Francine Shapiro Library - EMDR Bibliography Links
Francine Shapiro Library: EMDR Bibliography
Your Results - you searched for the keyword Personality Disorders 56 Results
1. Beer, R., & de Roos,C. (2009). EMDR bij kinderen en adolescencenten: Een nieuw perspectief [EMDR in the treatment of personality disorders: A new perspective]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 379-407). Amsterdam, Nedlerland: Pearson Assessment and Entertainment.
Language: Dutch
Format: Book Section
Keywords: Personality Disorders
2. Bergmann, U. (2004, June). Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state treatment. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
3. Bergmann, U. (2004, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego-state work. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeated experiences of abuse deprivation, abandonment and personal coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.
Keywords: Personality Disorders Dissociation Ego State Therapy
4. Bergmann, U. (2004, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state work and EMDR. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
5. Bergmann, U. (2000, September). EMDR and ego state therapy: Treating the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn the applications of the Ego State concepts and techniques to all phases of the EMDR process in order to facilitate the treatment of clients with personality disorders; 2) learn how to developmentally assess, identify, map, and access ego states of personality disordered clients and how to promote their ego state participation in EMDR sessions; and 3) understand how treatment of personality disorder is usually longer-term EMDR, interweaving the activation of fear-based, aggressivized infantile ego states necessary to deepen and accelerate processing and desensitization.
Keywords: Ego State Therapy Personality Disorders
6. Bergmann, U. (2005, September). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to the treatment of (he wide specturm of personality
disorders. New evidence from the fields of neuroscience. regarding the normative multiplicity of the self, will be discussed. Historically. the treatment of personality disorders has been described as difficult, if not impossible, manifested
by a rigid, character-armor, defensive resistance. This presentatlon will propose
that the presence of untreated dissociation accounts for these failures and will
highlight the use of ego-state mapping, exploration, interweaves and the
utilization of ego-state-specific EMDR protocols to target dissociation and facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
7. Bergmann, U. (2004, November). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Dissociation Personality Disorders
8. Bergmann, U. (2005, November). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Dissociation Personality Disorders
9. Bergmann, U. (2006, September). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy
will be presented as a comprehensive approach
to treatment of the wide spectrum of personality
disorders. These diagnostic categories include
individuals manifesting character pathology,
borderline personalities, antisocial and
sociopathic tendencies as well as addictive
behaviors. These clients have often been seen as
poor candidates for EMDR or even nonresponders.
They are often mandated for
treatment or come at the behest of others. Their
histories often include early repeated experiences
of abuse, deprivation, abandonment, and parental
coldness. The hallmarks of personality disorders
are rigid, intractable defenses, difficulty relating
and empathizing with others, as well as acting out
behavior. Historically, the treatment of
personality disorders has been described as the symptoms of personality disorders be viewed
as aspects of dissociation and will examine the
applications of ego state concepts and techniques
to all phases of the EMDR protocol in order to
facilitate the treatment of these clients. Central
to this approach is the conceptualization of self
and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the
enhancement of EMDR processing.
Keywords: Dissociation Personality Disorders
10. Bergmann, U. (2003, May). Integrating EMDR into specific therapeutical approaches - Personality disorders as variants of dissociative phenomena: Treatment with an integration of the EMDR and ego state work. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of
personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental
coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the
utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
11. Bergmann, U. (2003, September). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state work in the repair of the self. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of
personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental
coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the
utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
12. Bergmann, U. (2002, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of ego-state therapy and EMDR. Presentation at the annual meeting of International Society for the Study of Dissociation Fall Conference, Baltimore, MD.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
13. Bergmann, U. (2003, November). Personality disorders as variants of dissociative phenomena: Treatment with an integration of EMDR and ego state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. The histories of these clients often include early repeat experiences of abuse, deprivation, abandonment, and parental coldness. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-mapping, exploration, interweaves and the utilization of ego-state-specific EMDR protocols to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
14. Bergmann, U. (2006, November). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego-state treatment. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
15. Bergmann, U. (2008, September). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. New evidence from the fields of neuroscience, regarding the normative multiplicity of the self, will be defined and described. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state mapping, exploration, interweaves and the utilization of ego-state-specific EMDR targeting to facilitate robust processing.
Keywords: Dissociation Ego State Therapy Personality Disorders
16. Bergmann, U. (2007, September). Treating dissociation in the spectrum of personality disorders: Integrating EMDR and ego state treatment. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State therapy will be presented as a comprehensive approach to the treatment of the wide spectrum of personality disorders. New evidence from the fields of neuroscience, regarding the normative multiplicity of the self, will be defined and described. Historically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid, character-armor, defensive resistance. This presentation will propose that the presence of untreated dissociation accounts for these failures and will highlight the use of ego-state-specific EMDR targeting to facilitate robust processing.
Keywords: Ego State Therapy Personality Disorders
17. Bergmann, U. (2008). Hidden selves: Treating dissociation in the spectrum of personality disorders. In C. Forgash & M. Copeley (Eds.), Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (pp. 227-265). New York: Springer Publishing Co. xxi, 361 pp.
Language: English
Format: Book Section
Abstract:
This chapter will examine the applications of the ego state concepts and techniques to all phases of the EMDR process in order to facilitate the treatment relationship--especially with the lonely, vulnerable ego states--as well as identify and strengthen the more developed self-aspects. Treatment is usually long-term EMDR, interweaving the activation of fear-based, aggressive, infantile ego states necessary to facilitate, deepen, and accelerate desensitization and reprocessing. Case examples will be offered of the treatment of passive-aggressive and narcissistic personality disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dissociation Personality Disorders
18. Bergmann, U. (2004, June). Personality disorders as a variant of dissociative phenomena. Treatment with an integration of EMDR and ego-state work in the healing of self. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The integration of EMDR with Ego State Therapy will be presented as a comprehensive approach to treatment of the wide spectrum of personality disorders. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors. These clients have often been seen as poor candidates for EMDR or even nonresponders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment, and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others, as well as acting out behavior. Historically, the treatment of personality disorders has been described as the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object rcpresentations, self-objects or schemas as ego-states. Discussion will include how to use a developmental approach to assessment and will review the identification, mapping, and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.
Keywords: Complex Trauma Dissociation Ego State Therapy Personality Disorders
19. Bergmann, U. (2008, June). Treating dissociation in the spectrum of personality disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
The use of ego-state interweaves and/or extensive ego-state therapy (utilized in the preparation phase) and
integrated into EMDR targeting (phases 3-7), in the treatment of personality disorders, has not received a great
deal of attention at conference presentations or in the published media. This has led to minimal or nonresponsiveness
in the EMDR treatment of personality disorders, since aspects of dissociation in these clients have
not been addressed. In the past ten years, renown neuroscientists, such as Eric Kandel, Joseph LeDoux, Michael
Gazzaniga and V.S. Ramachandran, in response to empirical findings in the fields of memory, neuromodularity,
split-brain research and information processing, have begun to suggest that the “self” may very well be a
collection of memories that are structured in a fragmented (neuromodular) multiplicity that is developmentally
inherent. Ramachandran, LeDoux and Gazzaniga have, each, stated, explicitly, that the sense of a “cohesive and
monolithic” self is an “illusion” created by areas in the left cerebral hemisphere. Accordingly, just as the EMDR
standard protocol was adapted for recent traumatic events (in response to acute memory fragmentation), so
must it be modified for inherent memory and personality fragmentation, by the use of extensive ego-state work
(preparation) and ego-state-specific EMDR targeting (phases 3-7). The implementation of these techniques has
shown a remarkable advance in the treatment of personality disorders, which had, previously, been rather
impervious to EMDR treatment.
Keywords: Dissociation Personality Disorders
20. Bergmann, U. (2010, Octubre/Noviembre). Tratamiento de disociación en desórdenes de personalidad con EMDR y terapia de estados del ego [Treatment of personality disorders dissociation with EMDR and ego state therapy]. Pre congreso presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: English
Format: Conference
Keywords: Dissociation Ego State Therapy Personality Disorders
21. Cohen-Posey, K. (2000, September). Using the Draw-A-Person test to introduce EMDR protocols with personality disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify character traits from person drawings using a two-page handout; 2) identify three basic clusters in which dysfunctional personality traits fall; and 3) describe and demonstrate how to use drawing interpretations to reduce client resistance to owning certain character traits through the use of "therapeutic triangle;" 4) identify NCs and PCs for each DSM IV personality disorder and relate them to character traits expressed in drawings; and 5) demonstrate the setup of the EMDR protocol from character traits identified in drawings and related NCs through role-play in triads.
Keywords: Draw-A-Person Test Personality Disorders
22. Connell-Jones, G. (2007, March). The role of EMDR in the treatment of personality disorder in self-harming women. Symposium at the 5th annual Conference of the EMDR UK & Ireland Association, Glasgow, Scotland.
Language: English
Format: Conference
Keywords: Personality Disorders Symposium
23. de Jongh, A. & ten Broeke, E. (2001). De behandeling van persoonlijkheidspathologie met behulp van EMDR [The treatment of personality pathology using EMDR]. In R.E. Abraham & J. Graste (Red.), Psychotherapie vanuit het deficitmodel [Psychotherapy from the deficit model] (pp. 140-150) Van Gorcum: Assen.
Language: Dutch
Format: Book Section
Keywords: Personality Disorders
24. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"] . EMDR Deutschland e.V. Rundbrief, 19, 20-34.
Language: German
Format: Newsletter
Abstract:
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung.
Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)
Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment.
In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).
Keywords: Cognitions Dialogue Protcol Dissociation Personality Disorders
25. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131.
Language: English
Format: Journal
Abstract:
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.
Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing
26. Fensterheim, H. (1996, March). Eye movement desensitization and reprocessing with complex personality pathology: An integrative therapy. Journal of Psychotherapy Integration, 6(1), 27-38.
Language: English
Format: Journal
Abstract:
Among the explorations of psychotherapy integration, attempts to integrate the cognitive behavioral and psychodynamic approaches are receiving much attention. Eye movement desensitization and reprocessing (EMDR) is one newly developed method that appears to have successfully achieved such integration. The author presents cases of 2 patients with complex personality problems to illustrate how EMDR does achieve this integration. The cases demonstrate the formulation of dynamic hypotheses based first on a thoughtful clinical understanding of the patient and then reformulated as new information emerges from the free associations elicited by this method. Treatment based on these formulations is through the cognitive and behavioral aspects of the EMDR procedures. Unlike many other integrative methods that have been proposed, the different aspects of this method are not applied separately but form a cohesive whole. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Empirical Study Multimodal Treatment Approach Nonclinical Case Study Personality Disorders Psychotherapeutic Techniques
27. Fensterheim, H. (1994, July). Eye movement desensitization and reprocessing with personality disorders. Presentation at the 10th annual meeting of the Society for the Exploration of Psychotherapy Integration, Buenos Aires, Argentina.
Language: English
Format: Conference
Keywords: Personality Disorders
28. Fensterheim, H. (1997, December). EMDR and personality disorders. EMDRIA Newsletter, 2(6), 4-5.
Language: English
Format: Newsletter
Abstract:
There is some tendency in psychotherapy to suggest that the treatments for Axis I disorders and Axis II disorders should be based on different concepts. Millon (1988), for example, argues that the behavioral approaches are appropriate for the Axis I disorders but that an integrated approach is indicated for those that fall within Axis II. It is wroth considering that different EMDR protocols and methods may be required for these different conditions.
Keywords: Personality Disorders
29. Forgash, C., & Knipe, J. (2007, April). Advanced treatment of dissociation, personality disorders, couple and disaster survivors. Presentation at the annual meeting of Japan EMDR Association, Kyoto, Japan.
Language: English
Format: Conference
Keywords: Couples Disasters Dissociation Personality Disorders
30. Grand, D. (1998). Emerging from the coffin: Treatment of a masochistic personality disorder. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications (1st ed.) (pp. 65-90). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
"Dan" was a 48-year old married man who, despite ten years of psychoanalytic treatment, awakened every morning with the image of lying dead in a coffin. This dovetailed with his experience of daily life as devoid of meaning and pleasure. Despite his apparent relentless suffering and preoccupation with death, Dan reported never having been actively suicidal. In fact, his life appeared to be oddly homeostatic. He sought out therapy at the urging of his wife, who was exasperated by his pervasive negativity. This case illustrates the successful use of longer-term EMDR charactered by the multiple sessions and many months to fully reprocess individual protocols. Treatment was completed, with Dan free of coffin fantasies and capable of experiencing hope, joy and purpose for the first time in his life. His positive response, over time, indicates that individuals with characterological defenses can process, albeit incrementally, difficult material and ultimately reach a level of full resolution. Since my success with Dan, I have replicated this startling outcome with numerous clients in periods ranging from 9 to 18 months. This was inconceivable for me in my pre-EMDR days when many years of treatment yielded far more limited results. [Text, pp. 66-67]
Keywords: Adults Americans Case Report Life Experiences Males Personality Disorders Psychotherapeutic Processes Survivors Treatment Effectiveness
31. Hartung, J. G., & Philbrick, P. (1997, July). Forensics applications of EMDR with traumatized, personality disorders, and dissociative persons. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Personality Disorders
32. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.
Keywords: Complex Trauma Personality Disorders Re-Scripting
33. Knipe, J. (2006, September). Personality disorders. 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: Personality Disorders
34. Manfield, P. (1994, March). Personality disorders: Using EMDR with difficult clients. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Difficult Clients
35. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]
Keywords: Adults Americans Child Abuse Complex PTSD Defense Mechanisms Depressive Disorders Females Life Experiences Males Neglect Personality Disorders Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors Treatment Effectiveness
36. Manfield, P., & Shapiro, F. (2003). The application of EMDR to the treatment of personality disorders. In J. F. Magnavita (Ed.), Handbook of Personality Disorders: Theory and Practice (pp. 304-330). New York: John Wiley & Sons.
Language: English
Format: Book Section
Abstract:
Since its inception in 1987, Eye Movement Desensitization and Reprocessing (EMDR) has evolved into an integrated approach to psychotherapy that synthesizes aspects of the major psychological orientations. As such, its comprehensive treatment effects span cognitive, somatic, and affective domains (Shapiro, 2002). Although most widely used to process single or multiple incident traumatic memories, it can be used effectively to treat many conditions. In this chapter, we describe the theoretical foundations of this approach and how it is used to treat personality disorders. A fundamental principle of the Adaptive Information Processing Model is that present disturbance and dysfunctional characteristics have their origins in past events; these antecedents, whether identified or not, can be processed to an adaptive resolution using EMDR. In treating personality disorders, the EMDR approach integrates procedures from many other orientations to stabilize clients and equip them to address their source memories. The accelerated processing of disturbing memories that takes place during EMDR makes it possible for clients to address and resolve their issues relatively rapidly. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Personality Disorders Psychotherapeutic Processes Theories
37. Matthess, H., & Woller, W. (2010, June). EMDR and personality disorders. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Over the last few years, causal relationships between childhood traumatic experiences and the development of personalities have been increasingly discussed. An understanding of personality disorders as a consequence of attachment trauma creates new therapeutic approaches for patients who are considered difficult to treat, though urgently in need of therapy.
First of all, the workshop will present an overview of possible neurobiological causes responsible for evolutionary principles of specific patterns of experiencing and behaviour in personality disorders. Most of their features can be explained as being natural reactions to extreme traumatic stress: unresolved traumatic experiences that cannot be encoded chronologically are, to a varying degree, subjectively experienced as separated from the personality. Other features of personality disorders, such as emotion regulation and mentalization function, can be understood as being a consequence of attachment trauma as well.
Following this, a treatment conception will be presented that combines elements from trauma therapies with aspects of a psychodynamic understanding of attachment relationships. Among others, the problems of personality-disordered patients related to regulating closeness and distance, resulting from their fears of intimacy and abandonment, will be addressed. Finally, the implications of the discussed topics for EMDR treatment will be considered.
Keywords: Personality Disorders
38. Meijer, S. (2009, June). EMDR will cure personality disorders. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Personality Disorders
39. Meijer, S., & ten Broeke, E. (2009). EMDR bij de behandeling van persoonlijkheidsstoornissen [EMDR in the treatment of personality disorders]. In E. ten Broeke, A. de Jongh, & H.-J. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en specifieke patiëntengroepen, (pp. 287-377). Amsterdam: Pearson.
Language: Dutch
Format: Book Section
Keywords: Personality Disorders
40. Miller, P. W., McDougall, I., O'Rawe, B., & Kirk, R. T. (2007, June). A case series detailing phenomenology, EMDR protocol and clinical outcome of EMDR in severe depression with psychosis, delusional dysmorphobia and schizophrenia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The author will by means of oral presentation of clinical case material from patients seen as outpatients; didactic teaching and 'question and answer' explore the efficacy demonstrated by EMDR in a series of patients with disorders including ‘depression, severe with psychosis'; delusional dysmorphophobia and schizophrenia.
There will be detailed description and presentation of case studies. The author will present and discuss clinical cases seen by them and another colleague where EMDR has been used in patients preventing to their facility with ‘depression, severe with psychosis;' delusional dysmorphophobia and schizophrenia.
The author will explore the phenomenology of the case material and discuss how it potentially relates, diagnostically, to the utility of EMDR in such cases. Particular mention will be made of the role EMDR had within the overall treatment plan of these cases and discussion of potential indicators that will aid appropriate targeting of cases for EMDR will be made.
A detailed description of how to apply EMDR protocol in monosymptomatic delusional disorder, including delusional dysmorphophobia will be given. This will include discussion of the use of Floatback; explore the use of affect bridge and the possible role of the unconscious or repressed material in the development of psychotic phenomena.
As patient with psychotic phenomena are often on one if not several psychoactive medications, the author will discuss the impact of EMDR on drug therapy in this group of patients with: schizophrenia, depression, severe with psychosis and delusional dysmorphophobia, illustrating the points from the case material. They will also look at the possible effect of medication on the efficacy of EMDR in this client group.
Keywords: Delusional Dysmorphobia Depression Personality Disorders Phobias Psychosis Schizophrenia
41. Mitrani, C. (2005, Junio). Trastornos de personalidad y EMDR [Personality disorders and EMDR]. Presentación en el V Congreso Internacional de Trauma Psíquico y Estrés Traumático, Buenos Aires, Argentina.
Language: Spanish
Format: Conference
Keywords: Personality Disorders
42. Mosquera, D. (2010, Junio). EMDR en trastornos de la personalidad [EMDR in personality disorders]. Presentation at the VIII Congreso Nacional de Trastornos de la Personalidad, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
Keywords: Personality Disorders
43. Mosquera, D. (2012, April). Aplicaciones clínicas de la terapia EMDR.: Trastornos de la personalidad y trauma complejo [Clinical applications of EMDR therapy Personality disorders and complex trauma]. Presentación en el Colexio Oficial de Psicoloxía de Galicia. Santiago de Compostela, Spain.
Language: Spanish
Format: Conference
Keywords: Complex Trauma Personality Disorders
44. Mosquera, D., & Gonzalez, A. (2011, June). Personality disorders and EMDR [Persönlichkeitsstörungen und EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop.
The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic.
Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development.
Learning objectives:
One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.
Keywords: Personality Disorders
45. Mosquera, D., & Gonzalez, A. (2011, Settembre). I disturbi de personalita e l’EMDR [Personaity disorders and EMDR]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.
Language: Italian
Format: Conference
Abstract:
I pazienti con disturbi di personalità manifestano difficoltà nel loro funzionamento quotidiano; nella loro storia di vita in molti casi sono presenti eventi traumatici e relazioni primarie di attaccamento insicuro. In questo workshop ci focalizzeremo sui disturbi di personalità del gruppo B, in particolar modo sui borderline. Tenteremo di spiegare l’interrelazione dei criteri del DSM con eventi traumatici precoci. Comprendere questi aspetti è basilare per un’adeguata concettualizzazione del caso nella Fase 1 e pianificazione del trattamento di questi pazienti con EMDR. ... In questo workshop verranno approfondite anche le evidenze empiriche riguardo al trauma e ai disturbi di personalità e le pubblicazioni riguardanti l’EMDR e i Disturbi di Personalità. Un aspetto interessante di questo workshop è l’integrazione dell’esposizione teorica e la presentazione di video di casi clinici, al fine di comprendere meglio gli specifici aspetti della terapia con EMDR nei disturbi di personalità . Verranno esposti e spiegati la struttura generale della terapia dell’EMDR nei disturbi di personalità, gli interventi della fase di preparazione e le considerazioni riguardo al lavoro sul trauma con l’EMDR.
Patients with personality disorders, difficulties in their daily operation; in their life history in many cases there are traumatic events and the primary relationships of insecure attachment. In this workshop we will focus on personality disorders in group B, especially on the borderline. We will attempt to explain the interrelationship of the criteria of the DSM with traumatic events early. Understanding these aspects is fundamental for an adequate conceptualization of the case in Phase 1 and treatment planning of these patients with EMDR. ... This workshop will also discuss the empirical evidence about the trauma and personality disorders, and publications on EMDR and Personality Disorders. An interesting aspect of this workshop is the integration of theoretical exposure and presentation of video case studies, in order to better understand the specific aspects of EMDR therapy in personality disorders. Will be exhibited and explained the general structure of EMDR therapy in personality disorders, the operations of preparation and considerations about the work on trauma with EMDR.
Keywords: Personality Disorders
46. Omaha, J. (2004). Psychotherapeutic interventions for emotion regulation: EMDR and bilateral stimulation for affect management. New York: W. W. Norton.
Language: English
Format: Book
Abstract:
The present work represents a new phase in a profound revolution in psychotherapy, in which affects take their rightful place of equality with cognitions, drives, and behavior among the modalities that must be interpreted by theory and embraced by therapy in understanding both normal and pathological personality development (Cicchetti, Ackerman, & Izard, 1995). The book synthesizes experimental and theoretical advances regarding the primacy of affect in both human psychological health and dysfunction. These advances are translated into practical clinical applications the clinician can immediately utilize. The clinical interventions presented here are solidly grounded in recent experimental advances in understanding the developmental neurobiology of affect (Schore, 1994). These skills and concepts lay the foundation for a new approach to treating psychopathology that begins with the affects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Affect Management Emotional Control Emotional States Mental Health Personality Development Personality Disorders Psychopathology Psychotherapeutic Techniques
47. Puk, G. (1994, July). Eye movement desensitization and reprocessing in the treatment of multiple personality disorder. Presentation at the 10th annual conference of the Society for the Exploration of Psychotherapy Integration, Buenos Aires, Argentina.
Language: English
Format: Conference
Keywords: DID Dissociative Identity Disorder MPD Multiple Personality Disorders
48. Staff. (2003). What is the scientific status of eye movement desensitization and reprocessing therapy?. Clinician's Research Digest, 21(5).
Language: English
Format: Newsletter
Abstract:
Eye movement desensitization and reprocessing (EMDR) has enjoyed rapid dissemination and adoption since being introduced by Christine Shapiro in the 1980s as a 1-session treatment for posttraumatic stress disorder (PTSD) and other anxiety disorders. EMDR is now offered as a treatment for a variety of other problems, including substance abuse, personality disorder, and athletic performance enhancement, and large numbers of therapists have been trained by the EMDR Institute.
Keywords: Anxiety Disorders Athletic Performance Drug Abuse Personality Disorders Posttraumatic Stress Disorder PTSD Treatment
49. Staff. (2001). EMDR bij persoonlijkheidspathologie [EMDR with personality pathology]. Psychopraxis, 3(4), 151. doi:10.1007/BF03071947.
Language: Dutch
Format: Journal
Abstract:
Eind jaren tachtig werd Eye Movement Desensitization and Reprocessing (emdr) door de Amerikaanse psychologe Francine Shapiro geïntroduceerd als een veelbelovende, kortdurende methode voor de behandeling van psychotrauma. Bij deze methode wordt de cliënt gevraagd een zeer negatief geladen herinnering voor de geest te halen, waarna een afleidende stimulus wordt aangeboden. Al gauw kwam een stroom van onderzoek op gang naar de effectiviteit van deze opmerkelijke methode.
Late eighties Eye Movement Desensitization and Reprocessing (EMDR) by the American psychologist Francine Shapiro introduced as a promising, short-term method for treating psychotrauma. In this method, the client asked for a highly negatively charged memories to recall, after a distracting stimulus is presented. Soon came a stream of research going into the effectiveness of this remarkable method.
Keywords: Personality Disorders
50. 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
51. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders Symposium Trauma
52. Woller, W. (2004). EMDR in der psychotherapie von persönlichkeitsstörungen - Grenzen, voraussetzungen, möglichkeiten [EMDR in the treatment of personality disorders - frontiers, conditions, possibilities]. PPmP - Psychotherapie, Psychosomatik, Medizinische Psychologie, 54, AB124.
Language: Czech
Format: Journal
Abstract:
EMDR gilt inzwischen als effizientes Verfahren in der Behandlung posttraumatischer Belastungsstörungen. Die Anwendung des Verfahrens erfordert wie jedes traumaverarbeitende Verfahren jedoch neben einer ausreichenden äußeren und inneren Stabilität die Beachtung der Komorbidität.. Da Persönlichkeitsstörungen, namentlich die Borderline-Persönlichkeitsstörung, eine häufige Komorbidität der posttraumatischen Belastungsstörung darstellen, ist die Berücksichtigung einer komorbiden Persönlichkeitsstörung für die Indikationsstellung einer EMDR-Behandlung von großer Bedeutung.
Auf der Basis kasuistischer Mitteilungen in der Literatur und eigener klinischer Erfahrungen soll dargestellt werden,
(1) unter welchen Voraussetzungen die Behandlung einer PTBS auch bei komorbider Persönlichkeitsstörung denkbar ist,
(2) wie EMDR in einen Gesamtbehandlungsplan integriert werden kann, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst,
(3) welche Modifikationen des Verfahrens in Abhängigkeit vom Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität möglich und auch notwendig ist,
(4) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung bieten kann.
EMDR is now regarded as an effective method in the treatment of posttraumatic stress disorder. The application of the method requires as any trauma processing method, however, only sufficient external and internal stability, the observance of comorbidity .. Because personality disorders, especially borderline personality disorder, a common comorbidity of post-traumatic stress disorder present, the consideration of a comorbid personality disorder for the indication of EMDR treatment is of great importance.
On the basis of casuistic messages in the literature and our own clinical experiences to be represented,
(1) the conditions under which the treatment of PTSD is possible even with comorbid personality disorder,
(2) how EMDR can be integrated into an overall treatment plan, in addition to comprehensive stabilization, symptom control and resource activation involves the modification of distorted interpersonal perceptions and maladaptive patterns of interaction patterns
(3) depending on the type of personality disorder, structure and defense of symptomatic comorbid is possible and also necessary which modifications of the method,
(4) the opportunity EMDR for the treatment of personality disorders without the symptoms of PTSD can offer to address current and future stressors and resources to strengthen beyond.
Keywords: Conference Abstract Practice Theory
53. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.
Language: German
Format: Journal
Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.
EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.
Keywords: Personality Disorders
54. Woller, W. (2002, Mai). EMDR bei persönlichkeits-störungen [EMDR for personality disorders]. Vortrag auf der Jahrestagung der EMDR Europe Association, Frankfurt, Deutschland.
Language: German
Format: Conference
Keywords: Personality Disorders
55. Woller, W. (2010, July). Therapeutic relationship in the treatment of traumatized clients with personality disorders. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Therapeutic relationship is often a major challenge in the treatment of traumatized clients with
comorbid personality disorders. Maladaptive interpersonal styles and negative transferences resulting
from attachment trauma can make a trauma-oriented therapy very difficult. However, an understanding
of personality disorders as a consequence of attachment trauma creates new therapeutic possibilities
for patients who are considered difficult to treat though urgently in need of therapy.
Given this background, the workshop aims at enhancing the participants’ capacity to manage problems
of therapeutic relationship in traumatized clients with personality disorder.
In the first part of the workshop, an overview on possible neurobiological causes of specific patterns of experiencing and
behavior in personality disorders will be given. Deficits in emotion regulation, mentalization function, and personality
integration, all of which have been identified as underlying dysfunctional and self-destructive behavioral patterns, can
be understood as consequences of attachment trauma. In the second part of the workshop, a phase-oriented treatment
conception will be presented which combines elements from resource-oriented trauma therapies with aspects of a
psychodynamic understanding of attachment relationships. In the framework of this concept, the notions of transference
and countertransference will be introduced to explain difficulties typically arising in the relationship with traumatized clients
with severe personality disorders. On the basis of case material, strategies will be presented to deal with recurrent problems
of therapeutic relationship.
Keywords: Interpersonal Relationship Personality Disorders
56. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 3, 73-78.
Language: German
Format: Journal
Abstract:
EMDR gilt inzwischen als effizientes Verfahren in der Behandlung posttraumatischer Belastungsstörungen. Die Anwendung des Verfahrens erfordert wie jedes traumaverarbeitende Verfahren jedoch neben einer ausreichenden äußeren und inneren Stabilität die Beachtung der Komorbidität.. Da Persönlichkeitsstörungen, namentlich die Borderline-Persönlichkeitsstörung, eine häufige Komorbidität der posttraumatischen Belastungsstörung darstellen, ist die Berücksichtigung einer komorbiden Persönlichkeitsstörung für die Indikationsstellung einer EMDR-Behandlung von großer Bedeutung.
Auf der Basis kasuistischer Mitteilungen in der Literatur und eigener klinischer Erfahrungen soll dargestellt werden,
(1) unter welchen Voraussetzungen die Behandlung einer PTBS auch bei komorbider Persönlichkeitsstörung denkbar ist,
(2) wie EMDR in einen Gesamtbehandlungsplan integriert werden kann, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst,
(3) welche Modifikationen des Verfahrens in Abhängigkeit vom Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität möglich und auch notwendig ist,
(4) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung bieten kann.
EMDR is now regarded as an effective method in the treatment of posttraumatic stress disorder. The application of the method requires as any trauma processing method, however, only sufficient external and internal stability, the observance of comorbidity .. Because personality disorders, especially borderline personality disorder, a common comorbidity of post-traumatic stress disorder present, the consideration of a comorbid personality disorder for the indication of EMDR treatment is of great importance.
On the basis of casuistic messages in the literature and our own clinical experiences to be represented,
(1) the conditions under which the treatment of PTSD is possible even with comorbid personality disorder,
(2) how EMDR can be integrated into an overall treatment plan, in addition to comprehensive stabilization, symptom control and resource activation involves the modification of distorted interpersonal perceptions and maladaptive patterns of interaction patterns
(3) depending on the type of personality disorder, structure and defense of symptomatic comorbid is possible and also necessary which modifications of the method,
(4) the opportunity EMDR for the treatment of personality disorders without the symptoms of PTSD can offer to address current and future stressors and resources to strengthen beyond.
Keywords: Personality Disorders