1.24.

Language: English

Format: Journal

Abstract:
Since 2001, the wars in Iraq and Afghanistan have caused considerable strain on military medicine to effectively manage the growing mental health demand from deployed personnel. This article examines the ability of the U.S. Department of Defense to provide quality mental health services based on the availability of (a) clinical training, (b) mental health interventions, and (c) funded research of treatments for posttraumatic stress disorder. While notable progress has been made in cognitive-behavioral treatment access and research, eye movement desensitization and reprocessing is far less available—perhaps attributable to ongoing controversy over the technique. We suggest that underserved veterans would benefit from increased availability of evidence-based behavioral treatments, perhaps through continuation of a recent regional training program.

Keywords: Clinical Training  Military  Posttraumatic Stress Disorder  PTSD  Treatment Access  Veterans  


40. Russell, M. C., & Friedberg, F. (2010). Formation, accès au traitement et recherche sur les interventions dans les cas de trauma dans les forces armées [Training, access to treatment and intervention research in cases of trauma in the military]. Journal of EMDR Practice and Research, 4(2), 18E-26E. doi:10.1891/1933-3196.4.2.E18.

Language: French

Format: Journal

Abstract:
Depuis 2001, les guerres en Irak et en Afghanistan exercent une pression considérable sur la médecine militaire pour gérer efficacement la demande croissante de soins en santé mentale du personnel déployé. Cet article examine la capacité du Ministère de la défense des Etats-Unis à fournir des services de santé mentale de qualité en fonction de la disponibilité (a) de la formation clinique, (b) des interventions en santé mentale et (c) de la recherche subventionnée portant sur les traitements de l'état de stress post-traumatique. Alors que des progrès notables ont été réalisés au niveau de l'accès au traitement cognitivo-comportemental et des études dans ce domaine, l'Intégration neuro-émotionnelle par les stimulations bilatérales alternées ou EMDR (Eye Movement Desensitization & Reprocessing) est beaucoup moins disponible - peut-être à cause de la controverse actuelle qui entoure la technique. Nous suggérons qu'une meilleure disponibilité des traitements comportementaux basés sur les données probantes, peut-être par le biais de la poursuite d'un récent programme régional de formation, serait bénéfique pour les vétérans qui y ont aujourd'hui peu accès.

Since 2001, wars in Iraq and Afghanistan is considerable pressure on military medicine to effectively manage the growing demand for mental health of deployed personnel. This article examines the capacity of the Ministry of Defence of the United States to provide mental health services quality depending on availability (a) of clinical training, (b) mental health interventions and (c) sponsored research into the treatment of posttraumatic stress disorder. While significant progress has been achieved in access to cognitive behavioral treatment and studies in this field, neuro-emotional integration by alternating bilateral stimulation or EMDR (Eye Movement Desensitization Reprocessing &) is much less available - perhaps because of the current controversy surrounding the art. We suggest that greater availability of behavioral treatments based on evidence, perhaps through the continuation of a recent regional training program would be beneficial for veterans who now have little access.

Keywords: Military  Training  Trauma  Treatment  


41. Sadatun, T. I. (2008, June). EMDR therapy for tsunami & armed conflicts survivors in Nanggroe Aceh Darussalam, Indonesia. Poster presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The Indonesian Province of Nanggroe Aceh Darusalam (NAD) is a region which is facing a unique set of problems, among which is the protracted internal conflict, exacerbated by the tsunami on December 26, 2004. These events have generated a widespread impact on the lives of the communities. One of the most crucial issues to be addressed aside from legal, security, social and economic problems is the matter of health, including mental health. In regards to mental health issues, comprehensive steps have been formulated into various mental health care programs. One of the most needed programs is establishment of an educational system rooted in Indonesia for the treatment of the posttraumatic stress syndrome (PTSD) of victims of crises and catastrophes through the implementation of specific methods of treatment with a focus on the introduction of EMDR. With great support from BMZ- TDH-Germany, HAP-Germany and Trauma Aid, capacity building on EMDR training has been developed. Even though EMDR is highly effective as trauma healing therapy it is also a complex treatment to be addressed in this specific population like in the province of NAD. Further than time constrain, limited numbers of trauma therapist available and high numbers of severe cases that urgently need to be treated, complexities also arises from cultural and religious aspects. The society in NAD is marked by decade long isolation, violent conflicts for political self-determination and the strict interpretation of the Islam. The Sharia (doctrine of the Islam including moral and judicial duties) was introduced as part of the laws. Due to this condition, for the time being stabilization technique in EMDR is the most common technique that can be of widely used. In this presentation, varieties of stabilization technique that have been used in this population will be addressed. More specifically, as culturally adjustable method in therapy, this presentation will also introduce several culturally acceptable stabilization techniques such as combining religious rituals (chanting, reciting) as personal resource with stabilization technique. These techniques might be useful for other population with similar culture and religion.

Keywords: Armed Conflicts  Nanggroe Aceh Darussalam, Indonesia  Poster  Survivors  Tsunami  


42. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.

Language: English

Format: Journal

Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder (PTSD)? In this paper we review many of the current pharmacological and psychological interventions available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations. There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives), but there is no evidence that these treatments are less effective. Pharmacotherapy is promising (especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to conduct more randomized clinical trials research and effectiveness studies in military and Department of Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and propose several recommendations to help guide clinicians’ treatment selections.

Keywords: Posttraumatic Stress Disorder  Psychotherapy  Psychopharmacology  PTSD  


43. Siracusano, A., & Niolu, C. (2006, Settembre-Dicembre). Trattamento farmacologico del - Disturbo post-traumatico da stress [Drug treatment of - post-traumatic stress disorder]. NÓOς, 12(3), 243-276.

Language: Italian

Format: Journal

Abstract:
Complesso caratteristiche sintomatologiche del disturbo. Qui troviamo, mescolati tra loro, i sintomi di ansia, panico, depressione, dissociazione, evasione, deterioramento della memoria. La Società per traumatica Stress Studies (ISTSS) le linee guida suggeriscono alcuni passi: da un debriefing psicologico top e la terapia cognitivo-comportamentale (CBT), seguita dal trattamento farmacologico e di alcuni altri approcci: tecniche psico-sociale e riabilitativo, il movimento degli occhi desensibilizzazione e rielaborazione (EMDR), ipnosi, psicoterapia di coppia e di gruppo, psychothery psicoanalitico. Nel ultimi anni, molti dati dalla ricerca fornire consulenza per l'avvio forte CBT e farmacologiche trattamento subito dopo il trauma (entro 72 ore) solo per gestire dissociazione peritraumatico, ad alto rischio fattore per lo sviluppo di PTSD. Inoltre, quando si avvicina al trattamento del PTSD, è importante prendere in considerazione altre comorbidità con asse I e II e con disturbi abuso di sostanze.

Complex symptomatological features of the disorder. Here we find, mixed up together, symptoms of anxiety, panic, depression, dissociation, avoidance, memory impairment. The Society for Traumatic Stress Studies (ISTSS) guidelines suggest some steps: on the top psychological debriefing and cognitive-behavioral therapy (CBT), followed by pharmacological treatment and some other approaches: psychosocial and rehabilitative tecniques, eye movement desensitization and reprocessing (EMDR), hypnosis, couple and group psychotherapies, psychoanalitic psychothery. In the last years, many data from the research give strong advice for starting CBT and pharmacological treatment soon after trauma (within 72 hours) just to manage peritraumatic dissociation, high risk factor for the development of PTSD. Moreover, when approaching to the treatment of PTSD, it’s important to consider comorbidity with other axis I and II disorders and with substance abuse.

Keywords: Acute Stress Disorder  ASD  Cognitive-Behavioral Therapy  Comorbidity  Hypnosis  Peritraumatic Dissociation  Psychological Debriefing  Trauma    


44. Unknown. (2002). EMDR, zorgboerderijen [EMDR, care farms]. PSY: Tijdschrift over de Geestelijke Gezondheidszorg, 6(14), 24.

Language: Dutch

Format: Magazine

Keywords: Care Farms  


45. Zimmermann, P., Biesold, K. H., Barre, K., & Lanczik, M. (2007, May). Long-term course of post-traumatic stress disorder (PTSD) in German soldiers: Effects of in patient eye movement desensitization and reprocessing therapy and specific trauma characteristics in patients with non-combat-related PTSD. Military Medicine, 172(5), 456-460 .

Language: English

Format: Journal

Abstract:
Objective: In this study, we retrospectively evaluated a patient population of 89 German soldiers who received inpatient treatment for PTSD at the German Armed Forces Hospital in Hamburg from 1998 to 2003. Methods: Patients were nonrandomly assigned to a treatment group who received eye movement desensitization and reprocessing (EMDR) and a comparison group with general hospital treatment and relaxation training. Follow-up information was obtained 29 months post-treatment. Trauma-related symptoms were assessed using the Impact of Event Scale and the Post-Traumatic Stress Scale (PTSS-10) as parameters of improvement. Results: The Impact of Event Scale showed that inpatient trauma therapy with EMDR significantly improved the course of PTSD. In addition, the Impact of Event Scale indicated a significantly poorer long-term outcome for patients who had been confronted with death during their traumatic experience. Other factors tested were of no significant influence. CONCLUSIONS: These results may influence further treatment strategies for traumatized German soldiers. [Author Abstract]

Keywords: Adults  Army Personnel  German  Posttraumatic Stress Disorder  PSTD  Psychiatric Inpatients  Stressors  Survivors  Treatment Effectiveness  


46. Zimmermann, P., Guse, U., Barre, K., & Biesold, K. (2005, Juni). EMDR - Therapie in der bundeswehr - Zurwirksamkeit untersuchung posttraumatischer belastungsstörungv [EMDR in the German armed forces - Therapeutic impact of inpatient therapy of posttraumatic stress disorder / EMDR]. Krankenhauspsychiatrie, 16(2), 57-63. doi:10.1055/s-2004-830275.

Language: German

Format: Journal

Abstract:
In dieser retrospektiven Studie 89 deutsche Soldaten, die als stationäre zur posttraumatischen Belastungsstörung behandelt wurden, zwischen 1998 und 2002 untersucht wurden. Nach einer mittleren von 29 Monaten mit Fragebögen They Were neu bewertet. Behandelt wurden 20 Patienten mit EMDR Konnte bis 14 Patienten mit einer unterstützenden Behandlung verglichen werden. Die Ergebnisse (Jes SOUTH. Voc) direkt nach der Behandlung und in der Langzeit-Follow-up waren deutlich überlegen in der EMDR-Gruppe im Vergleich zu den Kontrollen. Traumatisierte Soldaten in Out-of-area-Einsätze eher eine bessere als die kurzfristigen Ergebnisse Traumatisierte Soldaten in Deutschland haben. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)

In this retrospective study 89 German soldiers being treated as inpatients for a posttraumatic stress disorder between 1998 and 2002 were investigated. After a mean of 29 months they were reevaluated with questionnaires. 20 patients treated with EMDR could be compared to 14 patients with a supportive treatment. The results (Isa. SUD. VoC) directly after treatment and in the long-term follow-up were significantly superior in the EMDR group compared to the controls. Soldiers traumatized in out-of-area missions tended to have a better short-term outcome than traumatized soldiers in Germany. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Empirical Study  Inpatient Therapy  Hospitalized Patients  Longitudinal Study  Military Veterans  Posttraumatic Stress Disorder, PTSD, Psychotherapy, Stress  Quantitative Study  Retrospective Study  


47. Zwarts, D. (2009). Casus 4 – ‘Ik ben stom!’: Een 9-jarig meisje wordt depressiever naarmate het schooljaar vordert [Case 4 - "I am stupid!": A 9-year-old girl is getting more depressed as the school year progresses] . In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 89-100). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_9.

Language: Dutch

Format: Book Section

Abstract:
Noa is negen jaar en wanneer ze aangemeld wordt is ze net begonnen aan groep 6. Haar ouders beschrijven haar als een bovengemiddeld intelligent, sociaal en lief meisje. Noa wordt eigenlijk al sinds drie jaar, naarmate het schooljaar vordert, toenemend somber, waarna ze in de zomervakantie steeds weer opknapt. Haar ouders noemen als voornaamste klacht dat Noa zich eenzaam voelt, terwijl ze toch genoeg vriendinnen heeft. Als er even iets moeilijk verloopt in het sociale contact, kan ze daarin blijven hangen. Verder klaagt Noa over concentratieproblemen op school, terwijl haar juf geen zorgen heeft over haar werk.

Noa has been nine years and when registered, she just started to group 6. Her parents describe her as an above average intelligence, social and sweet girl. Noa is actually already been three years, as the school year progresses, increasingly bleak, and in the summer they always improves. Her parents called the principal complaint that Noa feels lonely, but she still has plenty of girlfriends. When there is something causing several problems in social contact, she can hang it. Noa further complains about concentration problems at school, her teacher has no worries about her work.

Keywords: Children  Depression