Francine Shapiro Library: EMDR Bibliography
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1. 孙海霞,杨蕴萍 [Sun Hai Xia, Yang Yun Ping]. (2004, August). 眼动脱敏与再加工治疗现状 [The psychotherapy of eye movement desensitization and reprocessing]. 中国临床心理学杂志,2004,12(3):324 [Chinese Journal of Clinical Psychology, 12(3), 324-326].
Language: Chinese
Format: Journal
Abstract:
眼动脱敏与再加工(Eye movement desensitization and reprocessing ,以下简称EMDR) 由Francine Shapiro 于1987 年创立,最初仅为眼动脱敏( EMD) ,1991 年发展为眼动脱敏与再加工,其中眼动脱敏仅是EMDR 中双侧刺激的一种,而双侧刺激是EMDR 操作中众多组分的一部分。EMDR 是一种整合的心理疗法,它借鉴了控制论(cybernetics) 、精神分析、行为、认知、生理学等多种学派的精华,建构了加速信息处理的模式,帮助患者迅速降低焦虑,并且诱导积极情感、唤起患者对内的洞察、观念转变和行为改变以及加强内部资源,使患者能够达到理想的行为和人际关系改变[1 ] 。本文拟对EMDR 的有关机理与实践应用作一综述。
(Eye movement desensitization and reprocessing, hereinafter referred to as EMDR) Francine Shapiro in 1987 by the creation of an initial eye movement desensitization only (EMD), 1991 years of development for the eye movement desensitization and reprocessing, which EMDR eye movement desensitization only in a bilateral stimulation, and EMDR bilateral stimulation is part of the operation of many components. EMDR is an integrated psychological therapy, which draw on the control theory (cybernetics), psychoanalysis, behavioral, cognitive, physiological, and other schools of the essence of information processing to speed up construction of the model, to help patients rapidly reduce anxiety, and induce positive affect, arouse patients insight into the internal, the concept of change and behavior change and the strengthening of internal resources, so that patients can achieve the desired changes in behavior and interpersonal relationships [1]. This paper about the mechanism of EMDR reviews the application and practice.
Keywords: Mechanism of Action Posttraumatic Stress Disorder PTSD
2. 崎尾英子 [Sakio Eiko]. (1999). ポストモダン時代の精神療法 ―EMDR施行中の脳波と身体感覚が示唆するもの― [Psychotherapy in postmodern era: EEG findings and sensations during EMDR]. こころの臨床ア・ラカルト, 18(1), 15-24 [Clinical Psychology: Various Aspects, 18(1), 15 -24).
Language: Japanese
Format: Journal
Keywords: EEG Findings
3. 市井 雅哉 , 吉川 久史 [Ichii Masaya, & Yoshikawa Hisashi] (2010). 教育講演 EMDR:外傷記憶を処理する心理療法--子どもへの適用,特に自閉症圏の子どもへの適用について (第50回日本児童青年精神医学会総会特集(1)スローガン:螺旋--共生社会への歩み) [Educational lecture: EMDR: The psychotherapy processing traumatic memories, applying to children, especially to autistic children] . 児童思春期精神医学日本誌、51(3)、275〜280 [Japanese Journal of child and Adolescent Psychiatry and Adjacent Areas, 51(3), 275-280].
Language: Japanese
Format: Journal
Keywords: Autism Children Trauma
4. 市井雅哉 [Ichii Masaya]. (2002). EMDR:心的外傷後ストレス障害のための新しい効果的な心理療法 [EMDR: New effective psychotherapy for PTSD]. 心身医学、6(4)、253〜258 [Psychosomatic Medicine, 6(4), 253-258].
Language: Japanese
Format: Journal
Keywords: Posttraumatic Stress Disorder PTSD
5. 菅原正和・田山淳 [Masakazu Sugawara, Shihoko Ashizawa, and Jun Tayama]. (2000). 心理療法におけるEMDR(Eye movement desensitization and reprocessing)のメカニズム(I) : EMDRプロトコルの刺激条件に関する生理心理学的検討 [The organic mechanisms of EMDR in psychotherapy (I): An analysis of stimulous conditions on EMDR protocol]. 教育、岩手県、60の大学(1)、1-9学部研究年報 [Annual report of the Faculty of Education, University of Iwate, 60(1), 1-9].
Language: Japanese
Format: Journal
Keywords: Mechanisms of Action
6. 菅原正和, 芦澤志帆子, 田山淳 [Sugawara Masakazu, Ashizawa Shihoko, and Tayama Jun] (2001). Psychotherapy in EMDR (Eye movement desensitization and reprocessing) mechanism (Ⅱ) Problem-Saccade -. 岩手大学教育学部研究年報第60巻第2号 49∼59 [Annual Faculty of Education, Iwate University, 60(2), 49-59].
Language: Japanese
Format: Dissertation/Thesis
Abstract:
1999年代に入って室長のように出現してきた画期的心理療法(“quantum psychotherapy”)
EMDR (Eye Movement Desensitization and Reprocessing)の歴史的背景,現在の位置とそ
の重要性については,すでに(Ⅰ)で述べた。本研究「心理療法におけるEMDRのメカニズム」
は臨床に寄与するため,以下の未解決になっている課題を,シリーズで神経心理学的視点から
解明しようとしている。
Innovative therapy has emerged as the early head into 1999 ("quantum psychotherapy")
EMDR (Eye Movement Desensitization and Reprocessing) historical background, its current position
The importance of the already (Ⅰ) described. This study, "Mechanisms of EMDR psychotherapy."
In order to contribute to the clinical issues that are unresolved following neuropsychological perspective series
You are trying to find out.
Keywords: Mechanism of Action Practice Theory
7. 遊佐安一郎 [Yusa Yasuichiro]. (1999). 新しい加速的な短期でしかも統合的な精神療法 EMDR −創始者、 Francine Shapiro, Ph.D.を訪ねて [Integrative psychotherapy, which is also, newly accelerated: in short-term: EMDR – visiting its founder, Francine Shapiro, Ph.D. ]. こころの臨床ア・ラカルト、18(1)、 93-97 [Clinical Psychology: Various Aspects, 18(1), 93-97] .
Language: Japanese
Format: Journal
Keywords: Practice Theory Visit
8. 阿津川 令子 [Atsukawa Reiko] (2003年3月). 新しい心理療法--EMDR(眼球運動による脱感作と再処理法) [New psychotherapy - EMDR (and re-treatment with eye movement desensitization)]. 追手門学院大学大学心理学評論(11)、27から34 [Otemon Gakuin University Psychological Review, (11), 27-34].
Language: Japanese
Format: Journal
9. 陈庆玲 [Chen Qingling] (2012). EMDR用于艾滋病患者心理康复研究——以某一艾滋病患者创伤心理治疗的成功个案为例 [The EMDR for AIDS patients psychological Rehabilitation Research - successful cases of an AIDS patient trauma psychotherapy]. 西华大学学报:哲学社会科学版,6.
Language: Chinese
Format: Dissertation/Thesis
Abstract:
感染艾滋病病毒对于生命和躯体安全都是一个严重的创伤性事件,患者往往会承受巨大的精神压力,并有不同程度的情感障碍问题。本文采用EMDR方法对一例具有抑郁情绪和人际交往障碍的艾滋病患者进行治疗,治疗结果显示对HIV/AIDS患者采用EMDR方法能获得良好的效果,因此有必要进行更深入的研究和应用。
HIV infection for the safety of life and body are a serious traumatic event, patients tend to be under tremendous mental stress, and have varying degrees of affective disorder. In this paper, the EMDR method for treatment of one case of AIDS patients with depression and interpersonal barriers, treatment outcomes of HIV / AIDS patients can get good results with EMDR method, it is necessary to carry out more in-depth research and application.
Keywords: AIDS Depression HIV Trauma
10. 陳致豪 張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上, 研討會焦慮症:心理素質,調解員和治療問題。 政治大學,台北,台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].
Language: Chinese
Format: Conference
Abstract:
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)
是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力
疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療
效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不
同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除
(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治
療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設
計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名
懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。
在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下
降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速
率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程
分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息
時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀
的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試
者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身
便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可
能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯
著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的
治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出 討論。
[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b)
was initially used to treat post-traumatic stress disorder (PTSD) and later has been
thought to be effective in treating other psychological disorders also. Shapiro
suggested that eye movement procedure could accelerate information processing and
further reduced the client’s anxiety and disturbance. However, psychotherapy
evaluation regarding crucial therapeutic parameters awaits elucidation. This
dismantling study was to investigate the therapeutic effects of eye movement and
positive cognition on phobias. Specifically, via a 2×2 between subject design, with
“eye movement/non eye movement” and “treatment process” being two independent
variables, a total of 40 female university students with fear of cockroaches were
screened and recruited from introductory psychology class to explore the treatment
effect of those two components. The results showed that, according to macro
therapeutic indices, the effect of therapy was significant, and was not significantly
different among groups. As to micro treatment process, while the participants’ SUDs
decreased linearly, and so did the negative cognition VOCs, the positive cognition
VOCs increased linearly only for the eye movement condition. In addition, while for
macro index, the physical index, heart rate, was significantly higher at pre-test than at
baseline and returned to baseline at post-test, the process measures indicated that heart
rate increased during the first treatment stage, returned during rest period, and
increased again during the second treatment stage. According to the micro process,
the results also suggested that when presented with positive cognition participants’
VOCs of positive cognitions increased only for the eye movement condition. As to the
therapeutic effects, although exposure by itself might be effective, eye movement
could further promote participants’ VOCs of positive cognitions at the second
treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups
within one-session therapy, and the superiority of positive cognition installation
remained obscure, which implied that to become obvious more sessions might be
called for. The implications of the present results and further research possibilities are
postulated.]
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium
11. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
陳致豪 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論
Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy
12. 김 [Kim, D.] (2009). 직장 스트레스로 악화된 뚜렛 장애의 EMDR: 단일 증례 연구 [A single case study of eye movement desensitization and reprocessing (EMDR) with tourette’s disorder aggravated by stress at work]. Mental Health Research, 28, 14-20.
Language: Korean
Format: Journal
Abstract:
뚜렛 장애(Tourette’s disorder)는 다발성 운동 틱과 한
개 이상의 음성 틱이 1년 이상 나타나며 틱이 없는 기간이
3개월 이하일 때 진단된다.1) 이 장애는 만성적인 경과를 밟
으며, 많은 환자들이 성인기에 접어 들면 증상이 호전되지만
더 심해지는 경우도 있어 그 개인차가 크다.2) 또한 틱증상이
악화되었다가 호전되는 패턴이 삽화처럼 존재하기 때문에 약
물치료의 시작하는 시점이나 그 효과 판별에 주의를 요한다.
예를 들어, 악화기엔 어떠한 약물도 그 효과가 적기 때문에
이 시점에서 유용성을 판단하기 어렵다.3)
뚜렛 장애의 치료는 약물치료가 1차 선택 치료이지만 많
은 환자들이 원치 않는 부작용 때문에 약물복용을 거절하거
나 중단한다. 또한 일부는 약물의 효과가 없으며, 있다고 해
도 그 효과는 제한적이다.4) 한 연구에 의하면 평균적인 약물
반응은 틱 증상의 50% 전도 감소라고 한다.5) 따라서 약물
치료와 병용할 수 있는 효과적인 정신치료의 필요성이 요구
되고 있다.
뚜렛이나 틱 장애의 대표적인 정신치료는 습관 반전(habit
reversal) 이라는 행동치료이다.6) 그외에도 인식 훈련, 자기
주장 훈련, 인지치료, 이완치료 등이 있다.4) 현재까지 가장
효과의 준거가 강한 것은 습관반전이며7) 그 외 정신치료에
대한 연구 축적은 부족한 실정이다. 뚜렛장애에 대한 정신치
료는 증상의 완화 뿐 아니라 질환을 이해시키고, 자존감을
높이며 사회적 기능을 향상시키는 데 중요한 역할은 한다.8)
비교적 최근 심리적 외상 치료로 개발된 안구운동 민감소실
및 재처리 요법(Eye Movement Desensitization and Reprecessing,
EMDR)이 여러 임상 영역에 활발하게 쓰이면서 그
관심을 받고 있다.9) 외상후 스트레스 장애 외의 불안장애에
부터 보다 최근에는 우울증과 정신분열병에 까지 시도되고
있는 실정이다.10,11) 이 증례는 직장 스트레스로 악화된 뚜렛
환자에게 EMDR을 사용하여 성공적으로 치료한 경험을 공
유하고자 작성되었다.
This single case report involves a 24 year-old woman with Tourette’s syndrome who experienced exacerbation of tic symptoms after
stressful events at work. After eight months of unsuccessful pharmacotherapy, the five sessions of EMDR was tried targeting the events,
which resulted in significant reduction in tic and stress symptoms to previous level. In fact, she felt so good that she discontinued her
medication after two sessions but maintained her improvement throughout treatment period. Two years after termination of treatment
she was reported to have been doing great at work although she continued to display her tics at usual, mild level.
Keywords: Tic Disorder Tourette’s Disorder Psychotherapy Stress
13. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123.
Language: English
Format: Journal
Abstract:
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]
Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness
14. Adler-Tapia, R. (2013, January). Healing the origins of trauma: Eye movement desenitization and reprocessing (EMDR) psychotherapy for children exposed to violence and abuse. Presentation at the 27th Annual San Diego International Conference on Child and Family Maltreatment, San Diego, CA.
Language: English
Format: Conference
Keywords: Children, Violence
15. Adler-Tapia, R. L. (2012, June). Child psychotherapy: Integrating developmental theory into clinical practice. New York, NY: Spring Publishing.
Language: English
Format: Book
Abstract:
Children are often diagnosed and medicated without the consideration that their symptoms may actually be a healthy response to stressful life events. This integrative guide for mental health practitioners who work with children underscores the importance of considering the etiology of a child's symptoms within a developmental framework before making a diagnosis. By providing advanced training and skills for working with children, the book guides the therapist, step-by-step, through assessment, case conceptualization, and treatment with a focus on the tenets of child development and a consideration of the impact of distressing life events.
The book first addresses child development and the evolution of child psychotherapy from the perspectives of numerous disciplines, including recent findings in neurodevelopment trauma, attachment, and neurobiology. It discusses assessment measures, the impact of divorce and the forensic/legal environment on clinical practice, recommendations for HIPAA compliance, evidence-based best practices for treating children, and the requirements for an integrated treatment approach. Woven throughout are indications for case conceptualization including consideration of a child's complete environment. This book provides an integrative approach to child psychotherapy from the perspective of healthy development through the lens of EMDR.
Keywords: Children
16. Adler-Tapia, R. L., & Settle, C. S. (2009, March). The full works. Counselling Children and Young People, 12-15.
Language: English
Format: Newsletter
Abstract:
Whether you are first learning about Eye Movement Desensitization and Reprocessing (EMDR) or you have participated in EMDR training, the goal of this article is to provide the reader with a brief overview of strategies for using the full protocol with young children. To understand the process by which the phases of the protocol are applied with child clients, it is important to understand the theoretical underpinnings that Adaptive Information Processing (AIP) theory creates as a foundation for healing and health with children. After discussing the application of AIP to children, the article will continue with an overview of skills therapists can use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with references for additional study and training on using EMDR with children. Finally, therapists will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through developmentally suited language and interventions with even the youngest of clients.
Keywords: Adaptive Information Processing AIP Children Child Psychotherapy
17. Adler-Tapia, R. L., & Settle, C. S. (2009, March). EMDR and adaptive information processing theory: A comprehensive approach to child psychotherapy. Clinical Child Psychology and Psychiatry, (1), 12-15.
Language: English
Format: Journal
Abstract:
Whether you are first learning about Eye Movement Desensitization and Reprocessing
(EMDR) or you have participated in EMDR training, the goal of this article is to provide the
reader with a brief overview of strategies for using the full protocol with young children. To
understand the process by which the phases of the protocol are applied with child clients, it is
important to understand the theoretical underpinnings that Adaptive Information Processing
(AIP) theory creates as a foundation for healing and health with children. After discussing the
application of AIP to children, the chapter will continue with an overview of skills therapists can
use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with
references for additional study and training on using EMDR with children. Finally, therapists
will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through
developmentally suited language and interventions with even the youngest of clients.
Keywords: Adaptive Information Processing AIP
18. Adler-Tapia, R., & Ford, G. (2011, August). Improving lives: PTSD and the use of EMDR in psychotherapy for people with intellectual & developmental disabilities. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Due to their vulnerability and cognitive functioning, people with intellectual/developmental (I/DD) disabilities experience Post-Traumatic Stress Disorder (PTSD) more often than the general population. Symptoms are often undiagnosed, and remain untreated causing years of unnecessary suffering because these individuals are unable to identify and express their experiences and needs. These symptoms of trauma may be misinterpreted as problematic behaviors for which unnecessary medications are prescribed. Many professionals are not aware of the successful use of EMDR with people with I/DD. EMDR is an efficacious treatment for trauma where the standard protocol can be adapted to the intellectual and developmental level of the individual. Not only can EMDR improve the lives of individuals, but may result in the need for less intensive and expensive supports.
Keywords: Developmental Disabilities Mental Disabilities Posttraumatic Stress Disorder PTSD
19. Adler-Tapia, R., & Settle, C. (2008). EMDR and the art of psychotherapy with children. New York, NY: Springer Publishing.
Language: English
Format: Book
Abstract:
In this book the authors present an overview of how therapists can get started in conceptualizing psychotherapy with Eye Movement Desensitization and Reprocessing (EMDR) methodology through Adaptive Information Processing (AIP) theory. The focus of the book is to teach therapists to effectively use the entire EMDR protocol with young children (Springer).
Keywords: Children
20. Adler-Tapia, R., & Settle, C. (2008). EMDR and the art of psychotherapy with children manual. New York, NY: Springer Publishing Co.
Language: English
Format: Book
Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro's books (1995, 2001), and serves as an adjunct to EMDR and the Art of Psychotherapy with Children (Springer).
Keywords: Children
21. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.
Keywords: Children
22. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley.
Language: English
Format: Book Section
Abstract:
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Adolescents Children
23. Adler-Tapia, R., & Settle, C. (2009). Evidence of the efficacy of EMDR with children and adolescents in individual psychotherapy: A review of the research published in peer-reviewed journals. Journal of EMDR Practice and Research, 3(4), 232-247. doi:10.1891/1933-3196.3.4.232.
Language: English
Format: Journal
Abstract:
Research on psychotherapy with children is generally underrepresented in the empirical literature.
Currently, there are four randomized clinical trials (RCT) evaluating EMDR in individual psychotherapy
with traumatized children—two for children diagnosed with PTSD and two for children presenting with
symptoms of posttraumatic stress. Since the first case studies of EMDR with children were published in
1993, 19 studies were identified that met the inclusion criteria for this review. The gold standards identified by Foa and Meadows (1997) to assess the methodology of studies designed to treat trauma were
applied to the research on EMDR with children. This analysis discusses the challenges to conducting
research on psychotherapy with children including the debate regarding the assessment and diagnosis of
PTSD in children. Recommendations for future studies designed with methodological rigor are suggested
to investigate the efficacy of EMDR with children who have experienced trauma and other mental health
symptoms and diagnoses.
Keywords: Adolescents Children Efficacy Review Trauma
24. Adler-Tapia, R., Settle, C., & Shapiro, F. (2012). Eye movement desensitization and reprocessing (EMDR) psychotherapy with children who have experienced sexual abuse and trauma . In P. Goodyear-Brown, (Ed.), Handbook of child sexual abuse: Identification, assessment, and treatment (pp. 229-250). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9781118094822.
Language: English
Format: Book Section
Abstract:
This book is a comprehensive guide to the identification, assessment, and treatment of child sexual abuse. The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, this volume combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, the authors explore a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain; The potential implications of early sexual victimization; Navigating the complexities of multidisciplinary teams; Forensic interviewing and clinical assessment; Treatment options for children who have traumagenic symptoms as a response to their sexual victimization; Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior; Secondary trauma and vicarious traumatization; and Cultural considerations and prevention efforts. Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse- not merely with state-of-the-art knowledge, but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.
Keywords: Children Sexual Abuse
25. Ahmad, A., & Sundelin-Wahlsten, V. (2007, September). Applying EMDR on children with PTSD. European Child & Adolescent Psychiatry, 17(3), 127-132. doi:10.1007/s00787-007-0646-8.
Language: English
Format: Journal
Abstract:
Objective: To find out child-adjusted protocol for eye movement desensitization and reprocessing (EMDR). Methods: Child-adjusted modification were made in the original adult-based protocol, and within-session measurements, when EMDR was used in a randomized controlled trial (RCT) on thirty-three 6–16-year-old children with post-traumatic stress disorder (PTSD). Results: EMDR was applicable after certain modifications adjusted to the age and developmental level of the child. The average treatment effect size was largest on re-experiencing, and smallest on hyperarousal scale. The age of the child yielded no significant effects on the dependent variables in the study. Conclusions: A child-adjusted protocol for EMDR is suggested after being applied in a RCT for PTSD among traumatized and psychosocially exposed children (Springer).
Keywords: Case Studies Children Child Psychiatry Empirical Study Posttraumatic Stress Disorder Psychotherapy PTSD Quantitative Study Randomize Control Trial RCT Trauma Treatment Outcome/Clinical Trial
26. Alexander, J. (April, 2013). Inside EMDR: A neurological perspective. The Neuropsychotherapist eMagazine. Retrieved from http://drjamespsychologist-com.webs.com/neurological-basis-of-emdr 4/8/2013.
Language: English
Format: Journal
Abstract:
While there is still some scepticism raised about the efficacy of Eye Movement Desensitization & Reprocessing (EMDR) within psychology (e.g Lilienfield & Arkowitz 2008), it is clear that this therapeutic approach has more than adequately fulfilled the requirements of an evidence based therapy. Most psychological and psychiatric associations around the world endorse EMDR as an evidence based approach to the treatment of psychological trauma and PTSD. This status was recently acknowledged by the World Health Organisation, which recommended this therapy as a first line treatment option for psychological trauma based on the evidence which has amassed testifying to its efficacy. Despite the advances in neuroscience which fMRI research has afforded in the last decade or so, little remains known of the neurological mechanisms of change associated with any psychotherapeutic approach. EMDR is no different, in that the precise mechanisms of change can only be speculated upon. Harvard neuroscientist Robert Stickgold (2002) provides a comprehensive example of these speculations. (He suggests that EMDR achieves its results by way of replicating the naturally occurring dream-based consolidation process via the eye movements which are common to both REM sleep and EMDR). However, little comment is currently available about EMDR in relation to recent findings concerning memory reconsolidation.
Keywords: Neuropsychotherapy
27. Armstrong, M. (1997, June). A brief report on integrating focusing oriented psychotherapy and EMDR. EMDRIA Newsletter, 2(4), 15.
Language: English
Format: Newsletter
Abstract:
This presentation was given at the 9th International Focusing Conference held near Pforzheim in Germany. Focusing Oriented psychotherapists were introduced to the role of EMDR could play at part of their experiential therapy. Participants were urged to become trained in EMDR at it provides a powerful “jump start” to the work we do with trauma and phobias through Focusing.
Keywords: Focusing
28. Arnold, L. (1995). Some nontraditional (unconventional and/or innovative) psychosocial treatment for children and adolescents: Critique and proposed screening principles. Journal of Abnormal Child Psychology, 23(1), 125-140. doi:10.1007/BF01447048 .
Language: English
Format: Journal
Abstract:
Five examples of nontraditional psychosocial treatments used for children/adolescents are reviewed: eye movement desensitization and reprocessing, electroencephalographic (EEG) biofeedback, deep pressure/touch therapies, stress-challenge treatments, and confrontational scare treatments. The generic recommendations from the September 1992 National Institutes of Health Conference on Unconventional Medical Treatments are summarized. Additional screening principles specific for psychosocial treatments are proposed and applied to the five treatments. The screens do not validate treatment efficacy or evaluate the quality of any previous research, but only facilitate decisions as to whether treatments deserve controlled investigation. Scientific evaluation of the nontraditional treatments reviewed could in general benefit from blinds (at least for assessment); control conditions matched for intensity, frequency, and duration (double blind where feasible); dose-response studies; testing of generalization and endurance supplements or boosters for quick, cheap treatments with time- or domain-limited effects; and comparing cost-effectiveness with established treatments. Two unscientific pitfalls must be avoided: embracing new treatments uncritically and rejecting them without fair examination. These pitfalls must be skirted without dissipating scarce research resources. [Author Abstract]
Keywords: Adolescents Adventure Therapy Aversion Therapy Biofeedback Training Body Psychotherapy Children Literature Review Research Needs Treatment Effectiveness
29. Bae, H., Kim, D., & Park, Y. C. (2008). Eye movement desensitization and reprocessing for adolescent depression. Psychiatry Investigation, 5(1), 60-65.
Language: English
Format: Journal
Abstract:
While cognitive behavior therapy is considered to be the first-line therapy for adolescent depression, there are limited data on whether other psychotherapeutic techniques are also effective in treating adolescents with depression. This report suggests the potential application of eye movement desensitization and reprocessing (EMDR) for treatment of depressive disorder related, not to trauma, but to stressful life events. At present, EMDR has only been empirically validated for only trauma-related disorders such as posttraumatic stress disorder. Two teenagers with major depressive disorder (MDD) underwent three and seven sessions of EMDR aimed at memories of stressful life events. After treatment, their depressive symptoms decreased to the level of full remission, and the therapeutic gains were maintained after two and three months of follow up. The effectiveness of EMDR for depression is explained by the model of adaptive information processing. Given the powerful effects observed within a brief period of time, the authors suggest that further investigation of EMDR for depressive disorders is warranted.
Keywords: Adolescent Case Report Depression Major Depressive Disorder Psychotherapy
30. Baiocchi, P. (2006). L'applicazione dell'EMDR nell'approccio della psicpterapia della gestalt [The comparison of EMDR to Gestalt psychotherapy]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 151-181). Milano, Italy: McGraw-Hill.
Language: Italian
Format: Book Section
Keywords: Gestalt
31. Balbo, M. (2006). EMDR e psicopterapia cognitivo-comportamentale: quale integrazione? [EMDR and cognitive-behavioral psychotherapy: What integration?]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 215-247). Milano, Italy: McGraw-Hill.
Language: Italian
Format: Book Section
32. Bardin, A., Comet, J., & Porten, D. (2007). Integrating EMDR and family therapy: Treating the traumatized child. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 325-343). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
No abstract available.
Keywords: Emotional Trauma Family Systems Perspective Family Systems Theory Family Therapy Structural Family Therapy Integrative Psychotherapy Therapeutic Stages Traumatic Event Traumatized Child
33. Barker, S. (2010, November). Eye movement desensitization and reprocessing (EMDR) in the treatment of trauma-based disorders. Presentation at the 23rd Annual U.S. Psychiatric and Mental Health Congress Conference and Exhibition, Orlando, Florida.
Language: English
Format: Conference
Abstract:
EMDR is a recommended treatment for PTSD by the APA, DOD, and other professional bodies, yet many clinicians are unaware of this approach or question its efficacy. With accumulating research documenting the efficiency of EMDR, clinicians may be overlooking an effective treatment option for their patients. This session explains the 8-stage EMDR process summarizing efficacy research and demonstrating through case examples.
Learning Objectives:
After completing this activity, participants should be able to:
1.Assess and identify appropriate patients for EMDR when determining treatment of trauma-based disorders.
2.Describe the EMDR process and when to appropriately incorporate the therapy into practice.
3.Monitor therapy progress and patient improvement with evidence-based patient outcomes of EMDR.
Keywords: Psychiatric Disorders & Diagnosis Psychopharmacology Psychotherapy
34. Barker, S. B., & Hawes, E. C. (1999, Summer). Eye movement desensitization and reprocessing in individual psychology. Journal of Individual Psychology: The Journal of Adlerian Theory, Research, and Practice, 55(2), 146-161.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new treatment modality originally developed for treating individuals with PTSD. This article summarizes the growing research base supporting the effectiveness of EMDR, including addressing psychobiological findings related to the treatment of PTSD using EMDR. The 8-stage EMDR treatment approach is presented, followed by a discussion of the compatibility of EMDR and Individual Psychology. Case examples are presented to demonstrate the incorporation of EMDR into Adlerian-based psychotherapy. [Author Abstract]
Keywords: Adlerian Psychotherapy PTSD Treatment Effectiveness
35. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. DOI:10.1016/j.brat.2007.05.006 .
Language: English
Format: Journal
Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]
Keywords: Adults Americans Cognitive Processes Cognitive Therapy College Students Evidence Based Treatment Exposure Empirically Supported Treatment Patient Preference Posttraumatic Stress Disorder Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Selective Serotonin Reuptake Inhibitors Stressors Survivors TFT Thought Field Therapy
36. Benor, D. J. (2005, November). Self-healing interventions for clinical practice: Brief psychotherapy with WHEE -- the wholistic hybrid of EMDR and EFT. Complementary Therapies in Clinical Practice, 11(4), 270-274. doi:10.1016/j.ctcp.2005.02.006.
Language: English
Format: Journal
Abstract:
Potent self-healing approaches are now available to help people to deal with their stresses, anxieties, and pains of physical and emotional origins. The author, a wholistic psychiatrist, shares his clinical experiences in helping his clients deal expeditiously and successfully with a variety of physical and psychological symptoms. This article focuses on WHEE, a brief, potent method for releasing psychological and physical pains, negative beliefs, and disbeliefs, and for installing positive feelings and beliefs. To use modern terminology, this method allows you to correct the serious but not fatal error you have made in letting a child program your lifetime computer. WHEE is a method for reprogramming your default programs. [Author Abstract]
Keywords: Brief Psychotherapy Energy Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSDStressors Survivors
37. Bériault, M., & Larivée, S. (2005). Guérir avec l'EMDR: Preuves et controversies [Healing with EMDR: Evidence and controversies]. Revue de Psychoéducation, 34(2), 355-396.
Language: French
Format: Journal
Abstract:
L'EMDR est une approche psychothérapie intégrative proposé de traiter un large éventail de troubles psychologiques. Il s'agit de la première revue française de l'efficacité de l'EMDR. L'efficacité EMDR est d'abord montrer par des études de cas non contrôlé qui souffre d'importantes lacunes méthodologiques. études de cas expérimentale des résultats équivoques. Des études contrôlées sont ensuite examinés en fonction du type de contrôle expérimental utilisé et le type de trouble traité. EMDR semble aussi efficace que la thérapie cognitivo-comportementale pour le traitement du trouble de stress post-traumatique, mais la thérapie cognitivo-comportementale reste le traitement de choix pour la phobie spécifique et le trouble panique. En outre, des études montrent que le démantèlement de façon répétée les mouvements oculaires ne sont pas nécessaires à l'efficacité de l'EMDR. Une analyse des différences et des similitudes entre l'EMDR et l'approche cognitivo-comportementale est présentée. pseudoscience éléments intégrés dans le développement de l'EMDR et la diffusion sont également présentées. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
EMDR is an integrative psychotherapy approach proposed to treat a wide range of psychological disorders. This is the first French review of EMDR effectiveness. The EMDR effectiveness is initially show with uncontrolled cases studies that suffers from important methodological weaknesses. Experimental case studies provide equivocal results. Controlled studies are then reviewed as a function of the type of experimental control used and the type of disorder treated. EMDR appears as effective as cognitive-behavioral therapy for the treatment of post-traumatic stress disorder but cognitive-behavioral therapy remains the treatment of choice for specific phobia and panic disorder. In addition, dismantling studies repeatedly show that eye movements are not necessary for the efficacy of EMDR. An analysis of the differences and similarities between EMDR and the cognitive behavioral approach is presented. Pseudoscience elements embedded in EMDR development and diffusion are also presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Behavioral Therapy Cognitive Therapy Integrative Psychotherapy Approach Mental Disorders Psychological Disorders
38. Bermudez, J. S. (2002, January). The use of eye movement desensitization and reprocessing (EMDR) within a multi-modal treatment program for child victims of extrafamilial sexual abuse. Carlos Albizu University, Miami, FL. AAT 3057608.
Language: English
Format: Dissertation/Thesis
Abstract:
Sexual abuse has created multiple short and long term problems for many individuals in society today. It often occurs in childhood and the scars that are left can be permanent. Statistically, it occurs with far greater frequency than should be tolerated. However, it is frequently unreported and can be difficult to detect in a child that experiences this form of trauma. There is a significant need to help these children that have been victims of this crime. Extrafamilial sexual abuse in particular appears to occur with greater frequency than intrafamilial sexual abuse. Studies show that it has lasting effects on children. Two of the most common and consistent symptoms seen with these children are PTSD and sexualized behavior. Other symptoms that have been found with these children include: depression, anxiety, fear, and difficulty managing anger.Although there have been many program designs implemented for child sexual abuse victims, most do not properly assess the level of improvement through objective measures that show that the treatment was responsible for the observed change and not some other variable. Many different forms of treatment have been used to treat sexual abuse victims, such as different forms of traditional individual therapies, family therapy, group therapy, drama therapy, and art therapy. One innovative psychotherapeutic technique that has been used recently with these types of clients and those who have experienced other types of traumatic events is Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a relatively new form of treatment developed in 1987 by Francine Shapiro. There have been controlled research studies that have shown the efficacy of this technique. Although there are some researchers who are skeptical of the use of this technique and challenge its effectiveness, studies have nonetheless shown that it is an effective form of brief therapy with long-term effects. This proposed treatment program would be developed for children, aged 6-12 years, who have been victims of extrafamilial sexual abuse. It is designed to be short term, lasting 4 months, and EMDR will be utilized as the primary psychotherapeutic tool to assist the children in reprocessing their traumatic experience. Mental health services that would be provided include individual therapy consisting primarily of EMDR, group therapy for the child and the parents or caretakers provided separately, and family therapy that would include the parents, child, and siblings if deemed necessary. The children admitted to the program would meet criteria for a diagnosis of PTSD. They would also be given psychological measures in order to establish a baseline in terms of current symptoms such as depression and anxiety. The same measures would be administered again at the completion of treatment allowing for the measurement of any improvements. It is expected that children who complete the program would show a significant reduction or elimination of PTSD symptoms. This can be done more effectively by treating the family as a unit in dealing with such a traumatic experience. It is believed that this form of treatment would provide a valuable service to the community and further our understanding regarding the efficacy of EMDR. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(6-B), Jan 2002, pp. 3000.
Keywords: Brief Psychotherapy Child Abuse Empirical Study Family Therapy Posttraumatic Stress Disorder PTSD Rape School Age Children Survivors
39. Beswick, K. (2008, June). Theory and practice at the interface of EMDR and systemic psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
Theory - EMDR can be seen as working on one level of the human system - the neurobiological level. However
the human brain is formed and is constantly changed by it’s interactions with others. The neurobiology of
relationships is an expanding field and I will be arguing that EMDR and systemic theory have much to offer each
other at this juncture. I will be putting forward my ideas about the scope for creative thinking and practice at the
interface of these paradigms. By utilizing the client’s relationships and seeing them as a resource in the EMDR,
EMDR practitioners can facilitate change at that wider level. In order to make the presentation accessible to
those who are not particularly familiar with current systemic theory, I will briefly outline some of the main
systemic principles currently in use. Practice - I will illustrate my theoretical points with examples from my EMDR
practice where I have: 1) included more than one family member in the room at the same time; 2) where parallel
work has been done with the family and the individual; and 3) where I have incorporated significant systemic
thinking into my work with an individual. These examples will demonstrate skills in applying EMDR within a
broad systemic frame. They will illustrate how EMDR can enhance relationships, and conversely, how systemic
thinking can enhance the application of EMDR.
Keywords: Practice Systematic Psychotherapy Theory
40. Beyda, E. M. (1999). Eye movement desensitization and reprocessing (EMDR) treatment for speech anxiety. Argosy University, Chicago, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Methodology Psychotherapy Speech Anxiety Speech Therapy Treatment
41. Binder, J. L. (2007, June). Mind or brain? Where does therapeutic change originate? A reaction to 'The reunion process: A new focus in short-term dynamic psychotherapy. Psychotherapy, 44(2), 137-141. doi:10.1037/0033-3204.44.2.137.
Language: English
Format: Journal
Abstract:
In "The Reunion Process: A New Focus in Short-Term Dynamic Psychotherapy," by Dr. Sandler (see record 2007-09422-001), addresses posttreatment relapse by a new therapeutic strategy based on attachment theory and recent research findings concerning the neurobiology of memory. This strategy involves the discovery or creation of positive childhood maternal attachment memories as a method of overcoming the dominance of negative memories. Dr. Sandler makes assumptions about what can be achieved in short-term therapies, the pace of therapeutic change, as well as the role in treatment outcome of techniques versus therapist skill and relationship factors. These assumptions are not supported by psychotherapy research. While the attempt to use new discoveries from neurobiology to guide the development of therapeutic techniques is admirable, the author appears to engage in a fair amount of speculative theoretical reductionism in attempting to explain the eventually positive outcome of the case he presents. I offer a more parsimonious psychological explanation, which is consistent with the short-term dynamic psychotherapy theory of change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
Keywords: Attachment Attachment Behavior Brief Psychotherapy Early Memories Memory Theory Panic Disorder Psychodynamic Psychotherapy Psychotherapeutic Processes Relapse Short-term Dynamic Psychotherapy
42. Bohart, A. (2001). A meditation on the nature of self-healing and personality change in psychotherapy based on Gendlin's theory of experiencing. Humanistic Psychologist, 29(1-3), 249-279. doi:10.1080/08873267.2001.9977016.
Language: English
Format: Journal
Abstract:
No abstract available.
Keywords: Meditation
43. Bohart, A. C., & Greenberg, L. S. (2002). EMDR and experiential psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 239-261). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
This chapter compares EMDR with three experiential approaches. Although various experiential approaches exist, the chapter concentrates on Gendlin's focusing-oriented psychotherapy (FP), Rogers's client-centered therapy (CCT), and Greenberg and colleagues' process-experiential psychotherapy (PEP) to explore similarities and differences. The exploration begins with an introduction of each approach to orient the reader. [Text, pp. 239-240]TOPICS TREATED: Self-healing; Summary of similarities between EMDR and experiential psychotherapy; Differences between EMDR and experiential psychotherapy; Integrating experiential therapies with EMDR.
Keywords: Adults Client Centered Psychotherapy Experiential Psychotherapy Psychotherapeutic Processes Stressors Survivors
44. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 .
Language: English
Format: Journal
Abstract: (The above link is to the English version of the German article.)
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition
und Reaktionsverhinderung ist die am besten untersuchte
und derzeit wirksamste Therapie bei Zwängen.
15–40% der Patienten können jedoch nicht von diesem
Verfahren profitieren. Sie berichten Motivationsprobleme,
brechen die Behandlung vorzeitig ab oder zeigen
anhaltende Probleme in der Emotionsregulation. Der zusätzliche
Einsatz der Therapiemethode «Eye Movement
Desensitization and Reprocessing» (EMDR) zur Reduktion
dieser Schwierigkeiten wird vorgestellt und beschrieben.
Methode: Es werden drei Kasuistiken vorgestellt,
die mittels deskriptiver Analysen ausgewertet werden.
Hierbei wird auf das inhaltliche Vorgehen sowie die
Therapiemotivation und Emotionsregulation im Therapieverlauf
eingegangen. Ein Patient mit Kontrollzwängen
erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen.
Eine andere Patientin mit vorwiegend
Zwangsgedanken wurde zuerst mit Expositionen und danach
mit EMDR behandelt. Im dritten Fall wurden Expositionen
und EMDR-Sitzungen abwechselnd durchgeführt.
Ergebnisse: Die drei behandelten Patienten berichteten
eine Reduktion der Zwänge um etwa 60%. EMDR
wurde von allen drei Patienten als motivierend und hilfreich
beschrieben. Die Arbeit an den Emotionen konnte
durch EMDR angeregt und verstärkt werden. Eine deutliche
Reduktion der Zwänge durch die Expositionen
zeigte sich bei 2 Patienten, während diese im Zuge der
EMDR-Sitzungen nur leicht abnahmen. Diskussion:
EMDR könnte eine vielversprechende Augmentationsoption
bei der Behandlung von Zwängen darstellen. Für
eine bessere Beurteilung sind kontrollierte und randomisierte
Studien erforderlich.
Introduction: Various studies have demonstrated that
cognitive behavioural therapy with exposure response
prevention is the most effective method to treat obsessive-
compulsive disorders. However, 15–40% of patients
do not respond to it; they cannot be motivated to undergo
treatment, drop out, or experience persisting difficulties
in regulating their emotions. In this article, EMDR
is presented as an additional method for these specific
problems. Method: Three case studies are reported and
descriptively analysed. Special focus is placed on the patients’
motivation and on how they regulate their emotions.
Different ways of applying EMDR in the course of
psychological treatment are described as well. EMDR before
confrontation therapy was applied in the first patient
(checking behaviour); the second patient (compulsive
thoughts) was first treated with confrontation therapy
and then with EMDR; in the third patient, EMDR and
confrontation therapy were applied alternately. Results:
All three patients showed a reduction of symptoms by
about 60%. They experienced EMDR as a useful and motivating
method. Furthermore, they felt encouraged to
deal with their emotions in additional psychological
treatments. Confrontation therapy markedly reduced
OCD symptoms in two of the patients. Discussion: EMDR
could be a useful augmentation method in treating patients
with OCD, but further controlled and randomised
studies are required to validate this conclusion.
Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research
45. Bondarenko, A. F. (1997, January). Love trauma psychotherapy using EMDR: An analysis of three cases. EMDRIA Newsletter, 2(3), 13-14.
Language: English
Format: Newsletter
Abstract:
Most psychologists and psychotherapists practicing in the former Soviet Union (FSU) can be divided into two groups: the problems-oriented ones (who prefer to work in once of the counseling or psychotherapy fields, e.g., family psychotherapy, PTSD psychotherapy, etc.) and those who are technically oriented, i.e., prefer to work strictly with a definite psychotherapeutic paradigm, (behavioral, existential, etc.).
Keywords: Love
46. Bossini, L., Fagiolini, A., & Castrogiovanni, P. (2007, November). Neuroanatomical changes after eye movement desensitization and reprocessing (EMDR) treatment in posttraumatic stress disorder. Journal of Neuropsychiatry and Clinical Neuroscience, 19(4), 475-476.
Language: English
Format: Journal
Abstract:
Several authors have found smaller
hippocampal volumes in patients
with PTSD and some have suggested
that psychotropic drugs may
promote hippocampus neurogenesis
and reverse the decrease in hippocampus
volume.1 However, the
only study that has investigated the
effects of psychotherapy on hippocampus
volume failed to show a
volumetric increase after effective
psychotherapy. The authors evaluated the hippocampus volumetric changes after successful EMDR treatment of a 27-year-old man with a chronic PTSD related to the suicide of his mother. After 8 weeks of EMDR treatment the patient had an increase in both left and right hippocampus volumes.[Adapted from Text] [Pilots]
Keywords: Adults Brain Imaging Brain Volume Brain Size Case Report Clinical Case Study Death of Parent Death by Suicide Effectiveness Evaluation Hippocamal Volume Hippocampus Letter Males Neuroanatomy Posttraumatic Stress Disorder Psychotherapy PTSD Survivors Treatment Treatment Effectiveness Treatment Outcome/Clinical Trial
47. Bossini, L., Fernandez, I., & Mantero, M. (2006 Settembre-Dicembre). Approcci psicoterapeutici specifici [Specific psychotherapeutic approaches]. NÓOς, 12(3), 221-230.
Language: Italian
Format: Magazine
Abstract:
Verrà illustrata l’applicazione delle principali metodiche d’intervento psicoterapeutico
come l’approccio cognitivo-comportamentale e la psicoterapia ad orientamento psicodinamico
nel trattamento del Disturbo post-traumatico da stress (DPTS).
Particolare rilievo verrà dato alla illustrazione di interventi psicoterapeutici specifici e
all’Eye Movement Desensitization and Reprocessing (EMDR) che si è rivelato uno degli
interventi più mirati al nucleo psicobiologico del DPTS.
The application of main psychotherapeutic approaches, such as cognitive behavioral and
psychodynamic therapies, in the field of post-traumatic stress Disorder (PTSD) is
described.
A particular stress is put on approaches specific to PTSD. Among them Eye Movement
Desensitization and Reprocessing (EMDR) is considered as a mean of intervantion closely
aimed to the psychobiological core of the disorder.
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD
48. Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005, February). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162(2), 214-227. doi:10.1176/appi.ajp.162.2.214.
Language: English
Format: Journal
Abstract:
Objective: The authors present a multidimensional meta-analysis of studies published between 1980 and 2003 on psychotherapy for PTSD. Method: Data on variables not previously meta-analyzed such as inclusion and exclusion criteria and rates, recovery and improvement rates, and follow-up data were examined. Results: Results suggest that psychotherapy for PTSD leads to a large initial improvement from baseline. More than half of patients who complete treatment with various forms of cognitive behavior therapy or eye movement desensitization and reprocessing improve. Reporting of metrics other than effect size provides a somewhat more nuanced account of outcome and generalizability. Conclusions: The majority of patients treated with psychotherapy for PTSD in randomized trials recover or improve, rendering these approaches some of the most effective psychosocial treatments devised to date. Several caveats, however, are important in applying these findings to patients treated in the community. Exclusion criteria and failure to address polysymptomatic presentations render generalizability to the population of PTSD patients indeterminate. The majority of patients posttreatment continue to have substantial residual symptoms, and follow-up data beyond very brief intervals have been largely absent. Future research intended to generalize to patients in practice should avoid exclusion criteria other than those a sensible clinician would impose in practice (e.g., schizophrenia), should avoid wait-list and other relatively inert control conditions, and should follow patients through at least 2 years. [Author Abstract]
Erratum in American Journal of Psychiatry 2005, Apr, 162(4), 832 and 2006, Feb, 163(2), 330
Keywords: Cognitive Therapy Meta Analysis Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Treatment Effectiveness
49. Broad, R. D. & Wheeler, K. (2006, May). An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: A case study. Perspectives in Psychiatric Care, 42(2), 95-105. doi:10.1111/j.1744-6163.2006.00058.x.
Language: English
Format: Journal
Abstract:
Problem: Adverse childhood experiences have been found to be a strong predictor of emotional and physical problems in adulthood. However, the long-term sequelae for children who have suffered critical illness and exposure to invasive medical procedures are less well documented. Methods: This is a case study of an adult client who sought treatment for depression and attention deficit disorder. The psychotherapy treatment is discussed and the use of eye movement desensitization and reprocessing (EMDR) is described targeting a memory of a medical trauma resulting from a tonsillectomy when the client was 8 years old. Conclusions: Significant healing outcomes were attained as a result of the therapy, i.e., decreased depression, less hypervigilance, and increased ability to concentrate, which resulted in the discontinuation of medication for depression and ADHD as well as significant improvement in overall functioning.
Keywords: Childhood Medical Trauma Psychoanalytic Psychotherapy Adverse Childhood Experiences Depression Attention Deficit Disorder Early Experience Major Depression PTSD Psychoanalysis Childhood Development Clinical Case Study Empirical Study
50. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773.
Language: English
Format: Journal
Abstract:
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]
Keywords: Adults Americans Borderline Personality Disorder Case Report Child Abuse Clinical Case Study Empirical Study Females Incest Individual Psychotherapy Interpersonal Difficulties Interpersonal Interaction Psychotherapeutic Processes Qualitative Study Rape Suicide Survivors Treatment
51. Brunet, J. (2009, Octobre). Complications thérapeutiques suite au traitement EMDR chez un vétéran traumatisé [Therapeutic complications following treatment in a veteran trauma EMDR]. Journal International de Victimologie [International Journal of Victimology], 1(1), 1-5.
Language: French
Format: Journal
Abstract:
Il s'agit d'une étude de cas concernant une personne ayant vécu un épisode dissociatif sévère suite à une séance EMDR. Un seul article bref a, à ce jour, documenté les réactions adverses susceptibles d'être induites par EMDR... Sans parti pris, il semble essentiel à l'auteur de réfléchir sur les contre-indications que peuvent susciter la psychothérapie EMDR, tout comme sont étudiées les contre-indications des autres psychothérapies.
Keywords: Contraindications Brief Psychotherapy Trauma Veterans
52. Bryant, R. A. (1997, February). Psychological treatments of post-traumatic stress disorder. Psychotherapy in Australia, 3(2), 58-62.
Language: English
Format: Journal
Abstract:
We do not yet know the best way to treat post-traumatic stress disorder. Bryant, a psychiatrist, summarises the current research, and strategies - then argues for a matching approach, given the strengths and limits of the various approaches. Cognitive-behavioural therapy is the most researched, and used, approach - and currently the method of choice. But we have a long way to go.
Keywords: Crisis Counselling Critical Incident Debriefing Disaster Recovery Psychotherapy Trauma
53. Bumke, P. (2011, June). Trauma centered psychotherapy and EMDR in a humanitarian mass disaster: Evaluating the ACEH experience. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
In a project carried out by Trauma Aid-HAP Germany between 2007 and 2009 and sponsored by Terre des Hommes
and the German Official Development Assistance more than 3200 adult and child clients were treated
for mental disorders related to traumatic experiences after the Tsunami in 2004 and the civil war in Aceh/
Indonesia.
An accompanying monitoring and research component provided detailed diagnostic data before and after therapy.
This guided both the therapeutic process, and the training process in psychotraumatology. Also with this
component the long term effectiveness of the interventions was assessed. In turn these findings were related to
various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy
outcome. Particular attention was paid to a variety of cultural implications entailed in using therapies such as
EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research
and future intervention strategies will be addressed.
Keywords: ACEH Disasters Keynote Plenary
54. Cadarso, V., Conlin, D., Hallett, J., Hewson, J. & Zvelc. G. (2005, June 30-July 3). EMDR, meridian therapies and a relational integrative psychotherapy. Clinical forum at the 2nd International Conference by International Integrative Psychotherapy Association, Santiago de Compostela, Spain.
Language: English
Format: Conference
Keywords: Meridian Therapy Relational Integrative Psychotherapy
55. Carere-Comes, T. (2001, Augusto). Eye movement desensitization and reprocessing: Stimolazione bilaterale e integrazione psicoterapeutica [Eye movement desensitization and reprocessing: Bilateral stimulation and integration of psychotherapy]. Psicoterapia Cognitiva e Comportamentale, 7(2), 143.
Language: Italian
Format: Journal
Abstract:
Non disponibile astratto.
No abstract available.
Keywords: Bilateral Stimulation BLS Integration Psychotherapy
56. Caroppo, E., Muscelli, C., Brogna, P., Paci, M., Camerino, C., & Bria, P. (2009). Relating with migrants: ethnopsychiatry and psychotherapy]. Annali dell'Istituto Superiore di Sanita, 45(3), 331-340.
Language: English
Format: Magazine
Abstract:
Dopo avere dato dei cenni
storici di antropologia culturale, psichiatria transculturale ed etnopsichiatria si passa ad esaminare
la letteratura che descrive gli interventi nel campo della salute mentale effettuati con i migranti.
Nella prima parte si prendono in considerazione dei suggerimenti tecnici quando si ha a che fare
con pazienti arabi musulmani e si analizzano questioni come differenza genere, individualismo/collettività,
stigma, religione. Nella seconda parte si descrivono altre questioni: mediazione culturale,
migrazione e intervento rispetto alla famiglia, Disturbo Post Traumatico da Stress per finire ad analizzare
il caso in cui ad essere straniero è il terapeuta. Nella conclusione si riflette sull’importanza di
tenere in considerazione, oltre alla variabile cultura, anche la peculiarità di ogni singolo paziente e
l’universalità della sofferenza umana.
After an historical review of cultural anthropology, transcultural psychiatry and ethno
psychiatry, we will examine the literature on intervention with migrants within mental health system.
In the first part, we will consider the therapeutic relationship with Arab-Muslim patients and look at
specific issues such as gender differences, individualism, sociality, stigma, religion. The second part
will be focused on cultural mediation, migration and family intervention and post-traumatic stress
disorder and, finally, the experience of being a foreign therapist. Conclusions will discuss the importance
of culture, individuality and universality of human suffering, when treating a foreign patient.
Keywords: Cultural Competence Ethnopsychiatry Ethnopsychology Health and Culture Migration Psychotherapy
57. Carvalho, E. R., & Monteiro, A. M. (2008, Decembro). EMDR: Novos paradigmas na psicoterapia [EMDR: New paradigms in psychotherapy]. Caderno de Psicoloxia, 32, 79-87.
Language: Galician
Format: Magazine
Abstract:
EMDR (Eye Movement Dessensibilização e reprocesando) representa unha nova modalidade de tratamento de traumas e recordos Dolores desenvolvido por Francine Shapiro, Ph.D, a finais da década dos 80, nos Estados Unidos. É un método de dessensibilização e reprocesando de experiencias emocionalmente cargados por medio de estimulación bilateral do cerebro. Este artigo contén unha explicación introdutoria para a base e tratamento co EMDR, e remata con algúns exemplos tirados da práctica clínica da primeira autora.
EMDR (Eye Movement Desensitization and Reprocessing) represents a new modality of treatment of traumas and painful memories developed by Francine Shapiro, Ph.D, at the end of the 80’s, in the United States. It is a method of desensitization and reprocessing of emotionally charged experiences by means of the bilateral stimulation of the brain. This article gives an introductory explanation for the basis and treatment with EMDR, and finalizes with some examples taken from the clinical practice of the first author.
Keywords: Domestic Violence Psychotherapy Trauma Traumatic Experiences
58. Chard, K. M., & Gilman, R. (2005, August). Counseling trauma victims: 4 brief therapies meet the test. Current Psychiatry, 4(8). 50, 55-58, 61-62, 64.
Language: English
Format: Magazine
Abstract:
Therapists once believed trauma survivors required years of treatment, yet we now know that relatively brief cognitive-behavioral interventions can yield long-term gains in psychosocial and psychological function. Many psychiatric patients meet diagnostic criteria for PTSD, including: 33% of women experiencing sexual assault, 30% of male war veterans, and 30% of the 5 million U.S. children exposed to trauma each year. The authors offer recommendations on how to prepare traumatized adults and children for cognitive-behavioral therapy (CBT) and discuss four tested models -- prolonged exposure (PE), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), and stress inoculation training (SIT) -- that psychiatrists may find effective when treating PTSD. [Adapted from Text] [Pilots]
Keywords: Brief Psychotherapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment
59. Chemtob, C., Nakashima, J., & Carlson, J. (2002, January). Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: A field study. Journal of Clinical Psychology, 58(1), 99-112. doi:10.1002/jclp.1131.
Language: English
Format: Journal
Abstract:
Effective psychological intervention is needed to help children recover from disaster-related PTSD. This controlled study evaluated the effectiveness of a brief intervention for disaster-related PTSD. At one-year follow-up of a prior intervention for disaster-related symptoms, some previously treated children were still suffering significant trauma symptoms. Using a randomized lagged-groups design, we provided three sessions of Eye Movement Desensitization and Reprocessing (EMDR) treatment to 32 of these children who met clinical criteria for PTSD. The Children's Reaction Inventory (CRI) was the primary measure of the treatment's effect on PTSD symptoms. Associated symptoms were measured using the Revised Children's Manifest Anxiety Scale (RCMAS) and the Children's Depression Inventory (CDI). Treatment resulted in substantial reductions in both groups' CRI scores and in significant, though more modest, reductions in RCMAS and CDI scores. Gains were maintained at six-month follow-up. Health visits to the school nurse were significantly reduced following treatment. Psychosocial intervention appears useful for children suffering disaster-related PTSD. Conducting controlled studies of children's treatment in the postdisaster environment appears feasible. [Author Abstract]
Keywords: Americans Brief Psychotherapy Child Treatment Disasters Elementary School Students Empirical Study Follow-up Study Health Care Utilization Hurricanes Hurricane Iniki Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT School Age Children Survivors Treatment Effectiveness Victim Service
60. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .
Language: English
Format: Journal
Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness
61. Cohen, S. (2000). Eye movement desensitization and reprocessing (EMDR): The making of a psychotherapy. McGill University (Canada). AAT MQ64135.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization Reprocessing (ENDR) therapy has burst upon the
psychotherapeutic scene as a tirne-limited, cost-contained, and efficacious treatrnent for anxiety,
stress, and psychological trauma. Although this therapy has been pronounced as revolutionary
by its inventor, Franche Shapiro, it has distinct historicd precedents. The explanatory models of
pathogenic memory and dissociation îheory, and the reiiance on mechanical inference for
objectivity rnake EMDR therapy famiIiar and salieut. Notions of suggestion and hypnosis, aud
the eye-movement component of therapy are presented as discontinuous with clinical and
theoreticai practice, in order to fiee them h m the tainting associations of pseudo-science and
quackery. By co~ect ingth e curent EMDR movement with the conceptual and practical history
of traumatic memory, dissociation, and suggestion, 1 argue that EMDR is not revolutionary. It is
a powerful technotogy of the self, nomaking and valourking certain ways of behaving and
thinking. Shapiro's implicit assurnptions that psychological suffering is pathological, and that
early traumatic events are indelibly encoded, stored and dissociated in the brain are
problematized. A briefcornmentary on the mord, politicai, and psychotherapeutic implications
of EMDR therapy is provided.
62. Cohn, L. (1993). Art psychotherapy and the new eye treatment desensitization and reprocessing (EMDR) method, an integrated approach. In E. Virshup (Ed.), California Art Therapy Trends (pp. 275–290) Chicago, IL: Magnolia Street Publishers.
Language: English
Format: Book Section
Abstract:
No abstract available.
Keywords: Art Psychotherapy
63. Colt, K. M., & Marvasti, J. A. (2004). Innovative therapies for trauma related disorders: TARGET, TREM, and EMDR. In J. A. Marvasti (Ed.), Psychiatric treatment of victims and survivors of sexual trauma: A neuro-bio-psychological approach (pp. 73-95). Springfield, IL: Charles C. Thomas Publisher.
Language: English
Format: Book Section
Abstract:
In this chapter, Marvasti and Colt explore the victims' response to trauma and examine nontraditional treatment models for psychological trauma. The TARGET model (Trauma Adaptive Recovery Group Education and Therapy) of treatment focuses on current symptoms. Treatment is aimed at helping the victim move from maladaptive patterns of thought and behavior toward healthy ways of managing life. TREM (Trauma Recovery and Empowerment Model) was created to assist disempowered female victims of trauma to develop self-esteem and coping skills. EMDR (eye movement desensitization and reprocessing) is a set of protocols designed to decrease the symptoms of traumatic stress by use of rhythmic movements and cognitive restructuring. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Emotional Trauma Empowerment Female Victims Group Education and Therapy Group Psychotherapy Human Females Models Nontraditional Treatment Models Psychological Trauma Sexual Abuse Symptoms Treatment Victimization
64. Connor, P. K. (2005). Guideline-based programs in the treatment of complex PTSD. Deakin University, Victoria, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The term “post-traumatic stress disorder” (PTSD) is a relatively new diagnostic label, being formally recognized in 1980 in the Diagnostic Statistical Manual for Psychiatric Illness – Third Edition (DSM-III) of the American Psychiatric Association (APA, 1980). Complex Post-Traumatic Stress Disorder (CP) is a more recently discussed, and newly-classified, phenomenon, initially discussed in the early 1990s (Herman, 1992a). Thus, as research into effective treatments for CP is sparse, the treatment of CP is the topic of this study, in which a guideline-based treatment program developed by the researcher for the treatment of CP is implemented and evaluated. Ten individuals participated in this study, undertaking individualized, guideline-based treatment programs spanning a period of six months. In providing background information relevant to this study, an explanation is provided regarding the nature of CP, and the reasons for its consideration as a separate phenomenon to PTSD. The adequacy of the PTSD formulation in enabling effective assessment and treatment of CP is also explored, with endorsement of previous researchers’ conclusions that the CP construct is more useful than the PTSD construct for assessing and treating survivors of long-term and multiple forms of abuse. The PTSD classification is restrictive, and not necessarily appropriate for certain forms of trauma (such as prolonged trauma, or multiple forms of trauma), as such trauma experiences may lead to specific effects that lay outside those formerly associated with PTSD. Such effects include alterations in affect regulation, consciousness, self-perception, interpersonal relationships, and in systems of meaning. Following discussion regarding the PTSD/CP classification, an examination of treatment methods currently used in the treatment of PTSD, and a review of treatment outcome studies, takes place. The adequacy of primary treatment methods in treating CP symptoms is then examined, with the conclusion that a range of treatment methods could potentially be useful in the treatment of CP symptoms. Individuals with a diagnosis of CP may benefit from the adoption of an eclectic approach, drawing on different treatment options for different symptoms, and constantly evaluating client progress and re-evaluating interventions. This review of treatment approaches is followed by details of an initial study undertaken to obtain feedback from individuals who had suffered long-term/multiple trauma and who had received treatment. Participants in this initial study were asked open-ended questions regarding the treatment approach they had experienced, the most useful aspect of the treatment, the least useful aspect, and other strategies/treatment approaches that may have been useful – but which were not used. The feedback obtained from these individuals was used to inform the development of treatment guidelines for use in the main study, as were recommendations made by Chu (1998). The predominant focus of the treatment guidelines was “ego strengthening”, a term coined by Chu (1998) to describe the “initial (sometimes lengthy) period of developing fundamental skills in maintaining supportive relationships, developing self-care strategies, coping with symptomatology, improving functioning, and establishing a positive self identity” (p.75). Using a case study approach, data are then presented relating to each of the ten individuals involved in the treatment program: details of his/her trauma experience(s)and the impact of the trauma (as perceived by each individual); details of each individual’s treatment program (as planned, and as implemented); post-treatment evaluation of the positive and negative aspects of the treatment program (from the therapist’s perspective); and details of the symptoms reported by the individual post-treatment, via psychometric assessment and also during interview. Analysis and discussion of the data relating to the ten participants in the study are the focal point of this study. The evaluation of the effectiveness of each individual’s treatment has been based predominantly on qualitative data, obtained from an analysis of language (discourse analysis) used by participants to describe their symptoms pre- and post-treatment. Both blatant and subtle changes in the language used by participants to describe themselves, their behaviour, and their relationships pre- and post-treatment have provided an insight into the possible changes that occurred as a result of the treatment program. The language used by participants has been a rich source of data, one that has enabled the researcher to obtain information that could not be obtained using psychometric assessment methods. Most of the participants in this study portrayed notable changes in many of the CP symptoms, including being more stable and having improved capacity to explore their early abuse. Although no direct cause-effect relationship between the participants’ treatment program and the improvements described can be established from this study, the participants’ perception that the program assisted them with their symptoms, and reported many aspects of “ego strengthening”, is of major importance. Such self-perception of strength and empowerment is important if an individual is going to be able to deal with past trauma experiences. In fact, abreactive work may have a greater chance of succeeding if those who have experienced long-term or multiple trauma are feeling more empowered, and more stable, as were the participants in this study (post-intervention). In concluding this study, recommendations have been made in regard to the use of guideline-based treatment programs in the responsible treatment of CP. Strengths and limitations of this study have also been highlighted, and recommendations have been made regarding possibilities for future research related to CP treatment. On the whole, this study has supported strongly other research that highlights the importance of focusing on “ego strengthening” in assisting those who have suffered long-term/multiple trauma experiences. Thus, a guideline-based program focusing on assisting sufferers of long-term trauma with some, or all, of the symptoms of CP, is recommended as an important first stage of any treatment of individuals who have experienced long-term/multiple trauma, allowing them to develop the emotional and psychological strength required to deal with past traumatic events. Clinicians who are treating patients whose history depicts long-term or multiple trauma experiences (either from their childhood, or at some stage in their adult life) need, therefore, to be mindful of assessing individuals for symptoms of CP – so that they can treat these symptoms prior to engaging in any work associated directly with the past traumatic experiences. [Author abstract]
D.H.Sc.(Psych.) thesis, School of Psychology.
Keywords: Posttraumatic Stress Disorder Psychotherapy Treatment
65. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.
Language: English
Format: Journal
Abstract:
An in-depth comparative case study was conducted of two attempts at
diffusion of an empirically supported, but controversial, psychotherapy: eye
movement desensitization and reprocessing (EMDR). One Department of Veterans
Affairs (VA) treatment setting in which there was substantial uptake was
compared with a second VA setting in which it was not adopted. Qualitative
interviews were conducted with 10 mental health clinicians at the first
site, and 19 at the second. Critical selling points for EMDR were a highly
regarded champion, the observability of effects with patients, and
personally experiencing its effects during a role training session.
Compatibility with existing psychotherapist practices and values further
allowed the therapy to become embedded in the organizational culture. At the
second site, a sense that EMDR was not theoretically coherent or compelling
overwhelmed other considerations, including its empirical status.
Comparative studies contrasting settings in which innovative therapies are
implemented versus those in which they were rejected may aid in refining
theories of and strategies for dissemination.
Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy
66. Corrigan, F. M. (2004). Psychotherapy as assisted homeostasis: Activation of emotional processing mediated by the anterior cingulate cortex. Medical Hypotheses, 63(6), 968-973.
Language: English
Format: Journal
Abstract:
Although psychotherapy is successful in altering emotional distress, the biological mechanism by which it achieves this has not been the subject of intensive neurobiological investigation. Mindful processing of emotion has been proposed to be a key factor in prevention of relapse in depressive illness and here that hypothesis is developed and extended to include other conditions in which emotion processing may be obstructed or dysregulated. Cognitive therapy, interpersonal psychotherapy, psycho-dynamic psychotherapy, and dialectical behaviour therapy, each in a different way and with a distinct emphasis, encourage awareness of emotions and their associated cognitions and biographies, and their varying success may depend on the degree to which they achieve activation of internal healing processes. In eye movement desensitisation and reprocessing (EMDR), the selected target is formatted for endogenous processing which is facilitated and accelerated by eye movements or alternating bilateral auditory or tactile stimulation. The ability to sustain focussed attention on the affect and its visceral, cognitive, and biographical components is postulated to activate a homeostatic process of distress resolution, seen most clearly in treatment of PTSD with EMDR, in which resolution of distress can be intense and rapid while therapist input is non-directive, although supportive, empathic, and non-judgemental. Once the therapist has helped to frame the questions, the patient's brain will find the answers needed for the resolution of the distress and all the components of the traumatic event, whether visceral, cognitive, affective, or interpersonal. The anterior cingulate cortex, especially the dorsal and rostral components, is suggested to be the key neurobiological substrate for the efficacious psychotherapeutic relief of distress, and relevant functional neuroimaging studies are summarised. One limitation of some previous imaging studies of emotion is that they have tended to use mild stimuli to discrete emotions. An alternative approach would be to image the brain during reprocessing of an unpleasant event which has profoundly affected the person so that the associated intense emotions could be clearly labelled and correlated with changes in regional brain functioning. [Author Summary]
Keywords: Cognitive Processes Cognitive Therapy Neurobiology
67. Corrigan, P. (2001, October). Getting ahead of the data: A threat to some behavior therapies. the Behavior Therapist, 24(9), 189-193.
Language: English
Format: Newsletter
Abstract:
Replies to the comments by H. Lipke (see record 2002-12440-004) concerning the article by G. J. Devilly (see record 2001-18447-002) which discussed distraction during exposure. The author presents evidence that he feels will help an audience reach their own conclusions regarding misrepresentations in his paper. The evidence involves a brief discussion of effect sizes. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Acceptance & Commitment Therapy Behavior Therapy DBT Dialectical Behavior Therapy Functional Analytic Psychotherapy Letter Reply
68. Corrigan, P. (2002). The data is still the thing: A reply to Gaynor and Hayes. the Behavior Therapist, 25(7/8), 140.
Language: English
Format: Newsletter
Abstract:
No abstract available.
Keywords: Acceptance & Commitment Therapy Behavior Therapy DBT Dialectical Behavior Therapy Functional Analytic Psychotherapy Letter Reply
69. Cottencin, O., & Doutrelugne, Y. (2009, Avril). Intérêt de l'EMDR dans la prise en charge des traumatismes psychiques [EMDR in the treatment of psychological trauma]. Journal International de Victimologie, 7(1), 1-8.
Language: French
Format: Journal
Abstract:
L’EMDR (Eye Movement Desensitization and Reprocessing) est aujourd’hui de plus en plus
inscrite dans le traitement psychothérapeutique de l’état de stress post traumatique (ESPT) et le
monde anglo-saxon nous donne à lire de nombreuses études contrôlées qui montrent la preuve
de son efficacité même en comparaison d’autres types d’intervention (psychothérapeutiques ou
médicamenteuses).
Nous présentons ici les résultats d’une étude Cochrane au sujet de l’efficacité de cette thérapie.
Puis nous exposons l’EMDR tant sur un plan théorique que pratique et ses parentés avec
l’hypnothérapie au regard de son histoire au sein de l’école de Palo Alto et des liens cliniques et
historiques de l’hypnose avec le traumatisme psychique.
EMDR (Eye Movement Desensitization and Reprocessing) is now increasingly
entered in the psychotherapeutic treatment of posttraumatic stress disorder (PTSD) and
Anglo-Saxon gives us to read many controlled studies that show evidence
its very effectiveness compared to other types of interventions (psychotherapeutic or
drug).
We present here the results of a Cochrane review on the effectiveness of this therapy.
Then we expose EMDR as a theory and practice and its kinship with
hypnotherapy in terms of its history in the Palo Alto and links clinical and
history of hypnosis with the psychological trauma.
Keywords: Internet Mental Trauma Posttraumatic Stress Disorder Psychotherapy PTSD
70. Crenshaw, D. (2008, September-October). The healing power of play; Helping the traumatized child find safety again. Psychotherapy Networker, 32(5), 61-65.
Language: English
Format: Magazine
Abstract: W
hen children are too anxious, afraid, or traumatized to play, they can't utilize this natural resource of childhood to relieve a painful emotional state. Child therapists can help children reclaim this vital feature of emotional self-regulation by teaching, modeling, and setting the stage for the child to play.
Keywords: Children Play Therapy Psychotherapy Youth
71. Crnobaric, C. O., Milovanovic, S., & Simic, S. (2002 ). Psihoterapija post-traumatskog stresnog poremećaja [Psychotherapy of post traumatic stress disorders]. Engrami - časopis za kliničku psihijatriju, psihologiju i granične discipline, 24(3-4), 123-133.
Language: Croatian
Format: Journal
Abstract:
Tokom prethodne dve decenije dolazi do novih podataka u vezi efikasnosti psihoterapijskih tehnika u tretmani posttraumatskog stresnog poremećaja. Najveći broj ispitivanja na ovu temu se bavi kognitivno bihejvioralnim tehnikama kao i metodom desenzitizacije i reprocesiranja pokretima očiju, dok je manji broj psihodinamskih i psihoanalitičkih ispitivanja. Aktuelne studije se razlikuju po metodologiji (nedostatak kontrolne grupe, nejasno definisanje simptomatologije i nepouzdani dijagnostički instrumenti, mali uzorak, itd). U radu se diskutuje o kompleksnosti kako pristupa tako i primena terapijskih tehnika.
The past two decades have produced increased knowledge about the efficacy of psychological treatment for post-traumatic stress disorder (PTSD). The majority of existing studies examined the usefulness of cognitive-behavioural treatments and eye-movement desensitization and reprocessing, whereas the efficacy of psychodynamic treatments has been the object of only few studies. Existing studies vary considerably in methodology and often are present with methodological limitations (e.g. lack of control group, of clear description of the participants' symptoms, and reliable diagnostic instruments, use of mixture of therapeutic approaches, small sample size, etc) that preclude definitive conclusions. Benefits from cognitive and behavior therapies have been reported in many studies, but methodological shortcomings in some of these studies pose problems in drawing conclusions. Treatments such as SIT EMDR and CBT have several therapeutic components, and it is difficult to tell which elements led to improvement and which are redundant. Another matter of concern is the ease of dissemination of treatment among nonexpert clinicians. Some treatments (psychodynamic psychotherapy, cognitive therapy and SIT) are relatively complex, as they comprise multiple components. Other treatments (exposure) may be less complex and more easily accessible to clinicians outsized of specialized settings. Such treatments may be more useful both in routine clinical practice and in emergency situations where larger number of trauma-survivors require help (e.g. in the aftermath of natural disaster or in war torn countries).[Author abstract]
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD
72. Cuppen, M. (2007, Juli). Eye movement desensitisation and reprocessing, Maakt deze bijzondere behandeling voor traumagerelateerde klachten Pesso-psychotherapie overbodig? [Eye movement desensitisation and reprocessing - Does this special treatment for trauma-related symptoms Pesso-psychotherapy redundant?]. Pesso Tijdschrift, 37-49.
Language: Swedish
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing, EMDR, har i psykoterapiforskning
visats vara en effektiv behandlingsmetod av posttraumatiskt
stressyndrom, PTSD. Däremot är ögonrörelsestimuleringen,
som är ett centralt moment i metoden, kontroversiell och dess
funktion inte klarlagd.
I föreliggande undersökning randomiserades trettiosex friska försökspersoner
till en av tre stimuleringsbetingelser: ögonrörelsestimulering,
taktil stimulering eller orörligt visuellt stimuli (kontrollgrupp). Stimuleringen
kombinerades med imaginär exponering, negativ och positiv.
Utfallet av experimentet mättes i olika fysiologiska mätparametrar,
samt självskattningar av obehagsnivån (SUD). Resultaten visade signifikant
högre hudkonduktansnivå vid ögonrörelsestimulering jämfört
med kontrollgruppen, relaterat till aktivering av det sympatiska nervsystemet.
Inga signifikanta gruppskillnader fanns i de övriga mätningarna.
Mönstret av autonom aktivering kan tyda på att ögonrörelsestimuleringen
utlöser eller förstärker en orienteringsrespons, vilket vissa
teoretiker föreslagit är den verksamma mekanismen i EMDR. Dock
behövs fortsatt forskning för att förstå denna verkan, samt koppling
till terapeutisk effekt.
Eye Movement desensitization and Reprocessing, EMDR, psychotherapy research has shown to be an effective treatment of post-traumatic stress disorder, PTSD. However, ögonrörelsestimuleringen, which is the lynchpin of the method, controversial and its function is not clear. In the present study were randomized thirty-six healthy subjects to one of the three stimulation conditions: eye movement stimulation, tactile stimulation or static visual stimuli (control group). The stimulation was combined with imaginary exposure, negative and positive. The outcome of the experiment were measured in various physiological test parameters, and self-estimates the level of discomfort (SUD). The results showed significantly higher hudkonduktansnivå of eye movement stimulation compared with control group, related to the activation of the sympathetic nervous system. No significant group differences were found in the other measurements. The pattern of autonomic activation may indicate that ögonrörelsestimuleringen trigger or reinforce an orientation response, as some theorists suggested is the active mechanism in EMDR. However, further research is needed to understand this effect, and access to therapeutic efficacy.
Keywords: Pesso Psychotherapy
73. Davis, N. (2002). The use of multi-sensory trauma processing to treatpost-traumatic stress disorder in law enforcement officers. In C. R. Figley (Ed.), Brief treatments for the traumatized: A project of the Green Cross Foundation (pp. 173-206). Westport, Connecticut: Greenwood Press.
Language: English
Format: Book Section
Abstract:
Multi-sensory Trauma Processing (MTP) is a short-term treatment technique designed to deal with many common problems that arise in more long-term therapeutic interventions. Eyemovement Desensitization and Reprocessing (EMDR) is a critical element of this therapy; however, it varies in several ways from the standard EMDR protocol used in research. Referring to it as MTP helps to distinguish the more global approach of this therapy from that of EMDR. MTP uses the alternating stimulation that is the foundation of EMDR; however, MTP simultaneously uses three alternating stimulations consisting of alternating sounds and tapping, as well as eye movement. Although it is unclear exactly how this alternating stimulation creates positive change, there are two credible theories which seek to explain its efficacy. One is that stress hormones released during exposure to a traumatic incident cause the memory of the incident to become "frozen" or unprocessed in the right brain, particularly the hippocampus. This frozen memory apparently leads to the symptoms of PTSD. Alternating stimulation may enable both hemispheres of the brain to process the traumatic memory, moving it from being "stuck" to an appropriate memory of the past. Other theorists have noted the eye movement commonly used in EMDR is similar to the back-and-forth movement of eyes in REM sleep; one symptom of PTSD is disturbed REM sleep and a change in eye movement accompanying this type of sleep. By replicating what the brain does naturally in REM sleep, the natural ability of the brain to process a memory may be reactivated. [Adapted from Text, pp. 180-181] [Pilots]
Keywords: Brief Psychotherapy Police Personnel Posttraumatic Stress Disorder PTSD Stressors Survivors
74. Del Rosario, J. R. (2005). Attitudes toward EMDR: Differences between psychologists and psychiatrists. Midwestern University, Downer's Grove, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Posttraumatic Stress Disorders Psychotherapy Methods PTSD Stress Disorders
75. Devilly, G. J. (2005, June). Power therapies and possible threats to the science of psychology and psychiatry. Australian & New Zealand Journal of Psychiatry, 39(6), 437-445. doi:10.1111/j.1440-1614.2005.01601.x .
Language: English
Format: Journal
Abstract:
Objective: Advocates of new therapies frequently make bold claims regarding therapeutic effectiveness, particularly in response to disorders which have been traditionally treatment-refractory. This paper reviews a collection of new therapies collectively self-termed "The Power Therapies", outlining their proposed procedures and the evidence for and against their use. These therapies are then put to the test for pseudoscientific practice. Method: Therapies were included which self-describe themselves as "Power Therapies". Published work searches were conducted on each therapy using Medline and PsychInfo databases for randomized controlled trials assessing their efficacy, except for the case of Eye Movement Desensitization and Reprocessing (EMDR). Eye Movement Desensitization and Reprocessing has more randomized controlled studies conducted on its efficacy than any other treatment for trauma and thus, previous meta-analyses were evaluated. Results and conclusions: It is concluded that these new therapies have offered no new scientifically valid theories of action, show only non-specific efficacy, show no evidence that they offer substantive improvements to extant psychiatric care, yet display many characteristics consistent with pseudoscience. [Author Abstract]
Keywords: Commentary Energy Psychotherapy Literature Review Neurolinguistic Programming NLP Psychotherapeutic Processes TFT: Thought Field Therapy TIR: Traumatic Incident Reduction Treatment Effectiveness
76. Devilly, G. J. (2004, December). An approach to psychotherapy toleration: The Distress/Endorsement Toleration Scale (DEVS) clinical outcome studies. Journal of Behavior Therapy and Experimental Psychiatry, 35(4), 319-336. doi:10.1016/j.jbtep.2004.08.001.
Language: English
Format: Journal
Abstract:
The issue of treatment tolerance within the field of psychotherapy is, at best, a nebulous construct and has been commonly evaluated via rates of subject attrition and homework compliance. This research presents the psychometric properties of a ten-item scale which endeavours to measure treatment distress and participant endorsement of therapy protocols used in clinical research. Two factors emerged and the subscales of Distress and Endorsement were derived. These subscales displayed good reliability with acceptable inter-item correlations within each subscale. The subscales were also able to differentiate the perspectives of male Vietnam veterans from their spouses on a lifestyle management course at the termination of intervention. However, this scale also displayed a cognitive behavioural trauma treatment protocol and eye movement desensitisation and reprocessing to be equivalent in treatment distress and participant endorsement in the treatment of PTSD. Preliminary findings suggest that the relationship between these two subscales and outcome may, to some extent, be population specific. First evidence suggests that intervention distress ratings may be influenced by severity of presentation, whilst endorsement ratings are more influenced by symptomatic improvement over time. Suggestions for future research are presented and the full questionnaire is attached as an appendix. [Author Abstract]
Keywords: Adults Australians Cognitive Therapy Distress Family Therapy Endorsement Females Males Outcome Psychotherapeutic Processes Questionnaire Self Report Instruments Spouses Tolerance Treatment Treatment Effectiveness Veterans Vietnam War
77. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation: A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.
Language: English
Format: Journal
Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.
Keywords: Assimilative Integration Cognitive Behavior Therapy Cognitive-Behavioral Therapy Empirical Study Humanistic Psychotherapy Integrative Psychotherapy Humanistic Therapy Psychodynamic Psychotherapy Psychodynamic Therapy Psychotherapeutic Processes Psychotherapy Integration Qualitative Study Treatment Outcomes
78. Dworkin, M. (2003, June). Integrative approaches to EMDR: Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187. doi:10.1037/1053-0479.13.2.171.
Language: English
Format: Journal
Abstract:
EMDR represents an integrative model of psychotherapy at the theoretical level. During its 16-year history, it has created quite a controversy in academic psychology. Missing from these debates have been additional therapeutic elements that are necessary to propel productive thinking into ways of making greater use of the model. These elements—empathy, the intersubjective, and usage of the cognitive interweave in conjunction with transference and countertransference issues—are explored. This addition constitutes an assimilative approach to an ever-evolving model of resolving posttraumatic stress disorder.
Keywords: Empathy Intersubjective Cognitive Interweave Cognitive Processes Countertransference Integrative Model Integrative Psychotherapy Interpersonal Interaction Models Posttraumatic Stress Disorder Psychotherapy PTSD Transference Psychotherapeutic Transference Subjectivity
79. Dyregrov, A. (2004, Oktober). Hjelper terapi for traumatiserte mennesker? [Does trauma therapy help?]. Tidsskrift for Norsk Psykologforening, 41(10), 787-793.
Language: Norwegian
Format: Journal
Abstract:
Denne artikkelen beskriver de psykologiske og fysiske konsekvenser av traumer. Det vurderinger deretter ulike terapeutiske tiltak for posttraumatisk stresslidelse (PTSD). Metoder basert på atferds-og kognitive strategier synes mest effektive i behandling av traumer. Studier har vist at et stort flertall av personer med en eksisterende PTSD diagnosen ikke har PTSD etter opphør av behandlingen. Videre er positiv behandling resultatet tydelig demonstrert lenge etter behandling nedleggelse. Effektiv behandlingsmetoder omfatter eksponering terapi, kognitiv terapi, Eye Movement Desensitisation og Rengjøring (EMDR), og kognitiv atferdsterapi. Nye behandlingsmetoder vil uten tvil utvide antall hvordan PTSD kan behandles, slik at programmer bedre tilpasset behovene til hver enkelt pasient. (PsycINFO Database Record (c) 2008 TFO, alle rettigheter reservert)
This article describes the psychological and physical consequences of trauma. It then reviews different therapeutic interventions for Posttraumatic Stress Disorder (PTSD). Methods based on behavioural and cognitive strategies seem most effective in the treatment of trauma. Studies have shown that a large majority of persons with an existing PTSD diagnosis do not have PTSD after termination of treatment. Furthermore, positive treatment outcome is clearly demonstrated long after treatment closure. Effective methods of treatment include exposure therapy, cognitive therapy, Eye Movement Desensitisation and Reprocessing (EMDR), and cognitive behavioural therapy. New treatment methods will no doubt broaden the number of ways in which PTSD may be treated, allowing for programmes better suited to the needs of each particular patient. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Literature Review Physical Consequences Posttraumatic Stress Disorder Psychological Consequences Psychotherapy PTSD Therapeutic Interventions Therapeutic Processes Trauma Therapy
80. Edmond, T. E., Rubin, A., & Wambach, K. G. (1999, June). The effectiveness of EMDR with adult female survivors of childhood sexual abuse. Social Work Research, 23(2), 103-116.
Language: English
Format: Journal
Abstract:
A randomized experimental evaluation found support for the effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing trauma symptoms among adult female survivors of childhood sexual abuse. 59 women were assigned randomly to one of three groups: (1) individual EMDR treatment (six sessions); (2) routine individual treatment (six sessions); or (3) delayed treatment control group. A MANOVA was statistically significant at both posttest and follow-up. In univariate ANOVAs for each of four standardized outcome measures EMDR group members scored significantly better than controls at posttest. In a three-month follow-up, EMDR participants scored significantly better than routine individual treatment participants on two of the four measures, with large effect sizes suggestive of clinical significance. [Author Abstract]
Keywords: Adults Americans Brief Psychotherapy Child Abuse Empirical Study Females Follow-up Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Self Efficacy Survivors Treatment Effectiveness
81. Edmond, T., Sloan, L., & McCarty, D. (2004, July). Sexual abuse survivors’ perceptions of the effectiveness of EMDR and eclectic therapy. Research on Social Work Practice, 14(4), 259-272. doi:10.1177/1049731504265830.
Language: English
Format: Journal
Abstract:
Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse -- Eye Movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted with 38 adult female survivors of childhood sexual abuse. Results: Two major differences in outcomes between the two treatment approaches were observed. There were considerable distinctions between the two treatment groups in terms of the importance and effect of the client-therapist relationship, and in terms of the depth of change reportedly caused by the different therapies. Conclusions: Survivors' narratives indicate that EMDR produces greater trauma resolution, while within eclectic therapy, survivors more highly value their relationship with their therapist, through whom they learn effective coping strategies. [Author Abstract]
Keywords: Adults Americans Child Abuse Depressive Disorders Empirical Study Females Individual Psychotherapy Mixed Methods Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Rape Survivors Treatment Effectiveness
82. Edwards, B. (Host) (1994, August 15). New psychotherapy sparks controversial debate. NPR, Morning Edition (10:00/11:00 a.m.), 21-23.
Language: English
Format: Other
Abstract:
Bob Edwards, Host: A new type of psychotherapy has triggered debate among mental health professionals. Proponents of the therapy, known as Eye Movement Desensitization Reprocessing, or EMDR, say it's highly effective for alleviating the emotional effects of traumatic experiences. But, critics say EMDR is an unproven therapy, and they question in particular a part of the treatment that involves using rapid eye movements.
83. Efran, J., Lukens, M., & Greene, M. (2007, March-April). Defining psychotherapy: The last 25 years have taught us that it's neither art nor science. Psychotherapy Networker, 31(2), 40-47, 52-55, 66.
Language: English
Format: Magazine
Abstract:
Despite attempts to distinguish between hype and clinical zealotry from reliable science in psychotherapy, there's still no compelling evidence that therapists are achieving better outcomes today than they did 25 years ago. The 25th anniversary of the Psychotherapy Networker offers an opportunity to ponder the cavalcade of developments in this field over the past several decades and examine the efforts to establish the scientific foundations of psychotherapy.
Keywords: Psychotherapy History Psychotherapy Networker History
84. Erdmann, C. (2006). Wirkfaktoren in der psychotherapie und der EMDR-behandlung. (Wie) kann psychotherapie wirksamer werden? [Effective factors in psychotherapy and EMDR therapy. (How can psychotherapy are effective?)]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Auf der Grundlage neurowisenschaftlicher Erkenntnisse werden in der letzten Zeit vermehrt Psychotherapiemethoden und -verfahren neu bewertet und evaluiert. Zunehmend werden in diesem Zusammenhang Wirkfaktoren diskutiert, denen Klaus Grawe (Prof. Dr. K. Grawe, ehem. Psychologisches Institut der Universität Bern) und seinen Mitarbeitern zufolge eine besondere Bedeutung für eine effektive psychotherapeutische Behandlung und in der psychotherapeutischen Ausbildung zukommen sollte.
Based on findings neurowisenschaftlicher recently increased psychotherapy methods and procedures re-evaluated and evaluated. Increasingly discussed in this context, effective factors, which Klaus Grawe (Prof. Dr. K. Grawe, former Department of Psychology, University of Bern) and to send his staff that a special importance for effective treatment and psychotherapy in psychotherapeutic training should ..
Keywords: Efficacy
85. Esslinger, K. (1998). Traumazentrierte psychotherapie: Kognitive verhaltenstherapie und EMDR im vergleich [Trauma Psychotherapy: Cognitive behavior therapy and EMDR compared]. Persönlichkeitsstörungen - Theorie und Therapie, 2(98), 59 – 66.
Language: German
Format: Journal
Keywords: Cognitive Behavior Therapy
86. Esslinger, K. (1998). Traumaexposition zur traumasynthese traumazentrierte psychotherapie: Kognitive verhaltenstherapie und EMDR im vergleich [Trauma exposition aiming at trauma synthesis. Trauma-centered psychotherapy: A comparison between cognitive behavior therapy and EMDR]. Persoenlichkeitsstoerungen Theorie und Therapie, 2, 59-76.
Language: German
Format: Journal
Keywords: CBT Cogntive Behavior Therapy Trauma-Centered Psychotherapy
87. Faretta, E. (2008, Settembre). EMDR (Eye movement desensitization and reprocessing) e la trasformazione delle esperienze traumatiche: Applicazioni cliniche in ambito psicoterapeutico [EMDR (Eye movement desensitization and reprocessing) and the transformation of traumatic experiences: Clinical applications in the field of psychotherapy]. In T. Farma (presidente), Il modello psicotraumatologico: Un ponte TRA indicatori neurobiologici e Psicoterapia. Simposio condotto in occasione della riunione della Society for Psychotherapy Research, Modena, Italia.
Language: Italian
Format: Conference
88. Faretta, E. & Parietti, P. (2006). EMDR e psicoterapia ipnotica [EMDR and hypnotic psychotherapy]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 117-150). Milano, Italy: McGraw-Hill.
Language: Italian
Format: Book Section
Keywords: Hypnosis
89. Farma, T. (2006). EMDR e psicoterapia psicodinamica [EMDR and psychodynamic psychotherapy]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 49-83). Milano, Italy: McGraw-Hill.
Language: Italian
Format: Book Section
90. Fernandez, I. (2008). EMDR after a critical incident: Treatment of a tsunami survivor with acute posttraumatic stress disorder. Journal of EMDR Practice and Research, 2(2), 156-159. doi:10.1891/1933-3196.2.2.156.
Language: English
Format: Journal
Abstract:
Research indicates that EMDR is effective for the treatment of PTSD, with numerous studies showing a high percentage of symptom remission after 3 sessions. The case of a tsunami survivor with acute PTSD is presented. Treatment for overt trauma symptoms was completed within 3 sessions, including all 8 phases and the 3-pronged protocol (i.e., past, present, future targets). One EMDR session was sufficient to process the trauma and alleviate the related symptoms, while another session was necessary for re-evaluation and processing present triggers and future templates. Resource installation was particularly helpful to prepare him for those future situations that had been generating anxiety as a result of his traumatization. [Author Abstract]
Keywords: Adults Brief Psychotherapy Case Report Disaster Disaster-Response Indian Ocean Tsunami Italians Males Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Recent Events Survivors Trauma Tsunamis
91. Fernandez, I. (2001). Il contributo dell'EMDR nella psicoterapia [The contribution of EMDR to psychotherapy]. In P. Spannocchi & M. Cenerini (Eds.) Stress, trauma e psicoterapia (pp. 79-85) Florence, Italy: Medicee.
Language: Italian
Format: Conference
Keywords: Contributions to Psychotherapy
92. Fernandez, I., & Giovannozzi, G. (2012, March-April). EMDR ed elaborazione adattiva dell’informazione. La psicoterapia come stimolazione dei processi psicologici autoriparativi [EMDR and adaptive information processing: Psychotherapy as a stimulation of the self-reparative psychological process]. Rivista di Psichiatria, 47(Supplement 1), 4S-7S. doi:10.1708/1071.11731.
Language: Italian
Format: Journal
Abstract:
A partire dal concetto di evento traumatico, viene descritto il modello dell’elaborazione adattativa dell’informazione per illustrare come l’EMDR viene applicato per la rielaborazione dei traumi e per risolvere la psicopatologia post-traumatica. Vengono quindi presentate le otto fasi del trattamento con EMDR, le modalità di funzionamento di una seduta di EMDR e il contributo e l’innovazione che l’EMDR rappresenta nel campo della terapia degli stati post-traumatici e la sua applicabilità in altri quadri sintomatici.
Based on the concept of traumatic event, the model of the adaptive information processing is described to illustrate how EMDR is applied to reprocess the trauma and resolve post-traumatic psychopathology. The eight phases of the EMDR treatment are presented together with the way an EMDR session is conducted and the contribution and innovation that EMDR represents in the field of therapy of post-traumatic states and its applicability in other symptomatic conditions.
Keywords: Adaptive Information Processing AIP
93. Fernandez, I., Gallinari, E., & Lorenzetti, A. (2004, Spring-Summer). A school-based EMDR intervention for children who witnessed the Pirelli Building airplane crash in Milan, Italy. Journal of Brief Therapy, 2(2), 129-136.
Language: English
Format: Journal
Abstract:
This article describes a group intervention using a variant of Eye Movement Desensitization and Reprocessing called the butterfly hug. The treatment was provided to 236 children in an elementary school in Milan, Italy, after a small plane crashed into the Pirelli building, a skyscraper adjacent to the school, causing severe damage, fire, and loss of life. After this incident most of the children developed symptoms of PTSD, disrupting school function. A team of three psychologists, working with school teachers, provided this 90-minute intervention to each school class. The treatment reduced reported symptoms of distress during the treatment process, and appeared to result in changed patterns of observable behavior, which were maintained at 4-month follow-up. Given the dearth of research on post-disaster treatment and the limitations of this naturalistic evaluation, future rigorous study is suggested. [Author Abstract]
Keywords: Air Traffic Accidents Brief Psychotherapy Elementary School Students Italians Non-Randomized Study Pirelli Tower Airplane Crash (Milan, 2002) Recent Events School Age Children School Based Treatment Treatment Effectiveness Witnesses
94. Fernandez, I., Maxfield, L., & Shapiro, F. (2003). Il contributo dell'EMDR nel campo della psicoterapi [EMDR’s contributions in psychotherapy]. In M. Giannantonio (Ed.), Psicotraumatologia e psicologia dell'emergenza (pp. 219-235) Salerno, Italia: Ecomind .
Language: Italian
Format: Book Section
Abstract:
Non disponibile astratto.
No abstract available.
Keywords: Contributions Psychotherapy
95. Figley, C. R., Carbonnell, J., Boscarino, J., & Chang, J. (1999, Summer). A clinical demonstration model for assessing the effectiveness of therapeutic interventions: An expanded clinical trials methodology. International Journal of Emergency Mental Health, 1(Part 3), 155-164 .
Language: English
Format: Journal
Abstract:
Both the evaluation of current treatment interventions and the innovation of new ones are vital to maintaining a viable clinical profession. In the field of psychology, however, often there are serious challenges facing these worthy endeavors. This article reviews several problems and limitations with evaluation of innovative psychotherapy treatments in clinical practice and suggests a strategy to overcome these. This approach, which we term the "Systematic Clinical Demonstration Methodology" (SCDM), combines the skills of clinicians with the rigors of clinical trials methods and permits concurrent clinical innovation and scientific evaluation. Here we suggest that the SCDM approach allows innovative practitioners to assist in the development and evaluation of promising clinical interventions by working closely with clinical trials researchers. This allows innovative clinicians to demonstrate new treatment approaches, while clinical researchers evaluate the effectiveness and safety of these interventions using clinical trials methods that incorporate qualitative data. We suggest that this approach can result in the development and evaluation of new treatment innovations more quickly and cost effectively than traditionally has been the case. In addition, some limitations commonly associated with clinical trials, such as not treating patients typically found in clinical practice, failing to treat patients with multiple disorders, or treating patients from different cultural or sociodemographic groups, can be more effectively addressed. Our experiences with using this method to evaluate different psychotherapy treatments for PTSD are presented as an example of this new approach. [Author Abstract]
Keywords: Brief Psychotherapy Methodology Neurolinguistic Programming NLP Outcomes Research Posttraumatic Stress Disorder PTSD Random Controlled Trials RCT Systematic Clinical Demonstration Methodology TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness
96. Fisher, J. (2012, June). Trauma, body and neurobiology EMDR and sensorimotor psychotherapy in treatment of dissociative disorders [Trauma, neurobiología y el cuerpo: EMDR y la psicoterapia sensoriomotriz en el tratamiento de los trastornos disociativos]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Although
most
patients
respond
well
to
EMDR
treatment,
those
with
dissociative
disorders
often
become
more
fragmented:
they
experience
flooding
of
memory,
or
they
become
disconnected
and
numb.
Faced
with
the
dissociative
patient
who
cannot
tolerate
emotions,
who
cannot
manage
self-‐destructive
impulses,
differentiate
past
and
present,
or
create
a
Safe
Place—is
there
any
way
that
EMDR
can
be
helpful?
The
answer
is,
“Yes.”
With
an
understanding
of
post-‐traumatic
neurobiology
and
the
Structural
Dissociation
model,
the
responses
of
dissociative
disorder
patients
to
EMDR
become
logical
rather
than
surprising.
If
we
understand
their
purpose
and
meaning,
we
can
better
address
the
responses
that
interfere
with
successful
EMDR
processing.
Then
if
we
use
simple
body-‐centered
interventions
drawn
from
Sensorimotor
Psychotherapy
that
modulate
autonomic
arousal
and
address
the
needs
and
fears
of
each
part
of
the
personality,
EMDR
treatments
can
help
even
our
most
de-‐stabilized
and
dissociative
clients.
This
workshop
will
introduce
a
neurobiological
model
for
understanding
how
and
when
EMDR
treatments
can
be
effective
even
with
dysregulated
and
dissociative
clients
and
offer
an
introduction
to
Sensorimotor
Psychotherapy,
a
body-‐centered
therapy
developed
specifically
to
treat
post-‐traumatic
symptoms.
Participants
will
be
taught
simple,
body-‐centered
interventions
that
can
be
woven
into
both
trauma
processing
and
Resource
Development
protocols.
Using
lecture,
videotape,
session
demonstration
and
actual
practice,
participants
will
have
an
opportunity
to
integrate
these
simple
but
effective
techniques
into
their
EMDR
practice.
Si
bien
la
mayoría
de
los
pacientes
responden
bien
al
tratamiento
con
EMDR,
con
frecuencia
aquellos
que
sufren
trastornos
disociativos
se
vuelven
más
fragmentados:
sienten
una
inundación
de
la
memoria
o
se
vuelven
desconectados
y
“anestesiados”.
Ante
el
paciente
disociativo
que
no
es
capaz
de
tolerar
las
emociones,
que
no
puede
gestionar
los
impulsos
auto-‐destructivos,
distinguir
entre
pasado
y
presente
o
crear
un
Lugar
Seguro,
¿existe
alguna
manera
en
la
cual
puede
resultar
útil
EMDR?
La
respuesta
es,
“Sí.”
Con
una
comprensión
de
la
neurobiología
post
traumática
y
del
modelo
de
disociación
estructural,
las
respuestas
de
los
pacientes
con
trastorno
disociativo
a
EMDR
se
vuelven
lógicas
en
lugar
de
sorprendentes.
Si
entendemos
su
propósito
y
significado,
estaremos
mejor
situados
para
abordar
las
respuestas
que
interfieren
con
el
éxito
del
procesamiento
con
EMDR.
De
ahí,
si
aplicamos
intervenciones
sencillas
centradas
en
el
cuerpo
derivadas
de
la
psicoterapia
sensoriomotriz
que
modulan
la
excitación
autonómica
y
abordan
las
necesidades
y
miedos
de
cada
parte
de
la
personalidad,
los
tratamientos
con
EMDR
pueden
ayudar
a
nuestros
clientes,
incluso
a
los
más
desestabilizados
y
disociativos.
Este
taller
introducirá
un
modelo
neurobiológico
para
comprender
el
cómo
y
cuándo
los
tratamientos
basados
en
EMDR
pueden
resultar
efectivos
aún
en
los
clientes
desregulados
y
disociativos
y
ofrece
una
introducción
a
la
psicoterapia
sensoriomotriz,
una
terapia
que
se
centra
en
el
cuerpo
desarrollada
específicamente
para
tratar
los
síntomas
post-‐traumáticos.
Se
les
enseñará
a
los
participantes
intervenciones
sencillas
y
centradas
en
el
cuerpo
que
pueden
entretejerse
en
los
protocolos
tanto
de
procesamiento
del
trauma
como
de
desarrollo
de
recursos.
Mediante
la
conferencia,
vídeos,
demostraciones
de
sesiones
y
prácticas
reales,
los
participantes
tendrán
la
oportunidad
de
integrar
estas
técnicas
sencillas
a
la
vez
que
efectivas
en
su
ejercicio
de
EMDR.
Keywords: Dissociative Disorder Neurobiology
97. Fisher, J. A. (2003, September). Minding the body: Integrating EMDR and somatic psychotherapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
The need to address subcortical components of PTSD is critical to trauma work, especially with clients who cannot modulate arousal, tolerate positive affect, or maintain mindful states. With such clients, the use of Sensorimotor
Psychotherapy in conjunction with EMDR can enhance the effectiveness of both treatments. Sensorimotor Psychotherapy techniques can be utilized to increase affect and autonomic tolerance, to embody EMDR-acquired
resources, and to increase the effectiveness of EMDR processing by facilitating an optimal level of arousal. This workshop will introduce
participants to Sensorimotor Psychotherapy and describe the integrated use of both modalities to enhance trauma processing.
Keywords: Sensorimotor Psychotherapy Somatic Psychotherapy
98. Fisher, J. A. (2003, November). Minding the body: Integrating EMDR and sensorimotor psychotherapy in the treatment of trauma and dissociation. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.
Language: English
Format: Conference
Keywords: Dissociation
99. Fisher, J. A. (2005, September). Minding the body: Working with the somatic legacy of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
As the price for surviving trauma, individuals are left with an inadequate
memory record and a host of easily re-activated neurobiological responses.
Trauma-related autonomic dysregulation prohibits processing and resolution,
and the somatic responses, divorced from the events that caused them, are
interpreted as data about the self or the world. This worksop will introduce
approaches for working with traumatically encoded somatic experience using
Sensorimotor Psychotherapy, a body-entered talking therapy that addresses
these non-verbal, autonomic components by using the body as the entry
point in treatment, rather than the event. Sensorimotor Psychotherapy
offers simple body-oriented interventions for tracking, naming, and safely
exploring trauma-related somatic activation, modulating a dysregulated
nervous system, creating new resources and competencies, and restoring a
somatic sense of self. Sensorimotor Psychotherapy can be easily integrated
into EMDR and other trauma treatments and used to enhance installation of
positive cognitions and resources or to facilitate processing and integrating
of traumatic memories.
Keywords: Somatic Psychotherapy
100. Fisher, J. A. (2008, June). Minding the body: Somatic interventions for enhancing EMDR effectiveness. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The use of EMDR is often complicated with traumatized clients who cannot modulate
arousal, stay present rather than dissociating, tolerate positive or negative affect, or
differentiate past and present. Beset with an array of baffling, intense symptoms that
“tell the story” without words, they become uncertain both of what happened and
how they endured it. To make sense of the sensations and overwhelming emotions,
clients rely upon trauma-related cognitive schemas to interpret their experience: “I am
still not safe,” “I am a marked woman,” “I am worthless and unlovable.” These
cognitive schemas often increase the bodily dysregulation, resulting in looping or
inability to fully process and integrate the traumatic events. With such clients, the use
of body-centred techniques in preparation for or during EMDR processing can help to
increase affect and autonomic tolerance, strengthen both somatic and psychological
resources, and increase EMDR effectiveness by facilitating optimal levels of autonomic
arousal, which is neither too high nor too low, however is necessary for successful
desensitization and integration.
This workshop will introduce a number of interventions for working with traumatically
encoded somatic experience derived from Sensorimotor Psychotherapy, a bodycentred
talking therapy for trauma developed by Pat Ogden, Ph.D. that addresses the
non-verbal, autonomic components of PTSD by using the body both as a source of
information and a reservoir of resources. Sensorimotor Psychotherapy offers simple
body-oriented interventions for tracking, naming, and safely exploring trauma-related
experience, modulating a dysregulated autonomic nervous system, creating new
resources and competencies, and restoring a somatic sense of self. Sensorimotor
Psychotherapy can be easily integrated into EMDR treatments, used during
stabilization to prepare clients for more effective EMDR processing, during processing
to ensure effective and complete desensitization, or to enhance installation of positive cognitions and facilitate integration.
Keywords: Somatic Psychotherapy
101. Fouya, V. (2010, Novembre). Psychotherapie - EMDR: Le pouvoir des yeux [Psychotherapy - EMDR: The power of eyes]. Le Vif/L'express, (Supplement) Extra, (46), 36.
Language: French
Format: Magazine
Abstract:
Ce sont d’abord les vétérans de la guerre du Vietnam qui en ont bénéficié. Aujourd’hui, l’EMDR s’utilise pour guérir des traumatismes de toutes natures. Rien qu’en bougeant les yeux...
Traumatisme. Le mot résonne avec force. Il est associé à la violence, à l’intensité, à la mémoire aussi. Le traumatisme laisse des traces, il empêche souvent de vivre. On le conçoit aisément quand il s’agit de catastrophe naturelle ou de conflit armé, mais les blessés de la vie, nous en croisons tous les jours... La perte d’un enfant, des violences sexuelles, un accident de la route, ...
Comment continuer après ?
Psychologue spécialisée dans les traumatismes, Evelyne Josse a appris à utiliser l’EMDR lors d’interventions humanitaires ou auprès d’enfants malades. « La psychanalyse ne fonctionne pas pour ce type d’indications. Vous pouvez revisiter votre passé à loisir et identifier les causes de vos difficultés, ce n’est pas pour autant que vous serez soulagé de vos symptômes » D’abord séduite par l’hypnose, la psychothérapeute recourt aujourd’hui également à l’EMDR - désensibilisation et retraitement par le mouvement des yeux - pour traiter les phobies, les troubles alimentaires, les acouphènes, les dépressions et les stress post- traumatiques. « Non seulement c’est efficace mais c’est aussi rapide et une fois traités, les symptômes ne reviennent plus. »
Concrètement, le travail démarre par un ou deux entretiens préalables qui vont permettre au thérapeute de cerner les difficultés de son patient. Ou plutôt sa difficulté majeure car il n’est pas question ici de s’interroger ici sur le sens de l’existence.... On identifie un problème spécifique et on s’attache à le traiter. Au cours des séances, le patient doit associer une image et des sensations à son expérience négative ; pendant qu’il la revit, il suit des yeux les mouvements des doigts du thérapeute. Une manière de stimuler latéralement les hémisphères cérébraux qui permettrait de « débloquer » l’information traumatique et de la reprogrammer de manière adéquate dans le cerveau. Anne a assisté à l’assassinant de son voisin. L’image de la terrasse ensanglantée la hantait jour et nuit et elle souffrait de crampes abdominales. « Pendant les séances, dès que les mouvements oculaires commençaient, les sensations revenaient en même temps que mes crampes. Au fur et à mesure, je suis arrivée à effacer ces images insoutenables et à les remplacer par des images plus « gérables ». J’ai retrouvé le sommeil, je peux à nouveau voir du sang et je me sens suffisamment sereine. J’ai fait 6 séances en tout et pour tout.»
First come the veterans of the Vietnam War who have benefited. Today, EMDR is used to heal injuries of all kinds. Just by moving the eyes ...
Trauma. The word resonates strongly. It is associated with violence, intensity, memory too. Trauma leaves its mark, it often prevents them from living. It is easy to see when it comes to natural disaster or armed conflict, but the casualties of life, we come across every day ... The loss of a child, sexual violence, a car accident, ...
How to continue after that?
Psychologist specializing in trauma, Evelyne Josse has learned to use EMDR during humanitarian or with sick children. "Psychoanalysis does not work for such indications. You can revisit your past at your leisure and identify the causes of your problems is not to say that you will be relieved of your symptoms "At first seduced by hypnosis, psychotherapy today also uses EMDR - desensitization and reprocessing eye movement - to treat phobias, eating disorders, tinnitus, depression and post traumatic stress. "It's not only effective but also fast and once treated, the symptoms come back. "
Specifically, the work starts with one or two prior interviews that will allow the therapist to identify the difficulties of his patient. Or rather the major problem because it is not about to question here on the meaning of life .... We identify a specific problem and is working to address it. During the sessions, the patient must attach an image and feeling to his negative experience, as he saw her, his eyes follow the movements of the fingers of the therapist. One way of stimulating the cerebral hemispheres laterally that would "unlock" the traumatic information and reprogram adequately in the brain. Anne attended the killing of his neighbor. The image of the terrace bloody haunted her day and night and she suffered from abdominal cramps. "During the meeting, that the eye movements began, the feeling came back together my cramps. As in, I got to clear these unbearable images and replace them with images more "manageable." I found the sleep, I can again see blood and I feel calm enough. I made six sessions in all and for all. "
102. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.
The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.
Keywords: Adolescents Children: Psychotherapy Trauma Treatment
103. Freeman, C. (2006, July). Psychological and drug therapies for post-traumatic stress disorder. Psychiatry, 5(7), 231-237. doi:10.1016/j.mppsy.2009.06.001.
Language: English
Format: Journal
Abstract:
There is an impressive evidence base for the psychological treatment of post-traumatic stress disorder (PTSD). The strongest evidence is for trauma-focused cognitive therapy and eye movement desensitization and reprocessing (EMDR) but brief eclectic psychotherapy is a promising alternative. As well as this strong evidence for efficacy there is emerging evidence for effectiveness, using these treatments in routine clinical practice without highly trained specialized staff. The treatment of PTSD is more than the use of structured psychotherapy packages – it involves careful assessment and attention to safety, boundary and termination issues. We know much less about how to deal with treatment resistance or complex trauma. Drug treatment is well evaluated with large trials, and has statistical but not clinical efficacy.
Keywords: Cognitive Therapy Drug Treatment Exposure Posttraumatic Stress Disorder PTSD SSRIs Stress-related Disorders Trauma Trauma Psychotherapy
104. Freeman, C. P. (2009, August). Psychological and drug therapies for posttraumatic stress disorder. Psychiatry, 8(8), 301-309. doi:10.1016/j.mppsy.2009.06.001.
Language: English
Format: Journal
Abstract:
Since the last edition of this review, there has been an impressive body of new evidence adding to our knowledge of psychological treatments. There have also been two new major reviews covering the complete range of available treatments: the second edition of the guidelines from the International Society for Traumatic Stress Studies (ISTSS) and the US Institute of Medicine's review. The National Institute for Clinical Excellence (NICE) guidelines were published before the last edition of this article, and there are currently no plans to revise them. However, the Australian guidelines build on the NICE guidelines, and provide the most comprehensive and user-friendly clinical guidance currently available. It is fascinating that such major and thorough reviews have arrived at different conclusions. The Institute of Medicine endorses trauma-focused cognitive behavioural therapy (TF-CBT) and prolonged exposure but not eye movement desensitization and reprocessing (EMDR) or drug treatment; NICE endorses TF-CBT and EMDR but not drugs; and the ISTSS guidelines, second edition, endorses drugs, EMDR, and TF-CBT. What is the bewildered therapist to do? Hopefully this review will clarify some of these issues. In truth, the discrepancy arises not because these learned and expert bodies have been perverse, negligent, or biased in their reviewing, but largely because they differ in what they have regarded as a clinically significant difference between two interventions as opposed to a statistical difference.
Keywords: BEP Brief Eclectic Psychotherapy Drug Therapies Drug Treatment Group Psychotherapy PE Prolonged Exposure Posttraumatic Stress Disorder Psychotherapy PTSD Trauma-Focused CBT Treatment
105. Freeman, C., & Power, M. J. (2007). Handbook of evidenced-based psychotherapies: A guide to research and practice. Hoboken, NJ: John Wiley & Sons.
Language: English
Format: Book
Abstract:
At a time when evidence is everything, the comprehensive Handbook of Evidence-Based Psychotherapies handbook provides a unique, up-to-date overview of the current evidence-base for psychological therapies and major psychological disorders. The editors take a pluralistic approach, covering cognitive and behavioural therapies as well as counselling and humanistic approaches. Internationally-renowned expert contributors guide readers through the latest research, taking a critical overview of each practice’s strengths and weaknesses. A final chapter provides an overview for the future.
Keywords: Evidence-Based Psychotherapy
106. Freyberger, H. J., & Spitzer, C. (2005, Juli). Dissoziative störungen [Dissociative disorders]. Der Nervenarzt, 76(7), 893-900. doi:10.1007/s00115005-1956-z .
Language: German
Format: Magazine
Abstract:
Die dissoziative Störungen und Konversion sind mit erheblichen klassifikatorischen, diagnostische und therapeutische Schwierigkeiten, die nur in den historischen Kontext der Diskussion über die Hysterie verstanden werden kann, verbunden. Auch die Einstufung in die ICD-10 und DSM-IV ist heterogen. Prävalenzraten zwischen etwa 3% in der allgemeinen Bevölkerung und bis zu 30% in klinischen Populationen, jedoch beziehen sich auf die große klinische Bedeutung. Realtraumatisierungen eine wichtige Rolle in der Pathogenese. High Komorbiditätsraten mit anderen psychischen Störungen eine Tendenz zu chronischen somatischen Erkrankung und ein Konzept (insbesondere bei Patienten mit Erkrankungen erschweren Umwandlung) der psychotherapeutischen Behandlung. Dies erlaubt die Behandlung Ziele sind sowohl psychodynamische und kognitiv-verhaltenstherapeutischen in Abhängigkeit entwickelt, möglicherweise mit den Techniken der Trauma-Therapie, wie EMDR (Springer).
The dissociative and conversion disorders are associated with significant classificatory, diagnostic and therapeutic difficulties that can be understood only in the historical context of the discussion on hysteria. Even the classification in ICD-10 and DSM-IV is heterogeneous. Prevalence rates of between about 3% in the general population and up to 30% in clinical populations, however, refer to the great clinical significance. Realtraumatisierungen have an important role in the pathogenesis. High Komorbiditätsraten with other mental disorders, a tendency to chronic somatic disease and a concept (especially in patients with conversion disorders complicate) the psychotherapeutic treatment. This allows the treatment goals are designed both psychodynamic and cognitive-behavioral dependence in, possibly with the techniques of trauma therapy such as EMDR (Springer).
Keywords: Chronicity (Disorders) Comorbidity Conversion Disorder Diagnosis Dissociative Disorders Epidemiology Etiology Psychotherapy Somatization
107. Gaarde Madsen, P-E. (2009). I patientens tjeneste: NLP, hypnose og EMDR i kombination og samspil som en mulig virksom form for psykoterapi i det 21. århundrede [Inpatient services, NLP, hypnosis and EMDR in combination and interaction as a possible form of psychotherapy in the 21st century]. Udgave: 1, Oplag: 1 [1st ed] , Copenhagen, Dansk: Frydenlund.
Language: Danish
Format: Other
Abstract:
Beskrivelse
Det etablerede systems opfattelse af sig selv og af såkaldt alternativ terapi debatteres i denne bog. Forfatteren har valgt at sætte fokus på problemerne med spiseforstyrrelser. Kritikken af de eksisterende forhold i det etablerede system på dette område er meget skarp, men derimod er de beskrevne terapeutiske forslag om en mulig virksom terapi generøse. Disse nye muligheder er terapeutiske tiltag, der stadig betragtes som alternative, men de kan ikke desto mindre anvendes på alle de områder, hvorom man i dag mener, der kan bedrives psykoterapi. Det kræver dog, at man forlader illusionen om, at terapi baseret på samtale med såkaldt sund fornuft har nogen som helst terapeutisk effekt. Den omfattende, mulige terapeutiske værktøjskasse beskrives. Det drejer sig om NLP som basis for hypnose. Denne metode kan kombineres med modificeret EMDR. Der fremlægges i bogen mange forskellige paradigmer; det drejer sig bl.a. om tilknytningsteorier, affectteorier, den tredelte hjerne og ikke mindst også de resultater, som den moderne hjerneforskning har produceret i de sidste femten år. Dette omfattende materiale bliver sat sammen til en klinisk enhed, der er fleksibel og mangfoldig. Desuden rummer bogen detaljerede beskrivelser af terapiforløbet for flere patienter med en spiseforstyrrelse. --
Description: The system established perceptions of themselves and the so-called alternative therapies discussed in this book. The author has chosen to focus on problems with eating disorders. Criticism of the existing conditions in the established system in this area is very sharp, but they are described therapeutic suggestions about a possible business therapy generous.
These new opportunities are therapeutic interventions that are still considered alternative, but they can nevertheless be applied to all areas on which we now believe there may commit psychotherapy. It requires that you leave the illusion that therapy based on interviews with "common sense has any therapeutic effect.
The extensive potential therapeutic tool sets. It is about NLP as a basis for hypnosis. This method can be combined with modified EMDR.
Presented in the book many different paradigms, namely, inter alia, on related theories affectteorier, the triune brain, and not least also the results of modern brain research has produced over the last fifteen years. This extensive material is put together to form a clinical entity that is flexible and diverse. In addition the book contains detailed descriptions of therapy for more patients with an eating disorder.
Keywords: Hypnosis Neurolingquistic Programming NLP
108. Gallagher, C. (2002). Making sense of EMDR: Efficacy of EMDR and the application of Horowitz's control process theory to a psychological analysis of EMDR psychotherapy. Widener University, Institute for Graduate Clinical Psychology, Chester, PA. AAT 3132374.
Language: English
Format: Dissertation/Thesis
Abstract:
Originally a technique that seemed to desensitize disturbing memories, EMDR is now a full-scale protocol that is being used to treat a wide-range of disorders. Even its proponents acknowledge, however, that the mechanism of action in EMDR is still unknown. It is argued that there has been an over-emphasis on neurophysiological explanations of EMDR. After a review of controlled studies and a discussion of proposed mechanisms, two case studies of EMDR therapy (one child and one adult) with pathological grief are presented. The cases are analyzed for their adaptive changes as this term is applied in Horowitz's control process theory (1992). It is argued that Horowitz's theory represents a theoretical foundation by which a psychological understanding of the EMDR psychotherapy process can be achieved. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2625.
Keywords: Clinical Case Study Empirical Study Horowitz's Control Process Theory Posttraumatic Stress Disorder PTSD
109. Gamba, M. (2005). L’integrazione dell'EMDR nella psicoterapia dei disturbi del comportamento alimentare [EMDR integration into the psychotherapy of eating disorders]. Universita Degli Studi Padova, Italia.
Language: Italian
Format: Dissertation/Thesis
Abstract:
Questo mio lavoro di tesi rappresenta una rassegna degli studi compiuti negli
ultimi anni, sui disturbi del comportamento alimentare. Negli ultimi vent’anni
molto è stato detto su questa patologia che ha attirato l’attenzione non solo di
clinici e specialisti ma anche dei mass media. Si tratta, purtroppo, di disturbi che
si stanno imponendo sempre di più nella società occidentale e che iniziano a
comparire anche nelle zone più povere del mondo. Come sarà possibile notare
nel primo capitolo, questi disturbi interessano principalmente, ma non
esclusivamente, soggetti di sesso femminile e gli indici di prevalenza indicano un
valore attorno all’1% per la bulimia nervosa nelle giovani donne adulte, mentre
per l’anoressia nervosa questa percentuale oscilla attorno lo 0,3%. Dopo una
descrizione generale di queste patologie, mi sono occupata dei disturbi specifici
evidenziati dal DSM-IV, redatto dall’American Psychiatric Association nel 1996:
Anoressia Nervosa, Bulimia Nervosa, Disturbo da Alimentazione Incontrollata
(BED). Questi disturbi vengono descritti singolarmente, analizzandone i fattori di
rischio e le caratteristiche cliniche e diagnostiche; nella descrizione ho tralasciato
i fattori eziopatogenetici della Bulimia Nervosa e del BED perché sono
rintracciabili tra quelli evidenziati per l’Anoressia Nervosa.
My thesis is a review of studies made in
last year, about eating disorders. Over the past twenty years
Much has been said about this disease that has attracted the attention not only to
and clinical specialists, but also the media. This is, unfortunately, of disorders
are becoming more and more in Western society and start to
appear even in the poorest parts of the world. As you will notice
in the first chapter, these problems primarily, but not
exclusively, female subjects, and prevalence rates indicate a
value of around 1% for bulimia nervosa in young adult women, while
for anorexia nervosa, this percentage fluctuates around 0.3%. after a
general description of these diseases, I have dealt with specific disorders
highlighted by the DSM-IV, prepared by the American Psychiatric Association in 1996:
Anorexia Nervosa, Bulimia Nervosa, binge eating disorder
(BED). These disorders are described individually, analyzing the factors
risk and the clinical and diagnostic features, I have omitted in the description
causative factors of Bulimia Nervosa and BED because they are
detectable among those highlighted for Anorexia Nervosa.
Keywords: Eating Disorders
110. Gaudiano, B. A. (2004, January 4). Beware of weird, wacky psychotherapy treatments. Salt Lake City, UT: The Deseret News, All, Viewpoint, AA08.
Language: English
Format: Newspaper
Abstract:
There's also a treatment for post-traumatic stress called Eye Movement Desensitization and Reprocessing. Similar to techniques used in other effective treatments for this condition, EMDR therapists ask clients to review the traumatic events repeatedly in their minds until their anxiety dissipates. What makes EMDR unique is that the therapist also moves index and middle fingers rapidly from left to right in front of the client, who is asked to visually track the movement while imagining the scene. But research shows that the eye movements appear to be completely superfluous, as people who are asked to keep their eyes still while recounting the events improve just as much as those who do the eye-wiggling.
Keywords: General Overview Salt Lake City
111. Gauvry, S., Lesta, P., Gueudet, A., Larrarte, A. A., & Pallia, R. (2012, June). Complex regional pain syndrome (CRPS), Sudeck dystrophy: EMDR reprocessing therapy applied to the psychotherapy strategy. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: English
Format: Conference
Abstract: Description of the application of EMDR Psychotherapeutic Model, in a child with uncontrolled pain due to CRPS.
Keywords: Complex Regional Pain Syndrome CRSP Poster Sudeck Dystrophy
112. Gaynor, S. T. (2002). Getting ahead of the data: Not all threats are equal. the Behavior Therapist, 25(7/8), 137-139.
Language: English
Format: Newsletter
Abstract:
I have different replies to the two
responses to my recent paper
(Corrigan, 2001). Thanks to Gaynor
(2002) for providing single-subject evidence
about Functional Analytic
Psychotherapy (FAP). My goal was not to
dismiss FAP or any of the other therapies
as ineffective. Rather, I wanted to encourage
researchers to look at the data, much
as Gaynor has done here. It also seems
that Gaynor and I agree that “going
beyond the data in promoting and disseminating
new treatments” should be a
matter of concern to behavior therapists.
We seem to part company in considering
when specific therapies fall in this error.
Gaynor seems to view behavior therapy
more liberally, suggesting the dissemination
of FAP before its empirical findings
are obtained serves the purpose of promoting
discussion and research. I have a
more conservative view. Therapies and
data are co-synchronous; one should not
precede the other
Keywords: Acceptance & Commitment Therapy Behavior Therapy Dialectical Behavior Therapy Functional Analytic Psychotherapy Letter
113. Gelbach, R. A., & Davis, K. E. B. (2007). Disaster response: EMDR and family systems therapy under communitywide stress. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 387-404). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Disaster is commonly understood as an overwhelming misfortune that is not easily overcome or set right. Though our lives may go on after a disaster, it is virtually certain that they will have been transformed in some profound way. Nevertheless, it is very clear that not all who live through a disaster will be traumatized by it and that only a fraction of survivors will develop trauma-related disorders such as Posttraumatic Stress Disorder (PTSD). Societies that have resources and choose to use them to shore up the infrastructure quickly and effectively will buffer their populations from increasing levels of PTSD. The impact of disasters on family and societal function and intervention priorities are discussed here. Report of the Task Force (2002) of the International Society for Traumatic Stress Studies is summarized next. The chapter then discusses psychotherapy as a response to disaster. Two approaches to postdisaster psychotherapy that have adapted well in diverse cultural environments are Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) and family systems approaches. The therapy process is presented next. Other topics here include family and cultural considerations and group treatment. A case example is presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Disaster Response Disasters Emotional Trauma Family Systems Therapy Family Therapy Post Disaster Psychotherapy Posttraumatic Stress Disorder PTSD Stress Society Therapy Process
114. Gersons, B. (2013, June). Brief eclectic psychotherapy for PTSD (BEP). Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEP) is a trauma-focused treatment which has been shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is a need not only for decreasing anxiety but also for learning how the traumatic event has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEP-protocol has proved to be effective in randomized controlled trials. Also psychobiological recovery has been demonstrated. In the workshop the different elements of BEP will be outlined and taught, also using a DVD. Similarities and differences between CBT and EMDR will be presented. To summarize, CBT, EMDR and BEP are equally effective in reducing PTSD by different forms of exposure. BEP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Clinical cases will be discussed.
Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD
115. Gersons, B. (2011, June). Brief eclectic psychotherapy for PTSD (BEPP). Preconference presentation at the 12th annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.
Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD
116. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (http://www.traumatreatment.eu/). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.
Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD
117. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). PreConference presentation at the 27nd annual meeting of the International Society for Traumatic Stress Studies, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.
Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD
118. Gersons, B., & Schnyder, U. (2007, November). Beyond exposure alone: Brief eclectic psychotherapy for PTSD. Presentation at the pre-meeting for Institute of the 23rd of the International Society for Traumatic Stress, Baltimore MD.
Language: English
Format: Conference
Abstract:
The efficacy of psychotherapeutic and pharmacotherapeutic
approaches in the treatment of PTSD can be regarded as empirically
demonstrated. Overall, effect sizes seem to be higher for psychotherapy
as compared with medication. Many well-controlled trials
with a mixed variety of trauma survivors have demonstrated that
CBT is particularly effective in treating PTSD. More specifically,
exposure therapy currently is seen as the treatment modality with
the strongest evidence for its efficacy. However dropout rates from
studies of CBT (including EMDR) usually are around 20 percent. Up
to 58 percent of patients who completed CBT are still diagnosed
with PTSD at posttreatment assessment. Furthermore, only 32-66
percent of patients included achieved good end-state functioning.
There is a need to have treatment protocols based on CBT which
meet more the expectations of traumatized clients. The 16-sessions
Brief Eclectic Protocol (BEP) originally developed for police officers
with PTSD proved to be effective in two randomized controlled trials
and has been accepted in the NICE-Guidelines (2005). The second
trial also showed effectivity on biological data. A trial in Zurich
is still running. BEP encompasses apart from a slightly different form
of exposure psychoeducation at the start (with the partner present),
the use of letter writing to express angry feelings, the use of memorabilia
and 12 sessions for the domain of meaning, how it changes
the view on the world and on the person his or herself. It is ended
with a farewell ritual. The dropout rate is lower compared to the traditional
CBT. In the workshop the protocol will be presented, discussed
and parts of it will be trained.
www.
Keywords: Brief Eclectic Psychotherapy
119. Gersons, B., Schnyder, U., Rothbaum, B., & McFarlane, A. (2006, November). The need for new directions in psychotherapy for PTSD. Panel presentation at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA.
Language: English
Format: Conference
Abstract:
The trauma field can be proud of having evidence-based effective
psychotherapy protocols for PTSD. Especially CBT and EMDR have
been recognized as first choice treatments (NICE Guidelines 2005).
However, having these protocols available new questions that need
to be answered are emerging. There is no large scale evidence yet on
phase 4 implementation showing its effectiveness. Too many patients
drop out of treatment. Many patients suffer from comorbid conditions.
The question on how research outcomes on the biology of
PTSD should be translated into different psychotherapeutic
approaches is a rather new one. Especially, is habituation still the
correct fundament of exposure in PTSD, or should it be replaced by
the concept of extinction? A third question is the mixed feeling in
many societies about the concept of PTSD and it´s consequences in
the need for treatment. Especially after disasters, but also after
domestic violence, treatment can be seen as the avoidance of society
to punish the responsible ones or to ask for material compensation.
These questions will lead to find new directions for the psychotherapy
protocols, for the combination with biological routes of intervention
and for the societal acceptance of treatment for PTSD.
Keywords: CBT Cognitive Behavioral Therapy Panel
120. Giannantonio, M. (2001, Augusto). Eye movement desensitization and reprocessing (EMDR) e psicoterapia del disturbo post-traumatico da stress: Considerazioni critiche e linee di tendenza [EMDR and PTSD psychotherapy: Critical evaluations and current trends]. Psicoterapia Cognitiva e Comportamentale, 7(1), 5-23.
Language: Italian
Format: Journal
Abstract:
L'Eye Movement Desensitization and Reprocessing (EMDR) è una forma di psicoterapia relativamente recente nota soprattutto per la sua discussa efficacia nella psicoterapia del Disturbo Post-Traumatico da Stress (PTSD), ma anche per l'accesa polemica che ruota attorno ad essa. Nel presente articolo viene valutata la più recente letteratura sull'efficacia dell'EMDR nella psicoterapia del PTSD, prestando una particolare attenzione alla comparazione con altre forme di psicoterapia ed alle critiche concettuali e metodologiche che sono state rivolte a questa metodica. Una review della letteratura porta con un ragionevole grado di certezza ad affermare l'efficacia dell'EMDR nella psicoterapia del PTSD. È invece necessaria ancora molta ricerca per dipanare le incertezze relative ai meccanismi specifici sui quali si basa l'efficacia dell'EMDR. Vengono infine accennate alcune attuali linee di tendenza nell'evoluzione dell'EMDR.
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively recent model of psychotherapy known especially for its controversial effectiveness in PTSD psychotherapy, but also for the intense polemic centred on it. In the present article the most recent literature about effectiveness of EMDR in PTSD psychotherapy is evaluated, paying a particular attention to the comparison with other forms of psychotherapy and to the conceptual and methodological criticisms addressed to this psychotherapeutic approach. A review of literature leads to assert -- with a reasonable degree of certainty -- EMDR efficacy. On the contrary, extensive research is still required to dispel doubts concerning the specific mechanisms on which the efficacy of EMDR is based. Finally, some of the current trends in EMDR development are mentioned. [Author Summary]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
121. Giannantonio, M. (2002, Settembre). Interventi riparativi e generativi nelle patologie gravi dell’attaccamento e nel disturbo post-traumatico da stress: EMDR e psicoterapia ipnotica [Remedial work is generated at severity of disease and in Post-Traumatic Stress Disorder, EMDR and hypnotic psychotherapy]. Congresso SITCC 2002: Psicoterapia e Scienze Cognitive, Bologna, Italy.
Language: Italian
Format: Conference
Abstract:
In definitiva, nonostante la psicoterapia ipnotica e l'EMDR (ma certamente non solo
queste metodiche) risultino efficaci nel trattamento del PTSD (Foa, Keane, Friedman,
2000), nondimeno tale efficacia deve essere valutata all’interno delle considerazioni
precedentemente fatte, e quindi eventualmente sostenuta con opportuni distinguo
metodologici e teoretici.
Ultimately, despite the hypnotic psychotherapy and EMDR (but certainly not only
these methods) are effective in treating PTSD (Foa, Keane, Friedman,
2000), however, this effect must be evaluated within the considerations
previously made, and then if supported by appropriate distinctions
methodological and theoretical.).
Keywords: Posttraumatic Stress Disorder PTSD
122. Giannantonio, M. (2002, Settembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Sinergie e integrazioni nella psicoterapia dei disturbi post-traumatici e dell'attaccamento (EMDR) [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Synergies and integration in psychotherapy with post-traumatic stress and attachment]. IX Congresso della Società Europea di Ipnosi: L'ipnosi e gli altri modelli terapeutici nel nuovo millennio, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
L’incremento costante di interesse nei confronti dei disturbi post-traumatici sta
portando non soltanto ad un costante e rapido approfondimento delle conoscenze in questo
campo, ma anche ad una continua riscoperta della psicoterapia ipnotica e ad un suo
raffinamento come approccio psicoterapico. La psicoterapia ipnotica, infatti, non solo è la
più antica delle psicoterapie, ma anche la prima ad essere stata in grado di trattare con
successo gli esiti di esperienze traumatiche o altamente stressanti e ad attribuire ad esse
una adeguata rilevanza in seno ad una comprensione trasversale della psicopatologia tutta.
Nonostante l’evidente esistenza di frequenti esperienze traumatiche nel corso della vita
delle persone, con ogni probabilità, però, solo le conseguenze sociali drammatiche di
continui coinvolgimenti bellici (insieme alla rivoluzione della cultura femminista) hanno
portato definitivamente al centro dell’attenzione la presenza di esperienze reali come
implicate nello sviluppo di stati di sofferenza (Hacking, 1995). La rinascita del cosiddetto
“modello traumatico” di Pierre Janet ha portato ad una iniziale riscoperta dei traumi
secondo una concezione di essi come di esperienze discrete, circoscrivibili, rilevanti
essenzialmente per la loro grandezza oggettiva; una tale visione, infatti, viene ufficializzata
dalla pubblicazione della terza edizione del manuale Diagnostico e Statistico dei Disturbi
Mentali (DSM-III; American Psychiatric Association, 1980) e progressivamente diventa la
concezione dominante in tema di Disturbo Post-traumatico da Stress (PTSD). Il progresso
delle conoscenze, però, sta portando sempre più in luce che nella comprensione dei disturbi
post-traumatici sono necessari modelli molto più complessi e non lineari (Pennati, 1995,
2001; Pennati, Grecchi, 2001), valutativi di un insieme di condizioni cliniche molto più
vasto ed articolato di quello previsto dal DSM-IV (Wilson, Friedman, Lindy, 2001),
pienamente immersi nei molteplici e affatto secondari fattori di rischio: psicologici,
genetici, neurologici, biochimici, interpersonali, sociologici (per una rassegna: Yehuda,
1999). Oltre a ciò, anche nei confronti del più studiato e prototipico dei disturbi post2
traumatici, ovvero il Disturbo Post-traumatico da Stress, vengono sempre più decisamente
sollevate obiezioni concettuali che renderebbero quantomeno parzialmente discutibili le
ricerche sull’efficacia delle psicoterapie nel loro trattamento. Infatti, sebbene la quasi
totalità della ricerca si concentri sulla valutazione testistica dei sintomi di intrusione,
evitamento ed iperattivazione, nondimeno sembra opportuno pensare che il PTSD sia
costituito anche da alterazioni del sistema motivazionale dell’attaccamento, delle strategie
interpersonali e della strutturazione del Sé (Wilson, Friedman, Lindy, 2001) (Tabella 1).
The steady increase of interest in the post-traumatic stress is leading not only to a constant and rapid advancement of knowledge in this field, but also to a continuous rediscovery of hypnotic psychotherapy and its refinement as a psychotherapeutic approach. The hypnotic psychotherapy, in fact, not only is the oldest of psychotherapy, but also the first to be able to successfully treat the sequelae of traumatic or highly stressful experiences and to give them a proper understanding of relevance within a transverse all of psychopathology. Despite the apparent existence of frequent traumatic experiences in people's lives, in all likelihood, however, only the social consequences of dramatic escalation continues (along with the feminist revolution of culture) have finally brought to light the presence of real experiences as involved in the development of states of suffering (Hacking, 1995). The rebirth of the "trauma model" by Pierre Janet has led to a rediscovery of the initial trauma according to a conception of them as experiences of discrete constrained, mainly relevant for their size objective, such a vision, in fact, be formalized by publication of third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association, 1980) and gradually became the dominant view in terms of Posttraumatic Stress Disorder (PTSD). The advancement of knowledge, however, is bringing more and more light in the understanding of post-traumatic stress models are needed much more complex and nonlinear (Penn, 1995, 2001; Pennati, Grecchi, 2001), evaluation of a set of conditions Clinical much more vast and that provided by the DSM-IV (Wilson, Friedman, Lindy, 2001), not fully immersed in multiple and secondary risk factors: psychological, genetic, neurological, biochemical, interpersonal, sociological (for a review: Yehuda, 1999). Moreover, even against the most studied and prototypical post2 traumatic disorder, or Posttraumatic Stress Disorder, are decidedly more conceptual objections that would make at least partially questionable research on the effectiveness of psychotherapy in their treatment. Although almost all of dissertation research focuses on evaluation of symptoms of intrusion, avoidance and hyperactivity, however, it seems appropriate to suggest that PTSD is also consist of changes in the motivational system of attachment, interpersonal strategies and structuring of the self ( Wilson, Friedman, Lindy, 2001) (Table 1).
Keywords: Attachment Posttraumatic Stress
123. Giannantonio, M. (2000). Trauma, psicopatologia e psicoterapia: L’efficacia della psicoterapia ipnotica e dell'eye movement desensitization and reprocessing (EMDR) [Trauma, psychopathology, and psychotherapy - The effectiveness of hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR)]. Attualità in Psicologia, 15(3), 336-345.
Language: Italian
Format: Magazine
Abstract:
Scopo del presente articolo è evidenziare sommariamente alcuni elementi relativi alla
tipologia dei traumi ed alla fenomenologia clinica post-traumatica, unitamente all’indicazione di una specificità della psicoterapia dei traumi; verrà posta una particolare enfasi su due approcci terapeutici che si sono rivelati di notevole efficacia, e segnatamente la psicoterapia ipnotica e l’Eye Movement Desensitization and Reprocessing (EMDR).
Assodata l’efficacia di queste metodiche quanto la difficoltà o l’impossibilità da parte della
maggior parte degli approcci terapeutici di operare efficaci cambiamenti nei disturbi posttraumatici, si impongono riconsiderazioni teoretiche radicali sulla metodologia e lo scopo
della psicoterapia dei disturbi post-traumatici.
The purpose of this article is to briefly point out some elements related to the typology and clinical phenomenology of traumas as well as to identify some distinctive features of trauma psychotherapy; close attention will be paid to two therapeutic approaches that have
demonstrated considerable efficacy, namely Eye Movement Desensitization and Reprocessing (EMDR) and Hypnotic Psychotherapy. Since the efficacy of these methods on one side and the difficulty or impossibility of most therapeutic approaches to operate effective changes in post-traumatic disorders on the other side were ascertained,some
radical theoretical reconsiderations on the methodology and aim of psychotherapy of posttraumatic disorders become necessary.
Keywords: Hypnotherapy Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness
124. Giannantonio, M., & Boldorini. A. L. (2001, Novembre). Psicoterapia ipnotica e eye movement desensitization and reprocessing (EMDR): Influenze, differenze, integrazione [Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR): Influences, differences, integration]. In Atti del XII Congresso Nazionale A.M.I.S.I., "Ipnosi del 2000: il pensiero di Milton Erickson edei neo-ericksoniani", (pp 275-284) Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La storia dell'ipnosi e della psicoterapia ipnotica si caratterizzano per la lunghezza
della loro tradizione, senza eguali nella storia della psicoterapia, e per la capacità della
psicoterapia ipnotica di influenzare tutti i principali orientamenti psicoterapeutici. Allo
stesso modo, la psicoterapia ipnotica ha saputo arricchirsi confrontandosi con altre
tradizioni psicoterapiche. Negli ultimi anni si sta assistendo ad un incontro molto
stimolante fra psicoterapia ipnotica ed Eye Movement Desensitization and Reprocessing
(EMDR).
The history of Hypnosis and Hypnotic Psychotherapy is characterized by a long
tradition, which is unique in Psychotherapy’s history, and by the ability of Hypnotic
Psychotherapy to influence all main psychotherapeutical approaches. At the same time,
Hypnotic Psychotherapy has been able to enrich itself through a continuous comparison
with other psychotherapeutical traditions. In the last few years we have been observing an
interesting comparison between Hypnotic Psychotherapy and Eye Movement
Desensitization and Reprocessing (EMDR).
Keywords: Hypnosis Psychotherapy
125. Giannantonio, M., & Lenzi, S. (2009). Il disturbo di panico: Psicoterapia cognitiva, ipnosi e EMDR [The panic disorder. Cognitive psychotherapy, hypnosis and EMDR]. Milano: R. Cortina.
Language: Italian
Format: Book
Abstract:
La psicoterapia cognitiva, l’ipnosi e l’EMDR vengono per la prima volta inserite in un modello di intervento organico e coerente, il cui obiettivo principale è l’efficacia degli interventi proposti.
L’approccio evidence-based alla psicoterapia conferisce una cornice teorica e operativa di grande rigore a modelli di intervento che garantiscono robustezza metodologica e applicabilità immediata.
Cognitive psychotherapy, hypnosis, and EMDR are for the first time on an intervention model and consistent, whose main objective is the effectiveness of interventions proposed. The evidence-based approach to psychotherapy gives a theoretical framework and operational rigorous models of intervention that provide immediate applicability and methodological robustness.
Keywords: Hypnosis Panic Disorder
126. Gilligan, S. (1997, July). Love in the face of violence: Self-relations psychotherapy, Ericksonian hypnosis and EMDR. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Eriksonian Hypnosis Violence
127. Gilligan, S. (1996, June). Love in the face of violence: Self relations psychotherapy, Ericksonian, hypnosis, and EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Love in the face of violence - Definitions and premises. Webster's dictionary definition of violence: " 1) exertion of physical force
so as to injure or abuse; 2) intense, turbulent, or furious and often destructive
action or force. Webster's definition of trauma: "from Greek: to wound. to pierce; 1) an
injury to living tissue caused by an extrinsic agent; surgeons traumatize a person
when they put a scalpel to skin a:nd wound them in surgery, 2) a disordered
psychic or behavioral state resulting from mental or emotional stress or physical
injury"
Keywords: Violence Eriksonian Hypnosis
128. Ginger, S. (2008, October). The evolution of psychotherapy in Europe. Presentation at the 5th World Congress of Psychotherapy, Beijing, China.
Language: English
Format: Conference
Abstract:
It is a great honour and pleasure for me to have been asked to present a brief overview of
the Evolution of Psychotherapy in Europe at this 5th World Congress of Psychotherapy in China,
in October 2008.
I shall begin with outlining the 5 main categories (mainstreams) of Psychotherapy; then,
recalling some information about Europe itself and its 50 very different countries; after that,
mentioning the development of the main psychotherapies actually practiced in Europe:
psychoanalysis and the different so called “new therapies.” I shall conclude with the sociological
dimension of psychotherapy and the need of specialized training institutes.
Keywords: EMDR History
129. Goldstein, A. (1992, July). The role of eye movement desenitisation and reprocessing in the treatment of panic and agrophobia. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .
Language: English
Format: Conference
Abstract:
This presentation will focus upon the addition of EMD/R to an Integrated Models Psychotherapy approach to agoraphobia and panic disorder.
Keywords: Agoraphobia Integrated Models Psychotherapy Approach Panic Disorder
130. Gonzalez, A., & Mosquera , D. (2010). Tratamiento del abuso sexual con EMDR [Treatment of sexual abuse with EMDR]. Revista de Psicoterapia, 20(80).
Language: Spanish
Format: Other
Abstract:
"La terapia EMDR ha obtenido reconocimiento internacional como tratamiento de elección para el trastorno de estrés postraumático, aunque su utilización se ha extendido a numerosas patologías. Desde EMDR se entiende que el origen de los síntomas está en experiencias traumáticas previas que se almacenan en el cerebro de una manera disfuncional. La resolución de los problemas presentes del paciente se consigue a través del procesamiento de las memorias traumáticas, que se reconsolidarán como memorias ordinarias. El procedimiento estándar incluye no sólo el procesamiento de eventos pasados, sino también de las situaciones presentes y la proyección de futuro. Para su aplicación específica en casos de abuso sexual es preciso tener en cuenta si se trata de un abuso temprano y/o prolongado, sobre todo un abuso sexual intrafamiliar, ya que las consecuencias en este caso van más allá de un estrés postraumático simple, como ocurre en un episodio aislado de agresión sexual en un paciente con una historia previa sin elementos de traumatización grave temprana. En este artículo se ejemplificará con casos clínicos la aplicación diferencial en ambos casos."
"EMDR therapy has achieved an extense international recognition as treatment of choice for PTSD. Its use has been extended to a broaden field of pathologies. From the EMDR perspective, symptoms are considered to feed on previous traumatic experiences, and the patient´s problems resolution will be achieved throughout the processing of this dysfunctionally stored information, that becomes reconsolidated as an ordinary memory. The standard EMDR procedure includes not only the processing of past events, but also the processing of present situations and future scope. In order to use EMDR in sexual abuse cases, it is crucial to differentiate between early abuse (overall intrafamiliar abuse) and single sexual aggression in adulthood. The first situation has more severe consequences and needs modified EMDR procedures oriented to severe traumatization and dissociation. The implementation of this therapy will be illustrated with clinical case examples."
Keywords: Posttraumatic Stress Psychotherapy Sexual Abuse Trauma
131. Grandison, P. (2007). A combined approach: Using EMDR within a framework of solution focused brief therapy. Educational and Child Psychology, 24(1), 56-64.
Language: English
Format: Journal
Abstract:
This paper reports on a qualitative, exploratory
study that creatively combined two therapeutic approaches: eye movement desensitisation and reprocessing (EMDR) and solution focused brief therapy. It was expected that the use of techniques drawn from solution focused brief therapy could help children to facilitate and enhance the use of techniques within EMDR. In particular, techniques focusing on current and future positive resource installation were utilised. Five primary school children age 9 to 11 years were identified by class teachers and parents as presenting as shy, anxious and lacking self-confidence. The group intervention took place in school over six sessions. Within the group setting, the children targeted their own individual area that they wished to improve. Data were collected during and after each session and post-intervention. Increases in children’s self confidence and an improvement in targeted areas were reported by children, parents and teachers. Children found the intervention helpful and were able to identify particular aspects of solution
focused brief therapy and EMDR that were useful.
Keywords: Anxiety Brief Psychotherapy Children's Techniques Educational Psychology Empirical Study Group Intervention Group Psychotherapy Primary School Children Problem Solving Psychotherapeutic Techniques Qualitative Study Self-Confidence Shyness Solution Focused Brief Therapy Timidity
132. Grant, M., & Just, A. (2000, September). EMDR and compassionate psychotherapy: A new treatment for chronic pain. EMDRIA Newsletter, 5(3), 4.
Language: English
Format: Newsletter
Abstract:
Since its inception as a treatment for trauma,
there have been increasing reports of EMDR
being efficacious with pain . (McCann, 1992,
Hekmat Groth & Rogers, 1994, Wilson, Becker
and Tinker,1997, Grant 2000). EMDR is an
integrative method with many different
components. One of these is the therapeutic
relationship. Compassion is also an essential
element of any effective intervention (Rubins,
1986, Waldman & Waldman, 1996). However,
it is often confused with empathy or pity,
indicating the need for a definition based on a
concept analysis (Just, 1998). Given its
importance in the therapeutic process, and the
effects of social isolation on chronic pain
sufferers, it is remarkable how little
consideration is given to this topic.
Keywords: Chronic Pain Pain Control
133. Gray, A. E. & Hildegun, S. S. (2009, June). Integrating the body mind: EMDR and somatic psychotherapy with trauma survivors. In EMDR and psychosomatic psychotherapy. Presentation at the 11th Annual European Conference on Traumatic Stress, Olso, Norway.
Language: English
Format: Conference
Keywords: Mind/Body Somaticism Trauma
134. Green, M. (2003, May). EMDR with children and adolescents – Getting started: EMDR and psychotherapy in a special school for children with emotional and behavioural difficulties. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Adolescents Children
135. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This paper presents the assessment and four year
psychotherapy of a Hispanic man with Complex PTSD
and Dissociative Disorder NOS. The patient’s history of
childhood sexual abuse caused significant disruptions
in normative developmental processes causing what
van der Kolk (2005) posits as a Developmental Trauma
Disorder. Based on Shapiro’s (2001) adaptive information
processing paradigm, the patient’s memories of extensive
childhood sexual victimization became blocked from
resolution from adaptive memory networks, becoming
embedded in the emotional brain and activated by the 9/11
tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled
his experiences of 9/11 and memories of severe childhood
sexual abuse, establishing a narrative of victimization,
helplessness, and confusion about his sexual orientation
(Gardner, 1999). Furthermore, there were episodes of
dissociation revealing the possibility of alters. Attempts
to access adaptive networks using EMDR protocols were
thwarted by intractable defenses. The patient’s desire
to return to work was offset by his entitlement to Social
Security Disability that was initially denied. Working through
my concordant countertransference (Racker, 1968), I
ultimately accepted his wish for SSD, which he obtained
on appeal based upon my symptom-specific evaluation.
The patient transferred to a clinic that accepted SSD.
Participants will be able to :
♦♦ identify the developmental derailing
effects of childhood sexual abuse on
normative developmental processes.
♦♦ assess how childhood trauma(s) that are
repressed or dissociated are invoked by
trauma(s) in adulthood through associative
memory networks causing Complex PTSD.
♦♦ apply methods of working with patients
dissociative defenses in psychotherapy.
Keywords: Case Study Developmental Trauma Disorder
136. Greenwald, R. (2000, April). A trauma-focused individual therapy approach for adolescents with conduct disorder. International Journal of Offender Therapy and Comparative Criminology, 44(2), 146-163. doi:10.1177/0306624X00442002 .
Language: English
Format: Journal
Abstract:
Trauma is proposed as a key to understanding the development and persistence of conduct disorder in conjunction with other contributing factors. Trauma history is virtually universal in this population, and trauma effects can help to account for many features of the disorder including lack of empathy, impulsivity, anger, acting out, and resistance to treatment. The current standard of care fails to fully address trauma, which may partially explain the low success rate. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training, and trauma resolution and integrates eye movement desensitization and reprocessing (EMDR). Two illustrative case examples are presented and discussed. [Author Abstract]
Keywords: Adolescents Cognitive Therapy Disruptive Behavior Disorders Individual Psychotherapy Males Psychiatric Inpatients Psychotherapeutic Processes Stressors Survivors
137. Greenwald, R. (2002). Motivation-adaptive skills-trauma resolution (MASTR) therapy for adolescents with conduct problems: An open trial. Journal of Aggression, Maltreatment and Trauma, 6(1), 237-261. doi:10.1300/J146v06n01_12.
Language: English
Format: Journal
Abstract:
Trauma is proposed as a key to understanding the development and persistence of adolescent conduct problems, in conjunction with other contributing factors. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training (cognitive-behavioral therapy), and trauma resolution (eye movement desensitization and reprocessing). This paper reports on an open trial of six adolescents with school and conduct problems who received school-based Motivation-Adaptive Skills-Trauma Resolution (MASTR) treatment. Reductions in post-traumatic stress, related symptoms, and problem behaviors, along with improved school performance, indicate the value of further study of this treatment approach. [Author Summary]
Keywords: Adolescents Americans Clinical Trial Cognitive Therapy Depressive Disorders Disruptive Behavior Disorders High School Students Individual Psychotherapy Junior High School Students Preadolescents School Based Treatment Stressors Survivors Treatment Effectiveness
138. Greenwald, R. (2001, 1999). Eye movement desensitization and reprocessing (EMDR) in child and adolescent psychotherapy. Northvale, New Jersey: Jason Aronson.
Language: English
Format: Book
Abstract:
This book serves several functions. First, it provides an introduction to a trauma-based integrative approach to child and adolescent psychotherapy, incorporating the selective use of EMDR. It also provides a practical reference for clinicians seeking both theoretical and technical guidance on how to use EMDR with children and adolescents, and it serves as a documented standard of care for training and research purposes. [Text, p. xxvi] [Pilots]
Keywords: Adolescents Children Stressors Survivors
139. Greenwald, R. (2002). Motivation-adaptive skills-trauma resolution (MASTR) therapy for adolescents with conduct problems: An open trial. In R. Greenwald (Ed.), Trauma and juvenile delinquency: Theory, research, and interventions, (pp. 237-261). Binghamton, NY: Haworth Maltreatment and Trauma Press/The Haworth Press.
Language: English
Format: Book Section
Abstract:
Published simultaneously as Journal of Agression, Maltreatment & Trauma, 6(10, (#11) 2002.
Keywords: Adolescents Americans Clinical Trial Cognitive Therapy Depressive Disorders Disruptive Behavior Disorders High School Students Individual Psychotherapy Junior High School Students Preadolescents School Based Treatment Stressors Survivors Treatment Effectiveness
140. Greenwald, R. (2001). EMDR in der psychotherapie mit kindern und jugendlichen: Ein handbuch [EMDR in psychotherapy with children and adolescents - A handbook]. Paderborn: Junfermann.
Language: German
Format: Book
Keywords: Adolescents Children
141. Greenwald, R. (2001). EMDR in der psychotherapie mit kindern und jugendlichen [EMDR in child and adolescent psychotherapy]. Auflage: Seiten, Kartoniert .
Language: German
Format: Book
Abstract:
EMDR ist eine psychotherapeutische Methode zur Behandlung traumatischer Erinnerungen. In seinem sehr gut lesbaren und informativen Buch beschreibt Ricky Greenwald, ein Pionier in der Anwendung von EMDR und einer der aktivsten Erforscher dieser Methode, wie EMDR zur Behandlung von Verlusterfahrungen, Ängsten, somatischen Problemen, Depression und Verhaltensproblemen von Kindern und Jugendlichen angewendet werden kann. "Das vorliegende Buch konzentriert sich auf den Einsatz von EMDR bei Kindern und Jugendlichen. EMDR ist eine noch recht neue Methode, und die meisten bei Kindern und Jugendlichen benutzten Varianten dieser Methode sind noch jüngeren Ursprungs. Der größte Teil des methodischen Materials, das in diesem Buch beschrieben wird, wurde bisher noch nicht veröffentlicht. Ich habe das Buch für all jene geschrieben, die lernen wollen, therapeutisch mit Kindern und Jugendlichen zu arbeiten, oder die ihre diesbezüglichen Kenntnisse erweitern wollen. Aus der Trauma-Orientierung bei der Durchführung einer Therapie in Verbindung mit verschiedenen Anwendungsbereichen von EMDR sind einige innovative und effektive Ansätze zu gängigen Behandlungsbereichen entwickelt worden. Die Anwendung von EMDR in der Therapie erfordert eine formelle Ausbildung und Supervision, wie sie ein Buch allein niemals leisten kann. Doch können Leser, die bereits an einer EMDR-Ausbildung teilgenommen haben, dieses Buch auch als Leitfaden für die Anwendung von EMDR zur Behandlung von Kindern und Jugendlichen benutzen." - Ricky Greenwald
EMDR is a psychotherapeutic method for the treatment of traumatic memories. Describes in his very readable and informative book Ricky Greenwald, a pioneer in the use of EMDR and one of the most active explorers of this method, how EMDR for treatment of loss experience, anxiety, somatic problems, depression and behavior problems in children and adolescents are applied. "This book focuses on the use of EMDR in children and adolescents. EMDR is still a very new method, and most children and adolescents used variants of this method are even more recent origin. The bulk of the methodological material, which in this Paper describes has not yet been published. I wrote the book for those who want to learn therapeutically with children and young people to work, or want to extend their knowledge in this regard. From the trauma reference for the implementation of a therapy in connection with different applications of EMDR are some innovative and effective approaches to common treatment areas have been developed. The use of EMDR in the treatment requires a formal training and supervision as a book alone can never achieve. But to readers who are already suffering from EMDR have participated without training to use this book as a guide for the application of EMDR to treat children and adolescents. " - Ricky Greenwald
Keywords: Adolescents Children Psychotherapy
142. Greenwald, R., & Shapiro, F. (2011). What Is EMDR? Concluding Commentary by Greenwald and Response by Shapiro. Journal of EMDR Practice and Research, 5(1), 2-13. doi:10.1891/1933-3196.5.1.25.
Language: English
Format: Journal
Abstract:
This Point/Counterpoint concludes the interchange in Greenwald, R. and Shapiro, F. (2010) What is EMDR?: Commentary by Greenwald and Invited Response by Shapiro Journal of EMDR Practice and Research, 4, 170-179. Greenwald Rejoinder: In this rejoinder, I highlight areas of agreement between Shapiro and me that were obscured by Shapiro's (2010) response to my (Greenwald, 2010) commentary. I also address some of the erroneous statements made by Shapiro (2010) in her arguments against my positions. Finally, I summarize our disagreements, and again assert that until we have an empirical basis for preferring a particular theoretical model of eye movement desensitization and reprocessing (EMDR), it is premature for professional organizations to endorse Shapiro's model. Shapiro Response: In response to Greenwald, I again confine myself to addressing some of the errors and misconceptions in his arguments in relation to important aspects of EMDR therapy, theory, and research. Further, contrary to his assertion, there is already a sufficient empirical basis to support the preferential use of the adaptive information processing (AIP) model from which the EMDR procedures were formulated. His argument against this position is antithetical to the traditional process by which foundational models are challenged, refined, or replaced. Implications are salient to both training and practice.
Keywords: Adaptive Information Processing AIP Model Psychotherapy Research
143. Greenwald, R., & Shapiro, F. (2010). What is EMDR?: Commentary by Greenwald and invited response by Shapiro. Journal of EMDR Practice and Research, 4(4), 170-179. doi:10.1891/19333196.4.4.170 .
Language: English
Format: Journal
Abstract:
Greenwald: Eye movement desensitization and reprocessing (EMDR) has already been defi ned by at least
one EMDR-focused professional association as inextricably based on Shapiro’s (2001) eight-phase protocol
and adaptive information processing (AIP) model. This commentary argues that given the lack of
data supporting an exclusive preference for Shapiro’s constructs, EMDR’s defi nition should not preclude
legitimate alternative conceptualizations. Since defi nitions may be used for many inclusive and exclusive
purposes with impact on EMDR’s development, dissemination, practice, and reputation, EMDR’s defi nition
should be reconsidered. Shapiro : Greenwald’s arguments and suggested redefi nition are examined in
relation to EMDR research, theory and practice. As evaluated in numerous studies, EMDR is a distinct,
eight-phase integrative psychotherapy approach that consists of numerous procedures and protocols,
which were formulated and are conducted in accordance with the principles of the AIP model. Research
and published clinical case reports have validated both its utility and predictions of positive treatment
outcomes with a variety of populations. Professional implications are explored.
Keywords: Adaptive Information Processing AIP Phase Model Psychotherapy Trauma
144. Gregoire, Pierre (2001, September). Psychotherapy with EMDR of a PTSD Patient. Presentation at EMDR Clinical Rounds at the Allan Memorial Institute, Montreal, Canada.
Language: English
Format: Other
Keywords: Posttraumatic Stress Disorder PTSD
145. Gross, L., & Ratner, H. (2002). The use of hypnosis and EMDR combined with energy therapies in the treatment of phobias and dissociative, posttraumatic stress, and eating disorders. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed.) (pp. 219-231) New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
The treatment of dissociative disorders, PTSD, eating disorders, and phobias is frequently difficult and traumatic for the client. One author (LG) has been treating clients with a combination of hypnosis, eye movement desensitization and reprocessing (EMDR), thought field therapy, emotional freedom technique, visual kinesthetic dissociation, and other energy field therapies for the purpose of shortening the length of therapy and making it less painful. Clients occasionally feel violated when such energy therapies are used on their own. For those clients it is upsetting to have their symptoms taken away without having any sense of the process involved as it takes place. When this reaction occurs, EMDR and hypnosis can be extremely useful when used in combination with thought field therapy and other energy therapies.To decide which modalities to use for a particular client, a clinician can make use of muscle testing. My experience has been that, except for the simplest cases, none of the therapies alone (i.e., hypnosis, psychotherapy, EMDR, or variations of energy therapies) may be sufficient. The combination, however, is a powerful treatment modality that can accomplish excellent results in a very short time frame. [Text, p. 219]
Keywords: Adults Dissociative Disorders Eating Disorders Energy Psychotherapy Hypnotherapy Phobias Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD TFT Thought Field Therapy Stressors Survivors
146. Gunter, R. W., & Bodner, G. E. (2008, August). How eye movements affect unpleasant memories: Support for a working-memory account. Behaviour Research and Therapy, 46(8), 913-931. doi:10.1016/j.brat.2008.04.006.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing can reduce ratings of the vividness and emotionality of unpleasant memories—hence it is commonly used to treat posttraumatic stress disorder. The present experiments compared three accounts of how eye movements produce these benefits. Participants rated unpleasant autobiographical memories before and after eye movements or an eyes stationary control condition. In Experiment 1, eye movements produced benefits only when memories were held in mind during the movements, and eye movements increased arousal, contrary to an investigatory-reflex account. In Experiment 2, horizontal and vertical eye movements produced equivalent benefits, contrary to an interhemispheric-communication account. In Experiment 3, two other distractor tasks (auditory shadowing, drawing) produced benefits that were negatively correlated with working-memory capacity. These findings support a working-memory account of the eye movement benefits in which the central executive is taxed when a person performs a distractor task while attempting to hold a memory in mind.
Keywords: Autobiographical Memory Eye Movements Psychotherapy Working Memory
147. Gunter, R. W., & Bodner, G. E. (2009). EMDR works . . . But how? Recent progress in the search for treatment mechanisms. Journal of EMDR Practice and Research, 3(3), 161-168. doi:10.1891/1933-3196.3.3.161.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a highly scrutinized but efficacious psychotherapy commonly used in the treatment of posttraumatic stress disorder. Despite much theorizing and speculation, EMDR's mechanism of action remains unspecified. This article reviews several accounts of how EMDR works to reduce symptoms and/or aid memory reprocessing, including disruption of a traumatic recollection in working memory, increased psychological distance from the trauma, enhanced communication between brain hemispheres, and psychophysiological changes associated with relaxation or evocation of a rapid-eye-movement-like brain state. Several gaps in knowledge are also identified: The working memory account has received considerable support but has yet to be evaluated using clinical samples. How psychological distancing translates into symptomatic improvement is unclear. Psychophysiological effects of EMDR are well demonstrated but leave open the question of whether they constitute a treatment mechanism or an outcome of memory processing. Multiple mechanisms may work to produce treatment gains in EMDR; hence, an integrative model may be necessary to capture its myriad effects.
Keywords: Eye Movements Psychotherapy Treatment Mechanism
148. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir psikoterapotik yaklaþým: Göz hareketleri ile duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41.
Language: Turkish
Format: Journal
Abstract:
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.
Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.
Keywords: Chronic Pain Pain Disorders Pain Psychotherapy
149. Hain, B., Micka, R., Wiegand, C., Hofmann, A., & Seidler, G. H. (2004, September). Integrierte traumaassoziierte kurzzeittherapie für akuttraumatisierte (INTAKT)1 - Ergebnisse einer pilot-studie zur wirksamkeit von ressourcenorientierter behandlung in der gruppe und EMDR [Integrated trauma associated short-term psychotherapy for acute traumatized patients (INTAKT ) - Results from a study including a small population (n=16) about the effectiveness of ressource-oriented treatment in groups in combination with EMDR (eye movement desensitization and reprocessing)]. Gruppenpsychotherapie und Gruppendynamik, 40(3), 277-296 .
Language: German
Format: Journal
Abstract:
Die INTAKT (Integrated traumaassociated kurzfristige Psychotherapie) eingeführt wurde, eine Intervention in einem "Ambulante Ressource-orientierten Gruppe" ARG für akute traumatisierten Patienten in Kombination mit EMDR (Eye Movement Desensitization und die Wiederaufbereitung). Die Studie und die wichtigsten Ergebnisse ausgesetzt sind. Durch den Vergleich der Behandlungen "ARG" und "INTAKT" wird gezeigt, dass Interventionen Gruppe wirksam bei akuter-traumatisierten Patienten und hilfsbereit im Laufe der Behandlung sind. Für einige Patienten der Gruppe Interventionen führen zu einer signifikanten Reduktion Symptom. Für andere die stabilisierende Wirkung der "Ambulante Ressource-orientierten Gruppe" ermöglichen diesen Patienten zu einer frühen Übergang zu EMDR. Die Wirkung der INTAKT-Behandlung scheint zu sein, besser als die anderen Behandlungen.
The INTAKT (Integrated traumaassociated short-term psychotherapy) was introduced, a intervention in a "Ambulant Ressource-oriented Group" ARG for acute traumatized patients in combination with EMDR (eye movement desensitization and reprocessing). The study and the most important results are exposed. By comparing the treatments "ARG" and "INTAKT" is shown, that group interventions are effective for acute-traumatized patients and helpful in the course of the treatment. For some patients the group interventions lead to a significant symptom reduction. For others the stabilizing effects of the "Ambulant Ressource-oriented Group" enable these patients to a early transition to EMDR. The effect of the INTAKT-treatment seems to be superior to the other treatments.
Keywords: Adult Behavior Therapy Controlled Study Diagnostic and Statistical Manual of Mental Disorders Female Human Imagination Male Psychotherapy Psychotrauma Treatment Outcome
150. Hallet, J., Conlin, D., King, E., Kingan, P., Ohlson, R., & Zvelc, G. (2003). The use of EMDR, mind-body, and affective techniques in integrative psychotherapy. Presentation at the International Integrative Psychotherapy Association Conference, New York, NY.
Language: English
Format: Conference
Keywords: Affective Techniques Integrative Psychotherapy Mind-Body
151. Hallett, J., Conlin, D., King, E., Kingan, P. Ohlson, R. & Zvelc, G. (2003, April). The use of EMDR, mind-body, and affective techniques in integrative psychotherapy. Clinical forum at the 1st International Conference by International Integrative Psychotherapy Association, New York, NY.
Language: English
Format: Conference
152. Hamblen, J. L., Schnurr, P. P., Rosenberg, A., & Eftekhari, A. (2009, June). A guide to the literature on psychotherapy for PTSD. Psychiatric Annals, 39(6), 348-354.
Language: English
Format: Journal
Abstract:
1. Identify empirically supported treatments for posttraumatic
stress disorder (PTSD).
2. Explain how methodological issues impact psychotherapy
trials.
3. Describe PTSD treatments for which there is growing
evidence.
Keywords: Posttraumatic Stress Disorder PTSD Treatments
153. Handberg, H. H. (2007, June). Implications of "unity of duality" Tibetan psychology and philosophy in regard to psychotherapy and personal development and its correlations to EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In the Tibetan psychology and philosophy, the understanding that what we identify as the object does not exist as such independently of the experiencing subject is – at all levels of mind – essential. The subject perceives the object at a conceptual, feeling and sense level. In other words, as individuals we create the object at these three levels, and it becomes an integral part of our reality experience.
Tibetan Psychology has as it basis an understanding of the nature and functioning of the mind in its many different states of experiences. However, it does not see the mind-experience as an isolated phenomenon. It sees the body and mind as mutually interdependent and interdetermining on all levels – from both an ordinary level of body and mind to the basic energy level. The former is characteristic by an experience of great separation, and the latter by the experience of the inseparability of the body/mind.
In accordance with Tibetan metaphysics matter emerges from four basic “energy origins,” such that energy is seen as both the basis of matter, and is continuously pervading matter. From the energy resource all forms of existence arise and return again in a continuous movement of birth, existence and death, taking places every instant of time. It is because of the relationship of subject and object that we can change our object-experience, as well as our experience of the world and of the situations which arise in it.
Tibetan psychology maintains in this respect that the notion of self or self-identity is the core around which psychological patterns and the reality of the individual develop. The transformation process of an adequate self-identity into a healthier an less artificial identity takes the adept or client through the following process of change: (1) from a solid form level of the problematic subject/object experience, (2) to an energy level, taking us beyond the artificial identity and connect experience of reality, and (23) back into a new creation o the form level, into a new an more genuine experience of oneself and reality. Thus, when applying the insight of this basic interrelatedness of body and mind, subject and object and energy and matter – Unity in Duality – the experience of self-identity and that of the object undergoes a change, and the former problematic subject/object is transcended. The Tibetan self-development methods and the Tibetan psychotherapeutic methods, which Tarab Tulku has developed, deal essentially with healing and strengthening of the self-feeling and refining the self-reference/self-identity. It gives the theoretical analysis for changing the experience of self and the surroundings – of changing the approximation of reality – and it offers adequate psychotherapeutic as wall as self-development methods for its attainment. All in the Tibetan psychology and psychotherapy gives a new and valuable perspective, foundation and method supplementing and enriching Western Psychology in general and EMDR in particular.
Keywords: Poster Tibet Unity of Duality
154. Hann, G. R. (2001, Fall). Students: For your eyes only!. Psychotherapy Bulletin, 36(4) .
Language: English
Format: Newsletter
Abstract:
This article discusses a once-in-a-lifetime meeting of living legends in psychology and psychotherapy held on February 22-24, 2002. Included will be Drs. James F.T. Bugental, Albert Ellis, Alvin R. Mahler and Rachel Hare-Mustin. In addition to the "living legends," students will have the chance to hear from and talk with another esteemed cohort of "cutting edge" therapists and psychologists: Drs. Norman Ables (Geriatric Psychotherapy and Assessment), James Bray (Psychotherapy in Primary Care Settings), Gary DeNelsky (Tobacco Addiction), Hanna Levinson (Time-limited Dynamic Psychotherapy for Personality Disorders), Don David Lusterman (Divorce Mediation), Francine Shapiro (EMDR), and Jeffery Younggren (Risk Management).
Keywords: Albert Ellis Alvin R. Mahler Don Lusterman Francine Shapiro Gary DeNelsky Hanna Levinson James Bray James F.T. Bugental Norman Ables Psychology Psychotherapy Rachel Hare-Mustin
155. Hans Snijders, H., Oprel, D., & Romer, C. (2006, Januari). Psychotherapie leeft! De bruisende ontwikkelingen in de psychotherapie zelf [Psychotherapy is alive! The exciting developments in psychotherapy itself]. Tijdschrift voor Psychotherapie, 32, 144–147. doi:10.1007/BF03062215.
Language: Dutch
Format: Journal
Abstract:
Dit drukbezochte congres begon met drie workshops waarin ‘nieuwe’ behandelvormen werden gepresenteerd: Transference focused psychotherapy (TFP), de Kortdurende psychoanalytische steungevende psychotherapie (KPSP) en de Eye movement desensitisation and reprocessing (EMDR) bij kinderen. Van de laatste ontbreekt helaas een impressie in dit verslag. In de wandelgangen bleek dat deze workshop
hooglijk gewaardeerd werd.
This busy conference began with three workshops in which 'new' forms of treatment were presented: Transference focused psychotherapy (TFP), the Short-term psychoanalytic supportive psychotherapy (SPSP) and Eye Movement Desensitisation and Reprocessing (EMDR) in children. Of the latter sadly lacking an impression in this report. In the corridors showed that this workshop
was highly appreciated.
Keywords: Children Practice Theory
156. Hartung, J. G., & Galvin, M. D. (2002). Combining eye movement desensitization and reprocessing (EMDR) and energy therapies. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed) (pp. 179-197) NewYork: W. W. Norton.
Language: English
Format: Book Section
Abstract: Observing that there has been a rapid increase in the number of practitioners trained in both eye movement desensitization and reprocessing (EMDR) and the energy psychotherapies, the authors describe ways to combine these modalities to increase their effectiveness. Topics include correcting psychological reversals prior to initiating and during EMDR; muscle testing with EMDR; EMDR along with energy therapies to limit the severity and disruption of abreaction, dissociation, "looping," and blocking beliefs; treatment of addiction; using one method to further client receptivity to use of the other; self-use of EMDR and the energy techniques; and, among others, energy training for paraprofessional crisis teams for use in residential programs with EMDR clients. [Adapted from Introduction]
Keywords: Energy Psychotherapy Latin Americans Psychotherapeutic Processes Stressors Survivors TFT Thought Field Therapy
157. Hartung, J., & Galvin, M. (2003). Energy psychology & EMDR: Combining forces to optimize treatment (1st ed). New York: W. W. Norton.
Language: English
Format: Book
Abstract:
As clinical and consulting psychologists, we have continually searched for ever better ways to help people. At this point after almost 60 years of combined practice, we have come to rely on energy psychology (EP) and eye movement desensitization and reprocessing (EMDR) as our preferred methods. In this book we present the clinical findings that have led us to believe that these methods excel -- especially in combination -- in helping clients achieve profound change and growth, usually quickly and with stable results.We hope to persuade energy therapists to look at the richness that EMDR has to offer, keeping in mind that the interests of some clients sometimes might be better served by treatment with EMDR than EP. We also hope to convince EMDR clinicians to consider using energy techniques as additional resources for those times when EMDR stalls. For readers yet untrained in either, we offer an overview of the two brief therapies that have transformed our professional lives. [Adapted from Preface]
Keywords: Energy Psychotherapy Psychotherapeutic Processes Stressors Survivors
158. Hasanovic, M., Pajevic, I., Morgan, S., & Kravic, N. (2011, May). P03-140 - EMDR training for mental health therapists in postwar Bosnia-Herzegovina who work with psycho-traumatized population for increasing their psychotherapy capacities. European Psychiatry, 26(Supplement 1), 1309. doi:10.1016/S0924-9338(11)73014-0 .
Language: English
Format: Journal
Abstract:
After war 1992–1995 in Bosnia and Herzegovina (BH), whole population was highly psych-traumatized. Mental health therapists had no enough capacities to meet needs of population. They are permanently in need to increase their psychotherapy capacities. EMDR is a powerful, state-of-the-art treatment. Its effectiveness and efficacy has been validated by extensive research. National Institute for Clinical Excellence (NICE) recommended it as one of two trauma treatments of choice.
Aim:
To describe non profit, humanitarian approach in sharing skills of Eye Movement Reprocessing and Desensitization (EMDR) to mental health therapists in BH from Humanitarian Assistance Program (HAP) of UK & Ireland.
Method:
Authors described educational process considering the history of idea and its realization through training levels and process of supervision.
Results:
Highly skilled and internationally approved trainers from HAP UK & Ireland came four times to Psychiatry Department of University Clinical Center Tuzla in BH where they provided completed EMDR training for 24 trainees: neuro- psychiatrists, residents of neuro-psychiatry and psychologists from eight different health institutions from six different cities in BH. After finishing training process, trainees are obliged to practice their EMDR therapy in daily practice with real clients under the supervision process of HAP UK & Ireland trainers to become certified EMDR therapists. Regarding big physical distance between supervisors and trainees, supervision will be realized via Skype Internet technology.
Conclusion
Psychotherapy capacities of mental health psychotherapists in postwar BH could be increased with enthusiastic help of EMDR trainers from HAP UK&Ireland.
Keywords: Bosnia-Herzegovina Mental Health Therapist Post-War Trauma
159. Havelka, J. (2010). Kinek a krízise?-- esetek egy fovárosi általános iskolából [EMDR: Method of psychotherapy for the treatment of trauma]. Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata, 25(3), 243-250 .
Language: Hungarian
Format: Journal
Abstract:
Eye Movement deszenzibilizáció és újrafeldolgozása (EMDR) egy módszer a pszichoterápia, amelyet széles körben kutatott kezelésére trauma. A jelenlegi kezelési irányelvek az Amerikai Pszichiátriai Társaság és a Nemzetközi Társaság traumás stressz Tanulmányok jelöl EMDR mint hatékony kezelésére PTSD.In ezt a cikket a szerző arról ír, a történelem e "áttörés terápia", és leírja EMDR, mint egy szabványos protokoll. A második rész leírja trauma hasznosítás, ahol ő használja EMDR kezelésében a poszttraumás stressz zavar egy esettanulmány egy 25 éves nő, akit egy gumiszerű túlélő.
Eye Movement Desensitization and Reprocessing (EMDR) is a method of psychotherapy that has been extensively researched for the treatment of trauma. The current treatment guidelines of the American Psychiatric Association and the International Society for Traumatic Stress Studies designate EMDR as an effective treatment for PTSD.In this article the author writes about the history of this "breakthrough therapy" and describes EMDR as a standardized protocol. In the second part describes trauma recovery where she uses EMDR in treating post-traumatic stress disorder in a case study about a 25 year old woman, who has been a robbery survivor.
Keywords: Trauma Treatment
160. Hayes, S. C. (2002, September). On being visited by the vita police: A reply to Corrigan (2001). the Behavior Therapist, 25(7/8), 134-137.
Language: English
Format: Newsletter
Abstract:
No abstract available.
Keywords: Acceptance & Commitment Therapy Behavior Therapy Dialectical Behavior Therapy Functional Analytic Psychotherapy Letter
161. Heber, R., Kellner, M., & Yehuda, R. (2002, December). Salivary cortisol levels and the cortisol response to dexamethasone before and after EMDR: A case report. Journal of Clinical Psychology, 58(12), 1521-1530. doi:10.1002/jclp.10102.
Language: English
Format: Journal
Abstract:
Trauma survivors with PTSD have been shown to have lower basal cortisol levels in the urine, plasma, and saliva than in trauma survivors without PTSD, nontraumatized mentally ill, or healthy subjects. We report on a case study in which we measured pre- and post-Eye Movement Desensitization and Reprocessing (EMDR) treatment salivary cortisol levels and salivary cortisol response to 0.50 mg of dexamethasone in a 41-year-old female with chronic PTSD symptoms. Our goal was to determine whether symptom improvement following trauma-focused treatment (EMDR) is associated with changes in basal salivary cortisol or in the cortisol response to dexamethasone administration. Our findings show moderate symptom improvement, an increase in basal cortisol levels, and a more attenuated cortisol hypersuppression in response to the dexamethasone suppression test following EMDR treatment. These results suggest the potential utility of including neuroendocrine measures in the assessment of treatment outcome in PTSD. [Author Abstract]
Keywords: Battery Biologic Markers Brief Psychotherapy Case Report Clinical Case Study Cortisol Dexamethasone Suppression Test Empirical Study Females Legal Procedures Middle Aged Multiple Traumatic Events Neuroendocrine Neuroendocrine Testing Neuroendocrinology Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness
162. Heitzler, M. (2008, June). The processing body: Integrating EMDR & body psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
My paper presents a model for integrating EMDR with Body Psychotherapy principles and techniques. The model
will be illustrated by clinical material from my work with a patient who suffers from complex PTSD as a result of a
recent traumatic event which evoked her early developmental trauma. My model of integration is based on
what both disciplines share in common: understanding the centrality of the body as the carrier of the trauma and
its symptoms, as well as its potential for healing and recovery. At the same time, Body psychotherapy and EMDR
offer different ways of utilising the body during the processing phase of the work. My paper will explore some of
the similarities and differences of the two approaches. This may shed some light on situations where patients
show blocks or resistance to EMDR, and offer complementary ways of working with the EMDR protocol. The
paper draws on recent neuro-biological research presented by A. Schore, Bessel v. d. Kolk and others, to highlight
the changes that take place in brain function during and after the traumatic event. It will also offer insight into
the work of some of the leading experts in the field of body psychotherapy and approaches to trauma work (Pat
Ogden’s sensori-motor approach, Babette Rothschild’s Somatic Trauma Therapy, Peter Levine’s traumawork with
the body). The clinical material is designed to make the theory accessible and illustrate its relevance.
Keywords: Body Psychotherapy
163. Heitzler, M. (2008, November). EMDR עם פסיכותרפיה הגוף [EMDR with body psychotherapy]. לגוף עיניים - Models for EMDR treatement with Enhanced Focus on the Body, Tel Aviv, Israel.
Language: Hebrew
Format: Conference
Abstract: Heitzler introduces the principles and techniques Moorish combination of EMDR psychotherapy through the body. Lecture rich clinical examples illustrating the combination of the tools of both methods.
Keywords: Body Psychotherapy Moorish Combination
164. Hensel, T. (2004). Traumazentrierte psychotherapie (EMDR) bei jugendlichen mit störungen des sozialverhaltens - Das MASTR - Manual [Traumazentrierte psychotherapy (EMDR) in adolescents with disorders of social behavior - the MASTR Manual]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Störungen des Sozialverhaltens (F 91, F92 ICD-10) umfassen komplexe, multifaktoriell bedingte Störungen, die sich in einem Bündel von Leitsymptomen niederschlagen. Bisherige Therapieansätze sind in ihren Effekten nicht sehr befriedigend. Allerdings berücksichtigten sie auch nicht in geplanter und systematischer Weise die Folgen kindlicher Traumatisierung, obwohl die Übereinstimmung der Symptomatik bei Störung des Sozialverhalten und Traumafolgestörungen frappierend ist (Greenwald 2002). Forschungsergebnisse belegen, dass zwischen 60 - 90 % aller Jugendliche mit Störungen des Sozialverhaltens in ihrer Lebensgeschichte schweren Traumatisierungen (Kombinationen Typ I und II) ausgesetzt waren (Steiner, Garcia, Matthews 1997, Cuffe et al. 1998).
MASTR (ein Akronym für Motivation - Adaptiv Skills - Trauma Resolution) ist ein von Dr. Ricky Greenwald (2002) entwickeltes traumabasiertes manualisiertes Behandlungsverfahren, das aus drei aufeinander aufbauenden Phasen besteht.
Disorders of social behavior (F 91, F92 ICD-10) involve complex, multifactorial, related disorders, which are reflected in a set of cardinal symptoms. Previous therapy approaches are in their effects, not very satisfactory. However, they are not even considered in a planned and systematic way the consequences of childhood trauma, although the consistency of symptoms associated with disruption of social behavior and trauma disorders is striking (Greenwald 2002). Research shows that were exposed to between 60 - 90% of adolescents with disorders of social behavior in their life history severe trauma (combinations of type I and II) (Steiner, Garcia, Matthews 1997, Cuffe et al. 1998).
MASTR (an acronym for Motivation - Adaptive Skills - Trauma Resolution) is a traumabasiertes developed by Dr. Ricky Greenwald (2002) manualisiertes treatment process, which consists of three successive phases.
Keywords: Adolescents Social Behavior Disorders
165. Herbert, C. (2002, June). A CBT-based therapeutic alternative to working with complex client problems. European Journal of Psychotherapy, Counseling & Health, 5(2), 135-144.
Language: English
Format: Journal
Abstract:
This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.
Keywords: CBT Cognitive Behavioral Therapy Countertransference Distress Phenomenology Physical Manifestations Psychoanalysis Psychotherapy Psychoanalytic Psychotherapy Psychological Distress Psychosomatic Phenomena Self Destructive Behavior Self Harm Somatoform Disorders Thinking Trauma Therapy
166. Herbert, C. (2002, May). A CBT-based therapeutic alternative to working with complex client problems. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract: This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.[Taylor-Francis]
Keywords: CBT Cognitive Behavioral Therapy Counseling Psychotherapy
167. Herbert, J. D. (2003, July). The science and practice of empirically supported treatments. Behavior Modification, 27(3), 412-430. doi:10.1177/0145445503027003008.
Language: English
Format: Journal
Abstract:
Despite impressive gains over the past three decades in the development and evaluation of empirically
supported psychotherapies, such treatments are not used widely by front-line practicing
clinicians. In an attempt to address this science-practice gap, efforts have turned recently to constructing
lists of empirically supported treatments (ESTs) and disseminating information about
these treatments to professionals and the public. This effort has been met with criticism, however,
by both practitioners, on one hand, and psychotherapy researchers on the other. The current
procedures for identifying ESTs are critically reviewed, and recommendations are offered to
improve the scientific viability of the process. It is argued that lists of ESTs are viewed most productively
as one step toward the development of best practice guidelines.
Keywords: Empirically Supported Treatments, ESTs, Evidence-Based Medicine Psychotherapy Psychotherapy Dissemination
168. Hoffman, S., & Laub, B. (2006). Innovative interventions in psychotherapy. Boca Raton, FL: Universal-Publishers.
Language: English
Format: Book
Abstract:
The present volume unquestionably constitutes a significant contribution to clinical literature. The case reports, with their descriptions of many types of therapeutic interventions and combinations of interventions in dealing with a wide variety of difficulties presented by different patients and patient groups, as well as the discussions of important topics in psychotherapy, add to our knowledge of the many facets of psychotherapy, enrich our understanding of the treatment process, and deepen our appreciation of the importance of therapeutic sensitivity and flexibility.
169. Hogberg, G., & Hallstrom, T. (2008). Active multimodal psychotherapy in children and adolescents with suicidality: Description, evaluation and clinical profile. Clinical Child Psychology and Psychiatry, 13(3), 435-448. doi:10.1177/1359104507088348.
Language: English
Format: Journal
Abstract:
The aim of this study was to describe and evaluate the clinical pattern of
14 youths with presenting suicidality, to describe an integrative treatment
approach, and to estimate therapy effectiveness. Fourteen patients aged 10
to 18 years from a child and adolescent outpatient clinic in Stockholm were
followed in a case series. The patients were treated with active multimodal
psychotherapy. This consisted of mood charting by mood-maps,
psycho-education, wellbeing practice and trauma resolution. Active
techniques were psychodrama and body-mind focused techniques including eye
movement desensitization and reprocessing. The patients were assessed before
treatment, immediately after treatment and at 22 months post treatment with
the Global Assessment of Functioning Scale. The clinical pattern of the
group was observed. After treatment there was a significant change towards
normality in the Global Assessment of Functioning scale both immediately
post-treatment and at 22 months. A clinical pattern, post trauma suicidal
reaction, was observed with a combination of suicidality, insomnia, bodily
symptoms and disturbed mood regulation. We conclude that in the post trauma
reaction suicidality might be a presenting symptom in young people. Despite
the shortcomings of a case series the results of this study suggest that a
mood-map-based multimodal treatment approach with active techniques might be
of value in the treatment of children and youth with suicidality.
Keywords: Adolescents Children Suicide
170. Hogberg, G., Pagani, M., Sundin, Ö., Soares, J., Aberg-Wistedt, A., Tarnell, B., & Hallström, T. (2008, May). Treatment of post-traumatic stress disorder with eye movement desensitization and reprocessing: Outcome is stable in 35-month follow-up. Psychiatry Research, 159(1-2), 101-108. doi:10.1016/j.psychres.2007.10.019.
Language: English
Format: Journal
Abstract:
PTSD is an anxiety disorder that may follow major psychological trauma. The disorder is longstanding, even chronic, and there is a need for effective treatment. The most effective short-term treatments are cognitive behavioural therapy and eye movement desensitization and reprocessing (EMDR). 20 subjects with chronic PTSD following occupational health hazards from "person under train" accidents or assault at work were treated with five sessions of EMDR. They were assessed with psychometric scales and diagnostic interviews before treatment, directly after treatment, at 8 months, and at 35 months after the end of Therapy. The primary outcome variable was full diagnosis of PTSD according to the DSM-IV diagnostic criteria. Results from interview-based and self-evaluation psychometric scales were used as secondary outcome variables. Immediately following treatment, the patients were divided up into two groups, initial remitters (12 of 20) and non-remitters (8 of 20). There were no drop-outs during therapy, but 3 patients withdrew during follow-up. The initial result was maintained at the 35-month follow-up. The secondary outcome variables also showed a significant immediate change towards normality that was stable during the long-term follow-up. After 3 years of follow-up, 83% of the initial remitters had full working capacity. [Author Abstract]
Keywords: Accidents Adults Assault Conditioning Follow-up Study Longitudinal Study Occupational Health Posttraumatic Stress Disorder Psychotherapy PTSD Railroad Accidents Swedes Transport Workers Treatment Effectiveness
171. Holm, O. (2009, June). Broad spectrum psychotherapy with EMDR for survivors of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Broad Spectrum Psychotherapy Complex PTSD Survivors
172. Hummel, H., & Matthess, H. (2005, June). What to teach beside EMDR in trauma-centered psychotherapy. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
The objective of this workshop is to encourage the participants to develop
and carry out a comprehensive course for diagnostics and treatment of
trauma-related disorders.
The trauma-curricula in Schaffhausen and Sinzig were created
independently as training courses for psycho-traumatology. They are taken
as examples to clarify basic ideas on how to organize curricular-structured
seminars in the field of psycho-traumatology and trauma-therapy. The
EMDR-trainings are very well established as basic for trauma confrontation
therapy but "around EMDR" there is much more to teach that can only be
learnt over a longer period of time.
The curricular structure as a means to teach the knowledge and skills
improves the motivation of colleagues to attend the seminars. Consensus,
cooperation, and mutual recognition between other institutes and international organizations in the field of psycho-traumatology committed to
a general draft makes the acceptance even stronger.
There is consensus about the knowledge of anamnesis, diagnostics,
treatment planning, stabilization techniques, and the working through of
traumatic material. In both curricula more than one method for trauma confrontation
is taught. The more tools and skills the therapist is able to use
the easier it is to find the appropriate method for each client. So therapists
can avoid what is meant by the proverb: "if you only have a hammer you
will treat everything like a nail" (Maslow).
The first evaluation of the participants in both curricula in Schaffhausen and
Sinzig will be presented including questions about relevance. satisfaction
with structure and content as well as suggestions for improvement.
173. Hyer, L. A., & Brandsma, J. M. (1997, July). EMDR minus eye movements equals good psychotherapy. Journal of Traumatic Stress, 10(3), 515-522. doi:10.1023/A:1024853723882.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a therapy roughly equal in efficacy to others currently available. It is argued that this treatment method is efficacious independent of the value of its component parts (e.g., eye movements) and is succssful because it applies common and generally accepted principles of psychotherapy. 10 curative principles of this procedure are discussed as reflective of sound psychotherapy practice. It is hoped that an understanding of this therapy from the perspective of the practice and theory of psychotherapy will assist in its study. [Author Abstract]
Keywords: Commentary Psychotherapy Treatment Effectiveness
174. Institut national de la santé et de la recherche médicale (INSERM). (2004). Psychothérapie, trois approches évaluées [Psychotherapy: An evaluation of three approaches]. INSERM. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4007323.
Language: English
Format: Publication
Abstract:
This document presents a review of the work of the expert group convened by Inserm through the collective expert evaluation procedure to answer the questions raised by the General Directorate of Health (Direction générale de la santé, DGS) on the evaluation of psychotherapies.
It is based on the scientific information available as at the last six months of 2003. The documental base for this expert evaluation consisted of approximately 1,000 articles and documents.
The Inserm collective expert evaluation centre co-ordinated this collective work with the Department for facilitation and scientific partnership (Département animation et partenariat scientifique, Daps) to instruct the dossier and with the documentation service of the department for scientific information and communication (Département de l’information scientifique et de la communication, Disc) for the literature search.
Keywords: Review
175. Jaberghaderi, N., Greenwald, R., Rubin, A., Zand, S. O., & Dolatabadim, S. (2004, September-October). A comparison of CBT and EMDR for sexually abused Iranian girls. Clinical Psychology and Psychotherapy, 11(5), 358-368. doi:10.1002/cpp.395.
Language: English
Format: Journal
Abstract:
14 randomly assigned Iranian girls ages 12-13 years who had been sexually abused received up to 12 sessions of CBT or EMDR treatment. Assessment of post-traumatic stress symptoms and problem behaviours was completed at pre-treatment and 2 weeks post-treatment. Both treatments showed large effect sizes on the post-traumatic symptom outcomes, and a medium effect size on the behaviour outcome, all statistically significant. A non-significant trend on self-reported post-traumatic stress symptoms favoured EMDR over CBT. Treatment efficiency was calculated by dividing change scores by number of sessions; EMDR was significantly more efficient, with large effect sizes on each outcome. Limitations include small N, single therapist for each treatment condition, no independent verification of treatment fidelity, and no long-term follow-up. These findings suggest that both CBT and EMDR can help girls to recover from the effects of sexual abuse, and that structured trauma treatments can be applied to children in Iran. [Author Abstract]
Keywords: Brief Psychotherapy CBT Child Abuse Cogntiive Behavorial Therapy Cognitive Therapy Elementary School Students Empirical Study Females Incest Iranians Manual-Based Treatments Posttraumatic Stress Disorder Preadolescents PTSD Quantitative Study Rape Random Clinical Trial RCT Survivors Treatment Effectiveness
176. Jácome, S. (2010, Octubre/Noviembre). EMDR y psicoterapia de grupo [EMDR and group psychotherapy]. Presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: Spanish
Format: Conference
Keywords: Group Therapy
177. Jancin, B. (2001, December). PSTD responds to mix of drugs, psychotherapy. Clinical Psychiatry News, 29(12), 40.
Language: English
Format: Magazine
Abstract:
The state of therapeutics in posttraumatic stress disorder can be described in a word as confusing, Dr. John A. Talbott said at a psychiatry conference sponsored by the University of Colorado. [Elsevier]
Keywords: Drugs Medications Posttraumatic Stress Disorder PTSD
178. Jarero, I., Artigas, L., & Hartung, J. G. (2005, March). Protocolo grupal e integrativo con EMDR: Intervención post-catástrofe para niños y adultos [EMDR integrative group treatment: A postdisaster trauma intervention for children and adults]. Revista de Psicotrauma para Iberoamérica, 4(1), 22-29 .
Language: Spanish
Format: Journal
Abstract:
El Reprocesamiento y Desensibilización a través del Movimiento Ocular (EMDR) por sus siglas en inglés, es reconocido como un tratamiento efectivo y eficiente para tratar asuntos relacionados con trauma. Este artículo describe la aplicación de una intervención grupal con EMDR para niños y adultos traumatizados por desastres naturales en varios países de Latinoamérica. Para ejemplificar la aplicación del modelo, se describe un estudio de campo medido formalmente y nueve proyectos piloto. Los prometedores resultados de esta intervención grupal sugieren que el EMDR es un medio efectivo para dar tratamiento a grandes grupos de personas afectadas por eventos traumáticos en gran escala (desastres naturales, terrorismo). Es necesaria más investigación controlada sobre este tema.
EMDR has been accepted as an effective and efficient approach in the treatment of trauma related issues. A model is described for using an EMDR group intervention for children and adults traumatized by natural disasters in several Latin American countries. To exemplify the application of the model, one formally measured field study and nine pilot projects are described. The promising outcomes of this intervention suggest that EMDR is an effective means for providing treatment to large groups of survivors affected by large scale traumatic events (natural disasters, terrorism, etc.). Anyway, more controlled research about this issue is needed. [Author Abstract]
Keywords: Adolescents Adults Argentines Colombians Natural Disasters Group Psychotherapy Mexicans Nicaraguans Salvadorans School Age Children Survivors Trauma Venezuelans
179. Jarero, I., Artigas, L., Montero, M., & Lopez-Lena, L. (2008). The EMDR integrative group treatment protocol: Application with child victims of a mass disaster. Journal of EMDR Practice and Research, 2(2), 97-105. doi:10.1891/1933-3196.2.2.97.
Language: English
Format: Journal
Abstract:
The EMDR Integrative Group Treatment protocol (EMDR-IGTP) has been used in different parts of the world since 1998 with both adults and children after natural or man-made disasters. This protocol combines the eight standard EMDR treatment phases with a group therapy model, thus providing more extensive reach than the individual application of EMDR. In this study the EMDR-IGTP was used with 16 bereaved children after a human provoked disaster in the Mexican State of Coahuila in 2006. Results showed a significant decrease in scores on the Child's Reaction to Traumatic Events Scale that was maintained at 3-month follow-up. Although controlled research is needed to establish the efficacy of this intervention, preliminary results suggest that EMDR-IGTP may be an effective means of providing treatment to large groups of people impacted by large-scale critical incidents (e.g., human-provoked disasters, terrorism, natural disasters. [Author Abstract]
Keywords: Children Death of Parent Explosions Females Group Psychotherapy Group Treatment Human-Provoked Disaster Industrial Accidents Latin American Males Mexicans Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors School Age Children Treatment Effectiveness
180. Jayatunge, R. (2010, February 25). EMDR – An effective mode of psychotherapy. Sri Lanka Guardian. Retrieved from http://www.srilankaguardian.org/2010/02/emdr-effective-mode-of-psychotherapy.html om 2/30/2010.
Language: English
Format: Newspaper
Abstract:
Introduction of cognitive therapies gave a new hope. Beck and other pioneers in CBT helped a large number of people with emotional problems. Among all contemporary psychotherapies EMDR (Eye Movement Desensitization and Reprocessing) became unique. What is exceptional about EMDR? It is easy to administer, gives quick positive results and no side effects. EMDR facilitates to ease traumatic experiences.
Keywords: General Military Overview
181. Jedd, D. J. (1998). Eye movement desensitization and reprocessing: arousal as a pre-condition for treatment . Argosy University, Chicago, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Adult Child Victims Posttraumatic Stress Disorder Psychotherapy Method PTSD
182. Jenkins, S., & Baker, J. (2011). The equine-assisted EMDR manual: A guide to the integration of eye movement desensitization reprocessing and equine-assisted therapy. Tempe, AZ: Dragonfly International Therapy .
Language: English
Format: Book
Abstract:
This manual includes an overview of Equine-Assisted Psychotherapy (EAP) and Eye Movement Desensitization Reprocessing (EMDR) individually, and the rationale for integrating them through the EquiLateral Protocol(TM). Learn about EMDR practitioner types and organizations in the marketplace. You will also get valuable "how-to's" for client selection, case conceptualization, target sequence planning and treatment planning! In addition, you will find case examples for each phase, treatment team roles, along with a sample eight-phased equine-based activity!
Keywords: EAP Equine-Assisted Psychotherapy Horses
183. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Keywords: Trauma-Based Disorders
184. Johannesson, K. B. (2001, April). EMDR – psychotherapy in posttraumatic stress syndrome in young people. Swedish Council on Health Technology Assessment in Health Care (SBU), Stockholm, Sweden.
Language: English
Format: Other
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
Patient Benefits, Risks, and Side Effects
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
Keywords: Posttraumatic Stress Disoder PTSD Young People
185. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
186. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201. doi:10.1007/s00399-011-0148-8.
Language: German
Format: Journal
Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.
In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.
Keywords: Acute Stress Disorder Anxiety ASD Cardiology Depression ICD Shocks Internal Medicine Posttraumatic Stress Disorder PTSD Treatment Manual
187. Kavakci, O., Dogan, O., & Kugu, N. (2010, September). EMDR (Göz hareketleri ile fuyarsızlaştırma ve yeniden işleme): Psikoterapide farklı bir deçenek [EMDR (eye movement desensitization and reprocessing): A different option in psychotherapy]. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 23(3), 195-205.
Language: Turkish
Format: Journal
Abstract:
Göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and
Reprocessing), son yıllarda oldukça ilgi çeken terapi yöntemlerinden biridir. Bu ilginin bir nedeni, özellikle
Travma Sonrası Stres Bozukluğu (TSSB) tedavisindeki etkinliğinin pek çok çalışma ile gösterilmiş olmasıdır.
EMDR, bilgi işleme süreçlerini kolaylaştıran ve travmatik anı parçalarının bütünleşmesini sağlayan yenilikçi
bir terapi yöntemidir. Bu yaklaşımla bilginin gelecekte daha iyi işlevsellik sağlayacak şekilde işlenmesi sağlanır.
Son yıllarda, tedavi kılavuzlarında ve meta analizlerinde EMDR, önerilen tedaviler arasında belirtilmektedir.
Travma ve sonrası bozuklukların görülme sıklığı oldukça yüksektir. Buna karşın, Türkçe alanyazında bu
bozuklukların tedavi seçenekleri ile ilgili yayınlar oldukça sınırlıdır. EMDR’nin etki mekanizması henüz tam olarak
aydınlanmamıştır. Shapiro bir uyumsal bilgi işleme modeli önermiştir. Daha sonra, çeşitli araştırmacılar
laboratuvar ve görüntüleme yöntemlerine dayanan çeşitli nörobiyolojik modeller önermişlerdir. Bu çalışmada,
EMDR ve sekiz evresi açıklanmış, bir olgu örneği, seans kayıtları ile sunularak uygulaması gösterilmiş ve
bu tekniğin çalışma biçimi açıklanmış, etki mekanizması ile ilgili önerilen nörobiyolojik modeller özetlenmiş,
Türkiye’de EMDR ile yapılan az sayıdaki yayın gözden geçirilmiştir. Bu tekniğin ruh sağlığı çalışanlarının uygulamalarına
daha çok girmesi, hem uygulayıcıların psikiyatrik bozukluklar üzerindeki yetkinliklerini arttıracak hem
de travma ve benzeri bozukluklardan yakınan hastalara hızlı iyileşme şansı verecektir.
In recent years, there has been an interest in using the EMDR (Eye Movement Desensitization and
Reprocessing) therapy. One of the reasons for this interest may be its effectiveness shown by numerous
studies, especially, conducted with individuals who suffer from Post Traumatic Stress Disorder (PTSD).
The EMDR is known to be an innovative approach that accelerates information processing and facilitates
the integration of fragmented traumatic memories. This process is stated to allow better integration of
the information that a person has to handle in the future. Recent practice guidelines and meta-analyses
have designated the EMDR as a first-line treatment for trauma. Although the prevalences of trauma
and trauma related disorders are high in Turkey, there has been a limited number of published studies
highlighting treatment options. The EMDR’s mechanism of action has not yet been fully explained. Shapiro
has proposed an adaptive information processing model. Later, based on laboratory and neuroimaging
methods, a number of neurobiological models have been suggested. The present study explained the
EMDR and its eight-phases. A case example with session records was provided to show the application
and operation of the technique. After that, leading neurobiological models which attempt to explain the
mechanisms of action of the EMDR were summarized. Finally, few studies conducted in Turkey using the
EMDR were reviewed. Given the effectiveness of the EMDR regarding trauma and related disorders, the
utilization of the technique by a broad number of mental health professionals may not only increase the
professionals’ competency on psychiatric disorders, but also may provide patients suffering from these
disorders a chance to recover in a relatively short period of time.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD Therapy
188. Kavakci, Ö., Semyz, M., Kaptanoðlu, E., & Ozer, Z. (2012, Ocak). Fibromiyaljide EMDR'nin etkinliðinin araþtýrýlmasý: Yedi olguyu içeren bir klinik çalýþma [EMDR treatment of fibromyalgia, a study of seven cases]. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 13(1), 75-81.
Language: Turkish
Format: Journal
Abstract:
Fibromiyalji sendromu (FMS) etiyolojisi belli olmayan, yaygın vücut ağrıları, belirli anatomik bölgelerde
duyarlılık, azalmış ağrı eşiği, uyku bozuklukları, yorgunluk ve sıklıkla ruhsal sıkıntı ile karakterize eklem dışı romatizmal
bir hastalıktır. Çeşitli yaklaşımlar denenmesine rağmen etkili bir tedavisi yoktur. FMS ile psikiyatrik bozuklukların
ilişkisine sıklıkla vurgu yapılmakta ve FMS hastalarında ruhsal travma yaygınlığı dikkat çekmektedir.
Kronik ağrılı durumlar için tedavi arayışları giderek daha fazla psikoterapi yaklaşımlarına yönelmiştir. Bu çalışmada
FMS tanısı konan yedi hastanın EMDR yaklaşımı ile tedavisine yanıtları araştırılmıştır. Yöntem: FMS tanısı
konmuş 22-41 yaşları arasındaki altı kadın ve bir erkek olgunun tedavi öncesi ve sonrasında duyarlı nokta sayıları
(DNS) belirlendi, Vizüel Ağrı Skalasında (VAS) bildirdikleri ağrı düzeyleri kaydedildi. Hastalar tedavi öncesi ve
sonrasında Fibromiyalji Etki Anketi (FEA), Beck Depresyon Ölçeği (BDÖ), Travma Değerlendirme Ölçeği (TDÖ),
Pittsburg Uyku Kalitesi Ölçeği (PUKÖ), Öfke Tarzı Ölçeğini (SÖÖTÖ) doldurdu. Hastalara varsa yaşadıkları travmalara
yönelik, saptanamadı ise ağrılarına yönelik beş-sekiz seans arasında EMDR tedavisi uygulandı. Bulgular:
Tedavi sonunda hastaların bildirdikleri VAS, PUKÖ, FEA, TDÖ, BDÖ puanlarında anlamlı azalma olmuştur. Fizik
muayene ile DNS’de anlamlı azalma bulunmuştur. SÖÖTÖ’de sürekli öfke, öfke içe ve öfke dışa puanlarında
anlamlı değişme olmazken; öfke kontrol puanında görülen artma anlamlıdır. Tedavi sonunda altıncı olgu dışındaki
hastaların FMS ölçütlerini karşılamadığı gözlenmiştir. Sonuç: Bu hasta grubunda FMS tedavisinde EMDR tedavisinin
etkili olduğu düşünülmektedir.
Objective: Fibromyalgia syndrome (FMS) is a nonarticular rheumatic disease with unknown etiology and is characterized by widespread pain, increased tenderness in some anatomical regions, increased pain sensitivity, sleep disorders, fatigue and frequently by psychological distress. Though many approaches have been tried there is no effective treatment for FMS. The relationship between FMS and psychiatric disorders is known, recently some researches point to the frequency of psychological trauma in patients with FMS. The search for treatment for chronic painful conditions has more and more focused to psychotherapeutic approaches. In this study, seven patients diagnosed were attempted to be treated with EMDR approach. Methods: 22-41years aged six women and one man diagnosed with FMS were admitted to the study. Before and after the treatment tender point count was identified and patients scored their pain levels at Visuel Analog Scale. Patients filled in Beck Depression Inventory (BDI), The Posttraumatic Diagnostic Scale (PDS), Pittsburg Sleep Quality Index (PSQI), State-Trait Anger Scale (STAS). If the patients have reported, trauma was focused on, if they have not reported any trauma, pain was focused. Five-eight sessions of EMDR was applied to the patients. Results: After the treatment, there were statistically significant reduction in patient reported VAS, PSQI, FIQ, PDS, and BDI scores.There was signify-cant decrease in tender point counts. Though there was no change in trait anger, anger-in and anger-out subscores of STAS, the increase in anger management subscore was significant. After the treatment, none of the patients met the FMS criteria but one patient (6th patient). Conclusion: EMDR therapy was effective in the treatment of these patients with FMS.
Keywords: Fibromyalgia Pathological Psychology Psychiatric Rating Scale Psychotherapy Visual Analog Scale
189. Keefe, C. (1995, June 14). Looking trauma in the eye: An unusual psychotherapy technique brings relief to trauma victims. Orange County, CA: The Orange County Register, Morning, Accent, E01.
Language: English
Format: Newspaper
Abstract:
Traditional therapy failed to bring lasting relief from her demons. Morgan says Eye Movement Desensitization and Reprocessing _ EMDR _ finally released her from the horrors of her past.
EMDR is a technique practiced by licensed clinicians to help trauma victims replace negative images and emotions with positive ones. Its basic premise is that the human brain wants to heal itself.
Keywords: General Orange County Overview
190. Kellogg-Spadt, S, (2007, August). EMDR: A useful adjuvant for sexual healing. Women's Health Care, 6(8), 24-25.
Language: English
Format: Journal
Abstract:
The text consist of two pages of questions and answers about the utilization of EMDR as a treatment with successful outcomes.
Keywords: Psychotherapy Psychological Theory Sexual Abuse Sexual Abuse Treatment Outcomes
191. Klaff, F. (2007). Children of divorce. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 284-305). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Much attention has been devoted to examining whether divorce negatively impacts children's psychological adjustment, or whether divorce is now so prevalent that it can be considered a normative transitional event (Kaslow, 1981). Divorce brings many structural and functional changes. These include the logistic and emotional complications of a nonresidential parent, financial disequilibrium, and two systems with differing rules and expectations. Additionally, there are new subsystem components, such as parental figures, step- and half-siblings, and extended families with a potentially motley cast of new characters and different environments impacting the system. What constitutes "family" for children of divorce is often quite different from what is traditionally viewed as the nuclear family. This chapter discusses divorce effects on childhood adjustment; family systems-based treatment of divorce; adaptive information processing model applied to divorce issues; and the therapy process--integrative family therapy and Eye Movement Desensitization and Reprocessing (EMDR). Two case examples are presented, followed by a concluding discussion. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model Adjustment Children of Divorce Divorce Emotional Adjustment Family Family Systems Family Systems Theory Family Therapy Integrative Family Therapy Integrative Psychotherapy Models Therapy Process
192. Klugman, J. J. (1997). Eye movement desensitization reprocessing (EMDR): Is it compatible with the practice of depth psychotherapy?. Pacifica Graduate Institute, Carpinteria, CA. doi:oclc/57755616.
Language: English
Format: Dissertation/Thesis
193. Koedam, W. S. (2007). Sexual tauma in dsfunctional marriages: Integrating structural therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.223-242). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Sexual abuse survivor couples who choose to engage in marital therapy often present with problems around attachment, intimacy, infidelity, rage, a sense of entrapment, feelings of betrayal, low self-esteem, powerlessness, codependency, and a need to control or have power. Their individual histories become critical to understanding what type of interventions to implement as these individuals continue to respond to one another in an almost stylized and predictable manner. This chapter describes a treatment approach that combines Structural Family Therapy (SFT) and Eye Movement Desensitization and Reprocessing (EMDR) in marital therapy when one or both partners have a history of childhood sexual abuse. In this approach, the therapist begins with SFT and then shifts to EMDR treatment of the traumatized partner. This shift is to process the survivor's abuse experience so that he or she can come to an adaptive resolution. This sets the stage for the survivor to respond differently to the possible triggers in his or her life as well as in the relationship. Once the EMDR process is complete and the couple participates in joint debriefing of the EMDR intervention, they reengage in the SFT marital sessions while integrating insights and adaptations the trauma survivor has gained from the EMDR work. This approach involves the applications of the EMDR standard protocol. It also uses the core elements of SFT, such as joining, restructuring diffuse and rigid boundaries, relabeling, and enactments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Dysfunctional Marriages Emotional Trauma Integrative Psychotherapy Marriage Counseling. Sexual Abuse Sexual Trauma Structural Family Therapy
194. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR
processing, and to work to create a secure, responsive, and positive relational environment that supports change
and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from
other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation)
will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making
within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress
with greater precision, using both verbal and non-verbal markers to determine where the client is on a given
conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different
types of interweaves will be delineated with a clear description of the purpose or function associated with each.
Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both
didactic and video material.
Learning Objectives:
• Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment
decision-making during an EMDR session.
• Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice)
reflected in a client’s presenting issues, choice of targets, and stuck points.
• Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal
of maintaining and even accelerating processing within a window of tolerance.
• Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal
experiences (i.e. affect, sensation, urges, fantasies).
• Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies,
completing incomplete or truncated actions, and addressing various domains of developmental repair.
Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource
durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive
favorisant ainsi le changement et l’intégration.
Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de
la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision
‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment
suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour
déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou
approfondir le traitement du client. Objectifs d’apprentissage:
• Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas
comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR.
• Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité,
contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les
blocages.
• Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance
émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de
tolérance.
• Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides
et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes).
• Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de
compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les
dommages survenus au cours du développement.
Keywords: AEDP Dyadic Regulation Informatiional Plateaus IFS, Interweaves Sensorimotor Psychotherapy Structural Model of Dissociation Trauma-Focused Models "True" Authentic Self
195. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.
Language: English
Format: Journal
Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients
suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization
and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been
proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more
complex cases has been less widely studied. This article examines the body of literature on the treatment
of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research.
Despite a still limited number of randomized controlled studies of any treatment for complex PTSD,
trauma treatment experts have come to a general consensus that work with survivors of childhood abuse
and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented
EMDR model for working with these patients is presented, highlighting the role of resource development
and installation (RDI) and other strategies that address the needs of patients with compromised
affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the
various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are
reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD
are offered along with suggestions for future investigations.
Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review
196. Kozoň, A. (2007). Psychoedukácia a EMDR v dynamickej psychoterapii v azylovom dome pre týrané ženy [Psychoeducation and EMDR in dynamic psychotherapy in the asylum house for abused women]. Psychiatria, 14(Part 4), 161-163.
Language: Slovak
Format: Journal
Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím.
Kľúčové slová: psychodynamická psychoterapia, psychoedukácia, EMDR, azylový dom, týrané ženy, násilie, fókusová veta, vedomie a nevedomie, stratégia psychoterapeutickej intervencie, pozitívna zmena vnímania, identita, rozvoj osobnosti.
Asylum Program of the house for battered women focuses not only protect our clients, who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence symptomatiky post traumatic stress disorder, which is in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitisation by EMDR and psychoedukáciou. In the next phase of psychotherapy focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy for Northern to prevent future conflict prevention victim to violence.
Keywords: Battered Women Consciousness and the Unconscious Identity Personality Development Positive Change in Perception Psychodynamic Psychotherapy Shelter Strategy of Psychotherapeutic Interventions Violence
197. Kozon, A. (2007, September). Psychoedukacia a EMDR v dynamickej psychoterapii v azylovom dome pre tyrane zeny [Psychoeducation and psychotherapy, EMDR in the dynamic in the asylum house for abused women]. Psychiatria-Bratislava, 14(4), 161-164.
Language: Slovak
Format: Journal
Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím.
Asylum Program of the house for abused women in focus in order to protect clients who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence of symptoms of posttraumatic stress disorder, which in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitization through EMDR and psychoedukáciou. In the next phase of psychotherapy it focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy prawn to prevent future conflict prevention with victims of violence.
Keywords: Abused Women Conscious and Unconscious Half-Way House Identity Positive Change in Perception Personality Development Psychodynamic Psychotherapy Sentences of Focus Strategy Psychotherapeutic Intervention Violence
198. Kraft, S., Schepker, R., Goldbeck, L., & Fegert, J. M. (2006). Behandlung der posttraumatischen belastungsstörung bei kindern und jugendlichen. Eine übersicht empirischer wirksamkeitsstudien [Treatment of posttraumatic stress disorder in children and adolescents -- A review of treatment outcome studies]. Nervenheilkunde: Zeitschrift für interdisziplinaere Fortbildung, 25(9), 709-716.
Language: German
Format: Journal
Abstract:
Basierend auf einer systematischen Literaturrecherche wird der aktuelle Stand des Wissens über die Wirksamkeit von pharmakologischen und psychotherapeutischen Behandlung der Posttraumatischen Belastungsstörung bei Kindern und Jugendlichen zusammengefasst und bewertet. Neunzehn kontrollierten randomisierten klinischen Studien wurden für die Psychotherapie gefunden, und keiner für die Pharmakotherapie. Die Wirksamkeit von kognitiver Verhaltenstherapie Programme erhärtet worden ist, mit der Teilnahme der Eltern oder Betreuer in die Behandlung zu sein scheint vorteilhaft. Es gibt vielversprechende Studien für Eye Movement Desensitizafion und die Wiederaufbereitung (EMDR) und für Multisystemische Familientherapie. Aufgrund der kleinen Fallzahlen und fehlenden Replikation, haben ihre Ergebnisse als vorläufig zu betrachten. Bis jetzt gibt es keine kontrollierten klinischen Studien zu pharmakologischen Therapien für traumatisierte Kinder und Jugendliche. Weitere Studien zu diesem zahlenmäßig relevant und zum Teil erheblich beeinträchtigt Gruppe sind, geltend gemacht werden. Untersuchungen zur differentiellen Indikation von verschiedenen Behandlungsansätze und über die Wirksamkeit von Kombinationstherapien, die Psychotherapie plus Pharmakotherapie, fehlen. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)
Based on a systematic literature search, the current state of knowledge on the efficacy of psychotherapeutic and pharmacologic treatment of posttraumatic stress disorders in children and adolescents is summarized and reviewed. Nineteen randomized controlled clinical trials were found for psychotherapy, and none for pharmacotherapy. The efficacy of cognitive behavioral treatment programs has been substantiated, with the participation of a parent or caretaker in the treatment seeming to be beneficial. There are promising studies for Eye Movement Desensitizafion and Reprocessing (EMDR) and for Multisystemic Family Therapy. However, because of small sample sizes and lacking replication, their results have to be regarded as provisional. Up to now, there are no controlled clinical trials on pharmacological treatments for traumatized children and adolescents. More studies on this numerically relevant and partly severely impaired group are to be claimed. Studies on differential indication of different treatment approaches and on the efficacy of combination treatments, as psychotherapy plus pharmacotherapy, are lacking. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adolescent Psychiatry Child Psychiatry Drug Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy Treatment Outcomes
199. Kreyer, A. K. (2008). Experimentelle Überprüfung psychophysiologischer prozesse im EMDR (eye movement desensitization and reprocessing) - Ein beitrag zur psychotherapeutischen grundlagenforschung [Experimental verification of psychophysiological processes in EMDR (Eye movement desensitization and reprocessing) - A contribution to psychotherapy research]. Köln, Universität, Internet-Ressource.
Language: German
Format: Dissertation/Thesis
Abstract:
Spätestens am Ende des 19. Jahrhunderts kam – damals in psychiatrischen Kreisen – die
Vermutung auf, dass starke seelische Verletzungen zu speziellen Symptomkomplexen führen,
welche zunächst unter der Kategorie Hysterie klassifiziert wurden (vgl. van der Kolk, Weisaeth
& van der Hart, 1996/2000). Ein Jahrhundert psychotherapeutischer Erfahrungen und
Forschungsbemühungen – sowohl im Zusammenhang mit den Folgen beider Weltkriege und
des Vietnamkrieges als auch mit der Frauenrechtsbewegung, welche auf Gewalt gegen Frauen
aufmerksam machte – verdichteten diese Vermutung. Aber es sollte noch bis 1980 dauern, bis
die Posttraumatische Belastungsstörung (PTBS) als offizielle Diagnose in der psychiatrischen
Nomenklatur anerkannt wurde (vgl. van der Kolk, McFarlane & Weisaeth, 1996/2000).
By the end of the 19th Century was - at that time in psychiatric circles - on the presumption that strong psychological injury on specific symptom complexes, which were initially classified under the category of hysteria (van der Kolk, Weisaeth & van der Hart, 1996/2000). A century of psychotherapy experience and research efforts - both in connection with the effects of both World Wars and the Vietnam War and with the women's rights movement, which called attention to violence against women compacted - this assumption. But it would take until 1980 until the post-traumatic stress disorder (PTSD) as an official diagnosis in the psychiatric nomenclature has been recognized (van der Kolk, McFarlane & Weisaeth, 1996/2000).
Keywords: Psychophysiological Processes
200. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher
order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR
to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes,
and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as
emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening
to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the
Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to
facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using
EMDR and will lead a meditation to help create this no-mind state.
2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to
EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern
for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept
of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new
sense of Self in relation to others and the universe.
3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self-
Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting
commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every
individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating
organisms, each understands and values the power of being witness to the present moment, and each makes room for the
client to discover a heretofore "unimaginable outcome" to his or her work.
The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships.
Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types
correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating
preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access
points to higher states of consciousness.
5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR
especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine
types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True
Self. EMDR may be a key to the profound transformation of personality types.
6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a
question and answer period between the audience and the panel members.
Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy
201. Krystal, S. (2003). A nondual approach to EMDR: Psychotherapy as satsang. In J. J. Prendergast, P. Fenner, & S. Krystal (Eds.), The sacred mirror: Nondual wisdom and psychotherapy, (1st ed.) (pp. 116-137). St. Paul, MN: Paragon House Publishers.
Language: English
Format: Book Section
Abstract:
Tibetan Buddhist Dzogchen, Hindu Advaita, Taoism, Kabbalism, and mystical Christianity all suggest that the fulfillment of human potential and the liberation from suffering happen when attention rests peacefully in its source, prior to thought. These traditional spiritual disciplines inform a nondual approach to psychotherapy that views form as a natural and temporary expression of a unified, omnipresent, nonlocatable, and pregnant emptiness. In time all forms--everything and everyone--dissolve back into this emptiness which is present now. Once clients begin to appreciate that they are actually not their distracting thoughts, emotions, or bodily sensations, but rather a dispassionate, observing Presence, a process of disidentification begins and peace of mind unfolds naturally. Clients learn that they have within a natural predisposition toward health and wholeness. Freedom from psychological suffering is often immediately available when clients know how to look or how to just be. Clients learn that simply being fully present now in a timeless moment of silence can reveal what is already and always free. This philosophy informs the EMDR therapeutic approach. This chapter explains the EMDR model, illustrating its use with a case study. EMDR is an integrative psychotherapeutic appproach first discovered and developed by Dr. Francine Shapiro (2001) in 1987, which is guided by an information processing model that has numerous protocols and procedures including the administration of bilateral stimulation to the client. The procedure was originally used to treat trauma, but it has now developed into a comprehensive approach used widely to ameliorate a variety of psychological symptoms and disorders including anxiety and depression, phobia, addiction and substance abuse, among others. In fact, EMDR is now used to target experiential contributors of all clinical complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Being Fully Present Now Clinical Case Study Cognitive Processes Emptiness Information Processing Model Integrative Psychotherapeutic Approach Models Nondual Approach Psychotherapeutic Processes Psychotherapy
202. Krystal, S., Prendergast, J., Krystal, P., & Fenner, P., Shapiro, I., & Shapiro, K. (2002). Transpersonal psychology, eastern nondual philosophy, and EMDR. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 319-339). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Transpersonal psychology has been strongly influenced by the nondual spiritual traditions of the East. These traditions describe a natural unconditioned state of awareness that is every human's birthright. Realization of this awareness brings peace, freedom, joy, and acceptance of life as it is. As EMDR fosters personal integration and transformation, clients sometimes report contact with this profound awareness during a session. A specialized transpersonal EMDR protocol targets distractions to this awareness and can be used once clients have sufficiently progressed with the standard protocol. The transpersonal protocol, in conjunction with the open-hearted and quiet presence of the therapist, invites clients into their natural contentment. Goals, methods, and roles fall away as therapist and client discover their shared ground. The ritual of psychotherapy unfolds into satsang, the celebration of nondual awareness. Several spiritual teachers with nondual orientations confirm the value of EMDR in working with obscurations to this awareness. EMDR has a surprising and powerful contribution to make to transpersonal psychology by helping to facilitate and stabilize the experience of nondual awareness. [Text, p. 338]
Keywords: Adults Psychotherapeutic Processes Stressors Survivors Transpersonal Psychotherapy
203. Kutz, I., & Bleich, A. (2005). Mental health interventions in a general hospital following terrorist attacks: The Israeli experience. Journal of Aggression, Maltreatment and Trauma, 10(1/2), 425-437. doi:10.1300/J146v10n01_10.
Language: English
Format: Journal
Abstract:
Over three years of repeated terrorist attacks in Israel have shown that the victims suffering from acute stress syndromes constitute the bulk of the casualties. The large number of psychological victims presents an immediate problem of hospital surge capacity. The need for alleviating acute suffering and preventing chronic, disabling posttraumatic syndromes requires organizational and clinical skills. The article reviews deployment and intervention protocols for the treatment of victims and affected staff members in a general hospital setting. [Author Abstract]
Keywords: Acute Stress Disorder ASD Crisis Emergency Rooms Group Psychotherapy Israelis Posttraumatic Stress Disorder PTSD Survivors Terrorism
204. Laliotis, D. (2008, Mai). Utiliser l’EMDR comme psychothérapie contemporaine [Using EMDR as a contemporary psychotherapy]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Il y a 20 ans l’EMDR débutait en tant que technique pour aider les clients à retraiter des expériences traumatiques. Depuis, l’EMDR s’est développé et constitue une approche thérapeutique complexe utilisée pour traiter des enjeux d’estime personnelle, de difficultés relationnelles ou de performances qui ne sont pas
toujours reliées à des traumatismes majeurs, mais plutôt à des réseaux d’expériences non-intégrées. Le but de cet atelier est d’aider les cliniciens à développer une vision quant à la façon d’appliquer l’EMDR à ces situations où les « traumas » ne sont pas aussi évidents, mais où les expériences du passé ont encore des impacts importants sur les difficultés actuelles du client. Des présentations cliniques sur bande vidéo, permettront d’illustrer l’évolution du traitement EMDR et la manière adéquate de traiter la nature insidieuse de ces expériences de l’enfance. Les participants apprendront à conceptualiser le traitement, à appliquer les tissages cognitifs de façon à faciliter le processus de retraitement, et comment développer des projections futures qui supporteront la croissance personnelle et des changements durables.
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma
but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature
of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.
205. Laliotis, D. (2008, June). Using EMDR as a contemporary psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic
experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which
is being used to treat low self-esteem, relationship difficulties, and performance issues not connected
to major trauma but rather to networks of unprocessed early experiences. This workshop will help
clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are
not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be
presented in depth with videotape to illustrate how the treatment process evolves using EMDR and
how to adequately address the insidious nature of these childhood experiences. Participants will
learn how to conceptualize the case over time, how to apply cognitive interweave strategies to
facilitate the client’s process, and how to develop future templates to facilitate personal growth and
lasting change.
Keywords: Contemporary Psychology
206. Laliotis, D. (2009). Healing the wounds of attachment: An EMDR relational approach. In A. Bloomgarden & R. B. Mennuti (Eds). (2009). Psychotherapist revealed: Therapists speak about self-disclosure in psychotherapy. (pp. 151-162). New York, NY, US: Routledge/Taylor & Francis Group. xviii, 324 pp..
Language: English
Format: Book Section
Abstract:
In this chapter the author describes the use of self-disclosure during eye movement desensitization and reprocessing (EMDR) psychotherapy with a patient, Melina, who had a poor sense of self and a fear of abandonment. As an EMDR therapist with a psychodynamic, object relations background, the author describes how she explores with Melina how her early experiences as a child informed how she felt about herself as a person and how she relates to family and friends as well as her intimates. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Keywords: Attachment Early Childhood Experiences Psychotherapy Relational Approach Self-Disclosure
207. Laliotis, D. (2010, March). Beyond trauma: Part I and II - EMDR as a broad-based psychotherapy. Presentation at the Psychotherapy Networker Symposium, Washington, DC.
Language: English
Format: Conference
Abstract:
While EMDR is widely used as a highly effective treatment for PTSD based on neutralizing past memories of trauma, few therapists recognize how powerful a tool it can be in helping clients reprocess difficult experiences - traumatic or not - that impede their client's ability to move forward with their lives. In this workshop, you'll be introduced to an eight-phase information-processing model of EMDR for helping clients identify and reprocess significant childhood experiences and chronic patterns or themes that shadow their lives, hinder their emotional growth, and limit their ability to fully express their own identity. You'll learn a practical clinical procedure for identifying the predominant themes in clients' lives that underlie their current difficulties and freeing the, from attitudes that limits a fuller, more flexible experience of self.
208. LaMay, C. (1994, September 5). The eyes have it in the latest trend in psychotherapy. The Idaho Statesman, 1C-2C.
Language: English
Format: Newspaper
Keywords: General Idaho Overview
209. Landin-Romero, R., Novo, P., Santed, A., Vicens, V., McKenna, P. J., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro, F., & Amann, B. (2012, June). Clinical remission and functional modulation of the default mode network in a subsyndromal, traumatized bipolar patient after EMDR psychotherapy. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: English
Format: Conference
Abstract: Purpose of the study: Some patients with bipolar disorder do not show complete remission between episodes, but continue to exhibit subsyndromal mood symptoms [1]. One factor related may be comorbid posttraumatic stress disorder (PTSD), which has been found to be present in 16% to 39% of patients with bipolar disorder [2]. We describe the first case of an unstable bipolar II patient with history of various traumas that received Eye Movement Desensitization and Reprocessing (EMDR) psychotherapy and also underwent functional magnetic resonance imaging (fMRI) before and after the EMDR treatment to explore its effect on the brain’s neural networks.
Keywords: Bipolar Disorder
210. Lawrence, M. (1998, July). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) use the ego state bridge technique in order to have more complete knowledge of what issues and experiences may manifest during the EMDR processing; 2) use the ego state bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets; 3) work with a patient to formulate the patient's ego state system; 4) identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; and 6) identify and access appropriate resource ego states which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state.
Keywords: Ego State Bridge Ego State Therapy
211. Lawrence, M. A. (1999, June). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to use the ego state
bridge technique in order to have more compete
knowledge of what issues and experiences may
manifest during the EMDR processing; 2) be able to use the ego stale bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets (e.g., when SUD level is not subsiding); 3) know how to work with a patient to formulate the patient’s ego state system; 4) be able to identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) be able to combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; 6) be able to identify and access appropriate resource ego state which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state; and 7) be able to use a variety of general and specific EMDR techniques and strategies more effectively by using ego state psychotherapy principles as a guiding metamodel.
Keywords: Ego State Bridge Ego State Therapy
212. Lawrence, M. A. (1998, December). EMDR as a special form of ego state psychotherapy, Part I of II. EMDRIA Newsletter, 3(4), 7, 13-15, 24-25.
Language: English
Format: Newsletter
Abstract:
Ego state therapy has become an increasingly recognized and utilized form of psychotherapy over the past 2 years although it has been used primarily by hynotherapists in the context of the treatment of dissociative disorders. The use of Eye Movement Desensitization and Reprocessing (EMDR) has also expanded extremely rapidly over the past ten years, primarily in the treatment of acute and chronic Post Traumatic Stress Disorder (PTSD). It is the thesis of this paper that EMDR can be conceptualized as a special form of ego state therapy. EMDR’s unique contribution to the ego state therapy process is in its subtle but profound, impact on the associative/dissociative process, and ego state therapy can be considered a meta model for informing EMDR therapeutic interventions, particularly with regard to impasses.
Keywords: Ego State Therapy Posttraumatic Stress Disorder PTSD
213. Lawrence, M. A. (1999, March). EMDR as a special form of ego state psychotherapy, Part II. EMDRIA Newsletter, 4(1), 9, 14-15, 34.
Language: English
Format: Newsletter
Abstract:
Ego state therapy has become an increasingly recognized and utilized form of psychotherapy over the past 2 years although it has been used primarily by hynotherapists in the context of the treatment of dissociative disorders. The use of Eye Movement Desensitization and Reprocessing (EMDR) has also expanded extremely rapidly over the past ten years, primarily in the treatment of acute and chronic Post Traumatic Stress Disorder (PTSD). It is the thesis of this paper that EMDR can be conceptualized as a special form of ego state therapy. EMDR’s unique contribution to the ego state therapy process is in its subtle but profound, impact on the associative/dissociative process, and ego state therapy can be considered a meta model for informing EMDR therapeutic interventions, particularly with regard to impasses.
Keywords: Ego State Therapy
214. Leeds, A. (2009, June). Attachment theory and case formulation in the EMDR approach to psychotherapy. Preconference workshop of the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Attachment Disorders Attachment Theory Case Formulation
215. Leeds, A. M. (2009). Resources in EMDR and other trauma-focused psychotherapy: A review. Journal of EMDR Practice and Research, 3(3), 152-160. doi:10.1891/1933-3196.3.3.152.
Language: English
Format: Journal
Abstract:
The present review examines how resources have been used in trauma-focused psychotherapy with an emphasis on their use in eye movement desensitization and reprocessing (EMDR). Current practices of EMDR-trained clinicians are presented in a historical context and considering a range of contemporary approaches to ego strengthening. This article describes the use of resources as presented in the EMDR literature along with research findings. The review concludes with a call for controlled research on widely used resource-focused procedures and practice guidelines for their use in clinical applications of EMDR.
Keywords: Ego Strengthening RDI Resources Resource Development and Installation Review
216. Leeds, A. M., & Shapiro, F. (2000). EMDR and resource installation: Principles and procedures for enhancing current functioning and resolving traumatic experiences. In J. Carlson, & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 469-534). Phoenix, Arizona: Zeig, Tucker & Theisen, Inc..
Language: English
Format: Book Section
Abstract:
This chapter presents an overview of eye movement desensitization and reprocessing (EMDR), a research-validated treatment for PTSD, and a related set of procedures known as resource development and installation (RDI), which have been reported to be useful in ego strengthening and stabilization. First, the extant research on EMDR, its theoretical model, and the 8 phases of its treatment are summarized (patient history and treatment planning, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation). The 5 main elements of memory networks in EMDR are: image, thoughts and sounds, affect, sensation, and self-appraisal. The principles and theoretical foundations of RDI are then discussed. Then, 2 case examples are given. The 1st case illustrates a simple application of resource development and installation to supplement the standard EMDR PTSD protocol in the brief treatment of a marital crisis. The 2nd case summarizes the brief, strategic use of RDI to stabilize a patient with complex PTSD who was referred for collaborative treatment and to build a foundation for comprehensive EMDR treatment. [Adapted from Text, p. 469] [Pilots]
Keywords: Brief Psychotherapy Clinical Case Study Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD
217. Lehrmann, C. (2001, Juli). EMDR in psychodynamischen psychotherapien: Methodenwillkür oder sinnvolle erweiterung? [Eye movement desensitization and reprocessing in psychodynamic psychotherapy: Arbitrary method or useful extension of treatment?]. Psychotherapeut, 46(4), 266-268. doi:10.1007/s002780100149.
Language: German
Format: Journal
Keywords: Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD
218. Leitch, M. L. (2007, September). Somatic experiencing treatment with tsunami survivors in Thailand: Broadening the scope of early intervention. Traumatology, 13(3), 11-20. doi:10.1177/1534765607305439.
Language: English
Format: Journal
Abstract:
This exploratory study examines the treatment effects
of brief (1 to 2 sessions) Somatic Experiencing with 53
adult and child survivors of the 2004 tsunami in
Thailand. Somatic Experiencing’s early-intervention
model, now called Trauma First Aide, was provided
1 month after the tsunami. Survivor assessments were
done pretreatment, immediately posttreatment, 3 to
5 days posttreatment, and at the 1-year follow-up.
Results indicate that immediately following treatment,
67% of participants had partial to complete improvement
in reported symptoms and 95% had complete or
partial improvement in observed symptoms. At the 1-year
follow-up, 90% of participants had complete or partial
improvement in reported symptoms, and 96% had
complete or partial improvement in initially observed
symptoms. Given the small sample size and lack of an
equivalent comparison group, results must be interpreted
with caution. Nonetheless, the results suggest
that integrative mind–body interventions have promise
in disaster treatment.
Keywords: Cross-Cultural Research Brief Treatment Disaster Integrative Treatment Mind–Body Psychotherapy Somatic Experiencing Trauma First Aide Tsunami
219. Leskowitz, E. (2002). Eye movement desensitization and reprocessing (EMDR) and subtle energy: A proposed mechanism of action. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook. (1st ed.) (pp. 311-321) New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
Let me now suggest that the mechanism of action of EMDR is best understood by going back not 3 decades in time, but 3 millennia, to the Eastern philosophies that were based on the notion of life energy. It is in the study of yoga and acupuncture, and of prana and qi, that a full understanding of the mechanism of EMDR is to be found.I will first give a brief overview of the notion of subtle energy, and then summarize modern discoveries in biomagnetism and distant intentionality that will set the age for a discussion about the subtle energetics of paying attention. I then hope to demonstrate that visual attentional activation via EMDR is, in effect, a biomagnetic or subtle energy interaction that is particularly effective in facilitating the release of trauma that is stored in the subtle energy systems of the human body. [Text, pp. 311-312]
Keywords: Energy Psychotherapy Posttraumatic Stress Disorder PTSD Stressors Subtle Energy Survivors
220. Levin, C., Shapiro, F., & Weakland, J. (1996). When the past is present: A conversation about EMDR and the MRI interactional approach. In M. F. Hoyt (Ed.), Constructive therapies: Volume 2 (pp. 197-210). New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
Presents a conversation between C. Levin, F. Shapiro and J. Weakland.
[consider an interactional approach to the] possible common factors and connections between the ways in which "past" and "present" might be understood and approached therapeutically within each respective method [eye movement desensitization and reprocessing (EMDR) and MRI (Mental Research Institute) brief therapy] (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Brief Psychotherapy MRI Scientific Communication
221. Liggan, D. Y., & Kay, J. (1999, Spring). Some neurobiological aspects of psychotherapy: A review. Journal of Psychotherapy Practice and Research, 8(2), 103-114.
Language: English
Format: Journal
Abstract:
Ever since the idea was accepted that memory is associated with alterations in synaptic strength, studies on the cellular and molecular mechanisms responsible for the plastic changes in neurons have attracted wide interest in the scientific community. This article explores the process of memory consolidation leading to persistent modifications in synaptic plasticity as a mechanism by which psychotherapy facilitates changes in the permanent storage of information acquired throughout the individual's life. The psychobiological interrelationships of affect, attachment, and memory offer a perspective regarding the etiology and treatment of clinical disturbances of affect. Analogies between brain physiology and modes of psychotherapy provide the foundation for a review of psychiatric disorders involving the inability to control fear, obsessions, compulsions, and delusions, all of which respond to psychotherapeutic interventions.
Keywords: Brain Physiology Compulsions Delusions Fear Modes of Psychotherapy Obsessions
222. Lilienfeld. S. O. (1996, January/February). EMDR treatment: Less than meets the eye. Skeptical Inquirer, 20(1), 25-31.
Language: English
Format: Magazine
Abstract:
Examines EMDR and the experimental evidence surrounding it, which does not indicate that it is any more effective than other treatments for PTSD, despite its enthusiastic support. [Pilots]
Keywords: Adults Americans Brief Psychotherapy Child Abuse Females Longitudinal Study Methodology Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Rape Self Efficacy Survivors Treatment Effectiveness
223. Liotti, G. (2012, June). Attachment, psychotherapy and EMDR [Apego, psicopatología y EMDR]. Keynote presented at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The
defense
system
(freezing-‐fight-‐flight-‐feigned
death),
that
is
set
into
motion
in
every
individual
by
the
exposure
to
any
event
that
threatens
life
or
bodily
integrity
in
the
self
or
in
significant
others,
is
terminated
after
the
event
is
over
by
mental
and
interpersonal
processes
involving
the
soothing
and
security-‐
seeking
system
(attachment).
If
the
functions
of
the
attachment
system
are
hindered
by
memories
(internal
working
model,
IWM)
of
early
attachment
interactions
with
neglecting
or
abusive
caregivers,
the
defense
system
may
remain
active
for
long
periods
of
time
after
the
traumatic
event
is
over.
Insecure
and
especially
disorganized
IWMs
of
early
attachments,
together
with
the
unavailability
of
social
support
after
the
trauma,
are
thus
risk
factors
for
developing
the
symptoms
of
post-‐traumatic
stress
disorders.
This
lecture
dwells
on
the
main
features
of
attachment
disorganization,
on
the
negative
interference
of
attachment
disorganization
in
the
therapeutic
relationship,
and
on
the
reasons
why
the
characteristic
patient-‐therapist
relationship
in
EMDR
interventions
can
be
instrumental
in
by-‐passing
such
negative
interference.
El
sistema
de
defensa
(respuesta
de
inmovilización-‐lucha-‐huída-‐muerte
fingida)
que
se
pone
en
marcha
en
toda
persona
por
la
exposición
a
cualquier
incidente
que
amenaza
su
vida
o
la
integridad
física
o
las
de
sus
allegados
llega
a
su
fin
tras
el
incidente
mediante
procesos
mentales
e
interpersonales
implicados
en
el
sistema
de
tranquilizar
y
la
búsqueda
de
seguridad
(apego).
Si
las
funciones
del
sistema
de
apego
se
ven
impedidas
por
los
recuerdos
(el
modelo
del
funcionamiento
interno,
IWM,
por
sus
siglas
en
inglés)
de
interacciones
precoces
de
apego
con
cuidadores
negligentes
o
abusivos,
es
posible
que
el
sistema
de
defensa
permanezca
activo
durante
períodos
prolongados
después
de
que
el
evento
traumático
haya
terminado.
Así,
los
IWM
inseguros
y
especialmente
desorganizados
del
apego
temprano,
junto
con
la
falta
de
apoyo
social
tras
el
incidente
traumático,
se
convierten
en
factores
de
riesgo
para
el
desarrollo
de
síntomas
de
los
trastornos
postraumáticos.
Esta
conferencia
se
centra
en
los
rasgos
esenciales
de
la
desorganización
del
apego,
en
la
interferencia
negativa
de
la
desorganización
del
apego
en
la
relación
terapéutica
y
en
los
motivos
por
los
cuales
la
relación
característica
entre
paciente
y
terapeuta
en
las
intervenciones
con
EMDR
pueden
ser
instrumentales
para
puentear
dicha
interferencia
negativa.
Keywords: Attachment Keynote
224. Lipke, H. (1997, July). EMDR and the integration of psychotherapy. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Keywords: Integration Psychotherapy
225. Lipke, H. (1996 June). A four activity model of psychotherapy and its relationship to eye movement desensitization and reprocessing and other methods of psychotherapy. Traumatology, 2(2), 1-8. doi:10.1177/153476569600200201 .
Language: English
Format: Journal
Abstract:
This paper presents a general, information processing, model of psychotherapy based on Shapiro's EMDR, that includes both recently developed and traditional psychotherapy methods. It is posited that methods of psychotherapy can be conceptualized as employing up to four categories of activity to promote adaptive functioning. These activities include: (1) accessing of information already acquired; (2) introduction of new information; (3) facilitation of the processing of information; (4) inhibition of accessing. The third category, facilitation of processing, includes abstract activity, and represents a relatively new development in psychotherapy. [Author Abstract]
Keywords: Cognitive Processes Psychotherapeutic Processes
226. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.
Language: English
Format: Book
Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
227. Lipke, H. (2001). EMDR und andere ansätze der psychotherapie - Ein integratives modell: Theoretische und klinische empfehlungen mit schwerpunkt auf traumatischem stress [EMDR and other approaches of the psychotherapy - An inclusive model: Theoretical and clinical recommendations focusing on traumatischem stress]. Paderborn: Junfermann.
Language: German
Format: Book
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) wurde vor mehr als zehn Jahren von Dr. Francine Shapiro entwickelt und galt anfangs insbesondere aufgrund nachweislich sehr schneller und überzeugender Behandlungserfolge als eine der ungewöhnlichsten psychotherapeutischen Methoden überhaupt. Aufgrund der positiven Ergebnisse wissenschaftlicher Untersuchungen wird EMDR mittlerweile von vielen Therapeuten erfolgreich eingesetzt.
Im Mittelpunkt des Buches steht das von Lipke entwickelte Vier-Aktivitäten-Modell, eine Ergänzung zu dem von Francine Shapiro (1995) entwickelten AIP-Modell der beschleunigten Informationsverarbeitung. Damit schafft Lipke einen Rahmen für das Verständnis psychotherapeutischer Arbeit im allgemeinen und für die Integration von Shapiros Theorie über die Verarbeitung dysfunktionaler Erinnerungen in die bisherigen Formen psychotherapeutischer Arbeit. Das vorgestellte Modell liefert eine Handlungsanleitung für die Anwendung von EMDR in der therapeutischen Praxis. Dabei kann Lipke auf seine fast dreißigjährige klinische Erfahrung mit traditionelleren Behandlungsansätzen ebenso zurückgreifen wie auf seine über zehnjährige Praxis in der Anwendung und Vermittlung von EMDR. Das Buch ist nicht als Einführung in die Theorie und Praxis von EMDR, sondern eher als Erläuterung der Arbeit mit dieser Methode in einem umfassenderen therapeutischen Zusammenhang gedacht.
EMDR (Eye Movement Desensitization and Reprocessing) was developed more than ten years ago by Dr. Francine Shapiro and was initially due in particular proved very fast and impressive treatment success as one of the most unusual methods of psychotherapy in general. Due to the positive results of scientific studies EMDR is now used by many therapists successfully. The focus of the book which is developed by Lipke four activities model, a complement to the Francine Shapiro (1995) developed the AIP model of accelerated information processing. This creates a framework for understanding Lipke psychotherapeutic work in general and for the integration of Shapiro's theory about the dysfunctional processing of memories in the previous forms of psychotherapeutic work. The proposed model provides a guide to action for the application of EMDR in therapeutic practice. It can draw on his nearly thirty years Lipke clinical experience with more traditional treatment approaches as well as on its more than ten years of practice in the use and placement of EMDR. The book is not intended as an introduction to the theory and practice of EMDR, but rather as an explanation of the work with this method in a wider therapeutic context.
228. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models
229. Livanou, M. (2001, August). Psychological treatments for post-traumatic stress disorder: An overview. International Review of Psychiatry, 13(3), 181-188. doi.org/10.1080/09540260120074046.
Language: English
Format: Journal
Abstract:
There is a growing research literature on the psychological treatment of PTSD. This paper provides an overview and an evaluation of this research. The focus is mainly on cognitive-behavioural interventions, as they are the most widely studied and they have a sound evidence base. Other forms of psychological therapy are also considered. Some general issues pertaining to treatment efficacy are also discussed. [Author Abstract]
Keywords: Cognitive Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Effectiveness
230. Lo Iacono, S. (2008, Novembre). Stato di coscienza e paradigma: Un confronto tra 2 descrizioni sistemiche dei processi di cambiamento osservati in una psicoterapia integrate con EMDR [State of consciousness and paradigm: A comparison between 2 descriptions - Systemic change processes observed in psychotherapy integrated with EMDR]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
In questa presentazione la psicoterapia integrata con EMDR viene definita sulla base delle due tecniche principali di questa metodologia clinica:
1. le attivit� di Focalizzazioni Mentali Multiple su immagini, cognizioni e sensazioni corporee e sul qui ed ora della relazione terapeutica
pi�.
2. la Stimolazione Bilaterale Alternata su un canale sensoriale.
Vengono, quindi, confrontate due differenti descrizioni sintetiche, Paradigma e Stato di Coscienza, dei processi di cambiamento osservati nel paziente in una psicoterapia con EMDR. La descrizione sintetica come cambiamento di Paradigma viene effettuata in stretto parallelo con le definizioni originali di Paradigma date dallo stesso Kuhn.
La seconda descrizione sintetica degli stessi processi di cambiamento viene effettuata dopo aver definito un modello di Stato di Coscienza come prodotto di tre fattori: stato fisico chimico dell'organismo, stato mentale dell'organismo e condizioni fisiche e sociali dell'ambiente. Nelle conclusioni si evidenzia come la descrizione sintetica di Salto di Paradigma possa render conto solo dei cambiamenti di ambito cognitivo mentre restano escluse da questa descrizione i cambiamenti inerenti le emozioni e le sensazioni corporee che si osservano in una psicoterapia integrata con EMDR.
La descrizione sintetica come cambiamento dello Stato di Coscienza potrebbe, invece, essere utile a comprender meglio i modi in cui il cambiamento � indotto ed a distinguere il ruolo delle attivit� di Focalizzazioni Mentali Multiple da quello della Stimolazione Bilaterale Alternata e quindi a riflettere e ad intervenire, sia in contesti clinici che di ricerca, sulle due tecniche prevalenti della psicoterapia con EMDR.
In this presentation, the integrated psychotherapy with EMDR is defined on the basis of two Main technical methodology of this trial: 1. Multiple Mental activities focusing on images, cognitions and bodily sensations and on the here and now of the therapeutic relationship more. 2. Alternating Bilateral Stimulation on a sensory channel. Are then compared two different brief descriptions, model and state of consciousness, processes of change observed in the patient in psychotherapy with EMDR. Description summarized as a change of paradigm is carried out in close parallel with the definitions original paradigm given by Kuhn. The second summary description of these processes of change is made after a model for state of consciousness as the product of three factors: state
physical chemist body, mental body and physical and social environment. In conclusions noted as a concise description of paradigm shifts can realize only of changes in the cognitive field and are excluded from this description the Changes related emotions and bodily sensations that are observed in psychotherapy integrated with EMDR. The outline as a change of consciousness, but it could be useful to understand better the ways in which change is induced and to distinguish the role of activities Focus from that of the Multiple Mental Stimulation alternative two and then
reflect and act, whether in clinical research, the two prevailing techniques psychotherapy with EMDR.
231. Logie, R. (2012, July). From nightmare to memories. Therapy Today, 23(6), 28-31 .
Language: English
Format: Journal
Abstract:
Eye movement desensitisation and reprocessing (EMDR) is a form of therapy mainly used in treatment of post-traumatic stress disorder and other trauma-related mental health problems. This article outlines the development of EMDR and its use as a psychological treatment, and describes the process of EMDR therapy sessions from the therapist's and client's perspectives. It reports that use of EMDR has become more diverse and looks in particular at its application in 3 areas: depression, obsessive compulsive disorder and pain. It discusses the effectiveness of EMDR treatment and research into its application. It also briefly explains how to train in EMDR.
Keywords: Behavior Therapy Mental Health Problems Posttraumatic Stress Disorder Psychotherapy PTSD Trauma
232. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.
Language: English
Format: Journal
Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]
Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness
233. Lovell, C. (2005). Utilizing EMDR and DBT techniques in trauma and abuse recovery groups. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 263-282). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
Marsha Linehan's dialectical behavior therapy (DBT) is a wonderfully effective treatment for people with borderline personality. It is a non-blaming, compassionate, therapeutic approach, based solidly on research data about what borderline personality disorder (BPD) is and how to treat it effectively. I have used the techniques of DBT for the past 9 years in trauma and abuse recovery groups for women. DBT provides a solid foundation for the group. EMDR, adjunct therapies, and other trauma related resources complete DBT by including the treatment of trauma within the group setting. The groups are successful in that the intensity of symptoms decreases and the group members report feeling increased competency regulating their emotions. [Adapted from Text, p. 263] [Pilots]
Keywords: Adults Borderline Personality Disorder Cognitive Therapy Comorbidity DBT Dialectical Behavior Therapy Females Group Psychotherapeutic Processes Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors
234. Lovell, K. (2011). Lovell, Karina. In D. J. Stein, M. J. Friedman, and Carlos Blanco (Eds.), Post-traumatic stress disorder (pp. 208-210). Wiley-Blackwell.
Language: English
Format: Book Section
Abstract:
Comments on the original article by R. A. Bryant (see record 2011-21915-016) regarding psychological interventions for trauma exposure and PTSD. Systematic reviews demonstrate that of the CBT interventions, exposure-based interventions are considered the treatment of choice for PTSD. However, what is most striking about this chapter is the dearth of literature focusing on the essential components of the evidence-based interventions for PTSD. Thus, despite the increasing evidence base, there remains ambiguity concerning the 'active ingredients' of CBT and EMDR interventions for PTSD, including the specific content of the intervention, the delivery style, where the intervention should take place and the skills and expertise required to deliver it. It could be argued that we have two evidence-based interventions but that they are not being implemented into the clinical arena by therapists for a variety of reasons, we don't know whether they are acceptable to patients and there is a lack of literature concerning the critical ingredients. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Keywords: CBT Cognitive Behavior Therapy Evidence Based Practice Posttraumatic Stress Disorder PTSD Psychotherapy Trauma Treatment Effectiveness Evaluation
235. Lowe, J. F. (2010, January 5). Northampton psychotherapy team offering free care. Gazette, Hampsire.
Language: English
Format: Newspaper
Abstract:
The Western Massachusetts EMDR Trauma Recovery Network has stepped up to provide free counseling to anyone affected by the suspicious blazes - from fire victims and witnesses to firefighters who dealt with the incidents to residents beset by last week's tragic events.
Keywords: Fire
236. Lustig, S., Smrz, A., Sladen, P., Sellers, T. D., & Hellman, S. (2000, January-February). It takes a village: Caring for a traumatized art student. Harvard Review of Psychiatry, 7(5), 290-298. doi:10.3109/hrp.7.5.290.
Language: English
Format: Journal
Abstract:
One of the fascinating developments in mental health care in the last decade has been the appearance of specific psychotherapies for various psychiatric illnesses. Perhaps the best known of these is dialetical behavior therapy (DBT), pioneered by Linehan and colleagues for borderline personality disorder and consisting of rigorous group and individual cognitive-behavioral therapy within an empathetic and validating psychotherapy setting. Another is eye-movement desensitization and reprocessing (EMDR), described by Shapiro and coworkers as a treatment for PTSD and other anxiety disorders.The following case study involves a patient in a team-treatment setting who benefitted significantly from the use of DBT and EMDR, as well as a complex psychopharmacology regimen, after receiving an extensive battery of psychological tests. The clinicians who were involved with the patient will discuss the aspects of her care for which they were responsible. We do not endeavor to isolate which modality was the "right" one; rather, we are looking at the manner in which each potentiated the others. [Introduction] [Pilots]
Keywords: Borderline Personality Disorder Case Report Child Abuse Cognitive Therapy College Students Drug Therapy European Americans Females Incest Individual Psychotherapy Partial Hospitalization Psychotherapeutic Processes PTSD Rape Survivors Young Adults
237. Madrid, A., Skolek, S., & Shapiro, F. (2006, October). Repairing failures in bonding through EMDR. Clinical Case Studies, 5(4), 271-286. doi:10.1177/1534650104267403.
Language: English
Format: Journal
Abstract:
Maternal-infant bonding is an intense emotional tie between mother and infant that often begins during pregnancy and continues after birth. Prolonged physical separation from one's infant or traumatic interference can sometimes impede this process, leading to a lack of bonding. Whereas many medical procedures and illnesses can cause mother and child to become separated immediately after birth and affect bonding, other causes of emotional separation may be somewhat more difficult to identify. Nevertheless, maternal trauma has been identified as one such form of emotional separation that can interfere with bonding. This article illustrates the application of Eye Movement Desensitization and Reprocessing (EMDR) for addressing bonding difficulties related to trauma issues. EMDR is an integrative psychotherapy that uses a standardized eight-phase approach to treatment and is a well-accepted treatment for trauma. Although more research is needed, this case suggests that EMDR may be an appropriate and efficient treatment for bonding difficulties. [Author Abstract]
Keywords: Attachment Behavior Bonding Failures Case Report Clinical Case Study Females Integrative Psychotherapy Maternal Infant Bonding Maternal Mother Child Relations Separation Reactions Parenting Behavior Physical Separation Pregnancy Stressors Survivors Trauma
238. Masson, J. (2005). L’outil EMDR en alcoologie: Reflexions theoriques et cliniques [EMDR in alcoology: Theoretical and clinical reflections]. Psychotherapies, 25(2) 117-123. doi:10.3917/psys.052.0117..
Language: French
Format: Journal
Abstract:
La méthode EMDR, conçue et développée par Shapiro, est une psychothérapie qui, selon les études les plus récentes (Inserm, 2004), peut être efficace dans la résolution des troubles de stress post-traumatique (SSPT). Son auteur pense qu'il s'agit d'un traitement qui est en même temps, relationnelle, intrapsychique, cognitive, comportementale et corporelle. La thèse principale de cette approche est fondée sur l'idée que les souvenirs des expériences passées physiologique est la clé pour comprendre le comportement, la personnalité et le processus psychologique. objectif de cet article est de décrire cet outil thérapeutique en tenant compte des principaux aspects théoriques sous-jacents et à réfléchir sur son utilisation pour les alcooliques qui souffrent du SSPT. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
The EMDR method, conceived and developed by Shapiro, is a psychotherapy which, according to most recent studies (Inserm, 2004), can be effective in the resolution of post traumatic stress disorders (PTSD). Its author thinks of it as a therapy that is at the same time relational, intrapsychic, cognitive, behavioral and corporal. The main thesis of this approach is based on the idea that physiological memories of past experiences is the key to understanding behavior, personality and psychological process. This article's aim is to describe this therapeutic tool by considering the principal subjacent theoretical aspects and to reflect on its use for alcoholics suffering from PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Alcoholism Evaluation Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Psychotherapy Secondary Alcoholism Treatment Effectiveness
239. Matthess, H., & Moellering, A. (2007, May). Supervison of psychotherapy with traumatized patients EMDR I. Presentation at the PreCongress, Chinese–German Congress on Psychotherapy, Shanghai, China.
Language: English
Format: Conference
Keywords: Supervision
240. Maxfield, L. (2007). Integrative treatment of intrafamilial child sexual abuse. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 344-364). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter discusses childhood sexual abuse (CSA); the role of the family after disclosure; theoretical conceptualizations; and family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of CSA. A combination of family therapy and EMDR can provide thorough comprehensive treatment for the child and nonoffending family members. The integrated treatment process developed by this author has four stages, as further discussed here. To simplify, the family situation is configured as a nonoffending protective mother with a child abused by the mother's husband or live-in boyfriend. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Childhood Sexual Abuse Family Systems Theory Family Systems Therapy Family Therapy Integrative Psychotherapy Integrative Treatment Sexual Abuse
241. Maxfield, L. (2002, January). An eye on EMDR, does controversial trauma therapy really work? Pro: Effective treatment for PTSD [and] Con: No miracle cure. Parkhurst Exchange, 10(1), 24-25.
Language: English
Format: Other
Abstract:
Eye movement desensitization and reprocessing (EMDR) is an integrative psychotherapy developed to treat traumatic memories. Numerous randomized clinical trials support is use for the rapid elimination of posttraumatic stress disorder (PSTD). Research reports a drop in diagnostic status of 50-90% after three to eight sessions, and significant decreases in symptoms with effects maintained at follow-up. After successful treatment, emotional distress is relieved, negative beliefs are reformulated, and physiologic arousal is reduced. EMDR's probably effiacy has been recognized by the Clinical Psychology Division of the American Psycholpgical Association and the International Society for Traumatic Stress Studies.
Keywords: Efficacy Integrative Psychotherapy Posttraumatic Stress Disorder PTSD Trauma
242. Maxfield, L. (2002, June). The influence of methodological variables on outcome in psychotherapy research. Panel discussion (L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context) at the (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA.
Language: English
Format: Conference
Abstract:
Although there is consensus that EMDR is efficacious in the treatment of PTSD, different studies have achieved a range of results. This presentation reviews a methodological meta-analysis that found a significant positive correlation between effect size and ratings of methodological rigor. Specific client, therapist, and methodological factors were identified in the analysis as accounting for some of the disparities in outcome. These variables are examined, and include the over-all rigor of the study, qualities of the assessor, treatment fidelity, symptom severity, and appropriate course of treatment. Implications for interpreting research outcomes are discussed, and recommendations are made for future research. The scale for assessing methodological variables was adapted from Foa and Meadows (1997), and the analysis suggests modifications and additions to improve the measurement of methodology.
Keywords: Methodology Outcome Research
243. Maxfield, L. (2001, March 23). Politicizing psychotherapy. Thunder Bay, Canada: The Globe and Mail, Letter to the Editor, A14.
Language: English
Format: Newspaper
Abstract:
In Less Than Meets The Eye (letter - March 16), Timothy Moore and James Alcock stated that EMDR's "enormous popularity as a treatment for anxiety disorders appears to have greatly outstripped the research evidence adduced for its efficacy." Although it is indisputable that the reasons for the effectiveness of eye-movement therapy (and all psychotherapies) are currently unknown, there is little debate about its efficacy in treating post-traumatic stress disorder. The only psychotherapies recognized by the International Society for Traumatic Stress Studies for treating PTSD are cognitive behavioural therapy and EMDR.
Keywords: Letter
244. Maxfield, L., & Melnyk, W. (2000, April). Single session treatment of test anxiety with eye movement desensitization and reprocessing (EMDR). International Journal of Stress Management, 7(2), 87-101. doi:10.1023/A:1009580101287.
Language: English
Format: Journal
Abstract:
One session of Eye Movement Desensitization and Reprocessing (EMDR) appeared to be an effective treatment for test anxiety, reducing reported physiological distress, worry, and fears of negative evaluation. The research design included two components: a comparison study, comparing Immediate Treatment and Wait List groups, and a replication study comparing the treatment response of Immediate and Delayed (Treated Wait List) groups. 17 test anxious university students were randomly assigned to one session of EMDR or Wait List. At post-test, the Immediate group demonstrated significant improvement, compared to the Wait List group, on the Test Anxiety Inventory (TAI) and Fear of Negative Evaluation Scale. Treatment effects were maintained at follow-up. The Wait List group received treatment after post-measures were taken. Treatment of the Delayed group replicated effects. Improvement was reflected by large treatment effect sizes and a decrease in percentile ranking on the TAI from the 90th to the 50th percentile (Pilots).
Keywords: Anxiety Disorders Brief Psychotherapy College Students Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Random Clinical Trial RCT Stressors Survivors Test Anxiety Treatment Effectiveness Treatment Outcome
245. McCullough, L. (2002, December). Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: Research questions and speculations. Journal of Clinical Psychology, 58(12), 1531-1544. doi:10.1002/jclp.10103.
Language: English
Format: Journal
Abstract:
This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" responses and examined in relationship to (a) the number of EMDR sets, (b) patient Global Assessment of Functioning Rating (GAF) scores, and (c) raw change in Subjective Units of Distress (SUD) ratings of severity of traumatic memory and Validity of Cognition (VoC) ratings of positive cognitions before and after EMDR sessions. Further subcategorization and development of the broad categories of trauma and resolution were recommended and may be useful in shedding light on how change happens in EMDR. This study was exploratory and attempted only to identify possible variables for further study. However, the results show potential relationships among variables that merit further refinement and study. Research questions generated from this study are discussed. [Author Abstract]
Keywords: Effects Empirical Study Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Research Needs Stressors Survivors Treatment Effectiveness
246. McCullough, L., & Andrew, S. (2000, September). Integrating short term dynamic psychotherapy and EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) name the three main components of Malan's conceptual schema of the "Universal Principle of Psychodynamic Psychotherapy" in Short Term Dynamic Psychotherapy: The Two Triangles; 2) describe how EMDR interfaces well with short-term dynamic models of therapy; and 3) describe how exposure to conflicted feelings can be enhanced by EMDR and used to solve "small-t" traumas.
Keywords: Psychoanalytic Psychotherapy PTSD Stressors Survivors Effects Treatment Effectiveness Research Needs Malan Universal Principles of Psychodynamic Therapy Two Triangles Small t Trauma
247. McLean, P. D., & Woody, Sheila, R. (2001). Posttraumatic stress disorder. In P. D. McLean & S. R. Woody (Eds.), Anxiety disorders in adults: An evidence-based approach to psychological treatment (pp. 205-241). New York: Oxford University Press.
Language: English
Format: Book Section
Abstract:
Description and conceptualization (phenomenology; diagnostic trends; prevalence and course); Theoretical perspectives; Assessment (diagnosis; assessment of symptoms; assessing contextual factors: social support, cognitive distortions, avoidant coping, multiple trauma history, occupational adjustment, physical history/pain/litigation; case formulation); Treatment models and guidelines (cognitive behavioral therapy for PTSD: education, exposure, cognitive control, cognitive restructuring, relaxation training; specific types of trauma: sexual assault, motor vehicle accident, combat; pharmacological treatment for PTSD; eye movement desensitization and reprocessing [EMDR]; client-treatment matching; minimal vs. optimal interventions; common problems: noncompliance due to fear and avoidance, comorbidity, medical and litigation complications; treatment outcome evaluation and life planning). [Pilots]
Keywords: Adults Evidence Based Treatment Posttraumatic Stress Disorder Psychotherapy PTSD
248. McNally, R. J. (1999, November-December). On eye movements and animal magnetism: A reply to Greenwald's defense of EMDR. Journal of Anxiety Disorders, 13(6), 617-620. doi:1http://dx.doi.org/10.1016/S0887-6185(99)00020-1.
Language: English
Format: Journal
Abstract:
In his commentary on my article comparing Eye Movement Desensitization and Reprocessing (EMDR) with animal magnetism therapy, Greenwald (this issue) expresses several criticisms. Unable to refute a single factual statement, he resorts to attacking my rhetorical style. The purpose of this reply is to rebut his critique. [Author Abstract]
Keywords: Franz Anton Mesmer Professional Criticism Reply Psychotherapy Treatment Effectiveness
249. Meignant, M. (2007, July). Loving with EMDR. International Journal of Psychotherapy, 11(Part 2), 71-76.
Language: English
Format: Journal
Abstract:
This is a personal perspective about the benefits of an increasingly popular technique in psychotherapy. EMDR is becoming an accepted adjunct to Cognitive Behavioural Therapy, Psychoanalytic Therapy, Humanistic Therapy and any methods. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Behavior Therapy Humanism Humanistic Psychoanalysis Psychotherapy
250. Melbeck, H. H. (2004, Juni). Posttraumatische belastungsstörung, stressphysiologie station und psychotherapie und itinerant behandlungsansätze [Posttraumatic stress disorder, stress physiology and psychotherapy: Trauma-therapy with in-and out-patients]. Analytische Psychologie, 35 (136) 144-181.
Language: German
Format: Journal
Abstract:
Der Artikel gibt einen Überblick über die Folgen psychischen seelischer Belastungen oder durch aktuelle high Trauma. Nach einem historischen Abriss werden die posttraumatische Belastungsstörung (PTBS) und andere Traumafolgestörungen Symptomatik in Diagnostik und dargestellt. Dabei findet auch die Berücksichtigung Stress-und Neurophysiologie. Es folgt die Darstellung eines integrativen Behandlungskonzeptes in dem Analytische Aspekte, körpertherapeutische Neuere Entwicklungen sowie Behandlungsansätze gestaltungstherapeutische und wie sind verknüpft EMDR. Zum Schluss wird versucht, den Bogen von den modernen Vorstellungen zum neurophysiologischen Traumabegriff bei C. G. Jung und zu seiner Komplextheorie zu schlagen.
The article gives an overview of the Psychological Effects of emotional distress by recent or old traumas. After a historical outline the posttraumatic stress disorder (PTSD) and other trauma-related disorders, Their symptomatology and diagnostics are presented. The stress-and neurophysiology Will Be Taken Into Account. This is Followed by the description of an integrative therapy concept, Analytical Aspects That merges with body therapy and art therapy as well as newer Developments as EMDR. At the end it will be tried to the modern neurophysiologically shaped Paradigms Relate to the ideas of trauma at C. G. Jung, Especially to His complex theory.
Keywords: Emotional Trauma Multimodal Treatment Approach Neurophysiology, Physiology, Posttraumatic Stress Disorder, Psychological Stress PSTD
251. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2012). Treatment of PTSD in people with severe intellectual disabilities: A case series. Developmental Neurorehabilitation, 15(3), 223-232 doi:10.3109/17518423.2011.654283.
Language: English
Format: Journal
Abstract:
Objective: There is a dearth of information regarding the treatment of PTSD in people with severe intellectual disabilities (ID). The purpose of the present case studies was to assess the applicability and effects of an evidence-based treatment method for psychological trauma with this population. Methods: The treatment of four single cases with Eye Movement Desensitization and Reprocessing (EMDR) was evaluated. Participants included adults and children with a variety of symptoms, as well as different histories of negative life events. Results: In all cases PTSD symptoms decreased. In all but one case, the gains were maintained at 15.5 months to 2.5 years following treatment. Depressive symptoms and physical complaints diminished and social and adaptive skills improved. Conclusion: EMDR seems to be an applicable treatment method for clients with severe ID. Reduction and maintenance of PTSD symptoms in individuals with severe ID appears to be both desirable and obtainable.
Keywords: Case Study Intellectual Disabilities Posttraumatic Stress Disorder PTSD Psychotherapy Trauma Treatment
252. Miti, G. (2003, May). Psychotherapy of dissociative disorders: New strategies and new techniques in a new perspective. In Dissociation and theoretical methods. Symposium conducted at the annual meeting of the EMDR Europe Assocation, Rome, Italy.
Language: English
Format: Conference
Keywords: Dissociation Symposium
253. Miti, G., & Onofri, A. (2011, Guigno). La psicoterapia dei disturbi dissociativi: Dalle tecniche cognitivo-comportamentali all'approccio EMDR [Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach]. Cognitivismo Clinico, 8(1), 73-91 .
Language: Italian
Format: Journal
Abstract:
Gli Autori illustrano i princìpi fondamentali nel trattamento dei Disturbi Dissociativi, nell’ottica della psicoterapia cognitivo-evoluzionista. Descrivono la cosiddetta “Terapia per fasi”, caratterizzata dalla iniziale ricerca della stabilizzazione del paziente e da una riduzione sintomatologica; quindi da una fase centrale di elaborazione dei traumi relazionali e complessi considerati frequentemente alla base degli stati dissociativi; infine dalla integrazione e ricerca di una “crescita post-traumatica”. Gli Autori prendono in esame le diverse strategie e tecniche più frequentemente utilizzate, da quelle legate al lavoro terapeutico sul corpo ai gruppi di mutuo aiuto, dalla psicofarmacologia all’ipnosi. Una parte significativa dell’articolo è dedicata all’uso dell’approccio EMDR nel trattamento degli stati dissociativi.
The Authors show the fundamental principles in the treatment of the Dissociative Disorders, in the perspective of the Cognitive-Evolutionary Psychotherapy. They describe the so called “Staged Therapy”, characterized by a starting phase toward the stabilization of the patient and the symptomatology’s reduction; by a central phase of processing of the relational and complex traumas often grounding the dissociative states; and then by an integration and a “post-traumatic growing”. The Authors examine the different strategies and techniques, most frequently used, from the therapeutical body work till self-help groups, from psychopharmacology till hypnosis. A significant part of the article show the importance of the EMDR approach in the treatment of dissociative states.
Keywords: Dissociative Disorders
254. Monaco, M. V. (2000). EMDR, meditation and hypnosis: a model for brief psychotherapy. Argosy University, Chicago, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Hypnosis Meditation Psychotherapy
255. Monteiro, A. M. (2012, September). Conquistas na Psicoterapia: Estudos de caso com EMDR [Conquists in Psychotherapy: Case studies with EMDR]. Associação Brasileira de EMDR, Brasilia.
Language: Portuguese
Format: Book
Abstract:
Este livro de casos descreve sessões por diferentes autores/terapeutas que utilizaram a nova abordagem psicoterapêutica, EMDR (Eye Movement Desensitization and Reprocessing) para tratar seus clientes. Cada caso contem a história do cliente, o manejo clínico e os resultados - muitas vezes surpreendentes pela rapidez e eficácia de resolução. Trata-se do primeiro livro de casos de EMDR publicados por autores brasileiros.
This book describes cases of sessions by different authors / therapists who used the new approach psychotherapy, EMDR (Eye Movement Desensitization and Reprocessing) to treat their customers. Each case contains client history, clinical management and outcomes - often surprising the speed and efficiency of resolution. This is the first book-case EMDR published by Brazilian authors.
Keywords: Case Study
256. Moore, J. (2012, July 5). Nontraditional psychotherapy shows promising results for some. News 3, KSNV-TV NBC. Retrieved from http://www.mynews3.com/content/news/story/Nontraditional-psychotherapy-shows-promising/NBzYtGckRkiQWm1as7DXeg.cspx on 7/14/2012.
Language: English
Format: Other
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a fairly new, nontraditional type of psychotherapy. It's growing in popularity, particularly for treating post-traumatic stress disorder. PTSD often occurs after experiences such as military combat, physical assault, rape, or car accidents.
257. Moore, R. H., Dryden, W., Frater, A., Volkman, M., Volkman, V. R., & Gerbode, F. A. (2004). Integrating therapies. In V. R. Volkman (Ed.), Beyond conversations on traumatic incident reduction (pp. 155-179). Ann Arbor, MI: Loving Healing Press. ix, 292 pp.
Language: English
Format: Book Section
Abstract:
"TIR and Rational Emotive Behavioral Therapy (REBT): A Conversation with Robert H. Moore, Ph.D" / Robert H. Moore / Moore, who is well-versed in Rational Emotive Behavioral Therapy (REBT) provides insights on how lessons learned from TIR can influence an REBT practice. /// "A Conversation with Windy Dryden, Ph.D" / Windy Dryden / Dryden also describes integration of REBT with TIR. /// "Using TIR in a Psychotherapy Practice: A Conversation with Alex Frater" / Alex Frater / Frater describes the use of TIR, REBT, and Thought Field Therapy in a psychotherapy practice. /// "TIR and EFT: A Practitioner's Perspective A Conversation with Marian Volkman" / Marian Volkman / Volkman describes the use of TIR and EFT (emotional freedom technique) in her private practice. /// "TIR and EMDR: Notes from the Field" / Victor R. Volkman / Describes similarities and differences in TIR and EMDR. /// "Comparing TIR and Other Techniques" / Frank A. Gerbode / Gerbode compares TIR with other techniques, such as EMDR, V/KD, DTE (direct therapeutic exposure), and TFT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Behavior Therapy Cognitive Therapy Counseling Multimodal Treatment Approach EFT Emotional Freedom Therapy Emotional Trauma Integrative Psychotherapy Integrative Therapy Rational Emotive Behavior Therapy Reduction Psychotherapeutic Processes Psychotherapeutic Techniques Psychotherapy TFT Thought Field Therapy TIR Traumatic Incident Visual/Kinesthetic Dissociation V/KD
258. Mosconi, A., Pezzolo, M., & Trotta, B. (2012, June). EMDR y terapia sistemica - Puntos de conexión, relectura e integración en el proceso terapéutico [EMDR and systemic psychotherapy - Connection points, new interpretations and integrations in the therapeutic process]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: Spanish
Format: Conference
Abstract:
En el aproche sistémico-relacional del Milán Model, el primer paso para la introducción de un cambio sea al interno de un contexto de terapia individual sea de pareja y/o familiar, es la construcción junto al paciente/sistema familiar de una Hipótesis Sistémica relativo al problema llevado. Tal proceso proporziona
la exploración en profundidad sea sincrónica sea
diacrónica de los contextos relacionales generadores del problema.
La hipótesis con respecto al sistema Relacional coconstruida
en el proceso terapéutico, toca temas
específicos a través de el uso de precisas técnicas locuaces.
Los pilastros de la hipótesis cumplen las dimensiones descritas en el cuadrilátero sistémico en el cual el problema del paciente está conectado en un proceso recursivo a los aspectos interpersonales del contexto de pertenencia.
In the systemic-relational approach of Milan Model, the first step to the introduction of a change both within the context of individual therapy and couple/family one
consists of outlining a Systemic Hypothesis on the given problem together with the patient/family system. This
process involves both synchronic and diachronic indepth exploration of the relational contexts representing the problem generators.
The hypothesis referred to the relational system, outlined together during the therapeutic process, touches specific subjects through the use of specific conversational techniques.
The pillars of the hypothesis comply with the dimensions highlighted in the Systemic Quadrilateral where the problem of the patient is connected to a process related to the interpersonal aspects of his environment.
Keywords: Poster Systemic Psychotherapy
259. Munnukka-Dahlqvist, M. (2004, June). Integrating EMDR in psychotherapy treating complex trauma in a client with previous long-term psychotherapies. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract: Keywords: Complex Trauma Symposium 260. Newman, M. (1997). Treatment of adults: Eye movement desensitization. In In D. Black, M. C. Newman, J. M. Harris-Hendriks & G. C. Mezey (Eds.), Psychological trauma: A developmental approach (pp. 278-280). London: Gaskell. Language: English Format: Book Section Abstract: Keywords: Adults Behavior Therapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Survivors 261. Nicolai, N. (2003). Handboek psychotherapie na seksueel misbruik [Handbook psychotherapy after sexual abuse]. Utrecht: De Tijdstroom. Language: Dutch Format: Book Keywords: Sexual Abuse 262. Nicosia, G. J. (1994, March). The quantitative analysis of EEG representing a localized psychogenic amnesia and its resolution by eye movement desensitization and reprocessing
psychotherapy. Presentation at the EMDR Network Conference, Sunnyvale, CA. Language: English Format: Conference Keywords: Posttraumatic Stress Disorder Psychogenic Amnesia PTSD QEEG 263. Nijdam, M, J., Olff, M., & Gersons, B. (2009, November). EMDR versus brief eclectic psychotherapy in the treatment of PTSD: A randomized clinical trial. In M. Olff, J. J. Ter Heide, M. J. Nijdam, & S. Guay (Chairs), Advances in evidence-based treatment for PTSD. Symposium conducted at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Eclectic Therapy Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Symposium 264. Nijdam, M. (2009, June). EMDR vs brief eclectic psychotherapy in the treatment of PTSD: A RCT. In A. de Jongh (Chair), PTSD research. Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands. Language: English Format: Conference Keywords: Brief Eclectic Posttraumatic Stress Disorder Psychotherapy PTSD: RCT Research Symposium 265. Nijdam, M. (2009, June). Brief eclectic psychotherapy versus eye movement desensitization and reprocessing therapy in the treatment of posttraumatic stress disorder: A randomized clinical trial. In treatment issues (J. de Jong, Chair). Presentation at the 11th Annual European Conference on Traumatic Stress, Oslo, Norway. Language: English Format: Conference Keywords: Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD Randomized Clinical Trial 266. Nijdam, M. J., Gersons, B. P. R., Reitsma, J. B., de Jongh, A., & Olff, M. (2012, March). Brief eclectic psychotherapy v. eye movement
desensitisation and reprocessing therapy for post-traumatic stress disorder: Randomised controlled trial. British Journal of Psychiatry, 200(3), 224-231. doi:10.1192/bjp.bp.111.099234. Language: English Format: Journal Abstract: Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PSTD Randomized Controlled Trial 267. Nijdam, M., de Vries, G.-J., Gersons, B., & Olff, M. (2011, June). Verbal memory as a predictor of treatment outcome in brief eclectic psychotherapy
for PTSD and EMDR. Symposium at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. Language: English Format: Conference Keywords: Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD Symposium Treatment Outcome Verbal Memory 268. Nijdam, M., Olff, M., & Gersons, B. (2005, November). Effects of psychotherapy on neuropsychological
performance in PTSD. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON. Language: English Format: Conference Abstract: Keywords: Neurobiological Performance Poster Posttraumatic Stress Disorder PSTD 269. Nijdam, M., Olff, M., & Gersons, B. (2006, November). Posttraumatic growth and posttraumatic
cognitions in response to trauma-focused
psychotherapy. Poster presented at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA . Language: English Format: Conference Abstract: Keywords: Cognitions Poster Posttraumatic Growth Inventory 270. Nijdam, M., Pol, M. V. D., Dekens, R., Olff, M., & Denys, D. (2013). Treatment of sexual trauma dissolves contamination fear. European Journal of Psychotraumatology, 3(0). doi:10.3402/ejpt.v4i0.19157. Language: English Format: Journal Abstract: Keywords: Combined Treatment Comorbidity Obsessive Compulsive Disorder OCD Pharmacological Treatment Posttraumatic Stress Disorder Psychotherapy PTSD 271. Nijdam, N. J., Gersons, B. P. R., Reitsma, J. B., de jongh, A., & Olff, M. (2012). Psychotherapie voor posttraumatische stressstoornis: Directe vergelijking van twee
behandelingen [Psychotherapy for posttraumatic stress disorder: Direct comparison of two treatments]. Tijdschrift voor Psychiatrie, 54(4), 397-398. Language: Dutch Format: Journal Abstract: Keywords: CBT Cognitive Behavioral Therapy Research 272. Norcross, J. C. (2007, September). Psychotherapy relationships that work: Evidence-based practices in EMDR. Presentation at the annual meeting of the EMDR International Assocation, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Evidence-Based Practices 273. Norcross, N. C., & Shapiro, F. (2002). Integration and EMDR. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 341-356). Washington, DC: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Psychotherapy Psychotherapy Integration 274. Norgate, K. (2012, October/November). EMDR for post-traumantic stress and other psychological trauma. Nursing Times, 10(44), 24-26. Language: English Format: Magazine Abstract: Keywords: Adolescents Female Posttraumatic Stress Disorder Psychotherapy PTSD 275. O'Malley, O. (2010, March). Integrating EMDR mindfulness & sensorimotic psychotherapy. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Watch Wait and Wonder Approach WWW Approach 276. Offen, L., Sterkenburg, P.. S., & Mevissen-Renckens, L.
(2008, August). Mental health - EMDR therapy and psychotherapy and ID. Presentation (Moderator, A. Jahoda) at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa. Language: English Format: Conference Keywords: Intellectual Disabilities 277. Offen, L., Walker, R., & Freeman, A. (2008, August). Birmingham psychotherapy service for people with ID: 8 years on. In Symposium: EMDR therapy and psychotherapy and ID presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa. Language: English Format: Conference Abstract: Keywords: Adolescents Adults Children ID Intellectual Disabilities Symposium 278. Onofri, A., & Tombolini, L. (2006). Pensare la mente. EMDR e psicoterapia cognitivo-evoluzionista [Thinking mind. EMDR and cognitive-evolutionary psychotherapy]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie 1e edizione, (pp. 249-276). Milano, Italy: McGraw-Hill. Language: Italian Format: Book Section Keywords: Cognitive-Evolutionary Psychotherapy 279. Oren, U. (2008, Novembre). Ruolo dell'EMDR nel campo della psicoterapia in ambito europeo [Role EMDR in psychotherapy in Europe]. Plenaria presentato le applicazioni cliniche di EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: 280. Oz, S. (2005). The "wall of fear": The bridge between the traumatic event and trauma resolution therapy for childhood sexual abuse survivors. Journal of Child Sexual Abuse, 14(3), 23-47. doi:10.1300/J070v14n03_02. Language: English Format: Journal Abstract: Keywords: Child Abuse Rape Survivors Effects Psychotherapeutic Processes Adults Body Psychotherapy TIR Traumatic Incident Reduction 281. Pagani, M. (2010, Settembre). Effetti neurobiologici della psicoterapia del trauma [Neurobiological effects of psychotherapy of trauma]. In L. Ostacoli (Proponente) L'EMDR: Un Approccio psicoterapico a Ponte psiche TRA neurologia e, Simposio condotto presso XII Congresso Nazionale della Sezione di Psicologia Clinica e Dinamica, Torino, Italia. Language: Italian Format: Conference Keywords: Neurobiology 282. Pagani, M., Hogberg, G., Salmaso, D, Tarnell, B., Nardo, D., Sundin, Ö., Jonsson, C., Soares, J., Aberg-Wistedt, A., Jacobsson, H., Larsson, S.A., Hällström, T. (2007, October). Effects of EMDR psychotherapy on 99mTc-HMPAO distribution in occupation-related post-traumatic stress disorder. Nuclear Medicine Communications, 28(10), 757-765. doi:10.1097/MNM.0b013e3282742035. Language: English Format: Journal Abstract: Keywords: 99mTc-HMPAO Posttraumatic Stress Disorder PTSD 283. Pagani, M., Nardo, D., Flumeri, F., Salmaso, D., Looi, J., Sanchez-Crespo, A., Larsson, S. A., Sundin, Ö., & Hogberg, G. (2009, January). Volumetric changes in PTSD and in a subgroup of PTSD patients not responding to EMDR psychotherapy. Poster presented at the 17th European Congress of Psychiatry, Lisbon Portugal. Language: English Format: Conference Keywords: Poster Posttraumatic Stress Disorder PTSD 284. Pagani, M., Nardo, D., Flumeri, F., Salmaso, D., Looi, J., Sanchez-Crespo, A., Larsson, S.A., Sundin, Ö., Hogberg, G., & Bejerot, S. (2009, January). P03-58 Volumetric changes in PTSD and in a subgroup of PTSD patients not responding to EMDR psychotherapy. European Psychiatry, 24(Supplement 1), S1057-S1057. doi:10.1016/S0924-9338(09)71290-8. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD 285. Pagani, M., Nardo, D., Flumeri, F., Salmaso. D., Looi, J., Sanchez-Crespo, A., Larsson, S. A., Sundin, Ö., Hogberg, G., Bejerot, S. (2009, January). PW04-01 Volumetric changes in PTSD and in a subgroup of PTSD patients not responding to EMDR psychotherapy. European Psychiatry, 24(Supplement 1), S355. doi:10.1016/S0924-9338(09)70588-7. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PSTD 286. Paquette, C. (1997, October 26). New type of psychotherapy seen as boon to traumatic disorders. New York, NY: The New York Times. Retrieved on 1/3/2009 from http://query.nytimes.com/gst/fullpage.html?res=9F03E1DE123EF935A15753C1A961958260&sec=&spon=&pagewanted=3.Times. Language: English Format: Newspaper Abstract: Keywords: David Grand General New York Overview 287. Parnell, L. A. (2007, September). EMDR as a transpersonal psychotherapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Transpersonal Psychotherapy 288. Pasternak, J. (2009). Skuteczność terapii odwrażliwiania za pomoca̧ ruchów gałek ocznych (EMDR) u leczonych ambulatoryjnie pacjentów z zaburzeniem stresowym pourazowym [Eye movement desensitization and reprocessing effectiveness in outpatient psychotherapy for posttraumatic stress disorder]. Postepy Psychiatrii i Neurologii, 18(3), 247-254
. Language: Polish Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD 289. Paulsen, S. L. (2006, November). ACT-AS-IF and ARCHITECTS approach to utilizing ego state therapy, somatic psychotherapy and EMDR with highly dissociative clients. Presentation at the annual meeting of the International Society for the Study of Trauma & Dissociation, Los Angeles, CA. Language: English Format: Conference Keywords: Act-As-If Architects Dissociation Ego State Therapy Somatic Psychotherapy 290. Paulsen, S. L. (2006, April). Giving the body a voice with EMDR, ego state therapy and somatic psychotherapy. Presentation at 11th Annual Northwest Regional Conference on Trauma Disorders Conference, Lake Chelan, WA. Language: English Format: Conference Abstract: Participants will be able to 1) Identify three skills to observe bodily held trauma material, 2) Analyze a model of transforming trauma through
resources, and 3) Identify a hypnoprojective method for bringing somatically held material into conscious mind. Keywords: Ego State Therapy Somatic Psychotherapy 291. Paulsen, S. L., & Stanley, S. A. (2005, November). Giving the body a voice: How EMDR, ego state therapy, somatic experiencing and indigenous healing methods can cure somatic dissociation. Presentation at the annual meeting of the International Society for the Study of Dissociation, Toronto, Ontario Canada. Language: English Format: Conference Keywords: Ego State Therapy Indigenous Healing Somatic Dissociation Somatic Psychotherapy 292. Paulsen, S. L., & Watkins, J. G. (2005, November). Best techniques from the armamentarium of hypnoanalytic, EMDR, somatic psychotherapy and cognitive behavioral methods. Presentation at the annual meeting of the International Society for the Study of Dissociation. Fall Conference, Toronto, Canada. Language: English Format: Conference Keywords: Best Techniques 293. Peters, E., Wissing, M. P., & du Plessis, W. F. (2002, June). Implementation of EMD(R) with cancer patients: Research. Health SA Gesondheid, 7(2), 100-109. Language: English Format: Journal Abstract: Keywords: Cancer Enhancement of Well-Being Psycho-Oncology Psychotherapy Stress Reduction 294. Phillips, M. (2001, June). EMDR and the body. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Body Awareness Body Felt Sense Body-Focused Psychotherapy Body Learnings Body Safe Place Sensory Discrimination Symbolization 295. Phillips, M. (2000). Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help restore mindbody health. (1st ed.) New York: Norton. Language: English Format: Book Abstract: Keywords: Body Psychotherapy Cognitive Therapy Ego State Therapy Hypnotherapy Stressors Survivors TFT: Thought Field Therapy 296. Plassmann, R. (2005, June). Inpatient psychotherapy with EMDR for patients with eating disorders. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Eating Disorders Symposium 297. Plassmann, R. (2007, November). Psychotherapie traumatisierter patienten: Die arbeit mit der bipolaren EMDR-technik [Psychotherapy of traumatized patients: Working with bipolar technique EMDR]. Trauma und Gewalt, 1(4), 312-321. Language: German Format: Journal Abstract: Keywords: Bipolar Psychoanalysis Psychoanalytic Psychotherapy Psychotherapeutic Processes Stressors Survivors Trauma Treatment 298. Plassmann, R. (2007, September). Prinzipien mentaler reorganisation: Grundlagen prozessorientierter psychotherapie [Principles of mental reorganization: Fundamentals of process-oriented psychotherapy]. Psychotherapeutishchen Zentrums Bad Mergentheim. Language: German Format: Other Abstract: Keywords: Process Oriented Psychotherapy 299. Plassmann, R. (2005, September). Stationare psychotherapie mit EMDR bei patientinnen mit anorexie und bulimie [Inpatient psychotherapy with EMDR in patients with anorexia and bulimia]. Vortrag auf der 13th International Conference on Eating Disorders, Innsbruck, Österreich. Language: German Format: Conference Abstract: Ein traumatherapeuisches Konzept fur die stationare Psychotherapie von Patientinnen mit Essstorungen (Anorexie und Bulimie) wird vorgestellt. Die Behandlung ist aufgebaut in 4 Phasen (Stabilisierung, Ressourcenorganisation, Exposition, Neuorientierung). Neue methodische Elemente sind die aktive Selbstatabilisierung und die Integration von EMDR. Durch diese traumatherapeutische Konzeption haben sich die Behandlungsergebnisse sehr verbessert. Vorgestellt wird die Auswertung von insgesamt 174 abgeschlossenen stationaren Psychotherapien. Keywords: Anorexia Bulemia Eating Disorders 300. Plassmann, R. (2004, Februar). Psychotherapie traumatisierter patienten. Die Arbeit mit bipolarem EMDR [Psychotherapy of traumatized patients. Work with bipolar EMDR]. Vortrag auf der Tagung der Landesärztekammer Stuttgart. Language: German Format: Other Abstract: Keywords: Bipolar Disorders 301. Plassmann, R. (2005). Psychotherapie traumatisierter patienten: Das bipolare grundprinzip, die integration
von EMDR [Psychotherapy of traumatized patients: The bipolar rationale, the integration of EMDR]. Vortrag auf der DGPM-Jahrestagung LV Hessen. Language: German Format: Book Keywords: Rationale 302. Plassmann, R. (2008). Stationäre psychotherapie mit essgestörten patientinnen: Die bipolare EMDRTechnik [Inpatient psychotherapy patients with eating disorders: The bipolar EMDR technique]. In C. Rost, Ressourcenarbeit mit EMDR (Seite 121-140) Junfermann Verlag, Paderborn. Language: German Format: Book Section Abstract: Keywords: Bipolar Disorder Inpatient Psychotherapy 303. Plassmann, R. (2004). Psychotherapie der Essstörungen: Das bipolare Prinzip der Traumatherapie [Psychotherapy of the eating disorders: the bipolar principle of trauma therapy]. In P. Geissler, (Hrsg.): Was ist Selbstregulation? (Seite 247–271) Psychosozial-Verlag. Language: German Format: Book Section Abstract: Keywords: Eating Disorders 304. Plassmann, R. (2008). Stationare psychotherapie mit essgestorten patientinnen: Die bipolare EMDR-technik [Stationary psychotherapy patients with essgestorten: Bipolar EMDR technology]. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp. 121-140). Paderborn: Junfermann. Language: German Format: Book Section Keywords: Bipolar Disorder 305. Plassmann, R. (2009). Psychotraumatologie der essstorung [Psychotherapy of eating disorders]. In R. Plassmann (Hg.), Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten - [In our own rhythm, the EMDR treatment of eating disorders, attachment disorders, (pp. 33-55). Giessen, Germany: Psychosozial-Verlag. Language: German Format: Book Section Keywords: Eating disorders 306. Pocock, D. (2011, November). The promise of EMDR in family and systemic psychotherapy: A clinical complement to Field and Cottrell. Journal of Family Therapy, 33(4), 389-399. doi:10.1111/j.1467-6427.2011.00547.x. Language: English Format: Journal Abstract: Keywords: Integration Psychotherapy Systems Trauma 307. Power, K. G., McGoldrick, T., & Brown, K. W. (1999). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring versus waiting list in the treatment of posttraumatic stress disorder. Report to the Scottish Home and Health Department, Edinburgh, Scotland. Language: English Format: Publication Keywords: Adults Brief Psychotherapy British Cognitive Therapy Exposure Therapy Females Males Posttraumatic Stress DIsorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness 308. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2002, August). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring, versus waiting list in the treatment of post traumatic stress disorder. Journal of Clinical Psychology and Psychotherapy, 9(5), 299-318. doi:10.1002/cpp.341. Language: English Format: Journal Abstract: Keywords: Adults Brief Psychotherapy British Cognitive Therapy Exposure Therapy Females Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness 309. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Sexologie, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 . Language: English Format: Journal Abstract: Keywords: Dyspareunia Dysesthetic Vulvodynia Sexual Pain Sexological Techniques 310. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007, July-September). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: Un approccio integrate [Psychological aspects and psychotherapy of women affected by interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosmatica, 52(3), 101-104. Language: Italian Format: Journal Abstract: Keywords: Interstitial Cystitis Women 311. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: un approccio integrato [Psychological and psychotherapy for women with interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosomatica, 52(3), 111-117.
. Language: Italian Format: Journal Abstract: Keywords: Interstitial Cystitis Women 312. Rahman, Q. M., & Hossain, T. (2002, June). EMDR psychotherapy can help to cure negative impact of childhood punishment. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Keywords: Childhood Punishment 313. Ralaus, D. (2006). Metodika psychoterapie - Spracovavanie traumatickych zazitkov pomocou ocnych pohybov - EMDR: Eye movement desensitization and reprocessing [Methodology for psychotherapy - Processing of traumatic experiences with eye movements - EMDR Eye movement desensitization and reprocessing]. Psychiatria, 13(3-4), 167-176. Language: Slovak Format: Journal Abstract: Keywords: Practice Psychotraumatology Psychotherapt Theory Trauma 314. Richards, D. A., & Lovell, K. (1997). Treatment of adults: Behavioural and cognitive approaches. In D. Black, M. C. Newman, J. M. Harris-Hendriks & G. C. Mezey (Eds.), Psychological trauma: A developmental approach (pp. 264-273). London: Gaskell. Language: English Format: Book Section Abstract: Keywords: Adults Behavior Therapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Survivors 315. Rittenhouse, J. (2000, November). Using eye movement desensitization and reprocessing to treat complex PTSD in a biracial client. Cultural Diversity and Ethnic Minority Psychology, 6(4), 399-408 . Language: English Format: Journal Abstract: Keywords: Assault Battery Case Report Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD Cross Cultural Treatment Empirical Study European Americans Females Mexican Americans Persecution Posttraumatic Stress Disorder Psychotherapy PTSD Rural Populations Self Concept Self Esteem Survivors Teacher 316. Roberson, M. (2004, November). Psychotherapy for trauma: A three part holistic approach. Bountiful Health. Language: English Format: Magazine Abstract: Keywords: Holistic Approach Practice Theory 317. Roman, M. W. (2010, May). Treatment of post traumatic stress disorders: Part II: Non-pharmacological treatments. Issues in Mental Health Nursing, 31(5), 370-372. doi:10.3109/01612841003675311. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Fear--Psychological Aspects PTSD Treatment Psychic Trauma Patients Psychotherapy 318. Rosa-Uribe, M. E., & Ramírez, E. O. L. (2011). Evaluación de la naturaleza cognitiva dual de la depresión bajo la psicoterapia EMDR [Assessment of cognitive dual nature of EMDR psychotherapy on depression]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [29 pages]. Language: Spanish Format: Other Abstract: Keywords: Affective Priming Cognition Depression, Depressive Patterns Emotion 319. Rossi, E. L. (1999, June). Innovative approaches to optimizing healing and human potentials: The expanding role of EMDR in psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Mind-Body Therapy 320. Ruark, L. A. (1994, September 18). More than meets the eye: Word of new psychotherapy spreading, but some have doubts. Tulsa, OK: The Tulsa World, L1. Language: English Format: Newspaper Abstract: Keywords: Catie McGoldrick General Overview Tulsa 321. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012. Language: Italian Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD 322. Sacco, G. (2006). Integrazioni ed eclettismo in psicoterapia - Psicoterapia: Integrazione, condivisione? - Alcune riflessioni preliminari [Integration and eclecticism in psychotherapy - Psychotherapy: Integration, sharing? - Some preliminary thoughts]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 1-11) Milano: McGraw-Hill.. Language: Italian Format: Book Section 323. Sack, M., Lempa, W., & Lamprecht, F.
(1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169
. Language: German Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD 324. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 . Language: German Format: Magazine Abstract: Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism 325. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany. Language: German Format: Conference Abstract: Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism 326. Samardzic, D. (2010, August). Trauma and the body: The somatic experience in psychotherapy. John F. Kennedy University, Pleasant Hill, CA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Body Biological Systems Somatic Therapy Trauma 327. Samec, J. R., & Ekstrom, B.-M. M. (2006, April). Korttids gruppterapi anpassad att möta utvecklingsspecifika behov hos traumatiserade flyktingungdomar [Short term group therapy for traumatized refugee children]. Matrix: Nordisk Tidsskrift for Psykoterapi, 23(1), 73-88. Language: Swedish Format: Journal Abstract: Keywords: Adolescent Development Childhood Development Empirical Study Group Psychotherapy Immigration Quantitative Study Refugees Trauma 328. Sar, V. (2007, Haziran). Psikofravmatoloji acisindan psikoterapi ve EMDR [Psychotherapy and EMDR in the pserspective of psychotraumatology]. Kağıt, İstanbul, Türkiye [Psikofarmakoloji İkinci Ulusal Kongresi] 2 Ulusal Psikofarmakoloji Kongresi sunulan. Language: Turkish Format: Conference Keywords: Psychotherapy Psychotraumatology 329. Saverio, L. I. (2008, June). State of consciousness & paradigm: A comparison between two descriptions of the
processes of change observed in a psychotherapy integrated with EMDR and some contributions
on a unified theory of psychotherapy. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK. Language: English Format: Conference Abstract: Keywords: Poster Unified Theory of Psychotherapy 330. Sayer, P. C. (2002, August). Responses of individuals with posttraumatic stress disorder to eye movement desensitization and reprocessing or a cognitive-behavioral treatment as mediated by attachment status. Alliant International University, Fresno, CA. AAT 3043018. Language: English Format: Dissertation/Thesis Abstract: Keywords: Attachment Behavior Brief Psychotherapy Clinical Trial Empirical Study Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness 331. Schnurr, P. P. (1999, Winter). Control groups in psychotherapy research. PTSD Research Quarterly, 10(1), 1, 8. Language: English Format: Newsletter Abstract: Keywords: Methodology Psychotherapy Treatment Effectiveness 332. Schnurr, P. P. (2008, Summer). Treatments for PTSD: Understanding the evidence - Psychotherapy. PTSD Research Quarterly, 19(3), 1-3. Language: English Format: Newsletter Abstract: Keywords: Evidence Base Psychotherapy 333. Schnyder, U. (2005, June). Why new psychotherapies for posttraumatic stress disorder?. Psychotherapy and Psychosomatics, 74(4), 199-201. doi:10.1159/000085142. Language: English Format: Journal Abstract: Keywords: Brief Eclectic Psychotherapy Cognitive Behavioral Therapy Cognitive Behavior Therapy Eclectic Psychotherapy Editorial Posttraumatic Stress Disorder Psychodynamic Psychotherapy Psychodynamic Therapy PTSD 334. Schnyder, U. (2005). Psychotherapies pour les PTSD – Une vue d’ensemble [Psychotherapies for PTSD – An overview]. Psychotherapies, 25(1), 39-52. doi:10.3917/psys.051.0039. Language: French Format: Journal Abstract: Keywords: Crisis Intervention Interdisciplinary Treatment Approach Multimodal Treatment Posttraumatic Stress Disorder Power Therapies Psychotherapy PTSD 335. Schnyder, U., Gersons, B., Wittmann, L., Nijdam, M., Maercker, A., Mueller, J., & Olff, M. (2008, November). Posttraumatic growth and PTSD symptoms in response to brief eclectic psychotherapy and EMDR. In Brief eclectic psychotherapy for PTSD:
New evidence. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL. Language: English Format: Conference Abstract: Keywords: Brief Eclectic Psychotherapy New Evidence Posttraumatic Growth PTSD Symposium 336. Schore, A. (2009, August). Part I: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Mechanism Plenary Right Brain Affect Regulation Trauma 337. Schore, A. (2009, August). Part II: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Mechanism Right Brain Affect Regulation Trauma 338. Schottenbauer, M. A. (2006). Expert therapists and practicing clinicians: Reported prototypical treatments of trauma. The Catholic University of America. AAT 3239353. Language: English Format: Dissertation/Thesis Abstract: Keywords: Cognitive Therapy Empirical Study Health Personnel Attitudes Mental Health Personnel Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Quantitative Study 339. Schwartz, M. (1998, May 19). Seeing their way clear - Eye movement psychotherapy is helping people who seem unable to free themselves from negative memories, reactions and behaviors. Riverside, CA: The Press-Enterprise, F01. Language: English Format: Newspaper Abstract: Keywords: General Oveview Riverside 340. Seidler, G. H. (2002). Aktuelle therapieansätze in der psychotraumatologie [Psychotraumatology: Recent therapy approaches]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 48(1), 6-27. Language: German Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Review Stressors Survivors 341. Seidler, G. H. (2007). Ödipale phantasie oder trauma? [Oedipal fantasy or trauma?]. Trauma und Gewalt, 1(1), 70-72. Language: German Format: Journal Abstract: Keywords: Case Report Females Germans Middle Age Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Survivors War 342. Seltzer, A. (2011, June). "I stood by a river“ – Integrating EMDR and sensorimotor psychotherapy in the treatment of torture survivor. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. Language: English Format: Conference Keywords: Sensorimotor Psychotherapy Torture 343. Seltzer, A. (2011). I stood by a river - Integrating EMDR and sensorimotor psychotherapy in the treatment
of torture survivor. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. Language: English Format: Journal Abstract: Keywords: Iran Prisoners Refuges Sensorimotor Psychotherapy Survivors Torture 344. Servan-Schreiber, D. (2002, July/August). Eye movement desensitization and reprocessing psychotherapy: A model for integrative medicine. Alternative Therapies in Health and Medicine, 8(4), 100-103. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy Techniques PTSD 345. Servan-Schreiber, D. (2002). La psychothérapie par l’EMDR et la nouvelle médecine humaniste [Psychotherapy by EMDR and the new medical humanist]. Présentation de la thérapie EMDR par
David Servan-Schreiber, MD, PhD(1), Revue Américaine Alternatives Therapies in Health Medecine. Language: French Format: Other Abstract: Keywords: Medical Humanist 346. Servan-Schreiber, D., Schooler, J., Dew, M. A., Carter, C., & Bartone, P. (2006). Eye movement desensitization and reprocessing for posttraumatic stress disorder: A pilot blinded, randomized study of stimulation type. Psychotherapy and Psychosomatics, 75(5), 290-297. doi:10.1159/000093950. Language: English Format: Journal Abstract: Keywords: Bilateral Kinesthetic Stimulation Type Distress Empirical Study Posttraumatic Stress Disorder Psychotherapy PSTD Quantitative Study Stimulus Parameters Subjective Units of Distress SUD 347. Settle, C. (2010, July). EMDR and the art of psychotherapy with children. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Children 348. Shapiro, F. (2004, September). Adaptive information processing: EMDR clinical applications and case conceptualizations. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing Model Adolescents AIP Females Memories Cognitive Processes Family Systems Therapy Integrative Psychotherapy Psychotherapeutic Processes Self Concept 349. Shapiro, F. (2003, September). Adaptive information processing and case conceptualization. Plenary presented at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing Model Adolescents Cognitive Processes AIP Cognitive Processes Family Systems Therapy Females Integrative Psychotherapy Memories Plenary Psychotherapeutic Processes Self Concept 350. Shapiro, F. (2005, June). Adaptive information processing and case conceptualization. Keynote presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing Model Adolescents AIP Cognitive Processes Family Systems Therapy Females Integrative Psychotherapy Keynote Memories Psychotherapeutic Processes Self Concept 351. Shapiro, F. (1999, January-April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Journal of Anxiety Disorders, 13(1-2), 35-67. doi:10.1016/S0887-6185(98)00038-3. Language: English Format: Journal Abstract: Keywords: Anxiety Disorders Literature Review Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs 352. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104. Language: English Format: Journal Abstract: Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness 353. Shapiro, F. (2002). EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism. Washington, DC: American Psychological Association Books. Language: English Format: Book Abstract: Keywords: Adults Psychotherapy Psychotherapeutic Processes Stressors Survivors 354. Shapiro, F. (2005, December). EMDR and adaptive information processing: Clinical applications and case conceptualization. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA. Language: English Format: Conference Abstract: EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The
implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions
from participants will be used to explore potential clinical applications. Keywords: Adaptive Information Processing Model Adolescents AIP Cognitive Processes Family Systems Therapy Females Integrative Psychotherapy Memories Psychotherapeutic Processes Self Concept Video 355. Shapiro, F. (2007). EMDR and case conceptualization from an adaptive information processing perspective. In F. Shapiro, F. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 3–36). New York: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Adaptive Information Processing Model AIP Brain Cognitive Processes Integrative Psychotherapy Memories Memory Models Pathology Psychotherapeutic Techniques Psychotherapy Approach Stored Experience 356. Shapiro, F. (2002). Introduction: Paradigms, processing, and personality development. In F. Shapiro (Ed.), EMDR as an integrative
psychotherapy approach: Experts of diverse orientations explore the paradigm prism (pp. 3–26. Washington, DC: American Psychological Association Press. Language: English Format: Book Section Abstract: Keywords: Information-Processing Model Models Personality Development Psychotherapy 357. Shapiro, F. (2003). EMDR als integrativer psychotherapeutischer ansatz: Experten verschiedenster psychotherapeutischer orientierung erforschen das paradigmenprisma [EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism]. Paderborn: Junfermannsche. Language: German Format: Book Abstract: 358. Shapiro, F. (1997). EMDR een nieuwe psychotherapie [EMDR a new psychotherapy]. Hilversum: RVU. Language: Dutch Format: Video Abstract: Keywords: Francine Shapiro 359. Shapiro, F. (2001, April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Psicoterapia Cognitiva e Comportamentale, 7(1), 43-75. Language: English Format: Journal Abstract: Keywords: Anxiety Disorders Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs Review 360. Shapiro, F. (2011, November). L'EMDR, le traitement adaptatif de l'information et la conceptualisation de cas [EMDR, adaptive information processing and case conceptualization]. Journal of EMDR Practice and Research, 5(4), 51E-73E. doi:10.1891/1933-3196.5.4.E51. Language: French Format: Journal Abstract: Keywords: Adaptive Information Processing Mode Systemic Family Therapy Integrative Psychotherapy Memories 361. Shapiro, F. (2007). EMDR, adaptive information processing, and case conceptualization. Journal of EMDR Practice and Research, 1(2), 68-87. doi:10.1891/1933-3196.1.2.68. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Case Conceptualization Family Systems Therapy Integrative Psychotherapy Memories 362. Shapiro, F. (2010, March). Mente humana, psicoterapia y EMDR/Human mind, psychotherapy and EMDR. XVII Scientific Symposium "From Neurobiology to Nosology of Mental Disorders," Lilly Foundation, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Human Mind Psychotherapy 363. Shapiro, F., & Maxfield, L. (2003). EMDR and information processing in psychotherapy treatment: Personal development and global implications. In M. F. Solomon & D. J. Siegel (Eds.), Healing trauma: Attachment, mind, body, and brain (pp. 196-220). New York: W. W. Norton. Language: English Format: Book Section Abstract: Keywords: Cognitive Processes Psychotherapeutic Processes Stressors Survivors 364. Shapiro, F., & Maxfield, L. (2001). Eye movement desensitization and reprocessing (EMDR): Clinical implications of an integrated psychotherapy treatment. Directions in Clinical and Counseling Psychology, 11(6), 59-71. Language: English Format: Journal Abstract: Keywords: Integrative Psychotherapy Approach 365. Shapiro, F., Snyker, E., & Maxfield, L. (2002). Eye movement desensitization and reprocessing (EMDR). In F. W. Kaslow & T. Patterson (Eds.), Comprehensive handbook of psychotherapy: Cognitive-behavioral approaches, V. 2 (pp. 241-272). New York: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Integrative Psychotherapy Posttraumatic Stress Disorder PTSD 366. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD 367. Sherman, C. (2004, June). Psychotherapy may offer more benefits for PTSD. Clinical Psychiatry News, 32(6), 20. Language: English Format: Newspaper Abstract: 368. Shusta-Hochberg, S. R. (2003). Impact of the World Trade Center disaster on a Manhattan psychotherapy practice. Journal of Trauma Practice, 2(1), 1-16. doi:10.1300/J189v02n01_01. Language: English Format: Journal Abstract: Keywords: 9/11 Americans DID Dissociative Identity Disorder Personal Narrative Posttraumatic Stress Disorder Psychologists PTSD September 11 Survivors Terrorism Terrorist Attacks 369. Siegel, D. (2001, June). Psychotherapy and the resolution of trauma: Mental health and neural integration. Plenary at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Neurobiology Plenary 370. Siegel, D. J. (2002). The developing mind and the resolution of trauma: Some ideas about information processing and an interpersonal neurobiology of psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 85-121). Washington: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Adults Cognitive Processes Neurobiology Psychotherapeutic Processes Stressors Survivors 371. Siegel, I. (2001, June). EMDR and the psychology of consciousness. Presentation at the annual meeting of the EMDR International Association EMDRIA Conference, Austin, TX
. Language: English Format: Conference Abstract: Keywords: Consciousness Imagery Intuition Psychotherapy 372. Silinger, P. (2005, February 28). Psychotherapy's new tool - "EMDR" takes aim at anxiety. The Easterner. Language: English Format: Other Abstract: Keywords: Anxiety General Overview 373. Silver, S. M., Rogers, S., & Russell, M. C. (2008, August). Eye movement desensitization and reprocessing (EMDR) in the treatment of war veterans. Journal of Clinical Psychology, 64(8), 947-957. doi:10.1002/jclp.20510. Language: English Format: Journal Abstract: Keywords: Military Veterans Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Psychotherapy Trauma Treatment Effectiveness War 374. Smyth, N. J., & Rogers, S. (2002, June). EMDR & cognitive behavior therapy: Exploring shared and distinctive active components. Open discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA. Language: English Format: Conference Abstract: Keywords: Cognitive Behavior Therapy Integrative Treatment Models Open Discussion Psychotherapy Mechanisms 375. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp. Language: English Format: Book Section Abstract: Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness 376. Soderlund, J. (2000, September/October). Putting the pieces together: The rise of integrative psychotherapy. New Therapist, 9, 8-9. Language: English Format: Magazine Abstract: Keywords: Integrative Psychotherapy 377. Softic, R. (2008). Kompletna remisija simptoma akutnog neratnog PTSP - A nakon jedne seanse EMDR [Complete symptom's remissions of acute non-combat PTSD after one session]. Acta Medica Saliniana, 37(2), 147-150. Language: Bosnian Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD 378. Softic, R. (2008). Kompletna remisija simptoma akutnog neratnog PTSP-A nakon jedne seanse EMDR [Complete symptom's remission of acute non-combat PTSD after one EMDR session]. Acta Medica Saliniana, 37(2), 147-150. Language: Croatian Format: Journal Abstract: Keywords: Non-Combat Postttraumatic Stress Disorder Psychotherapy PTSD 379. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton. Language: English Format: Book Abstract: Keywords: Attachment Behavior Psychotherapy Stressors Survivors 380. Solomon, R. M., & Shapiro, F. (2008). EMDR and the adaptive information processing model - Potential mechanisms of change. Journal of EMDR Practice and Research, 2(4), 315-325. doi:10.1891/1933-3196.2.4.315. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing Model AIP Information Processing Mechanism of Change Psychotherapy 381. Solomon, S. D. (1997, Winter). Psychosocial treatment of posttraumatic stress disorder. In Session: Psychotherapy in Practice, 3(4), 27-41. doi:10.1002/(SICI)1520-6572. Language: English Format: Journal Abstract: Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors 382. Solvey, R. (2003, Febrero). Lineamientos generales para el tratamiento de los trastornos disociativos [General guidelines for the treatment of dissociative disorders]. Presentación en: 4º Congreso Virtual de Psiquiatría. Language: Spanish Format: Conference Abstract: Keywords: Dissociative Disorders Psychotherapy 383. Spinelli, I. (2007). EMDR: Nuevo abordaje en psicoterapia [EMDR: New approach in psychotherapy]. EMDR Iberoamérica Colombia. Language: Spanish Format: Other 384. Stallard, P. (2006, November). Psychological interventions for post-traumatic reactions in children and young people: A review of randomised controlled trials. Clinical Psychology Review, 26(7), 895-911. doi:10.1016/j.cpr.2005.09.005. Language: English Format: Journal Abstract: Keywords: Adolescents CBT Children Cognitive Behavior Therapy Cognitive Therapy Literature Review Methodology Parents Posttraumatic Reactions Posttraumatic Stress Disorder Preschool Age Children Psychotherapy PTSD Random Control Trials RCT School Age Children Stressors Survivors Treatment Effectiveness 385. Steele, S. L. (2003). Healing trauma: Creating a theoretical structure for nonverbal and expressive therapies in the treatment of trauma. Chicago School of Professional Psychology, Chicago, IL. AAT 3093612. Language: English Format: Dissertation/Thesis Abstract: Keywords: Alexithymia Body Psychotherapy Cognitive Processes Dance Therapy Dissociative Disorders Expressive Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Somatic Symptoms 386. Stowasser, J. E. (2007). EMDR and family therapy in the treatment of domestic violence. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 243-261). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Domestic Violence Family Therapy Integrative Psychotherapy Therapy of Social Action 387. Strohle, H. (2012, Juni). Teil b - Einbettung von EMDR in tiefenpsychologisch-fundierte psychotherapiebehandlungen [Part b - integration of EMDR in depth psychology-based psychotherapy treatments]. Präsentation auf EMDRIA Tag, Köln, Deutschland. Language: German Format: Conference Keywords: Psychology-Based Psychotherapy Treatments 388. Sun, T.-F.; Wu, C.-K.; Chiu, N.-M. (2004年,6月). Mindfulness meditation training combined with
eye movement desensitization and reprocessing in
psychotherapy of an elderly patient. Chang Gung Medical Journal, 27(6), 464-469. Language: English Format: Journal Abstract: Keywords: Case Report Depression Geriatrics Meditation Mindfulness Trauma 389. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU). Language: English Format: Publication Abstract: Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD 390. Talan, B. S. (2007). Integrating EMDR and imago relationship therapy in couple treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 187-201). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Conflict Couples Couples Therapy Couple Treatment Imago Relationship Therapy Integrative Psychotherapy Integrative Therapy Approach Marriage Counseling 391. Talwar, S. (2007, February). Accessing traumatic memory through art
making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001. Language: English Format: Journal Abstract: Keywords: Arts Bilateral Art Body-Based Psychotherapy Expressive Arts 392. Tarquinio, C., Brennstuhl, M. -J., Rydberg, J. A., Schmitt, A., Mouda, F., Lourel, M., & Tarquinio, P. (2012, October). Eye movement desensitization and reprocessing (EMDR) therapy dans le traitement des victimes de violences conjugales: Étude pilote [Eye movement desensitization and reprocessing (EMDR) therapy in the treatment of victims of domestic violence: A pilot study]. Revue Européenne de Psychologie Appliquée, 62(4), 205–212
. Language: French Format: Journal Abstract: Keywords: Anxiety Depression Domestic Violence Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD 393. Tarquinio, C., Schmitt, A., Tarquinio, P., Rydberg, J.-A., & Spitz, E. (2012, April-June). Intérêt de la psychothérapie « eye movement
desensitization reprocessing » dans le cadre de la
prise en charge de femmes victimes de viols
conjugaux [Benefits of "eye movement desensitization and
reprocessing" psychotherapy in the treatment of
female victims of intimate partner rape]. Sexologies, 21(2), 92-99. doi:10.1016/j.sexol.2011.05.001
. Language: French Format: Journal Abstract: Keywords: Anxiety Depression Females Marital Rape Partner Rape Victims Women 394. Tarrier, N., Liversidge, T., & Gregg, L. (2006, November). The acceptability and preference for the psychological treatment for PTSD. Behaviour Research and Therapy, 44(11), 1643-1656. doi:10.1016/j.brat.2005.11.012. Language: English Format: Journal Abstract: Keywords: Cognitive-Behaviour Therapy Cognitive Therapy Exposure Therapy College Students Computer Assisted Psychotherapy Empirical Study Family Therapy Group Psychotherapy Posttraumatic Stress Disorder Preference Psychoanalytic Psychotherapy Psychological Treatment Psychotherapeutic Processes PTSD Quantitative Study Relaxation Therapy Treatment Acceptability Virtual Reality Exposure Web-Based Survey 395. Tausch, R. (2007, Spring). Promoting health: Challenges for person-centered communication in psychotherapy, counseling and human relationships in daily life. Person-Centered and Experiential Psychotherapies, 6(1), 1-13. doi:10.1080/14779757.2007.9688424. Language: English Format: Journal Abstract: Keywords: Client Centered Therapy Counseling Interpersonal Relationships Person-Centered Therapy Psychotherapeutic Techniques 396. Taylor, J. E., & Harvey, S. T. (2009, September-October). Effects of psychotherapy with people who have been sexually assaulted: A meta-analysis. Aggression and Violent Behavior, 14(5), 273–285. doi:10.1016/j.avb.2009.03.006 . Language: English Format: Journal Abstract: Keywords: Meta-analysis Outcome Rape Sexual assault Therapy Treatment 397. Taylor, R. J. (2003, September). Family unifications with reactive attachment disorder: Children – A brief treatment approach. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Educational Counseling Family Therapy Family Unification Individual Psychotherapy Parent Child Relations RAD Reactive Attachment Disorder Treatment 398. Taylor, R. J. (2004). Therapeutic intervention of trauma and stress brought on by divorce. Journal of Divorce and Remarriage, 41(1-2), 129-135. doi:10.1300/J087v41n01_08. Language: English Format: Journal Abstract: Keywords: Distress Divorce Divorce Education Emotional Trauma Group Counseling Group Psychotherapy Hypnosis Intervention Mediation Neurolinguistic Programming NLP Psychoeducation Stress Support & Counseling Groups Therapeutic Intervention Support Groups Trauma Treatment 399. Taylor, R. J. (2002, September). Family unification with reactive attachment disorder: A brief treatment. Contemporary Family Therapy, 24(3), 475-481. doi:10.1023/A:1019867317042. Language: English Format: Journal Abstract: Keywords: Anxiety Attachment Disorder Children Educational Counseling Family Family Therapy Family Unification Individual Psychotherapy Parent Child Relations RAD Reactive Attachment Disorder Treatment 400. Taylor, S. (2003, Summer). Outcome predictors for three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Cognitive Psychotherapy, 17(2), 149-162. doi:10.1891/jcop.17.2.149.57432. Language: English Format: Journal Abstract: Keywords: Adults Brief Psychotherapy Disability Evaluation Empirical Study Exposure Therapy Follow-up Study Insurance Legal Processes Manual-Based Treatments Quantitative Study Relaxation Therapy Posttraumatic Stress Disorder PTSD Random Clinical Trial Reexperiencing RCT Social Security Stressors Survivors Treatment Dropouts Treatment Effectiveness Treatment Outcome/Clinical Trial 401. Teegen, F. (2000). Psychotherapie der posttraumatischen belastungsstörung [Psychotherapy of post-traumatic stress disorder]. Psychotherapeut, 45(6), 341-349. doi:10.1007/PL00006723. Language: German Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD 402. ten Broeke, E., de Jongh, A., Wiersma, K., & Gimbrère, F.
(1997, October). Psychotherapie bij posttraumatische stress–stoornis [Psychotherapy for posttraumatic stress disorder progress]. Tijdschrift voor Psychotherapie, 23(5), 177-189. doi:10.1007/BF03061854
. Language: Dutch Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD 403. Tobin, B. (2006, Fall). Art therapy meets EMDR: Processing the paper-based image with eye movement. Canadian Art Therapy Association Journal, 19(2), 27-38. Language: English Format: Journal Abstract: Keywords: Art Therapy Eye Movements Imagery Psychotherapy Visual Perception 404. Tobin, S. (2004, Spring). The integration of relational gestalt therapy and EMDR. International Gestalt Journal, 27(1), 55-82. Language: English Format: Journal Abstract: Keywords: Brain Brain Functioning Emotional Trauma Gestalt Therapy Integrative Therapy Integrative Psychotherapy Psychotherapy Trauma 405. Tofani, L. R. (2007). Complex separation, individuation processes, and anxiety disorders in young adulthood. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 265-283). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Anxiety Disorders Family Relations Family Systems Therapy Family Systems Theory Family Therapy Individuation Integrative Psychotherapy Separation Anxiety Separation Individuation Separation Problems Separation Reactions Structural Family Therapy Young Adulthood 406. Triscari, M. T., Faraci, P., D’Angelo, V., Urso, V., & Catalisano, D. (2011). Two treatments for fear of flying compared: Cognitive behavioral therapy combined with systematic desensitization or eye movement desensitization and reprocessing (EMDR). Aviation Psychology and Applied Human Factors, 1(1), 9-14. doi:10.1027/2192-0923/a00003. Language: English Format: Journal Abstract: Keywords: Air Transportation Phobias Psychotherapeutic Techniques Psychotherapy Treatment Effectiveness Evaluation 407. Tufnell, G. (2005, October). Eye movement desensitization and reprocessing in the treatment of pre-adolescent children with post-traumatic symptoms. Clinical Child Psychology and Psychiatry, 10(4), 587-600. doi:10.1177/1359104505056320. Language: English Format: Journal Abstract: Keywords: Brief Psychotherapy Clinical Case Study Energy Psychotherapy Posttraumatic Stress DIsorder Psychotherapeutic Processes PTSD Stressors Survivors 408. Tzan-Fu, S., & Nien-Mu, C. (2006, September). Synergism between mindfulness meditation training, and eye movement desensitization and reprocessing in psychotherapy of social phobia. Chang Gung Medical Journal, 29(4), 1-4. Language: English Format: Journal Abstract: Keywords: Case Report Mindfulness Meditation Social Phobia 409. Uribe, M. E. R.
(2006). El impacto de la aproximación psicoterapéutica EMDR en el procesamiento cognitivo de la información emocional en pacientes con depresión [The impact of EMDR psychotherapy approach in cognitive processing of emotional information in depressed patients]. Tesis doctoral no publicada, Facultad de Psicología, Universidad Autónoma de Nuevo León, Mexico
. Language: Spanish Format: Dissertation/Thesis Abstract: Keywords: Butterfly Hug 410. van der Velden, P. G., & Kleber, R. J. (1996). Met het oog op morgen: Een overzicht van EMDR-studies [With an eye to tomorrow: A review of EMDR studies]. Tijdschrift voor Psychiatrie, 38(1), 30-39. Language: Dutch Format: Journal Abstract: Keywords: Brief Psychotherapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness 411. van Etten, M. L., & Taylor, S. (1998). Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis. Clinical Psychology and Psychotherapy, 5(3), 126-144. doi:10.1002/(SICI)1099-0879(199809). Language: English Format: Journal Abstract: Keywords: Antimanic Drugs Benzodiazepine Derivatives Hypnotherapy Meta Analysis Monoamine Oxidase Inhibitors Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Relaxation Therapy Selective Serotonin Reuptake Inhibitors Treatment Effectiveness Tricyclic Derivatives 412. van Trier, J. (2000). Eye movement desensitization and
reprocessing (EMDR) als behandeling bij
posttraumatische stress-stoornis
Een gevalsbeschrijving [Eye movement desensitization and reprocessing (EMDR) as a treatment for posttraumatic stress disorder]. Tijdschrift voor Psychiatrie, 42(8), 613-617. Language: Dutch Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD 413. van Uitert-Levy, T. (2006, June). Problems in integrating EMDR into an on-going psychodynamic psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Keywords: Psychodynamic Psychotherapy 414. Vasquez, S., & Breiling, B. (1997). Illuminating the windows of the soul: Facilitating psychotherapy with eye movements and strobic colored light stimulation. Bridges, 8(2), 5-7 . Language: English Format: Magazine Abstract: Keywords: Eye Movements Strobic Colored Light Stimulation 415. Veeninga, A., & Hafkenscheid, A. (2005, December). De plaats van EMDR in debehandeling van posttraumatische stressstoornis [EMDR in the treatment of posttraumatic stress disorder]. Gedragstherapie, 38(4), 275-284. Language: Dutch Format: Magazine Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy Psychotherapeutic Techniques PTSD 416. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile. Language: Spanish Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD 417. Vickerman, K. A., & Margolin, G. (2009, July). Rape treatment outcome research: Empirical findings and state of the literature. Clinical Psychology Review, 29(5), 431-448. doi:10.1016/j.cpr.2009.04.004. Language: English Format: Journal Abstract: Keywords: Adults Cognitive Therapy Drug Therapy Epidemiology Exposure Therapy Females Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Rape Survivors Treatment Treatment Effectiveness 418. Vidal, C., Santed, A., Sánchez, S., Mattioli, G., & Serrano, M. J. (2006, Febrero). Un caso clínico de trastorno de identidad disociativo (TID) tratado con EMDR e ICV: Una cierta integración (que para la paciente ha representado una experiencia vitalizante mayúscula) [A clinical case Dissociative Identity Disorder (DID) treated with EMDR and ICV: A certain integration has been reached (which for the patient has represented a major revitalizing experience)]. Comunicación presentada en: 7º Congreso Virtual de Psiquiatría, Barcelona, Spain. Language: Spanish Format: Conference Abstract: Keywords: DID Dissociation Dissociative Identity Disorder MPD Multiple Personallity Disorder Psychological Trauma Psychotherapy, VCI Psychotherapy 419. Vojtova, H. & Hasto, J. (2005). Stabilizačné techniky a EMDR v psychoterapii posttraumatickej stresovej poruchy [Stabilization techniques and EMDR psychotherapy in posttraumatic stress disorder]. Psychiatrie Pro Praxi, 4, 198-200. Language: Slovak Format: Magazine Abstract: Keywords: Eye Movements Posttraumatic Stress Disorder Psychotherapy PTSD Treatment 420. Vojtova, H., & Hasto, J. (2009). Neurobiology of eye movement desensitization and reprocessing. Activitas Nervosa Superior, 51(3), 98-102. Language: English Format: Journal Abstract: Keywords: Brain Dissociation Neurobiology Posttraumatic Stress Disorder PTSD Psychotherapy 421. Wachtel, P. L. (2002). EMDR and psychoanalysis. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 123-150). Washington: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Psychoanalytic Psychotherapy Psychotherapeutic Processes 422. Wade, T., & Wade, D. (1996, June). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and EMDR in a psychosocial developmental context. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Clinical Hypnosis Ego State Therapy Integrative Psychotherapy 423. Wade, T., & Wade, D. (2001, January-April). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and eye movement desensitization and reprocessing (EMDR) in a psychosocial developmental context. American Journal of Clinical Hypnosis, 43(3-4), 233-245. doi:10.1080/00029157.2001.10404279. Language: English Format: Journal Abstract: Keywords: Clinical Hypnosis Ego Ego-State Therapy Hypnotherapy Integrative Psychotherapy Review Multimodal Treatment Approach Psychosocial Development Psychosocial Developmental Context 424. Welch, K. L. (2007, August). EMDR and neuroscience research: Some questions and implications for psychotherapy integration. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008. Language: English Format: Other Abstract: Keywords: Neuroscience 425. Welling, H. (2012, June). Transformative emotional sequence: Towards a common principle of change. Journal of Psychotherapy Integration, 22(2), 109 -136. doi:10.1037/a0027786. Language: English Format: Journal Abstract: Keywords: Accelerated Experiential-Dynamic Psychotherapy AEDP Coherence Therapy CT EFT Emotopm-Focused Therapy TES Transformative Emotional Sequence 426. Wetherell, J. L. (1998, Winter). Treatment of anxiety in older adults. Psychotherapy, 35(4), 444-458. doi:10.1037/h0087745. Language: English Format: Journal Abstract: Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness 427. Wheeler, M. S. (1997, December). Adlerian interventions and applications: The creating context technique. Journal of Individual Psychology, 53(4), 396-406. Language: English Format: Journal Abstract: Keywords: Adlerian Psychotherapy Adlerian Psychotherapy Connexions Focusing Technique Psychotherapeutic Techniques 428. Willemsen, H., Chowdhury, U., & Briscall, L. (2002, October). Needle phobia in children: A discussion of aetiology and treatment options. Clinical Child Psychology and Psychiatry, 7(4), 609-619. doi:10.1177/1359104502007004012. Language: English Format: Journal Abstract: Keywords: Behavioural Therapy Needle Phobia Psychotherapy Trauma Vasovagal Reflex 429. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599. Language: English Format: Dissertation/Thesis Abstract: Keywords: Empirical Study Health Personnel Attitudes Individual Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Treatment Duration Treatment Effectiveness 430. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in psychotherapy of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 3, 73-78. Language: German Format: Journal Keywords: Personality Disorders 431. Xue, C. (2001, May). An analysis of stimulus conditions for eye movement desensitization and reprocessing (EMDR) in psychotherapy. Pyschologie in Osterreich, 5, 434-441. Language: English Format: Journal Keywords: Stimulus Conditions 432. Zaghrout-Hodali, M., Alissa, F., & Dodgson, P. (2008). Building resilience and dismantling fear: EMDR group protocol with children in an area of ongoing trauma. Journal of EMDR Practice and Research, 2(2), 106-113. doi:10.1891/1933-3196.2.2.106. Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder Cognitive Processes Conflict Intifada Group Psychotherapy Multiple Traumatic Events Palestinians Psychotherapeutic Processes Recent Events Resilience Group Therapy Survivors School Age Children Trauma Treatment 433. Zampieri, A. J., Zampieri, M. J., & Godoy, M. F. (2012, Novembro). Trauma: Estudo comparativo de sessão única entre psicoterapia da fala e EMDR [Trauma: A comparative study between single-session psychotherapy and EMDR speech]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Beck Depression Inventory Comparative Study Psychotherapy Speech Single Session Trauma 434. Zampieri, P. (2007, Novembro). Psicoterapia breve com psicodrama individual e EMDR [Brief psychotherapy in psychodrama Individual and EMDR]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil
. Language: Portuguese Format: Conference Abstract: Keywords: Psychodrama 435. Zandvoort, J. (2013, April). Traumagerichte psychotherapie bij kinderen en jongeren: een gerandomiseerde vergelijking (RCT) tussen EMDR en Trauma-focused Cognitive Behavioural Therapy bij kinderen en jongeren met posttraumatische stress klachten [Trauma-focused psychotherapy for children and adolescents: a randomized comparison (RCT) between EMDR and Trauma-focused cognitive behavioural therapy for children and adolescents with post-traumatic stress symptoms]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Adolescents Chidren Posttraumatic Stress Disoreder PTSD Trauma-Focused Cognitive Behavioural Therapy 436. Zantvoord, J. B., Diehle, J., & Lindauer, R. J. (2013, March). Using neurobiological measures to predict and assess treatment outcome of psychotherapy in posttraumatic stress disorder: Systematic review. Psychotherapy and Psychosomatics, 82, 142-151. doi:10.1159/000343258. Language: English Format: Journal Abstract: 437. Zhao, Dong-Mei (2009, March). Psychotherapy models and theories of mental trauma. Journal of South China Normal University (Social Science Edition). Language: English Format: Journal Abstract: Keywords: Mental Trauma Virtual Reality Technique 438. Zimmermann, P., Guse, U., Barre, K., & Biesold, K. (2005, Juni). EMDR - Therapie in der bundeswehr - Zurwirksamkeit untersuchung posttraumatischer belastungsstörungv [EMDR in the German armed forces - Therapeutic impact of inpatient therapy of posttraumatic stress disorder / EMDR]. Krankenhauspsychiatrie, 16(2), 57-63. doi:10.1055/s-2004-830275. Language: German Format: Journal Abstract: Keywords: Empirical Study Inpatient Therapy Hospitalized Patients Longitudinal Study Military Veterans Posttraumatic Stress Disorder, PTSD, Psychotherapy, Stress Quantitative Study Retrospective Study 439. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana.. Language: Italian Format: Dissertation/Thesis Abstract: Keywords: Biofeedback Posttraumatic Stress Disorder PTSD SPR Treatment Efficacy
The goal of this paper is to examine one therapy process in order to explore what resources EMDR treatment can provide to complex traumatized clients with previous long-term therapies. How important is the role of mind/body connection? How could it be best observed and taken into consideration when deciding on therapeutic choices during difference phases in psychotherapy? This case raises also the following questions: When it is best to use EMDR? How do the therapist and client know when the client is ready for EMDR? How can clients learn to feel, become aware of their own bodies, observe their body sensations and label these observations? What is the importance of these skills before using EMDR? How do EMDR protocols work in this context?
Case: This client had been severely traumatized in childhood and also in adult life. She came to EMDR treatment with own question: “Have I ever been able to feel anything?” She had been in different psychotherapies, but her body was not ready for EMDR and she could not regulate emotions. She had good ego strength. This presentation shows how the therapy process progressed and it includes a therorectical discussion.
It is possible to integrate different kinds of therapies. Previous “traditional talking therapies” can give to the client the necessary ego strength, boundaries and make it easier to build a therapeutic relationship. Since trauma-related syndromes split the mind and body, it is necessary to address what occurs in the body, just as it is equally necessary to use words to make sense of and describe an experience. E
This chapter discusses several non-pharmaceutical treatments for PTSD in adults, including behavioural and cognitive approaches, psychodynamic psychotherapy, and eye movement desensitization and reprocessing. [Pilots]
A large number of studies have demonstrated the efficacy
of cognitive behavioural therapy (CBT) and Eye Movement
Desensitization and Reprocessing therapy (EMDR) in the
treatment of posttraumatic stress disorder (PTSD), and metaanalyses
have shown similar effect sizes for both treatment
conditions. However, less is known about the effectiveness
of these treatments in routine clinical care. Therefore, we
conducted a randomized clinical trial that compared EMDR (n
= 70) to a form of CBT, Brief Eclectic Psychotherapy (BEP; n =
70). Treatment conditions resembled routine care as much as
possible. Participants were outpatients who were referred to the
Center for Psychological Trauma of the Academic Medical Center
with a diagnosis of PTSD after various kinds of type I trauma.
Primary outcome was PTSD symptomatology as measured by
the Impact of Event Scale – Revised. Other measures that were
applied to assess pre-post differences were the Structured
Interview for PTSD, Structured Clinical Interview for DSM-IV Axis
I disorders, MOS Short Form -36, and Posttraumatic Growth
Inventory. Preliminary analyses indicate a significant decrease
in PTSD symptomatology for both treatment conditions, with an
earlier decrease of symptoms in EMDR compared to BEP. Results
of the complete trial will be presented and clinical implications of
the findings are discussed.
Background:
Trauma-focused cognitive–behavioural therapy (CBT) and eye
movement desensitisation and reprocessing therapy (EMDR)
are efficacious treatments for post-traumatic stress disorder
(PTSD), but few studies have directly compared them using
well-powered designs and few have investigated response
patterns.
Aims:
To compare the efficacy and response pattern of a traumafocused
CBT modality, brief eclectic psychotherapy for PTSD,
with EMDR (trial registration: ISRCTN64872147).
Method:
Out-patients with PTSD were randomly assigned to brief
eclectic psychotherapy (n = 70) or EMDR (n = 70) and
assessed at all sessions on self-reported PTSD (Impact of
Event Scale – Revised). Other outcomes were clinician-rated
PTSD, anxiety and depression.
Results:
Both treatments were equally effective in reducing PTSD
symptom severity, but the response pattern indicated that
EMDR led to a significantly sharper decline in PTSD
symptoms than brief eclectic psychotherapy, with similar
drop-out rates (EMDR: n = 20 (29%), brief eclectic
psychotherapy: n = 25 (36%)). Other outcome measures
confirmed this pattern of results.
Conclusions:
Although both treatments are effective, EMDR results in a
faster recovery compared with the more gradual
improvement with brief eclectic psychotherapy.
Declaration of interest:
A.d.J. teaches and supervises clinical psychologists and
psychiatrists in psychological trauma and its treatment
by means of seminars, workshops and conferences, for
which the participants pay a fee. He is also director
and shareholder of a trauma treatment unit. For both
activities he has the formal permission of the executive
board of the University of Amsterdam to which he is
affiliated.
Deficits in concentration and memory are some of the most persistent symptoms
of PTSD. Although many studies have investigated neuropsychological
deficits in different trauma populations with and without PTSD, no study to
our knowledge has looked carefully at improvement of neuropsychological
functioning after psychotherapy. In the present study, we randomly assigned
individuals to either Eye Movement Desensitization and Reprocessing (EMDR)
therapy (n=60) or Brief Eclectic Psychotherapy (BEP; n=60). Attention and
memory were investigated before and after treatment using the following
neuropsychological tests: Trail Making Test, STROOP task, Verbal Learning
and Memory Test and Rivermead Behavioral Memory Test. Different versions
of the memory tests were administrated at pre- and postassessment in order
to control for learning effects. Preliminary results of treatment completers
are presented, and the clinical relevance of the findings is discussed.
In clinical research it is important to address both vulnerabilities and
positive processes that occur in response to traumatic stress.
Therefore, we chose the concepts of posttraumatic growth and posttraumatic
cognitions to examine how these reactions change in
The Psychobiology of Trauma and Resilience
206 www.istss.org
Poster Presentations – Session 3
International Society for Traumatic Stress Studies 22nd Annual Meeting
A C R O S S
Tuesday Poster Presentations
response to trauma-focused psychotherapy. In this presentation, preliminary
data from a randomized controlled trial comparing Eye
Movement Desensitization and Reprocessing (EMDR) therapy (n =
70) and Brief Eclectic Psychotherapy (BEP; n = 70) are presented.
Participants were patients of the Outpatient Psychiatry Clinic of the
Academic Medical Center / De Meren who had a diagnosis of PTSD
following various kinds of type I trauma. Posttraumatic growth was
assessed with the Posttraumatic Growth Inventory, whereas posttraumatic
cognitions were examined by use of the Posttraumatic
Cognitions Inventory. Both measures were administered at pre- and
postassessment to determine whether these concepts change after
EMDR and/or BEP. Changes in and relationships between these variables
are presented and future directions for research arising from
the findings are discussed.
Background: In patients with co-morbid obsessive−compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may be crucial for successful treatment of these symptoms.
Objective: In this case report, we describe a patient with comorbid OCD and PTSD who underwent pharmacotherapy and psychotherapy.
Methods: Case Report. A 49-year-old Dutch man was treated for severe PTSD and moderately severe OCD resulting from anal rape in his youth by an unknown adult man.
Results: The patient was treated with paroxetine (60 mg), followed by nine psychotherapy sessions in which eye movement desensitization and reprocessing (EMDR) and exposure and response prevention (ERP) techniques were applied. During psychotherapy, remission of the PTSD symptoms preceded remission of the OCD symptoms.
Conclusions: This study supports the idea of a functional connection between PTSD and OCD. Successfully processing the trauma results in diminished anxiety associated with trauma reminders and subsequently decreases the need for obsessive−compulsive symptoms.
Waarom dit onderzoek? Uit vele studies en meta-analyses
komen traumagerichte cognitieve gedragstherapie (cgt) en eye
movement desensitization and reprocessing (emdr-therapie) naar voren
als de effectiefste interventies voor de behandeling van de posttraumatische
stressstoornis (ptss). Deze behandelingen zijn nooit
direct met elkaar vergeleken in een gerandomiseerde effectstudie
met voldoende onderscheidingsvermogen (statistische power). Ook
hebben slechts enkele studies het beloop van de symptomen tijdens
de interventies onderzocht.
Why this research? Many studies and meta-analyzes are trauma focused cognitive behavioral therapy (CBT) and eye Movement Desensitization and Reprocessing (EMDR Therapy) forward be the most effective interventions for the treatment of post-traumatic stress disorder (PTSD). These treatments are never directly compared in a randomized clinical study with sufficient discernment (statistical power). also have only a few studies the evolution of symptoms during the interventions studied.
Decades of clinical experience and controlled research consistently demonstrate that the therapy relationship accounts for as much psychotherapy success as the treatment method itself. This plenary address will present evidence-based practices on: (1) creating a facilitative therapeutic relationship; and (2) tailoring that relationship to the individual patient in ways that improve treatment outcome. These practices are then applied specifically to the different phases of EMDR. The talk synthesizes three of the most crucial developments in contemporary mental health: evidence-based practice, the therapeutic relationship, and EMDR.
EMDR is a psychotherapy phenomenon that has been confronted
with multiple paradoxes. Its title explicitly invokes “eye movements,” but
the extant research now suggests that eye movements are not the only
means of invoking the central mechanism of therapeutic action (see Shapiro,
1995, 2001). The early EMDR training was criticized as closed and
unduly restrictive, yet the formal training course has now been completed
by more than 30,000 mental health professionals. The EMDR procedure
emerged from personal observations outside the scientific academy, yet
EMDR is currently the most extensively researched treatment for posttraumatic
stress disorder (PTSD; Maxfield & Hyer, 2002; Van Etten & Taylor,
1998). And EMDR originated from a rather narrow behavioral orientation
but has evolved into a leading integrative treatment.
Eye movement desensitisation and reprocessing (EMDR) is a powerful psychotherapy with well-researched benefits for adults and children who are experiencing post-traumatic stress and post-traumatic stress disorder. There is a wealth of research and practice-based evidence demonstrating the effectiveness of EMDR in many differing clinical presentations but the true potential of this extraordinarily beneficial therapeutic approach has not been fully embraced by the mental health nursing profession.
The watch wait and wonder (www) approach to parental
and infant mental health was developed in Toronto over the last 20 years. In the last few
years a number of therapists have set up www clinics in the UK. We have been running a
joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the
only clinic to offer trauma focussed psychotherapy together with infant mental health in
either the UK or Ireland.
Over the last 12 months the service has developed as a combined clinic between Adult
mental health and child & adolescent mental health services. The team comprises myself
and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant
psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives
referrals from the access and advice team or directly from the adult inpatient unit. Thelma
Osborn practises as a specialist health visitor in primary care and is employed by the
Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers
referred with post natal depression. She has recently completed basic EMDR training
(2008-9)
I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma
focussed psychotherapy in a new theoretical paradigm which I have termed integrated
reprocessing therapy (IRT). I will outline the use of this approach where traumatic births
and neonatal vulnerabilities are a key feature of the presentation
Recommendations for the development of parent infant mental health and a tier 3
perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will
be outlined.
Aim: This study aimed to generate descriptive data relating to Birmingham
Psychotherapy Services for People with Intellectual Disabilities
in order to: a) Provide an understanding of the key characteristics
of clients using the service. b) Identify those clients who find it difficult
to engage with the service in order to introduce measures to
improve its accessibility. c) Identify gaps in the information collected
to date so that information gathering mechanisms can be improved. d)
Provide a platform from which appropriate outcome measures for the
service can be examined. Method: Data was collected by use of a
proforma from client files. A selected sample of 141 files was analysed
and the results collated. Results: Data pertaining to the above was
analysed and the results recorded. Conclusions: A clearer profile of
the clients using the service was developed that facilitated a change in
clinical focus and the implementation of key changes in service delivery.
This has led to a greater emphasis on the use of groups and on
the development of more accessible information.
Lo status attuale dell’EMDR nel mondo della psicoterapia è sempre in evoluzione, nonostante gli sviluppi positivi degli ultimi 10 anni. Le sfide arrivano dal campo del trattamento del trauma sia nell’ambito dell’EMDR che dal mondo accademico della Psicologia e della Psicoterapia. Queste sfide potrebbero aiutare a cambiare il corso del-l’EMDR e a portarlo a svilupparsi con modalità nuove ed entusiasmanti.
La presentazione si focalizzerà sulle grandi possibilità che la comunità EMDR possiede per far diventare l’EMDR il metodo multidisciplinario di cambiamento del 21° secolo, sia nell’ambito della psicoterapia tradizionale (Salute Mentale) che in altri campi come la Medicina, l’Educazione, lo Sport e il Lavoro.
Altri aspetti che verranno affrontati sono quelli della formazione e accreditamento dei professionisti che applicano l’EMDR in Europa e a livello internazionale.
Durante la presentazione si analizzeranno le modalità con cui il terapeuta EMDR così come il ricercatore possono lavorare per far realizzare la visione non solo del ruolo, ma anche del contributo che può dare in futuro l’EMDR alla psicoterapia.
The present status in the world of psychotherapy, EMDR is always evolving, despite the positive developments of the last 10 years. The challenges come from the field of treatment of trauma is
EMDR in which the academic world of psychology and psychotherapy. These challenges could help change the course of l'EMDR-and help them develop ways new and exciting.
The presentation will focus on the great opportunities that the community has to EMDR become the EMDR method multidisciplinary change in the 21st century, both within the
traditional psychotherapy (mental health) than in other fields such as medicine, education, the Sport and Work. Other issues to be addressed are those of training and accreditation of professionals
applying EMDR in Europe and internationally. During the presentation will analyze the ways in which the therapist as well as EMDR Researchers can work to achieve the vision not only of the role, but also the contribution that can give in the future EMDR psychotherapy.
A multitude of published books and papers on child sexual abuse (CSA) describe symptoms, long-term effects, and therapy for survivors of abuse. However, the parallels between the nature of the sexual trauma event(s) as originally experienced by the victim and the therapeutic process into which the survivor later becomes engaged have not been reported. This paper attempts to fill that gap and proposes that the concept of a "Wall of Fear" is the bridge connecting the two. In the first part of the paper, a model of the CSA experience based upon Furniss will be explained in order to point out the basis for the dissociation and other symptomology demonstrated by the CSA victim. Following that, the stages of therapy will be mapped out, with special attention to the concept of the Wall of Fear and traumatic memory resolution (abreactions) and with reference to the experience of the original traumatic events. Therapist fear of decompensation will be addressed. [Author Abstract]
Background: Post-traumatic stress disorder (PTSD) is a derangement of mood control with involuntary, emotionally fraught recollections that may follow deep psychological trauma in susceptible individuals. This condition is treated with pharmacological and/or cognitive therapies as well as psychotherapy with eye movement desensitization and reprocessing (EMDR). However, only a very limited number of studies have been published dealing with work-related PTSD, and investigations on the effect of treatment on cerebral blood flow represent an even smaller number. Aim: To investigate the short-term outcome of occupation-related PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Method: Fifteen patients, either train drivers suffering from PTSD after having been unintentionally responsible for a person-under-train accident or employees assaulted in the course of duty, were recruited for the study. 99mTc-HMPAO SPECT was performed on these patients both before and after EMDR therapy while they listened to a script portraying the traumatic event. Tracer distribution analysis was then carried out at volume of interest (VOI) level using a three-dimensional standardized brain atlas, and at voxel level by SPM. The CBF data of the 15 patients were compared before and after treatment as well as with those of a group of 27 controls who had been exposed to the same psychological traumas without developing PTSD. Results: At VOI analysis significant CBF distribution differences were found between controls and patients before and after treatment (P=0.023 and P=0.0039, respectively). Eleven of the 15 patients responded to treatment, i.e., following EMDR they no longer fulfilled the DSM-IV criteria for PTSD. When comparing only the eleven responders with the controls, the significant group difference found before EMDR (P=0.019) disappeared after treatment. Responders and non-responders showed after therapy significant regional differences in frontal, parieto-occipital and visual cortex and in hippocampus. SPM analysis showed significant uptake differences between patients and controls in the orbitofrontal cortex (Brodmann 11) and the temporal pole (Brodmann 38) both before and after treatment. A significant tracer distribution difference present before treatment in the uncus (Brodmann 36) disappeared after treatment, while a significant difference appeared in the lateral temporal lobe (Brodmann 21). Conclusion: Significant 99mTc-HMPAO uptake regional differences were found, mainly in the peri-limbic cortex, between PTSD patients and controls exposed to trauma but not developing PTSD. Tracer uptake differences between responders and patients not responding to EMDR were found after treatment suggesting a trend towards normalization of tracer distribution after successful therapy. These findings in occupational related PTSD are consistent with previously described effects of psychotherapy on anxiety disorders. [PubMed]
Background: Several studies have reported limbic structures volume decrease in Post-Traumatic Stress Disorder (PTSD). However, in PTSD the effect of therapy on brain structures has seldom been investigated. The aim of the study was to evaluate the grey matter (GM) loss in occupational related PTSD and to assess the volumetric differences between patients responding (R) and non-responding (NR) to psychotherapy.
Methods: Pre-EMDR MRI data of 21 train drives who did develop PTSD (S) and 22 who did not develop PTSD (NS) after person-under-the-train accidents were compared. Within S further comparisons were made between 10 R to Eye Movement Desensitisation Reprocessing (EMDR) therapy and 5 NR. Data were analysed by optimised voxel-based morphometry as implemented in Statistical Parametric Mapping.
Results: As compared to NS, S showed a significant GM volume reduction in precuneus, lingual gyrus, posterior cingulate and parahippocampal cortex. The R>NR comparison highlighted a significant GM reduction in NR in bilateral posterior cingulate, left middle frontal cortex and right parahippocampal, insular and temporal cortices.
Conclusions: Comparing two large groups of subjects significant GM volumetric reductions were found in PTSD in posterior limbic structures. NR showed, as compared to R, volume reduction in cortical structures including posterior cingulate and parahippocampal cortex. These latter two structures seem to be the hallmark for both PTSD diagnosis and therapy outcome prediction.
(1)Background:
Several studies have reported limbic structures volume decrease in Post-Traumatic Stress Disorder (PTSD). However, in PTSD the effect of therapy on brain structures has seldom been investigated. The aim of the study was to evaluate the grey matter (GM) loss in occupational related PTSD and to assess the volumetric differences between patients responding (R) and non-responding (NR) to psychotherapy.
(2)Methods:
Pre-EMDR MRI data of 21 train drives who did develop PTSD (S) and 22 who did not develop PTSD (NS) after person-under-the-train accidents were compared. Within S further comparisons were made between 10 R to Eye Movement Desensitisation Reprocessing (EMDR) therapy and 5 NR. Data were analysed by optimised voxel-based morphometry as implemented in Statistical Parametric Mapping.
(3)Results:
As compared to NS, S showed a significant GM volume reduction in precuneus, lingual gyrus, posterior cingulate and parahippocampal cortex. The R>NR comparison highlighted a significant GM reduction in NR in bilateral posterior cingulate, left middle frontal cortex and right parahippocampal, insular and temporal cortices.
(4)Conclusions:
Comparing two large groups of subjects significant GM volumetric reductions were found in PTSD in posterior limbic structures. NR showed, as compared to R, volume reduction in cortical structures including posterior cingulate and parahippocampal cortex. These latter two structures seem to be the hallmark for both PTSD diagnosis and therapy outcome prediction.
Sexually abused by a relative from the ages of 5 to 11, Deirdre, a 29-year-old nurse spend much of her life in a rage until she tried a new type of psychotherapy. The memory of her abuse was repressed until she was about 19, she said, then the flashbacks began and she was consumer with anger and a feeling that she was suffocating. At 21, her impending marriage encouraged her to seek help.
EMDR is a powerful and effective psychotherapeutic method for healing trauma-based problems. In addition to its therapeutic effectiveness, it also leads in many cases to clients opening to transpersonal experiences. In this presentation, information on EMDR’s Adaptive Information Processing model and EMDR procedure are reviewed. Description and discussion of the spiritual unfoldment in EMDR clients is given, along with new research highlighting the following areas: the development of wisdom, compassion, trust in life, forgiveness, insights, epiphanies, experiences of spiritual freedom, and openings into the psychic realm (Turpin, 1999). Also included will be discussion of how to use EMDR to access and strengthen spiritual experiences, using EMDR with clients who have experienced near death experiences, and EMDR and after death communication to heal grief, including research using a new protocol, (Botkin, 1995, 2005). Suggestions on ways to enhance client’s spiritual experiences will be provided, as well as meditation practices.
Objectives. The psychological study was aimed at evaluation of the Eye Movement Desensitization and Reprocessing (EMDR), hypothesized to be effective in PTSD treatment. Method. Participants in the study were 60 outpatients (16 men and 44 women) aged 18-55, diagnosed with posttraumatic stress disorder (PTSD). They were treated with psychotherapy at the Outpatient Mental Health Clinic in Rzeszów. The patients were randomly divided into two equinumerous groups: "immediate", starting treatment directly after the initial diagnostic assessment, and "delayed", receiving the same treatment after one month delay. In the pre-and post-treatment assessment a PTSD questionnaire by Pasternak was used (in the "delayed" group an additional assessment was made 1 month after the initial one, i.e. directly preceding therapy). Results. In a vast majority of patients a statistically significant reduction in PTSD symptoms severity was noted. Three subgroups differing in treatment outcome (as measured by the Pasternak PTSD Scale scores) were identified, whose therapy was: successful (n = 37), moderately effective (n = 14), or unsuccessful (n = 9). Conclusions. The findings suggest that Eye Movement Desensitization and Reprocessing turned out to be an effective technique in the treatment for PTSD, both in the whole sample under study, and in the subgroups ("immediate" and "delayed"). © 2009 Instytut Psychiatrii i Neurologii
Eye movement desensitization and reprocessing (EMDR(R)), developed in 1987 and proved highly effective in treating psychological disturbances rooted in traumatic memories. It was hypothesised that EMDR(R) would enhance coping in patients traumatised by a cancer diagnosis and / or treatment, as indicated by their subjective responses and levels of depression, anxiety, satisfaction with life, positive-negative affect balance and sense of coherence. A descriptive multiple case-study method was implemented. Three cases were treated by EMDR(R) and three by a supportive method. Data collection was triangulised in terms of semi-structured interviews, quantitative measuring instruments and interviews by an external validator. Findings were consistently in favour of EMDR(R). The results confirmed EMDR(R)'s efficacy in terms of beneficial clinical outcomes on both objective and subjective measures of change.[Journal abstract]
This course presents a five-step model for body focused psychotherapy. Specific methods for incorporating EMDR into each phase are included. The existing EMDR somatic protocol is expanded to facilitate skill development in the areas of body awareness, sensory discrimination, symbolization, body learnings, and integration of more functional somatic patterns. Topics include uses of EMDR to create the body safe place, develop the body felt sense, reduce pain and increase comfort, reprocess aspects of trauma, and explore somatic developmental issues.
I have found that more traditional models of psychological healing, such as self-object relations, ego psychology, cognitive behaviorism, and developmental psychology, along with theories of trauma, dissociation, and attachment, are invaluable in helping to identify the general patterns of disharmony that can activate illness. Once my clients and I have sketched the broad outlines of where and how their pathways to healing may be blocked, then we can use the relatively more precise implements of hypnosis, EMDR, imagery, and body-focused therapies to reopen them again. The basic strategy illustrated throughout this book, then, is one of combining traditional psychological models for assessment with special tools to activate energy shifts that can rebalance the mindbody system.Three kinds of common stressors associated with problematic health provide the framework for this book: (1) General stress-related symptoms; (2) Psychophysiological symptoms that result from posttraumatic stress; (3) Stress connected with organic conditions. [Adapted from Text, pp. xiv, xv] [Pilots]
A trauma therapeutic concept for inpatient treatment of patients
with eating disorders (anorexia nervosa and bulimia nervosa) will be
presented. The therapeutic program is divided into four phases
(stabilization, resource organization, exposition and reorientation).
EMDR is integrated as standard protocol or modified for the
purpose of resource organization into each of these therapy phases.
The use of this trauma therapy concept of eating disorders has
resulted in a substantial improvement in therapeutic results. The
treatment results of 69 Patients with Bulimia and 61 patients with
Anorexia are presented.
Der Artikel beschreibt die Geschichte der modernen Trauma-Therapie seit 1989 und die Entwicklung von der EMDR-Standardprotokoll, um bipolare EMDR. Die letztere Technik wird mit Bezug auf eine Fallgeschichte demonstriert. Im letzten Abschnitt schließlich erweitert die Unterschiede und Ähnlichkeiten zwischen dem psychoanalytischen Modell von Krankheit und Therapie und ihre therapeutischen Trauma-Pendant. Besonderer Hinweis auf die Art und Weise emotionale Aspekte des Umgangs mit ihnen und den Status der psychosomatischen Symptomen aus. [Abstract Autor]
The article describes the history of modern trauma therapy since 1989 and the development from the EMDR Standard Protocol to bipolar EMDR. The latter technique is demonstrated with reference to a case history. The closing section enlarges on the differences and similarities between the psychoanalytic model of illness and therapy and its trauma-therapeutic counterpart. Special reference is made to the way emotional aspects are dealt with and the status of psychosomatic symptoms. [Author Abstract]
A concept for the steady traumatherapeuisches psychotherapy of patients with eating disorders (anorexia and bulimia) is presented. The treatment is structured in four phases (stabilization, resource organization, exposure, orientation). New methodological elements are active Selbstatabilisierung and integration of EMDR. Through this concept, the traumatic therapeutic treatment results have improved a lot. Presented is the evaluation of a total of 174 completed stationary psychotherapy.
Die Psychoanalyse als Urmutter der Psychotherapie stand schon früh vor der Frage:
Konflikt oder Trauma? Sind die Neurosen, die Freud um die Jahrhundertwende in
Wien sah, die Folge von krankmachenden Erlebnissen oder von krankmachenden
Phantasien? Freud entschied sich nach einigem Hin und Her für Letzteres und ist
dafür viel kritisiert worden (Bergmann 1996). Zugleich hat er mit dem
psychoanalytischen Persönlichkeits- und Krankheitsmodell die Grundlage gelegt für
die gegenwärtige Erforschung der Folgen traumatischer Erfahrung auf das
Individuum. Dies findet mit enormer Entwicklungsdynamik derzeit in Klinik und
Wissenschaft statt. Wir erleben derzeit einen Paradigmenwechsel in der
Psychotherapie. Das traumatherapeutische Modell erweist sich als ein Metamodell
für Psychotherapie schlechthin, und beginnt die bekannten Verfahren zu integrieren.
So war auch mein persönlicher Weg. Ich bin erst Psychoanalytiker geworden, ich
liebe diese Arbeitsweise. Sie ist, wie wir heute sagen würden, ein
Expositionsverfahren, welches darauf beruht, krankmachendes Erlebnismaterial in
der Übertragung auf den Therapeuten wiederzubeleben und durchzuarbeiten. Wir
sehen nun aber, dass die Zahl derjenigen Patienten und Patientinnen immer größer
wird, denen der innerpsychische Verarbeitungsapparat für die krankmachenden
Erlebniskomplexe weitgehend fehlt. Sie sind zur Exposition noch nicht imstande.
Traumatherapeutisch gesprochen benötigen sie eine Stabilisierungsphase, in der
sich die Verarbeitungsfähigkeit überhaupt erst entwickeln kann.
Psychoanalysis as a mother of psychotherapy was early faced with the question:
Conflict or trauma? Are the neuroses that Freud at the turn in
Vienna saw the result of disease-causing or disease-causing experiences
Fantasies? Freud decided, after some back and forth for the latter and is
been much criticized (Bergmann 1996). He also has the
psychoanalytic personality-disease model and the foundation laid for
the current research on the effects of traumatic experience on the
Individual. This is done with tremendous dynamic of development currently in hospital and
Science instead. We are currently experiencing a paradigm shift in the
Psychotherapy. The traumatherapeutische model proves to be a meta model
for Psychotherapy absolutely, and begins to integrate the known methods.
That was my personal way. I first became a psychoanalyst, I
love this work. It is, as we would say today, a
Exposure method, which is based on experience pathogenic material in
revive the transfer to the therapist and work through. We
but now see that the number of patients and patients growing
is where the inner psychological processing apparatus for the disease-causing
Experience complexes are largely missing. You are not able to exposure.
spoken Traumatherapeutisch they need a stabilization phase in which
the processing ability may develop in the first place.
Keine Zusammenfassung verfügbar.
No abstract available.
Keine Zusammenfassung verfügbar.
No abstract available.
Annalisa Field and David Cottrell's careful and balanced summary of the current state of evidence of the effectiveness of eye movement desensitization and reprocessing (EMDR) with children and adolescents is to be welcomed. They conclude that there is, despite an overall lack of good quality studies, some encouraging emerging evidence. They set out a future scenario for development in which these hopeful indications may be sufficient to convince clinicians to train and consider using EMDR in practice. That may in turn lead to more people publishing the results of their nascent practice, and greater availability of therapists would enable larger scale randomized controlled studies to be designed and carried out. In this clinical addendum I seek to complement Field and Cottrell's sense of promise by setting out ways in which EMDR has become incorporated in my systemic psychotherapy practice during the last 3 years.
A total of 105 patients with PTSD were randomly allocated to eye-movement desensitization and reprocessing (EMDR) (n = 39) versus exposure plus cognitive restructuring (E + CR) (n = 37) versus waiting list (WL) (n = 29) in a primary care setting. EMDR and E + CR patients received a maximum of 10 treatment sessions over a 10-week period. All patients were assessed by blind raters prior to randomization and at end of the 10-week treatment or waiting list period. EMDR and E + CR patients were also assessed by therapists at the mid-point of the 10- week treatment period and on average at 15 months follow-up. Patients were assessed on a variety of assessor-rated and self-report measures of PTSD symptomatology including the Clinician Administered PTSD Scale (CAPS), the Impact of Events Scale (IOE) and a self-report version of the SI-PTSD Checklist. Measures of anxiety and depression included the Montgomery Asberg Depression Rating Scale (MADRS), the Hamilton Anxiety Scale (HAM-A), and the Hospital Anxiety and Depression Scale (HADS). A measure of social function, the Sheehan Disability Scale, was also used. Drop-out rates between the three groups were 12 EMDR, 16 E + CR, and 5 WL. Treatment end-point analyses were conducted on the remaining 72 patients. Repeated measures analysis of variance of treatment outcome at 10 weeks revealed significant time, interaction, and group effects for all the above measures. In general there were significant and substantial pre-post reductions for EMDR and E + CR groups but no change for the WL patients. Both treatments were effective over WL. The only indication of superiority of either active treatment, in relation to measures of clinically significant change, was a greater reduction in patient self-reported depression ratings and improved social functioning for EMDR in comparison to E + CR at the end of the treatment period and for fewer number of treatment sessions for EMDR (mean 4.2) than E + CR (mean 6.4) patients. At 15 months follow-up treatment gains were generally well-maintained with the only difference, in favour of EMDR over E + CR, occurring in relation to assessor-rated levels of clinically significant change in depression. However, exclusion of patients who had subsequent treatment during the follow-up period diminished the proportion of patients achieving long-term clinically significant change. In summary, at end of treatment and at follow-up, both EMDR and E + CR are effective in the treatment of PTSD with only a slight advantage in favour of EMDR. [Author Abstract]
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged.
Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities.
In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches.
Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance.
The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological.
Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.
Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral el'EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.
Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.
Psychodynamic metódy a kognitívno-behaviorálna terapia boli najčastejšie metódy na liečbu posttraumatickej stresovej poruchy a napätie vyvolané syndrómy. EMDR - Eye Movement desenzibilizácie a prepracovanie nový psychoterapeutický prístup, ktorý integruje prvky Cognis a psychopdynamictive behaviorálna terapia spolu s bilaterálnou stimuláciu, hlavne pohyby očí. Táto metóda bola vytvorená Dr Francine Shapiro. Teraz je jedným z najúčinnejších a najlepšie tolerovaná terapeutických prístupov a jeho účinnosť je vykonávať na spoľahlivé vedecké štúdie, aj keď presný mechanizmus účinku nie je doteraz úplne jasné. V súčasnej dobe výskumu a praxe v psychotraumatology EMDR a je jedným z najviac dynamicky sa rozvíjajúca oblasť psychoterapie v USA a západnej Európe.
Psychodynamic methods and cognitive behavioral therapy were the most common methods for treatment posttraumatic stress disorder and stress induced syndromes. EMDR - Eye Movement Desensitization and Reprocessing is a new psychotherapeutic approach, Which integrates elements of Cognis and psychopdynamictive behavioral therapy together with bilateral stimulation, mainly eye movements. The method was created by Dr. Francine Shapiro. Now it is one of the most effective and best tolerated therapeutic approaches and its efficiency is Execute by reliable research studies, although the exact mechanisms of action are still not
absolutely clear. At the present Research and Practice in psychotraumatology and EMDR is one of the most dynamic developing area in psychotherapy in the USA and West Europe.
This chapter discusses several non-pharmaceutical treatments for PTSD in adults, including behavioural and cognitive approaches, psychodynamic psychotherapy, and eye movement desensitization and reprocessing. [Pilots]
A biracial client's recovery from PTSD through the use of eye movement desensitization and reprocessing (EMDR) is discussed to illustrate the interaction between ethnicity and phenotype as well as diagnosis and treatment considerations. This case explains a woman's experience of discrimination in and out of her home and her vulnerability to complex PTSD, and it documents the importance of the therapy focusing on experiences of discrimination and prejudice as well as abuse. It shows how the client structures her environment in a personally creative fashion to include representative features of various aspects of her identity, by her choice of where and who she teaches as well as how and with whome she spends her free time. [Author Abstract]
A person’s response to trauma is always both physical and emotional. For
many, it is also important to integrate the spiritual aspect into the recovery. Often
there are three parts to holistic trauma psychotherapy: (1) stabilization
(understanding symptoms in a new way, as well as learning skills to manage
emotions and cope with life stresses); (2) processing the trauma itself; and (3)
reexamining the spiritual meaning, life direction, and relationships.
The article discusses non-pharmacological treatments for posttraumatic stress disorder (PTSD). Research has demonstrated that Cognitive Behavioral Treatment (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) have been effective in treating PTSD but not necessarily in preventing it. The author describes the use of exposure, which aims to disrupt a fear-conditioned response by altering the meaning attached to it, as a means of treating PTSD. The author notes that exposure treatment has been found to be more efficacious when combined with CBT, as opposed to when used alone.
La presente investigación se llevó a cabo con personas que fueron diagnosticadas con
depresión mayor y que participaron en un proceso terapéutico EMDR (por sus siglas en
inglés -Eye Movement Desensitization and Reprocessing-). La recolección de datos se
realizó en la práctica clínica mediante el diseño de estudios de caso longitudinales, dentro de
los cuales se consideraron a la vez dos tipos de estudios cognitivos, organizados en tres
fases (inicial, intermedia y final). Los estudios cuasiexperimentales, de identificación de
valencia emocional bajo el paradigma de facilitación afectiva, se realizaron para observar los
cambios en el mecanismo de sesgo cognitivo emocional sobre las palabras depresogénicas.
Por su parte los estudios descriptivos, de análisis de representación emocional
depresogénica bajo la técnica de escalamiento multidimensional y de escalamiento
PathFinder, se utilizaron para determinar la forma en la que el esquema disfuncional era
modificado. Los resultados muestran que EMDR impactó tanto el procesamiento cognitivo de
la información emocional, como la organización conceptual en memoria a largo plazo. En la
sección de la discusión se hacen señalamientos interesantes sobre la integración de las
herramientas de la ciencia cognitiva de la emoción a la práctica del EMDR para la evaluación
cognitiva dual (implícita/explícita) de la recuperación de la depresión.
This research was conducted with people who were diagnosed with
major depression who participated in a therapeutic process EMDR (for short
English-Eye Movement Desensitization and Reprocessing-). Data collection is
performed in clinical practice by designing longitudinal case studies, within
which were considered simultaneously two types of cognitive studies, organized in three
phases (initial, intermediate and final). Quasi studies, the identification of
emotional valence in the affective priming paradigm were conducted to observe the
changes in the mechanism of emotional cognitive bias on the words depressogenic.
For their part, descriptive studies, analysis of emotional representation
depresogénica under the multidimensional scaling technique and scaling
PathFinder, were used to determine the manner in which the pattern was dysfunctional
modified. The results show that both EMDR impacted cognitive processing
emotional information, such as conceptual organization in long term memory. in the
discussion section of the interesting remarks are made on the integration of
tools of cognitive science of emotion to the practice of EMDR for the evaluation
cognitive dual (implicit / explicit) of recovery of depression.
Participants will: 1) be able to describe three innovative approaches to mind-body therapy; and 2) be able to practice the facilitation of the four stage creative process in psychotherapy.
Catie McGoldrick, a licensed marriage and family therapist in Tulsa, enthusiastically endorses Eye Movement Desensitization and Reprocessing (EMDR).
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren.
In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen.
Epidemiologie
Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit.
Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein.
Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.
Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose.
In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma.
Epidemiology
According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times.
The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance.
Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.
Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.
This paper describes how trauma therapy including body awareness
can reduce the impact of the traumatic memory and can efficiently
prevent retraumatization. The goal is to achieve the ability to self-regulate
activation of the autonomic nervous system and hence, to attain access to
states in which patients can maximize their resources. This procedure is
based on neurobiological findings and exemplified with case studies. The
approach complements other trauma therapeutic interventions, regardless of
the theoretical orientation, and can be combined with techniques like, for instance,
EMDR.
According to recent neuroscience research, psychological trauma disrupts homeostasis
and can negatively affect various organs and biological systems (Solomon & Heide,
2005). Somatic therapy addresses the physiological elements of the trauma by focusing
on the body, which, in turn, helps individuals cognitively and emotionally process trauma
(Ogden & Minton, 2000; Levine, 1997). This qualitative study aimed to explore the
experience of 5 participants who underwent ongoing somatic therapy in the treatment of
symptoms associated with Posttraumatic Stress Disorder (PTSD). The results revealed
twelve common essential elements among all the participants that illustrated their
experience prior to and during the somatic therapeutic process. Some of the elements
identified included: presence of severe trauma history of emotional, physical, and/or
sexual abuse; failure to treat PTSD symptoms prior to somatic therapy; manifestation of
PTSD in physical symptoms and/or illness; increasing awareness of body allowed access
to trauma; newfound knowledge and tools gained in helping to manage triggers; and
gaining a sense of physical and psychological freedom. Three additional essential
elements were found that were not shared by all or most of the participants, which included: EMDR as unsuccessful in treating PTSD symptoms; healing through artistic
expression; and ineffectiveness of psychotropic medication in the treatment of PTSD. A
process was identified in which a non-verbal bodily experience became a verbal,
intellectual, or cognitive experience. In addition, seven characteristics were identified
within the transformative process of improving PTSD symptoms occurring during the
somatic therapy. According to the participants’ reports, somatic therapy not only
decreased their PTSD symptoms, but the process had a significant positive impact on the
quality of their lives. This study’s findings highlight the potential of somatic therapy to
help those dealing with the effects of psychological trauma.
Getraumatiseerde vluchtelingen en allochtone jongeren hebben specifieke ontwikkelingsbehoeften. Om te voldoen aan de ontwikkelingsbehoeften in behandeling, om methoden te wijzigen op korte termijn groepstherapie voor getraumatiseerde kinderen van vluchtelingen, zoals beschreven door Angel-Poblete (1995) worden gepresenteerd. De methoden zijn oefeningen die de vijf zintuigen te stimuleren, om de interventies omgaan met 'acting out', en een ontspanningsoefening ontwikkeld op basis van Eye Movement Desensibilisatie and Reprocessing (EMDR) - die allemaal worden beoefend in het kader van een nauwe samenwerking met ouders en school personeel. Deze presentatie is gebaseerd op het werk met dertien groepen van deelnemers (N = 98) van beide geslachten en uit verschillende landen, 16-20 jaar oud (mediane leeftijd van 17 jaar oud). De theoretische basis, planning, uitvoering en de resultaten worden beschreven. Evaluaties met de deelnemers en school personeel, alsmede de reacties van de ouders, geven positieve therapeutische resultaten. (PsycINFO Database Record (c) 2008 APA, alle rechten voorbehouden)
Traumatized refugee and immigrant adolescents have specific developmental needs. To meet those developmental needs in treatment, methods to modify the short term group therapy for traumatized refugee children as described by Angel-Poblete (1995) are presented. The methods are exercises that stimulate the five senses, interventions to deal with acting out, and a relaxation exercise developed from Eye Movement Desensitization and Reprocessing (EMDR) - all of which are practiced within the framework of close cooperation with parents and school personnel. This presentation is based on the work with thirteen groups of participants (N = 98) of both sexes and from different countries, 16-20 years old (median age of 17 years old). The theoretical basis, planning, execution, and results are described. Evaluations with the participants and school personnel, as well as the reactions of the parents, indicate positive therapeutic results. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
This presentation compares two different descriptions: Paradigm and State of Consciousness, of the changes,
observable in a psychotherapy integrated with EMDR, to establish which of the two descriptions is the most likely
and consistent. Applying the method of the double description it will seek to identify contributions that may be
25
useful for the construction of a Unified Theory of Psychotherapy. At first, attention is focused upon the necessity
to construct a bridge-language between the different dialects of psychotherapies. Short specialized definitions,
such as Paradigm and State of Conscience, could be examples of the complex concepts, here denominated
synthetic �t� metaphors, transtheorical or Tran disciplinal, to be researched for constructing a common language
between the plurality of psychotherapies. Some implications of the methodological innovation carried on by
EMDR in psychology, psychotherapy, and in other disciplines are then analysed and proposed. In particular, the
easy integration of traditional psychotherapeutic methodologies with EMDR and the discovery of new target of
psychotherapy, have led to looking at all psychological activities in terms of a spatial metaphor. On the basis of
this a general map of the psychological territories of �sapiens sapiens� has been drafted. This general map is
divided in two main areas: A -the psychological territories of the individual, B -the psychological territories of the
species, This species map has some specific characteristics; since �sapiens sapiens� are social animals, their
relations have clear functions of social and environmental group interface too. These maps will be illustrated. In
its original meaning, the definition of Paradigm will be found within the maps and consequently analysed in its
variations. The amplified theory of State of Conscience will be presented and analysis, similar to the previous
one, will be carried out. A description of EMDR, that may be useful for implementing its understanding, will be
proposed at the end.
The title link is to an Introduction in Italian.
The primary focus of this investigation was to evaluate the responses of individuals diagnosed with PTSD to treatment with Eye Movement Desensitization and Reprocessing (EMDR). In the event that a participant was unable to tolerate the EMDR approach, an alternative cognitive-behavioral treatment approach was offered. It was anticipated that individuals exhibiting Secure Attachment status as revealed on administration of the Bell Object Relations and Reality Testing Inventory (BORRTI) would experience lower scores between pre- and post-intervention administrations of the Symptom Checklist-90-Revised (SCL-90-R). 6 individuals took part in the study; 5 completed the EMDR protocol and one completed an alternative cognitive-behavioral therapy program due to problems tolerating the EMDR treatments. Subjects met with the researcher/therapist from 1 to 12 sessions, participating in the assessment, psychoeducational, and treatment components of the protocol. The application of the BORRTI Insecure Attachment (IA) measure resulted in 5 of the participants receiving a designation Secure Attachment status and 1 person an Insecure Attachment status classification. Thus, comparison groups according to attachment status designation could not be formed. Comparisons of group mean differences between the pre- and post-intervention administrations of the SCL-90-R did not reveal statistically significant differences with regard to the five individuals completing the EMDR protocol. Limitations of the study are discussed, as well as implications for future research on the mediating influences of attachment status on the treatment of PTSD. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(2-B), Aug 2002, pp. 1047.
Discusses the inferences that can be drawn from studies of
psychotherapy effectiveness, based on the type of therapy control
group that is used, with particular attention to eye movement
desensitization and reprocessing. [FAL]
The first practice guideline for PTSD was published in 2000 by the International Society for Traumatic Stress Studies (ISTSS). Guidelines produced by the American Psychiatric Association and the US Departments of Veterans Affairs and Defense followed later, along with guidelines by groups in the United Kingdom and Australia (see Kilpatrick’s column, this issue, for information about PTSD treatment guidelines and references for these works). Psychotherapy figures prominently in these guidelines, especially treatments that are based on cognitive-behavioral techniques. A lot of research has appeared since 2000, so much that the ISTSS is issuing an updated guideline in 2008.
This article describes key issues to consider in interpreting the underlying literature on psychotherapy (Schnurr, 2007) and suggests articles for readers who want to read the original sources to find out which techniques are most effective. The focus is on randomized controlled trials (RCTs) and recent publications, although the bibliography includes a few references to older studies as well.
The efficacy of psychotherapeutic and pharmacotherapeutic approaches in the treatment of posttraumatic stress disorder (PTSD) can be regarded as empirically demonstrated. Overall, effect sizes seem to be higher for psychotherapy as compared with medication. Psychotherapy for PTSD includes the following approaches: cognitive-behavioral therapy; eye movement desensitization and reprocessing (EMDR); psychodynamic therapy; and brief eclectic psychotherapy. Treatment for PTSD should not focus exclusively on specific symptoms such as flashbacks and avoidance, but on basic life changes and existential questions as well, since such issues are of relevance for patients who suffer from chronic PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Depuis le diagnostic du syndrome de stress post-traumatique (SSPT) a été introduit dans le DSM-III en 1980, une variété d'approches psychothérapeutiques ont été développées pour résoudre les problèmes et besoins spécifiques des patients traumatisés. Le succès du traitement du SSPT a besoin d'un bien pensée sur l'attitude thérapeutique. Le thérapeute doit trouver une position équilibrée entre les sur-identification et de se détourner de l'impuissance. Une attitude la recherche de sensations doivent être évités de même que le risque de traumatisme du fait d'autrui. Dans de nombreux cas, le SSPT peut pas être traité suffisamment par la psychothérapie seule: un plan complet de traitement multi-modal peut comprendre pharmacothérapeutique, les interventions physiques, sociaux, juridiques et autres. Les premières interventions psychothérapeutiques au lendemain d'un événement traumatique suivre les règles d'intervention de crise (immédiateté, l'accent sur les problèmes actuels de limitation de temps). Une attention particulière devrait être accordée aux questions de développement d'une relation de confiance thérapeutique, en créant une atmosphère de sécurité, aider le patient à reprendre le contrôle de et / ou se distancier de souvenirs intrusifs. traitements de désensibilisation des mouvements oculaires et retraitement (EMDR) et d'autres «pouvoir» peut offrir un soulagement rapide des symptômes. Après un traumatisme collectif, des débriefings psychologiques sont largement utilisés, bien que la preuve de leur utilité dans la prévention de l'ESPT est discutable. Chez les patients porteurs chroniques du SSPT, le psychothérapeute ne devrait pas travailler exclusivement sur l'événement traumatique et ses séquelles: le traitement doit être orientée vers l'avenir plutôt que par le passé. Au lieu de l'exploration, le thérapeute devrait essayer d'activer les ressources des patients et les aider à trouver un nouveau sens à leur vie future. Il ya un besoin urgent d'soigneusement conçus, randomisés, études d'intervention contrôlée sur l'efficacité de l'intervention précoce chez les patients gravement traumatisés et la mi-aux psychothérapies à long terme chez les patients souffrant de PTSD chronique. En outre, les études futures devraient inclure les approches psychodynamiques, ainsi que des protocoles de traitement multimodal, et d'élaborer des critères d'évaluation cliniques plus sophistiqués. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
Since the diagnosis of posttraumatic stress disorder (PTSD) was introduced in DSM-III in 1980, a variety of psychotherapeutic approaches have been developed to address the specific problems and needs of traumatised patients. Successful treatment of PTSD requires a well thought-out therapeutic attitude. The therapist must find a well-balanced position between over-identification and turning away out of helplessness. A sensation-seeking attitude should be avoided as should the danger of vicarious traumatisation. In many instances, PTSD cannot be treated sufficiently by psychotherapy alone: a comprehensive, multi-modal treatment plan may include pharmacotherapeutic, physical, social, legal, and other interventions. Early psychotherapeutic interventions in the immediate aftermath of a traumatic event follow the rules of crisis intervention (immediacy, focus on the current problems, time limitation). Special attention should be paid to the issues of developing a trusting therapeutic relationship, creating an atmosphere of safety, helping the patient to regain control over and/or distance himself from intrusive recollections. Eye Movement Desensitisation and Reprocessing (EMDR) and other "power therapies" can offer quick relief from symptoms. After collective traumatization, psychological debriefings are widely used, although the evidence for their usefulness in preventing PTSD is questionable. In patients with chronic PTSD, the psychotherapist should not work exclusively on the traumatic event and its sequelae: treatment should be oriented towards the future rather than the past. Instead of exploring, the therapist should try to activate the patients' resources and help them to find new meaning in their future life. There is an urgent need for carefully designed, randomized, controlled intervention studies investigating the effectiveness of early interventions in acutely traumatized patients and of mid- to long-term psychotherapies in patients suffering from chronic PTSD. Furthermore, future studies should include psychodynamic approaches as well as multimodal treatment protocols, and elaborate more sophisticated clinical endpoints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Brief eclectic psychotherapy for PTSD:
New evidence: Brief Eclectic Psychotherapy (BEP) is a multimodal treatment for
PTSD comprising five essentials: psychoeducation; imaginal
exposure; writing assignments and mementos; domain of meaning
and integration; and a farewell ritual. This symposium presents
findings from two recent randomized controlled trials testing BEP
versus a minimal attention control group, and versus EMDR.
Posttraumatic growth and PTSD symptoms in response to brief eclectic psychotherapy and EMDR: How posttraumatic growth is related to posttraumatic stress
pathology is a matter of ongoing debate. Examining these
reactions in response to trauma-focused psychotherapy can help
us gain more insight into these phenomena. In this paper,
preliminary results are presented from a randomized controlled
trial comparing Brief Eclectic Psychotherapy (BEP; n = 70) and Eye
Movement Desensitization and Reprocessing therapy (EMDR; n =
70). Participants were outpatients who had a diagnosis of PTSD
following various kinds of type I trauma. The measures we applied
to assess pre-post differences were SI-PTSD, SCID-I/P, IES-R, and
PTGI. Preliminary analyses indicate a significant increase in
posttraumatic growth and a significant decrease in PTSD
symptomatology for both treatment conditions. Relationships
between these variables and differences between treatment
conditions are discussed.
Dr. Schore will discuss current models of the neurobiology of attachment, detailing the enduring positive and negative impact of interactively regulated and dysregulated bodily-based affective transactions on the organization of the infant’s developing right brain, which for the rest of the life span is dominant for the nonconscious processing of emotions, stress regulation, and intersubjectivity. Dr. Schore will then describe the negative impact of relational trauma on the developmental trajectory of the right brain and the origins of pathological dissociation. Applying the developmental model to the change process of psychotherapy, he will then describe the critical role of the right brain in implicit facial, gestural, and prosodic communications within the therapeutic alliance, in dysregulated states of affective hyper- and hypoarousal, and in empathy, transference-countertransference, and affect regulation. This work suggests that interactive regulation within the therapeutic alliance is a central mechanism in the treatment of patients with a history of early relational trauma.
For those who are interested in hearing more on this topic, this half day workshop will be a continuation of the morning Plenary.
PTSD is a frequent psychiatric response to a variety of extreme psychological stressors. While several effective treatments for PTSD such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been included on lists of empirically supported treatments, nonresponse rates to these treatments can be high. According to patient report, psychodynamic interventions are more common than CBT for PTSD in the community, yet only one randomized controlled trial has included a psychodynamic treatment for PTSD. This dissertation reviews the treatment dropout and non-response rates in studies of empirically supported treatments for PTSD. Next, a case for the value of psychodynamic treatment of PTSD is made, utilizing empirical research on links between the psychopathology of PTSD and psychodynamic concepts such as defenses and relationship patterns. Then, an empirical study was conducted to find out how psychodynamic and CBT therapists treat patients with PTSD, to discover commonalities and defining characteristics of treatment within each group of respondents, and to delineate the unique contributions of psychodynamic psychotherapy to the treatment of such patients.Therapists who identified themselves primarily with psychodynamic/psychoanalytic or cognitive-behavioral theoretical orientations were recruited online through professional organization listservs. They were randomly presented one of four case studies, describing variations on trauma. Participants then completed a Psychotherapy Process Q-Sort to describe quantitatively their ideal treatment of the given patient. Results indicated many similarities among clinicians of widely different perspectives. Among clinicians who indicated that their primary theoretical orientation was psychodynamic, three prototypical treatments were discovered, and among clinicians who indicated that their primary theoretical orientation was cognitive-behavioral, four prototypical treatments were found. Overall, the prototypes in the current study were correlated with, but not identical to, prototypes of PD, CBT, or interpersonal therapy (IPT) developed in previous studies based on experts' ratings. While the literature has suggested that clinicians who treat patients who have PTSD may make alterations in their techniques to address issues that are specific to PTSD, the current study provides some evidence that therapists are not aware of how their treatment for trauma is different from the theoretical approaches they endorse. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 67(10-B), 2007, pp. 6077.
What just transpired is a psychotherapy called eye movement desensitization and reprocessing (EMDR).
It has emerged over the past decade as one of the hottest - and some say most powerful - therapies for those who seem stuck in negative memories, reactions and behaviors. Once harshly criticized, EMDR's growing clinical and research track record has won over most detractors. Disagreements among mental-health professionals no longer focus on whether it works, but on how it works.
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Heutige Therapieansätze in der Psychotraumatologie Zentrum rund um das Problem der effektiven Zugang zu spezifischen Trauma-Symptome: Einbrüche; affektive Abstumpfung und Vermeidungsverhalten, Übererregung. Unter seinem Lager aus dem deutschen und amerikanischen Leitlinien PTSD-Therapie, skizziert der Artikel die wichtigsten Therapiemethoden und bewertet sie im Hinblick auf die relevanten Qualitätskriterien. EMDR, kognitiv-behavioralen Ansätzen, modifizierte psychodynamische Methoden und Trauma-adaptierten stationären Psychotherapie können so lange empfohlen werden, da sie in Verbindung mit stabilisierenden Elemente-Therapie eingesetzt werden. Normalerweise sind weitere therapeutische Interventionen auch notwendig, Zeichnung auf traditionelle Methoden für die Integration des Traumas in den Patienten-Biographie. [Abstract Autor]
Present-day therapy approaches in psychotraumatology center around the problem of effective access to specific trauma symptoms: intrusions; affective blunting and avoidance behaviors; hyperarousal. Taking its bearings from the German and American PTSD therapy guidelines, the article outlines the most important therapy methods and assesses them in terms of relevant quality criteria. EMDR, cognitive/behavioral approaches, modified psychodynamic methods, and trauma-adapted inpatient psychotherapy can be recommended as long as they are used in conjunction with stabilizing therapy elements. Normally, further therapeutic interventions are also necessary, drawing on traditional methods for integrating the trauma into the patient's biography. [Author Abstract]
Ein Behandlungsbericht über eine Psychoanalyse vor 20 Jahren wird unter heutiger psychotraumatologischer Sicht interpretiert. Statt einer Psychoanalyse wäre aus heutiger Sicht eine traumaadaptierte Therapie indiziert.br>
A report of a psychoanalytic treatment 20 years ago, is interpreted by today's Psychotraumatological view. Instead of psychoanalysis from today's perspective, a traumaadaptierte therapy would be indicated.
I will be presenting the case of an Iranian refugee in the UK who was imprisoned for many years in Iran and
subject to prolonged torture. I will discuss the use of integrated EMDR and sensorimotor psychotherapy in his
treatment, and outline how standard treatments need to be adapted in the case of trauma arising from human
rights abuses
Provides information on eye-movement desensitization and reprocessing (EMDR), one of the most widely studied treatment for posttraumatic stress disorder (PTSD). Reliance of the procedure on effective ingredients from well-established psychotherapies; Forms of stimulation used; Integrative approach to the patient-therapist relationship.
(1) David Servan-Schreiber est Professeur de Psychiatrie Clinique à l’École de Médecine de l’Université de Pittsburgh aux Etats-Unis et Chargé de cours à la Faculté de Médecine de Lyon I. Cet article est tiré en partie d'une traduction d'un article paru en 2002 dans la revue américaine Alternative Therapies in Health Medicine, 8:100-103. Nous remercions Pauline Guillerd, psychologue et praticienne EMDR, pour la traduction de l'anglais.
(1) David Servan-Schreiber is Professor of Clinical Psychiatry, School of Medicine of the University of Pittsburgh in the United States and Lecturer at the Faculty of Medicine of Lyon I. This article is partly based on a translation of an article published in 2002 in the journal Alternative Therapies in Health Medicine, 8:100-103. We thank Pauline Guillerd Psychologist and EMDR practitioner, for the translation of English.
Backgroound: Eye movement desensitization and reprocessing (EMDR) is becoming a recognized and accepted form of psychotherapy for posttraumatic stress disorder (PTSD). Yet, its mechanism of action remains unclear and much controversy exists about whether eye movements or other forms of bilateral kinesthetic stimulation contribute to its clinical effects beyond the exposure elements of the procedure. Methods: Twenty-one patients with single-event PTSD (average Impact of Event Scale score: 49.5) received three consecutive sessions of EMDR with three different types of auditory and kinesthetic stimulation (tones and vibrations): intermittent alternating right-left (as commonly used with the standard EMDR protocol), intermittent simultaneous bilateral, and continuous bilateral. Therapists were blinded to the type of stimulation they delivered, and stimulation type assignment was randomized and counterbalanced. Results: All three stimulation types resulted in clinically significant reductions of subjective units of distress (SUD). Yet, alternating stimulation resulted in faster reductions of SUD when only sessions starting with a new target memory were considered. Conclusions: There are clinically significant effects of the EMDR procedure that appear to be independent of the nature of the kinesthetic stimulation used. However, alternating stimulation may confer an additional benefit to the EMDR procedure that deserves attention in future studies.
The presenter will use the Adaptive Information Processing (AIP) Model to explain how to creatively change the language
of EMDR to meet the child’s developmental needs. Participants will learn how to develop a comprehensive treatment plan
that includes the three-pronged approach. Demonstrations with pictures and a short video will show ways of getting the
targets and the NC and PC through mapping, while still remaining true to the eight-phase model. Innovative child-oriented
methods for Resource Development Installation (RDI) and Cognitive Interweaves (CI) will be explained.
EMDR is guided by the Adaptive Information Procesing paradigm, which differentiates it from other forms of psychotherapy. The implications of this paradigm will be explored in relation to a variety of recent clinical case studies and research reports. Questions from participants will be used to explore potential clinical applications, and to hone case conceptualization skills.
EMDR is guided by the Adaptive Information Processing paradigm, which differentiates it from other forms of psychotherapy. The model was
formulated to describe clinical phenomena observed in EMDR, successfully
predict treatment effects, and guide clinical practice. These principles, along with EMDR protocols, and procedures will be used to evaluate
various trends in EMDR clinical practice. Clinical cases and questions collected from particlpants will be used to illustrate the ways in which EMDR can be applied.
EMDR is guided by the Adaptive Information Processing paradigm, which
differentiates it from other forms of psychotherapy. The model was
formulated to describe clinical phenomena observed in EMDR, successfully
predict treatment effects, and guide clinical practice. These principles,
along with EMDR protocols and procedures will be used to discuss a wide
range of clinical applications, ranging from acute through chronic and
complex conditions.
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single-trauma victims no longer maintain the posttraumatic stress disorder diagnosis after the equivalent of three 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. Unfortunately, some research has been conducted that has been severely hampered by insufficient treatment fidelity and lack of clinical validity. Consequently, this article will attempt to describe the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. [PubMed]
[Note: Erratum in Journal of Anxiety Disorders 13(6), 621, Nov-Dec 1999]
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Beyond the talking cure: somatic experience and subcortical imprints in the treatment of trauma; The developing mind and the resolution of trauma: some ideas about information processing and an interpersonal neurobiology of psychotherapy; EMDR and psychoanalysis; EMDR and cognitive-behavior therapy: exploring convergence and divergence; Combining EMDR and schema-focused therapy: the whole may be greater than the sum of the parts; EMDR: an elegantly concentrated multimodal procedure?; EMDR and hypnosis; EMDR and experiential psychotherapy; Feminist therapy and EMDR: theory meets practice; EMDR in conjunction with family systems therapy; Transpersonal psychology, eastern nondual philosophy, and EMDR; Integration and EMDR.
In its 20-year history, Eye Movement Desensitization and Reprocessing (EMDR) has evolved from a simple technique into an integrative psychotherapy approach with a theoretical model that emphasizes the brain's information processing system and memories of disturbing experiences as the basis of pathology. The eight-phase treatment comprehensively addresses the experiences that contribute to clinical conditions and those that are needed to bring the client to a robust state of psychological health. The concept of the transformation of the stored experience through a rapid learning process is the key to understanding the basis and application of EMDR and its guiding Adaptive Information Processing model (Shapiro, 1995, 2001, 2002). The purpose of this chapter is to provide an overview of both theory and practice. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
The basic thesis of this book is that eye movement desensitization and reprocessing (EMDR) is an integrated mode of psychotherapy with incorporated principles, protocols, and procedures that are compatible with all the major psychological orientations. It is hoped that EMDR can bridge the gap between various forms of psychotherapy and perhaps allow the information-processing model (which is explained in this chapter) to act as a common language. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Im vorliegenden Buch beschäftigen sich führende Vertreter der wichtigsten aktuellen psychotherapeutischen Schulen damit, wie EMDR, eine ursprünglich zur Behandlung von PTBS entwickelten Methode, sich mit ihren jeweiligen eigenen Ansätzen verbinden läßt. Die Autoren der einzelnen Beiträge geben Anwendungshinweise und beschreiben anschaulich Techniken für die Behandlung zahlreicher Probleme und Störungen, darunter Depression, Bindungsstörung, soziale Phobie, generalisierte Angststörung, Störung des Körperbildes, Eheprobleme und Existenzangst. Aus der Vielfalt der Sichtweisen schält sich ein Bild der Ähnlichkeiten zwischen den verschiedenen Disziplinen heraus: Es werden Möglichkeiten einer wirksameren Behandlung aufgezeigt, und die durch EMDR eröffneten Möglichkeiten einer integrativen Behandlungsweise werden erkennbar.
Mit Beiträgen von: Francine Shapiro, Bessel A. van der Kolk, Paul L. Wachtel, Arnold A. Lazarus, Stephen Gilligan, John Norcross, u.a. Ein ausführlicheres Bild von diesem Buch können sich die Leser durch die Leseproben auf der Verlags-Website machen.
In this book, leading representatives of the main current schools of psychotherapy deals with how EMDR, one originally for the treatment of PTSD developed method to connect with their own approaches can. The authors of individual contributions provide application notes and vividly describe techniques for the treatment of many problems and disorders, including depression, attachment disorder, social phobia, generalized anxiety disorder, body image disturbance, marital problems and existential angst. From the variety of perspectives emerges a picture of the similarities between the different disciplines: There are opportunities for more effective treatment identified, and the possibilities offered by EMDR treatment of an inclusive manner to be determined. With contributions by: Francine Shapiro, Bessel A. van der Kolk, Paul L. Wachtel, Arnold A. Lazarus, Stephen Gilligan, John Norcross, and Others A more complete picture of this book can make the reader through the excerpts on the publisher's website.
EMDR staat voor "Eye Movement Desensitization Reprocessing" en is een omstreden therapie waarmee trauma's behandeld kunnen worden. Grondlegster is dr. Francine Shapiro. Videorecordking (25 min.) : kleur, geluid.
EMDR stands for Eye Movement desensitization reprocessing "and is a controversial therapy that trauma can be treated. Founder, Dr. Francine Shapiro. Video Record King (25 mins): color, sound.
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single trauma victims no longer maintain the posttraumatic stress disorder (PTSD) diagnosis after the equivalent of 3 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. This article describes the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
L’EMDR est une approche psychothérapeutique intégrative, centrée sur le client, qui met l’accent sur le
système cérébral de traitement de l’information et sur les souvenirs d’expériences perturbantes en tant
que fondations des pathologies qui ne sont pas causées par un déficit ou une blessure organique. L’EMDR
aborde les expériences qui contribuent aux conditions cliniques ainsi que celles qui sont nécessaires
pour accompagner le client vers un état de santé psychologique robuste. L’article apporte une synthèse
de l’histoire, du développement et des recherches qui ont établi l’EMDR en tant que traitement soutenu
empiriquement. Après l’explication du modèle de traitement adaptatif de l’information, un exemple de
cas approfondi illustre la conceptualisation de cas recommandée en EMDR et les huit phases du protocole.
Cette approche est utilisée pour traiter les souvenirs antérieurs qui sont à la base de la pathologie et
les situations présentes qui déclenchent le dysfonctionnement, tout en apportant les scénarios pour une
action future appropriée et les comportements permettant de combler les déficits développementaux et/
ou les lacunes d’acquisition d’habiletés. Les bénéfices de l’intégration de l’EMDR avec les perspectives
de la systémique familiale en vue d’apporter les effets thérapeutiques les plus complets sont décrits.
EMDR is an integrative, client-centered psychotherapy approach that emphasizes the brain's information processing system and memories of disturbing experiences as the bases of those pathologies not caused by organic deficit or insult. EMDR addresses the experiences that contribute to clinical conditions and those needed to bring the client to a robust state of psychological health. Overviews of the history, development, and research that have established EMDR as an empirically supported treatment are provided. Subsequent to an explanation of the adaptive information processing model, an extended case example is used to illustrate the recommended EMDR case conceptualization and eight phases of treatment. This approach is used to process the early memories that set the foundation for the pathology and the present situations that trigger the dysfunction, while providing templates for appropriate future action that incorporate the information and behaviors needed to overcome skill and/or developmental deficits. The benefits of integrating EMDR and family systems perspectives to provide the most comprehensive therapeutic effects are described.
EMDR is an integrative, client-centered psychotherapy approach that emphasizes the brain's information processing system and memories of disturbing experiences as the bases of those pathologies not caused by organic deficit or insult. EMDR addresses the experiences that contribute to clinical conditions and those needed to bring the client to a robust state of psychological health. Overviews of the history, development, and research that have established EMDR as an empirically supported treatment are provided. Subsequent to an explanation of the adaptive information processing model, an extended case example is used to illustrate the recommended EMDR case conceptualization and eight phases of treatment. This approach is used to process the early memories that set the foundation for the pathology and the present situations that trigger the dysfunction, while providing templates for appropriate future action that incorporate the information and behaviors needed to overcome skill and/or developmental deficits. The benefits of integrating EMDR and family systems perspectives to provide the most comprehensive therapeutic effects are described. [Author Abstract]
Over the past decade, the rapid treatment effects of EMDR have provided neuro-physiological and clinical researchers with a “window into the brain.” In addition to the neurobiological changes, the rapid shifts in cognition, affect and somatic response reveal consistent patterns of internal associative processes. Systematic evaluation has also demonstrated that a wide variety of diagnoses are caused or exacerbated by unprocessed memories. Hence, EMDR treatment directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. A clinical tape will illustrate the findings, and the implications will be explored.
EMDR: A peculiar technique. It may give one an idea of hocus-pocus: the eliciting of the eye-movement. But it isn’t! And how it originated also is a peculiar story, but this I suppose is well known. It was a nice case of serendipity.
The adaptive information processing (AIP) model was developed to explain and predict EMDR treatment effects. We read: The AIP model states that all memory is associated, and learning occurs through the creation of new associations. When an incident is not fully processed, the perceptions, thoughts, and emotions that were experienced during the traumatic event are generally stored in state-dependent form. This storage may be in an isolated memory network where the information cannot link up with more appropriate information and learning cannot take place. And, to jump to a conclusion, what EMDR does is linking, forging new connections between the unprocessed memory and more adaptive information that is contained in other memory networks, while the simultaneous eye-movement decreases the intense and painful emotions that are recalled. Again: creating the narrative, cognitively and emotionally.
EMDR, provided it is well indicated and correctly applied, seems to be a very useful technique, a real tool, without pretension. It provides what it offers if… the results last (do they?). The case studies described in this chapter are convincing, one of them with a 5 year old child with a D attachment pattern (disorganized/disoriented attachment pattern, see also chapter 2). Both mother and child treated with EMDR. What happens in the brain when we move our eyes from left to right to left while recalling a traumatic incident is not explained.
In chapters 6-8 we can read about the psychotherapy of traumatized people.
Directions in Clinical and Counseling Psychology: A collection of 12 lessons, this volume covers a wide range of concerns in mental health counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Perspectives on the Essentials of Clinical Supervision" (Stephen A. Anderson); (2) "Adlerian Group Psychotherapy: A Brief Therapy Approach" (Manford A. Sonstegard, James Robert Bitter, Pari Peggy Pelonis-Peneros, and William G. Nicholl); (3) "Substance Abuse Treatment for Pregnant and Parenting Women" (Rivka Greenberg, Judith Fry McComish, and Jennifer Kent-Bryant); (4) "Family Therapy for with Lesbians and Gay Men" (Maeve Malley and Fiona Tasker); (5) "Psychological and Cognitive Correlates of Coping by Patients with Multiple Sclerosis" (William W. Beatty and Brian T. Maynard); (6) "Eye Movement Desensitization and Reprocessing (EMDR): Clinical Implications of an Integrated Psychotherapy Treatment" (Francine Shapiro and Louise Maxfield); (7) "Counseling Strategies with Women Survivors of Child Sexual Abuse" (Kathleen M. Palm and Victoria M. Follete); (8) "Identifying and Treating Body Dysmorphic Disorder" (Dean McKay); (9) "Masochistic Phenomena Reconceptualized as a Response to Trauma: Recovery and Treatment" (Elizabeth Howell); (10) "Counseling Poor, Abused, and Neglected Children in Fair Society" (Brenda Geiger); (11) "Chronic Fatigue Syndrome: Assessing Symptoms and Activity Levels for Treatment" (Constance W. Van der Eb and Leonard A. Jason); (12) "The Limitations of the DSM-IV as a Diagnostic Tool" (G. J. Tucker); and (Special Report) Jealousy, Communication, and Attachment Style (Laura K. Guerrero). Each lesson contains references. (ERIC ED464 291)
No abstract available.
What options are available to mental health providers helping clients with posttraumatic stress disorder
(PTSD)? In this paper we review many of the current pharmacological and psychological interventions
available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations.
There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye
movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE
possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of
nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives),
but there is no evidence that these treatments are less effective. Pharmacotherapy is promising
(especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of
medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of
combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to
conduct more randomized clinical trials research and effectiveness studies in military and Department of
Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and
propose several recommendations to help guide clinicians’ treatment selections.
New York — In what was described as the first direct comparison of biologic and psychosocial treatment of posttraumatic stress disorder, both modalities were effective in this patient population. [Elsevier]
On September 11, 2001, when two hijacked planes destroyed the World Trade Center, the world changed. As a clinical psychologist practicing in Manhattan, and specializing in trauma, the author has found the event's impact upon her work to be profound. For most of her patients, in particular the severely dissociative, this event triggered the deepest feelings of vulnerability, fear and rage. She describes the varied trauma responses of her patients, effective interventions, and her own experiences as a psychologist and a New Yorker both on and since September 11. [Author Abstract]
This plenary will offer an overview of one perspective for understanding the human mind, the impact of trauma on development, and the role of psychotherapy in the resolution of traumatic impairments to mental health. By examining the fundamental interrelationships among mind, brain, and the interpersonal experience, this view provides a scientifically based foundation for understanding how various forms of traumatic and disorganizing interactions can produce incoherencies in how the mind achieves an integrated form of functioning fundamental to mental health. Effective psychotherapy of unresolved trauma can be seen to involve the facilitation of blockages to the crucial process of neural integration.
This chapter provides an overview of an interdisciplinary approach to understanding the nature of the developing mind and how the unresolved effects of trauma may be resolved within psychotherapy. Following is a brief background of my introduction to eye movement desensitization and reprocessing (EMDR) and Francine Shapiro, the founder and a leading pioneer in the field of EMDR.My work comes from an interdisciplinary approach that combines numerous independent fields, including attachment theory and research, cognitive neuroscience, complexity theory, developmental psychology and psychopathology, genetics, psycholinguistics, and the study of trauma. By weaving the findings from these varied disciplines together with clinical work as a child psychiatrist, I developed a conceptual framework that was published as a book, "The Developing Mind: Toward a Neurobiology of Interpersonal Experience" (1999). This chapter offers a brief overview of this work and highlights ways in which this interpersonal neurobiology approach may help in understanding some possible mechanisms underlying trauma and its resolution. [Text, pp. 85, 86]
Participants will: 1) develop an understanding of the role of EMDR as a bridge between esoteric concept of consciousness and the western concept of psychotherapy; 2) be able to understand how the role of consciousness, imaqery, and intuition can be applied within the EMDR process; 3) demonstrate an ability to access their own inner vision and higher consciousness, and 4) learn the clinical applications, as an EMDR practitioner, of accessing their own intuition, higher inner senses, and evolving consciousness.
"It's not really a verbal therapy," says Carrie Brown, a trauma victim who, after several EMDR sessions, overcame the negative self-perception that typically follows victims of sexual abuse.
Updated: Saturday, October 10, 2009
Recent practice guidelines and meta-analyses have designated eye movement desensitization and reprocessing (EMDR) as a first-line treatment for trauma. Eye movement desensitization and reprocessing is an eight-phase therapeutic approach guided by an information-processing model that addresses the combat veteran's critical incidents, current triggers, and behaviors likely to prove useful in his or her future. Two case examples of combat veterans illustrate the ability of EMDR to achieve symptom reduction in a variety of clinical domains (e.g., anxiety, depression, anger, physical pain) simultaneously without requiring the patient to carry out homework assignments or discuss the details of the event. The treatment of phantom limb pain and other somatic presentations is also reviewed. The ability of EMDR to achieve positive effects without homework indicates that it can be effectively employed on consecutive days, making it especially useful during combat situations. [Wiley]
There has been extensive debate about the active treatment components involved in Eye Movement Desensitization & Reprocessing (EMDR); one commonly stated perspective is that EMDR is simply a repackaged cognitive behavior therapy (CBT). This discussion will explore the active components of EMDR and CBT for the treatment of PTSD. In order to provide a shared context for discussion, it will begin with a brief overview of the interventions (EMDR, Exposure, Stress Inoculation Therapy), including some video clips of the interventions. Following this, key questions will be presented for discussion by the entire group, such as: "What shared components are evident?" "What research designs would be appropriate to evaluate components?" "What process and outcome measures might be included to shed light on mechanisms?" Participants will be also encouraged to offer their own questions for discussion.
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]
A typical integrative brand of therapy is Eye
Movement Desensitisation and Reprocessing,
(EMDR), about which its originator, Francine Shapiro,
speaks to New Therapist in the coming pages of
this edition (see page 18).
But the history of EMDR is illustrative of the very
problem to which Rapp is alluding in her comments
about the advance of integrationism: That of the
emergence of discrete new schools which then have
to define their allegiances in the modality wars, much
in the same way Jung broke from Freud in the early
history of psychoanalysis.
The history of EMDR has been dogged by controversy
which makes other, more traditional modality
wars look tame by comparison. Those opposed to the
method have slated the lack of evidence and theoretical
grounds for its claimed efficacy (see page 16).
In response, its proponents have scrambled for more
research-based evidence of its value and recruited
thousands of practitioners as trainees and advocates of
the method.
Uvod: Mnoge studije ukazuju na efikasnost psihoterapijske metode Eye Movement Desensitization and Reprocessing u lijeÄenju stanja nastalih kao reakcija na te�ak stres. Do sada u Bosni i Hercegovini nije bilo objavljenih studija vezanih za EMDR.
Prikaz sluÄaja: U radu je prikazan pacijent obolio od akutnog posttraumatskog stresnog poremećaja nakon �to je pre�ivio nesreću u rudniku. Nakon jedne seanse EMDR simptomi se u potpunosti povlaÄe, a pacijent se vraća na premorbidni nivo psihosocijalnog funkcionisanja.
ZakljuÄak: Pacijenti tretirani sa EMDR imaju mnoge koristi od ovakvog pristupa, posebno u sluÄajevima posttraumatskog stresnog poremećaja uzrokovanog jednostavnom traumom koja se poÄne lijeÄiti rano, prije inkorporiranja u liÄnost pacijenta.
Background: Recent studies pointed to Eye Movement Desensitization and Reprocessing as an efficient psychoterapeutic approach in the treatment of states caused by severe stress. Until now in Bosnia and Hercegovina were no published studies regarding to EMDR.
Case report: Patient with acute posttraumatic stress disorder developed after he survived the mining accident was presented. After one session of EMDR simptoms were solved, and patient returns at premorbid level of psychosocial functioning.
Conclusion: Patients treated with EMDR has a lot of benefits from this approach, especialy in cases of Posttraumatic stress disorder caused by simple trauma that is not incorporated into patients personality.
Uvod: Mnoge studije ukazuju na efikasnost psihoterapijske metode Eye Movement Desensitization and Reprocessing u liječenju stanja nastalih kao reakcija na težak stres. Do sada u Bosni i Hercegovini nije bilo objavljenih studija vezanih za EMDR.
Prikaz slučaja: U radu je prikazan pacijent obolio od akutnog posttraumatskog stresnog poremećaja nakon što je preživio nesreću u rudniku. Nakon jedne seanse EMDR simptomi se u potpunosti povlače, a pacijent se vraća na premorbidni nivo psihosocijalnog funkcionisanja.
Zaključak: Pacijenti tretirani sa EMDR imaju mnoge koristi od ovakvog pristupa, posebno u slučajevima posttraumatskog stresnog poremećaja uzrokovanog jednostavnom traumom koja se počne liječiti rano, prije inkorporiranja u ličnost pacijenta.
Recent studies pointed to Eye Movement Desensitization and Reprocessing as an efficient psychoterapeutic approach in the treatment of states caused by severe stress. Until now in Bosnia and Hercegovina were no published studies regarding to EMDR. Case report: Patient with acute posttraumatic stress disorder developed after he survived the mining accident was presented. After one session of EMDR simptoms were solved, and patient returns at premorbid level of psychosocial functioning. Conclusion: Patients treated with EMDR has a lot of benefits from this approach, especialy in cases of Posttraumatic stress disorder caused by simple trauma that is not incorporated into patients personality.
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive
information processing (AIP) model. This article provides a brief overview of some of the major
precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories,
with therapeutic change resulting from the processing of these memories within larger adaptive networks.
Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during
processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast
to extinction-based information processing models and treatment is provided, including implications
for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including
those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral
stimulation. Research suggestions are offered in order to investigate various hypotheses.
A review of the psychosocial treatment research literature indicates that several forms of therapy appear to be useful in reducing the symptoms of PTSD. Strongest support is found for the treatments that combine cognitive and behavioral techniques. Hypnosis, psychodynamic, anxiety management, and group therapies may also produce short-term symptom reduction. Still unknown is whether any approach produces lasting effects. Imaginal exposure to trauma memories and hypnosis are techniques most likely to affect the intrusive symptoms of PTSD, whereas cognitive and psychodynamic approaches may better address the numbing and avoidance symptoms cluster. Treatment should be tailored to the severity and type of presenting PTSD symptoms, to the type of trauma experience, and to the many likely comorbid diagnoses and adjustment problems. [Author Abstract]
En este trabajo se desarrollan los lineamientos y criterios generales para el tratamiento de los trastornos disociativos. Dichos tratamientos, entre los que se destaca el EMDR, presetan una serie de características particulares, que serán reseñados.
In this paper we develop guidelines and criteria for the treatment of dissociative disorders. Such treatments, among which stands out the EMDR present a number of features which will be outlined.
Children exposed to a wide range of traumatic events suffer significant post-traumatic reactions. Randomised controlled trials assessing the effectiveness of interventions with traumatised children are described, the limitations of the current literature base identified, and issues regarding the applicability of these findings and interventions to everyday clinical practice discussed. Methodological issues, variations in interventions, parental involvement, theoretical underpinning, and outcomes will be discussed and implications for future studies highlighted. [Author Abstract]
Expressive and nonverbal therapies are increasingly being used in the treatment of trauma. This paper provides a theoretical structure that explains the mechanisms of therapeutic action so that empirical investigations can be conducted to determine the effectiveness of these modalities. Trauma, PTSD, memory, dissociation, alexithymia, and somatization are discussed. Donnel B. Stern's conceptualization of unformulated experience and David Kreuger's discussion of the body self and psychological self are explored and integrated with the neuropsychological research of Bessel A. van der Kolk and others. Finally, these concepts and research findings are integrated with expressive and nonverbal treatment approaches, including Eye Movement Desensitization and Reprocessing, Somatic Experiencing, Sensorimotor Psychotherapy, and Dance/Movement and Voice Movement therapies. [Author Abstract]
Domestic violence (DV) has been defined as a pattern of verbal and physical behavior intended to control another person in an existing, former, or desired intimate relationship (Walker, 1979). Although DV is not confined to heterosexual unions or to males as abusers, this chapter focuses on heterosexual males as offenders because 85% of DV is directed by men toward women (Rennison & Welchans, 2000). This chapter discusses integrating Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) and Therapy of Social Action (TSA) in the treatment of couples with domestic violence issues. A case example is then presented. The concluding discussion asserts that TSA and EMDR appear to be a powerful combination for the treatment of DV. When used with carefully selected couples, EMDR and TSA can repair the damage caused to the victims, strengthen relationships, inhibit abuser and victim tendencies in children, eliminate posttraumatic stress disorder (PTSD), increase personal responsibility, develop nonviolent conflict resolution skills, and increase empathy for self and others. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
We present our experiences with an elderly patient with depression that was attributed
to a surge of physical ailments who also had trauma-derived fear of having to undergo a tracheotomy.
He refused pharmacotherapy and was offered intensive training in Mindfulness
Meditation (MM) plus Eye Movement Desensitization and Reprocessing (EMDR) therapy
during the 2 weeks of hospitalization. This treatment combination had not been used previously.
We suggest that EMDR eliminated his fear of surgery, whereas MM relieved his
depression and attendant anxiety. However, the two techniques appeared to work synergistically.
Following his discharge, he continued to practice MM, which prevented the recurrence
of emotional distress, and even helped to reduce its causative physical symptoms. We offer
an explanation for the success of our combined treatments and discuss the potential usefulness
in specific psychotherapeutic situations. We also propose a place for MM within general
geriatric care, and point out the reluctance to consider the therapeutic value of meditation.
(Chang Gung Med J 2004;27:464-9)
Key words:
Findings by SBU Alert,
Version: 1,
METHOD AND TARGET GROUP:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS:
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS:
There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE:
There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months.
Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions.
*This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject.
This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES:
1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33.
2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press.
3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000.
4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57.
5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999.
6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27.
7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996.
8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239.
9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44.
10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995.
11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623.
12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press.
13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999.
14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33.
15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113.
16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144.
17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056.
18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils.
The complete report is available in Swedish only.
Imago Relationship Therapy (IRT; Hendrix, 1996, 2001) is designed to process negative experiences to heal early wounds of childhood, resolve marital conflict and criticism, and increase connection and intimacy. The goal of treatment is for the partners to become individually whole and conscious and an "intentional couple"; this concept emphasizes the importance of making conscious and deliberate choices rather than being reactive. Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) is a psychotherapy created to access and process the disturbing memories and deep wounds of childhood and bring them to adaptive resolution (Shapiro, 2001; Shapiro & Maxfield, 2002). In the integrative therapy approach described in this chapter, IRT is used to organize the approach to therapy, identify unprocessed targets for EMDR processing, facilitate communication between the partners, and help couples become less reactive and more intentional, separate and ultimately more connected. Advantages of integrating EMDR and IRT may include faster and deeper resolution of early childhood wounds and trauma and increased compassion and intimacy, enabling the couple to establish a healing connection, which breaks the symbiosis created in early childhood. Separation due to personal growth allows the couple to honor each other's differences and often results in greater connection. The integration of EMDR with IRT appears to provide more comprehensive desensitization, reprocessing, and healing than either of these therapies might provide individually. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal
core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M.
(2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy
as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had
success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee’s bilateral art and Michelle Cassou’s method of painting. A one-session example
serves to illustrate its use.
Introduction
Cette recherche décrit les effets du traitement EMDR sur les victimes de violences conjugales.
Objectif
Le but de cette étude était de mettre en évidence l’efficacité de l’EMDR dans la réduction des symptômes d’ESPT, d’anxiété et de dépression.
Méthode
Trente-six femmes ont participé à cette étude, 12 ont été traitées avec l’EMDR, 12 avec une approche de psychothérapie éclectique et 12 ont été assignées au groupe témoin.
Résultat
Les femmes ayant bénéficiées de la thérapie EMDR ont vu leurs scores aux différentes échelles (ESPT, dépression, anxiété) baisser significativement, comparativement à ceux de la condition psychothérapie éclectique. Les deux approches psychothérapeutiques ont conduit à des scores significativement plus réduits après traitement que ceux obtenus par le groupe témoin. Ces effets se sont maintenus six mois après l’intervention. Enfin, les tailles d’effet pour les scores IES et STAI sont plus élevées pour les sujets traités avec la thérapie EMDR.
Conclusion
Cette étude a répondu à nos attentes montrant ainsi tout l’intérêt de l’approche EMDR.
Introduction:
The purpose of this study was to determine the effectiveness of EMDR in reducing PTSD symptoms, anxiety and depression.
Method:
Thirty-six women participated in this study; 12 were treated with EMDR, 12 received eclectic psychotherapy, and 12 were assigned to the control group.
Result:
Women in the EMDR condition showed significantly reduced PTSD and anxiety compared with those in the eclectic psychotherapy condition. The two psychotherapy approaches led to significantly reduced scores (PTSD, depression, anxiety) after treatment compared to the control group. These effects were maintained at the 6-month follow-up. Finally, effect sizes for the IES and STAI scores were greater for the subjects in the EMDR condition.
Conclusion:
This study met our expectations in the sense that our findings confirm the advantages and the potential of EMDR.
L’objectif de cette étude est de mettre en évidence à partir du suivi de six femmes
victimes de viols par leur conjoint, les effets de la thérapie « eye movement desensitization
reprocessing », notamment en ce qui concerne la réduction des symptômes d’état de stress posttraumatique,
d’anxiété et de dépression. Toutes ces femmes ont, en outre, fait l’objet d’une
évaluation quantitative à partir d’échelles de mesure proposées avant la prise en charge ainsi
qu’à l’issue de chacune des séances. Les échelles utilisées sont l’Hospital Anxiety and Depression
scale, l’Impact Event Scale et un indicateur propre à la thérapie Eye Movement Desensitization
Reprocessing, le Subject Unit of Distress. Les victimes ont également participé à deux entretiens
plus qualitatifs avant et après la prise en charge, afin d’évaluer plus précisément la présence ou
non de symptômes d’état de stress post-traumatique sur la base des indications fournies par le
Manuel Diagnostic et Statistique des troubles mentaux (American Psychiatric Association [APA],
2004). Les résultats obtenus sont conformes à nos attentes et montrent une diminution significative
et progressive des scores aux différentes échelles au fur et à mesure des séances. Ainsi,
comme on le rencontre classiquement dans la littérature, une prise en charge par la thérapie
Eye Movement Desensitization Reprocessing conduit les sujets à s’auto-évaluer comme étant
de moins en moins perturbés au fur et à mesure que la psychothérapie progresse. Nous avons également pu observer une réduction importante des scores aux différentes échelles à l’issue
des deux premières séances. Enfin, la prise en charge psychologique réalisée à partir de la
thérapie « eye movement desensitization reprocessing » a conduit à une diminution notable du
nombre de symptômes liés au diagnostic d’état de stress post-traumatique. Cette diminution
s’est révélée homogène pour les trois critères pris en compte (critère B, C et D du American
Psychiatric Association [APA], 2004).
The objective of this study is to demonstrate through monitoring of six women
raped by their spouses, the effects of therapy "Eye Movement Desensitization
reprocessing, "including with regard to reducing symptoms of posttraumatic stress state,
anxiety and depression. All these women have also been a
quantitative assessment based on measurement scales proposed by the management and
at the end of each session. The scales used were the Hospital Anxiety and Depression
Scale, the Impact Event Scale and an indicator specific therapy Eye Movement Desensitization
Reprocessing, the Subject Unit of Distress. Victims have also participated in two interviews
more qualitative before and after treatment to assess more accurately the presence or
without symptoms of Posttraumatic Stress Disorder on the basis of information provided by the
Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association [APA],
2004). The results are consistent with our expectations and show a significant decrease
and progressive scores at different levels as and when the sessions. Thus,
as is typically found in the literature, supported by a therapy
Eye Movement Desensitization Reprocessing leads individuals to assess themselves as
less disturbed as and as psychotherapy progresses. We also observed a significant reduction in scores on different scales at the end
the first two sessions. Finally, the psychological care made from the
therapy "eye movement Desensitization Reprocessing" led to a significant reduction in the
number of symptoms to diagnosis of posttraumatic stress disorder. This decrease
has been consistent for the three criteria considered (criterion B, C and D of the American
Psychiatric Association [APA], 2004).
The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for PTSD were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative, and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure, or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR, and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment. [Author Abstract]
For person-centered psychotherapy and counseling to be scientifically acknowledged and accepted by public health services, the following are required: (a) more empirical research on the effectiveness of person-centered therapy for different diagnostic categories (ICD-10) and counseling modes (group, family, health-related counseling); (b) incorporation of alternative interventions to increase the effectiveness of short-term person-centered psychotherapy consistent with the approach and the client-centered behavior of the therapist, such as having patients choose their therapists, providing written information on stress reduction and self-help, teaching daily relaxation exercises, using EMDR (Eye Movement Desensitization and Reprocessing) with minor anxiety, and suggesting homework assignments; (c) improvement of the therapist-patient relationship via regular written feedback from the patient for the therapist, reflections that incorporate cognitions and emotions in proportion to clients' expressions, and active, intensive (non-directive) efforts by the therapist to improve the therapeutic relationship; and (d) promotion of person-centered behaviors by people in daily situations and relationships outside the therapeutic setting (e.g., teachers, parents, partners). (PsycINFO Database Record (c) 2008 APA, all rights reserved)
This paper presents the results of a meta-analysis of the treatment outcome studies of different types of
psychotherapeutic approaches for sexual assault victims experiencing PTSD or rape trauma symptoms. There
were 15 outcome studies identified for inclusion in the meta-analysis dating from 1988–2005, and these
studies comprised 25 treatment conditions. Separate meta-analyses were conducted according to study
design (independent samples and repeated measures), in keeping with meta-analytic conventions. The
overall results for the two meta-analyses were highly consistent, and effect sizes were in the large range for
independent samples (g=.91) and repeated measures treatments (g=.90). Effects were maintained at
follow-up from 6–12 months after treatment. Studies represented diverse treatment approaches, and most
treatments were effective in improving outcome according to symptom reduction. A number of moderating
variables were examined. Better outcomes were achieved with individual therapy compared to group
approaches. The use of semi-structured approaches and homework techniques were positively related to the
magnitude of effect size. [Science Direct]
This presentation will discuss the symptomology of reactive attachment disorder in children and the effects on the family. In addition, the presentation will focus on the treatment mileau of Eye Movement Desensitization and Reprocessing (EMDR) and how it may be used in the treatment of reactive attachment disorder in children. The discussion also will include a case study of a family with a child age 8 with reactive attachment disorder and the subsequent individual and family therapy. Treatment of choice was EMDR for the child and supportive therapy for the parents. Qualitative evaluation of the process demonstrated that the parents observed an instant changing in the child's attitude. The child reported that she felt better about herself, family, school, and truthfulness. Her statement about the therapy: "It opened a windown for me." In relation to outcomes, a 12 and 24-month evaulation demonstrated continued positive effects. The importance of working with the family in understanding the dynamics of reactive attachement disorder and how improvement occurs will be discussed. Objectives of the session will be to give clinical information to practitioners about children with reactive attachment disorder, how this disorder affects the family, and possible therapeutic intervention techniques to open a diaglogue that will lead to understanding children who are in treatment.
The trials and tribulations of experiencing a divorce are not easy for anyone who has seen it firsthand. Regardless of how the divorce occurs, it is important to note that there are hurt parties in need of healing. This article suggests a model based on EMDR, hypnosis, and NLP that may be combined with the efforts of mediation, divorce education, and support and counseling groups to reduce the pain and anguish being experienced. It is only when the parent(s) are free from the trauma associated from divorce that they may serve as a positive influence on their children.
This is a case study of a family with a child (age eight) with reactive attachment disorder and the subsequent individual and family therapy. Treatment of choice for the child was Eye Movement Desensitization and Reprocessing (EMDR) and supportive educational counseling for the parents and family. Qualitative evaluation of the process demonstrated that the parents observed an instant change in the child's attitude. The child reported that she felt better about family, school, and truthfulness, and stated about the therapy: It opened a window for me. A 12-month evaluation demonstrated continued positive effects.
Several psychosocial treatments appear to be effective in treating PTSD. However, little is known about the predictors of treatment outcome. It is possible that some variables predict poor outcome for some treatments but not for other treatments. To investigate this issue, outcome predictors were investigated for three 8-session treatments: exposure therapy (entailing prolonged imaginal and in vivo exposure), relaxation training, and eye movement desensitization and reprocessing (EMDR). 60 people with PTSD entered and 45 completed treatment. Treatments did not differ in attrition or perceived credibility. Exposure tended to be most effective, and EMDR and relaxation did not differ in efficacy. A number of clinical and cognitive variables were examined to identify predictors of treatment dropouts as well as predictors of the likelihood that patients would be remitted from PTSD after treatment. These analyses were conducted by controlling for treatment condition. Low patient ratings of treatment credibility (assessed in session 2) predicted treatment dropout, regardless of treatment type. Severe reexperiencing symptoms (assessed prior to treatment) predicted poor outcome for relaxation training but not for the other therapies. These findings suggest that treatment outcome could be improved by improving treatment credibility. The findings also support the use of exposure therapy and, to a lesser extent, the use of EMDR in treating PTSD. [Author Abstract]
Die Posttraumatische Belastungsstörung (PTBS) ist ein häufiges Krankheitsbild und mit einer Standardtherapie, die die spezifische Problematik der Störung unberücksichtigt lässt, nur eingeschränkt behandelbar. Der Beitrag geht auf aktuelle diagnostische Kriterien sowie spezifische Risikofaktoren für die Ausbildung chronischer und komplexer PTBS-Symptome ein. Verschiedene Behandlungsansätze – Konfrontationstherapie, Kognitive Restrukturierung, EMDR, psychodynamische Therapie, angeleitetes Schreiben – werden auf der Basis validierter Therapiestudien vorgestellt. Ausführlicher berücksichtigt werden Behandlungsmöglichkeiten für sexuell traumatisierte Frauen mit chronischer PTBS und komorbiden Beschwerden.
Post-traumatic stress disorder (PTSD) is a frequent disorder. But standard treatments which neglect the specific characteristics of the symptomatology are only of limited outcome. The paper focuses on recent diagnostic criteria and specific risk factors that are likely to influence the development of chronic and complex PTSD symptoms. Different treatment programmes and techniques are presented on the basis of validated therapy studies: prolonged exposure, cognitive restructuring, EMDR, psychodynamic therapy and writing assignments. Particular attention is payed to the psychotherapy of sexually traumatised women who suffer from chronic PTSD and comorbid disorders.
In dit artikel wordt de stand van zaken besproken van het onderzoek naar de behandeling van posttraumatische stress–stoornis (PTSS). Aan de orde komen achtereenvolgens psychodynamische therapie, cognitieve therapie, exposure–therapie, cognitieve gedragstherapie en Eye Movement Desensitization and Reprocessing (EMDR). Ingegaan wordt op de verschillende theoretische modellen, de therapeutische toepassing en het beschikbare effect–evaluatieonderzoek. Zijdelings wordt aandacht besteed aan minder bekende en nog onvoldoende onderzochte behandelvormen voor PTSS. Naar voren komt dat gecontroleerd onderzoek naar de behandeling nog steeds betrekkelijk schaars is. Geconcludeerd wordt dat voor exposure en EMDR de meeste empirische steun bestaat. EMDR heeft wellicht een aantal klinisch relevante voordelen in vergelijking met exposure.
This article discussed the status of the investigation into the treatment of post traumatic stress disorder (PTSD). It discusses successively psychodynamic therapy, cognitive therapy, exposure therapy, cognitive behavioral therapy and Eye Movement Desensitization and Reprocessing (EMDR). Outline the various theoretical models, and available therapeutic effect evaluation. Sideways looks at lesser known and insufficiently studied treatments for PTSD. It emerges that controlled treatment trial is still relatively scarce. It is concluded that exposure and EMDR most empirical support. EMDR may have a number of clinically relevant advantages over exposure.
This paper examines the role of the visual image in psychotherapy, and explores connections between how art therapists use physical images, and how EMDR practitioners use mental images in assisting emotional growth and healing. It outlines a clinical program in which EMDR eye-movement activity is integrated with the art therapist's use of paper-based images, and considers the merits of such a synthesis. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
In this article I attempt to show how the integration of “eye movement desensitization and reprocessing” (EMDR) techniques within a relational gestalt therapy approach results in a more powerful method than either therapeutic method alone. I describe the steps in the EMDR standard protocol, as outlined by Francine Shapiro, the founder of EMDR. I briefly discuss what we now know about how trauma affects brain functioning and EMDR’s effectiveness in resolving ‘simple’ trauma. I then explain how EMDR, within the context of a relational gestalt approach, can help to resolve therapeutic impasses, enhance the working through process of therapy and trigger associations that neither therapists nor clients anticipate or predict.
Research has shown that anxiety in children is highly influenced by parenting style, perception of family support (Rapee & Melville, 1997), and family relational patterns. Social Anxiety Disorder (American Psychiatric Association, 1994) is considered to be a common disorder in young adults. According to Shapiro's (1995, 2001) Adaptive Information Processing model, a neurotic symptomatic situation in a young adult with an unfinished separation process may be connected to unresolved separations and other past traumas. This chapter discusses research and clinical evidence, and treatment of young adults with complex separation problems. Integration of family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) is discussed. In this integrated treatment procedure, family therapy follows the experiential family systems therapy approach (Giat Roberto, 1992; Napier & Whitaker, 1978), with elements of multigenerational and Structural Family Therapy styles (Bowen, 1978; Minuchin & Fishman, 1992). The EMDR standard protocol is followed. A case example and concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
This study aimed to test a combined treatment with eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT), compared with CBT integrated with systematic desensitization, in reducing fear of flying. Participants were patients with aerophobia, who were randomly assigned to two experimental groups in a before- and after-treatment research design. The Flight Anxiety Situations Questionnaire (FAS) and the Flight Anxiety Modality Questionnaire (FAM) were used. The efficacy of each program was evaluated comparing the pre- and post-treatment levels of fear of flying within subjects. A comparison of the post-treatment scores between subjects was also conducted. Results showed the effectiveness of each model with a significant improvement in the examined psychological outcomes in both groups. (PsycINFO Database Record (c) 2011 APA, all rights reserved
This article describes the treatment of PTSD using eye movement desensitization and reprocessing (EMDR) with four pre-adolescent children. EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment to make it suitable for use with young children. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. This study describes brief work carried out with four pre-adolescent children with PTSD. Three of these children had received no treatment despite suffering from significant and chronic symptoms for some years. One had suffered a recent traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a multimodal treatment package. In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young children with PTSD and additional mental health problems. [Author Abstract]
We report on the successful treatment of a psychiatric outpatient with long-term Social
Phobia (SP), at best only marginally responsive to pharmacotherapy. He was treated by Eye
Movement Desensitization and Reprocessing (EMDR) because we suspected that his phobia
derived from emotional trauma. He also received brief training in Mindfulness Meditation
(MM), which enhanced his initially poor response to EMDR. The patient practiced meditation
intensively during the treatment period and thereafter, and used it to relieve the distress
that he experienced during both real and deliberately-imagined phobic situations. He recognized
this distress pattern as identical to the one he reported to his EMDR therapist while
processing traumatic images. The patient’s condition was much improved at discharge and
he continued to practice meditation during 31/2 years of follow-up to sustain his relief. The
two therapeutic approaches appear to be synergistic and useful in treating SP. We also comment
on the usefulness of providing brief MM training, especially to highly-motivated
patients. (Chang Gung Med J 2006;29(4 Suppl):1-5)
De Eye Movement Desensibilisatie Reprocessing (EMDR), ontwikkeld door Shapiro, is een relatief nieuwe methode voor de korte psychotherapeutische PTSS gerelateerde symptomen. Dit artikel is een overzicht van 27 empirische studies met behulp van de EMDR-methode. Het bleek dat de meeste studies, vooral de niet-gecontroleerde studies, aanzienlijke verbeteringen in het verslag cliënten binnen een paar sessies met EMDR. Echter, de meeste studies hebben ernstige methodologische tekortkomingen, betreffende het ontbreken van (1) een goede controle groepen, (2) gestandaardiseerde en gevalideerde vragenlijsten voor pre-en post-test metingen, (3) een adequate steekproefgrootte, (4) controle voor eerder ontvangen psychotherapie of andere niet-EMDR-interventies en / of (5) lange-termijn follow-up evaluaties. Deze tekortkomingen hinderen conclusies over de effectiviteit van de EMDR-methode, in tegenstelling tot andere behandelmethoden. [Samenvatting Auteur]
The Eye Movement Desensitization Reprocessing (EMDR), developed by Shapiro, is a relatively new brief psychotherapeutic method for PTSD related symptoms. This article is a review of 27 empirical studies using the EMDR method. It was found that most studies, especially the non-controlled studies, report considerable improvements in clients within a few sessions with EMDR. However, most studies have serious methodological flaws, concerning absence of (1) proper control groups, (2) standardized and validated questionnaires for pre- and post-test measurements, (3) adequate sample sizes, (4) controlling for previous received psychotherapy or other non-EMDR interventions, and/or (5) long-term follow-up assessments. These shortcomings hinder conclusions about the efficacy of the EMDR method in contrast to other treatment methods. [Author Summary]
A meta-analysis was conducted on 61 treatment outcome trials for PTSD. Conditions included drug therapies (TCAs, carbamazepine, MAOIs, SSRIs, and BDZs), psychological therapies (behaviour therapy, Eye-Movement Desensitization and Reprocessing (EMDR), relaxation training, hypnotherapy, and dynamic therapy), and control conditions (pill placebo, wait-list controls, supportive psychotherapies, and non-saccade EMDR control). Psychological therapies had significantly lower drop-out rates than pharmacotherapies (14% versus 32%), with attrition being uniformly low across all psychological therapies. In terms of symptom reduction, psychological therapies were more effective than drug therapies, and both were more effective than controls. Among the drug therapies, the SSRIs and carbamazepine had the greatest effect sizes, although the latter was based upon a single trial. Among the psychological therapies, behaviour therapy and EMDR were most effective, and generally equally so. The most effective psychological therapies and drug therapies were generally equally effective. Differences across treatment conditions were generally evident across symptom domains, with little matching of symptom domain to treatment type. However, SSRIs had some advantage over psychological therapies in treating depression. Follow-up results were not available for most treatments, but available data indicates that treatment effects for behaviour therapy and EMDR are maintained at 15-week follow-up. [Author Abstract]
Desensibilisatie Eye Movement and Reprocessing (EMDR) is een effectieve behandeling voor posttraumatische stress-stoornis. Een case-studie is een man die was opgesloten in zijn auto onder water. De negatieve cognitie: ik ben verloren, wordt omgezet in: ik kom eruit. Na een sessie alle symptomen verdwenen. Follow-up na een jaar bleek geen terugval.
Eye Movement Desensitization and Reprocessing (emdr) is an effective treatment for posttraumatic stress disorder. A case study presents a man who had been trapped in his car under water. The negative cognition: I'm lost, is transformed in: I'll come out of it. After one session all symptoms disappeared. Follow-up after one year showed no relapse.
Eighteen hundred years ago the Greek astronomer, and mathematician, Ptolemy, discovered he
could induce a feeling of contentment in those who looked at sunlight through the spokes of a
spinning wheel. In the late 1800's, French psychiatrist, Dr. Pierre Janet, noted that patients at
the Salpetriere Hospital in Paris experienced increased relaxation and a reduction in the
symptoms of hysteria when they were exposed to flickering light. Since the late 1930's
neuroscientists have known that brainwaves would rapidly mimic the rhythm of a flashing light
( or sound ) stimulus. British EEG researcher, W. Grey Walter originally called this the "flicker
phenomena," noting that strobic light produced states of profound relaxation and vivid mental
imagery. Today this same principle is known as visual entrainment.
In korte tijd heeft bereikt, EMDR enorme populariteit als de behandeling van keuze voor posttraumatische stress-stoornissen, zelfs in afwezigheid van een wetenschappelijk geldige theorie over de werkingsmechanismen. Advocaten vaak vet maken claims met betrekking tot effectiviteit. Ze suggereren dat EMDR is vrij eenvoudig uit te voeren om, en dat EMDR weinig last voor de patiënt heeft. Er is enig bewijs dat EMDR is zo effectief als cognitieve gedragstherapie in de behandeling van PTSS. Echter, de hoge verwachtingen met betrekking tot effectiviteit zijn nog niet bevestigd. Als de 'EMDR beweging' beweert dat de status van een officieel en wetenschappelijk gevalideerde psychotherapeutische methode, is onderzoek nodig dat zich kan identificeren met de specifieke effecten van de procedure ten opzichte van de niet-specifieke effecten van psychotherapie.
In short time EMDR has achieved enormous popularity as the treatment of choice for posttraumatic stress disorders, even in absence of a scientifically valid theory on its working mechanisms. Advocates frequently make bold claims regarding effectiveness. They suggest that EMDR is rather simple to perform, and that EMDR has little burden for the patient. There is some evidence that EMDR is as effective as Cognitive Behaviour Therapy in the treatment of PTSD. However, high levels of expectation with regard to effectiveness are not yet confirmed. If the ‘EMDR movement’ claims the status of an official and scientifically validated psychotherapeutic method, research is needed that can identify the specific effects of the procedure relative to the non-specific effects of psychotherapy.
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.
The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.
This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. 32 articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, 3 focused on the acute period post-assault, 2 included women with chronic and acute symptoms, and 3 were secondary prevention programs. The majority of studies focus on PTSD, depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the 4 studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery. [Author Abstract]
Se aborda el caso de una paciente que sufre un TID (como consecuencia de una infancia traumática). Se presentan las principales características del caso y de los cambios que se fueron produciendo en las sesiones del tratamiento (EMDR e ICV básicamente). Se comparan los resultados con las referencias más relevantes y recientes de los trastornos disociativos y por estrés postraumático. Se discute acerca de que el TID es un diagnóstico mucho más frecuente de lo que se pensaba, instrumentos de valoración, y terapias específicas que están ofreciendo algunos resultados. Se extraen algunas conclusiones acerca de las particularidades del abordaje de este tipo de casos.
The paper addresses the clinical case of a patient suffering from DID (following a traumatic childhood). It also examines the main features of the case and the changes produced in the patient during the course of the sessions of the treatment (basically, EMDR and ICV). We correlate our results with the most recent and relevant references on dissociative and posttraumatic stress disorders. We discuss about the possibility that DID is a much more frequent diagnosis than it was believed to be; instruments of evaluation, and that new specific therapies are offering some results. Some conclusions are extracted about the peculiarities of the handling of this type of cases.
Kazuistika ilustruje využitie stabilizačných psychoterapeutických techník a EMDR (Eye Movement Desensitisation and Reprocessing) v terapii jednoduchej i subsyndromálnej komplexnej (3) posttraumatickej stresovej poruchy (PTSP) u tej istej pacientky. Stabilizačné techniky, ktoré využívajú špeciálne volené a štruktúrované imaginácie, pomáhajú pacientovi v prvej fáze terapie obnoviť schopnosť prežívať bezpečie, mobilizovať jeho vlastné zdroje uzdravenia a pomôcť mu získať kontrolu nad vlastným prežívaním. EMDR je psychoterapeutická metóda konfrontácie s traumou (expozície), ktorá vychádza z poznatkov o neurobiologickom spracovaní informácií. Jadrom metódy je zistenie, že bilaterálna stimulácia (zabezpečená najbežnejšie pohybom očí zo strany na stranu – odtiaľ názov metódy) umožňuje adaptívne spracovanie dysfunkčne uloženej informácie a uvoľňuje samoliečiaci proces v nervovej sústave pacienta (4). Stabilizačné techniky i EMDR patria ku komplexnej psychoterapii traumy.
The case report illustrates the use of psychotherapeutic techniques, stability and EMDR (Eye Movement Desensitisation and reprocessing) in the treatment of simple and complex subsyndromálnej (3) posttraumatic stress disorder (PTSD) in the same patient. Stabilization technique using specially chosen and structured imagination, assist the patient in the first phase of therapy to restore the ability to experience security, to mobilize its own healing resources to help him gain control of their own survival. EMDR is a psychotherapeutic method of confrontation with the trauma (exposure), based on knowledge of the neurobiological information processing. The core method is the finding that bilateral stimulation (eye movements commonly provided from side to side - hence the name of the method) allows for adaptive processing of dysfunctional information stored and released samoliečiaci process in the nervous system of patients (4). Stabilization techniques and EMDR psychotherapy include a comprehensive trauma.
Also puplished in Psychiatria Pre Prax, 6(4), 194-196.
Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disord-ers. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic acti-vation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiograph-ic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation.
Although EMDR is clearly an integrative approach, it is an integrative approach with a strong cognitive-behavioral flavor. In this chapter, EMDR is examined and considered from a different vantage point. For some time, I too have been engaged in developing an integrative approach to therapy. However, apropos the previous paragraph, my integrative efforts have a different flavor; they are rooted most deeply in the psychodynamic tradition, not the cognitive- behavioral.As a consequence of my psychodynamic vantage point, my view and use of EMDR differ somewhat from the "classic" approach to EMDR. This chapter is thus likely to reflect clinical and theoretical views that differ in important ways from those of many of this book's other authors. However, my discussion does not constitute a critique of EMDR. I began using EMDR and am writing this chapter because I am intrigued by EMDR -- by its clinical potential, the experiences it seems to generate, and the challenges to theory and research that it presents. My goal is to expand our ways of viewing and thinking about EMDR, and to consider the ways in which EMDR can be enriched by a psychoanalytic perspective and vice versa. For an integration or combination of EMDR and psychoanalysis to be viable, two conditions must be satisfied. The differences must not be so fundamental and unbridgeable that any effort to bring the two approaches together is inherently incoherent and contradictory. At the same time, the differences must not be so trivial or superficial that putting them together adds little or nothing. The interface between EMDR and psychoanalysis meets both these conditions, and the chapter will attempt to demonstrate this as it proceeds. [Adapted from Text, p. 124] [Pilots]
Conceptual framework:
Ego state theory and therapy;
Psychosocial development;
EMDR;
Clinical hypnosis;
Integration; and
Brief psychotherapy
The principles of this conceptual framework are: (1) personality organization is
dissociative as well as associative, consisting of ego states, and progresses through
stages of psychosocial development; (2) inappropriately activated ego states cause
dysfunction, which is habitual or due to the intense affect of disrupted development
or unresolved grief or trauma; (3) completely overcoming dysfunction requires
therapy with both individual ego states and the personality system; (4) clinical
hypnosis provides techniques to enhance accessing ego states; and (5) EMDR
combines ego-state therapy with eye movements (EMs) to produce a powerful
psychotherapy method. During assessment, ego states responsible for
dysfunctional emotional reactions and behavior are identified together with those
that could be appropriate instead. Included in the treatment protocol, EMs and
clinical hypnosis promote: (1) corrective developmental experiences; (2) resolution
of grief and trauma; (3) acquisition of skills and abilities; (4) co-consciousness;
and (5) negotiation among ego states. The outcome is an integrated “family of
self” that has effectively overcome developmental crises, grief, and trauma, is
aware of essential inner resources, and can consciously activate appropriate ego
states. [Author Abstract]
Since its introduction, Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro, 1989) has received the attention of many mental health professionals. There has been much critical debate on the subject of EMDR. Most of the clinical discussion has centered on the role of EMDR in the treatment of Posttraumatic Stress Disorder (PTSD).
While the EMDR procedure has been compared to Mesmerism (McNally, 1999), declared as pseudoscience (Herbert, Lilienfeld, Lohr, Montgomery, O’Donohue, Rosen, and Tolin, 2000), or regarded as a highly marketed placebo (Lilienfield, 1996), most studies support the efficacy of EMDR in treating PTSD (Ironson, Freund, Strauss, and Williams, 2002; Lee, Gavriel, Drummond, Richards, and Greenwald, 2002; Marcus, Marquis, and Sakai, 1997; Rothbaum, 1997; Van Etten and Taylor, 1998; Wilson, Becker, and Tinker, 1997). There has been some evidence for accompanying physiological changes in PTSD subjects treated with EMDR with patterns of cortex functioning, (Levin, Lazrove, and van der Kolk, 1999; Nicosia, 1994) event-related potential changes (Lamprecht, Kohnke, Sack, Matzke and Munte, 2004), as well as positive effects on the level of the stress hormone cortisol (Haber, Kellner and Yehuda, 2002).
Transformative emotional sequence (TES) is proposed as a common principle of therapeutic change underlying a number of therapies: Emotion-focused therapy (EFT), coherence therapy (CT), accelerated experiential-dynamic psychotherapy (AEDP), and eye movement desensitization and reprocessing (EMDR). TES consists of emotional activation of a problematic emotional state followed by the activation of adaptive emotional state(s) within a short window of time. The resulting change is the creation of a permanent connection between previously unintegrated maladaptive emotional memory networks and adaptive emotional networks. Memory reconsolidation provides a plausible explanation for the mechanism underlying the effectiveness of TES. I compare TES to exposure, and argue that it is the intervention of choice for transforming maladaptive emotions, whereas exposure is most appropriate for accessing disowned and avoided experiences. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Although late life anxiety is common and appears to have potentially serious consequences, older adults generally underutilize mental health services. This article is a broad review of psychological literature that addresses the prevalence, consequences, and psychological treatment of anxiety in older adults. Psychological treatments, including relaxation, cognitive-behavioral therapy, psychodynamic therapy, and life review, are explored as alternatives to pharmacological approaches to treatment of anxiety. Several anxiety associated conditions are discussed: dementia, depression, phobias, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and PTSD. Case histories illustrate the effectiveness of psychological intervention for treatment of anxiety in the elderly. Included is a comprehensive list of manuals for anxiety treatment procedures. [Author Abstract]
Therapists who are trained in Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro, 1995) may try using the Creating Context Technique when a client is not stable enough for EMDR or when a client is unwilling to try EMDR. An example will be presented to demonstrate the use of the technique with a typical problem.
In this article we review the current literature surrounding needle phobia, concentrating
on clinical symptoms, aetiology and treatment options. Clinical symptoms
include sudden increase in heart rate and blood pressure on exposure to needles
followed by an immediate slowing of the heart and decrease in blood pressure
(vasovagal reflex). The various schools of thought surrounding aetiology of this
condition include biological, psychological and psychodynamic theories. Treatment
options vary from simple education and reassurance to medication and
specific behavioural approaches. Consideration should be given to past trauma
associated with the phobia and relevant family factors. Careful clinical assessment
will not only identify the problem but will also help to indicate appropriate treatment
options.
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.
A number of studies indicate that EMDR (eye movement desensitization and reprocessing) may be efficacious in treatment of children and young people with symptoms of posttraumatic stress. However, reports are limited in the use of the EMDR psychotherapy approach in situations of ongoing violence and trauma. This case study describes work with 7 children in an area of ongoing violence who were subject to repeat traumas during the course of an EMDR psychotherapy intervention, using a group protocol. Results indicate that the EMDR approach can be effective in a group setting, and in an acute situation, both in reducing symptoms of posttraumatic and peritraumatic stress and in "inoculation" or building resilience in a setting of ongoing conflict and trauma. Given the need for such applications, further research is recommended regarding EMDR's ability to increase personal resources in such settings. [Author Abstract]
Introdução: Flashback, sono e autoestima perturbados, reatividade e agressividade, são efeitos de traumas. Prejudicam a vida pessoal e social. Dilatam a demanda em psicoterapia desafiando a rede publica de saúde. Novas saídas fazem-se urgentes, que antecipem e melhorem efeitos curativos. Desde 87 na Califórnia, Francine Shapiro criou a Eye Movement Desensitization and Reprocessing, ou simplesmente Psicoterapia por Reprocessamento de Informações, inspirada nos movimentos oculares típicos do sono REM. Método: Estudo comparativo entre efeitos de psicoterapia com ou sem recursos do EMDR, aplicando as escalas Beck para ansiedade, depressão e desesperança, e uma escala de impacto de eventos, antes e após uma sessão. Aos sujeitos do grupo experimental foi aplicado o protocolo padrão de EMDR e para os do grupo controle, o método da psicoterapia da fala. Resultados: A análise estatística demonstrou que, embora o estado inicial dos sujeitos de ambos os grupos fosse o mesmo, houve diferença significante nos resultados, na comparação pós-intervenção, para todos os itens pesquisados. O grupo de sujeitos atendidos em psicoterapia por EMDR apresentou pontuação final muito abaixo da inicial para ansiedade (p < 0,0001), depressão (p < 0,0001), desesperança (p = 0,0001) e impacto de eventos (p = 0,0083), em relação àqueles atendidos pela terapia da fala. Conclusão: A psicoterapia com EMDR é adequada para tratamento de situações traumáticas, e apresenta resultados expressivos desde a primeira sessão sobre o impacto do evento e sintomas de ansiedade, depressão, desesperança. Pelos resultados e agilidade deve ser cogitada para grandes demandas tais como na rede pública de saúde.
Introduction: Flashback, disturbed sleep and self-esteem, aggression and reactivity, are effects of trauma. Affect the personal and social life. Dilate demand in psychotherapy defying public health network. New outlets are made urgent that anticipate and improve curative effects. From 87 in California, Francine Shapiro created the Eye Movement Desensitization and Reprocessing, or simply Psychotherapy for Reprocessing Information, inspired by the eye movements typical of REM sleep. Methods: Comparative study of effects of psychotherapy with or without features of EMDR, applying Beck scales for anxiety, depression and hopelessness, and a scale of impact of events before and after a session. The subjects in the experimental group was administered the standard protocol for EMDR and the control group, the method of psychotherapy speech. Results: Statistical analysis showed that although the initial state of the subjects in both groups were the same, there was a significant difference in results when comparing post-intervention for all items surveyed. The group of subjects treated with EMDR in psychotherapy presented final score far below the initial anxiety (p <0.0001), depression (p <0.0001), hopelessness (p = 0.0001) and impact of events (p = 0.0083), compared to those treated by speech therapy. Conclusion: Psychotherapy with EMDR is suitable for treatment of traumatic situations, and presents significant results from the first session on the impact of the event and symptoms of anxiety, depression, hopelessness. The results and agility should be considered for large demands such as in public health.
Objetivos de aprendizagem:
• estudar a Psicoterapia Breve com EMDR, em
casos clínicos simultâneamente tratados com
Psicoterapia Psicodramática e Psicofarmacoterapia.
Learning Objectives:
• study the Brief Psychotherapy with EMDR in
clinical cases simultaneously treated with
Psychodramatic psychotherapy and psychopharmacotherapy.
Trauma en posttraumatische stress klachten komen ook bij kinderen en jongeren (hierna kinderen) frequent voor. Trauma gerelateerde symptomen bij deze leeftijdsgroepen kunnen leiden tot verminderde schoolprestaties, problemen in het sociale functioneren en een verstoring van (hersen) ontwikkeling. In de afgelopen decennia zijn er talloze onderzoeken uitgevoerd naar de behandeling van trauma klachten bij kinderen. Trauma gerichte cognitieve gedragstherapie (TF-CBT) en EMDR zijn het meest onderzocht. In het merendeel van de kinderen dat wordt behandeld met één van de therapieën verminderen de traumaklachten aanzienlijk of verdwijnen de klachten in het geheel, echter bij een deel van de kinderen persisteren klachten ook na behandeling. Studies waarin TF-CBT en EMDR direct met elkaar worden vergeleken zijn zeer schaars. Dit terwijl de resultaten van dergelijke vergelijkende studies op de lange termijn een belangrijke bijdrage kunnen leveren aan het vooraf bepalen welke behandeling bij welk kind de meeste kans van slagen heeft.
In de afgelopen twee jaar zijn kinderen tussen de 8 en 18 jaar, die met een (partiële) posttraumatische stressstoornis werden gediagnosticeerd bij het trauma centrum van de Bascule, gevraagd om deel te nemen aan een vergelijkende behandelstudie (INTACT studie). Onderzoeksdeelnemers werden at random toegewezen aan ofwel 8 geprotocolleerde TF-CBT sessies ofwel 8 geprotocolleerde EMDR sessies. In totaal werden 48 kinderen gerandomiseerd. Uitgebreide traumadiagnostiek vond plaats voor behandeling, 1 week na behandeling, 6 maanden na behandeling en 1 jaar na behandeling.
In de huidige voordracht zullen de behandelresultaten worden gepresenteerd. De presentatie zal zich toespitsen op behandeleffecten op postraumatische stress symptomen gemeten door middel van de CAPS-CA. Er zal verder worden stilgestaan bij het potentiële belang van de onderzoeksresultaten voor de klinische praktijk en vooruitgekeken worden op toekomstig (neurobiologisch) vervolgonderzoek.
Trauma and posttraumatic stress symptoms also occur in children and adolescents (hereafter children) frequently. Trauma-related symptoms in these populations may lead to decreased school performance, problems in social functioning and disruption (brain) development. In recent decades there have been numerous studies on the treatment of trauma symptoms in children. Trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR are the most studied. In the majority of children being treated with any of the therapies significantly reduce trauma symptoms or the symptoms disappear altogether, however, some of the children symptoms persist even after treatment. Studies in which TF-CBT and EMDR directly be compared are very scarce. This while the results of such comparative studies on the long term a significant contribution to the pre-treatment to determine which child the best chance of success.
During the past two years, children between 8 and 18 years, with a (partial) post-traumatic stress disorder were diagnosed in the trauma center of the Bascule, asked to participate in a comparative treatment study (INTACT study). Research participants were randomly assigned to either 8 protocolled TF-CBT sessions or 8 protocolled EMDR sessions. A total of 48 children were randomized. Extensive trauma diagnosis occurred before treatment, 1 week after treatment, 6 months after treatment and 1 year after treatment.
In the current proposal, the treatment results are presented. The presentation will focus on treatment effects on post-traumatic stress symptoms measured by the CAPS-CA. There will also be given to the potential importance of the findings for clinical practice and are looking ahead to future (neurobiological) follow-up study.
Background: Trauma-focused cognitive-behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are effective treatments for posttraumatic stress disorder. However, little is known about their neurobiological effects. The usefulness of neurobiological measures to predict the treatment outcome of psychotherapy also has yet to be determined. Methods: Systematic review of randomized controlled trials (RCTs) focused on neurobiological treatment effects of TF-CBT or EMDR and trials with neurobiological measures as predictors of treatment response. Results: We included 23 publications reporting on 16 separate trials. TF-CBT was compared with a waitlist in most trials. TF-CBT was associated with a decrease in heart rate and blood pressure and changes in activity but not in volume of frontal brain structures and the amygdala. Neurobiological changes correlated with changes in symptom severity. EMDR was only tested against other active treatments in included trials. We did not find a difference in neurobiological treatment effects between EMDR and other treatments. Publications on neurobiological predictors of treatment response showed ambiguous results. Conclusion: TF-CBT was associated with a reduction of physiological reactivity. There is some preliminary evidence that TF-CBT influences brain regions involved in fear conditioning, extinction learning and possibly working memory and attention regulation; however, these effects could be nonspecific psychotherapeutic effects. Future trials should use paradigms aimed specifically at these brain regions and physiological reactivity. There are concerns regarding the risk of bias in some of the RCTs, indicating that methodologically more rigorous trials are required. Trials with neurobiological measures as predictors of treatment outcome render insufficient results to be useful in clinical practice.
Copyright © 2013 S. Karger AG, Basel.
Mental trauma refers to mental damnification made by some direct extra force(living event)or strong emotion hurt, especially the strong affective reaction induced by natural and man-made disasters related to these living events.The assessment of trauma, at present,just uses questionnaire or scale, like Traumatic Stress Schedule, Traumatic Events Questionnaire, etc. This article introduces some psychotherapy models and theories about trauma, such as dynamic psychology psychotherapy, Eye-Movement Desensitization and Reprocessing (EMDR),integration and development treatment model, virtual reality technique,as well as drawing therapy, dancing therapy, reading and creating therapy.
In dieser retrospektiven Studie 89 deutsche Soldaten, die als stationäre zur posttraumatischen Belastungsstörung behandelt wurden, zwischen 1998 und 2002 untersucht wurden. Nach einer mittleren von 29 Monaten mit Fragebögen They Were neu bewertet. Behandelt wurden 20 Patienten mit EMDR Konnte bis 14 Patienten mit einer unterstützenden Behandlung verglichen werden. Die Ergebnisse (Jes SOUTH. Voc) direkt nach der Behandlung und in der Langzeit-Follow-up waren deutlich überlegen in der EMDR-Gruppe im Vergleich zu den Kontrollen. Traumatisierte Soldaten in Out-of-area-Einsätze eher eine bessere als die kurzfristigen Ergebnisse Traumatisierte Soldaten in Deutschland haben. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)
In this retrospective study 89 German soldiers being treated as inpatients for a posttraumatic stress disorder between 1998 and 2002 were investigated. After a mean of 29 months they were reevaluated with questionnaires. 20 patients treated with EMDR could be compared to 14 patients with a supportive treatment. The results (Isa. SUD. VoC) directly after treatment and in the long-term follow-up were significantly superior in the EMDR group compared to the controls. Soldiers traumatized in out-of-area missions tended to have a better short-term outcome than traumatized soldiers in Germany. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi.
“E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929).
Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6
consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche.
Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione.
Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione.
Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza.
L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD.
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Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali.
Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto.
Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti.
Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto.
Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.
In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.


