Francine Shapiro Library: EMDR Bibliography

 Your Results - you searched for the keyword Complex Posttraumatic Stress Disorder 74 Results    

1. あなたの白川、あずさ清水、智久Gojyo＆アル [Shirakawa Miyako, Shimizu Azusa, Gojyo Tomohisa et al]. (2008年6月). EMDRと自我状態療法［重度の解離を伴う複雑性PTSD（DESNOS）症例への適用 [Application of EMDR and ego state therapy to complex PTSD associating with severe dissociation (DESNOS) cases]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 253-261].

Language: Japanese

Format: Journal

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociation  Ego State Therapy  

2. Bergmann, U. (2003, September). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Denver, CO. ;.

Language: English

Format: Conference

Abstract:
This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects, with an emphasis on cerebellar mechanisms, and their direct relations to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porge's work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.

Keywords: Alan Schore  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Neurobiology  Dissociation  

3. Bergmann, U. (2002, June). The neurobiology of EMDR: Recent insights and their contribution to the treatment of complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This presentation will explore the formation and consolidation of emotions and memory, various possible neural mechanisms of EMDR's treatment effects; with an emphasis on cerebellar mechanisms, and their direct relation to information processing and frontal lobe activation. Recent knowledge regarding Allan Schore's work on the orbitofrontal cortex and Steven Porges' work on the brainstem will be explored; with a major emphasis given to their implication for improved techniques to facilitate EMDR processing.

Keywords: Allan Schore  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociation  Neurobiology  Steven Porge  

4. Bergmann, U. (2010, Octubre/Noviembre). TEPT agudo, crónico y complejo: Exploración de su neuroendocrinología y relación a los desordenes médicos del origen desconocido [Acute PTSD, chronic and complex: Exploration of neuroendocrine and relationship to disorders unknown medical]. Conferència magistral presentada II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: English

Format: Conference

Keywords: Acute Posttraumatic Stress Disorder  Acute PTSD  Chronic Posttraumatic Stress Disorder  Chronic PTSD  Complex Posttraumatic Stress Disorder  Complex PTSD  Posttraumatic Stress Disorder  PTSD  

5. Bergmann, U. (2011, August). Acute, chronic and complex PTSD: Exploring their neuroendocrinology and relationship to medically unexplained symptoms. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
What exactly happens on a neuroendocrine level in acute, chronic and complex PTSD? Is there a relationship between this unusual neuroendocrine profile and a number of medical disorders of unknown origin which, often, do not respond to traditional symptomatic medical treatment? This seminar will review and examine the results of extensive neuroendocrine research relative to these trauma-induced disorders. The data from these research bases will be integrated with neuroendocrine research findings regarding autoimmune compromises associated with chronic trauma. Anomalous conditions, such as Fibromyalgia, Chronic Fatigue Syndrome, Reflex Sympathetic Dystrophy (RSD), Systemic Lupus Erythematosis, Hashimoto’s Thyroiditis, Sjogren’s Syndrome, and Rheumatoid Arthritis will be examined. This presentation will illustrate the neuroendocrine and causal relationship between the various forms of PTSD and these medical disorders. Accordingly, the implications for treatment will be examined.

Keywords: Acute PTSD  Chronic PTSD  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Medically-Unexplained Sysmptoms  Neuroendocrinology  

6. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering. The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource. The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique Learning objectives: To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases. To recognise the indications in which it provides added value to the classical protocol. To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases. The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.

Keywords: Drawing Integration  Organic Disease  Complex Posttraumatic Stress Disorder  Complex-PTSD  C-PTSD  

7. Broeke, E., Oppenheim, H.-J., & de Jongh, A. (2009). EMDR en de behandeling van complexe PTSS [EMDR and the treatment of complex PTSD]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 139-175). Amsterdam: Pearson.

Language: Dutch

Format: Book Section

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

8. Busuttil, W. (2009, August). Complex post-traumatic stress disorder: A useful diagnostic framework?. Psychiatry, 8(8), 310-314. doi:10.1016/j.mppsy.2009.04.014.

Language: English

Format: Journal

Abstract:
The Diagnostic and Statistical Manual and the International Statistical Classification of Diseases do not distinguish clearly between the clinical presentations resulting from exposure to single as opposed to multiple trauma. The developmental age of the victim is similarly not emphasized in symptom development and clinical presentation. Developmental trauma disorder and complex post-traumatic stress disorder (PTSD) are emerging as useful diagnostic frameworks in children and adults. This article reviews the literature and highlights conceptual evolution and differences from simple PTSD, as well as discussing differential diagnoses and clinical management.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

9. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.

Keywords: Adolescents  Children  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociative Disorders  

10. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.

Keywords: Complex Posttraumatic Stress DIsorder  Complex PTSD  C-PTSD  Dissociation  

11. Dworkin, M. (2008, June). Using the therapeutic relationship in EMDR with patients with complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
Now that the therapeutic relationship is firmly part of EMDR, it is time to show its uses with difficult populations. Skilful emphasis on empathic attunement beginning in the history taking phase with emphasis on using the Procedural Steps Outline diagnostically, and Light stream as an affect management tool, starting in the first session will be shown to be of use specifically with this population. This population needs special attention regarding alterations in affect regulation, self perception, consciousness and attention, somatisation, trust, and identity. In the preparation phase participants will learn various relational strategies to accomplish these tasks. They will also learn to use the relationship as an additional resource for containment with appropriate boundaries. Relational concepts such as “Implicit Relational Knowing”, “Moments of Meeting”, and “Dyadic Expansion of Consciousness” will be taught to expand methods of stabilization for preparation, and for active trauma work. Modifications of active trauma work using active resourcing; titrating or dosing; treating transference and counter transference phenomenon will all be demonstrated to enhance EMDR work with complex PTSD and Dissociation. Dworkin's Trauma Case Conceptualization Questionnaire and his Clinician Self Awareness Questionnaire will be taught and used to

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Therapeutic Relationship  

12. Ferrie, R. K. (2006, September). Transforming imagery in the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Many trauma therapies, including EMDR, rely on the transformation of traumatic imagery to images of self-empowerment and safety, either spontaneously or by design. When traumatic memories resolve by transformation, many of the same areas of the brain are involved, as in the original perception: the brain revisits the scene and has a second chance to "see" it a different way i.e. to reprocess the memory. This workshop will begin by examining the neuroscience supporting this hypothesis. Fortunately, not only is mental imagery central to trauma therapy, facility with mental imagery is a set of skills, which can be learned by clients. Participants will be introduced to a method of teaching mental imagery skills as part of no overall resource development protocol the presenter has used in a single-case design study of Complex PTSD. This study examines the correlation between the client's degeee of facility with mental imagery and subsequent recovery from the symptoms of Complex PTSD. The method and results of this study will be presented. Client material will be used to illustrate these techniques and their application to EMDR therapy. Participants will be able to critique this study as well, and in the process, will learn how to apply the single case design paradigm to their own practices.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Mental Imagery  

13. Forgash, C. (2007, September). The negative impact of complex PTSD on health: an EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
EMDR and Ego State integrated treatment provides a clinical model for dealing with health problems in complex trauma survivors. Health problems are made more complex by the presence of dissociative disorders and PTSD symptoms in adult survivors. This presentation will focus on the treatment of these disorders. EMDR and Ego State techniques will be utilized to help the CTS patient: a) manage triggers and avoid re-traumatization, hyperarousal and numbing; desensitize and reprocess traumatic events; b) become assertive health consumers and deal with medical/dental procedures and tests; c) learn skills such as rehearsal, identifying problems, planning visits, etc.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Ego State Therapy  Integrated Treatment  Phased Treatment Plan  

14. Forgash, C. (2009, June). The treatment of health problems of complex PTSD clients: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Ego State Therapy  Health Problems  

15. Forgash, C. (2008, June). The negative impact of complex PTSD on health: An EMDR/ego state treatment plan. Presentation at the annual meeting of the EMDR International Association, London, England.

Language: English

Format: Conference

Abstract:
In this workshop, EMDR and Ego state integrated treatment will be presented as a clinical model for dealing with current life and health problems which the presence of dissociation and PTSD exacerbates for complex trauma survivors (CTS). There are intertwined problems that are made more complex by the presence of dissociative disorders in adult CTS. First: there are negative sequelae of childhood abuse on the physical and mental health of adult CTS. Second, there are specific health problems predominant in this population which often are untreated, misdiagnosed and ignored by physicians and EMDR therapists. Third: CTS have difficulties addressing their health needs, accessing health care, and functioning effectively as health care consumers. Preventative care and good health care may be minimal for this population. This presentation will focus on the development of an EMDR treatment plan to successfully work with dissociative and PTSD disorders prevalent in these patients. Specialized Ego State techniques will be introduced in each phase of EMDR treatment to help the patient stabilize: manage triggers and avoid re-traumatization in the health care setting; effectively deal with avoidance, freeze, hyperarousal and numbing; desensitize and reprocess earlier traumatic events which are at the root of these problems, (these may include iatrogenic events and specific physical problems seemingly related to current health problems, which actually result from early trauma); and become assertive health consumers. Skills development needed by the CTS to become empowered and competent health consumers, such as rehearsal, identifying problems, planning visits etc will also be included in the plan. [This slide presentation has a two page "References" bibliograhy issued separately.(PDF 6065)]

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Ego State Therapy  

16. Forgash, C. (2006, April). EMDR treatment with PTSD and complex PTSD: Clinical and practical guide. Presentation at the annual meeting of Japan EMDR Association, Kyoto, Japan.

Language: English

Format: Conference

Keywords: Guidelines  C-PTSD  Complex Posttraumatic Stress Disorder  Complex PSTD  Posttraumatic Stress Disorder  PTSD  

17. Forgash, C. (2012, October). The impact of complex PTSD and attachment issues on personal health: An EMDR treatment approach. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
EMDR treatment will be presented as a successful model for dealing with the attachment deficits and health problems of trauma survivors. The development of an EMDR Treatment Plan to treat both health and attachment problems with a focus on a Health History and specific target selection is highlighted. Specialized techniques will be utilized in phases 1-3 to help the patient experience self soothing, develop emotional regulation, and to avoid re-traumatization in the health care setting. Phases 4-7 will emphasize specific work on past attachment ruptures as well as specific health issues. Skills development such as rehearsal will also be presented.

Keywords: Attachment Issues  Complex Posttraumatic Stress Disorder  Complex-PTSD  C-PSTD  Personal Health  

18. Forgash, C. A. (2004, Summer). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forgash proposes that ego state conceptualizations provide a constructive, efficient, and accessible means for therapist and client to work through these complexities.

Keywords: Complex PTSD  Ego State Therapy  

19. Forgash, C. A. (2004, June). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.

Language: English

Format: Conference

Abstract:
In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forgash proposes that ego state conceptualizations provide a constructive, eficient, and accessible means for therapist and client to work through these complexities.

Keywords: C-PSTD  Complex Postraumatic Stress Disorder  Complex PTSD  Ego State Therapy  

20. Forgash, C., & Knipe J. (2012). Integrating EMDR and ego state treatment for clients with trauma disorders. Journal of EMDR Practice and Research, 6(3), 120-128. doi:10.1891/1933-3196.6.3.120.

Language: English

Format: Journal

Abstract:
This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1-59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.

Keywords: C-PTSD  Complex Posttraumatic Stress Disorder  Complex PTSD  Dissociative Disorders  Ego State Therapy  

21. Gelinas, D. (2006, September). Treating complex PTSD with EMDR. Presentation at the annual EMDR International Association Conference, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Research has demonstrated that EMDR is efficacious in treating PTSD. Many clinicians however treat clients with more complicated forms of PTSD resulting from early, repeated trauma experiences. This workshop will provide a framework for beating complex PTSD using EMDR. It will first summarize the clinical picture of complex PTSD, including it's bi-phasic numbing/constricting interspersed with repetitive intrusions, chronic physiological hyperarousal, distortions of the self, and the presence of dissociation, which includes for some clients, the presence of ego states. This information will be used to demonstrate EMDR Case Conceptualizations and several approaches to target selection, depending upon the characteristics of the clinical situation. The workshop will provide a number of EMDR methods for stabilizing clients early in treatment then will focus on Assessment and Desensitization. Complex PTSD frequently calls for extensive use of cognitive interweaves because of the significant distortions in sense of self, and so their use will be reviewed. As they emerge in the different phases of EMDR, different types of dissociation present the clinician with choice points about how to proceed. The workshop will provide sevcral ways to recognize the emergence of dissociation during each of the 8 phases of EMDR and the choice points this represents. It will discuss several ways to manage dissociation as it emerges, including ego states, so that EMDR can proceed productively. Present triggers and future considerations will be included. Time will be included for questions and for focused discussion.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Posttraumatic Stress Disorder  PTSD  

22. Gelinas, D. (2008, September). Treating complex PTSD using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD and the added features of CPTSD, including dissociation, somatization, and affect dysregulation, then use this information to demonstrate EMDR case conceptualization, targeting strategies, and some cognitive interweaves that are particularly helpful for individuals with histories of childhood repetitive trauma. The workshop will also describe how to recognize and work with dissociation, including ego states, during the EMDR phases, so that the EMDR can proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

23. Gelinas, D. (2007, September). Treating complex PTSD using EMDR. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD using EMDR. It will first review the relevant characteristics of complex PTSD and then use this information to demonstrate EMDR case conceptualization, targeting strategies, trajectories of desensitization and will provide some cognitive interweaves that are particularly helpful for individuals with histories of repetitive trauma. The workshop will also describe how to recognize dissociation during the EMDR phases, including ego states, should they be present, and how to manage dissociation so that EMDR may proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

24. Gelinas, D. (2009, August). Using EMDR to treat complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD, the three added features characteristic of CPTSD, then demonstrate EMDR case conceptualization and targeting strategies for both adult- and childhood-onset chronic traumatization. The workshop will review new material in the theory of structural dissociation, describe how to recognize when dissociation (including ego-states) is interfering, disrupting, or even precluding EMDR in its different phases, and will provide a number of interventions to manage such dissociation, including working with dissociative ego-states, so that the EMDR can proceed productively.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociation  

25. Gelinas, D. (2009). Protocol for releasing stuck negative cognitions in childhood-onset complex post-traumatic stress disorder (C-PTSD). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 427-446). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  Negative Cognition  Protocol  Stuckness  

26. Gerge, A. (2009, June). EMDR and clinical hypnosis for enhanced healing of patients with complex PTSD and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  DID  Dissociative Identity Disorder  Hypnosis  

27. Groenendijk, M. & Hoven, M. (2006, November). EMDR en PMT bij de behandeling van complexe PTSS [EMDR and PMT in the treatment of complex PTSD]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Tijdens deze workshop zal een uitgebreide videopresentatie over een EMDR-behandeling bij complexe PTSS. Bijzonder is dat de EMDR wordt uitgevoerd in een klinische setting met de psychomotore therapeut als co-therapeut. Mariëtte Groenendijk en Marieke van de Hoven zullen ingaan op hun ervaringen met ernstig getraumatiseerde patiënten en de 'beren op de weg' die daarbij kunnen optreden zoals dissociatie, uitvalsverschijnselen en herbelevingen.

During this workshop will provide a comprehensive video presentation on an EMDR treatment for complex PTSD. Particularly is that EMDR is conducted in a clinical setting with the psychomotor therapist as co-therapist. Mariette Groenendijk and Marieke of the Courts will discuss their experiences with severe traumatized patients and the "pitfalls" that might occur as dissociation, reliving and failure phenomena.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

28. Hofmann, A. (2005, June). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et 01.1 and the new research on structural dissociation (Nijenhuis et al.) helps to understand these patients better, their treatment course is often complicated. In the treatment of these patients EMDR can be one of the key treatments approaches in a therapy setting that usually needs to also enclose other treatment modalities and the overall treatment plan. The objective of this course is to help therapists use the opportunities that the 8 phase EMDR treatment plan offers and to reduce the risks for their treatment course. Also the implications of the use of the standard protocol for EMDR and the inverted standard protocol are discussed. Depending on the size of the group, time for discussion about clinical cases of participants is welcome.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

29. Hofmann, A. (2004, September). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et al.) and the new research on structural dissociation (Nijenhuis et al.) help to understand these patients better, their treatment course is often complicated. In the treatment of these patients, EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also include other treatment modalities and the overall treatment plan.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

30. Hofmann, A. (2004, June). The treatment of complex PSTD with EMDR. Plenary presented at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.

Language: English

Format: Conference

Abstract:
Disorder of Extreme Stress - Complex PTSD - Proposed diagnosis by J. Herman (1992). PTSD as a diagnosis does not describe the symptoms of victims of interpersonal violence. Field-Study for DSM-IV: van der Kolk et al. (Am. J. Psychiatry, 1996 ). Currently: international studies (with a diagnostic interview - SIDES). Symptom can be grouped in three clusters.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Disorder of Extreme Stress  Plenary  

31. Hofmann, A. (2007, May). EMDR in the treatment of complex PTSD with personal changes. Symposium conducted at the Chinese–German Congress on Psychotherapy, Shanghai, China.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Symposium  Treatment of Psychotrauma  

32. Hofmann, A. (2006, November). EMDR bij de behandeling van complexe PTSS patiënten [EMDR in the treatment of complex PTSD patients]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: English

Format: Conference

Abstract:
Patiënten met complexe PTSS en dissociatieve symptomen zijn een uitdagende patiëntenpopulatie. Concepten zoals de stoornis van extreme stress (Herman et al..) En het geheugen van het onderzoek naar netwerken en vooral structurele dissociatie (Nijenhuis et al..) Helpt om dit te begrijpen patiënten beter. Bij de behandeling van deze patiënten EMDR kan een van de belangrijkste benaderingen in de behandeling een therapie instelling die gewoonlijk moet ook bijvoegen andere modaliteiten naast de EMDR EMDR standaardprotocol. Nieuwe ontwikkelingen in EMDR en een decission helpen wanneer ze toe te passen kan pacing de therapie van deze patiënten te helpen en maakt het succesvol.

Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) help to understand these patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  

33. Hofmann, A., & Sack, M. (2006). EMDR in der behandlung von patienten mit chronish komplexer PTBS und schweren dissoziativen storungen [EMDR in the treatment of patients with complex PTSD and severe dissociative disorders]. In: F. Lamprecht (Hrsg.), Praxisbuch EMDR: modifizierungen für spezielle anwendungsgebiete [EMDR practice book: modifications for special areas of application] (pp. 172-194). Stuttgart: Klett-Cotta.

Language: German

Format: Book Section

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociative Disorders  

34. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .

Language: Dutch

Format: Conference

Abstract:
Bij de behandeling van complexe ptss-patiënten wordt niet altijd de evidence- based behandeling toegepast, zoals die wordt beschreven in de richtlijnen. Doorgaans is de mening, dat stabilisatie het enige mogelijke is vanwege gevaar voor psychische decompensatie. Inmiddels is voldoende evidentie, dat traumagerichte therapieën ook bij complexe ptsspatiënten mogelijk en effectief zijn. Doel: In deze bijblijfsessie zal worden betoogd, dat evidence-based traumagerichte behandeling bij complexe ptss-patiënten mogelijk en wenselijk is. Aandacht zal worden besteed aan moeilijkheden en mogelijkheden bij deze groep patiënten. Methoden: Na een algemene inleiding over de richtlijnen voor psychotherapeutische behandeling van ptss en over complexe ptss (R. Jongedijk), zullen vervolgens presentaties worden gegeven over drie evidence-based behandelvormen voor ptss, te weten het Kort Eclectisch Protocol voor ptss (kep; B. Gersons), narratieve exposure therapy (net; R. Jongedijk) en eye movement desensitisation and reprocessing (emdr; J. ter Heide). Expliciet zal worden ingegaan op de moeilijkheden en mogelijkheden van deze therapievormen bij complexe ptss-patiënten. De aanpassingen in de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen en discussie. Resultaten: Er is een duidelijk overzicht gegeven van drie evidence-based psychotherapievormen voor ptss. Voor de complexe groep ptss-patiënten zijn de eventuele aanpassingen aan de standaardprocedures van de behandeling aan bod gekomen. Aangetoond is dat deze behandelvormen goed toepasbaar zijn bij complexe ptss-patiënten. Conclusie: Evidence-based behandeling van complexe ptss-patiënten door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennis genomen van drie evidence-based behandelvormen voor ptss en kent de moeilijkheden en mogelijkheden om deze toe te passen bij complexe ptss-patiënten.

In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

35. Jongedijk, R., Freeman, C., Stofsel, M., Johannesson, K. B., Groenenberg, M., & Nerad, M. (2005, October). Can evidence based trauma treatment like CGT and EMDR be used for patients with complex traumatisation and/or complex PTSD?. Presentation at the First Annual European Workshops on Traumatic and Stress, Academic Medical Center, The Netherlands .

Language: English

Format: Conference

Abstract:
CGT and EMDR are well documented treatment programmes for PTSD. Most published studies concern “simple PTSD”, in this workshop presentations and discussions are focussed on the treatment principles and possible adjustments in techniques of CGT and EMDR for complex PTSD patients.

Keywords: CGT  Complex Posttraumatic Stress Disorder  Complex PTSD  Complex Trauma  C-PTSD  

36. Jongedijk, R., Freeman, C., Stofsel, M., Johannesson, K. B., Groenenberg, M., & Nerad, M. (2005, October). Treatment: Can evidence based trauma treatment like CGT and EMDR be used for patients with complex traumatisation and /or complex PTSD. Presentation at the European Workshops on Traumatic Stress, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: CGT  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Complex Trauma  

37. Kim , N. H. (2010, July). Long-term treatment effect of complex PTSD by using eye movement desensitization and reprocessing: A case report. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
People who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complex PTSD). The author reports a case of the successful sequential integrative treatment mainly composed of eye movement desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment with psychotropic medications and supportive psychotherapy. Nineteen sessions of EMDR treatment were done for the patient. Psychological assessments and behavioral measures were performed before starting the treatment, after 4 months of treatment (mainly EMDR treatment), after 17 months of treatment (mainly supportive psychotherapy integrated with EMDR treatment for 13 months) and after 32 months of treatment (supportive psychotherapy for 15 months). The antidepressant medication had been maintained through the treatment. After the treatment, the patient improved on all the psychological scales and behavioral measures. This case suggests that the sequential integrative treatment using EMDR may be effective for complex PTSD patients.

Keywords: Case Report  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Poster  

38. Kim, N. H., Lee, H. Y., & Kim, J. K. (2007, June). Treatment of complex PTSD by using eye movement desensitization and reprocessing: A case report. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: P
eople who were exposed to chronic interpersonal traumas in their early life consistently demonstrate complex psychological disturbances and many of them meet the criteria for proposed diagnosis of complex posttraumatic stress disorder (complex PTSD). The authors report a case of the successful sequential integrative treatment mainly composed of eye movement desensitization and reprocessing (EMDR) in a complex PTSD patient. The patient did not respond to the previous treatment with psychotropic medications and supportive psychotherapy.
Twelve sessions of EMDR and three sessions of supportive psychotherapy were done for the patient. Psychological assessments were performed before starting the treatment and a week after completing the treatment. After the treatment, the patient improved on all the psychological scales and behavior measures. The case suggests that the integrative treatment composed of EMDR may be [unfinished abstract as found in the Conference Program]

Keywords: Case Study  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

39. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over many years. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD, C-PSTD  Dissociative Personality Structure  Psychological Defenses  Toolbox  

40. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-­‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Complex Post Traumatic Stress Disorder (C-­‐PTSD) is a psychological injury that results from protracted and repeated exposure to traumatic stressor. Though the literature in recent years presented and published papers on C-­‐PTSD, the category is under consideration for inclusion in DSM or ICD. PTSD descriptions fail to capture some of the core elements of C-­‐PTSD. Such elements include captivity, psychological fragmentation, the loss of a sense of safety, trust, and self-­‐ worth, as well as the tendency to be re-­‐victimized, and the loss of a coherent sense of self. It is this loss of a coherent sense of self, and the ensuing symptom profile, that most pointedly differentiates C-­‐PTSD from PTSD. Six clusters of symptom have been suggested for diagnosis of C-­‐PTSD. These are; 1. Alterations in regulation of affect and impulses 2. Alterations in attention or consciousness 3. Alterations in self-­‐perception 4. Alterations in relations with others 5. Somatization 6. Alterations in systems of meaning The aim of this workshop is to present C-­‐PTSD and the use of EMDR treatment of a severely disturbed young woman with unfinished bereavement for her mother lost 10 years ago, series of sexual abuse by 12 persons, rejection and emotional abuse by close family members. The case will be presented via DVD recordings of sessions.

El trastorno por estrés post-­‐traumático complejo (C-­‐TEPT) es una lesión psicológica consecuencia de una exposición prolongada y repetida a un estresor traumático. Si bien la literatura ha presentado y publicado trabajos sobre C-­‐TEPT en los últimos años, la categoría se encuentra sometida a debate para su inclusión en el DSM o CIE. Las descripciones de TEPT no captan algunos de los elementos esenciales de C-­‐ TEPT. Dichos elementos incluyen la fragmentación psicológica, la pérdida de una sensación de seguridad, confianza y valor propio de la persona, así como la tendencia a sufrir nuevas victimizaciones y la pérdida de un sentido coherente del yo. Es precisamente esta pérdida un sentido coherente del yo y el perfil sintomatológico consecuente, lo que diferencia más marcadamente el C-­‐TEPT del TEPT. Se han planteado los siguientes seis grupos (“clusters”) de síntomas para el diagnóstico de C-­‐TEPT: 1. Alteraciones de la regulación del afecto e impulsos 2. Alteraciones de la atención o conocimiento 3. Alteraciones de la auto-­‐percepción 4. Alteraciones de las relaciones con terceros 5. Somatización Alteraciones de los sistemas de significado El objetivo que persigue este taller es el de presentar el C-­‐TEPT y el empleo del tratamiento con EMDR de una joven gravemente perturbada con duelo incompleto por la pérdida de su madre hacía 10 años, una serie de abusos sexuales por parte de 12 personas, el rechazo y abuso emocional por parte de familiares cercanos. Se presentará el caso mediante las grabaciones en DVD de las sesiones.

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  Complex PSTD  

41. Korn, D. (2006, September). Complex PTSD. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Know the Why and How to Choose Your What: Some Essentials of EMDR Model and Methodology: Part 2 of 2

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

42. Korn, D. (2010, April). EMDR & the treatment of adult survivors of childhood abuse and neglect: EMDR aanpassingen voor disregulatie bij Complexe PTSS [EMDR adaptations dysregulation in complex PTSD]. Keynote presented at the 4th EMDR Association Netherlands Conference, Nijmegen, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Wanneer clienten met vroege, chronische traumatisering door middel van EMDR behandeld worden, moet de therapeut vaak als een soort ‘psychobiologische regelaar’ functioneren, om ervan verzekerd te zijn dat cliënten binnen hun Window of Tolerance blijven. De EMDR therapeut dient daarvoor actief te zijn in het bepalen van het optimale tempo van het verwerkingsproces gedurende de EMDR zitting. Dit is van belang om toegang te kunnen krijgen tot de eerder gedissocieerde kennis, gedragsmatige impulsen, gevoelens, en/of sensaties, en deze te kunnen blijven verdragen. De therapeut moet in staat zijn de signalen van disregulatie (bv hyper/hypo-arousal, bevriezen, dissociëren) te herkennen en door middel van specifieke interweaves erop in te kunnen spelen, om de cliënt in het proces te houden en te helpen met het verwerken van diverse aspecten met betrekking tot verantwoordelijkheid, veiligheid en keuze. Deze keynote zal een kader neerzetten voor het werken met complexe PTSS en disregulatie. Een aantal specifieke technieken, gericht op het omzeilen van therapeutische valkuilen bij deze chronisch getraumatiseerde cliënten, zullen kort worden besproken. Dit zal verduidelijkt worden door middel van opnames van EMDR sessies waarin er van moment tot moment de interacties tussen de therapeut en de cliënt geanalyseerd zullen worden. In de eendaagse workshop op de maandag na het congres zal veel uitvoeriger ingegaan worden op de ‘hoe, wat, wanneer en waarom vragen’ in de behandeling van Complexe PTSS.

When clients with early, chronic trauma treated by EMDR, the therapist often as a kind of 'psychobiological regulator "function, to satisfy itself that its customers remain within their Window of Tolerance. The EMDR therapist is therefore to be active in determining the optimal pace of the process during the EMDR session. This is important in order to be granted access to the previously dissociated knowledge, behavioral impulses, feelings, and/or sensations, and to continue to bear. The therapist should be able to dysregulation of signals (e.g. hyper / hypo-arousal, freezing, dissociate) to recognize specific interweaves through it in order to respond to the client in the process to keep and help in processing various aspects of responsibility, security and choice. This keynote will provide a framework drop for working with complex PTSD and dysregulation. Some specific techniques designed to circumvent these therapeutic pitfalls in chronically traumatized clients, will be briefly discussed. This will be clarified by means of recordings of sessions in which EMDR is from moment to moment interactions between therapist and client will be analyzed. The one-day workshop on the Monday after the congress will be much more detailed presentation on the 'how, what, when and why questions "in the treatment of Complex PTSD.

Keywords: Abuse  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Keynote  Neglect  

43. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.

Language: English

Format: Journal

Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more complex cases has been less widely studied. This article examines the body of literature on the treatment of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research. Despite a still limited number of randomized controlled studies of any treatment for complex PTSD, trauma treatment experts have come to a general consensus that work with survivors of childhood abuse and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented EMDR model for working with these patients is presented, highlighting the role of resource development and installation (RDI) and other strategies that address the needs of patients with compromised affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD are offered along with suggestions for future investigations.

Keywords: Childhood Trauma  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  DESNOS  Psychotherapy Research  Review  

44. Korn, D. L. (2011, August). EMDR and the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop will focus on integrating EMDR into an overall recovery plan in working with adult survivors of childhood abuse and neglect. Individuals with histories of chronic victimization often struggle with extreme vulnerability and shame, heightened dissociative tendencies, and limited affect tolerance. In considering their unique needs, strategies for modifying and supplementing standard EMDR protocols will be explored. Fears and blocking beliefs commonly seen in this population will be discussed, along with suggestions for effective cognitive interweave interventions. In addition, significant attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment. This program will include lecture, videotape presentations, and case discussion.

Keywords: C-PTSD  Complex Posttraumatic Stress Disorder  Complex PTSD  

45. Korn, D., & Leeds, A. (2002, December). Preliminary evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. Journal of Clinical Psychology, 58(12), 1465-1487. doi:10.1002/jclp.10099.

Language: English

Format: Journal

Abstract:
This article reviews the complexity of adaptation and symptomatology in adult survivors of childhood neglect and abuse who meet criteria for the proposed diagnosis of Complex PTSD, also known as Disorders of Extreme Stress, Not Otherwise Specified (DESNOS). A specific EMDR protocol, Resource Development and Installation (RDI), is proposed as an effective intervention in the initial stabilization phase of treatment with Complex PTSD/DESNOS. Descriptive psychometric and behavioral outcome measures from two single case studies are presented which appear to support the use of RDI. Suggestions are offered for future treatment outcome research with this challenging population. [Author Abstract]

Keywords: Adults  Child Abuse  Clinical Case Study  Complex Empirical Study  Females  Neglect  Postt traumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Review  Survivors  Treatment Effectiveness  

46. Lanius, R. A. (2010, June). Emotion regulation and the self in complex PTSD. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The lecture will focus on the core problems in PTSD related to early life trauma, including emotion dysregulation and fragmentation of the self. The neural correlates of emotional awareness, social emotion processing and self-monitoring will be described. Implications for stage oriented trauma treatment and early intervention will be discussed.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Keynote  Posttraumatic Stress Disorder  PTSD  

47. Lazrove, S. (1995). The use of EMDR as treatment for chronic PTSD. Presentation at the 11th Annual Conference of the International Society for Traumatic Stress Studies.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Posttraumatic Stress Disorder  PTSD  

48. Leeds, A. (2006, September). Installation when treating complex posttraumatic stress syndromes. In Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes (A. Leeds. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  Consensus Model  C-PTSD  RDI  Resource Development and Installation  Treatment Criteria  

49. Leeds, A. (2006, September). The consensus model. In criteria for assuring appropriate clinical use and avoiding misuse of resource development & installation when treating complex posttraumatic stress syndromes (A. Leeds). Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex PTSD  Complex Posttraumatic Stress Disorder  C-PSTD  Consensus Model  Resource Development & Installation  RDI  Treatment Criteria  

50. Leeds, A. M. (2001, December). Principals and procedures for enhancing current functioning in complex posttraumatic stress disorder with EMDR resource development and installation. EMDRIA Newsletter, 6(Special Edition), 4-11 .

Language: English

Format: Newsletter

Abstract:
When developing a treatment plan, clinicians need to be able to recognize not only the specific effects of trauma but to consider symptoms reflecting limited capacities for emotional self regulation. Such problems are often found when client histories included significant childhood neglect or other disruptions of each childhood attachment (Damasio, 1999; Schore, 2000; Sigel, 1999). Clients with a history of secure attachment appear to be more vulnerable to PTSD (Alexander, et al., 1998; Muller, Sicoli, & Kemieux, 2000) and initially need to be addressed with procedures different from those for trauma specific symptoms. Therefore in the consensus model of posttraumatic treatment (Browm Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999) clinicians are urged to focus on clients’ personal safety, stabilization, and the development of client capacities for tolerating and modulating strong affect in the early phases of treatment.

Keywords: DESNOS  RDI  Resource Development and Installation  Posttraumatic Stress Disorder  PTSD  Stabalization  

51. Leeds, A. M. (1999, May). Using EMDR in complex PTSD and adult attachment disorders. Symposium conducted at the annual meeting of the American Psychiatric Association, Washington, DC.

Language: English

Format: Conference

Abstract:
"Using EMDR in Complex PTSD and Adult Attachment Disorders" was presented as a part of a symposium organized by Bessel A. van der Kolk, M.D with additional papers by Francine Shapiro, Ph.D., Friedhelm Lamprecht, MD and Bessel A. van der Kolk, M.D., at the 1999 American Psychiatric Association (May 19) in Washington, DC. This talk frames the use of Resource Development and Installation in the larger historical context of ego strengthening and briefly reviews theoretical and neurobiological correlates hypothesized to be involved in the application of RDI. The case material presented is similar to that presented in 1997 and 1998 EMDRIA presentations.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  RDI  Resource Development and Installation  Symposium  

52. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  RDI  Resource Development and Installation  

53. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .

Language: Dutch

Format: Conference

Abstract:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied. Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend. Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.

Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area. From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized. When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  Complex PTSD  

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

Language: Dutch

Format: Conference

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

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

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  Complex PTSD  

55. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD (C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do not feel competent to treat the more complex presentations many clients exhibit when they come for help. The presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization, learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives: • Identify the three stages of C-PTSD recovery • Identify 6 core components of C-PTSD treatment • Apply the AIP model to C-PTSD and case conceptualization • Learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment • Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients

Keywords: Case Conceptualization  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

56. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD (C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do not feel competent to treat the more complex presentations many clients exhibit when they come for help. The presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization, learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives: • Identify the three stages of C-PTSD recovery • Identify 6 core components of C-PTSD treatment • Apply the AIP model to C-PTSD and case conceptualization • Learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment • Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients

Keywords: Case Conceptualization  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

57. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea.

Language: English

Format: Dissertation/Thesis

Abstract:
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors. Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Neurotrophic Factors  Plasma Levels  

58. Paterson, M. (2002, May). Using ego states with EMDR in complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Abstract:
Chair: Sachsse, U. & Puk, G.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  Ego State Therapy  

59. Richman, S. (2008, June). Treating complex PTSD using EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Sandi’s workshop will provide a framework for treating complex PTSD using EMDR. It will first review the relevant characteristics of complex PTSD and then use this information to demonstrate EMDR case conceptualization and ways in which adaptive learning can be encouraged during the processing following adaptive linkage being made with dysfunctional memory storage. The workshop will also describe how to recognise dissociation during the EMDR phases and how to manage dissociation so that EMDR can proceed to the usual adaptive resolution of traumatic memories and ultimately, resolution of the individual’s complex PTSD. The workshop will be illustrated with case material.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

60. Rittenhouse, J. (2000, November). Using eye movement desensitization and reprocessing to treat complex PTSD in a biracial client. Cultural Diversity and Ethnic Minority Psychology, 6(4), 399-408 .

Language: English

Format: Journal

Abstract:
A biracial client's recovery from PTSD through the use of eye movement desensitization and reprocessing (EMDR) is discussed to illustrate the interaction between ethnicity and phenotype as well as diagnosis and treatment considerations. This case explains a woman's experience of discrimination in and out of her home and her vulnerability to complex PTSD, and it documents the importance of the therapy focusing on experiences of discrimination and prejudice as well as abuse. It shows how the client structures her environment in a personally creative fashion to include representative features of various aspects of her identity, by her choice of where and who she teaches as well as how and with whome she spends her free time. [Author Abstract]

Keywords: Assault  Battery  Case Report  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PSTD  Cross Cultural Treatment  Empirical Study  European Americans  Females  Mexican Americans  Persecution  Posttraumatic Stress Disorder  Psychotherapy  PTSD  Rural Populations  Self Concept  Self Esteem  Survivors  Teacher  

61. Roques, J. (2008, Mai). EMDR - Une révolution et un changement de paradigme thérapeutiques [EMDR – A therapeutic revolution and paradigm shift]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
La présentation comporte trois volets. Le premier volet présente le fondement neurologique de l’EMDR qui est centré sur les réseaux neuronaux de la mémoire - ce qui permet une compréhension nouvelle des phénomènes dissociatifs et qui fait ressortir le potentiel du traitement en EMDR. Le deuxième volet aborde les applications de ce cadre théorique à l’ensemble des manifestations pathologiques : traumatismes simples et complexes, intoxications psychiques, épisodes psychotiques brefs et même certains cas de début de schizophrénie. Le troisième volet démontre à quel point l’EMDR bouleverse notre compréhension de la pathologie et de son traitement et de ce fait, constitue un véritable changement de paradigme thérapeutique. Cette compréhension nouvelle des phénomènes neuropsychologiques sous-jacents, telle que soulevée par l’EMDR, permet de distinguer ce qui est utile de ce qui ne l’est pas dans la plupart des psychothérapies.

This opening workshop will focus on three axes : 1) The neurological basis of EMDR that focuses on the memory’s neural networks – which in turn allow a fresh understanding of dissociative phenomena and shows the potential of EMDR treatment. 2) The application of this theoretical understanding to the various expressions of psychopathology: simple versus complex PTSD – psychic poisoning – brief psychotic episodes- even certain cases of early schizophrenia. 3) As a conclusion, how EMDR shook up our understanding of pathology and its treatment, and how it provided the impetus toward a genuine paradigm shift. This new understanding of the underlying psychoneurologic phenomena brought on by EMDR helps us to determine what may be useful or not in the various psychotherapies.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociation  

62. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.

Language: Spanish

Format: Other

Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico. El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia. Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.

Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Chronic Posttraumatic Stress Disorder  Chronic PTSD  

63. Sachsse, U., Vogel, C., & Leichsenring, F. (2002, May). Results of a successful inpatients treatment programme for chronified complex PTSD patients (Predominantly BPD with self-mutilating behaviour SMB). In complex trauma (W. Wöller & M. Jakobsen, Chairs ). Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Abstract:

Keywords: Borderline Personality Disorder  BPD  Complex Posttraumatic Stress Disorder  Complex PTSD  Inpatient Treatment  SMB  Self-Mutilating Behaviour  

64. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation:  Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]

Keywords: Assessment  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  EVT  Integration  Pain  Phobia  PTSD  Treatment Effectiveness  

65. Taylor, S., Adminson, G., Gordon, J. G., & Carolton, R. N. (2006). Simple versus complex PTSD: A cluster analytic investigation. Journal of Anxiety Disorders, 20(4), 459-472. doi:10.1016/j.janxdis.2005.04.003.

Language: English

Format: Journal

Abstract:
A cluster analytic investigation was conducted on measures of PTSD associated features (e.g., personality pathology, dissociative tendencies) to investigate whether empirically-defined clusters correspond to Herman's distinction between simple and complex PTSD. Results from a sample of 60 PTSD patients were broadly consistent with this distinction, although some inconsistencies were observed. Treatment outcome generally did not differ between the two clusters. Implications for classifying and treating PTSD are discussed. [Author Abstract]

Keywords: Adults  Canadians  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociative Symptoms  Exposure Therapy  Nosology  Personality Disorders  Random Clinical Trial  RCT  Relaxation Therapy  Somatic Symptoms  Stressors  Survivors  Treatment Effectiveness  

66. ten Broeke, E., & de Jongh, A. (2007). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR) in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (2druk.), (pp. 231-252). Houten/Diegem: Bohn Stafleu van Loghum.

Language: Dutch

Format: Book Section

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als een nieuwe methode voor de behandeling van PTSS en andere aan trauma gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de procedure is dat de patiënt wordt gevraagd de traumatische herinnering in gedachten op te roepen en zich te concentreren op (1) het meest akelige beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de somatische reacties, waarna een afleidende stimulus wordt aangeboden. Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts alternerende handtaps. Maar de meest bekende en meeste gebruikte methode – EMDR ontleent hieraan immers haar naam –is de patiënt te vragen met de ogen de hand van de therapeut te volgen, terwijl deze een aantal snelle bewegingen in het horizontale vlak maakt.

Eye Movement Desensitization and Reprocessing (EMDR) was introduced in the late eighties by the American psychologist Shapiro (1989a) as a new method for the treatment of PTSD and other trauma related mental disorders. Distinctive aspect of procedure is that the patient is asked the traumatic memory in mind to recall and concentrate on (1) the most dismal image, (2) the associated significance, (3) affect the current and (4) the somatic responses, after which a distracting stimulus is presented. Examples of such incentives are rhythmic, bilateral left and right show alternating hand taps. But the most famous and most used method - this is EMDR derives its name, the patient questions through the eyes of the therapist to follow, while a number of rapid movements in the horizontal plane makes

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

67. ten Broeke, E., & de Jongh, A. (1999). Eye movement desensitization and reprocessing (EMDR) bij complexe posttraumatische stress-stoornissen [Eye movement desensitization and reprocessing (EMDR)in complex post traumatic stress disorder]. In P. G. H. Aarts and W. D. Visser (Eds.), Trauma: diagnostiek en behandeling (pp. 321-338). Houten/Diegem: Bohn Stafleu van Loghum.

Language: German

Format: Book Section

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd eind jaren tachtig geïntroduceerd door de Amerikaanse psychologe Shapiro (1989a) als een nieuwe methode voor de behandeling van PTSS en andere aan trauma gerelateerde psychische aandoeningen. Kenmerkend onderdeel van de procedure is dat de patiënt wordt gevraagd de traumatische herinnering in gedachten op te roepen en zich te concentreren op (1) het meest akelige beeld, (2) de daaraan verbonden betekenis, (3) het actuele affect en (4) de somatische reacties, waarna een afleidende stimulus wordt aangeboden. Voorbeelden van dergelijke stimuli zijn ritmische, bilaterale tonen en linksrechts alternerende handtaps. Maar de meest bekende en meeste gebruikte methode – EMDR ontleent hieraan immers haar naam –is de patiënt te vragen met de ogen de hand van de therapeut te volgen, terwijl deze een aantal snelle bewegingen in het horizontale vlak maakt.

Eye Movement Desensitization and Reprocessing (EMDR) was late eighty introduced by the American psychologist Shapiro (1989a) as a new method for the treatment of PTSD and other trauma related mental disorders. Distinctive aspect of procedure is that the patient is asked the traumatic memory in mind to recall and concentrate on (1) the most dismal image, (2) the associated significance, (3) affect the current and (4) the somatic responses, after which a distracting stimulus is presented. Examples of such incentives are rhythmic, bilateral left and right show alternating hand taps. But the most famous and most used method - this is EMDR derives its name, the patient questions with the eyes by the therapist to follow, while a number of rapid movements in the horizontal plane makes.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

68. ten Broeke, T., & Oppenheim, H-J. (2008, Maart). EMDR bij de behandeling van complexe PTSS en ernstige dissociatie [EMDR in the treatment of complex PTSD and severe dissociation]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Bij de behandeling van patiënten met complexe PTSS ten gevolge van type 2 trauma, wordt de behandelaar geconfronteerd met twee grote problemen: 1) hoe een overzichtelijke structuur aan te brengen in de veelheid aan traumatische gebeurtenissen, en 2) hoe om te gaan met pathologische dissociatie. In deze voordracht wordt in eerste instantie een aanpak gepresenteerd waarmee de therapeut en patiënt kunnen komen tot een zodanige (hiërarchische) ordening van de traumatische gebeurtenissen, dat een gefaseerde en overzichtelijke behandeling mogelijk wordt. Vervolgens zal nader ingegaan worden op het verschijnsel dissociatie en zal worden uitgelegd welke algemene technieken toegepast kunnen worden bij dissociatieve reacties. Ten slotte zal aan de hand van videobeelden worden gedemonstreerd hoe met een aangepast EMDR basisprotocol het mogelijk is om bij mensen met secundaire en tertiaire structurele dissociatie, door activatie van een alterpersoonlijkheid, het traumatisch materiaal waardoor de alterpersoonlijkheid is ontstaan a. te ontsluiten, b. te verwerken en c. te integreren

When treating patients with complex PTSD as a result of Type 2 trauma, the therapist faces two major problems: 1) how an organized structure to the multitude of traumatic events, and 2) how to deal with pathological dissociation . In this lecture primarily an approach is presented that the therapist and patient can come to such a (Hierarchical) organization of the traumatic events that a phased and orderly treatment possible. Will then be elaborated on the phenomenon of dissociation and will explain the general techniques can be applied to dissociative reactions. Finally, using video to demonstrate how a modified EMDR basic protocol it is possible in people with secondary and tertiary structural dissociation, through activation of an alter personality, traumatic materials which alter personality created a. to access, b. processing and c. integrate.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  

69. van der Kolk, B. (2000). Treating complex PTSD II: Stabilization techniques, therapeutic modalities. Nevada City, CA: Cavalcade Productions, Inc.

Language: English

Format: Video

Abstract:
This video presents information on treating complex PTSD. Topics discussed include: Importance of Stabilization Work, Stabilization Techniques, Adjunctive Therapies in PTSD Treatment, EMDR as Resource Development, Psychodrama, Group Therapy, Body-Oriented Group Work. Also included with this video is a trainer's guide.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Posttraumatic Stress Disorder  PTSD  Stabilization Techniques  Therapeutic Modalities  Treatment  

70. van der Kolk, B. (2000). Complex PTSD in children II: Therapeutic interventions. Cavalcade Productions, Inc., Nevada City, CA.

Language: English

Format: Video

Abstract:
In this video series, Bessel van der Kolk and other clinicians from The Trauma Center, along with therapists Joyanna Silberg and Frances Waters, describe the assessment tools and therapeutic approaches that they have found most useful in working the severely traumatized in children. The clinician's role in such cases often includes working with parents or guardians as well as children, and can extend far beyond the therapy room to encompass psychoeducation and advocacy. For children with complex PTSD, safety must be established both externally and internally. Maintaining internal safety can be an especially difficult task when the child is highly dissociative. The presenters discuss ground techniques that can help a child to stay safe and stable, and describe the therapeutic modalities "play, talk, art, and group therapy" that they have found useful. Topics include controlling aggression, accessing emotions, changing the trauma story, and using EMDR.

Keywords: Children  Clinical Judgment  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Intervention  Posttraumatic Stress Disorder  PTSD  Therapeutic Processes  Treatment  

71. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
While most research on PTSD has studied subjects exposed to single trauma, in clinical practice the vast majority of treatment seeking patients have histories of multiple traumas, usually interpersonal, abuse. This gives rise to complex clinical pictures, of which PTSD is just one dimension. The Trauma Center in Boston is a large, multidisciplinary, developmentally focused Clinic which specializes in the treatment of traumatized children and adults. Our clinic uses a developmentally based assessment tool which helps in the staging of appropriate treatment interventions. Special emphasis is placed on providing patients with skills to deal with complex trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource installation, SIT, and body-oriented methods, in which patients are taught skills to increase their internal locus of control. We will review the rationale for various psychopharmacological interventions and the role of groups to enhance the capacity for mutual relationships. All treatment occurs on the foundation of continuity of care with one individual therapist who follows the patient’s progress,explores life issues, helps deal with re-enactment behaviors, and does trauma-specific treatment, such as EMDR or CBT for alleviation of trauma-specific symptoms. This conference will explore these issues in depth and discuss in detail the staging and applications of various treatment techniques in clinical practice.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PSTD  

72. Walker, N. (2005, April). EMDR treatment of complex PTSD and dissociative disorders considered in the light of the theory of structural dissociation of personality. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociative Disorders  Structural Dissociation Theory of Personality  

73. Wheeler, K. (2007, July). Psychotherapeutic strategies for healing trauma. Perspectives in Psychiatric Care, 43(3), 132-141. doi:10.1111/j.1744-6163.2007.00122.x.

Language: English

Format: Journal

Abstract:
Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro, provides a model for understanding how trauma affects the brain and how healing occurs. Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma. Practice Implications: The Treatment Hierarchy, AIP model, and evidence-based treatment framework presented here provide the context and a compass for holistic PMH-APRN practice for working with traumatized patients. [Author Abstract]

Keywords: Adaptive Information Processing    AIP  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Cognitive Therapy  Disorders of Extreme Stress (DESNOS)  Healing Trauma  Nursing  Posttraumatic Stress DIsorder  PTSD  

74. Yoeli, F. R., & Prattos-Spongalides, T.-A. (2003, November). Pre-war anxiety, embedded traumata, dissociative behavior and proactive treatment with EMDR to prevent complex PTSD. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.

Language: English

Format: Conference

Keywords: Anxiety  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociation