Francine Shapiro Library: EMDR Bibliography

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1. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. doi:10.1016/j.brat.2007.05.006.

Language: English

Format: Journal

Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]

Keywords: Adults  Americans  Cognitive Processes  Cognitive Therapy  College Students  Evidence Based Treatment  Exposure  Empirically Supported Treatment  Patient Preference  Posttraumatic Stress Disorder  Posttraumatic Stress Disorder  Psychoanalytic Psychotherapy  Psychotherapeutic Processes  PTSD  Selective Serotonin Reuptake Inhibitors  Stressors  Survivors  TFT  Thought Field Therapy  

2. Bergmann, U. (1999, November). How does EMDR work?  An exploration of possible neurobiological mechanisms. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Miami, FL.

Language: English

Format: Conference

Abstract: This discussion explores, briefly, the position that the repetitive redirecting of attention in EMDR is capable of turning on the brain's REM sleep system, leading to the activation of specific areas of the the anterior cortex of the cingulate gyrus, facilitating its function as a filter, thereby facilitating the integration of traumatic memory into general semantic networks. This integration is seen to lead to the subsequent reduction in both the strength of hippocampally mediated episodic memories of the traumatic event as well as the amygdaloid mediated negative affect of PTSD. The possibility is suggested that another underlying mechanisms of EMDR stimulation is the activation of the lateral cerebellum. The contribution of the cerebellum to cognitive and language functions is explored. The activation of the dentate nuclei in the lateral neocerebellum is shown to facilitate activation of the ventrolateral and central lateral thalamic nuclei. The activation of the ventrolateral nucleus is shown to lead to the activation of the left dorsolateral prefrontal cortex; further facilitating the integration of traumatic memory into general semantic and other neocortical networks

Keywords: Cognitive Processes  Neurobiology  Posttraumatic Stress Disorder  PTSD  Sleep Behavior  Stressors  Survivors  

3. Bergmann, U. (1996, June). Further thoughts on the neurophysiology of EMDR. EMDRIA Newsletter, 1(1), 5-9.

Language: English

Format: Newsletter

Abstract:
The following speculations considered in this paper are submitted to stimulate further discussion and research about the primary Neurophysiological processes that are involved in EMDR.

Keywords: Cognitive Processes  Neurobiology  Posttraumatic Stress Disorder  PTSD  Sleep Behavior  Stressors  Survivors  

4. Bergmann, U. (2000, September). Further thoughts on the neurobiology of EMDR: The role of the cerebellum in accelerated information processing. Traumatology, 6(3), 175-200. doi:10.1177/153476560000600303.

Language: English

Format: Journal

Abstract:
This discussion explores, briefly, the position that the repetitive redirecting of attention in EMDR is capable of turning on the brain's REM sleep system, leading to the activation of specific areas of the the anterior cortex of the cingulate gyrus, facilitating its function as a filter, thereby facilitating the integration of traumatic memory into general semantic networks. This integration is seen to lead to the subsequent reduction in both the strength of hippocampally mediated episodic memories of the traumatic event as well as the amygdaloid mediated negative affect of PTSD. The possibility is suggested that another underlying mechanisms of EMDR stimulation is the activation of the lateral cerebellum. The contribution of the cerebellum to cognitive and language functions is explored. The activation of the dentate nuclei in the lateral neocerebellum is shown to facilitate activation of the ventrolateral and central lateral thalamic nuclei. The activation of the ventrolateral nucleus is shown to lead to the activation of the left dorsolateral prefrontal cortex; further facilitating the integration of traumatic memory into general semantic and other neocortical networks. [Author Abstract]

Keywords: Cognitive Processes  Neurobiology  Posttraumatic Stress Disorder  PTSD  Sleep Behavior Stressors  Survivors  

5. Corrigan, F. M. (2004). Psychotherapy as assisted homeostasis: Activation of emotional processing mediated by the anterior cingulate cortex. Medical Hypotheses, 63(6), 968-973. doi:10.1016/j.mehy.2004.06.009.

Language: English

Format: Journal

Abstract:
Although psychotherapy is successful in altering emotional distress, the biological mechanism by which it achieves this has not been the subject of intensive neurobiological investigation. Mindful processing of emotion has been proposed to be a key factor in prevention of relapse in depressive illness and here that hypothesis is developed and extended to include other conditions in which emotion processing may be obstructed or dysregulated. Cognitive therapy, interpersonal psychotherapy, psycho-dynamic psychotherapy, and dialectical behaviour therapy, each in a different way and with a distinct emphasis, encourage awareness of emotions and their associated cognitions and biographies, and their varying success may depend on the degree to which they achieve activation of internal healing processes. In eye movement desensitisation and reprocessing (EMDR), the selected target is formatted for endogenous processing which is facilitated and accelerated by eye movements or alternating bilateral auditory or tactile stimulation. The ability to sustain focussed attention on the affect and its visceral, cognitive, and biographical components is postulated to activate a homeostatic process of distress resolution, seen most clearly in treatment of PTSD with EMDR, in which resolution of distress can be intense and rapid while therapist input is non-directive, although supportive, empathic, and non-judgemental. Once the therapist has helped to frame the questions, the patient's brain will find the answers needed for the resolution of the distress and all the components of the traumatic event, whether visceral, cognitive, affective, or interpersonal. The anterior cingulate cortex, especially the dorsal and rostral components, is suggested to be the key neurobiological substrate for the efficacious psychotherapeutic relief of distress, and relevant functional neuroimaging studies are summarised. One limitation of some previous imaging studies of emotion is that they have tended to use mild stimuli to discrete emotions. An alternative approach would be to image the brain during reprocessing of an unpleasant event which has profoundly affected the person so that the associated intense emotions could be clearly labelled and correlated with changes in regional brain functioning. [Author Summary]

Keywords: Cognitive Processes  Cognitive Therapy  Neurobiology  

6. Cvetek, R. (2002). Obravnava disfunkcionalno shranjenih izkušenj z metodo desenzitizacije in ponovne predelave z očesnim gibanjem - EMDR [Treatment of dysfunctionally stored experiences with the method eye movement desensitization and reprocessing - EMDR]. Psiholoska Obzorja, 11(3), 55-79.

Language: Slovenian

Format: Journal

Abstract:
V tem prispevku nova terapevtska metoda, imenovana Eye Movement desenzibilizacijo in Reprocessing (EMDR) je opisan. Metoda je bila ustanovljena predvsem za zdravljenje posttraumatic stresne motnje, vendar pa tudi nekaj poročil o njegovi učinkovitosti z drugimi duševnimi motnjami. Avtor predstavlja teoretično podlago za EMDR, predvsem model pospešene informacijske predelave, koncept spominskih mrež ter razlage učinkov očesnega gibanja. Proces EMDR je opisana tudi. (PsycINFO Database Record (c) 2008 APA, vse pravice pridržane)

In this paper, a new therapeutic method called Eye Movement Desensitization and Reprocessing (EMDR) is described. The method was formed mainly for treatment of posttraumatic stress disorder, but there also are some reports about its efficiency with other mental disorders. The author presents the theoretical base for EMDR and especially the accelerated information processing model, the concept of memory networks, and the explanations of effects of eye movements. The process of EMDR also is described. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Accelerated Information Processing Model  Cognitive Processes  Eye Movements  Information Processing Model  Memory  Mental Disorders  Memory Networks  Models  Posttraumatic Stress Disorder  PTSD  

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

Language: English

Format: Journal

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

Keywords: Conditioned Emotional Responses  Cognitive Processes  TFT  Thought Field Therapy  

8. Dworkin, M. (2003, June). Integrative approaches to EMDR:  Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187. doi:10.1037/1053-0479.13.2.171.

Language: English

Format: Journal

Abstract:
EMDR represents an integrative model of psychotherapy at the theoretical level. During its 16-year history, it has created quite a controversy in academic psychology. Missing from these debates have been additional therapeutic elements that are necessary to propel productive thinking into ways of making greater use of the model. These elements—empathy, the intersubjective, and usage of the cognitive interweave in conjunction with transference and countertransference issues—are explored. This addition constitutes an assimilative approach to an ever-evolving model of resolving posttraumatic stress disorder.

Keywords: Empathy  Intersubjective  Cognitive Interweave  Cognitive Processes  Countertransference Integrative Model  Integrative Psychotherapy  Interpersonal Interaction  Models  Posttraumatic Stress Disorder  Psychotherapy  PTSD  Transference  Psychotherapeutic Transference  Subjectivity  

9. Feener, R. S. (2004). Eye movement desensitization and reprocessing:  A new method in the treatment of performance anxiety for singers. Florida State University, Tallahassee, FL. AAT 3156073.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events. The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma. EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety.

Keywords: Bilateral Brain Stimulation  Brain Stimulation  Cognitive Processes  Emotional Trauma  Eye Movements  Information Processing System  Mental Health  Musicians  Performance Anxiety  Posttraumatic Stress Disorder  PTSD  Singers  Stress  Syndromes  Trauma  

10. Garvey, K. J. (2004). Increased interhemispheric interaction leads to decreased false memories for prose: The effects of degree of handedness and of eye movement-induced cortical activation. University of Toledo, Toledo, OH. AAT 3141037.

Language: English

Format: Dissertation/Thesis

Abstract:
Two experiments examining the effects of mixed handedness (which is associated with increased interhemispheric interaction) and horizontal saccadic eye movements (which are associated with increased bihemispheric cortical activation) on the recognition of prose are reported. In study one mixed handedness was associated with greater accuracy in both rejecting new material and recognizing old material. In study two eye movements resulted in relative improvement of episodic memory. This improvement is hypothesized to reflect increased interaction between the left and right cerebral hemispheres, which is associated with superior episodic memory. Implications for possible neuropsychological mechanisms underlying eye movement desensitization and reprocessing (EMDR), a therapeutic techniquDissertation Abstracts International: Section B: The Sciences and Engineering. 65(7-B), 2005, pp. 3738.e for PTSD, are discussed. [Author Abstract]

Keywords: Cognitive Processes  Empirical Study  Eye Movements  False Memory  Handedness  Interhemispheric Interaction  Neurobiology  Quantitative Study  Posttraumatic Stress Disorder  Prose  PTSD  

11. Hassard, A. (2003, June). Distribution of targets in 400 eye-movement desensitization cases. Psychological Reports, 92(3), 717-722. doi: 10.2466/pr0.2003.92.3.717 .

Language: English

Format: Journal

Abstract:
In a series of 400 patients undergoing Eye-movement Desensitization (EMD), patients rarely reported more than 9 flashbacks or other focal targets, which may indicate the working memory limit. Eye-movement desensitization may operate by freeing working memory capacity, enabling cognitive change and memory recovery to occur. Complete EMD treatment may require sufficient eye movements to free up working memory capacity. Patients given less than this requirement may not be adequately treated. This may account for variable results in evaluations of eye-movement desensitization. Such possible dose effects may be important in this therapy. [Author Abstract]

Keywords: Adults  Cognitive Processes  Psychotherapeutic Processes  

12. Kaye, B. (2008). Reversing reciprocal suppression in the anterior cingulated cortex: A hypothetical model to explain EMDR effectiveness. Journal of EMDR Practice and Research, 2(1), 88-99. doi:10.1891/1933-3196.1.2.88.

Language: English

Format: Journal

Abstract:
A theoretical model is proposed to explain desensitization during Eye Movement Desensitization and Reprocessing (EMDR) as resulting from the reversal of reciprocal suppression of cognitive processing in the anterior cingulate cortex (ACC). Dual-attention and error monitoring are known to activate dorsal regions of the ACC that mediate metacognitive processing. Neuroimaging research has produced evidence that cognitive areas in the upper ACC may reciprocally suppress affective processing in the lower areas and vice versa. It is therefore proposed that the original eye-to-finger tracking task of EMDR may achieve its therapeutic effect by using error monitoring to reverse suppression of the upper ACC by the lower ACC. Contributions to EMDR effectiveness from resource installation and novelty-driven orienting reflexes may also influence ACC functioning. A distraction effect is proposed to be a negative and potentially disruptive by-product of very interactive stimulation tasks. A semantic priming procedure is suggested to limit distraction effects during more interactive forms of stimulation. [Author Abstract]

Keywords: Anterior Cingulate  Cognitive Processes  Neurotransmitters  Reciprocal Suppression  Semantic Priming  

13. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp.

Language: English

Format: Book Section

Abstract:
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing Model  AIP  Bowen Theory  Chronic Relationship Dysfunction  Cognitive Processes  Family Systems Theory  Interpersonal Relationships  Models  

14. Krystal, S. (2003). A nondual approach to EMDR: Psychotherapy as satsang. In J. J. Prendergast, P. Fenner, & S. Krystal (Eds.), The sacred mirror: Nondual wisdom and psychotherapy, (1st ed.) (pp. 116-137). St. Paul, MN: Paragon House Publishers.

Language: English

Format: Book Section

Abstract:
Tibetan Buddhist Dzogchen, Hindu Advaita, Taoism, Kabbalism, and mystical Christianity all suggest that the fulfillment of human potential and the liberation from suffering happen when attention rests peacefully in its source, prior to thought. These traditional spiritual disciplines inform a nondual approach to psychotherapy that views form as a natural and temporary expression of a unified, omnipresent, nonlocatable, and pregnant emptiness. In time all forms--everything and everyone--dissolve back into this emptiness which is present now. Once clients begin to appreciate that they are actually not their distracting thoughts, emotions, or bodily sensations, but rather a dispassionate, observing Presence, a process of disidentification begins and peace of mind unfolds naturally. Clients learn that they have within a natural predisposition toward health and wholeness. Freedom from psychological suffering is often immediately available when clients know how to look or how to just be. Clients learn that simply being fully present now in a timeless moment of silence can reveal what is already and always free. This philosophy informs the EMDR therapeutic approach. This chapter explains the EMDR model, illustrating its use with a case study. EMDR is an integrative psychotherapeutic appproach first discovered and developed by Dr. Francine Shapiro (2001) in 1987, which is guided by an information processing model that has numerous protocols and procedures including the administration of bilateral stimulation to the client. The procedure was originally used to treat trauma, but it has now developed into a comprehensive approach used widely to ameliorate a variety of psychological symptoms and disorders including anxiety and depression, phobia, addiction and substance abuse, among others. In fact, EMDR is now used to target experiential contributors of all clinical complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Being Fully Present Now  Clinical Case Study  Cognitive Processes  Emptiness  Information Processing Model  Integrative Psychotherapeutic Approach  Models  Nondual Approach  Psychotherapeutic Processes  Psychotherapy  

15. Lamprecht, F., Kohnke, C., Lempa, W., Sack, M., Matzke, M., & Munte, T. F. (2004, June). Event-related potentials and EMDR treatment of post-traumatic stress disorder. Neuroscience Research, 49(2), 267-272. doi:10.1016/j.neures.2004.02.013.

Language: English

Format: Journal

Abstract:
10 patients suffering from PTSD following a severe traumatic event, were assessed with event-related brain potentials (ERPs) in a modified oddball paradigm containing auditory standard, target, and novel tones. ERPs were assessed before and after a treatment session using the eye movement desensitization and reprocessing method. Compared to a control group that underwent sham treatment, ERPs of the patients showed a reduction of the P3a component in the post-treatment recording, suggesting a reduced orienting to novel stimuli and reduced arousal level after the treatment. Moreover, psychometric assessment revealed a marked improvement of the PTSD symptoms after treatment. [Author Abstract]

Keywords: Brain Imaging Adults  Cognitive Processes  Empirical Study  Germans  Longitudinal Study  Posttraumatic Stress Disorder  Psychophysiology  PTSD  Quantitative Study  Stressors  Survivors  Treatment Effectiveness  

16. Lee, C. W., Taylor, G., & Drummond, P. D. (2006, March-April). The active ingredient in EMDR: Is it traditional exposure or dual focus of attention?. Clinical Psychology and Psychotherapy, 13(2), 97-107. doi:10.1002/cpp.479.

Language: English

Format: Journal

Abstract:
Very little is known about the mechanisms that underlie the therapeutic effectiveness of eye movement desensitization and reprocessing (EMDR). This study tested whether the content of participants' responses during EMDR is similar to that thought to be effective for traditional exposure treatments (reliving), or is more consistent with distancing, which would be expected given Shapiro's proposal of dual process of attention. The responses made by 44 participants with PTSD were examined during their first EMDR treatment session. An independent rater coded these responses according to whether they were consistent with reliving, distancing, or focusing on material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement on a measure of PTSD symptoms occurred when the participant processed the trauma in a more detached manner. Cross-lagged panel correlations suggest that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that covaried with improvement. [Author Abstract]

Keywords: Adults  Attention  Australians  Cognitive Processes  Empirical Study  Mechanism of Action  Posttraumatic Stress Disorder  PSTD  Quantitative Study  Stressors  Survivors  Treatment Effectiveness  

17. Lipke, H. (1996 June). A four activity model of psychotherapy and its relationship to eye movement desensitization and reprocessing and other methods of psychotherapy. Traumatology, 2(2), 1-8. doi:10.1177/153476569600200201 .

Language: English

Format: Journal

Abstract:
This paper presents a general, information processing, model of psychotherapy based on Shapiro's EMDR, that includes both recently developed and traditional psychotherapy methods. It is posited that methods of psychotherapy can be conceptualized as employing up to four categories of activity to promote adaptive functioning. These activities include: (1) accessing of information already acquired; (2) introduction of new information; (3) facilitation of the processing of information; (4) inhibition of accessing. The third category, facilitation of processing, includes abstract activity, and represents a relatively new development in psychotherapy. [Author Abstract]

Keywords: Cognitive Processes  Psychotherapeutic Processes  

18. Manon, M. (2007). EMDR Treatment of family abuse: Eye movement to "I" movement. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 95-110). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing Model  Child Abuse  Cognitive Processes  Early Memories  Family Abuse  Family Systems Perspective  Memories  

19. Rosen, G. (1997, September). Welch's comments on Shapiro's walk in the woods and the origin of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 28(3), 247-249 doi:10.1016/S0005-7916(97)00013-X.

Language: English

Format: Journal

Abstract:
Welch's (Journal of Behavior Therapy and Experimental Psychiatry, 27, 175-179, 1996) response to Rosen's (Journal of Behavior Therapy and Experimental Psychiatry, 26, 121-122, 1995) limited study on the origin of eye movement desensitization and reprocessing (EMDR) does not resolve how best to interpret what Shapiro experienced during her reported walk in the woods. References cited by Welch actually argue against the conclusions he advances. [Author Summary]

Keywords: Cognitive Processes  Comment  Effects  Etiology  Professional Criticism Reply  Stressors  Survivors  Treatment Effectiveness  

20. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.

Language: English

Format: Journal

Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]

Keywords: Adaptive Information Processing Model  AIP  Cognitive Processes  Crisis Intervention  Early EMDR Intervention  Emergency Room Patients  Israel-Hezbollah War  Israelis  Prevention of PTSD  Psychotherapeutic Processes  PTSD  Recent Events  Survivors  

21. Shapiro, F. (2002, January). EMDR 12 years after its introduction:  Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]

Keywords: Cognitive Processes  Literature Review  Posttraumtic Stress Disorder  PTSD  Research Needs  

22. Shapiro, F. (2004, September). Adaptive information processing:  EMDR clinical applications and case conceptualizations. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
EMDR is guided by the Adaptive Information Procesing paradigm, which differentiates it from other forms of psychotherapy. The implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions from participants will be used to explore potential clinical applications, and to hone case conceptualization skills.

Keywords: Adaptive Information Processing Model  Adolescents  AIP  Females  Memories  Cognitive Processes  Family Systems Therapy  Integrative Psychotherapy  Psychotherapeutic Processes  Self Concept  

23. Shapiro, F. (2003, September). Adaptive information processing and case conceptualization. Plenary presented at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The model was formulated to describe clinical phenomena observed in EMDR, successfully predict treatment effects, and guide clinical practice. These principles, along with EMDR protocols, and procedures will be used to evaluate various trends in EMDR clinical practice. Clinical cases and questions collected from particlpants will be used to illustrate the ways in which EMDR can be applied.

Keywords: Adaptive Information Processing Model  Adolescents  Cognitive Processes  AIP  Cognitive Processes  Family Systems Therapy  Females  Integrative Psychotherapy  Memories  Plenary  Psychotherapeutic Processes  Self Concept  

24. Shapiro, F. (2005, June). Adaptive information processing and case conceptualization. Keynote presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The model was formulated to describe clinical phenomena observed in EMDR, successfully predict treatment effects, and guide clinical practice. These principles, along with EMDR protocols and procedures will be used to discuss a wide range of clinical applications, ranging from acute through chronic and complex conditions.

Keywords: Adaptive Information Processing Model  Adolescents  AIP  Cognitive Processes  Family Systems Therapy  Females  Integrative Psychotherapy  Keynote  Memories  Psychotherapeutic Processes  Self Concept  

25. Shapiro, F. (2001). Trauma and adaptive information-processing: EMDR's dynamic and behavioral interface. In M. F. Solomon; R. J. Neborsky, L. McCullough, M. Alpert, F. Shapiro, & D. Malan (Eds.), Short-term therapy for long-term change (pp. 112-129). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
This chapter reviews some of the pertinent elements of the model we use to guide EMDR practice and a variety of its clinical applications. Since the first application of EMDR was the treatment of PTSD, we'll begin there. The International Society For Traumatic Stress Studies has accepted EMDR as a standard and effective treatment, which has been validated in comprehensive meta-analyses of all PTSD treatments. [Text, p. 113]

Keywords: Cognitive Processes  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  

26. Shapiro, F. (2005, December). EMDR and adaptive information processing: Clinical applications and case conceptualization. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA.

Language: English

Format: Conference

Abstract: EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions from participants will be used to explore potential clinical applications.

Keywords: Adaptive Information Processing Model  Adolescents  AIP  Cognitive Processes  Family Systems Therapy  Females  Integrative Psychotherapy  Memories  Psychotherapeutic Processes  Self Concept  Video  

27. Shapiro, F. (2007). EMDR and case conceptualization from an adaptive information processing perspective. In F. Shapiro, F. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 3–36). New York: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
In its 20-year history, Eye Movement Desensitization and Reprocessing (EMDR) has evolved from a simple technique into an integrative psychotherapy approach with a theoretical model that emphasizes the brain's information processing system and memories of disturbing experiences as the basis of pathology. The eight-phase treatment comprehensively addresses the experiences that contribute to clinical conditions and those that are needed to bring the client to a robust state of psychological health. The concept of the transformation of the stored experience through a rapid learning process is the key to understanding the basis and application of EMDR and its guiding Adaptive Information Processing model (Shapiro, 1995, 2001, 2002). The purpose of this chapter is to provide an overview of both theory and practice. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing Model  AIP  Brain  Cognitive Processes  Integrative Psychotherapy  Memories  Memory  Models  Pathology  Psychotherapeutic Techniques  Psychotherapy Approach  Stored Experience  

28. Shapiro, F., & Maxfield, L. (2003). EMDR and information processing in psychotherapy treatment:  Personal development and global implications. In M. F. Solomon & D. J. Siegel (Eds.),  Healing trauma: Attachment, mind, body, and brain (pp. 196-220). New York:  W. W. Norton.

Language: English

Format: Book Section

Abstract:
EMDR: A peculiar technique. It may give one an idea of hocus-pocus: the eliciting of the eye-movement. But it isn’t! And how it originated also is a peculiar story, but this I suppose is well known. It was a nice case of serendipity. The adaptive information processing (AIP) model was developed to explain and predict EMDR treatment effects. We read: The AIP model states that all memory is associated, and learning occurs through the creation of new associations. When an incident is not fully processed, the perceptions, thoughts, and emotions that were experienced during the traumatic event are generally stored in state-dependent form. This storage may be in an isolated memory network where the information cannot link up with more appropriate information and learning cannot take place. And, to jump to a conclusion, what EMDR does is linking, forging new connections between the unprocessed memory and more adaptive information that is contained in other memory networks, while the simultaneous eye-movement decreases the intense and painful emotions that are recalled. Again: creating the narrative, cognitively and emotionally. EMDR, provided it is well indicated and correctly applied, seems to be a very useful technique, a real tool, without pretension. It provides what it offers if… the results last (do they?). The case studies described in this chapter are convincing, one of them with a 5 year old child with a D attachment pattern (disorganized/disoriented attachment pattern, see also chapter 2). Both mother and child treated with EMDR. What happens in the brain when we move our eyes from left to right to left while recalling a traumatic incident is not explained. In chapters 6-8 we can read about the psychotherapy of traumatized people.

Keywords: Cognitive Processes  Psychotherapeutic Processes  Stressors  Survivors  

29. Shapiro, F., & Maxfield, L. (2002, August). Eye movement desensitization and reprocessing (EMDR): Information processing in the treatment of trauma. Journal of Clinical Psychology, 58(8), 933-946. doi:10.1002/jclp.10068.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an efficacious and efficient treatment for PTSD. This article provides a brief overview of the findings of 20 controlled-outcome studies and describes Shapiro's Adaptive Information Processing model. This model posits that pathology results when distressing experiences are processed inadequately and hypothesizes that EMDR accelerates information processing, resulting in the adaptive resolution of traumatic memories. A detailed description of the eight phases of treatment highlights the procedures, assumptions, and clinical observations that currently guide EMDR clinical practice. A case study, with an in-session transcript, illustrates the application of EMDR to address the past events that have laid the groundwork for dysfunction, the present circumstances that elicit distress, and skills acquisition needed for adaptive functioning (Pilots).

Keywords: Clinical Case Study  Cognitive Processes  Empirical Study  Information Processing  Literature Review  Posttraumatic Stress Disorder  PTSD  Psychotherapeutic Processes  Treatment Process  

30. Siegel, D. J. (2002). The developing mind and the resolution of trauma: Some ideas about information processing and an interpersonal neurobiology of psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 85-121). Washington: American Psychological Association.

Language: English

Format: Book Section

Abstract:
This chapter provides an overview of an interdisciplinary approach to understanding the nature of the developing mind and how the unresolved effects of trauma may be resolved within psychotherapy. Following is a brief background of my introduction to eye movement desensitization and reprocessing (EMDR) and Francine Shapiro, the founder and a leading pioneer in the field of EMDR.My work comes from an interdisciplinary approach that combines numerous independent fields, including attachment theory and research, cognitive neuroscience, complexity theory, developmental psychology and psychopathology, genetics, psycholinguistics, and the study of trauma. By weaving the findings from these varied disciplines together with clinical work as a child psychiatrist, I developed a conceptual framework that was published as a book, "The Developing Mind: Toward a Neurobiology of Interpersonal Experience" (1999). This chapter offers a brief overview of this work and highlights ways in which this interpersonal neurobiology approach may help in understanding some possible mechanisms underlying trauma and its resolution. [Text, pp. 85, 86]

Keywords: Adults  Cognitive Processes  Neurobiology  Psychotherapeutic Processes  Stressors  Survivors  

31. Steele, S. L. (2003). Healing trauma:  Creating a theoretical structure for nonverbal and expressive therapies in the treatment of trauma. Chicago School of Professional Psychology, Chicago, IL. AAT 3093612.

Language: English

Format: Dissertation/Thesis

Abstract:
Expressive and nonverbal therapies are increasingly being used in the treatment of trauma. This paper provides a theoretical structure that explains the mechanisms of therapeutic action so that empirical investigations can be conducted to determine the effectiveness of these modalities. Trauma, PTSD, memory, dissociation, alexithymia, and somatization are discussed. Donnel B. Stern's conceptualization of unformulated experience and David Kreuger's discussion of the body self and psychological self are explored and integrated with the neuropsychological research of Bessel A. van der Kolk and others. Finally, these concepts and research findings are integrated with expressive and nonverbal treatment approaches, including Eye Movement Desensitization and Reprocessing, Somatic Experiencing, Sensorimotor Psychotherapy, and Dance/Movement and Voice Movement therapies. [Author Abstract]

Keywords: Alexithymia  Body Psychotherapy  Cognitive Processes  Dance Therapy  Dissociative Disorders  Expressive Psychotherapy  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Stressors  Somatic Symptoms  

32. Stickgold, R. (2002, January). EMDR:  A putative neurobiological mechanism of action. Journal of Clinical Psychology, 58(1), 61-75. doi:10.1002/jclp.1129.

Language: English

Format: Journal

Abstract:
Numerous studies have provided evidence for the efficacy of eye movement desensitization and reprocessing therapy (EMDR) in the treatment of PTSD, including recent studies showing it to be more efficient than therapist-directed flooding. But few theoretical explanations of how EMDR might work have been offered. Shapiro, in her original description of EMDR, proposed that its directed eye movements mimic the saccades of rapid eye movement sleep (REM), but provided no clear explanation of how such mimicry might lead to clinical improvment. We now revisit her original proposal and present a complete model for how EMDR could lead to specific improvement in PTSD and related conditions. We propose that the repetitive redirecting of attention in EMDR induces a neurobiological state, similar to that of REM sleep, which is optimally configured to support the cortical integration of traumatic memories into general semantic networks. We suggest that this integration can then lead to a reduction in the strength of hippocampally mediated episodic memories of the traumatic event as well as the memories' associated, amygdala-dependent, negative affect. Experimental data in support of this model are reviewed and possible tests of the model are suggested. [Author Abstract]

Keywords: Cognitive Processes  Mechanism of Action  Neurobiology  Posttraumatic Stress Disorder  Psychophysiology  PTSD  Review  Sleep Behavior  Treatment Effectiveness  

33. van den Hout, M., Muris, P., Salemink, E., & Kindt, M. (2001). Autobiographical memories become less vivid and emotional after eye movements. British Journal of Clinical Psychology, 40(2), 121-130. doi:10.1348/014466501163535.

Language: English

Format: Journal

Abstract:
Objectives: To test (1) whether eye movements during retrieval of emotional memories are followed by less vividness and less emotionality of future recollections, (2) whether this effect, if present, is stronger than the effects of a control activity (finger tapping), (3) whether the alleged effects of tapping and eye movements are stronger than a no-movement, control condition (mere imagery), (4) whether reductions in vividness and emotionality after eye movements (and finger tapping) are specific to negative memories or also occur in the case of positive memories. Method: 60 healthy volunteers recalled either positive or negative memories and scored the vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing rapid eye movements, finger tapping, or not performing a dual task. Then participants were asked to recall the event again and to rate its vividness and emotionality. Results: Compared to finger tapping and the no-dual-task condition, recollections after eye movements made future recollections less vivid. After eye movements, but not after the other interventions, negative memories became less negative, and positive memories became less positive. Conclusion: The findings show that eye movements not only reduce vividness and emotionality of memories during the eye moving, but also affect future recollections, during which no eye movements are made. Some theoretical explanations are discussed. As to clinical implications, it is suggested that if there is a role for eye-movement-based treatments, it is very limited. [Author Abstract]

Keywords: Adolescents  Cognitive Processes  College Students  Dutch  Exposure Therapy  Memory Impairment  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  Young Adults  

34. van der Kolk, B. A. (2002). Beyond the talking cure: Somatic experience and subcortical imprints in the treatment of trauma. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 57-83). Washington, DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
Subcortical nature of traumatic memories (Freud and trauma; the processing of experience); Trauma and physical sensations (the neurobiology of trauma; the tyranny of language); Clinical dilemmas for therapists of patients who have been traumatized (the therapeutic challenge; top-down versus bottom-up emotional processing); Learning about EMDR; Further experiences with EMDR; Integrative capacity of EMDR: transcript of one session; EMDR and the transformation of experience; What does EMDR do? [Pilots]

Keywords: Adults  Cognitive Processes  Posttraumatic Stress Disorder  Psychotherapeutic Processes  Stressors  Survivors  

35. Ventura, M. (2006). La desensibilización y el reprocesamiento por medio de movimientos oculares [EMDR] en el tratamiento del trauma emocional [Eye movement desensitization and reprocessing EMDR for the treatment of emotional trauma]. Psicología Conductual Revista Internacional de Psicología Clínica de la Salud, 14(3), 387-400.

Language: Spanish

Format: Newsletter

Abstract:
Eye Movement desensibilización y reprocesamiento [EMDR] fue desarrollado originalmente para el tratamiento de recuerdos traumáticos. Este procedimiento incluye la exposición imaginación, el reprocesamiento cognitivo y estimulación bilateral inicialmente decidió considerando inducida por los movimientos oculares. El procedimiento consta de ocho fases, en busca de la desensibilización del impacto emocional y cognitivo de reprocesamiento de recuerdos y pensamientos inquietantes desarrollado tras un traumatismo. Aunque hay muchos estudios que apoyan su eficacia, se conoce muy poco sobre los mecanismos subyacentes. EMDR es una de las técnicas reconocidas por la American Psychological Association [APA] como eficaz para el tratamiento del trastorno por estrés postraumático [TEPT] y algunos estudios han demostrado su eficacia en el tratamiento de otros problemas de salud mental. (Registro de bases de datos PsycINFO (c) 2008 APA, todos los derechos reservados)

Eye Movement Desensitization and Reprocessing [EMDR] was originally developed to treat traumatic memories. This procedure includes imagination exposure, cognitive reprocessing and bilateral stimulation initially decided by considering induced eye movements. The procedure consists of eight phases, looking for desensitization of the emotional impact and cognitive reprocessing of disturbing memories and thoughts developed after trauma. Although there are many studies supporting its effectiveness, very little is known about the underlying mechanisms. EMDR is one of the techniques recognized by the American Psychological Association [APA] as effective for treating posttraumatic stress disorder [PTSD] and some studies have proved its effectiveness in the treatment of other mental health problems. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Bilateral Stimulation  Cognitive Processes  Cognitive Reprocessing  Emotional Trauma  Eye Movements  Posttraumatic Stress Disorder  PTSD  Trauma  Traumatic Memories  

36. Wesselmann, D. (2007). Treating attachment Issues through EMDR and a family systems approach. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.113-130). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
The difficult behaviors exhibited by children who meet the criteria for a diagnosis of Reactive Attachment Disorder (American Psychiatric Association, 1994) can be challenging to both parents and professionals. Utilizing the point of view of three models--attachment, Adaptive Information Processing, and family systems--can enhance the clinician's understanding of attachment-related symptoms. Although the models hold shared views, each brings an additional piece of the puzzle to case conceptualization and treatment planning. Family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR) therapy are different but complementary approaches to improving attachment relationships. Some general treatment strategies combining a family systems approach with an EMDR approach that are helpful in working with families affected by disturbed parent-child attachments are presented here. Case examples and a concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing  AIP  Attachment  Attachment Disorders  Cognitive Processes  Family Systems Approach  Family Systems Theory  Family Therapy  RAD  Reactive Attachment Disorder  Treatment Strategies  

37. Yule, W. (1999) . Post-traumatic stress disorders: Concepts and therapy. Chichester, England: John Wiley and Sons.

Language: English

Format: Book

Abstract:
This book, written by contributors from the Institute of Psychiatry in London, represents the fruits of ten years of working with survivors of accidents and disasters. It contains a coherent approach to the psychology underpinning their stress reactions, and places these disorders within a broad social psychological perspective. It applies many of the latest insights from experimental cognitive psychology to the experiences of the survivors. [Adapted from Preface]

Keywords: PTSD  Treatment  Adults  Children  Survivors  Adolescents  Coping Behavior  Social Support Networks  Personality Traits  Psychobiology  Intrusive Thoughts  Cognitive Processes  Cognitive Therapy  Behavior Therapy  Research Needs  Epidemiology  Etiology  

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

Language: English

Format: Journal

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

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