Francine Shapiro Library: EMDR Bibliography

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1. Castello, A. L. G. & Zampieri, A, M. F., & Padua, E. A. (2010, Junio). La experiencia de trabajar con el protocolo integrante del grupo con grupos de niños en los desastres [The experience of working with the protocol team member with groups of children in disasters.]. Ponencia presentada en el XI Congreso Internacional de Estrés Traumático y Trastornos de Ansiedad, Buenos Aires, Argentina.

Language: Spanish

Format: Conference

Abstract:
Trabajo con grupos de niños en Institución Social - PGI- EMDR; Trauma infantil y EMDR, Psicodrama. La articulación del trabajo metodológico en el psicodrama y EMDR, en el procesamiento del trauma de parto y fobias múltiples durante la formación de la matriz de identidad

Working with groups of children in social institution - PGI-EMDR, childhood trauma and EMDR, psychodrama. The articulation of methodological work in psychodrama and EMDR, processing the trauma of birth and multiple phobias during the formation of the identity matrix [The experience of Working with the protocol team member with groups of children in disasters. Working with groups of children in social institution - PGI-EMDR, childhood trauma and EMDR, psychodrama. The articulation of methodological work in psychodrama and EMDR, processing the trauma of birth and multiple phobias During the formation of the identity matrix]

Keywords: Birth Trauma  Children  Disasters  Psychodrama  


2. Davis, K. (2009). Treating birth-related posttraumatic stress. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 435-447). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Birth Trauma  Posttraumatic Stress Disorder  PTSD  


3. Fonseca, G. S. (2010, Octubre/Noviembre). EMDR y apego: Conceptualización y estrategias para el abordaje de casos que implican experiencias relativas a la vida intrauterina, nacimiento y primer año de vida de los/as clientes [EMDR and attachment: Concepts and strategies for approaching cases involving experiences in utero, birth and first year of client's life]. Mini curso en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Keywords: Attachment  Birth  First Year of Life  In Utero  


4. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.

Language: English

Format: Journal

Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.

Keywords: Childbirth  Posttraumatic Stress Disorder  PTSD  


5. 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  


6. 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

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].

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]

Keywords: Childbirth  Parity  Posttraumatic Stress Disorder  PTSD  


7. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Conference

Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy  Obstetrics  Stillbirth  


8. 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  


9. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clinicians will gain an understanding of the types of events that create psychological and physiological distress and trauma both at birth and afterward. Many conditions have their origin during this early period where generational messages as well as traumatic events surrounding birth and the early period of life can have negative effects. Participants will learn methods to work within the infant mind/body memory to retrieve early trauma and the subsequent events that reinforced it as well as facilitate healing through the life path of the individual. Clinicians can benefit by recognizing the elements that influence these situations, and with EMDR and other adjunctive techniques learn to resolve these very early experiences to help clients reach a higher level of adaptation for health. Objectives: 1.Identify the characteristics of traumatic or negative birth experiences. 2.Recognize the risk factors that affect the birth and can be projected onto the infant. 3.Identify the effects of early trauma on parent-infant relationships, bonding, the marital relationship, and on the infant. 4.Learn about long-term psychological and somatic sequelae of perinatal trauma on the adult individual. 5.Describe, demonstrate, and practice psychotherapeutic methods with EMDR to help resolve and heal these experiences.

Keywords: Birth Trauma  


10. Lapp, L. K., Agbokou, C., Peretti, C. S., & Ferreri, F. (2010, September). Management of post traumatic stress disorder after childbirth: A review. Journal of Psychosomatic Obstetrics & Gynecology, 31(3), 113-122. doi:10.3109/0167482X.2010.503330.

Language: English

Format: Journal

Abstract:
Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.

Keywords: Childbirth  Posttraumatic Stress Disorder  PTSD  


11. MacLean, C. A. (2003). Transpersonal dimensions in healing pre/perinatal trauma with EMDR (eye movement desensitization and reprocessing). Journal of Prenatal & Perinatal Psychology & Health, 18(1), 39-70 .

Language: English

Format: Journal

Abstract:
The transpersonal nature of pre/perinatal life enhances healing of trauma from this early time with the use of Eye Movement Desensitization and Reprocessing (EMDR). EMDR has been acclaimed as being an extremely effective therapeutic method for healing trauma (Shapiro, 1997, 2001, 2002). EMDR has also been recognized as having transpersonal potentials associated with its use (Shapiro, 2002; Parnell, 1996, 1997). This article presents three adult cases in which EMDR has assisted healing of pre/perinatal trauma. The transpersonal dimension of healing in these cases is a significant focus of this article.

Keywords: Birth  Emotional Trauma  Fetus  In Utero Development  Memory  Perinatal  Pre-existence  Prenatal & Perinatal Trauma  Prenatal Development  Prenatal Memory  Reincarnation  Role of Birth  Transpersonal Experiences  Transpersonal Psychology  Unborn Child  


12. MacLean, C. A. (2002, July). Psycho-spiritual dimensions of healing prenatal and perinatal trauma with eye movement desensitization and reprocessing (EMDR) in adults. Presentation at the Third World Congress for Psychotherapy, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The transpersonal nature of pre/perinatal life enhances healing of trauma from this early time with the use of Eye Movement Desensitization and Reprocessing (EMDR). EMDR has been acclaimed as being an extremely effective therapeutic method for healing trauma (Shapiro, 1997, 2001, 2002). EMDR has also been recognized as having transpersonal potentials associated with its use (Shapiro, 2002; Parnell, 1996, 1997). This article presents three adult cases in which EMDR has assisted healing of pre/perinatal trauma. The transpersonal dimension of healing in these cases is a significant focus of this article. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Birth Trauma  Perinatal Period  Transpersonal Psychology  


13. Molero, M. (2012, June). Trauma prenatal y del nacimiento en relación a un trastorno fóbico. Casos clínicos resueltos con EMDR [Prenatal and birth trauma in relation to a phobic disorder. Clinical cases resolved with EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
EMDR is being successful in treatment of individuals with affect dysregulation from early traumatic experience included prenatal and birth traumatic experiences. There is a body of scientific investigation and knowledge on prenatal experience and trauma, and that indeed we do experience and are influenced by our environment in the womb. We can learn from such experience, and therefore, can be traumatized prior to birth. The prenatal self can feel and record this experience. Some researchers point that there is a pre-­‐traumatic experience at the embryonic stage that could let somatic memories in the brain. In some individuals, reactivation of this pre-­‐traumatic experience provokes some clinical disorders as specific phobia. We present two clinical cases of phobia treated with EMDR, one of them is a child with fireworks phobia and the other one is an adult with agoraphobia.

EMDR ha sido un tratamiento exitoso en individuos con desregulaciones desde una experiencia traumática temprana, incluyendo los traumas prenatales y del nacimiento. Existe un cuerpo de investigación científica y conocimiento acerca de la experiencia prenatal y el trauma, y de hecho, tenemos experiencias que están influenciadas por nuestro ambiente en el útero. Podemos aprender de ese tipo de experiencias y, por tanto, ser traumatizados antes del nacimiento. El yo prenatal puede sentir y grabar esta experiencia. Muchos investigadores señalan que existe una experiencia pre-­‐traumática en el estado embrionario que permite los recuerdos somáticos en el cerebro. En algunos individuos, la reactivación de esta experiencia pre-­‐traumática provoca algunas patologías clínicas y fobias específicas. Presentamos dos casos clínicos de fobia tratada con EMDR, uno de ellos es un niño con miedo a los petardos y el otro es un adulto que sufre de agorafobia.

Keywords: Prenatal Trauma  


14. Parnell, L. (1998). Postpartum depression: Helping a new mother to bond. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 37-64). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
"Karen" was a young mother who came to me in desperate shape, suffering from acute postpartum depression, unable to bond with, or to take care of, her new baby. This case demonstrates how a therapist can skillfully integrate EMDR with dreams, imagery, and inner child work in intensive brief therapy. [Text, p. 37] [Pilots]

Keywords: Adults  Americans  Case Report  Childbirth  Depressive Disorders  Females  Psychotherapeutic Processes  Survivors  Treatment Effectiveness  


15. Sandstrom, M., Wiberg, B., Wikman, M., Willman, A. K., & Hogberg, U. (2008, March). A pilot study of eye movement desensitization and reprocessing treatment (EMDR) for post-traumatic stress after childbirth. Midwifery, 24(1), 62–73. doi:10.1016/j.midw.2006.07.008.

Language: English

Format: Journal

Abstract:
Objective: To explore the possibility of using eye movement desensitisation and reprocessing (EMDR) to treat women who have experienced post-traumatic stress after childbirth. Design: The pilot study consisted of a "before and after" treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (Traumatic Event Scale [TES]) were collected. In addition, qualitative data from individual interviews with the participants were collected as well as data from the psychotherapist's treatment notes of the EMDR treatment sessions. Setting: The north of Sweden. Participants: 4 women with PTSD after childbirth (1 pregnant and 3 non-pregnant). Findings: All participants reported reduction of post-traumatic stress after treatment. After 1-3 years, the beneficial effects of EMDR treatment remained for 3 of the 4 women. Symptoms of intrusive thoughts and avoidance seemed most sensitive for treatment. Implications for Practice: EMDR might be a useful tool in the treatment of non-pregnant women severely traumatised by childbirth; however, further research is required. [Author Abstract]

Keywords: Adults  Childbirth  Females  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Survivors  Swedes  Treatment Effectiveness  


16. Sandstrom, M., Willman, A-C., & Hogberg, U. (2004, June). EMDR-treatment of posttraumatic stress disorder after childbirth. A pilot study of four cases. In single trauma and grief (L. Cornil, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
During the last decade, it has been recognized by research that a traumatic experience of childbirth can cause PTSD. What has also been shown is that these women do not spontaneously recover. No studies have been made before on psychotherapeutic treatment of this group.
The aim of our pilot study was to explore the possibility to use EMDR in the treatment of women who suffered from posttraumatic stress after childbirth. Because most pregnant women invited declined to participate, also non-pregnant women were included. One pregnant and three not pregnant women with PSTD after childbirth were treated with EMDR. All clients reported reduction of posttraumatic stress after treatment. The results suggest that EMDR might be a useful tool in the treatment of non-pregnant women severely traumatic by childbirth, but our study has several limitations. Further research and a randomized controlled study are recommended.

Keywords: Childbirth  Posttraumatic Stress Disorder  PTSD  Symposium  


17. Stramrood, C. A., van der Velde, J., Doornbos, B., Marieke Paarlberg, K., Weijmar Schultz, W. C., & van Pampus, M. G. (2012, March). The patient observer: Eye-movement desensitization and reprocessing for the treatment of posttraumatic stress following childbirth. Birth, 39(1), 70-76. doi: 10.1111/j.1523-536X.2011.00517.x.

Language: English

Format: Journal

Abstract:
Background:  No standard intervention with proved effectiveness is available for women with posttraumatic stress following childbirth because of insufficient research. The objective of this paper was to evaluate the possibility of using eye-movement desensitization and reprocessing treatment for women with symptoms of posttraumatic stress disorder following childbirth. The treatment is internationally recognized as one of the interventions of choice for the condition, but little is known about its effects in women who experienced the delivery as traumatic. Methods:  Three women suffering from posttraumatic stress symptoms following the birth of their first child were treated with eye-movement desensitization and reprocessing during their next pregnancy. Patient A developed posttraumatic stress symptoms following the lengthy labor of her first child that ended in an emergency cesarean section after unsuccessful vacuum extraction. Patient B suffered a second degree vaginal rupture, resulting in pain and inability to engage in sexual intercourse for years. Patient C developed severe preeclampsia postpartum requiring intravenous treatment. Results:  Patients received eye-movement desensitization and reprocessing treatment during their second pregnancy, using the standard protocol. The treatment resulted in fewer posttraumatic stress symptoms and more confidence about their pregnancy and upcoming delivery compared with before the treatment. Despite delivery complications in Patient A (secondary cesarean section due to insufficient engaging of the fetal head); Patient B (second degree vaginal rupture, this time without subsequent dyspareunia); and Patient C (postpartum hemorrhage, postpartum hypertension requiring intravenous treatment), all three women looked back positively at the second delivery experience. Conclusions:  Treatment with eye-movement desensitization and reprocessing reduced posttraumatic stress symptoms in these three women. They were all sufficiently confident to attempt vaginal birth rather than demanding an elective cesarean section. We advocate a large-scale, randomized controlled trial involving women with postpartum posttraumatic stress disorder to evaluate the effect of eye-movement desensitization and reprocessing in this patient group.

Keywords: Childbirth  Postpartum  Posttraumatic Stress Disorder  Pregnancy  PTSD  


18. Stramrood, C., Paarlberg, K. M., Vingerhoets, A. J., van den Berg, P. P., & van Pampus, M. G. (2012, March). Posttraumatic stress following childbirth: Diagnosis, treatment and prevention. Poster presented at the 70th annual scientific meeting of the American Psychomatic Society, Athens, Greece.

Language: English

Format: Conference

Abstract:
Background: What to do with women who experienced childbirth as so traumatic that they keep having nightmares, flashbacks and problems concentrating, who do not want to become pregnant again or demand a cesarean section at the next delivery? One to two percent of women suffers from posttraumatic stress disorder (PTSD) following childbirth, which may affect mother-child bonding as well as future pregnancies. Methods: Based on current knowledge from literature, including own research, an overview will be presented of the prevalence, risk factors, diagnosis and treatment of PTSD following childbirth. Results: PTSD is an anxiety disorder affecting 1-2 percent of women after childbirth. Risk factors include [a] obstetric complications and interventions (emergency cesarean section, preterm birth), [b] history of psychiatric problems or depression/anxiety during pregnancy, [c] psychosocial factors (low coping skills, low social support). Furthermore, 50 percent of women with PTSD following childbirth also suffers from postpartum depression. When PTSD is suspected, clinicians can use the self-report measure Traumatic Event Scale-B to quantify symptoms, and refer to a psychiatrist/psychologist if necessary. Several studies indicate that spontaneous remission of PTSD following childbirth is uncommon. Possible negative consequences of the condition include insecure attachment of the infant, impaired partner relationship, avoiding future pregnancies and demanding a cesarean section in a subsequent pregnancy. Although these possible adverse outcomes justify treatment and prevention, effective interventions and prevention strategies have not been adequately researched in this patient group. International guidelines regarding PTSD in other (non-pregnant) populations point to eye-movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) as the most promising treatments. Identification of women at risk, both during pregnancy and postpartum, is key to early intervention and possible prevention. Conclusions: Posttraumatic stress disorder following childbirth is a serious condition affecting 1-2 percent of postpartum women, with higher prevalence rates among women with complicated pregnancies/deliveries and those with a history of mental health issues. Adequate identification of women at risk and those with clinical symptoms is key to early intervention and eventually prevention.

Keywords: Childbirth  


19. Stramrood, C., van der Velde, J., Schultz, W. W., & van Pampus, M. (2011, March). A new application of EMDR: Treatment of posttraumatic stress following childbirth. Poster presentation at the American Psychosomatic Society 69th Annual Scientific Meeting, San Antonio, TX.

Language: English

Format: Conference

Abstract:
Purpose: To evaluate the possibility of using eye-movement desensitization and reprocessing (EMDR) treatment for women with posttraumatic stress following childbirth. EMDR is internationally recognized as one of the treatments of choice for posttraumatic stress disorder (PTSD). However, as outlined in a recent article on the management of PTSD following childbirth, very little is known about the effect of the intervention in women who experienced the delivery as traumatic. Methods: Two patients suffering from posttraumatic stress symptoms following childbirth were treated with EMDR. Patient A developed PTSD symptoms following the lengthy labor of her first child that ended in an emergency cesarean section (CS) after unsuccessful vacuum and forceps extraction. Patient B suffered from PTSD symptoms since the birth of her first child, during which a second degree vaginal rupture occurred, causing pain and resulting in the inability to use tampons and engage in sexual intercourse for several years. RESULTS: Both patients received EMDR treatment during their second pregnancy, using the standard protocol. After 2 sessions of EMDR including RDI and future template, patient A felt strong and confident about the upcoming delivery. She did not prefer a CS over vaginal birth or vice versa, as long as she would end up psychologically undamaged. Due to insufficient engaging of the fetal head, patient A underwent a secondary CS, but nonetheless looks back positively at the experience. Patient B felt calm and less anxious after two sessions of EMDR. Despite her initial request for an elective CS, she agreed to attempt vaginal delivery, and a healthy infant was born. Even though she suffered another second degree vaginal rupture, which fortunately did not cause dyspareunia this time, patient B also looks back positively at the second delivery. Conclusion: Treatment with EMDR reduced PTSD symptoms in these two women, and hence proved to be an effective intervention. Furthermore, both women were confident enough to attempt vaginal birth rather than demanding an elective CS. We advocate a large scale RCT involving women with postpartum PTSD to confirm the effect of EMDR in this patient group.

Keywords: Childbirth  Posttraumatic Stress Disorder  PTSD  


20. Sugimoto, K. (2010, July). EMDR in the treatment for post-traumatic stress after stillbirth: How can we help grieving mothers?. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: Despite advances in obstetric and neonatal care, many parents will experience the stillborn birth or death of a infant. Stillbirth is a devastating experience for women, and sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for posttraumatic stress after stillbirth. This pilot study explores the use of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment for post-traumatic stress after stillbirth. Methods: The pilot study consisted of a ‘before and after’ treatment design combined with follow-up measurements 0.5-3 years after EMDR treatment. Quantitative data was collected using the Impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) questionnaires. In addition, qualitative data from individual interviews with the participants was collected. Participants in the study were four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section) in an urban area in Japan. Results: Three of the four participants reported reduction of post-traumatic stress symptoms after treatment (ranging from two to three sessions) and the beneficial effects remained after 0.5-3 years. One participant only had the assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. None of the participants completed the full EMDR treatment protocol. The participants were not prepared to work with other disturbing memories. They also hesitated to lose some of memories about the stillborn infant. All of the participants were afraid of how they might be influenced in the next pregnancy. Conclusion: EMDR might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Grief  Mothers  Poster  Posttraumatic Stress Disorder  PTSD  Stillbirth  


21. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Journal

Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy  Obstetrics  Posttraumatic Stress Disorder  PSTD  Stillbirth  


22. Taylor, R. J. (1998, December). Sharing Space I: Reduction of anxiety and pain in labor and delivery using an EMDR model: A single case study. Journal of Prenatal & Perinatal Psychology & Health, 13(2), 149-153.

Language: English

Format: Journal

Abstract:
A single case study in the treatment of anxiety and pain associated with labor and childbirth using an Eye Movement Desensitization model in 5 sessions. The client ultimately delivered a baby via Cesarean Section with a spinal block, but reported that the therapeutic procedure aided in reduction of medication and anxiety during the experience. In the debriefing session, she reported that the process allowed her to maintain a sense of calm and control.

Keywords: Anxiety Management  Birth  Childbirth  Childbirth Training  Labor  Labor (Childbirth)  Pain Management  Treatment Effectiveness Evaluation  Treatment Efficacy  


23. Weirauch-Schmachtenberg, P. (2010, July). Solving a destructive mother-child relationship after a birth trauma: A case study. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
How can we process a long lasting, chronic symptomatic and dysfunctional communication structure? I would like to invite you to take part in a healing and touching process. This presentation uses a case study with a 9 year old boy and his mother. It illustrates how trauma therapeutic approaches and techniques could be powerful tools to process traumatic events, in this case a birth trauma. Systematic ideas for improving effectiveness of therapy are discussed. One focus is how to write a certain “Trauma Story” for children and parents / foster parents and its application.

Keywords: Case Study  Birth Trauma  Mother-Child Relationship