Francine Shapiro Library - EMDR Bibliography Links
Francine Shapiro Library: EMDR Bibliography
Your Results - you searched for the keyword Psychosis 21 Results
1. Breitenbach, G., & Requardt, H. (2003). Traumatherapie mit EMDR bei mmenschen mit psychosen in der vorgeschichte [EMDR trauma therapy in people with a history of psychosis]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
In der Arbeit mit chronifizierten Problemstellungen haben wir es immer wieder mit Menschen zu tun, die aufgrund psychotischer Vorerfahrung eine Psychotherapie aufsuchen. In der Regel ist der Leidensweg schon sehr lang. Die Klienten sind insoweit erfahren, dass sie gelernt haben, jede unangenehme und jede starke Gefühlsreaktion, als ein Ergebnis ihrer zu großen Empfindlichkeit zu interpretieren. Das führt dazu, dass sie eigenen Gefühlen misstrauen und so eigentlich ganz ehrlich sind, wenn sie uns sagen: ich habe noch nie etwas Traumatisches erlebt.
In working with chronified problems we are faced again and again with people who, because of psychotic prior experience in psychotherapy. In general, the ordeal is very long. The clients are so far out that they have learned each and every strong unpleasant emotional response, as a result interpret their excessive sensitivity. The result is that they distrust their own feelings and so are actually quite honest when they tell us: I have never experienced something traumatic.
Keywords: Psychosis
2. de Bont, P. (2011, August-September). Efficacy and safety of prolonged exposure or EMDR-treatment for PTSD with patients with a vulnerability for psychosis. A multiple baserate N=10 single case design. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Objectives: Untill now, only a small number of studies have
investigated the safety and effects of psychological treatment for
PTSD in psychotic patients. The main aim of this study was to
explore the effects of two psychological, highly manualized,
guideline PTSD treatments: EMDR and prolonged exposure.
Another important aim was to determine if negative side effects
would occur as a result of therapy. Among clinicians fear exists of
harming vulnerable patients with confronting therapeutic
procedures, thus risking psychotic exacerbation, suicidal behaviour
or other adverse events.
Methods: In a N=10 single case study design the effects of
psychological PTSD treatment were studied in psychiatric patients
who suffer from psychoses. Participants were randomly assigned
to either EMDR or Prolonged Exposure. Weekly measurements of
PTSD and psychotic symptoms prior to, during and after
treatment, gave a strong impression of how symptoms respond to
treatment. The treatment in both conditions consisted of 12
sessions of 90 minutes. Adverse events were monitored weekly.
Before, directly after and 3 months after treatment all subjects
were tested more extensively for the variables PTSD and
psychosis, and for three secondary outcome measures cognitive
style, social functioning and quality of life.
Results: The results show that PTSD-treatment can be quite
effective for both PTSD and even some of the psychotic symptoms.
PTSD symptoms dropped considerably, in a number of cases
below the point of still having a PTSD. In some cases treatment
helped diminish the occurence of harming voices. Not one patient
became psychotic as a result of therapy, not even patients that
went through the guided reliving of traumatic psychotic events
during Prolonged Exposure. No suicide attempts occured.
Occasional minor adverse events with medication occurred, but
results taken as a whole the treatments were obviously safe.
Conclusion: This study shows that PTSD-treatment in psychotic
patients is a serious option, next to medical treatment. It can be
done safely, effectively and in a manualized fashion. No
information can be derived from this study as to which of the two,
Prolonged Exposure or EMDR, can be best applied in specific
situations. Both seem to be equal in the limited number of cases.
Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium
3. DiBerardino, C., & Milardi, M. (2003, May). Consideration on the clinical results in the application of the EMDR in a psychotic subject. Poster presented at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
4. Fowler, K. B. (2007, January). The first symptoms of psychosis. Schizophrenia Bulletin, 33(1), 16-18.
Language: English
Format: Journal
Abstract:
Episodes of significant depression have been a part of my life for as long as I can recall, but psychosis was unknown to me until I was in my mid-thirties, months after the birth of my second child. At first, all I recognized were the emerging symptoms of postpartum depression in the weeks after the birth: a familiar scenario, since it had also occurred with my first child. My doctor immediately prescribed 50mg of Prozac daily. I took the medication, felt much better, and continued to breastfeed my second daughter with no apparent problems. In fact, for about four months I felt better than I had in years. My therapist, an LCSW, was thrilled with my progress. She had been treating me with a technique called Eye Movement Desensitization and Reprocessing (EMDR). The therapy worked. In this article I present essays. These essays are my recollections of some of the new, and very foreign, moments in the beginning of that process, as my mind gradually turned from sane to psychotic. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: First Symptoms Psychosis Postpartum Depression Schizophrenia Symptoms
5. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR en psicosis y trastorno mental severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Interactions between trauma and biology, dissociation and psychosis are
complex. Some cases could be more biologically based, and traumatic events may
trigger a psychotic episode or contribute to the low-response to usual
interventions. But traumatic experiences could also influence neurodevelopment
and brain structure. In some cases past adverse events may be a main factor in the
development of psychotic psychopathology. The treatment of psychotic disorders
with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the
relative contribution of these different factors from clinical results. The empirical
research about the application of EMDR will be also reviewed.
A relevant point for EMDR therapy in psychotic disorders is the complex
relationship between dissociation and psychosis. Patients presenting with the
belief of being controlled by an external force, intrusive thoughts and hallucinatory
voices that comment on one's thoughts or actions or that have a conversation with
other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but
can often be best understood and approached as dissociative symptoms. These
patients can be treated with EMDR, but the procedures present relevant
modifications in relation with the standard EMDR procedure for PTSD.
In this workshop we will briefly describe how EMDR can be applied in different
examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.
Las
interacciones
entre
trauma
y
biología,
disociación
y
psicosis
son
complejas.
Algunos
casos
pueden
estar
más
basados
en
el
ámbito
biológico,
y
los
eventos
traumáticos
pueden
ser
disparadores
de
un
episodio
psicótico
o
contribuir
a
la
baja
respuesta
ante
las
intervenciones
usuales.
Pero
las
experiencias
traumáticas
pueden
también
influenciar
el
neurodesarrollo
y
la
estructura
cerebral.
En
Algunos
casos
eventos
adversos
del
pasado
pueden
ser
el
principal
factor
para
desarrollar
psicosis
o
una
psicopatología.
El
tratamiento
de
los
trastornos
psicóticos
con
un
terapia
orientada
al
trauma
como
el
EMDR
nos
ayudan
a
evaluar
la
contribución
relativa
de
distintos
factores
a
los
resultados
clínicos.
La
investigación
empírica
acerca
de
la
aplicación
del
EMDR
también
será
revisada.
Un
punto
relevante
de
la
Terapia
EMDR
en
trastornos
psicóticos
es
el
resultado
complejo
de
la
relación
entre
disociación
y
psicosis.
Los
pacientes
que
presentan
creencias
de
control
por
fuerzas
externas,
pensamientos
intrusivos
y
voces
alucinatorias
que
comentan
las
acciones
o
pensamientos
o
tienen
una
conversación
con
otras
voces
alucinatorias,
normalmente
son
diagnosticadas
como
esquizofrenia
y
psicosis
pero
en
algunas
ocasiones
estarían
mejor
entendidas
desde
un
enfoque
que
las
considerara
síntomas
disociativos.
Estos
pacientes
pueden
ser
tratados
con
EMDR,
pero
los
procedimientos
presentan
modificaciones
referentes
al
procedimiento
estándar
de
EMDR
para
el
TEPT.
Keywords: Psychosis Severe Mental Disorders
6. Hamilton, C. (1999, June). EMDR in the treatment of a client with psychosis and post traumatic stress disorder. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase his/her knowledge about identifying post traumatic stress disorder in persons with psychosis; 2) increase his/her intereste in exploring the potential benefit of EMDR with clients with psychosis and trauma disorders; 3) identify aspects of psychosis that according to this single case study did not appear to benefit from treatment with EMDR.
Keywords: Posttraumatic Stress Disorder Psychosis PTSD
7. Hamilton, C. (1998, November). EMDR use in a patient with DDNOS and psychosis. Symposium at the annual conference of the International Society for the Study of Dissociation in Seattle, Washington.
Language: English
Format: Conference
Keywords: DDNOS Psychosis Symposium
8. Laugharne, R. (2012. January). P-1265 - A role for EMDR (eye movement desensitisation and reprocessing) in the treatment of trauma in patients suffering from a psychosis. European Psychiatry, 27(Supplement 1), 1-1. doi:10.1016/S0924-9338(12)75432-9.
Language: English
Format: Journal
Abstract:
Patients with a functional psychosis are more likely to have a history of trauma, symptoms of PTSD and may have been traumatised by their psychotic symptoms. We present an anonymised case series of patients (who have given consent) suffering from a functional psychotic illness who had a significant history of trauma with symptoms of post traumatic stress disorder (PTSD). After receiving eye movement desensitisation and reprocessing (EMDR), each patient showed an improvement in their PTSD symptoms and reported an improvement in the quality of their lives. As a history of trauma and PTSD symptoms are more frequent in patients with a psychosis, and trauma may be an aetiological component of psychosis, EMDR treatment needs to be researched and explored as a treatment opportunity in this patient group. [Copyright &y& Elsevier]
Keywords: Psychosis
9. Millar, P. (2010, March). EMDR & psychosis. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Psychotic phenomena are one of the most
challenging clinical presentations to treat, the most severe form being schizophrenia and
poor outcome schizoaffective disorder. Schizophrenia is a severe enduring mental illness
(SMI) and is characterised by core disturbances of thinking, perceptions and the emotions.
It is accepted as having a heavy burden, with significant effects on the patient, their
families and carers and it is one of the most costly illnesses worldwide. The weight of
burden falls with regard to legal problems, stigma and life expectancy: life expectancy in
this group of individuals is reduced by 10 years, mostly as a consequence of suicide
(Rossler, Salize et al. 2005). Despite more than 100 years of experience of the disease it is
still only a minority of individuals who make a full recovery.
This workshop aims to give further insight into the role of EMDR in the treatment of
schizophrenia - as defined by the genetic epidemiological work by Professor K Kendler
(Kendler, Spitzer et al. 1989; Kendler, McGuire et al. 1993; Kendler, Maguire et al. 1993).
It follows up a series of three patients with psychosis treated with EMDR one of whom met
strict criteria for schizophrenia. All 3 are now over 2 years post-EMDR. Of specific note the
man who presented with schizophrenia remains free of medication and symptoms.
The workshop will discuss the role of EMDR in the treatment of psychosis, including
schizophrenia and discuss case selection and protocol development in this area of practice.
Keywords: Psychosis Schizoaffective Disorder Schizophrenia
10. Miller, P. (2009, June). EMDR in psychosis: A two year follow-up and the implications for future protocol development. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Psychosis Severe Psychiatric Disorders
11. Miller, P. (2006, June). A clinical case example of EMDR in the management of psychosis in a young man with psychotic depression. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey .
Language: English
Format: Conference
Keywords: Case Study Psychosis Psychotic Depression
12. Miller, P. (2011, August). EMDR treatment of psychotic disorders, including schizophrenia: Using the ICONN protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Psychotic phenomena are challenging to treat. The most severe psychosis is schizophrenia, which has a heavy burden and reduced life expectancy through physical illness and suicide. Psychotherapy in psychosis is experiencing a renaissance and this workshop will discuss case selection and the application of the ICONN protocol for EMDR with psychosis. The ICONN protocol has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.
Keywords: ICONN Protocol Psychosis Psychotic Disorders Schizophrenia
13. 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
14. Moskowitz, A. (2012, June). Trauma, dissociation and psychosis [Trauma, disociación y psicosis]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
What
is
the
relationship
between
trauma,
dissociation
and
psychosis?
In
this
talk,
I
will
discuss
links
between
the
historical
concept
of
schizophrenia
and
dissociation,
the
meaning
of
‘psychosis’,
and
interpretations
of
psychotic
symptoms
from
a
trauma/dissociation
perspective.
It
is
proposed
that
auditory
verbal
hallucinations
or
‘voices’
are
dissociative
in
nature,
and
that
other
psychotic
symptoms
may
be
related
to
traumatic
experiences
in
a
variety
of
ways.
¿Cuál es la relación entre
trauma,
disociación
y
psicosis?
En
esta
charla
se
abordarán
los
puntos
de
conexión
entre
el
concepto
histórico
de
esquizofrenia
y
disociación,
el
significado
de
‘psicosis’
y
las
interpretaciones
de
los
síntomas
psicóticos
desde
una
perspectiva
de
trauma/disociación.
Se
propone
que
las
alucinaciones
auditivas
verbales
o
‘voces’
son
de
naturaleza
disociativa
y
que
otros
síntomas
psicóticos
pueden
estar
relacionados
de
distintas
maneras
con
experiencias
traumáticas.
Keywords: Dissociation Psychosis Trauma
15. van den Berg, D. (2011, June). Research on clinical applicaton of EMDR other than PTSD - EMDR with trauma in psychosis: Preliminary findings. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria .
Language: English
Format: Conference
Abstract:
Posttraumatic stress disorder is one of the most common comorbid conditions in patients with psychotic disorders. A large proportion of this group indicate that they want to be treated for their PTSD symptoms. Conversely, a psychotic disorder is nearly always used as an exclusion criterion for effective psychotherapeutic treatments. The clinical experience and limited scientific research conducted in this area, however, indicate that these patients can be effectively treated with techniques directly aimed at processing the trauma. However, research in this area is lacking.
During this presentation the different interactions between trauma, psychosis and PTSD will briefly be discussed. In addition, the results of a feasibility trial of EMDR in patients with psychosis and comorbid PTSD will be presented. The main finding of this trial was that treatment did not result in any adverse effects. EMDR appeared to be very effective in alleviating PTSD symptoms. Even more surprisingly, other symptomatology, such as symptoms of psychosis and depression decreased significantly. Hence, treating PTSD in patients suffering from psychosis with EMDR appears to be feasible and safe.
16. van den Berg, D. P. G., & van der Gaag, M. (2012, June). Treating trauma in psychosis with EMDR: A pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 664-671. doi:10.1016/j.jbtep.2011.09.011.
Language: English
Format: Journal
Abstract:
Background:
Initial studies have shown that posttraumatic stress disorder (PTSD) can be effectivelytreated in patients with a psychotic disorder. These studies however used adapted treatment protocols, avoided direct exposure to trauma related stimuli or preceded treatment with stabilizing techniques making treatment considerably longer in duration.
Method:
An open trial in which adult subjects with a psychotic disorder and a comorbid PTSD (n = 27) received a maximum of six Eye Movement Desensitization and Reprocessing (EMDR) therapy sessions. PTSD symptoms, psychotic symptoms and additional symptoms were assessed at baseline and end-of-treatment.
Results:
The dropout rate was 18.5 percent (five subjects). Only five of the twenty-two completers (22.7%) still met criteria for PTSD after treatment. PTSD symptoms, auditory verbal hallucinations, delusions, anxiety, depression, and self-esteem all improved significantly. Paranoid ideation and feelings of hopelessness did not improve significantly. Treatment did not lead to symptom exacerbation in subjects. There were no adverse events, such as suicide attempts, self-mutilation, aggressive behavior or admission to a general or psychiatric hospital.
Conclusions:
This pilot study shows that a short EMDR therapy is effective and safe in the treatment of PTSD in subjects with a psychotic disorder. Treatment of PTSD has a positive effect on auditory verbal hallucinations, delusions, anxiety symptoms, depression symptoms, and self-esteem. EMDR can be applied to this group of patients without adapting the treatment protocol or delaying treatment by preceding it with stabilizing interventions.
Keywords: Auditory Delusions Pilot Posttraumatic Stress PTSD Psychosis Psychotic Disorder Self-Esteem Treatment Verbal Hallucination
17. van den Berg, D. P. G., van der Vleugel, B., & Staring, A. (2010, December). Trauma, psychose, PTSS en de toepassing van EMDR [Trauma, psychosis, PTSD and the use of EMDR]. Directieve Therapie, 30(4), 303-328. doi:10.1007/s12433-010-0242-9.
Language: Dutch
Format: Journal
Abstract:
In dit artikel beschrijven wij drie interacties tussen trauma, psychose en PTSS:
1. Veel patiënten met psychosen hebben in hun leven traumatiserende ervaringen
meegemaakt. Deze traumata spelen vaak een belangrijke rol in hun psychosen en in het
ontstaan hiervan.
2. Het meemaken van een psychose en de psychiatrische behandeling zijn voor veel
patiënten levensechte en traumatische ervaringen, die kunnen leiden tot posttraumatische
stressklachten.
3. Vaak komen psychosen en een posttraumatische stressstoornis gezamenlijk voor, waarbij
er sprake is van negatieve wederzijdse beïnvloeding en voortgaande traumatisering.
Deze drie interacties hebben een hoge klinische relevantie. Er is in de praktijk van de zorg voor
patiënten met psychosen echter weinig aandacht voor traumatisering en comorbide PTSS.
Eye Movement Desensitization and Reprocessing (EMDR) is een behandelmethode die
effectief is bij de behandeling van traumata en PTSS. Wij beschrijven per genoemde interactie een
behandeling waarbij EMDR is ingezet. Daarna bespreken wij een aantal factoren die een EMDRbehandeling
bij patiënten met psychosen kunnen bemoeilijken, zoals doorlopende traumatisering
door psychotische klachten, cognitieve beperkingen, moeite met oogbewegingen, belemmeringen
door antipsychotische medicatie en verminderde affectieve expressie. Wij sluiten het artikel af met
het advies om in de zorg voor mensen met psychosen aandacht te hebben voor trauma en
comorbide PTSS, en patiënten hier ook voor te behandelen.
In this article we describe three interactions between trauma, psychosis and PTSD:
1. Many patients suffering from psychosis have been traumatized. This trauma often plays
an important role in their psychosis and the onset thereof.
2. Having a psychosis and being treated in a psychiatric hospital are traumatic experiences
for a lot of patients, and can lead to posttraumatic stress symptoms; and
3. Often psychoses and post-traumatic stress disorder occur jointly, reciprocally influencing
one another and leading to ongoing traumatization.
These interactions have a great clinical relevance. In the practice of care for patients with
psychosis however there is little attention for traumatization and co-morbid PTSD. EMDR is a
treatment approach that is effective in treating traumas and PTSD. Per interaction mentioned
above we describe a treatment in which EMDR was used. After this we discuss certain factors that
may complicate an EMDR treatment in patients with psychosis, such as ongoing traumatization by
psychotic symptoms, cognitive impairments, difficulty with eye movements, barriers due to antipsychotic
medication, and diminished emotional expression.
We end the article with the advise to be aware of the high prevalence of trauma and co-morbid
PTSD in the care for patients with psychosis and to treat patients for these complaints.
Keywords: Posttraumatic Stress Disorder Psychosis PTSD Trauma
18. van den Berg, D., & Staring, T. (2011, April). EMDR bij patiënten met psychosen, wie durft? [EMDR in patients with psychosis, who dares?]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging.
Language: Dutch
Format: Conference
Abstract:
Patiënten met psychosen hebben vaak ernstige trauma’s meegemaakt. PTSS is bij hen een van de meest voorkomende co-morbide stoornissen. De meeste therapeuten hanteren een psychotische stoornis echter als contra-indicatie voor EMDR. Tijdens deze presentatie tonen wij dat EMDR ondanks psychotische problematiek gewoon kan worden toegepast en dat dit slechts minimale aanpassingen vergt.
Wij zetten daarna uiteen wat de verschillende toepassingsgebieden bij deze doelgroep zijn. EMDR kan namelijk niet alleen veilig en effectief toegepast worden bij psychosen met co-morbide PTSS, het kan ook een belangrijke rol hebben binnen CGT bij stemmen en wanen. Traumatische (leer)ervaringen zijn immers vaak betrokken bij het ontstaan van wanen en hallucinaties. Daarnaast liet recent onderzoek zien dat niet alleen retrospectieve targets behandeld kunnen worden met EMDR, maar ook situaties in de toekomst, de zogenoemde ‘flash forwards’. Dit is nuttig voor patiënten die herhaaldelijk geconfronteerd worden met stemmen of met situaties waarin paranoide gedachten worden getriggerd. Videomateriaal wordt getoond om de presentatie te ondersteunen. Tot slot is er aandacht voor obstakels in de toepassing van EMDR bij deze doelgroep. Aan het einde is er ruimte voor vragen en discussie.
Patients with psychoses often experienced severe trauma. PTSD is with them one of the most common co-morbid disorders. Most therapists use a psychotic disorder but as a contraindication to EMDR. During this presentation we demonstrate that EMDR despite psychotic problems can easily be applied and that it requires only minimal adjustments.
We then set out what the different application of this target group. EMDR can not safely and effectively used in psychoses with co-morbid PTSD, it can also have an important role in CBT for voices and delusions. Traumatic (learning) experiences are often involved in the pathogenesis of delusions and hallucinations. In addition, recent studies showed that not only retrospective targets can be treated with EMDR, but also situations in the future, called "flash forwards". This is useful for patients who are repeatedly confronted with situations in which voices or paranoid thoughts are triggered. Video material is shown to support the presentation. Finally, consideration of obstacles in the application of EMDR with that audience. At the end there is room for questions and discussion.
Keywords: Pyschosis
19. van den Berg, D., & van der Vleugel, B. (2011, June). Trauma, psychosis and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria .
Language: English
Format: Conference
Abstract:
The associations between trauma and psychosis are diverse and complex. The majority of people suffering from psychosis have been traumatized as a child and trauma appears to be an important causal factor in becoming psychotic later in life. About 35 percent of the people with psychosis suffer from a comorbid Post Traumatic Stress Disorder (PTSD). The psychotic experience itself and the sometimes horrific experiences in psychiatric treatment (e.g., solitary confinement) are traumatizing experiences for many patients. The presence of a comorbid PTSD leads to negative vicious cycles in which the patient can become stuck if effective treatment is not provided. Despite all this, comorbid PTSD is rarely diagnosed, and if so, application of EBP is not common practice.
Learning objectives:
During this workshop these different interactions between trauma, psychosis and PTSD will shortly be discussed. Evidence from research and practice showing that trauma in psychosis can be treated effectively and safely, will be presented. Further, the workshop will focus on the practical application of EMDR within a general cognitive behavioural treatment plan for psychosis. Moreover, the following questions will be addressed. How is trauma history conceptualized within a case formulation? When can EMDR be used? And how can this be done? General problems one may encounter when using EMDR in patients with psychosis will be discussed.
Recommended reading before the workshop:
•W. Larkin and A. Morrison (eds.) Trauma and Psychosis: New directions for theory and therapy. 2006 London: Brunner-Routledge.
After this workshop attendees will be aware of the great importance of assessing the life histories of patients with psychosis, how to incorporate this in a case formulation and how to use EMDR with these patients.
20. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives:
Know that trauma influences psychotic symptoms,
Understand how EMDR can influence paranoia and hallucinations, and
Be able to conceptualize EMDR for these symptoms
Keywords: Psychosis
21. van der Vleugel, B. M., van den Berg, D. P. G., & Staring, A. B. P. (2012, March-April). Trauma, psicosi, disturbo da stress post-traumatico e l’utilizzo dell’EMDR [Trauma, psychosis, post-traumatic stress disorder and the application of EMDR]. Rivista di Psichiatria, 47(Supplement 1), 33S-38S. doi:10.1708/1071.11737.
Language: Italian
Format: Journal
Abstract:
In questo articolo descriveremo tre interazioni tra trauma, disturbo da stress post-traumatico (PTSD) e psicosi: 1. molti pazienti con disturbi psicotici hanno subito esperienze di vita traumatiche che giocano un ruolo fondamentale nell’insorgenza e nel dar forma al contenuto della loro psicosi; 2. sia l’esperienza psicotica sia il suo trattamento psichiatrico possono causare la sintomatologia da stress post-traumatico; 3. nel caso in cui la psicosi ricorra assieme ad un PTSD, vi è un rischio sostanziale che i due quadri clinici si rinforzino reciprocamente in maniera negativa, oltre a un potenziale protrarsi della traumatizzazione. Sebbene queste interazioni siano clinicamente molto rilevanti, raramente vengono tenute in considerazione durante la pratica clinica di routine. Le tre interazioni verranno illustrate attraverso un caso singolo e una descrizione di un trattamento con EMDR. In conclusione raccomandiamo di prestare attenzione, durante la pratica clinica di routine, alla traumatizzazione e a una co-diagnosi di un PTSD nei casi che presentano un disturbo piscotico, oltre che offrire un trattamento a questi pazienti.
In this article we describe three interactions between trauma, post-traumatic stress disorder (PTSD) and psychosis: 1. many patients with psychotic disorders suffered from traumatic life experiences that play an important role in the onset and content of their psychosis; 2. the experience of psychosis as well as its psychiatric treatment may result in post-traumatic stress symptoms; 3. if psychosis and PTSD occur simultaneously, there is a substantial risk for reciprocal negative reinforcement of both symptom groups as well as for potentially ongoing traumatization. Although these interactions are highly relevant from a clinical perspective, they usually remain unattended in routine care. The three interactions will be illustrated by a case history as well as an impression of the psychological treatment including EMDR. We recommend to pay attention to traumatization and comorbid PTSD in routine care for people with psychosis, as well as to offer them treatment.
Keywords: Posttraumatic Stress Disorder PTSD Psychosis Schizophrenia Trauma