Francine Shapiro Library: EMDR Bibliography

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1. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects of Early EMDR Intervention (EEI) on the victims of a terrorist bombing in Gungoren, Istanbul. Subjects were the victims of a terrorist bombing in Gungoren, Istanbul. The participants were selected from a pool of children and adults, who lived in Gungoren and scored high on the Turkish version of 'Impact of Event Scale' (IES) and PTSD Symptom Checklist. The subjects were contacted 2 days after the bomb attack so that we were able to measure the event impact right after the traumatic experience, which will help us to demonstrate how EMDR affects the impact of the event more accurately. Eye Movement Desensitization (EMD) as an EEI technique was used to treat the child participants, whereas Recent Traumatic Event Protocol (R-TEP) which incorporates the EMD and Recent Event (RE) protocols, was received by the adult participants The therapists (EMDR certified therapists, who were receiving supervision) met with the participants weekly to work only on the trauma of the bombing and participants completed impact of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study is completed with a three month follow-up. Analyses of the data collected from the participants demonstrates the level of effectiveness of EMDR in children and adults, in prevention of PTSD and the use of EMDR as a crises intervention tool.

Keywords: Acute Stress  Bombing  Early Interventions  EMD  Istanbul  Recent Events  R-TEP  Symposoium  Terrorism  


2. Istanbul Metropole Municipality. (2009, June). The effects of early interventions (EMD) and (R-TEP) on the victims of a terrorist bombing in Istanbul. 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: Bombings  Early Intervention  EMD, R-TEP  Istanbul  Posttraumatic Stress Disorder  PTSD  Recent Events  Research  Symposium  Terrorist  


3. Laub, B., & Weiner, N. (2011). A developmental/integrative perspective of the recent traumatic episode protocol. Journal of EMDR Practice and Research, 5(2), 57-72. doi:10.1891/1933-3196.5.2.57.

Language: English

Format: Journal

Abstract:
The recent traumatic episode protocol (R-TEP) is an adaptation of the eye movement desensitization reprocessing (EMDR) standard protocol to the acute phases following trauma. In this article, the R-TEP structure and procedures were analyzed from a developmental/integrative perspective. It is proposed that the therapist's developmental understanding and attunement can enhance the therapeutic dyad and can promote flexible decision making while using the R-TEP procedures. One case illustration of a recent trauma intervention demonstrates the advantage of developmental attunement in using the R-TEP. This perspective enables the therapist to pace the various styles of processing as they relate to the different stages of the memory consolidation process.

Keywords: AIP Model  Early EMDR Intervention  EEI  Memory Consolidation Process  R-TEP  Recent Events  Recent Trauma  Recent Traumatic Episode Protocol  


4. Shapiro, E. (2012, June). The recent-traumatic episode protocol. A comprehensive approach for early EMDR intervention (EEI) [Protocolo del Trauma Reciente Un planteamiento integral para la intervención precoz con EMDR (EEI)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, may prevent complications & strengthen resilience. Checking for sub-­‐clinical sticking points, which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-­‐TEP may reduce the sensitisation and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-­‐TEP), which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. An introduction to the R-­‐TEP will be presented with video case illustrations.

EMDR ha demostrado su eficacia en el tratamiento de TEPT crónico, al igual que para los recuerdos traumáticos antiguos; no obstante, los protocolos para la intervención precoz con EMDR (EEI) no han recibido mucha atención ni por parte de los que investigan en el campo de EMDR ni por parte de los clínicos. Se propone que la EEI, durante el período en el cual aún no han sido integrados los recuerdos traumáticos, puede emplearse no solo para tratar el estrés agudo, sino que también es posible que ofrezca una ventana de oportunidades durante la cual una intervención breve, posiblemente en días sucesivos, puede prevenir las complicaciones y fortalecer la resiliencia. Al comprobar [posibles] puntos de fricción subclínicos que pueden impedir el procesamiento adaptativo de la información (AIP) y que no siempre se manifiestan en el radar del DSM, el R-­‐TEP puede reducir la sensibilización y acumulación de recuerdos del trauma. Como parte del planteamiento integral a la EEI, este taller presenta el protocolo para episodios traumáticos recientes (R-­‐TEP), un protocolo integrador que incorpora y extiende los protocolos existentes dentro de un nuevo marco conceptual, junto con medidas adicionales para la contención y seguridad. Se presentará una introducción al R-­‐TEP junto con casos que sirvan de ejemplos.

Keywords: Early EMDR Intervention  EEI  Recent-Traumatic Episode Protocol  R-TEP  


5. Shapiro, E. & Laub, B. (2010, September/October). The recent traumatic episode protocol (R-TEP) for early EMDR intervention. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-TEP may reduce the sensitization and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

Keywords: Early Intervention  Recent Events  Recent Traumatic Episode Protocol  R-TEP  


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

Language: English

Format: Journal

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

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


7. Shapiro, E., & Laub, B. (2008, September). Introduction to the (revised) recent traumatic episode protocol (R-TEP): A newly applied conceptual perspective for early EMDR Intervention (EEI). Author.

Language: English

Format: Other

Abstract:
The Recent-Traumatic Episode Protocol (R-TEP) takes the wisdom of the Standard EMDR Protocol (Shapiro, 1995, 2001) and applies it in adapted form for recent events to provide a comprehensive approach to Early EMDR Intervention (EEI). The R-TEP thus presents an integrative protocol for EEI, which incorporates and extends existing procedures. It is a protocol that utilises both the EMD and EMDR protocols together with some elements of the Recent Event protocol within a newly conceived extended time perspective, termed here the "Traumatic Episode". The Traumatic Episode (or T-Episode) comprises multiple targets of disturbing images/ events/ other experiences, from the original incident until today, including disturbing thoughts about the future, which need to be processed. [Excerpt]

Keywords: Recent Events  Recent Traumatic Events  R-TEP  Protocol  


8. Shapiro, E., & Laub, B. (2009, August). The recent-traumatic episode protocol (R-TEP): A comprehensive approach for early EMDR intervention (EEI). Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations and a practicum.

Keywords: Early EMDR Intervention  EEI  Recent Events  Recent-Traumatic Episode Protocol  R-TEP  


9. Shapiro, E., & Laub, B. (2009). The recent-traumatic episode protocol (R-TEP): An integrative protocol for early EMDR intervention (EEI). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 251-269). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The question of how early to intervene with EMDR in the face of natural and manmade disasters has been an important part of the dialogue of those working in this field. Early EMDR intervention, before consolidation of the memory has taken place, may influence adaptive integration (e.g., process sticking points), promote positive coping (especially if this is not occurring spontaneously), and contribute to the development of resilience. Informed by the work of Francine Shapiro, Roger Solomon, and all of the friends and colleagues in the field who have contributed to the evolution of their thinking and practice and following clinical and empirical experience with early EMDR intervention (EEI) in the wake of the 2006 Lebanon war, the authors have observed that the existing EEI protocols appear to focus on certain aspects or parts of the traumatic episode along an approximate time line continuum following a trauma, in accordance with the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (APA, 2000). They concluded that the unfinished processing of recent traumatic events may require a broader focus than existing EEI protocols provided. They propose a new protocol called the Recent- Traumatic Episode Protocol (R-TEP), which incorporates and extends the existing EEI protocols by providing a new comprehensive, integrative protocol. The R-TEP thus bridges the gaps left by previous protocols and facilitates a transition from the EMD and RE protocols to the Standard EMDR Protocol. The R-TEP takes the wisdom of the Standard EMDR Protocol (Shapiro, 1995, 2001), and applies it in adapted form for recent events to provide a comprehensive approach to Early EMDR Intervention. After describing the main issues in early EMDR intervention, the authors present the Recent-Traumatic Episode Protocol and the Episode Narrative and Initial Goodle Search Script. The EMD Protocol for R-TEP Script adapted from the EMD Protocol by Shapiro (1995) is also presented, as is the Standard EMDR Protocol Script (Adapted from the Standard EMDR Protocol for R-TEP, Shapiro, 2001). [PsycINFO Database]

Keywords: Early EMDR Intervention  EEI  Protocol  Recent Events  Recent Traumatic Episode  R-TEP  


10. Shapiro, E., & Laub, B. (2010, June). The recent-traumatic episode protocol (R-TEP) a comprehensive approach for early EMDR intervention. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
As part of a comprehensive approach to Early EMDR Intervention (EEI), thls workshop, presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The workshop will include video case illustrations. Participant will learn about the issues involved with EEI, the rationale of the developmen: of the R-TEP, 4 key conceptual procedures & their application. EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also be a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications& strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive information Processing (AIP) and don't necessarily show up on the DSM radar, the R-TEP may reduce the sensitisation and accumulation of trauma memories.

Keywords: Early Intervention  Recent Events Recent-Traumatic Episode Protocol  R-TEP  


11. Shapiro, E., & Laub, B. (2010, September/October). Advanced supervision & practicum session with the R-TEP (Recent traumatic episode protocol). Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:

Keywords: Recent Events  Recent Traumatic Episode Protocol  R-TEP  


12. Shapiro, E., & Laub, B. (2011, June). The recent-traumatic episode protocol (R-TEP): A comprehensive approach for early EMDR intervention (EEI) [Das recent-traumatic episode protocol (R-TEP): Ein umfassender ansatz für den einsatz von EMDR als frühe intervention]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Early EMDR Intervention (EEI), while trauma memories are still consolidating, is perceived as a window of opportunity for adaptive processing of trauma memories. It may be used not only to treat acute distress but also to prevent complications by checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, thereby reducing the sensitization and accumulation of trauma memories. Learning objectives: As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.

Keywords: Early EMDR Intervention  EEI  Recent Events  


13. Shapiro, E., & Laub, B. (2008, May). Recent - traumatic episode protocol (R-TEP). EMDR Israel, Telaviv.

Language: English

Format: Other

Abstract:
Main Features of the R-TEP
Target selection: 1) Episode wide focus = period from the traumatic event to the present 2) Use of "Google Search" (G-Search) metaphor to identify multiple targets within the episode (sensory images/ events/ other experiences) Containment (safety): 1) 8 Phase structure parallel to Standard Protocol 2) Episode Narrative with DAS for grounding 3) Option of using distancing metaphor of TV screen 4) Option of regulation of associations by limiting associations to the image/event/ episode

Keywords: Recent-Traumatic Episode Protocol  R-TEP  


14. Tofani, L. R., & Wheeler, K. (2011). The recent-traumatic episode protocol: Outcome evaluation and analysis of three case studies. Journal of EMDR Practice and Research, 5(3), 95-110. doi:10.1891/1933-3196.5.3.95.

Language: English

Format: Journal

Abstract:
This article evaluates and illustrates the application of the recent-traumatic episode protocol (R-TEP) with three diverse clients: a child with chronic illness, a woman with a significant loss, and an adolescent who self-harmed. The R-TEP is an adaptation of the Eye Movement Desensitization and Reprocessing (EMDR) protocol for early EMDR intervention. Sessions are presented in detail to highlight the shifts in information processing that occur during treatment. Observed markers used to analyze the flow of processing are identified, which include distancing from the trauma; reduction in negative affect or change in reported emotions; accessing more adaptive information; changes in the Subjective Units of Disturbance scale; and the Validity of Cognition scale and Impact of Event Scale--Revised indicating shifts in perception of the traumatic memory. Pre-post R-TEP treatment gains were noted for all clients, with changes in behavior and functioning. Theoretical underpinnings of the R-TEP are discussed with respect to the reported observations. The specific contribution of the protocol is highlighted, considering its procedural components and related plausible mechanisms of change.

Keywords: Mechanism of Action  Outcome Evaluation  Recent Evemts  Recent Trauma  R-TEP  


15. Tofani, L. R., & Wheeler, K. (2012). Le protocole de l'épisode traumatique récent: Evaluation et analyse des résultats de trois études de cas [The protocol for recent traumatic episode: Evaluation and analysis of the results of three case studies]. Journal of EMDR Practice and Research, 6(4), 46E-63E. doi:10.1891/1933-3196.6.4.46.

Language: French

Format: Journal

Abstract:
Cet article évalue et illustre l’application du protocole de l’épisode traumatique récent (R-TEP : recenttraumatic episode protocol) avec trois clients différents : un enfant atteint d’une maladie chronique, une femme ayant subi une perte importante et un adolescent qui s’automutilait. Le R-TEP est une adaptation du protocole EMDR pour l’intervention EMDR précoce. Les séances sont présentées de manière détaillée afin de souligner les changements qui se produisent au niveau du traitement de l’information au cours de la thérapie. Des marqueurs observés identifiés ont permis d’analyser le déroulement du traitement, incluant la distanciation vis-à-vis du trauma ; la diminution des affects négatifs ou le changement des émotions rapportées ; l’accès à des informations plus adaptatives ; des changements au niveau de l’échelle des unités subjectives de perturbation (SUDS : Subjective Units of Disturbance scale) ; l’échelle de validité de la cognition (Validity of Cognition) et l’échelle révisée d’impact de l’événement (Impact of Event Scale––Revised) indiquant des modifications de la perception du souvenir traumatique. Tous les clients ont montré des gains thérapeutiques pré/post du R-TEP, avec des changements au niveau du comportement et du fonctionnement. Les soubassements du R-TEP sont envisagés à la lumière des observations rapportées. La contribution spécifique du protocole est soulignée en considération de ses composants procéduraux et des mécanismes de changement associés plausibles.

This article evaluates and illustrates the application of the protocol recent traumatic episode (R-PET: recenttraumatic episode protocol) with three different clients: a child with a chronic illness, woman who suffered a major loss and a teenager who automutilait. The R-TEP is an adaptation EMDR protocol for early EMDR intervention. The sessions are presented in detail to highlight the changes that occur in the processing of information during therapy. Observed identified markers were used to analyze the course of treatment, including distance vis-à-vis the trauma, decrease negative affect or change reported emotions; access to information more adaptive, changes at scale subjective units of disturbance (SUDS: Subjective Units of Disturbance Scale) scale validity of cognition (Validity of Cognition) and the revised scale of impact of the event (Impact of Event Scale - Revised) indicating changes in the perception of the traumatic memory. all customers have shown therapeutic gains pre / post R-TEP, with changes in behavior and functioning. The foundations of the R-TEP are considered in the light of reported sightings. The specific contribution of the protocol is emphasized in view of its procedural components and related plausible mechanisms of change.

Keywords: Evaluation of Results  Mechanisms of Action  Recent Trauma  R-TEP